Services for Children in Care

Debate between Jim Shannon and Josh Newbury

Tuesday 27th October 2026 Commons Chamber

[Josh Newbury (Cannock Chase) (Lab)]

I would like to take this opportunity, as I have not yet had one, to warmly welcome the Minister to his place. I know that he is covering tonight for the Under-Secretary of State for Education, my hon. Friend the Member for Whitehaven and Workington (Josh MacAlister), but I am sure that he will do a fantastic job. I know that in his role on early education, which is also an area of interest for me, he will be a steadfast champion and a fantastic member of this Government, so I welcome him.

I first applied for this debate after a conversation I had at the West Chadsmoor NHS clinic back in June. I had gone there to talk to the team about the fantastic Pride in Place funding coming to our area and to meet some of the brilliant clinicians based there who specialise in areas such as child and adolescent mental health services, paediatric podiatry, occupational health and various forms of family support. As I am sure Members across the House will have experienced, I often leave a visit in my constituency with much more work than I walked in with, but that is of course what I was elected to do, and it is a pleasure to do that work.

One of the conversations I had at West Chadsmoor raised an issue I felt needed to be brought to this House. It was about vulnerable children being placed in Staffordshire by local authorities elsewhere in the country and the problems that arise when the right people are not told that those children are coming. I heard from clinicians that increasingly they are coming across young people who have been placed in our area without Staffordshire county council being notified. Sadly, CAMHS staff sometimes encounter those children for the first time when they are in a serious mental health crisis. The doctors I spoke to described young people who might be self-harming or experiencing suicidal thoughts. These are children who will almost certainly have already experienced deep trauma, family breakdown and considerable instability. Then they are moved miles from home—sometimes hundreds of miles—and the support that they had, we hope, been receiving does not always follow them.

The statutory requirement is for the responsible local authority to notify the host local authority when a child or young person in care is placed within its area. but I am hearing that this does not always happen and does not always include the relevant information regarding identified risks and support needs. Consideration should also be given to the suitability of the placement, such as the availability of local services. When a local authority decides to place a child in another part of the country, that child arrives with their own history, their own vulnerabilities and, often, an established package of support. Yet the authority responsible for receiving them may not even know they are there.

The clinicians who want to do their best to replicate that support are sometimes left on the back foot. They may only discover the child when something has gone wrong and they come to them in a very bad way. That is not a sensible way to organise care for any child, let alone one who is already vulnerable, which is why, of course, the legal duty to inform exists.

In my constituency, we have seen rapid growth in independent children’s homes in recent years, partly because of the relatively low property prices but also, as we know, because of a chronic lack of foster carers. As a former foster carer myself, I very much welcome the recruitment campaign that the Department launched last week.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman for bringing forward the debate. He always brings incredibly important debates to Westminster Hall and the Chamber, including on the Adjournment, and I congratulate him on their standard and the contribution he makes to this House on behalf of his constituents, which is appreciated. He mentioned fostering. The Fostering Network found that only 33% of foster carers report that their allowances fully cover the cost of raising a child. Approximately 66% of people believe that they could be a good foster carer if there were no practical barriers. During this cost of living crisis, does he agree that we must recognise the additional pressures and that more must be done to financially support those who have a heart for fostering children to both take this on and be equipped to do so?

[Josh Newbury]

I thank the hon. Gentleman for his kind words. He always has a kind word to say and a valuable contribution to make to any debate on any topic, which is quite impressive. He is absolutely right to highlight the fact that there are so many people in our country who would love to foster and have the attributes and the motivation to do so, but who simply cannot afford to because the costs they would have to meet exceed the payment they would get. We need to raise awareness of the fact that fostering is paid for—many people do not realise that—and we need to bring those stories to the House, as he has rightly done, to highlight the need to do far more to support our foster carers, who do an incredible amount.

Type 1 Diabetes and Disordered Eating Services

Debate between Jim Shannon and Josh Newbury

Wednesday 5th March 2025 Commons Chamber

[Josh Newbury (Cannock Chase) (Lab)]

It is a privilege to have secured a debate on a chronic but often misunderstood condition that affects many people across our country: the correlation between type 1 diabetes and disordered eating, known as “T1DE” for short. Separately, those two conditions are well-known and well documented, but together they exacerbate one another and can, in extreme cases, become a life sentence.

On an individual level, type 1 diabetes is a chronic autoimmune condition characterised by the pancreas being unable to produce insulin, meaning that those with the condition are required to carefully monitor their blood glucose levels and administer insulin. As we know, that delicate balance demands constant attention. Many of us have the luxury of going out for dinner and choosing a meal based on what we like the sound of—shamefully, in my case, often with too little thought to the sugar content, calories or how the body will digest it. For those with type 1 diabetes, however, that blissful ignorance simply is not an option. For them, life revolves around counting carbohydrates, monitoring blood sugar levels and injecting insulin. It is relentless. To put that into numbers, a child diagnosed with type 1 diabetes at the age of five faces up to 19,000 injections and 50,000 finger-prick blood tests by the time they are 18. Every moment of every day is a balancing act between food, activity and insulin.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman for securing the debate. I spoke to him outside the Chamber and he knows exactly what I am going to say. I have been a type 2 diabetic for almost 20 years, and I understand very well the fact that monitoring food intake is part and parcel of daily life. For those who suffer from an eating disorder, the constant food noise needs to be addressed by a professional, but diabetic clinics do not have the resources to deal with that. Does he agree that we need mental health support links for diabetics throughout the United Kingdom?

[Josh Newbury]

It is a pleasure to take my first intervention from the hon. Gentleman. I pay tribute to him for his campaigning on this issue and the personal experience that he brings to the House. I will come later in my speech to my experience of mental health services. I absolutely agree that we need to ensure that people with type 1 and type 2 diabetes have all the support they need for their mental health and managing their condition.

For some, type 1 diabetes morphs into a the deeper challenge of disordered eating—it is not difficult to see how that can happen. Given the strict attention to diet and nutritional information that type 1 diabetes necessitates, unhealthily restrictive and avoidant approaches to food can sometimes, at least to begin with, be indistinguishable from healthy diabetes management. As we know, in some cases, one side effect of insulin-based treatment can be weight gain. That leads some people with type 1 diabetes to realise that by restricting their insulin intake, or even stopping it altogether, they can essentially eat what they like and lose weight. However, the medical consequences of that are stark, including kidney problems, bone wastage, amputations, blindness and even death.

One of the most insidious aspects of T1DE is how difficult it can be to identify until its devastating consequences for both physical and mental health begin to manifest themselves. People suffering with T1DE often say that the isolation that comes with trying to navigate both a chronic illness and disordered eating is unimaginable for anyone who has not experienced it.