(9 years, 10 months ago)
Commons ChamberI am very pleased to have been given an opportunity to raise an issue that is of importance not only to my constituents, but to many other families and young people across the country. Deafness is a disability and although that does not mean that children who are deaf are categorised as having learning difficulties, it most definitely means that learning can be difficult. There remains a wide attainment gap between deaf children and their peers. There are a variety of reasons why that is the case, but it need not be that way. It is clear that more could be done across the country to ensure that deaf children receive the support they need to close the gap. It is important to emphasise that while this debate falls under the Department for Education’s brief, it is also clearly a health issue, so unsurprisingly I will touch on health matters in my comments.
Deafness affects more than 45,000 children in the UK, the majority of whom are born to hearing parents with no background in deafness. More than three quarters of them attend mainstream schools with little specialist provision, where they are often the only deaf child in attendance. Most of those deaf children—85%, in fact—do not have a statement of special educational needs, but when they reach working age, just over 50% of them are in employment, compared with 80% of the non-disabled population. We are clearly not assisting them in achieving their full potential.
It is important at this stage to establish who I am talking about when I refer to “deaf children”. When the National Deaf Children’s Society talks about deaf children, it means any child with hearing loss from mild to profound, whether temporary or permanent and whether in one ear or both. Even a mild hearing loss can have a negative impact on deaf children’s achievement. Recent Government figures show that just 43% of deaf children achieve five GCSEs, including English and maths, at grades A* to C, compared with 70% of children with no identified special educational need. It is the Government’s main benchmark for GCSE success, and there is no reason why we should not have the same educational benchmarks for deaf children as for their peers. Clearly more can be done to support these children throughout their school life and to best prepare them for the working world.
I say this as someone with deafness myself. I am, as many in the House are aware, completely deaf in one ear and have been since the age of 16 when I contracted mumps. The damage to my nerve endings meant that nothing could be done to enhance my hearing. It poses problems when there is ambient noise, in a room with poor acoustics and in the Chamber, Mr Deputy Speaker—quite frankly, if you were to speak to me, there is a good chance that I would not hear you unless I was looking at you. I would not be aware that you were talking to me. That happened at one of my early forays at the Dispatch Box. The only way I knew that something was amiss was that I could see the faces of the Members on the Benches opposite, who looked somewhat puzzled that I had not responded to the fact that the Speaker was standing and trying to attract my attention. That can clearly pose problems in a classroom and throughout the education process for many young people, and for teachers who have to consider the physical placement of those students within the class and the eye lines and the background noise during the lesson.
In September I met a young woman called Renée, a lovely and bright 17-year-old girl who is profoundly deaf in both ears and has two cochlear implants. To communicate, Renée uses a combination of speech and British sign language and can lip-read. She told me how hard it could be for her and many of her deaf friends to concentrate and focus on their work in school or college. Especially at the age of 17, when friends are finding their own way in the world, she found it hard to become truly independent like many of her peers, but she has not let any of these obstacles affect her, as they can so many. She sits on the National Deaf Children’s Society’s young people’s advisory board, is a peer buddy at her school, is a member of the National Portrait Gallery youth forum and wants to become an art therapist when she finishes her education. I am sure that she will excel, yet sadly many who experience similar obstacles do not.
Addressing the issue does not simply lie in the classroom. It starts with providing the best possible care and services we can for deaf children. The National Deaf Children’s Society believes that one third of audiology services are failing to provide for deaf children. It has NHS figures that it believes show that those services are failing to see children within Government time frames, failing to use the most up-to-date tests, incorrectly setting up hearing aids, seeing too many children during school hours when they should be learning, and even lacking deaf awareness. The suggestion that the Government are planning to stop assessing the quality of children’s audiology services is therefore very worrying. I realise that this is not a matter for the Minister, but I hope that he will pass my concerns on to his colleagues in the Department of Health. That decision has clearly had a knock-on effect on the educational development of these young people.
Why are audiology services so important? As we know, children learn and socialise through hearing, so it is unsurprising that hearing loss can present considerable challenges to a child’s progress at school and their ability to make friends and develop socially. Good audiology services make a critical contribution to a deaf child’s success in life, as they are responsible for ensuring that a deaf child can use their remaining hearing to the fullest possible extent.
The Government recommend that newborn babies should receive an audiology appointment within four weeks of referral. Older children should be seen within six weeks, and rightly so, as hearing is critical to a child’s development of language and learning, and early diagnosis is vital as it will reduce the risk of delays in language, educational and social development.
The problem is that when asked by NDCS about the length of time it took to get their child an audiology appointment, 44% of parents said that they had to wait five weeks or longer, and 20% said they had to wait for more than eight weeks. At such a young age, that length of time without diagnosis can be seriously detrimental and will certainly put those children behind others of their age when it comes to starting school.
Obviously, effective hearing aids are an integral way of mitigating the effect of deafness, and making sure that they are correctly set up and fit for purpose is essential. Children grow out of the ear moulds for their hearing aids as often as they grow out of their shoes, and any parent will be well aware that that can happen every few months. If a child experiences a delay every time they need an ear mould replaced or if a new one does not fit correctly, they lose out on significant listening and therefore learning time. Sadly, almost 80% of the parents who spoke to NDCS said that they had waited longer than the target time for their ear mould impression appointment. Those are all health issues, but they obviously have an educational impact in the classroom. Almost three quarters of deaf children fail to achieve a good level of development in the early years foundation stage assessment. If deaf children are struggling to attain the same educational outcomes as their non-disabled peers, consider how challenging it must be for deafblind children.
In 2011 a school was built in Belfast specifically to cater for deaf and blind children who needed the level of educational standard it delivered. The school gave those people an academic standard and achievement that prepared them for jobs in future life, but it was done through private finance. Does the hon. Lady agree that the Government could follow that example from Northern Ireland, and that the Education and Health Departments could work with the private sector to look after those who are deaf and blind?
The hon. Gentleman has always brought interesting examples and ideas to my previous debates on health-related issues. I am sure the Minister has listened to him. We should seek to learn from any example of good practice, whether it be in the public or the private sector, but whether we would support rolling out the private element more widely is a different issue. That said, if the practice is good and the children are achieving, clearly we should look at it.
Although there are fewer deafblind children than deaf children in the UK, they face a unique set of challenges —of which the hon. Gentleman is clearly aware—when accessing education, and they therefore require specialist support. To be able to get that support, they first need to be identified as deafblind, which is their local authority’s responsibility. Every two years, the charity Sense conducts a survey of local authorities and their identification rates. It estimates that local authorities should be identifying 31 deafblind children per 100,000 of the population. In 2014, they were identifying on average just 14 per 100,000, which is a 7% drop from the figures reported in 2012. The low identification rates are attributed by Sense to poor professional awareness of deafblindness and to inadequate information sharing between agencies. Although this is a crossover issue for health and education, I am concerned that identification of deafblindness is proving to be more difficult and that fewer young people are being identified early enough in the process.
In Plymouth, as in the rest of the country, the number of deaf children has risen. In 2012 there were 171 deaf children in Plymouth and by 2013 there were 175. In the south-west as a whole, 49% of deaf children managed to achieve five GCSEs at grades A* to C in 2011, which is more than the current national average, but way below the average for children without a special educational need. In 2013, however, the attainment levels dropped, with just 40% of deaf children achieving the target of five GCSEs.
Clearly there is an issue. I welcome statements by local authorities that specialist education services are increasing, despite the cuts in the system, and that a review of the specialist educational service for deaf children will go ahead in 2014-15. However, there is a shortfall in specialist teachers nationally and that is having an impact on Plymouth. In England, the national average ratio for visiting teachers of the deaf to children is 1:44. In Plymouth, with just two visiting teachers of the deaf, the ratio is 1:72. I am told that those two specialist teachers are being stretched by unrealistic and unmanageable caseloads. What is being done to recruit, train and, importantly, retain teachers across England with that level of expertise?
The impact on education of being deaf is not only felt at a young age. Many young people continue to experience problems when in higher education. When I met NDCS at the Labour party conference in September, I was told about a young man who relied on note-taking support at university, but when he started his first term he found that no support had been organised, despite the fact that the university had been given plenty of notice of his needs. Unsurprisingly, that made his first couple of months very stressful and unproductive. The issue affects the whole of the education spectrum—from nursery right the way to young people seeking to move from secondary education to university—and it needs to be addressed.
Deaf students will certainly be impacted by the changes to disabled students allowance, in relation to which there has been no mention of non-medical help, such as using British sign language interpreters. I wonder whether the Minister has discussed that issue with his colleagues in the Department for Business, Innovation and Skills. As I have said, young people coming out of mainstream education and seeking to progress to university may find that that journey is not possible because of the new barriers that are being erected. Randstad student and worker support has told me that 27.7% of the students it surveyed said they would not have attended university without DSA. I am sure the Minister is as anxious as I am not to close off any option to pupils who wish to progress their education.
What needs to be done? Obviously, budgets are tight, and everyone is being asked to do more for less. Charities such as the Plymouth Deaf Children’s Society are working with partners, including the Plymouth YMCA, which has provided admin space in its premises and is incredibly supportive. I have some wonderful people working with various organisations, such as something called CHSWG—the Plymouth Children’s Hearing Services Working Group—and the Plymouth Deaf Children’s Society, including its chair, Yvette Beer, who is fabulous. They are doing a lot of good work, but they were very anxious for me to come to the House to raise some of the concerns that they had raised directly with me.
From my remarks, the Minister will understand not only that we risk making the educational pathway of many young people more difficult, but that there are still gaps in the existing provision. I look forward to hearing his comments.
(10 years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I appreciate the opportunity to say a few words. I congratulate the hon. Member for Bolton South East (Yasmin Qureshi) on securing the debate for us all to participate in. I am pleased to follow the hon. Member for Plymouth, Moor View (Alison Seabeck), who delivered her speech eloquently despite her current impediment, and we thank her for that.
Personal independence payments are of great importance to me and my office. One member of my staff now deals with nothing else besides benefit claims, which includes claims for disability living allowance, employment and support allowance, income support and the whole raft of benefit claims. I suspect that that situation is replicated in hon. Members’ offices across the United Kingdom. Many of us have a staff member who is tasked with dealing with such matters every day, because of all those difficulties. In the few minutes that I have, I hope to illustrate the situation through the experience of my office.
We understand the reasons for the changes, and the Government have set out their stall when it comes to reducing benefits through universal payments to ensure that changes will be made. We are aware of cases of people receiving payments when it is questionable whether they qualify for them, and we understand that that issue must be tackled. However, the people whom I will speak about today are those who clearly should have the payment and are feeling the difficulties of the new system.
In the same way as DLA did, PIP helps towards some of the extra costs that arise from long-term ill-health conditions or disability, and it is based on how a person’s condition affects them rather on the condition that they have. Every time someone comes to me about the benefit, I always say that it is about the help that they need, not entirely about their illness. It is about the help that they need in the house, how the illness affects them and whether they need people to come in and help them. When they get their head around that, they understand the importance of explaining their condition and highlighting the symptoms or problems associated with it. Every person is different, and they are affected in different ways. The previous system fell down many times, and the new PIP system unfortunately has the potential to do likewise.
The individual assessment for PIP is much stricter than the assessment for DLA, but the aims are the same: to ensure that people with health needs or disabilities can lead an independent life, while getting some extra help along the way. The stricter measures are intended to ensure that the system cannot be abused, in view of the budget constraints we all face across the United Kingdom. The changes from DLA to PIP will involve a face-to-face consultation with an independent health professional as well as regular reviews to ensure that an individual gets the right support. I welcome the face-to-face consultation, because I hope that it will better enable assessors to determine an individual’s circumstances. I often wonder, “Have they ever met these people? Do they understand their circumstances? Do they know what it is like to be unable to move about in your own home, to have restricted movement or to be dependent on someone else to help you?” The face-to-face consultations have the potential to lead to improvement.
To receive PIP, an individual will be assessed against reliability criteria to test whether they can carry out certain activities safely, to an acceptable standard, repeatedly and in a reasonable period. I can relate so well to the words of the hon. Member for Plymouth, Moor View. Someone may be able to walk 60 yards, but they will be in pain. Most of the people who come to me about DLA are in pain with their first step, but they endure the first 20 or 30 yards and then they have to stop. We need to have a system that adequately takes that into account. I hope that under the new system of PIP, it will be easier to ascertain and understand the problems that people are experiencing and resolve them urgently. We are having this debate because, quite honestly, the issues are not being resolved urgently; indeed, the opposite is true.
As PIP is being rolled out, some strange delays are occurring and some of the most vulnerable are not receiving any help. I want to highlight some of the delays that are affecting my constituents. First, they are anxious about their health. They become anxious about their PIP, and then they become anxious about all the other benefits that swing off that. Perhaps the Minister could give me some indication of how we can hurry or quicken the system. As a result of all the anxiety and concern that they experience, people’s health often deteriorates. They sit in an in-between world between today and tomorrow, almost hanging in space, hoping for their claims to be processed. All the time, it affects them greatly.
In February this year, only one in six people who had made a claim for PIP had received a decision. As the hon. Member for Bolton South East mentioned, the National Audit Office stated that poor early operational performance had led to long delays and uncertainty for PIP claimants. The right hon. Member for Barking (Margaret Hodge), the Chair of the Public Accounts Committee, said that the implementation of PIP had been
“nothing short of a fiasco”.
That reflects the opinion of many of us.
We are not here to give the Minister a hard time, but we are here to highlight the shortcomings in the process. Many of us feel that the process is not built in such a way as to take on board the difficulties that we see our constituents facing. I am here to express those, as other hon. Members have done and others will do. Out of the 220,300 disabled people who applied for PIP during the period from 8 April 2013 to 31 December 2013, only 34,200 have received news of their claim. That is totally unacceptable, and it must be addressed.
One of the statistics associated with first-time PIP claims—those who are moving from DLA to PIP—is truly worrying. For those people, there is around an 85% chance that a final decision has not yet been made, so they are sitting in limbo waiting for everything to be sorted out. Because PIP is not counted as income, those who are eligible for PIP may also find that they are eligible for ESA, income support, jobseeker’s allowance, pension credit or housing benefit. There is a real challenge there, because housing benefit and tax credits are great benefits when they go right, but when they go wrong, they are a nightmare. Delays in PIP may mean that because someone’s income changes—they have to notify Her Majesty’s Revenue and Customs of that—their housing benefit and rent payments are put on hold and their tax credits go up the creek, and they find themselves becoming increasingly anxious and concerned.
As usual, the hon. Gentleman is giving a thoughtful speech on a serious subject. Are his constituents, like mine, having to find their way to food banks simply to feed their families in an attempt to fill those gaps?
In Newtownards, where my main constituency office is based, the food bank would say that the greatest number of referrals are of people who are on benefits, and delays in benefits compound that problem. We are all genuinely grateful to have food banks, and they have become a way of life. I have it on good authority that most of the referrals in my constituency are through my office, and I see lots of people coming into my office who are referred to food banks. We thank the Lord for the food banks and for the good work that they do, but the hon. Lady is absolutely right that food bank use is one consequence of the problems with PIP.
It was estimated that changes to mobility benefits could eventually lead to as many as 428,000 claimants losing their entitlements. Those changes have included the reduction of the requirement for claimants to be able to walk 50 metres right down to 20 metres, as the hon. Member for Plymouth, Moor View has mentioned. Unlike DLA, PIP will not have a lifetime award option. I am aware that under DLA there was the right to review a lifetime decision and that sometimes happened, but many people on lifetime awards were not reviewed, and it is a very random check to do at other times. I am concerned that there will no longer be the option to make a lifetime award. Let us be honest; if somebody has muscular dystrophy, unfortunately, they are not getting better. They are going to get worse. If somebody has severe chronic joint pain, they will not get any better. Their prognosis is for the worse. The prognosis for many such people is restricted mobility for the rest of their lives. That is not what they want, but it is what they are stuck with. Will the Minister, in his response, give us some indication of what he thinks about that?
I want to ask the Minister about a further issue on which I am keen to get some feedback. How many terminally ill people apply for the award—I do not have the figures, but I am asking this question to put it on the record—and how long does it take for their claims to be processed? I am aware of only two people over the years—this was under the DLA system, not PIP—whose applications were not processed quickly enough, so they passed on from this world. I am keen to hear what the Minister has to say about that.
Waiting times are not reserved for England alone—Capita Business Services Ltd is responsible for Northern Ireland, central England and Wales. Charities in Northern Ireland, such as Disability Action, have complained about the longer waiting times for assessment. Charities and my constituents are telling me that there are problems, so clearly we have to address them.
The move to PIP seems to be logical. Physically meeting a person along with a health professional is a great idea, but it is time-consuming and the waiting times make the process long and complicated. All new schemes must be put into action and tweaked to ensure they run efficiently and properly. That must happen with PIP to guarantee a smooth transition from DLA. All of us speaking today think that the delays are unacceptable and that changes must be made to the system. I hope that today’s debate will give us the opportunity to hear a positive statement from the Minister. The Government must ensure that the system is tweaked as soon as possible to bring assessment waiting times down.
I understand the reasons for the move to PIP, but I can also see the problems for the people waiting to be assessed. Elements of the system clearly need to be fixed, such as waiting times and the appeals process, which at the moment is overwhelming. I have constituents who have waited for 10 or 11 months for an appeal. That is unacceptable—it is almost a year between the start and the end of the process—but I am sure that other hon. Members have constituents who have waited longer. To say that problems are inevitable because the system is new only explains some of the issues, and it is no consolation to those who lose out. The Government must address these issues urgently. The waiting times are not fair, and improvements must be made now.
(10 years, 7 months ago)
Commons ChamberIn the past, both here and in Westminster Hall, I have spoken frequently about issues such as child poverty, food poverty, benefits for single parents, social exclusion and other social problems. On this occasion, I want to express my support, and that of my party, for the married couple’s transferable tax allowance. We gave a manifesto commitment to support it in our Parliament, and we are pleased to be able to support it today as well.
I respect the opinions of Labour Members, and I do not wish to be divisive. I want always to be respectful to Members whose opinions may differ from mine. However, I have a hard-held opinion about this particular issue. I want to help everyone, but I think it is time that married couples had an opportunity to see some benefit from legislative change. Those who support the recognition of marriage in the tax system have waited a long time for the Government to introduce this policy. I expected it to be introduced a long time ago, in view of the Prime Minister’s enthusiasm for what was a headline manifesto commitment, but I am very pleased that, at long last, it is being introduced now.
We have heard some excellent speeches from Members on both sides of the House. I particularly commend the way in which the hon. Members for East Worthing and Shoreham (Tim Loughton) and for Peterborough (Mr Jackson) set the scene. I recall a debate in the House about two years ago to which the hon. Member for Congleton (Fiona Bruce) and I contributed. That was one of my early introductions to the cut and thrust of politics here. Most of the Members surrounding me opposed what I was saying, but I held fast to my opinion, and I am very pleased to be able to express it again today.
Let me begin by highlighting some of the powerful public policy benefits of marriage. I shall then explain why I consider clause 11 to be an appropriate public policy response, albeit rather modest—I should have liked to see more.
As always, the hon. Gentleman is talking a great deal of common sense. Marriage is indeed something to which most people aspire. Let us be honest: it is a great institution. However—I think he was starting to make this point just now—the Bill is neither one thing nor another. It does not really achieve what most Government Members want, and it certainly does not deal with the concerns of Opposition Members. I should welcome his views on that.
(11 years, 6 months ago)
Commons ChamberThe establishment of the Marine Management Organisation was deemed at the time to be a sensible approach, although the decision to move to the north-east was one I argued against. The loss of expertise within the organisation was never going to be easy to rebuild overnight, and the use of consultants is expensive and never quite provides the degree of continuity an organisation needs—it loses its embedded knowledge. Good catch data management and information are at the heart of fisheries management, stock assessment, targeted enforcement strategy and the sustainable use of our marine environment. Our national fleet, and the communities and livelihoods they support, depend on them.
When I was contacted by a scalloper in my constituency, Terri Portmann, about her problems making sense of the figures available via the MMO, DEFRA and the EU, it became clear that there was a mismatch that in turn was causing serious problems for those in the industry. For 18 months, we have been trying to understand what the problems are and where they lie so that the industry, hand in hand with officials, can try to make the system work better for everyone. Ms Portmann has, through her own diligence, been pursuing clarification, and I have asked a series of parliamentary questions. Others have also been pressing the Minister on this matter.
Unfortunately, I have encountered a worrying pattern of obfuscation and inaccuracy. The MMO and DEFRA have both offered assurances that everything is fine, but when we have asked for evidence of this, every—and I mean every—request for information made either through a freedom of information request or environmental information regulations has met with time extensions and the need to request internal reviews. There has been constant delay. Every internal review has required that a complaint be made to the Information Commissioner’s Office and, importantly, every complaint so far—more are still pending final outcomes—has been upheld, as a result of which the result the MMO has been ordered to provide information it had previously withheld or to admit that there is no such evidence. I must repeat that final point: no such evidence.
The ICO’s decisions have demonstrated that in every case when requests have been made to substantiate claims made by officials about statistics and management, either there has been no evidence to support the MMO’s position or quite the opposite—there has been evidence only to the contrary. The chief executive officer of the MMO, James Cross, wrote to Ms Portmann in August last year after a meeting at which concerns were raised about the statistics. He wrote:
“As mentioned at the meeting, the systems operated within the MMO, and by the other UK Fisheries Administrations, to collect and process data from fishermen are subject to ongoing external EU inspections on various aspects of their operation. Commission staff, inspectors from the European Fisheries Control Agency, and the EC Court of Auditors have all visited to check on the UK’s compliance with obligations; issues are from time to time raised but these are then rectified as quickly as possible.”
All seems fine, but he continues:
“EU scrutiny regarding data reporting systems has included working through from the initial ‘raw’ data on activity right through to the detail reported to the Commission to ensure completeness and accuracy in the capture, processing and final reporting of data. These inspections and the checks built into the systems, in addition to MMO’s own checks and balances, give the team high confidence in the robustness of the system”.
“Great”, we thought, “No need to worry”, but when we asked for sight of all these reports demonstrating the robustness of the statistics, the CEO’s officials eventually had to respond and admit that he was wrong and that no audits of processes and raw data handling had been carried out by any of these organisations. It is of grave concern that the senior official at a non-departmental public body is willing to try to hoodwink stakeholders and does not even know himself whether statistics are fit for purpose. Despite the fact that Ms Portman has written to him and the chair of his board, neither has responded to the assertions made by him.
It may be helpful to outline another specific instance. For some years, the UK has overfished and not reported to the Commission the correct western waters scallop effort figures for some years. From local fisheries officers to the chief executive of the MMO; from directors of departments within the MMO to the chairman of the board; from DEFRA officials through to the Minister himself—all have received assurances that the Commission was fully aware of this and accepted it because of the early “close out” of statistics in the subsequent year.
I thank the hon. Lady for giving way on this important issue. She mentioned fisheries, which are an important issue for me as well. In Northern Ireland, fishermen and the Department of Agriculture and Rural Development’s fisheries division have carried out data-gathering exercises in the Irish sea showing that the numbers of white fish and cod fish have increased greatly. Does that not underline her point that the data collection seems right, but that its imposition, and how it might improve the fisheries division, is not carried through?
I thank the hon. Gentleman for his intervention. He emphasises a point I will make later, which is that because of our concerns about the scallop data, those fishing other species are rightly concerned that the data on which their activity is based are also inaccurate.
Even the Chair of the Public Accounts Committee received assurances from the MMO and DEFRA, through the National Audit Office, that the EC was aware and had sanctioned the statistics. However, documents that the MMO was recently forced to disclose by the Information Commissioner’s office show this to be simply untrue. E-mails from the MMO’s statistical unit to DEFRA officials at the time we started questioning the unreported overfishing state that the EC was not aware of the 2009 overfishing, for example—specifically, that the EC had not been told—and admit that only a 95% uptake was reported, when in reality there was an overfish of 10. Because of overfishing of effort or quota, the UK runs the risk of being fined—as I am sure the Minister is well aware—and facing infraction proceedings.
Although I have been able to identify 2009 as the first year in which that occurred, it appears to have happened in 2010, 2011 and 2012 . We have heard time and again from officials that this is all due to the EC imposing short timescales for monthly and end-of-year close-out. That ought to be a nonsensical claim, as western waters vessels are fitted with e-logs. Landing declarations are made in real time and sales notes are required to be submitted within a week of landing, so how can the UK not meet the monthly close-out targets due by the 15th of the following month or the year-end target of six weeks for the end of year? Indeed, why is the UK still some months behind in some cases? The MMO controls and enforces e-logs and sales notes. There has been no substantial action against vessels or processors in the submitting of data. Despite that, MMO staff have grown in number since 2010, from 190 to 320, so what on earth are all those people doing? Clearly they are not involved in meeting the UK legal requirements for data submission.
DEFRA must also bear a heavy responsibility for the western waters scallop debacle. Documents released by DEFRA show that officials were aware of the effort problem for some years. Indeed, internal DEFRA memos show that the person who eventually took over the western waters job in 2010 questioned why nothing had happened. By then, towards the end of 2010, DEFRA still did not act or, importantly, speak to the industry properly. Through May and June 2011, officials had some meetings and discussions with selected members of the industry, but did not advertise, publicise or engage with this fragmented industry of vessels and processors—the people who did not belong to national associations. By late August 2011, DEFRA had decided a closure was likely. In early September it finally started to make that publicly known and closed the fishery in October. Even the internal e-mails from that period show that, behind the scenes, DEFRA was withholding its full intentions from the industry and even discussing the necessity of further consultation, if only for the appearance of consultation and to avoid criticism later—at least that would be my view.
The easy answer was a realignment of effort. After my meeting with the Minister last May, Ms Portmann wrote to the EC, which suggested that this was a good idea. There was a further meeting with officials, who, it was felt, were not in favour of even trying to get an uplift. As more recently released documents show, that option was being positively considered, yet somewhere along the line they simply changed their minds. Will the Minister say what the basis for that was?
Scallops might be a specific area where the MMO and DEFRA are failing at marine management. However, because of the questionable data trails—this touches on the point made earlier—and the clear attempts to prevent me and other interested parties from gaining access to all the information, we decided to dig elsewhere to see whether the problem was specific to scallops. What we discovered was more of the same—other sections of the industry may want to question the data following this debate. I am sure it is in the interest of both industry and organisations such as the Marine Conservation Society to ensure that we fully understand what is happening, rather than rely on what at times seems little more than guesswork.
We questioned the MMO’s annual report for 2011-12, which was laid before this House. So far, for all the targets listed as “met” that we have questioned—we have asked for sight of evidence that they were indeed met—we have encountered the usual freedom-of-information handling by the MMO and, as a result, MMO complaints. There is no evidence that these targets were all met. In fact, the MMO has been forced to release evidence confirming that they were not all met. The Information Commissioner’s findings question a number of the MMO’s assertions.
There are other targets for which we are still waiting for a response, some months after they have been asked about, and we are also looking for further evidence linked particularly to the business plan that the MMO has produced for 2013-16. We really do not want the MMO to get caught out again. We want the figures that are given to us and placed before Parliament to be factually correct.
Further requests relating to other basic and core functions such as ensuring that licences and variations are issued in accordance with the relevant laws have met with evidence that they are in fact not, and that there is not even guidance in place for staff to follow to ensure compliance. If we add into this pot staff conferences at four-star hotels, a hospitality bill that appears not to meet the suggested standard pricing, and total bills for the hotel alone that were in excess of £80,000, we can see why people in the industry who are struggling are getting angry. I would suggest that in austere times some of those costs should be looked at again.
I find it deeply disturbing that an organisation of which we should be genuinely proud has a culture of promoting secrecy and obfuscation from the top down when challenged by those most affected by its decisions. It is an organisation that goes to great lengths to hide its failings. It is only through the persistence of my constituent, who is in the Gallery tonight, and others in the industry that we have managed to get the necessary information to surface. The Information Commissioner’s Office has also played a key part in this.
I put it to the Minister that the time has come for a full and detailed investigation into the nature of these figures, not least because companies such as that of my constituent are going out of business. Ms Portmann has lost her business, and that is in part due to the fact that there are inaccurate data available, and that people in the industry are not clear about the nature of the effort that they can get or the activity that they can undertake. The Minister really should take this seriously and not continue simply to accept the papers that are put in front of him by officials. This needs to be properly investigated.
(11 years, 7 months ago)
Commons ChamberMy hon. Friend is right and has flagged up yet another unfairness about what is proposed.
We have an example of the Government bearing down on the less well-off—those who are suffering because of the bedroom tax. Those people could probably never afford a mortgage, however desirable an ideal that might be. The Government are effectively expecting those people on low incomes to fund and support other people to buy new homes.
I thank the hon. Lady for being gracious enough to give way to everyone who has wanted to intervene. Does she feel that there should be an incentive for parents or grandparents who either have savings or could remortgage their homes to provide a deposit for their children or grandchildren? Could that not enable first-time buyers to get on to the ladder in their 20s rather than at 37, as was mentioned earlier?
The hon. Gentleman makes an interesting point, and I will briefly touch on it later. I suspect that it could be possible for parents to buy for children.
People struggling to get a mortgage and those who want to own their first home must be a priority for help, not the small number of people who can afford to buy a second home. What checks will be introduced to prevent abuse of the scheme, so that people are prevented from applying in the names of their sons and daughters, cats and dogs?
The key fact is that not enough homes are being built. The Government must focus on that issue and on listening to the voices of those who understand the market. They should not simply dismiss out of hand the Opposition’s new clause, which would enable the public to have a better understanding of who benefits from the scheme. Is it foreign investors, parents buying second homes for their children or people seeking to rent the property in the long term?
What checks will be put in place if somebody applies to the scheme saying that they are not going to let the property, then sits on it for a time and subsequently opts to rent it out? Perhaps people could use the scheme for a straightforward holiday home purchase, as I mentioned in relation to Plymouth and the South Hams. Where are first-time buyers in the process? For me, they are singularly missing.
(12 years, 1 month ago)
Commons ChamberI am pleased to have this opportunity to raise the question of oral health in the UK. Oral health is given far too little attention, in terms of what practitioners can bring to improving a population’s general health, as well as how it can be used to prevent the development of disease. Rather like opticians, our dentists are undervalued, in terms of what they can bring to the table to help to improve our nation’s health. Perhaps it is because dentists are not the most popular group in society—although I suspect that they are outdone by politicians. Why is going to the dentist not seen as a pleasurable experience? I will leave that to others to judge, but although going to the dentist may not be pleasurable, it is absolutely essential, and good practice starts right at the beginning, with the emergence of milk teeth.
Here in the UK we can be proud of many of our successes in achieving a good quality of oral health. The UK is one of the top-performing countries for oral health in Europe, but there is still much we can do. In fact, a recent joint report by Wrigley and GlaxoSmithKline suggests that Britons love their teeth and take very good care of them compared with our European neighbours. More Britons have more of their natural teeth than people in any other European country, and since the 1980s Britain has cut its decayed, missing and filled teeth score by two thirds. That is an impressive step, but there is certainly still room for improvement—I should explain, Mr Speaker, that Wrigley is based in my constituency.
I recently attended the launch of the report and listened with great interest to Professor Ken Eaton talking in detail about the work that has been going on across Europe looking at patterns of dental health. Other speakers included Dr Nigel Carter from the British Dental Health Foundation and Juliette Reeves, a dental hygienist and nutritionist with over 30 years’ experience. All the speakers set out clearly the importance of dental checks in the early identification of a number of diseases, particularly cancers, which we know are growing in prevalence, mouth cancers in particular. There has been a 48% increase in mouth cancers in the last 12 years. Early identification can make all the difference, in terms of the treatment required and the survivability of the patient. Dental health problems can also be indicative of other diseases, such as diabetes. All those issues are easily picked up during a dental health check. One of the good things in the new contract for NHS dentistry is that it recognises the importance of prevention. This will be challenging for some in the profession to implement, as they will have to change the way in which they work, but most dentists will learn to accept that prevention should be a priority.
The report’s evidence showed that although a majority of us in the UK keep to the suggested practice of brushing twice a day, only half of us brush for two minutes or longer—the rest of us just whizz around and hope that is sufficient—and that almost two thirds of us eat or drink between brushing and going to bed at night. There is clearly space to improve our personal oral hygiene practices, and there is scope for policy and campaigns to achieve that.
Personal oral hygiene is essential. Dental disease is completely preventable, and so, therefore, are those occasionally uncomfortable visits to the dentist when invasive treatment is necessary. These diseases constitute a significant public health problem across the UK and Europe. I cannot stress strongly enough that prevention is the key, and it needs to be encouraged. Many will say that the treatment is expensive. Yes, it can be, but when set against the money saved by regular dental checks reducing the likelihood of more complex treatment, the expense looks like good value for families. The prevention of debilitating diseases will certainly reduce the social and economic costs for the country and the individual.
Curative dental care is a significant economic burden across Europe, with spending close to €9 billion. In the UK, the cost is substantial. An estimated 0.5% of gross domestic product was spent on oral health care services in 2010, and that figure is rising. Expenditure on treatment for oral diseases often exceeds that for other diseases, including cancer, heart disease, stroke and dementia, yet the simple fact is that the causes of most oral diseases in the UK are preventable through cost-effective measures that would ultimately save the taxpayer money. Brushing, flossing, using mouthwash and chewing sugar-free gum—a much-maligned practice that is actually quite effective—could all be more effectively promoted to help to keep dental costs down in Britain, and the sharing of good practice should be encouraged.
Policy needs to be designed and implemented to improve research into oral health promtion. There is currently a lack of comparable data across Europe, although the report goes some considerable way towards addressing that problem. To tackle the burden of oral disease we also need to consider taking action in various ways, some of which have been suggested in the report on the state of oral health in Europe, which I hope the Minister has had an opportunity to read. The report suggests the need to address increasing oral health inequalities, improve the data and knowledge base and support the development of the dental work force.
We should be proud that Britain is a high achiever when it comes to oral health in Europe, but there is certainly room for improvement. Despite our successes, oral diseases remain a burden for much of the population, and the economic impacts are significant. There needs to be a greater focus on prevention rather than treatment, and improvements in education and awareness are also needed.
I am proud that we have the Peninsula dental school in Plymouth. I was asked by my local media why I had chosen oral health as the subject for this debate when so many other issues could have been raised. That was a good question. Having the Under-Secretary of State for Health, the hon. Member for Central Suffolk and North Ipswich (Dr Poulter), here to respond is of course a good reason. There is also the small question of the ballot for Adjournment debates. MPs often put in for a number of debates over the Session, and we cannot tell which one will be lucky enough to come out of the ballot. I was lucky on this occasion.
Also, one of the first major campaigns that I was involved with when I was first elected to Parliament was to get a dental school sited in Plymouth. I remember fighting tooth and nail—the pun is intended—for that, alongside my former colleague, Linda Gilroy, and experts such as Sir John Tooke. It was during that campaign that I began to understand just how important good dental health is, and how essential it is that we train our dentists and technicians to the highest standards. My subsequent involvement in the all-party parliamentary group on dentistry, which is chaired so well by the hon. Member for Mole Valley (Sir Paul Beresford), has maintained my interest in the subject.
The groundbreaking training offered by Peninsula in Plymouth closely links the trainee dentists and technicians to local communities that have historically had very low levels of contact with dentists, and it is making a difference. This was one of the strong points of the case we made for a dental school in Plymouth.
We have an excellent community development team at the dental school who ensure that the training includes opportunities to go out into these communities, taking dentistry to “places it has never gone before”. Some of the projects included highlighting the impact of high-sugar drinks for professional rugby players at Plymouth Albion; making mouth guards for them; offering oral health advice to local schools; and letting children enjoy and play in a clinical environment to make it less scary. The dental school also works alongside experts to support people with drug and alcohol abuse issues, and is certainly doing some excellent work around oral cancer and smoking cessation with young adults and teenagers.
There continues to be concern about access to dentists in some parts of the country. In Plymouth, we have good months and bad months. Since the start of 2012, however, improvements have been made, with an additional 6,500 NHS places coming on stream in our city. This is possible in part because the graduate dentists from the dental school are staying in the area—yet another reason why we so wanted a dental school in Plymouth. I was pleased that the then Labour Government recognised the importance of dental training—unlike the last Tory Government, who closed dental schools.
There continues to be an issue about the cost of dental care and treatment for many families, particularly in the recession. That cost is still not easily met by some families.
I thank the hon. Lady for giving way and for bringing this matter to the House for discussion. Oral health is a big issue right across the whole of the United Kingdom. In Northern Ireland, some plans have been mooted to introduce fluoridation in the water. That has been resisted by the Northern Ireland Assembly and resisted by the population of Northern Ireland. A new consultation process has started, but it will again be resisted. Does the hon. Lady feel that the best way of addressing tooth decay is, as she has already indicated, by regular brushing and diet, and not by fluoridation of the water?
I know that the hon. Gentleman feels strongly about this issue. I feel equally strongly about it, but I disagree wholeheartedly with him, not least because a lot of toothpaste has fluoride in it in any case. Neither of my daughters, now 30 and 26—they will probably kill me for revealing their ages—has any fillings, and they have lived in an area with full fluoridation. They have had no side-effects at all either.
The hon. Lady is generous in allowing me to intervene again. There are statistics and information showing that fluoridation of water leads to osteoporosis and other diseases. Is it not important to be careful before pursuing a policy that could affect people’s health negatively rather than help them?
I understand the hon. Gentleman’s concerns, and I am sure the population in his area will continue to have that debate, but I am convinced by the data and information that I have seen that, on balance, fluoridation of the water is a good thing. I was intending to touch on it later, but I shall now skip around it.
I will come back to the issue of families and the cost of dental care. Brushing teeth from an early age is certainly something we should all be doing; it has no significant cost and has positive outcomes. Dental treatment can be expensive, so a dental contract that focuses on prevention, works with people identified as having a higher risk of dental decay and takes a more risk-based approach—patient by patient—could lead to some families spending less on their visits to the dentist each year. That would obviously be a good thing for those families. Those people who have no visible issues of tooth decay—an increasing number in the UK, thanks in part to fluoridation—do not need a service focused on drill and fill. They need a system that rewards dentists for the preventive work they do, which should lead overall to less expensive treatments.
The wider use of expert dental hygienists to monitor and advise patients as well as to carry out treatments could have a significant benefit, although there will be some dental practices—these issues have been raised—that are not currently suitable and do not have enough space to accommodate the additional clinics. Some of the proposed changes could be problematic for them. I would welcome an update from the Minister about whether he is picking up concerns from some of the pilots as to whether or not this is an issue. The result of the contract pilots will be crucial when it comes to deciding whether the patient, as well as the dentist, benefits from the change in emphasis. The wider health benefits of preventive work will also save the NHS money, if other health problems are caught early. Preventive work can save lives, which is obviously hugely important.
I urge the Minister to consider whether, as well as the pilot schemes, further public information campaigns are needed to make the general public aware of the growing number of oral cancers that are linked to smoking and alcohol consumption—particularly among young women—and the importance of brushing babies’ first teeth. It should be emphasised that dental care can be preventive, rather than something that we all have to suffer when we have toothache.
I know that companies such as Wrigley run their own campaigns linked to their products and support wider campaigns such as Keeping Britain Smiling, but, given the massive cost to the NHS of poor dental health and linked ill health, the Government also have a role to play. I hope that the Minister will not only take on board the concerns raised by me and by others, but will tell me about the steps that are currently being taken, and about those that may be planned. I invite him to come down to Plymouth, visit the dental school and look at some of the outreach work that it is doing in deprived communities, because I think that there are some very good lessons to be learnt.
We should all speak to and lobby our health commissioners to ensure that those who are involved in the new health commissioning system understand what dentists can contribute to an overall reduction in poor health and the early identification of health problems. I hope that the Minister will note that plea.
(12 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is good to serve under your chairmanship for the first time, Mrs Main. Given that this is, I trust, a non-contentious issue, I hope that you will not be called to action.
Like many hon. Members, I have heard complaints and concerns about the design and safety of mobility scooters on the road, and the risks posed to those who use them and to other road users. Only yesterday, the hon. Member for Cannock Chase (Mr Burley) proposed a ten-minute rule Bill to update and clarify the Road Traffic Act 1988 on the use of powered wheelchairs, and his speech in the main Chamber also touched on mobility scooters.
I secured this debate after being contacted by one of my constituents about the design failing of his scooter, and following a meeting that I held with a Plymouth-based organisation called Scoot-A-Long. Both meetings forcefully flagged up significant failings in the system that cut across a number of Departments. I therefore tabled questions and wrote letters to the Departments of Health and for Transport, but the responses have not satisfied me or my constituents.
I would like to mention Mr Brian Fleming and describe his experiences, which have angered and frustrated him. He has been frustrated because, despite every attempt to highlight the problems, no one appears to be listening and he worries, as do I, that at some point a fatality will occur. He has been dedicated to raising awareness about the safety of these vehicles, and he has tried to interest programmes such as “Panorama” in his story.
Let us start at the beginning. What do we know about accidents involving mobility scooters? The answer is virtually nothing, and the full recording of incidents on the road that involve mobility scooters is unlikely to start before 2013. We are also not sure how and where off-road incidents take place, and whether they are ever likely to be recorded.
Recently, there was the tragic death at Bodmin in Cornwall of an elderly gentleman, Mr Moore, whose scooter flipped over on a steep slope. Because of the interest generated by this debate, Thompsons solicitors contacted me to provide a couple more examples of incidents that were linked to mobility scooters or motorised wheelchairs, which are known legally as invalidity carriages—that definition probably ought to be updated. A 79-year-old woman was left with serious injuries after a van collided with her mobility scooter in Sunderland. One claimant was shopping in Newcastle, but as she queued up a mobility scooter suddenly came towards her, knocking her to the floor. She suffered serious damage—a broken hip—and still has difficulty walking. Those are just a few examples, but we need to reduce the risk of such accidents and tragedies happening by increasing our knowledge of where and how they occur.
What do we know about the safety standards applied to imported mobility scooters? Again, not a lot. The Department for Transport has not commissioned safety checks on any vehicle model, and the Medicines and Healthcare products Regulatory Agency—the MHRA—which, according to the Department, is responsible for regulation in that area, does not commission safety checks on mobility scooters before their placement in the market. One has to ask, why not?
I find that astonishing. Would we allow a medicine to enter the market without it reaching a certain standard? No, we would not. Would we allow a car to go on the road without it reaching a certain standard? No. Why, then, is a mobility scooter allowed to go anywhere without a check, particularly when, on occasion, they are used by people who have never driven a car, perhaps have no road awareness and who may be frail? We expect people who drive cars on the road to take a driving test, yet a significant number of people are using a scooter on the roads with little or no road knowledge, other than as a pedestrian. I will return to that point.
I congratulate the hon. Lady on securing the debate. There is an active group in my constituency that makes mobility scooters available, and it has noted the issues that she seeks to address. A lot of police forces have also tried to emphasise the need for safety, and for people to have experience and to take advice when using mobility scooters. Does she feel that the time for the police to give advice, as with The Highway Code, is long overdue and that introducing registration will secure safety for everyone?
The hon. Gentleman is entirely right. A lot of good work is being done by various police authorities and other organisations to try to raise safety awareness. I will return to that point.
There is growing pressure to have a Minister with responsibility for older people, and such a person might be responsible for drawing these issues together—putting them in one place—and considering whether we need to regulate further, or indeed to legislate. The Parliamentary Advisory Council for Transport Safety called for such a post to be created, and there is no doubt that the safety of mobility vehicles was one reason behind that request.
Let me return to Mr Fleming. He is getting on in years—I will not say how old he is—but he has had a distinguished career. He has a degree of engineering knowledge, and he therefore speaks with some authority on the workings of his scooter. He contacted me because he has a Pride Colt 8, which, I understand, the MHRA has received complaints about. Indeed, one Pride Colt 8 was involved in an accident in Staffordshire, and the investigating police officer got in touch with me. He wanted to know what I knew about that vehicle, given the parliamentary questions that I had tabled. That cannot be right: police officers should not need to ring a Member of Parliament who happens to have tabled some questions to seek out information on the background and mechanical failings of a particular vehicle. Such information should be available elsewhere.
The Pride Colt 8 owned by Mr Fleming had a series of failings. Its electric autobrake failed, the head console was affected by corrosion and there was a catastrophic failure of the drive, leading to the product being recalled—need I go on? There is a long list of complaints, and a frankly unsatisfactory response from the manufacturer. The scooter does not appear to be fit for purpose and it can stop without warning. It passes basic requirements for use on the pavement, although not the road, yet it is being used by some on the roads.
My right hon. Friend is absolutely correct, and I will touch on the problems faced by local authorities. His comments reinforce concerns that I have heard from local authorities, as well as from users of mobility scooters.
One point that I have been made aware of concerns the advertising of mobility scooters. The adverts show an almost deluxe mobility scooter that can go anywhere. I do not know whether the hon. Lady has seen the adverts, but the scooters seem to be able to go through muck and snow, and go anywhere, almost like a four-wheel-drive mobility scooter. Does she agree that adverts ought to show what is achievable?
I thank the hon. Gentleman for that intervention. I think that between him and my right hon. Friend the Member for Oxford East (Mr Smith), my speech has been covered. The hon. Gentleman’s point is correct: the adverts suggest that some of these vehicles are all-singing and all-dancing. Indeed, there are individuals who soup up their scooters, for whatever reason, but that is clearly a separate issue.
Many imported vehicles are not legal on our highways, yet that is where they are innocently being used by the purchasers. In addition, there is no requirement for insurance. I would welcome the Minister’s view on why that is. Is it because of the cost factor? How many vehicles have been prevented from reaching the market because of design flaws or other concerns? What powers do local trading standards officers have in such circumstances, and are they being encouraged to use them? Mr Fleming feels that he has been going round in circles locally, as one organisation passes responsibility to another.
The Pride Colt 8 has no width-indicating lights for night use and no brake lights, so right hon. and hon. Members will understand the obvious risks involved should these scooters be taken on to the highway. Many owners of the scooters say that they are forced to use the roads because local councils have not created a safe pavement environment for them. We heard from my right hon. Friend the Member for Oxford East on exactly that point. Clearly, with council budgets being cut, they are very unlikely to be able to commit significant spending to this area, however desirable.
Scoot-A-Long supports disabled people to support themselves in getting out and about to places such as Dartmoor and even taking scooters on to Dartmoor. It also runs training courses and has expressed to me serious concerns about the lack of training available generally and about the quality of some scooters. I tried one of them out, and I have to say that the top speed of 8 mph is extremely fast. The limit on pavements is 4 mph, but untrained people do not know that. John Seamons, an excellent chap from Scoot-A-Long, expressed concerns to me about the way mobility scooters are sold to the public. Some highly reputable companies will ensure that the scooter size is correct for the user and that training is offered, but others are interested simply in a quick sale. Anecdotally, there are people who buy scooters and then are far too scared to use them.
Others adapt scooters in interesting ways. I heard yesterday from a person in Stevenage who had been out shopping when he suddenly heard “Land of Hope and Glory” playing. He turned round to see a gentleman on a mobility scooter who was having trouble reversing. The gentleman on the scooter smiled at him and said, “It’s all right. It helps me because it plays when I’ve reversed into something.” That is not really how it is supposed to work. People need support and training. Although that is an amusing story, it makes a serious point.
There are some excellent examples of organisations attempting to ensure that good advice is given. Norfolk constabulary—the police force—is one of many organisations trying to do good work. It is working alongside Halfords and is one organisation whose advice, as part of its Safe Scoot campaign, is extremely thorough and easy to follow. It encourages safety awareness courses, but those are not compulsory. How many mobility scooter users have read The Highway Code? They might have passed their driving test decades ago, when the rules were slightly different. The Highway Code also applies to people who intend to use scooters on the pavements, but I imagine that very few scooter users have gone to the trouble of reading it. How many users understand the different issues raised by using a mobility scooter in icy conditions or that wearing reflective clothing is a good idea? How many users know that they should not be in bus lanes?
I know that the Minister is aware of the issues that I am raising, but I hope he agrees that with an ageing population action must be taken to ensure that standards are maintained with regard to the safety of these vehicles and that some basic training should be undertaken by all users. It is also important that, if scooters are sold to people who have never driven and they intend to use them on the road, training is compulsory. I am not sure whether they should even be on the road if they have not passed the driving test.
We also need to be aware that younger, able-bodied people are buying mobility scooters. Recently, one was seen cruising along the seafront at a Devon resort—the young man driving it had his golf clubs on the back. We see young women who appear to be able-bodied when they get on and off their scooters using them to do the shopping. A scooter may be an alternative to a small car in some circumstances—a much cheaper alternative, because people do not have to pay all the additional road taxes and so on—but that could spiral out of control if we do not get a grip on it.
What action can the Government take to close some of the loopholes? What action will they take to ensure that the products that come to market are safe and fit for purpose, and have been checked? That will require cross-departmental working. What action will be taken to ensure that records are kept of accidents? I suppose I am asking for a coherent, cross-departmental strategy, across the Department for Business, Innovation and Skills, the DFT and the Department of Health, pulling together all the safety issues to ensure that proper guidance is always issued and that vehicles cannot be imported for sale in the UK without the designs being checked and being safe.