IPP Sentences

Debate between Jim Shannon and Edward Argar

Tuesday 29th October 2024 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

As always, it is a real pleasure to serve under your chairship, Ms Vaz. I thank the hon. Member for Southgate and Wood Green (Bambos Charalambous) for setting the scene so well, and all those who contributed.

We do not have this sentence in Northern Ireland, but I have met some of the groups that have been lobbying here, and they have given me some idea of the process. I want to make a few helpful contributions to this debate and endorse ideas that others have put forward.

There is definitely a need for reform and a review of the IPP sentence system. Others with much more knowledge than me—especially the hon. Member for Southgate and Wood Green—have outlined that well. In Northern Ireland, of course, some prisoners are in shockingly similar positions, so I want to add to this conversation.

It is a pleasure to see the Minister in his place. He and I have been friends for many years. We were brought together not just because we are MPs but because we are Leicester City football club supporters; we were the Leicester City House of Commons football supporters club. There were not many of us—perhaps there are not many more now, but there are a few more Leicestershire MPs, so we have maybe half a dozen supporters now.

It is also a pleasure to see the Minister—

[Edward Argar (Melton and Syston) (Con)]

Shadow Minister.

[Jim Shannon]

The shadow Minister—absolutely. We sometimes forget that time has elapsed. It is nice to see him in his place too.

It is clear that IPP sentences remain an issue. The House of Commons Library prepared an excellent briefing for us, which helped us bring together our thoughts. As of 31 March 2024, there were 1,180 unreleased IPP prisoners and 1,616 recalled IPP prisoners in custody in England and Wales—a total of 2,796. Given the accommodation issues in prisons, it is clear that we must look at this integral part of the system and the process as we try to find solutions and move forward.

As of March 2024, all but 13 unreleased IPP prisoners had passed their tariff date. The pressure caused by those sentences on the system must be addressed, but we cannot ignore the need to ensure public safety. Although the system and the tariffs must be looked at, the safety of the general public is key, so we must ensure that anybody who is released is not a danger to them.

We could get into the whys and wherefores—the reasons our prisons are overrun. That is not what this debate is about, but I have heard them all from the concerned victims of crime when the perpetrators are released early. When I ask questions of the Minister in the Chamber, I always focus on the victims, and I wish to do that today. It is very important that we do not forget them as we try to find a solution for IPP prisoners.

The main issue behind the complaints is not justice, but fear. The victims are frightened, and the necessary changes and reform must have three foundational principles: justice, rehabilitation and the victims. They are on an equal footing, although I always focus on the victims.

I understand why we are having this debate. It is incredibly difficult to factor in unended prison sentences when planning the prison system, but we must ensure justice and listen to victims’ voices when we reform this system. When these people are released automatically, they must not be left in the midst of a community that has no way forward. Resettlement after prison terms have been served is an issue throughout the UK, so there are things to be done and put in place before anyone can be released from prison.

The Government need to make changes, but they must satisfy those three core principles. My plea for prison reform throughout the United Kingdom is that it must meet the principles of justice and rehabilitation. Importantly, we must listen to the voices of victims. It is not an easy task. The Minister has got a big task ahead of him. I am quite sure he will be able to respond to that, but these things have to be done correctly, wisely and sensitively. I suppose that is really what I am asking for. Now is the time to bring about those steps.

Parc Prison

Debate between Jim Shannon and Edward Argar

Monday 13th May 2024 Commons Chamber

[Edward Argar]

As I set out earlier, although I consider assault rates still to be too high, they are lower than they were in 2015-16 and similar years. It is clear that any assault on a member of staff is one too many. Sadly, assaults occur across the estate, and that is why we are backing our staff with body-worn cameras, and why they have PAVA, for example, which they can deploy when they are at imminent risk.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his answers and helpful suggestions to other Members. What steps can be taken to restore confidence in the safeguarding and access to appropriate medical care for those who are imprisoned in facilities throughout this great United Kingdom of Great Britain and Northern Ireland? An investigation may well conclude that there was no fault, but this matter has certainly raised questions regarding levels of care and access to medical care and facilities.

[Edward Argar]

I am grateful to the hon. Gentleman for his important question. I have set out the steps that we are taking in Parc to train staff to use naloxone in order to buy precious time to enable professional medical services to arrive. Across England and Wales, prisons come under my jurisdiction as Prisons Minister. In Wales, healthcare is devolved; in England, healthcare in prisons is the responsibility of and provided by the NHS. We seek to ensure that prisons have effective and close working relationships, at a macro and operational level, with their local health board or local NHS.

End of Custody Supervised Licence: Extension

Debate between Jim Shannon and Edward Argar

Wednesday 8th May 2024 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his answers to all the questions. The scheme was initially designed to allow short-term early release by a matter of days, yet some releases are now early by some 70 days. Does the Minister understand why victims of crime are anxious that so-called “soft crime” criminals are getting an easier time? Victims of crime are told that perpetrators have been released early, so the victims can prepare themselves to see those perpetrators down the town or at the local supermarket, for example, which can be extremely disconcerting, even if it is not unexpected.

[Edward Argar]

Mr Speaker, I reassure you that I was due to be meeting the Member whose constituency HMP Parc is in at this moment in time, but I am here at the Dispatch Box. The meeting has been rescheduled and there is a date in the diary. As I promised at the last oral questions, that meeting has been arranged.

The hon. Member for Strangford (Jim Shannon) is right to highlight that point. Our ECSL protections are significantly more stringent than those used by the Labour party when it ran its scheme for three years. Unlike its scheme, ours allows governors to veto the release of any prisoner when they think early release will create a risk to victims. There are a number of exemptions from the scheme and it allows for rigorous conditions to be placed on the release licence, be it tagging, exclusion zones or curfews. Prisoners will be well aware that if they breach those conditions, which are put in place to protect victims, they will hear the clang of the prison gate and be recalled.

Social Media Access in Prisons

Debate between Jim Shannon and Edward Argar

Monday 26th February 2024 Commons Chamber

[Jim Shannon]

Will the Minister give way?

[Edward Argar]

How can I say no to the hon. Gentleman?

[Jim Shannon]

The hon. Member for Sedgefield (Paul Howell) said that the video had been made in prison, and the other people involved were in prison. Surely, given the clear evidential base, there must be a methodology enabling the governor to take this person to task and impose sanctions to ensure that he spends a longer time in prison.

[Edward Argar]

I hope that the hon. Gentleman will bear with me for a moment, because I will turn to that specific point. However, I want to begin by highlighting the close interest that my hon. Friend has taken in this horrific case on behalf of his constituent. As we all know, he is unfailingly courteous, diligent and passionate as a constituency Member, when acting and speaking on behalf of his constituents, but I think he would acknowledge that however diligent he is in relation to all cases, some cases have a real impact on an individual Member of Parliament, and I suspect that this is one of them. He and I have spoken about this case on a number of occasions, and I pay tribute to his work on behalf of his constituent, but I can reassure the House that no sooner did it hit his desk than it hit my own desk and my mobile phone.

I also thank my hon. Friend for raising the extremely important and challenging issue of knife crime—a crime that destroys lives and, so often, not just the lives of those who are not carrying knives and who end up as innocent victims. We also need to remember, and to remind people, that those who carry knives are at serious risk of being victims themselves. The Government take the threat posed by knife crime incredibly seriously, as has been demonstrated by our investment of £170 million since 2019 alone on prevention and enforcement initiatives in the 20 policing areas where violent crime is most prominent. That includes Northumbria, which covers Newcastle, Sunderland, and the surrounding area. Through those initiatives, an estimated 136,000 violent offences across the country have been prevented in the first three years of their operation. As a result of these efforts, together with the broader Home Office serious violence strategy, 120,000 weapons have been removed from Britain’s streets, and knife crime is now 7% below pre-pandemic levels.

I also want to acknowledge the important work of the North East Knife Crime Taskforce. I am aware of the vital work that it does—not least from the representations made to me by my hon. Friend—and of how it brings together victims’ families, representatives of sports clubs, teachers and people from across the criminal justice system to share ideas and forward-thinking strategies to help prevent lives from being lost on our streets. This relatively new organisation, founded last year, has been set up and driven by that national institution The Northern Echo and by brave local parents, including Zoey McGill. Let me take a moment to pay tribute to her for her dignity in the face of a terrible tragedy, and her willingness to put herself out there to try to make a difference and prevent this from happening to other families. In that vein, I should recognise, as my hon. Friend did, Theresa on behalf of Chris, Samantha’s family and friends, and Tanya on behalf of Connor.

As constituency Members of Parliament and as a House, we owe a huge debt to those who have suffered the most unthinkable things, but who want to make a difference and prevent them from happening to anyone else. Tackling knife crime and preventing future victims is a policy area led by my colleagues in the Home Office, but I will be very happy to work with my hon. Friend and Home Office colleagues to see what can be done to work with the taskforce.

My hon. Friend rightly mentioned that Jack Woodley’s murderer allegedly being able to access social media potentially undermines the criminal justice system and, of course, torments the families of victims. That is clearly unacceptable, which is why my Department has invested in the digital media investigations unit. As soon as it spots or is alerted to prisoner misuse of social media, it acts swiftly to work with social media companies to have the content taken down. In the case of Jack’s murderer, the team did just that: they quickly and thoroughly investigated that social media misuse, and successfully worked with TikTok to remove the content—and, indeed, the account—within three hours of it coming to our attention. I appreciate that this will frustrate my hon. Friend, but I must be a bit cautious about speaking about the details of that specific case in the public forum of the Floor of the House.

We are clear that there are robust systems in place to prevent and address poor behaviour in prisons, including serious rule breaking. Under section 40D(3A) of the Prison Act 1952, those caught with a mobile phone can face referral to the police and extra custodial time for the offence of possessing a communications device in a prison without authorisation, while those who are caught smuggling in phones can face the same consequences under section 40B(1)(a) of the same Act. As the Minister responsible for prisons, I am increasingly concerned by photos and videos from custody being shared on social media. Such content traumatises victims, can intimidate prison staff and threatens the security of our prisons. It is indeed a critical issue, and I recognise the impact that this type of online material can have on victims of crime and their families.

In separate cases from those mentioned by my hon. Friend, I was made aware that a parent whose son had been murdered contacted His Majesty’s Prison and Probation Service after seeing photos on social media that were posted from prison by their son’s murderer. HMPPS reported the content to the platform in question but, regrettably, it remained online. In another example, the victim of an assault contacted HMPPS about a video of their attacker in prison, who talked for almost 15 minutes about the offence and was disparaging about the victim. Again, HMPPS reported the video to the platform on which it was hosted but, regrettably, it remained online. I cannot imagine the distress that seeing those posts must have caused.

As my hon. Friend stated, we cannot allow prisoners to use illegal phones to engage in criminality from behind bars. The Ministry of Justice has a zero-tolerance approach to illegal phones, and prisoners caught smuggling illicit items can and, rightly, do face extra time behind bars, a loss of privileges and other sanctions. The most serious crimes, including those where a mobile phone has been used for criminal activity or identified as belonging to a prisoner who is a high-risk offender, are also referred to the police, in line with the crime in prison referral agreement. We have a commitment from the Crown Prosecution Service that it will always seek to prosecute in serious cases. Moreover, prisoners are not permitted to have unsupervised access to the internet or any access to social media. Again, they can be punished if they access the internet without authorisation. Under national policy, prisoners can only access the internet in a supervised environment, and only for rehabilitative purposes.

We are clear that harmful social media content posted from prison should not have a home online and that we need to take effective action to remove it. Clearly, the current legislation does not quite go far enough, which is why the Government are committed to supporting the Prison Media Bill, which was introduced by my hon. Friend the Member for South Ribble (Katherine Fletcher). The Bill tackles the issue of harmful media, such as videos and images created within, or showing the inside of, prisons, being uploaded to social media platforms by strengthening existing legislation—namely, the Prison Act 1952. Crucially, the Bill would close existing loopholes, because although it is currently illegal for a person to upload content from inside a prison, it is not yet illegal for a person in the community to upload media that they have been sent by someone in custody. This means that social media companies need to try to establish whether content was uploaded from inside a prison, to determine whether it is unlawful.

The Bill would make the uploading of all unauthorised prison content illegal, regardless of whether it is uploaded from within a prison or from within the community. The Bill will also address loopholes around the creation of prison content. While it is currently illegal to film inside a prison, the law is not clear that it is illegal to film the inside of a prison from the outside—for example, by drone—or to film staff from outside the prison walls. For example, videos taken from above by drone can pose security risks by showing the lay-out of buildings in detail as well as the movement of staff and prisoners, thereby helping prisoners to smuggle in drugs or weapons. The Bill provides a solution to these issues by making it an offence to create or upload unauthorised media of the inside of a prison from outside or of prison workers on prison land. These measures will remove any ambiguity and bring the law up to date.

This is a wide-ranging problem with real-world impacts. I have mentioned a just few examples today, but in 2022 and 2023 combined, HMPPS identified and reported over 1,200 pieces of harmful prison content. The Bill will support the work of HMPPS’s specialist digital media investigations unit that I have already referenced. Last year this Government passed the Online Safety Act 2023, placing world-first legal duties on social media platforms to protect the public from harmful online material. If this additional Bill passes, we will explore how content created of or inside prisons could be added to the list of priority illegal content in the Online Safety Act, meaning that social media companies would be required by law to proactively remove it.

My hon. Friend touched on the significant investment already made by the Department in stopping mobile phones being smuggled into the prison estate. We finished delivering our £100 million security investment programme in March 2022. We continue to adapt and develop our countermeasures to tackle new methods as they emerge. That investment included the deployment of 75 additional X-ray body scanners, allowing staff to see whether prisoners are smuggling illegal contraband, including phones, internally. This means that we have the ability in every single closed adult male prison to detect illicit items via X-ray. This is particularly important as some phones, known as micro-mobiles, are no bigger than a matchbox. They are small, easily concealed and hard to detect. Between July 2020 and October 2023, the X-ray body scanners have recorded 46,925 positive indications, helping to tackle the supply of mobile phones and drugs into prisons.

The programme also delivered airport-style enhanced gate security at 42 high-risk prison sites across the private and public prison estate, implementing routine searching of staff and visitors. This investment paid for 659 specialist staff, 154 drugs dogs and more than 200 pieces of equipment, including archway and handheld metal detectors. These are vital tools in stopping mobile phones and SIM cards circulating in our prisons. We have procured, developed and installed a variety of detection and other mobile phone technologies across the estate, targeting prisoners that represent the highest risk of harm through illicit phone use.

I am sure my hon. Friend will appreciate that I always try to be as open as I can in this public forum, but I cannot go into in as much detail as he would wish about the specifics of what the equipment does, where it is deployed or the extent of its capability, or disclose suppliers due to security and commercial sensitivities and to protect the tactics involved. It is vital that those seeking to undermine our defences are not given any information that helps them to do so, but I am more than happy to meet my hon. Friend separately and privately to discuss this area in more detail and hopefully provide him with further reassurance about our capabilities in this respect. He mentioned virtual reality, and that is an area I will look into further. We will consider the merits of potential options that would allow for VR delivery in regard to the training and rehabilitation of prisoners.

As my hon. Friend highlighted, in October 2023 we also introduced new legislation to crack down on criminals using drones to deliver contraband including mobile phones into prisons. The new airspace restrictions make it an automatic offence to fly drones within 400 metres of any closed prison or young offender institution in England and Wales. Drone operators who break the rules could face fines of up to £2,500, while those found smuggling illicit items will face up to 10 years in prison. These restrictions mean that police and prison staff can quickly identify suspicious drones and take action against suspected criminal activity, including the illegal filming of prison establishments. We are also investing in a new digital forensics unit to interrogate devices smuggled into jails, to produce improved evidence that is more likely to bring a successful prosecution in court.

Of course, as my hon. Friend said, there is fundamentally no need for a prisoner to be in possession of a mobile phone. The last installations of landlines across all closed public sector prisons in England and Wales are due to be completed this month. These phones are installed in prisoners’ cells to enable closer family ties and to improve safety on wings where payphones on landings were previously used. A PIN is used to access a prisoner’s account, and credit must be purchased in advance. The calls are restricted to security-cleared numbers and are outgoing only. Furthermore, since 2020, all prisons across England and Wales are able to offer social video calls with approved family members and friends, in addition to existing means of contact including social visits, phone calls and letters.

I commend my hon. Friend for raising the important issue of how young offenders can engage positively with a wide range of rehabilitative endeavours, such as music, helping them to move away from criminality and to rebuild their lives.

The hon. Member for Tiverton and Honiton (Richard Foord) mentioned books, and he alluded to an example from when our parties were in coalition in 2014. He is right to highlight the importance of books but, as my hon. Friend the Member for Sedgefield said, we need to exercise a degree of caution. I had the privilege of visiting HMP Leicester last week, and I saw its amazing prison library and the work it does with the Shannon Trust and the National Literacy Trust. I have about 2,000 books cluttering my house, but we all know the power of books to give people new ideas and new opportunities to make a positive start.

I echo the views of my hon. Friend: sentencing has five objectives, one of which is to deter people from committing crime, and depriving people of their liberty represents a significant deterrent. Of course, those sentenced to custody are paying a debt to society and to the people they offended against. Prison also protects the public by keeping in custody those convicted by the courts.

The core role of protecting the public from serious offenders should also extend to giving those in custody a positive choice not to pursue a lawless life but to set out on the straight and narrow. This means that they do not reoffend, which means fewer victims of crime in all the communities we represent. It is important that we recognise that creating and uploading social media content from within prison does not form part of that rehabilitative journey. I urge colleagues across the House to close the loophole by supporting the Prison Media Bill’s Second Reading on Friday.

I pay tribute to Zoey and others who have seen their families ripped apart by the horror of knife crime and other violent crime. They will know that, in my hon. Friend, they have a fantastic champion and a genuinely caring and dogged advocate in this House. I believe we have made significant progress, but there is always more to do, and we are determined to do it.

Question put and agreed to.

Victims and Prisoners Bill

Debate between Jim Shannon and Edward Argar

Report stage
Monday 4th December 2023 Commons Chamber

[Edward Argar]

In respect of pre-trial therapy, and in addition to what I said, we will be bringing forward a revised victims code and consulting on the detail of it. I am happy to look into the specifics of what she proposes, but I do not want to pre-judge that consultation. I appreciate that on some occasions people may think that the consultations are pre-determined, but I want this to be genuine engagement and consultation. I am happy to read anything that she wants to send me, as always.

I also put on record my thanks to the hon. Member for Richmond Park (Sarah Olney) for raising the important issue of court transcripts. I recognise the cost challenge posed by transcription of every aspect of a case, and the full details of the case and all its proceedings. What I am happy to announce today is that, from next spring, we will run a one-year trial pilot that will enable victims of rape and other serious sexual offences to request Crown court sentencing remarks, which contain a summary of the case and the points that have been made, free of charge. We believe that this approach strikes the right balance between supporting victims of these horrific crimes and providing something that is affordable and achievable, and I am grateful to the hon. Lady for her work on this issue.

I thank the hon. Member for Westmorland and Lonsdale (Tim Farron) for his amendments and for raising the issue of criminal conduct relating to sewage and wastewater. Like every Member of the House, I have every sympathy with those who are affected by these offences, and I have made it clear that individuals who have been harmed or impacted by these offences can access support services where the issue for which they are seeking support fits their eligibility. I will say no more than that at the moment, because I want to hear what he says when he speaks to his amendments. I will seek to address them in more detail in my winding-up speech, if that is acceptable to him, because I want to hear what he has to say.

I turn now to part 2 of the Bill, “Victims of Major Incidents,” on which the Government will table a number of amendments relating to the Independent Public Advocate. Before turning to those amendments, I wish to put on the record my thanks for the time and dedication of Bishop James Jones, my right hon. Friend the Member for Maidenhead (Mrs May), the right hon. Lord Wills and, of course, the right hon. Member for Garston and Halewood (Maria Eagle), who is in her place and who has been phenomenally pragmatic throughout the process. While pushing for what she believes to be the right outcome, she has engaged constructively and pragmatically to try to make improvements, and I am very grateful for the way she has done that. In what I am about to say, she will see some of the fruits of what she has done in that space.

We have engaged with victims directly, we have heard from them about what they most need after a major incident, and we have sought to listen. First, we will establish a permanent Independent Public Advocate for victims of major incidents, who is referred to in the Bill as the standing advocate. This standing advocate will advise the Secretary of State on the interests of victims of major incidents and their treatment by public authorities in response to those major incidents. A major incident will still be declared by the Secretary of State, and I appreciate that some have called for the IPA to be self-deploying. However, we do not believe that would necessarily be the most appropriate or sustainable approach. The Secretary of State is accountable to Parliament, is responsible for spending public money, and can be challenged on their decisions in the courts.

Secondly, our amendments will allow the standing advocate to advise relevant Secretaries of State on the appropriate Government review mechanisms following a major incident. These could include a statutory inquiry or a non-statutory panel model, such as the Hillsborough independent model. Such advice can also cover the scope of any review, and the advocate will make representations for the questions to which victims want answers. Crucially, this advice will be informed by the views and needs of victims themselves, and it will place their voice at the heart of the process.

Continuing with the IPA, Government amendments 76 to 82 will introduce significant changes to the advocate’s reporting function and abilities. They will place a duty on the standing advocate to report annually, and confer a discretion on an advocate to report on their own initiative, once appointed, in respect of a major incident. The amendments also make provision for the publication and laying of reports before Parliament.

The amendments will also clarify the grounds on which the Secretary of State can omit material from reports. I am aware that the ability of the Secretary of State to omit material from a report was a cause of concern for some, and I particularly appreciate this given the context of the IPA’s establishment. For the avoidance of doubt, we have carefully considered the feedback and have brought forward measures to be more explicit about when a Secretary of State may omit material, and to be more specific than something simply being in the “public interest”. We have used the Inquiries Act 2005 as our touchstone. The ability to omit material in certain circumstances is vital to ensure that sensitive materials, such as those relating to national security, are protected.

Amendment 64 will ensure that a lead advocate is appointed if more than one advocate is appointed for the same major incident, and I have reflected on the very helpful and constructive feedback from Lord Wills about the importance of having a clear structure in the Bill. Amendments 84 to 86 allow for the disclosure of information by an advocate, where appropriate, to any person exercising functions of a public nature, or by a person exercising functions of a public nature to an advocate, subject to the Data Protection Act 2018. This two-way flow of information is crucial to ensuring that advocates are able to support victims properly.

I want to make it clear that that does not provide the advocates with any data-compelling powers. We expect strong co-operation between public authorities and the advocates, and an advocate can report to the Secretary of State if they believe there has been a lack of co-operation. I appreciate that the right hon. Member for Garston and Halewood may try to nudge me to go a little further, but I note that the Hillsborough independent panel, which was rightly credited with securing disclosure of information that showed that fans were not responsible for the disaster, likewise did not have those data-compelling powers.

The final change that the amendments make is to remove the current restriction in the Bill whereby the advocate could share personal data only with the consent of the data subject. By removing that, the advocate now has greater freedom and can rely on a wider range of legal bases to process personal data, as outlined in data protection legislation.

I want to acknowledge the important issue raised by the Manchester Arena families and the hon. Member for—[Hon. Members: “South Shields.”] I should have known that, because we have met on a number of occasions, although we may have called each other by our first names on those occasions. I am grateful to the hon. Member for South Shields (Mrs Lewell-Buck) and those families for their tireless campaigning. In respect of having a role for the bereaved in the registration of their loved one’s death following an inquest, I will say a little more on this in my closing remarks, once the hon. Lady has had an opportunity to speak to her amendment in the course of this debate, but I want to reassure the House that I am sympathetic and understand what sits behind what the hon. Lady is campaigning for and seeking to do.

I turn to the final part of the Bill, part 3. The measures in respect of parole reforms are designed to protect the public and maintain confidence in the parole system by enabling the Secretary of State to intervene in the release of the most serious offenders. The first duty of any Government is to protect the public, and although the Parole Board has a very good record of assessing risk, this power will give the public additional confidence that when it comes to the release of those who have committed the gravest of crimes, there is an extra safeguard to ensure that prisoners are released only when it is safe to do so and that dangerous offenders remain behind bars.

During the passage of the Bill, I have heard support for that important principle, but I have also heard concerns from parliamentary colleagues and other stakeholders about how the proposed reform will be implemented, and from victims’ representatives about the potential for unnecessary delay in the process. I have therefore tabled amendments that will streamline the process to ensure that cases are dealt with as quickly and efficiently as possible, while still guaranteeing that the Secretary of State retains a power to intervene on behalf of the public whenever necessary to do so.

The amendments mean that instead of Ministers being required to carry out the full assessment as to whether a prisoner meets the release test, which will be an onerous process requiring a full review of hundreds of pages of evidence, only for a prisoner to almost certainly challenge that decision in court, Ministers will now be able to send a case directly to a superior court for a judicial decision. In most cases, it will be the upper tribunal. We are also making it clear that the Secretary of State will refer cases that particularly affect public confidence, and where they believe that the court may reach different decisions from those of the board. The amendments will make the exercising of the power quicker and more cost-effective, removing the need to create a shadow Parole Board within the Ministry of Justice and providing swifter certainty for victims and the public.

We are also proposing two further minor changes to the measures. Clause 36 enables the Parole Board to refer cases to the Secretary of State for a decision where it is unable to reach a decision itself. We have listened carefully to suggestions that this provision may not be required, as it is not easy to envisage the circumstances in which it might apply. We have listened and will remove the clause from the Bill. Secondly, there are a small number of parole cases—usually those where the index offence is terrorism—that involve the consideration of sensitive material relating to national security or closed material. It is usual for legal matters involving closed materials to be heard in the High Court, so we are amending the Bill to enable the Secretary of State to refer any such specific parole cases, which we would expect to be few in number, to that court rather than the upper tribunal. I hope that the changes will be well received and demonstrate our commitment to ensuring swifter outcomes for victims.

[Jim Shannon (Strangford) (DUP)]

Will the Minister give way?

[Edward Argar]

I will take a brief intervention. Then I will try to conclude, because I am conscious that many Members wish to speak.

[Jim Shannon]

I thank the Minister. On many occasions, MPs are asked to refer cases for reconsideration. The Minister has indicated that the appeal board may do that. Can MPs also refer prisoners to be reconsidered for longer sentences or, indeed, for not getting out at all?

[Edward Argar]

I am grateful to the hon. Gentleman. The power in the clauses rests with the Secretary of State, acting in his capacity as Lord Chancellor and Secretary of State. Of course, Members of Parliament can put their representations to the Secretary of State, but the referral procedure to the upper tribunal will sit with the Secretary of State, not with individual Members of this House.

We are also proposing amendments to change the period at which those on imprisonment for public protection sentences qualify for their licence to be considered for termination. The Justice Committee published its report on IPP sentences in September 2022, and I thank it for its valuable insights. One of its recommendations was to reduce the qualifying period at which an IPP prisoner in the community is referred to the Parole Board for consideration of licence termination from 10 years to five years. I am pleased to say that, on reflection, Government new clause 26 will reduce the period from 10 years to three years, which we believe strikes an appropriate balance. It will also introduce a provision whereby, for IPP offenders who have reached the three-year qualifying period and the Parole Board has not already directed that the licence be terminated, the Secretary of State must direct that the IPP licence ceases to have effect after a further two years of continuous good behaviour in the community, which is defined as not being recalled to prison in that time.

Secondly, the new clause will remove clause 33(5) from the Bill in order to decouple the test applied by the Parole Board when considering whether to terminate an IPP licence from other Parole Board decisions in clause 33, such as whether to release a prisoner from prison. The test is replaced by that introduced in clause 47(2)(c), setting out a clear presumption for termination of the licence requiring the Parole Board to direct the Secretary of State to make an order that a licence is to cease to have an effect unless it is satisfied that it is necessary for public protection that that licence remains in force.

We are clear throughout that public protection must remain a priority, but that change in presumption—a rebuttable presumption—will mean that when the Parole Board considers a licence termination for an offender who has already been found safe to be released, it will approach that with the presumption in favour of terminating. I appreciate that does not necessarily go as far as my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill) might wish—that is evidenced by his tabling new clause 1—but I believe that we have made reasonable and balanced progress. Of course, we will carefully consider any further recommendations.

Before I conclude, it is right that I highlight the amendments tabled by the Chair of the Home Affairs Committee, the right hon. Member for Kingston upon Hull North (Dame Diana Johnson), in respect of the infected blood inquiry. I have considered carefully what she has tabled. She will appreciate that this is a matter for the Cabinet Office. In my opening remarks, I want to acknowledge the huge impact that that scandal has had on people—families and individuals—up and down the country. I do not propose to say much more at this point, because I want to come to that in some detail once I have heard her remarks in moving new clause 27. I have sought to be as comprehensive as possible in my opening remarks—I am grateful to the House for its indulgence—to leave time in my closing remarks to address specific points on that issue and others, once Members have spoken to their amendments.

I am grateful to all who have engaged with the Bill as it has progressed. I will listen carefully to the debate, and I look forward to responding. I commend the Government’s amendments to the House.

Oral Answers to Questions

Debate between Jim Shannon and Edward Argar

Tuesday 21st November 2023 Commons Chamber

[Edward Argar]

May I take this opportunity to pay tribute to my predecessor as prisons and probation Minister, my right hon. Friend the Member for East Hampshire (Damian Hinds), for his work in this space?

My hon. Friend, as always, is absolutely spot-on that securing employment and preventing homelessness are essential to tackling reoffending. Those in work are nearly 10% less likely to reoffend. We work closely with the Department for Work and Pensions to ensure that prison leavers have effective support to prepare for employment on release. For example, prisoners can meet a DWP prison work coach from 12 weeks before release to provide advice on benefits and employment, including day one access to DWP employment programmes, and we continue to foster those strong links.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his response. Veterans very often fall on hard times, find themselves in prison and then become ex-offenders. Has the Minister had any opportunity to work alongside the Minister for Veterans’ Affairs to ensure that priority can be given to help veterans get over the bad times and to re-engage in society again? They have offered so much during their time in the services, and they can do so again if given the opportunity.

[Edward Argar]

I am grateful to the hon. Gentleman, who is absolutely right to highlight just how much veterans, even when they have got themselves into bother, can offer the community through rehabilitation and through work. Although I have not yet had the opportunity to engage with my right hon. Friend the Minister for Veterans’ Affairs, I intend to do so. A whole range of opportunities can work for veterans. Just this weekend, I saw the ex-jockey Ryan Hatch on ITV Racing talking about his work highlighting equine job opportunities—which are often appropriate for veterans—in prisons. I look forward to working with my right hon. Friend—and, indeed, with the hon. Gentleman, if he wishes—on this issue.

Abortion: Offences against the Person Act

Debate between Jim Shannon and Edward Argar

Thursday 15th June 2023 Commons Chamber

[Edward Argar]

The hon. Lady will know that on matters such as abortion and assisted dying, it has been a long-standing approach by Governments of both parties—hers as well—that those are matters for the House and not for Government. In respect of what would happen were the House to legislate, I have already made clear that if the House did express its will through legislation, Government would of course respect that and work to implement whatever the House decided efficiently and effectively.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his balanced answers. If the right hon. Member for Kingston upon Hull North (Dame Diana Johnson) thinks that section 58 should be replaced because it was made a long time ago, why is she not asking for repeal of the entire Offences against the Person Act? The whole Act is old. The age of legislation is irrelevant. What is important is what it does. Section 58 provides vital protection for not just the person but the most vulnerable person of all: the unborn child. Will the Minister commit to protecting the sanctity of life, as other developed European nations do, where the average limit is 14 weeks, and uphold section 58? Will he urgently review safeguards for the pills-by-post scheme, to ensure that such a case never happens again?

[Edward Argar]

I know that the hon. Gentleman has strong and sincerely held views on this subject. In respect of the broader provisions in the 1861 Act, I have to be honest that I do not know whether the right hon. Member for Kingston upon Hull North would like to keep them, and I will not presume to know her mind. It is quite possible that she would like to see further changes, but the scope of this urgent question is this section 58 of the Act.

The hon. Gentleman is right to highlight that there are strong views on both sides of this debate. We have heard from other Members about the rights of the unborn child, but we have also rightly heard about the health rights of mothers and a woman’s right to choose. We have to recognise that this needs to be a balanced debate, with views listened to respectfully on both sides. On his final point, that will be a matter for colleagues in the Department of Health and Social Care, but I will ensure they are aware of the point he makes.

Violence Against Women and Girls: Sentencing

Debate between Jim Shannon and Edward Argar

Wednesday 1st February 2023 Westminster Hall

[The Minister of State, Ministry of Justice (Edward Argar)]

It is a pleasure to serve under your chairmanship, Mr Robertson—let us see how far I get before the Division bell rings.

It is noteworthy that the tone of the debate has been extremely constructive and, in that context, I pay tribute to my hon. Friend the Member for Truro and Falmouth (Cherilyn Mackrory) for securing it. When there is other business in the main Chamber, there is always a risk regarding the quantity of Members present in this Chamber, but that has been made up for by the quality of the contributions from all Members.

Violence against women and girls is never acceptable. I note the dedication across the House to ensuring that women and girls feel safe in our communities and that offenders who commit these heinous crimes, which have such a devastating impact on the lives of victims and survivors, receive just sentences that reflect the nature of their abhorrent behaviour. Of course, I share that sentiment.

As happens perhaps more often than not, I agree with the shadow Minister, the hon. Member for Lewisham West and Penge (Ellie Reeves), on a number of points, but I gently disagree and take issue with her suggestion of inaction from this Government. She knows the Government’s strong record since 2010 in passing legislation to tackle a range of offences relating to violence against women and girls and in investing in the systems at police, CPS and court level to ensure that this is about not just a criminal-law framework but making sure that the system is responsive.

In that context, I pay tribute to the shadow Minister and her party. Just as my hon. Friend the Member for Darlington (Peter Gibson) highlighted, for example, the Children Act 1989, I will mention the Domestic Abuse Act 2021 2021, the first iteration of which I helped to draft and introduce in 2019 with my hon. Friend the Member for Louth and Horncastle (Victoria Atkins). We also have legislation tackling modern slavery and upskirting and strengthening sentences against stalking and harassment. However, I pay tribute to the Opposition, because when they were in government they, too, made great strides forward in tackling these offences—the Female Genital Mutilation Act 2003 springs to mind. It is important to recognise the cross-party work on these issues, and I pay tribute to the hon. Member for Bath (Wera Hobhouse), because between 2010 and 2015 her party played its full part in that.

Tackling violence against women and girls is a priority for this Government and for the Prime Minister. I just paid tribute to the Opposition and, actually, it is important at this juncture to pay tribute to the former Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), for all the work that she did in this space both as Home Secretary and as Prime Minister. The Government are committed to addressing this complex issue from multiple angles, reflecting, as my hon. Friend the Member for Truro and Falmouth set out, the breadth of offences that could be considered in the space of violence against women and girls, while seeking to keep victims at the heart of all that we do. We are taking an ambitious, holistic approach to the issue of violence against women and girls, seeking to prevent such crimes from occurring and to improve outcomes for victims when they do.

I must be clear, as Members would expect me to be, that sentencing decisions are rightly a matter for our independent judiciary in individual cases. The Government, however, have a role in ensuring that the sentencing framework is just, proportionate and fit for purpose. We regularly review and scrutinise the maximum penalties for criminal offences to ensure that the courts have sufficient powers and flexibility to address all types of criminal behaviour appropriately. Of course, we take account of the views of victims, stakeholders and the wider public to inform our decisions. As always, I am grateful to Members for setting out their perspectives in the debate, reflecting not only their parties’ positions but, I suspect, what they glean from regular contact with their constituents.

We have seen an increase in average custodial sentence lengths for a range of offences in this space. Since 2013— we often go from 2010—in the case of all sexual offences the average custodial sentence length has increased. The average length of a custodial sentence for the rape of a female aged 16 and over has increased. Average sentences for taking, possessing or distributing indecent images of children—that can shade into this space—have increased. For sexual activity with a family member under the age of 17 where the offender is over the age of 18, average sentences have increased, as they have in the case of voyeurism and the abuse of children through pornography and prostitution. So, over that period of time, we have seen an increase in the average sentences handed down by the courts for those crimes.

As I alluded to with my hon. Friend the Member for Truro and Falmouth, violence against women and girls does not relate to any single criminal offence but encapsulates a wide range of behaviours from domestic and so-called honour-based abuse to sexual offences and murder. Many offences that are typically associated with violence against women and girls already carry high maximum penalties, as I have alluded to, including life imprisonment. For example, in the year ending June 2022, the average custodial sentence for adults convicted of rape was more than 10.5 years.

When deciding which sentence to impose, the courts take into account all the circumstances surrounding an offence, including any mitigating and aggravating factors. Provisions in the sentencing code must also be taken into account, as well as sentencing guidance issued by the independent Sentencing Council. In 2018, the council introduced an overarching guideline on domestic abuse that ensures that when any offence is committed in the context of domestic abuse, the court must consider that when sentencing, which can lead to tougher sentences.

The shadow Minister was right to highlight the apparent disparities in sentencing between murders—often with a knife—in a domestic context versus a street or other context. I suspect that the increase in the tariff for those who bring a knife to the scene was designed to tackle street knife violence and knife crimes, but its impact has been apparent disparities in sentencing for homicide, which is essentially an equivalent crime. I will turn to that in a moment.

[Jim Shannon]

I thank the Minister for what he is saying. In my contribution, I gave the example of a lady who, after multiple beatings and abuse, may reach for a knife to protect herself. The sentence for that lady doing something to protect herself would be higher than what the perpetrator would get for attacking her. Will the Government look at that?

[Edward Argar]

One should always be cautious about generalising a particular crime from particular circumstances. When there is a particular set of circumstances, as the hon. Gentleman set out, a judge will be able to consider the context—the aggravating factors and mitigating factors—in determining appropriate sentencing. I am therefore a little cautious about drawing a general point from the scenario he sets out, because judges do have at their disposal the ability to recognise context as either a mitigating factor or an aggravating factor. I have faith in our independent judiciary to consider that when sentencing.

Of course, all that is not to say that the law should not be reviewed and updated. To that end, the Government have commissioned a review of the sentencing of domestic homicides to ensure that the law deals properly with such cases. That review, as the shadow Minister highlighted, was undertaken independently by Clare Wade KC. I am currently considering the recommendations made in that context. She rightly said that they were delivered a little late, but there were understandable reasons for that and we are now taking our time to consider them.

The shadow Minister was both kind in her comments and asked for reassurance that I would consider them expeditiously. I think I have summarised her position correctly, and I will certainly do that. I am keen that we bring forward the review and our response as swiftly as possible. It is an important and complex area of law, and I want to ensure that we give due care to considering all the implications of any proposed changes, or, indeed, what is in the review, before we bring forward a response.

I am sure Members will agree that victims must be confident that dangerous and serious offenders will serve an appropriate period of time in prison. That is why the Police, Crime, Sentencing and Courts Act 2022, which came into force last April, ensures that those convicted of some of the most serious sexual and violent crimes, such as rape, manslaughter and attempted murder, spend a longer proportion of their sentence in prison. This better protects the public and gives victims the confidence that justice is being served. If an offender is given a discretionary life sentence, they will serve longer in prison before becoming eligible to be considered for release by the Parole Board. My hon. Friend the Member for Truro and Falmouth made the point about the shift to two thirds of that sentence rather than a half, which she was right to highlight.

I must reiterate that the landscape of violence against women and girls is varied and complex. It is not sufficient merely to seek a solution through increased sentences alone—I do not think any Member who has spoken today would suggest that was the only solution—which is why the Government have already taken target measures to prevent and address these appalling behaviours and support women and girls who are victims of such crimes. That is absolutely vital. The hon. Member for Bath said we need to look at this with a whole-system approach. It is not just about sentences: it is about police, victim support services, the CPS, the court process, and then, upon conviction, sentences and protecting the public.

Last year, the Home Office published the cross-Government tackling violence against women and girls strategy, and a complementary tackling domestic abuse plan. The strategy and plan aim to transform society’s response to prevent offences, support victims and better pursue perpetrators, as well as strengthen the systems and processes in place that are needed to deliver those goals.

As part of the implementation of the strategy, the Government allocated £125 million to communities across England and Wales through the safer streets fund, and invested another £5 million in the safety of women at night fund. That funding has supported the delivery of a range of initiatives that seek to improve the safety of women in public spaces, including preventive policing to identify vulnerable individuals and potential perpetrators, safe-space initiatives, taxi-marshal schemes to help to ensure that women travel home safely, and education awareness programmes in night-time economy venues and higher education establishments. I will come to that in a moment.

As my hon. Friend the Member for Truro and Falmouth alluded to, Cornwall Council has been awarded £664,802 through the fourth round of the safer streets fund, to support the delivery of a range of interventions that aim to tackle violence against women and girls and antisocial behaviour. I pay tribute to her local council, her local police and crime commissioner, Alison Hernandez, and her new chief constable, Will Kerr—who was sworn in last December—for the work they are doing on specialisation in tackling violence against women and girls.

My hon. Friend the Member for Darlington touched on the work being done by the safer streets fund in his constituency, and its success. If appropriate, I might have the opportunity to visit and meet him and the team at the hub at Number Forty to talk about their work locally.

--- Later in debate ---

[Edward Argar]

I am grateful to the hon. Lady. I suspected I knew what she meant, but I wanted to be clear for the record. To ensure that victims are adequately supported, the Ministry of Justice is also quadrupling the funding for victim and witness support services, which includes funding to increase the number of independent sexual violence advisers, ISVAs, and independent domestic violence advisers, IDVAs, by 300, to more than 1,000 by 2024-25.

[Jim Shannon]

Will the Minister give way?

[Edward Argar]

I will just finish my point and then, of course, I will give way. In that context, we are recommissioning the rape and sexual abuse support fund to March 2025. In December 2022, we launched a new 24/7 support line for victims of rape and sexual abuse, meaning every victim now has the option of accessing free, confidential support, wherever and whenever they need it.

[Jim Shannon]

I welcome the Minister’s commitment to extra support officers; I think he referred to about 1,000. Whenever there are delays in rape cases, for those people traumatised by the physical action against them and who may be fearful, I want to seek assurance that, when it comes to those extra staff, direct contact is made with those with a case pending, to ensure that physically and verbally—the two aspects met in relation to their cases—they do not feel let down by the service due to the delays. That is where I am seeking help.

[Edward Argar]

The hon. Gentleman almost reads my mind. I was about to turn to a number of key elements that I believe have to form part of the response. Legislation forms a part, but it is very easy to say, “We must change the law.” This is not just about altering law; it is about a whole system response. A key element, as the hon. Gentleman highlights, is the support available in a timely manner, to ensure people get the physical and emotional support they need, and the support through the criminal justice process, to understand what is happening and their rights, and to know they have someone they can trust who is there to talk to. He is absolutely right to highlight that.

Alongside the law and the support that needs to be in place, we need to look at how the different parts of the system work together, particularly the CPS and the police, as the hon. Member for Bath mentioned. She touched on Operation Soteria, which seeks to do that with the police and the CPS. I had the privilege of meeting the hon. Lady’s force recently. I was in Avon and Somerset and met the fantastic Chief Constable Sarah Crew, to hear about its stats.

Avon and Somerset was the first of the forces to embark on the Operation Soteria programme. There are now 19 forces at different stages. It is an academic deep dive designed to look at how to better improve outcomes at each stage of the system and to create a national operating model that other forces can adopt. Among the pillars of that work is close partnership working between the police and the CPS, so that both elements of that system understand what the other is doing, and what is required to have the best chance of a successful charge and court case, while understanding the impact on the victim and trying to minimise the intrusion.

In that context, I looked at the work being done around forensics and how to move to that target of 24-hour turnaround for a victim’s phone when data is needed from it, and to ensure that what is taken is proportionate and is done, as it has to be, with the victim’s consent and full understanding. It is up to them and they are in control of that process. The hon. Lady also touched on the importance of data in understanding the analytics and what forces can do in that space.

Crucially, the programme looks at the importance of specialist officers investigating the crime, and supporting them emotionally with the work they do, which is incredibly stressful. Lastly, the key element the hon. Lady touched on is the focus on the perpetrator’s behaviour, rather than what has often been seen by victims in the past as an over-focus on their behaviour. Operation Soteria has huge potential in this space, but as hon. Members know, it is not the only element. It is a part of the solution, but no one thing alone will solve this problem.

Finally, several hon. Members touched on education, and attitudinal and cultural change. We have seen similar debates in this House in the context of the police in the light of the Carrick case, but more broadly it is about educating men and boys, and changing attitudes. This is perhaps more in the context of the Online Safety Bill, but yesterday I watched the incredibly powerful documentary “Asking for It?” by Emily Atack, in which she talks about her experiences. Of course, no woman is asking for it, but she bravely talks about the online abuse that she receives and the attitudes that it demonstrates. I pay tribute to her for her powerful and moving documentary, which shone a light on exactly what my hon. Friend the Member for Truro and Falmouth has been talking about: the need for an attitudinal shift among not just men and boys, but society as a whole.

To conclude, in May last year we published our landmark draft Victims Bill, alongside a wider package of measures to improve victims’ experiences in the criminal justice system. The Bill signals what victims can and should expect from that system by enshrining the overarching principles of the victims code in primary legislation. We carefully considered the Justice Committee’s pre-legislative scrutiny report and responded to it on 19 January, agreeing with a number of its recommendations to further strengthen the Bill. I look forward to the Bill being brought before the House for debate, and hopefully passage, as soon as parliamentary time allows.

I hope I have reassured my hon. Friend the Member for Truro and Falmouth that the Government recognise and share her view about the importance of this issue. We are carrying forward our ambitious plans to tackle violence against women and girls. I have heard the points that have been raised and I will reflect upon them carefully. I look forward to updating the House in due course; I suspect we will have further debates.

Oral Answers to Questions

Debate between Jim Shannon and Edward Argar

Tuesday 10th January 2023 Commons Chamber

[Edward Argar]

The hon. Lady is quite right to highlight a rural crime that blights both rural and urban communities, but predominantly rural communities including mine in Leicestershire. We have regular discussions with colleagues in both the Department for Environment, Food and Rural Affairs and the Department for Levelling Up, Housing and Communities about issues such as this. I am happy to meet her in due course if she wants to highlight any cases.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his answer to those questions. Back home in Northern Ireland the Ulster Farmers Union, in which I declare an interest as a member, have regular meetings with the Police Service of Northern Ireland to put invisible markings on machinery and to have visibility on tractors. One of the big problems is machinery from Northern Ireland and from the UK mainland going down to the Republic of Ireland. Has the Minister had any opportunity to talk to the Garda Síochána to work across the border to ensure that those criminal gangs involved in machinery theft are curtailed?

Legal Rights to Access Abortion

Debate between Jim Shannon and Edward Argar

Monday 28th November 2022 Westminster Hall

[Edward Argar]

If my right hon. Friend will give me a little space, I was going to come to her remarks on that, and also on the position of the Department of Health and Social Care. The recent legislation in Northern Ireland was implementing the will of Parliament rather than Government, and I will come to that. She tempts me on the issue of the Government taking a particular view on the issue. I will turn to that in a moment if she will let me make a little progress, but I will of course address her points.

In practice, the framework means that access to an abortion is available to those who need and want it. Abortions at above 24 weeks are also possible in more limited circumstances, and it is of course open to Parliament to change the law if it so desires. As was mentioned, abortion law is devolved to both the Scottish Parliament and the Northern Ireland Assembly. I would usually not set out the position of a devolved Administration on any matter, but due to the relevance of those positions to this debate, I will speak briefly about the recent changes in Northern Ireland that my right hon. Friend alluded to just now.

The Abortion Act 1967 did not extend to Northern Ireland. Instead, abortion law there was provided under section 25 of the Criminal Justice Act (Northern Ireland) 1945, which was equivalent to section 1 of the Infant Life (Preservation) Act 1929 in the rest of the UK. The Northern Ireland (Executive Formation etc) Act 2019 decriminalised abortion, and repealed sections 59 and 59 of the Offences Against the Person Act 1861. Following that, the Abortion (Northern Ireland) Regulations 2020 came into force, which meant that those in Northern Ireland who wish to can access an abortion on demand in the first 12 weeks of their pregnancy, and can conditionally access an abortion up to the 24th week—and beyond that in more limited circumstances.

Those changes were made because of the very specific context in Northern Ireland, and an amendment, I believe it was, was brought forward on abortion. It was felt that the will of Parliament was that women across the UK should have safe and legal access to abortion, and that the will of the House should be respected.

[Jim Shannon]

rose—

[Edward Argar]

Before I address abortion in the context of the Bill of Rights, I will turn to the points made by my right hon. Friend the Member for Basingstoke—and then I will give way to the hon. Member for Strangford (Jim Shannon). I agree with my right hon. Friend that this is a very complex area—she highlighted that in her remarks. She called for the Government to set out a clear, full and complete framework for moving forward. It remains the Government’s position that this is a matter for Parliament, and that it remains a matter for the consciences and decisions of individual Members of Parliament. I do not like to disappoint my right hon. Friend and I seek not to do so—but I fear I must do on this occasion.

My right hon. Friend raised another question about the Department of Health and Social Care action plan. It has been three or four months since I was last in the Department, but my memory is not entirely rusty. I know that this is something that the Department has been thinking about. In the past three years, sexual and reproductive health services have faced numerous new challenges, including those arising from the covid-19 pandemic. We saw some of that in the recent amendment on abortion and pills at home.

I am advised that Ministers in the Department are taking the time to fully engage with stakeholders from across the system, to understand the impact of that new context in any plan they bring forward. I know from previous conversations with my right hon. Friend her strength of feeling on that, and I will ensure that it is conveyed to the Secretary of State for Health and Social Care, my right hon. Friend the Member for North East Cambridgeshire (Steve Barclay) with the imprimatur from her, if I may, that speed is of the essence and that she looks forward to seeing that plan.

[Jim Shannon]

I know that the Minister is an honourable man; I have always had that opinion of him, as has everyone in the House. But the Government consulted with the people of Northern Ireland on the abortion changes, and 79% of respondents were against any changes. If there is no intention to acknowledge or take on board the opinion of the people of Northern Ireland, when they are very much against the changes, why bother?

[Edward Argar]

I appreciate the hon. Gentleman’s strength of feeling on this issue. I know that several right hon. and hon. Members who voted against the amendment when it was brought to the House, not because they did not support access to safe abortion services but because of concerns about the devolution settlement and the nature of how it operated. The House expressed a very clear view, and it is right that that view is respected. That is why the Government have moved forward with the regulations we have seen enacted.

Health and Care Bill

Debate between Jim Shannon and Edward Argar

Consideration of Lords amendments
Monday 25th April 2022 Commons Chamber

[Edward Argar]

I paid tribute to my right hon. Friend the Member for Chingford and Woodford Green, but my hon. Friend the Member for Wealden (Ms Ghani) has also taken a keen interest in this issue. The Secretary of State and I will continue to work closely with others across Government to ensure that our measures to eradicate modern slavery in NHS supply chains are effective and targeted, and reflect best practice.

On Lords amendment 29B, the Government are committed to improving workforce planning and are already taking the steps needed to ensure that we have record numbers of staff working in the NHS. In July 2021, the Department commissioned Health Education England to work with partners on reviewing the long-term strategic trends for the health and regulated social care workforce over the next 15 years. We anticipate the publication of that work in the coming weeks.

[Jim Shannon (Strangford) (DUP)]

Will the Minister give way?

[Edward Argar]

Very briefly, as I am conscious that we have limited time.

[Jim Shannon]

If the right hon. Member for South West Surrey (Jeremy Hunt) were to pursue the matter, my party and I would be minded to support him. Although I understand from the figures in the press today that there are significant numbers of new nurses coming into the NHS, there is still a large shortfall. Will the Minister confirm for Hansard in the Chamber today that every step is being taken to recruit the nurses needed to address the issue of workforce safety?

[Edward Argar]

The hon. Gentleman is right to highlight the work we are already doing, which I will address in a moment, and the number of nurses we have recruited. I believe we have now recruited 29,000 or so en route to our target of 50,000 more nurses by the end of this Parliament.

Covid-19: Military aid to Civil Authorities

Debate between Jim Shannon and Edward Argar

Tuesday 8th February 2022 Westminster Hall

[Edward Argar]

I will address that point and then return to the military point. I had a very productive meeting with St John Ambulance in the past couple of weeks to discuss exactly that. We should not underestimate the huge role it has already played throughout the pandemic in supporting our ambulance and other emergency services.

[Jim Shannon]

This does not cover the constituency of the hon. Member for West Dorset (Chris Loder), but Northern Ireland has a Territorial Army medical regiment based in Belfast. The majority of people in it are probably NHS staff—they are doctors, nurses or whatever —and that is where their interest in being in the TA comes from. Will there be circumstances on the mainland in which the TA medical corps could be used to our advantage and to address staffing shortcomings?

[Edward Argar]

It is important that we take advantage of all opportunities in terms of those qualified professionals and their ability to support our more regular frontline services.

To pick up on the point raised by my hon. Friend the Member for West Dorset about MACAs and military capacity, a large number of those 20,000 were used for testing and helping to build Nightingale hospitals, and they have recently been helping in vaccine testing centres. However, capacity in terms of, for example, clinically qualified Army medics is limited, and they often already serve in the NHS and in hospitals, so there is not a huge pool to draw on. It is important that we are clear about that. Secondly, I mentioned to my hon. Friend the point about those qualified as blue-light drivers. Again, that is not all the 20,000 or anywhere near. We have to be—realistic is the wrong word—careful in our expectations of the capacity to support specific requests, such as the specific types of support that his ambulance service put in for.

More broadly, considerable support has been offered by the military for tasks such as logistics, which my hon. Friend highlighted—for example, in supporting the ambulance service in a range of roles. Currently, the Ministry of Defence provides support to ambulance services in the following ways: 366 personnel in a range of roles, including non-driving roles; 96 personnel continuing non-blue-light ambulance driving support for the Scottish Ambulance Service; and 313 personnel in driver support to the Welsh ambulance service.

My understanding of the specific matter to which my hon. Friend referred is that it was incorporated into the broader request for ambulance drivers between 10 and 31 August last year. The element of that request to be granted was the 28 category C drivers who were provided by the Ministry of Defence. However, I come back to the point that, while he is right that the military are always there to assist us in times of need, we equally need to be realistic about their capacity in specific places.

Elective Care Recovery in England

Debate between Jim Shannon and Edward Argar

Monday 7th February 2022 Commons Chamber

[Edward Argar]

My hon. Friend is right to draw attention to the huge financial challenges that trusts were saddled with following Labour’s PFI deals and I am of course delighted to agree to meet him to see what we can do to try to untangle the worst of them.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his answers, which reflect the fact that he understands the need to do better and wants to improve. Will he outline what discussions have taken place among the devolved Assemblies and the Government here to prevent healthcare from becoming a postcode lottery in the UK? Does he acknowledge the fact that, although waiting lists for appointments were worsened by the covid crisis, they were poor beforehand, so all regions need to work together to address the issue of recovery?

Covid-19: Purchasing Effort

Debate between Jim Shannon and Edward Argar

Thursday 3rd February 2022 Commons Chamber

[Jim Shannon]

It grieves me in my heart, and I suspect that it grieves the Minister in his heart as well.

[Edward Argar]

I am grateful to the hon. Gentleman for his question. I have made it clear throughout that our priority was getting the PPE that we needed to give that protection and to save lives but, equally, every pound of taxpayers’ money is valuable. Where fraud or failure to deliver contracts is evidenced, we will go after that money, quite rightly, and seek to recoup it for the taxpayer.

On the amount that is, for want of a better way of putting it, lost through goods not being fit for use, that is £673 million, but that is what we are investigating through those contract dispute resolution mechanisms and through anti-fraud work. The other amounts of money in here did purchase PPE, which was delivered and which we have. Different settings require different standards of PPE, so some that was purchased may not be of the standard for the NHS but can be used elsewhere. We are exploring all options to make sure that the PPE we have, where it can be, is used.

Cystic Fibrosis: Prescription Charge Exemption

Debate between Jim Shannon and Edward Argar

Wednesday 2nd February 2022 Westminster Hall

[The Minister for Health (Edward Argar)]

It is a pleasure as always to serve under your chairmanship, Mr Sharma. I congratulate my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) on securing this important debate and thank all hon. Members who have taken part. Although this issue falls within Lord Kamall’s ministerial portfolio rather than mine, it is privilege to answer in this place and to engage in this debate.

Nobody here today, and nobody viewing our proceedings or reading them when they are written up in Hansard, can fail to have been moved by the experiences and stories that we have heard. Hon. Members on both sides of the House told moving stories about their constituents—in the case of my hon. Friend the Member for Ashfield (Lee Anderson), who spoke of his very personal experience, it was his wife, Sinead. As hon. Members have said, it is always incredibly powerful and moving in this place when an hon. Member is willing to share their own experiences, not just with this House and colleagues but essentially with the public. It was powerful, it was personal and it was poignant, and I thank him for that.

I also thank the hon. Member for Bristol East (Kerry McCarthy) for her contribution, in which she set out—again, very movingly—very personal stories, to make this real. It is very easy in this place for us to slip into talking about policies and grand strategies and to not always relate that to people and individual lives and experiences. I am very grateful to the hon. Lady. I do not always agree with her on everything in a political context, but I certainly agree with her on EDMs. I share the experience. I remember Bob Russell from the time before I was a Member, when I worked for previous Members in this place. I admire his belief in the power of EDMs, although I have to say that I do not share it and, like the hon. Lady, I occasionally have to explain to constituents and others who understand-ably think that an EDM moves the agenda forward, that it rarely does, but that it may, on occasion, put down a marker.

As ever, I am grateful to the hon. Member for Strangford (Jim Shannon) for his comments. He mentioned that he has been in just about every debate on this subject, along with the hon. Member for Bristol East. Given his assiduity in attending debates in this House, that could be said for a vast array of subjects, on which he has given well-informed and eloquent contributions, not only representing his constituents, but putting issues of national concern on the agenda.

[Jim Shannon]

The Minister referred to the former Member, Bob Russell. I recall him standing at the door to be No. 1 on EDMs. I put in at least two EDMs every week. Their purpose is not to change policy, but to raise awareness or congratulate some person or group that has been active in the community. For me, that is what EDMs are about.

[Edward Argar]

I am grateful to the hon. Gentleman for his spirited defence of early-day motions, of which he makes powerful use, as he does with every opportunity he has to speak in this place.

My right hon. Friend the Member for South Holland and The Deepings (Sir John Hayes) is no longer able to be here, but he made a valuable contribution, and I am grateful to you, Mr Sharma, for allowing him to speak—even if, as a former Minister, he should have known better the consequences of seeking to tempt me to make policy at the Dispatch Box without cross-Government agreement, which might have led to an early termination of my ministerial career. He made a powerful point, as all hon. and right hon. Members have done, and I will turn to some of those points in a moment.

Before I do so, I want to recognise the fantastic work undertaken by the Cystic Fibrosis Trust, which does a fantastic job on behalf of people living with cystic fibrosis and their families, and in bringing the condition and the needs of people with it to the attention of this House, and more widely. I also acknowledge the work of the Prescription Charges Coalition, of which the Cystic Fibrosis Trust is a member. It has worked tirelessly to raise awareness of the help available to patients with the cost of their prescriptions and campaigns on an issue that its members feel strongly about. In our democracy, whether or not we agree on the policy position, it is right that we recognise those who get out there, campaign and seek to drive change and policy. It is important to recognise those who are active in our democracy in that way.

As we have heard, cystic fibrosis is a life-limiting condition affecting many thousands of people in the UK. It is not only a life-limiting disease but, as we heard from my hon. Friend the Member for Ashfield, a disease that can impact on the quality of life and the life experiences of those affected and their families. While there is no cure for cystic fibrosis, there are treatments available on the NHS to help reduce the effect of symptoms and make it easier to live with.

It is not that long ago that conditions such as cystic fibrosis saw life expectancy so low that many were advised not to expect to live beyond their teens. Thanks to advancements in treatments, better care and the work of organisations such as the Cystic Fibrosis Trust, people with cystic fibrosis are now living for longer, with a better quality of life, with half of those with the condition living past the age of 40. Children born with cystic fibrosis today are likely to live longer than that. That is a positive story and a reflection on our medical and scientific advances.

I turn to the crux of the debate. When the medical exemption list was drawn up in 1968 in agreement with the British Medical Association, it was limited to readily identifiable, permanent medical conditions that automatically called for continuous, lifelong and, in most cases, replacement therapy without which the patient would become seriously ill or even die. As the shadow Minister, the hon. Member for Enfield North (Feryal Clark), alluded to, there has been a review since 1968—only one—which resulted in the addition of cancer in 2009.

When the exemption list was drawn up, decisions on which conditions to include were based on medical knowledge at the time—for instance, children with cystic fibrosis were not expected to live to see adulthood—and it is entirely understandable that, given advances in treatment and increases in life expectancy, those who are now living with cystic fibrosis for a lot longer should wish to pursue exemption from prescription charges to help them maintain their quality of life with the drugs that are essential to their quality of life. The issue of prescription charges was reviewed more broadly in the round in the 2010 Gilmore report, which did not recommend further changes at that stage.

As the hon. Member for Enfield North alluded to, I know that the answers that Ministers have given, stating that the Government have no immediate plans to review the list, will have caused disappointment to right hon. and hon. Members and to those with this condition. We do think it would not be right in this context to look at one condition in isolation, separate from other conditions, because others would rightly argue that their condition was potentially equally deserving of an exemption if it fitted the same criteria. My hon. Friend the Member for Blackpool North and Cleveleys has rightly advanced the case of cystic fibrosis, and I entirely understand why, but I know that he will also recognise that other conditions might qualify for consideration in the same way, or for the same case to be made for them by right hon. and hon. Members.

When the exemption list was first put in place in 1968, 42% of items on prescription were free; now 89% are free. There has been considerable change in that space, but to go to the heart of what right hon. and hon. Members have asked for today, were my right hon. Friend the Member for South Holland and The Deepings in his place, I would disappoint him by saying that, as he will appreciate, I cannot make policy standing at the Dispatch Box. It is important that everything is considered carefully. Although this is not my policy, I will continue to reflect on the points that have been made by right hon. and hon. Members today and by campaigners on this issue. I will also ensure that I will not only speak to my noble Friend, the Minister with portfolio responsibility for this issue, but draw to his attention the transcript of today’s debate.

[Edward Argar]

I am grateful to the hon. Lady. She may or may not always agree with me, but I will always endeavour to be straight with the House, even when the message may not always be the one that Members want to hear. I cannot stand here now and say that there will be a review of that list; it is important for me to be honest with her. What I can say—which she may feel is insufficient, and I entirely respect her if she does—is that I will reflect on the points made today and the issues raised. I will discuss this issue with my noble Friend and ensure that the points that have been made in this debate are conveyed to him, but it would be wrong of me to commit to something that I am not in a position to commit to. The hon. Lady rightly presses her case, but I know that she will appreciate my position, and it is important that I am honest with the House in that respect.

I touched on the help with prescription costs previously, and the number of items. While I know that this is not at the heart of the point made by my hon. Friend the Member for Blackpool North and Cleveleys, it is still important that I put on record the point that I alluded to: when medical exemptions were introduced, only 42% of all NHS prescription items were dispensed free of charge. That figure is now around 89%, and around 60% of the English population do not pay prescription charges at all. Many people with medical conditions not on the exempt list already get free prescriptions on other grounds, as my hon. Friend the Member for Blackpool North and Cleveleys said, with current exemptions providing valuable help for those on the lowest incomes.

[Jim Shannon]

In my contribution, I referred to Scotland, Wales and Northern Ireland, where prescription charges are free. I have knowledge of Northern Ireland, though not of Scotland and Wales, and understand that we follow the rules of the National Institute for Health and Care Excellence in the UK but have some liberty about what we add on. I understand that the Minister is not responsible for this. He is a good man who has been honest with us. What we wish to be conveyed from this debate, to the person who is responsible, is that the same should happen here as in Northern Ireland, Scotland and Wales.

[Edward Argar]

I am grateful to the hon. Gentleman. I will finish the point I was making and then respond to his. We have already heard about the annual certificate, which can be purchased by direct debit in instalments, meaning that a person can have all the prescribed items they need for just over £2 a week. I take the point from the hon. Member for Bristol East that that may still not solve the problem for everyone, but that route provides a significant potential reduction in costs.

I shall now respond to the point raised by the hon. Member for Strangford on the devolved Administrations, and the broader approach to prescription charges. Although we have surprisingly managed to stray away from it for quite a while, any debate on this subject will touch on the different positions of England and the devolved Administrations, given the latter’s abolition of charges for prescriptions. I suspect that many people will ask why there is that difference in approach. Health is a devolved matter and the devolved Administrations have full discretion over how they spend their budgets and the choices they make, presumably choosing to spend a proportionately larger share of those budgets on prescriptions.

We have opted for a different approach in England. We also recognise that prescription charges, more broadly, raise significant revenue, which provides a valuable contribution directly to NHS services in England. In 2019-20, they contributed just over £600 million in revenue to NHS frontline services. There is always a balance to be struck, and I suspect that we shall return to this topic, with Members taking different views.

With regard to the key point made by the hon. Member for Strangford, although I am not directly responsible for this area of policy I will continue to reflect on that. In this House, there are times when individual debates or speeches—I look at my hon. Friend the Member for Ashfield—resonate, and cause Ministers to turn them over in their head and reflect on the points made. All hon. Members will be able to point to speeches they have heard on different topics in the main Chamber that stay with them. They go away from that debate, still reflecting on what that right hon. or hon. Member has said. My hon. Friend the Member for Ashfield has had that effect today. I will reflect carefully on what he said, within the context that I cannot make policy at the Dispatch Box. In response to the point made by the hon. Member for Strangford, I will pick up that issue and convey the sentiments of Members speaking today to my noble Friend Lord Kamall, and ensure that he has a copy of the transcript of the debate.

I conclude by thanking all hon. Members for their contributions. Often, people judge what goes on in this place by the half an hour or 40 minutes that they see at 12 noon on a Wednesday on both sides of the Chamber and what happens there. Many people do not see what happens in Westminster Hall, where, in a measured and sensible way, people can discuss, debate and sometimes disagree on issues that really matter and impact on the lives of individuals or particular groups of people. This debate is one that those that clears a very high bar for the quality of the contributions, for the importance of the subject and for its ability to cause us to leave this Chamber continuing to reflect on what we have heard.

Future of the NHS

Debate between Jim Shannon and Edward Argar

Monday 31st January 2022 Westminster Hall

[Edward Argar]

I will not give way to the hon. Lady now. I have given way to her before. I will try to make progress, but if there is time I will try to give way to her.

We have seen innovative new ways of working: new teams forged, new technologies adopted and new approaches found to some old problems. There is no greater example of that than the phenomenal success of our vaccine roll-out. That would not have been possible without the staff, who are the golden thread that runs through our NHS. As we look to the future and a post-pandemic world, we know that, as the shadow Minister said, there is no shortage of challenges ahead of us: an ageing population, an increase in people with multiple health conditions and, as he rightly says, the challenge of deep-rooted inequalities in health outcomes and the need to look at the broader context. I do not know the shadow Minister as well as I knew his predecessor, but both his predecessor and I had a career in local government as councillors. I suspect that the shadow Minister may have had one too, so he may well know that I understand his point about the broader context.

[Jim Shannon]

Will the Minister give way?

[Edward Argar]

I will make a little more progress. If I can, I will then try to give way to hon. Members.

More needs to be done, and we are giving the NHS the support that it needs and has asked for. In addition to our historic settlement for the NHS in 2018, which will see its budget rise by £33.9 billion a year by 2023-24, we have pledged a record £36 billion for investment in the health and care system over the next three years. The funding will ensure that the NHS has the long-term resources that it needs to tackle the covid backlogs and build back better from the pandemic.

[Jim Shannon]

The hon. Member for Stockton South referred to recruitment within the NHS. What is the Government’s response to that, to ensure that we have the recruitment and the staff in place?

[Edward Argar]

As the hon. Gentleman will know, there are 1.2 million full-time equivalents in the NHS—a record number of staff. Take one example: our pledge for 50,000 more nurses by the time of the next scheduled general election in 2024. Last year alone, we saw the number of nurses in our NHS increase by 10,900. We have a plan in place, and we are recruiting and training more staff through increased numbers of places—at medical schools, for example.

Asthma Outcomes

Debate between Jim Shannon and Edward Argar

Tuesday 7th December 2021 Westminster Hall

[The Minister for Health (Edward Argar)]

It is a pleasure to serve under your chairmanship once again, Mr McCabe, after our many hours in Committee. I thank my hon. Friend the Member for Strangford (Jim Shannon) and congratulate him on securing this debate and for his work on the APPG. As ever, in speaking of his and his family’s experiences, he was typically open for the benefit of the House and those watching our proceedings, and I pay tribute to him for that.

I also welcome the hon. Member for Enfield North (Feryal Clark) to her role on the Opposition Front Bench. She has big shoes to fill, but on the basis of today and what I know of her from her time in this House, I have no doubt that she will do so with skill and dedication and with her typical courtesy while holding us to account as a Government. I wish her all the best in the role.

The Government are dedicated to improving asthma outcomes. In the past 10 years, we have rolled out guidance and initiatives to improve in this area. In 2011, the Department for Health, as it then was, published an outcome strategy for COPD and asthma. It set out a proactive approach to early identification, diagnosis, intervention, proactive care and management. All stages of the disease, as we have heard from hon. Members on both sides of the House, can affect anyone. When it does, it has a huge impact on their lives.

I pay tribute to the hon. Member for Blaydon (Liz Twist) for bringing to life this issue and what it means for individuals with the examples she used, and for talking about her own experience, which is incredibly powerful. I pay tribute with her, as ever, for being willing to share that with this House.

A wrong diagnosis will result in patients not getting the care they need. That is why in 2013 “A Guide to Performing Quality Assured Diagnostic Spirometry” was produced by the NHS with several charities and stakeholders. It was published to support the accurate diagnosis of respiratory conditions to tackle the effects of misdiagnosis.

In 2014, the national review of asthma deaths—the first UK-wide investigation—was published. It aimed to identify avoidable factors, and make recommendations to improve care and patient self-management. NHS England and NHS Improvement commissioned the national asthma audit programme in 2018. It provides data on a range of indicators to show improvements and opportunities in asthma outcomes. The audit’s data are used by providers to assess their quality and support improvement.

More recently, as a number of hon. Members have alluded to, the NHS long-term plan, published in 2019, includes respiratory disease as a national clinical priority with the objective to improve outcomes for people with respiratory diseases including asthma. The respiratory interventions proposed in the NHS long-term plan include early and accurate diagnosis of respiratory conditions. Diagnosing conditions earlier may help to prevent avoidable emergency admissions for asthma.

As part of the long-term planning commitment, pharmacists in primary care networks will undertake a range of medicine reviews, including teaching patients the correct use of inhalers and contributing to multidisciplinary work. I can give my hon. Friend the Member for Loughborough (Jane Hunt) and constituency neighbour the reassurance she sought that we continue to work closely with the NHS in the delivery of that long-term plan, specifically on these objectives set out in it.

To deliver on that objective, NHS England has established 13 respiratory networks across the country. They will provide clinical leadership for respiratory services and are focused on improving clinical pathways for asthma. Since the long-term plan was published, a number of initiatives and publications have been announced.

Before making further progress, I will turn briefly to some of the comments made by hon. Members—I suspect this is a timely way of responding to them. My hon. Friend the Member for Loughborough talked about Kindeva, based on the Charnwood campus in Loughborough in her constituency. I know it well, as the neighbouring Member, and know that it is something she and Jonathan Morgan, the leader of Charnwood Borough Council have championed as a huge asset to our national economy and national effort in this space. She talked about the pMDI market, F-gases and the transition. We commit to our net zero ambitions, but she is right to highlight the need for the transition to be done in a sensible and measured way, and we continue to work closely with industry partners and industry-representative bodies in order to manage that process. I hope that gives her at least a degree of reassurance on this important issue.

NHS England’s national patient safety team has prioritised its work on asthma. This work is part of the adoption and spread safety improvement programme, which aims to identify and support effective and safe evidence-based interventions and practice across England. The asthma ambition is to increase the proportion of patients in acute hospitals receiving every element of the British Thoracic Society’s asthma discharge care bundle to 80% by March 2023.

The quality outcomes framework—QOF—ensures that all GP practices establish and maintain a register of patients with an asthma diagnosis. The QOF for 2021-22 includes improved respiratory indicators. The content of the QOF asthma review was amended to incorporate key elements of basic asthma care for better patient outcomes, including an assessment of asthma control, a recording of the number of exacerbations, an assessment of inhaler technique, and a written, personalised asthma action plan.

Since April 2021, the academic health science networks and patient safety collaboratives have been working with provider organisations to increase take-up of the British Thoracic Society’s asthma care bundle for patients admitted to hospital in England. Centres’ compliance with the elements of good care outlined in the bundle is measured in the national asthma audit.

[Jim Shannon]

I thank the Minister for his responses. He mentioned the 2023 target, to which I referred. Is it possible to shorten that timescale?

[Edward Argar]

As ever, the hon. Gentleman tempts me to be more ambitious. We have set 2023 as a realistic and achievable target. If it were possible to achieve it sooner, that would of course be a positive. Both in my Department and beyond, everyone will have been encouraged by the hon. Gentleman’s ambition and encouragement to go further and faster on that target, if they can. He makes his point well. I will make a little progress and then come back to several of the hon. Gentleman’s questions.

We recognise the particular effect of asthma on children and young people, which is why NHSEI’s children and young people’s transformation programme is promoting a systemic approach to asthma management. The first phase of the national bundle of care for children and young people with asthma has been developed with clinical and patient experts. A complete version of the bundle of care will be published in spring next year. The children and young people asthma dashboard, developed alongside the bundle, will be able to identify asthma care by race, geography, age and social deprivation, which goes to a number of points highlighted by the shadow Minister, among others. That will help ensure that children and young people with asthma who face the starkest health inequalities are prioritised.

The national care bundle has an environmental impact section that sets out three key standards around air pollution, which is an issue raised by Members on both sides of the House, including the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier), who is no longer in her place. We set out the Government’s clean air strategy in 2019, recognising the impact of air pollution on health and a range of other factors that affect people’s lives. In this space specifically, we recognise three key standards. First, all healthcare professionals working with children and young people with expected or diagnosed asthma should understand the sources and dangers of air pollution. Secondly, patients and their parents or carers should always receive information on how they can manage asthma with regards to air pollution. Thirdly, integrated care systems should ensure that they are linked with schools, where education around asthma should also be provided.

The NICE guidance, entitled “Air pollution: outdoor air quality and health”, provides advice for people with chronic respiratory or cardiovascular conditions on the impacts of air pollution. It is important that we recognise that there are ways that, in a health context, we can care for people who face those impacts. Going back to the 2019 clean air strategy, however, we as a society have a much broader obligation to tackle the root causes of those problems and to improve the quality of our air, particularly in our cities but across our whole country.

Given the pivotal role of respiratory medicine in treating patients with covid-19, some centres’ ability to commence patients on biologics may have been impacted at the peak of the surge. I think all Members will recognise that.

The pandemic obviously revolves around a respiratory illness. Those who treat respiratory illnesses, including asthma, have been on the frontline, along with all our health and care staff. I join the shadow Minister and others in paying tribute to the amazing work they have done. As we seek to recover elective services and get more routine services back to normal, we are ambitious but also recognise, in the face of uncertainties over winter and the new variant, that respiratory services can be some of the hardest to recover and bring back to normal operation, because those are the services affected by the disease and the nature of its transmission.

NHS England Funding: Announcement to Media

Debate between Jim Shannon and Edward Argar

Monday 25th October 2021 Commons Chamber

[Edward Argar]

We need to make sure that our NHS workforce, which is diverse in terms of its skills and background, is able to work where those skills are most effectively deployed to deliver the best outcomes for patients. My hon. Friend is absolutely right: where are there are administrative tasks, which I do not in any way denigrate, that are better performed by an administrator than a clinician, we should be looking to deliver that.

[Jim Shannon (Strangford) (DUP)]

I commend the Minister for being assiduous and incredibly dedicated. We welcome money wherever it comes from because it is important to have it. In Northern Ireland we are very keen to see what that money will mean. Will similar money be provided for Northern Ireland through the Barnett consequentials? Will there be any direction as to how the money is spent—for example, to address this year’s non-elective surgery waiting list to give people their sight back, their ability back, and indeed, for some, their lives back? What discussions have taken place with Robin Swann, the Health Minister, in relation to that?

[Edward Argar]

I am grateful to the hon. Gentleman —my hon. Friend—for his question. The Chancellor will set out the detail of Barnett consequentials in due course. The hon. Gentleman knows that I speak to Robin Swann, to whose work I pay tribute, at regular intervals—almost fortnightly—about a number of things. I have not yet discussed the detail of this matter with him, and it will be for him as a devolved Health Minister to make those decisions, but I will of course discuss it with him.

Covid-19: Government’s Publication of Contracts

Debate between Jim Shannon and Edward Argar

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

My hon. Friend highlights something important, which is what the Court actually did and did not consider. It considered, quite rightly, whether the Government met the simple binary of publishing the notices within the required timeframe, and found that they did not. It did, however, find against the claimants and in favour of the Government that there was no policy of deprioritising transparency and publication requirements. As he says, the Court did not make any judgment on the appropriateness of the awards or the process followed for those awards.

[Jim Shannon (Strangford) (DUP)]

I know the Minister to be a person of integrity and openness; indeed, this is an opportunity for the Government to show that.. Would the Minister once again outline the intention for timely competition in line with the comprehensive judicial review judgment? Does the Minister have any update on any moneys that the Government have been able to recoup from contracts for things that were unusable or incorrect?

[Edward Argar]

I can give the hon. Gentleman the reassurance I have given to other hon. Members. We recognise entirely the importance of transparency. We will comply fully with the Court judgment—the Court order—and, going forward, we will comply with the requirements on transparency. To his specific point, I have alluded to the stocktake—the audit—that we are doing to make sure that if anything was not delivered or was faulty, we can recoup the money for it. I would say more broadly that the Department has cancelled or curtailed contracts up to the value of around £400 million so far—I believe that was in the evidence given by the second permanent secretary at the Department to the Public Accounts Committee chaired by the hon. Member for Hackney South and Shoreditch (Meg Hillier)—and I hasten to add that cancellation of those contracts has occurred for a multitude of reasons not necessarily representative of faulty or inadequate PPE. I hope that gives the hon. Member for Strangford (Jim Shannon) an indication of the work the Government are doing to ensure value for money.

Covid Contracts: Judicial Review

Debate between Jim Shannon and Edward Argar

Wednesday 24th February 2021 Commons Chamber

[Edward Argar]

I am very happy to join my hon. Friend in doing that. I suspect that, in what has been a contentious urgent question, that is a point on which there will be consensus between me and the shadow Minister. We pay tribute to those working on the frontline of our NHS and social care, and those helping with the vaccination programme.

[Jim Shannon (Strangford) (DUP)]

Does the Minister share my view that, although transparency is important, saving lives is even more important, and that the public servants who have done much to secure the vital supplies of protective equipment that we need deserve our praise, not criticism? Will he clarify that the information required by the judicial review judgment will be revealed in a timely manner?

[Edward Argar]

I am grateful to the hon. Gentleman, who is absolutely right to pay tribute to the officials and those who were working flat out at the height of the pandemic, often through the night and at weekends. Even when working from home, they did not see much of their families because they were working incredibly hard to procure the PPE we needed to keep people safe. I pay tribute to them. On the hon. Gentleman’s final point, my understanding is that the additional information required by the judgment must be supplied to the court by Friday, and I expect that the judge will make that public.

DHSC Answers to Written Questions

Debate between Jim Shannon and Edward Argar

Thursday 19th November 2020 Commons Chamber

[Edward Argar]

My hon. Friend highlights that the workload from constituents has increased for all Members. I recognise that. It is important that we do our bit in trying to answer questions in as timely a fashion as possible, to assist colleagues in the House with responses to constituents. In response to his second point, he is absolutely right. As I alluded to, it is not only through attending the House and through its mechanisms that Ministers have been accountable; as a Department, we have sought to use multiple channels—briefings to colleagues, WhatsApp and a whole range of newsletters and other mechanisms—to get messages out and to communicate with colleagues and answer their questions.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his departmental response to covid-19 and many issues. As one of the Department’s most prolific questioners, I am aware of the pressure on the Minister’s Department to respond to a vast array of complex medical and social issues. Perhaps to assist the Minister, his team could work closely with the health trusts to provide up-to-date data in a timely manner.

[Edward Argar]

The hon. Gentleman is indeed a prolific questioner, but his questions are always welcome and to the point. He highlights an important aspect that affects the response of the Department, which is that a significant number of questions, and the information required to answer them, is not held within the Department but by various health trusts, NHS England or other external bodies, which can occasionally introduce additional slight delays in the system. We are working closely with them to minimise that and get answers as quickly as we can to hon. Members.

Exiting the European Union (Agriculture)

Debate between Jim Shannon and Edward Argar

Tuesday 10th November 2020 Commons Chamber

[Edward Argar]

I am grateful to hon. Members for a typically informed and focused debate. It is a pleasure, as always, appearing opposite the hon. Member for Ellesmere Port and Neston (Justin Madders), a different shadow Minister from my normal double act in recent weeks. He raised a number of technical points about the consultation and other aspects. I will endeavour to answer them briefly, but where I do not do so I will, of course, write to him.

I am confident that the consultation undertaken in August and September was sufficient. The hon. Gentleman highlights the smaller number of responses it received. I suggest that is due to the significant consultation undertaken two years before and the fact that in this context little in our approach has changed. Many will therefore have felt that they had had their say back then and that was reflected in the approach taken. He mentioned local councils’ capacity to deal with these regulations. Like many Members of this House, I was a councillor in a past life and I pay tribute to the work that our councils and local authorities do up and down this country. I am confident that they will be able to implement these regulations effectively. On the FSA and FSS, I am also confident that they are ready and prepared for what is coming in these regulations, which are relatively minor and technical in what they are seeking to update. I will of course go through the transcript in Hansard and write to him on anything I have missed out.

On the point made by the hon. Member for Strangford (Jim Shannon), I can reassure him that, while the wording of this statutory instrument reflects the technical legal wording to reflect the Northern Ireland protocol and the withdrawal agreement and the measures in that to help protect and secure the safety of the peace process, I am happy to be very clear with him on the record in this Chamber that, of course, Northern Ireland remains a hugely important and integral part of our United Kingdom and one that I hope to be able to visit when travel is a bit more normal. I may even visit his constituency of Strangford.

[Jim Shannon]

I would welcome the Minister to my constituency. One of his former members of staff came from my constituency as well. It will be a double opportunity for him to visit the town of Comber and also my constituency. I would welcome seeing him there.

[Edward Argar]

I will take that as a clear invitation. Sam Beggs who was a fantastic member of staff to both the hon. Gentleman and I always sang the praises of Strangford. I need no more than the hon. Gentleman’s kind invitation to take him up on it when travel is more normal.

Question put and agreed to.

Covid-19 Restrictions: South Yorkshire

Debate between Jim Shannon and Edward Argar

Wednesday 21st October 2020 Commons Chamber

[Edward Argar]

I am not aware of any systemic issue that is seeing false data entered, but if my right hon. Friend is happy to give me more information, I am happy to look into it for him. There can, though, be other factors beyond universities or a young population. There can be a range of things in a particular area that drive a particular spike, but I am happy to look at the information he has got.

[Jim Shannon (Strangford) (DUP)]

I completely understand the reasons for this statement. Government action for Yorkshire is similar to the action we have taken in Northern Ireland with the circuit breaker. Simon Hamilton, chair of the Belfast chamber of trade and commerce, has stated, in tandem with 23 other organisations that “fewer and fewer” will survive each lockdown and

“more jobs will be lost”.

The Department for the Economy accurately estimates that those job losses could be 100,000. With the prospect of longer dole queues and poor prospects for re-employment, what discussions have taken place and what assistance can the Minister give to the devolved Administration in Northern Ireland?

Social Distancing: 2 Metre Rule

Debate between Jim Shannon and Edward Argar

Monday 15th June 2020 Commons Chamber

[Edward Argar]

My hon. Friend is absolutely right to highlight this. I am very happy to join him in supporting Think Local, Shop Local in Cornwall. I do not know if I qualify for these brief few seconds as an honorary Cornishman, but if I do, that would be a privilege. He and my hon. Friend the Member for St Austell and Newquay (Steve Double) have highlighted to me how important this sector is to their constituencies and their local economy, so it is right that we work to reopen businesses as soon as we safely can.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his answers so far. My colleague Diane Dodds, the Northern Ireland Assembly Economy Minister, is attempting to address this issue and to strike the delicate balance between precautions and economic survival. She has been taking scientific advice on it from leading scientists. Will the Minister commit to sharing his Department’s scientific evidence with the devolved Assemblies to enable us all to have the most up-to-date information so as to make informed decisions and begin to move forward?

[Edward Argar]

We have a very close working relationship with the Government in Northern Ireland. We will continue to maintain that and to share information as appropriate, as we have done throughout this pandemic. I pay tribute to the work of the Government in Northern Ireland in tackling it.

Health Infrastructure Plan

Debate between Jim Shannon and Edward Argar

Monday 30th September 2019 Commons Chamber

[Edward Argar]

I am happy to tell the hon. Gentleman that the announcements we are making today are for new money.

[Jim Shannon (Strangford) (DUP)]

I welcome this statement on the commitment to the selected six hospitals in this year and 34 others over a period. I had occasion on Friday past to visit the Royal Victoria Hospital in Belfast, which is well aware of the squeeze on staffing, resources and equipment, with theatres lying vacant because there are not the people to be there. The Government have to understand that hospitals in every area need investment, and the NHS needs to be sustained with block funding. Under the Barnett formula, how much will hospitals in Northern Ireland benefit from this money?

[Edward Argar]

I am grateful to the hon. Gentleman. As I said to the hon. Members for Ogmore (Chris Elmore) and for Linlithgow and East Falkirk (Martyn Day), I am happy to write detailing the process, and I am happy to include the hon. Gentleman and his hon. and right hon. Friends in that.

Oral Answers to Questions

Debate between Jim Shannon and Edward Argar

Tuesday 23rd April 2019 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

The age and maturity of children is so important. The age of criminal responsibility here is 10 years, which is low; it is 14 years in Germany and 15 years in Italy. There was a 60% increase in the number of young offenders between 1996 and 2004. What has been done to reduce the number of young offenders?

[Edward Argar]

We have worked extremely hard across the Government, and with local authorities and other state and charity agencies, to drive down the level of offending. We have seen an 86% reduction in the number of young people coming into the criminal justice system for the first time, but there is more to do to break the cycle of reoffending for those who are already in the system, and that is what we are focused on.

Missing Persons Guardianship

Debate between Jim Shannon and Edward Argar

Tuesday 12th February 2019 Westminster Hall

[Jim Shannon]

I want to refresh the Minister’s memory about one the requests I made to him, on the back of which the hon. Member for Islwyn (Chris Evans) came in as well. The Police Service of Northern Ireland has a statistical central catalogue of all the missing people, and it periodically publishes their names in the provincial press to remind people. I know it is not the Minister’s direct responsibility, but could he ask the correct Minister about having a central location for a catalogue of those who have gone missing across the United Kingdom of Great Britain and Northern Ireland? That would ensure that people could look at it whenever they want. Would he also take on the idea suggested by the hon. Member for Islwyn about having copies of a photograph of these people? That could be done in conjunction with a person’s family. It would highlight missing people on a regular basis, and may jog people’s memories to give a bit of evidence, which may make a difference.

[Edward Argar]

The hon. Members for Strangford and for Islwyn—if I keep saying it, I will get it right—have both made powerful points, which I am happy to explore with ministerial colleagues.

The designation of the High Court will require a statutory instrument. I hope that when we get to the stage of having to lay those pieces of delegated legislation, we preserve a bipartisan and non-party political approach, to ensure that we get the regulations right and get them through as swiftly as we can.

Before finishing, I place on record my thanks to the charity Missing People, which has continued to engage with the Ministry in the preparation of the consultation and the draft legislation, and which has kindly acted as an intermediary to collect and collate responses to the consultation from families it knows who have been directly affected by people going missing.

In conclusion, I thank the hon. Member for Enfield, Southgate for bringing the topic of guardianship of missing persons before us today. I thank all the hon. Members who have taken part and who have pursued the issue, both today and over many months and years. I also thank you, Mr Hollobone, for chairing the debate. The Act is not only needed and practically important, but quite simply the right thing to do. There is still more work to do to implement the Act in July, but I and the Government know how important this legislation is to many families, who do not have any legal recourse at the moment, and I will do everything in my power to ensure that, in July, we make the ambition and intent of this Act a reality for our country, our communities and those who suffer the dreadful pain of a loved one going missing.

Oral Answers to Questions

Debate between Jim Shannon and Edward Argar

Tuesday 5th February 2019 Commons Chamber

[Mr Speaker]

No, no, not now. The hon. Gentleman can work up his question while the Minister is responding to the hon. Lady. [Interruption.] No, no, I am giving him preparation time; he should be thanking me.

[Edward Argar]

My hon. Friend the Member for Mid Derbyshire (Mrs Latham) makes an important point about the importance of stable accommodation, which can play a key part in reducing reoffending and giving people the opportunity to get their life back on the right track. We are working with partners across the Government, local authorities and others to ensure that the system works for those people.

[Jim Shannon]

rose—

Oral Answers to Questions

Debate between Jim Shannon and Edward Argar

Tuesday 9th October 2018 Commons Chamber

[Edward Argar]

My hon. Friend is absolutely right. John McAvoy’s story is an important one, and he helped to play an important role in promoting sport in our custodial estate. On my recent visit to HMYOI Wetherby, its impressive governor Andrew Dickinson set out the work that he is doing with local sports clubs such as Leeds Rhinos to provide important role models in that institution. Sport and programmes such as these can help to develop attitudes and skills such as discipline and teamwork that are valuable in making a success of life outside custody and in reducing reoffending.

[Jim Shannon (Strangford) (DUP)]

With more over-60s in our prisons than under-21s, and claims that provision for women and girls is being underdeveloped, will the Minister outline whether he believes that a holistic approach for sports programmes throughout prisons is a realistic approach to prevent reoffending?

[Edward Argar]

The hon. Gentleman raises an important point about the ageing population in our prisons. The approach that we have adopted—which was set out in Professor Rosie Meek’s report—is designed to provide sport and physical education opportunities for all those in our custodial institutions, regardless of gender or age.

Eating Disorders Awareness Week

Debate between Jim Shannon and Edward Argar

Tuesday 27th February 2018 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on securing the debate. Over the years, a number of my constituents have had these problems. Through the good work of the NHS and the Beat organisation, to which he has just referred, they have been able to pull through to the other end. In Northern Ireland, we have some 20,000 people who suffer from eating disorders at any one time. Given that fact, does he feel that the Government could enter into discussions with the regional assemblies across the whole of the United Kingdom of Great Britain and Northern Ireland to agree a strategy that can accommodate where we are in the UK?

[Edward Argar]

The hon. Gentleman makes a very important point. This is one of those issues on which I would hope we can see the widest engagement across the UK, across all involved in government and the provision of services, to come up with a coherent and common approach to beating eating disorders.

Armed Forces: Historical Cases

Debate between Jim Shannon and Edward Argar

Thursday 23rd February 2017 Commons Chamber

[Jim Shannon]

As always, the hon. Gentleman has a salient point to make in the Chamber. We thank him for the gallant service he gave in Northern Ireland. As a soldier, he made a magnificent contribution to the peace process we have in Northern Ireland, and we thank him for that.

Some people may not know this, but I am sometimes known to be a bit of a fiery person—I believe it to be the Scots blood I have in my veins—and of late it has taken great restraint for me to sit back and view the attempts by many in a so-called “shared society” to rewrite the history of the troubles of our Province. By doing so, they are blackening the name of men and women who deserve nothing other than praise. Most recently, we have seen the complete disregard that Gerry Kelly has shown for the family of local Strangford man James Ferris, who was stabbed while on duty during the night of the Maze break-out and subsequently died from his injuries. This disregard was vile and it should be roundly condemned by all right-thinking people; there is nothing romantic about the Maze prison break-out and the death of a prison officer. That this should be glorified by offering a so-called “prize” of a “Valentine’s gift” shows an appalling level of disrespect, insensitivity, offence and lack of remorse. The suggestion that a tale of how prison officers were shot, stabbed and beaten should be acceptable as a Valentine’s gift is vile to say the least. The bizarre world of Sinn Féin representation attempting to rewrite facts never fails to astound and wound the good people of the Province, especially those thousands who have been traumatised by IRA terrorism. I wish to remind people in this Chamber today of the real story there, which is that of a man who served Queen and country and had his life ripped away by unrepentant terrorists. We remember that sacrifice as well.

The latest declassified files have been opened, and am I the only one—I know I am not—who is sick, sore and tired of seeing personal opinions turn into attacks upon past serving soldiers, in this case the members of the UDR? As my hon. Friend the Member for East Antrim (Sammy Wilson) mentioned, a scurrilous opinion about the UDR in 1989 has been recently recorded as fact, which is insulting in the extreme. I served in the UDR in 1974-75 and 1976-77, and every one of those part-time UDR soldiers whom I had the honour of serving with were wonderful people; male and female alike, they joined to stop terrorism, from whatever source it came.

Let me remind hon. Members of a few truths that are backed up by the facts. The facts are that the UDR full-time and part-time soldiers worked long hours, under massive threat, checking under cars and living in the eye of the storm daily, along with their entire families. The facts are that 197 soldiers were killed, the majority when off duty, and a further 60 were killed after they had left the UDR. These are some of the facts of the case and people cannot deny them. I, along with many in this Chamber today, and indeed with most upstanding moral people of the day, was horrified to learn that 1,000 former soldiers, many of whom are in their 60s and 70s, were to be investigated, in respect of 238 fatal incidents. We are talking about men who gave up their family life and their freedom, who witnessed horrors, who were subjected to horrific life-changing scenes, and who held dying comrades in their arms and searched the rubble for missing limbs of their team. Having dealt with all of that, while wearing the Queen’s colours, they are to be subjected to investigations.

I understand very well the concept of closure and wanting justice. I want justice for my cousin Kenneth Smyth, who was murdered by the IRA on 10 December 1971, and for the four UDR men killed at Ballydugan, three of whom I knew personally, yet no multi-million-pound investigation is available for that. So I resent the idea that seems to be promoted at present that one life is worth more than another—it is not, and it never will be. The grief of a mother does not change with the colour of her hair, the area she lives in or the church she attends—it never can do, and why should it? As the Member of Parliament for Strangford, I call on this Government to turn around and do the only thing they can do, which is to ensure that our people are given the credit and fairness that they deserve.

The investigation revealed that bogus claims were made in a concerted attempt to defraud the Ministry of Defence and destroy the reputation of our armed forces, and this can never be allowed to happen. Intimidation of individual soldiers and the impact on their families must be assessed, and support and apologies at least must be given to them all. There must also be an assurance that the disregard shown to soldiers and their families throughout this farce of a procedure will never be allowed to happen again. Action should have been taken more swiftly than this; credible claims should have been differentiated more quickly from the bogus ones, and “innocent until proven guilty” should always have been the fall-back position. With the greatest of respect, this failure by the MOD must be addressed at this moment in time. It has taken the investigations by the Defence Committee and the hon. Member for Plymouth, Moor View (Johnny Mercer) to make a difference, and I congratulate all those involved in that scrutiny. Because of that, I hope that the lessons will be learned by all of us: never should claims without evidence be progressed; never should service personnel be left out on a limb; and never should we leave a man behind as we have seen done here, facing a republican agenda that revolves around attempting to portray murder as freedom fighting and terrorism as the end of oppression.

[Edward Argar (Charnwood) (Con)]

I think the whole House is incredibly moved by the hon. Gentleman’s words. From what he is saying, so movingly and eloquently, I believe he would agree that as a House, regardless of party, we owe a huge debt to all these people. I am sure he would join me in saying that, and I wish to join him in sharing his views, which he is expressing so eloquently and movingly to this House.

[Jim Shannon]

I thank the hon. Gentleman for his intervention, which probably came just at the right time.

Democratic Unionist party Members and others today wish to set the record straight for future generations: the atrocities during the troubles, from whichever “side” they arose, were nothing more than evil murder. There is no glory found in taking the lives of 10 men in a van who were on their way to work. There is no honour in leaving wives without husbands, mothers without sons and children without a father. There is no rallying cry around bombs which took the lives of men, women and children within the wombs of women out shopping. There is no victory in the indiscriminate slaughter of people who were worshipping in their church on a Sunday morning. The glory is in the legacy of men and women who gave their all for freedom and democracy; the honour belongs to those who have lived their lives with the sorrow of great loss and yet chose not to retaliate. The rallying cry is for those who quietly ask that the memory of their loved one is not tarnished or decimated by lies or media spin. The victory belongs to the right-thinking people of Northern Ireland, who, despite having no reason to trust, love or forgive, have chosen to support the rule of law and justice, and now are waiting for us to give them the support they deserve in these dark hours. I finish with this point: we remember the truth, we stand to honour those who are fallen and we promise to protect their legacy.

Dementia Care Services

Debate between Jim Shannon and Edward Argar

Wednesday 9th September 2015 Westminster Hall

[Edward Argar (Charnwood) (Con)]

I beg to move,

That this House has considered dementia care services.

It is a pleasure to lead this debate—the first in my name since my election—under your chairmanship, Mr Davies. It is also a pleasure to debate with a Minister whose commitment to this cause is well known, on a subject of such importance. Indeed, its importance grows daily.

I am particularly pleased to see my hon. Friend the Member for Wealden (Nusrat Ghani) next to me. I hope that she plans to speak in this debate, because her work in her constituency on this subject, and the depth of her knowledge, is well known and will be of great benefit to the House.

Dementia is incredibly cruel; it can take a person away from you even while they are still with you. It is estimated that there are around 850,000 people with dementia in the UK; that 21 million people have a family member or close friend with dementia; and that a third of people over 65 will develop it. The majority of those 850,000 people are over 65, but an estimated 17,000 people below that age have dementia. In my constituency of Charnwood, it is estimated that just over 1,000 people have dementia. All of this—put aside the human consequences for a moment—is estimated to cost around £23 billion per annum, with a huge proportion of that being met by families, either through care that they engage or through the free hours of care that the 670,000 voluntary carers provide. The challenge before us is huge.

Significant progress on dementia has been made in this country in recent years. However, while we as a society have made significant strides in improving our longevity and our ability to fix and patch up our physical selves through the medical profession, our understanding of and care for the mind have fallen behind somewhat. Dementia poses a massive financial challenge to our country, as people live longer—a good thing, but a partial consequence is an increase in the number of dementia cases.

The last Labour Government should be rightly proud of their work in bringing forward the first national dementia strategy, and I pay tribute to them, through the shadow Minister, for that far-sighted step. It is a baton that the current Government, and particularly this Prime Minister, have seized with vigour; there has been the Prime Minister’s challenge on dementia 2012, the G8 dementia summit, and the Prime Minister’s 2020 challenge. All this is hugely positive, and dementia is an issue on which there is considerable consensus in all parts of the House, and among all the parties represented within it. However, we must not think for one moment that we have done enough, nor lose the momentum built up thus far.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on bringing this matter to the House for consideration. A great many of us across my constituency of Strangford and the whole of the United Kingdom of Great Britain and Northern Ireland know people who suffer from dementia. Just last week, I had the opportunity to go to what is referred to as a memory café, which is organised by the Alzheimer’s Association, which is a wonderful organisation. I met some wonderful people, as well as their carers and families. Does he recognise the good work that the Alzheimer’s Association does? Does he feel that now is the time to not only raise awareness of Alzheimer’s but commend the Alzheimer’s Association for its work?

[Edward Argar]

In addition to the hon. Gentleman’s many talents, which are well known in this House, he appears to be a mind-reader, as I was about to come on to that subject, having visited a similar memory café on Monday. He is absolutely right to highlight and pay tribute to the work of such places. On Monday, I went to the Syston community centre, where our local Alzheimer’s Society group was holding its regular Poppies memory café session for about 30 carers and people with dementia. As I am sure the hon. Gentleman did on his visit to his local memory café, I met some amazing people and it was a fantastic session. My memories of that session, and the lessons I learned from it, remain with me; I continue to reflect on them. However, across the UK, including in my region—the east Midlands and Leicestershire—the access to and coverage of such vital services remains patchy; that was a message I got loud and clear from the people I spoke to. As I suggested, that session left me in no doubt about the vital role of dedicated and passionate carers, including the amazing people whom the hon. Gentleman and I met, in helping people with dementia.

[Edward Argar]

Yet again, it appears that another hon. Member has the facility of reading minds and anticipating speeches, because I was about to say that there remains too little understanding of dementia in our communities, despite the progress made, and dementia-friendly communities and workplaces can play a hugely important role in supporting both those who have dementia and those who care for them.

I encourage the Minister to push all Government Departments to become dementia-friendly workplaces, and to keep talking about dementia and raising awareness of it. I also encourage her to keep the NHS talking about it. I know that other hon. Members—not least the shadow Minister, the hon. Member for Oldham East and Saddleworth, who is chair of the all-party group on dementia and possibly the only dementia champion in this House—will continue to raise these issues, as the shadow Minister has done over many years.

A recent survey showed that 25% of 18 to 25-year-olds are keen to learn and understand more about dementia, as opposed to only 15% of those aged 55-plus; that was a 2012 YouGov survey, so it is relatively recent. While it is encouraging that young people are keen to understand and learn more about dementia, those figures are still far too low.

[Jim Shannon]

One thing that I became aware of after visiting the memory café last week and speaking to some of the people there—by the way, the Big Lottery Fund was one of the funders of that café, so it is doing good work—is that the age of those being diagnosed with dementia and Alzheimer’s is starting to fall. There are some people in the 40-to-50 bracket who have dementia, which worries me. Does the hon. Gentleman feel that there is anything we can do to raise awareness of that issue?

[Edward Argar]

The hon. Gentleman makes a valid point. Just last Saturday, I was at a gala in Anstey, which is a village in my constituency, and a man came up to talk to me about this issue. He said that a lot of emphasis is put on those in their 60s or 70s who develop dementia, but he told me about a lady who had developed it very early in life, which creates a whole new set of challenges around children, paying mortgages and the support that should be in place but is not always there. I will come on to the support that is or is not in place shortly.

The second part of the picture is about diagnosis and care. Diagnosis rates have improved. In 2011-12, only 45% of people with dementia received a formal diagnosis, but Department of Health figures suggest that the figure is now up to 59%, which is real progress. I know that 66% was the target set for the end of this year, but can I encourage the Minister to go that little bit further and press for a 75% target for diagnoses by 2017? That is ambitious but achievable, and if we do not set ambitious targets we will not achieve them.

However, diagnosis is only the start. Too many people tell of being diagnosed and then receiving no information or support, or only very limited information or support. In a recent Age UK survey, 89% of those surveyed said that they did not feel they had enough information about dementia. We need to improve GPs’ understanding of dementia care; many GPs are fantastic, but that is not universal. We need to ensure that after a diagnosis, people and their families receive information on “What now?”, as well as support. What steps do the Government propose to take to create minimum mandatory standards to ensure that everyone with a diagnosis receives swift signposting and advice from dementia advisers and a proper support package for them and their carers, possibly through the NHS outcomes framework?

We all know—all the research shows this—that once someone is diagnosed with dementia, if they are to continue to lead a full life, it is best for them to be able to live independently at home with their family, but if they are to do that, we must ensure that carers are cared for and supported, and that support plans are in place—as much for the carers as for any individuals with dementia. A recent pilot in Norfolk on the use of Admiral nurses—they are the dementia equivalent of Macmillan nurses, and although they are sadly rather less well known, they do a fantastic job—saved more than £400,000 and provided a strong local support service for carers and people with dementia. What consideration have the Minister and the Department given to how that might be made more widely available? What support can be given to local authorities in that respect?

We are all aware of the funding pressures faced by local authorities—not least my own, Leicestershire. It gets one of the lowest per-head funding settlements in the country, and I hope that that can be reviewed and revisited in this Parliament, with rural councils being given a fairer share. While I would not presume to burden the Minister with responsibility for dealing with the local government finance settlement as well, what progress has been made nationally on developing integrated dementia care pathways, which can go some way to alleviating financial pressures?

While care and support to stay independent at home are key, there are times when people with dementia have cause to be admitted to hospital, and here the picture is by no means universally good. According to a recent survey, 41% of hospitals do not include dementia awareness training in staff inductions, and only 36% have a care pathway in place. Many people with dementia still have real problems when they are admitted to acute care. More research into the quality of personalised care for those with dementia, particularly in hospitals, would be immensely valuable. It is estimated that a quarter of hospital beds are occupied by people with dementia, although they might not necessarily have been admitted for dementia. On average, such people have a 20% longer hospital stay than others.

While some hospitals have made progress in having dementia-friendly wards, it simply is not enough. We should have hospitals that are dementia-friendly in their entirety. We often hear of instances of people with dementia not having that noted on their hospital records, meaning that no allowance has been made for it. We also hear of carers and partners not being allowed to stay with relatives with dementia in hospital, which often leads to acute anxiety and distress among those patients at being in an unfamiliar environment without any familiar faces around them. I hope that Simon Stevens and the NHS can look at that.

The national dementia strategy and the Prime Minister’s challenges on dementia for 2015 and 2020 set out an array of targets and objectives. The key to success, however, will be proper implementation to deliver clear and focused outcomes that are measured, monitored and reported. Will the Minister update the House on the implementation plan to achieve the objectives that we all welcome, and to ensure that dementia care gets its share of the very welcome additional funding that the Government have pledged to the NHS as a whole? Specifically, as we look at how to improve care and support, 37 NHS vanguard sites are piloting new care models, but only three make specific mention of dementia. Will she consider adding to that number? The National Institute for Health and Care Excellence is updating the 2006 clinical guidelines on dementia. That work is due to be completed in September 2017. Will she make representations to NICE on updating the dementia quality standard as part of that? It is an important tool in driving up NHS standards in this area.

The third and final part of tackling dementia is research. We have seen some encouraging early signs over the summer that finding a way of slowing down the progress of dementia might be that little bit closer. There is still a long road ahead for that research, but it is a reminder of the importance of a continued focus.