(11 months, 2 weeks ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to speak in this debate and to be called first from the Opposition side. I would say it is unique; it may not be all that unique, but that is by the way. I thank the hon. Member for West Dorset (Chris Loder) for leading the debate so well. He set the scene well for his constituency; I will mirror what he said for my own, and others will do the same shortly. I am aware of what the hon. Gentleman has done to improve mobile and broadband connectivity for his constituents. Most of us here share the concern that some cannot access the same technological advances as others. This is very much a UK-wide issue, so it is great to be here to give a Northern Ireland perspective, as well as that of my constituents.
As the Minister will know, back in 2017 we had a deal with the Conservative party, through a confidence and supply motion, to deliver some £150 million of broadband across Northern Ireland. That secured the delivery of broadband to almost 90,000 rural premises across Northern Ireland. While others, namely Sinn Féin, postured and said that we did not need to do that, public money was spent on high-speed broadband for rural dwellers, and the intervention has been the most transformative investment for our rural economy since the electricity network was extended. We should never underestimate the importance of what happened at that time.
One of the most startling statistics of the past five years has been the fact that Northern Ireland, at 82% full-fibre broadband, is already well ahead of England at 67%, Scotland at 60% and Wales at 49%. The Republic of Ireland was way behind us at 40%. Maintaining current rates of progress until 2025 will see Northern Ireland becoming the first country in these islands in which availability reaches 99% of our premises. That is some of the good news. In my constituency of Strangford, we have had 5,000 homes upgraded, which is a massive boost for my constituency. It underlines the importance of what we did, so I publicly thank the Minister and our Government for the partnership we had at that time.
To update hon. Members on where we are now, in June 2023 the Department for the Economy in Northern Ireland launched a public review aimed at improving broadband infrastructure, predominantly in rural areas, to catch up that 18% who do not have it yet. Many constituents who have been in touch with my office have been able to avail themselves of the scheme, but others are still unable to resolve the issue.
The public review is part of the planned implementation of Project Gigabit in Northern Ireland. Project Gigabit in the UK is the Government’s flagship £5 billion programme to enable hard-to-reach communities to access lightning-fast gigabit-capable broadband. It is a commendable project by the Government here, and one that I welcome because I see the benefits; I am sure we will see more benefits shortly. In addition, members of the public, businesses, groups, organisations, telecoms infrastructure providers were able to avail themselves of the scheme, but thus far I am aware of a few instances where businesses are struggling to regain better connection.
I will give an example. I spoke to the Minister beforehand about this and gave him a letter along these lines just last week: I am currently dealing with an issue for a constituent whose business is on a rural road in Saintfield, a village in my constituency. I have sent numerous emails to the Department for Science, Innovation and Technology. I handed the case to the Minister through the Whip. Indeed, I have spoken to the Minister.
On this rural road, cables, fittings and nodes have been secured to permit the extension of sufficient broadband to this area. It is frustrating to have all that stuff in place when all we need to do is make that last connection, and then that business will be up and running. The work was halted by the Department for Culture, Media and Sport, and my constituents have received little or no communication on the improvement of their broadband. I am hopeful that the Minister will help to resolve the issue for my constituents, and I know my hope and confidence in him will not be misplaced, but the damage and the hassle for local businesses are extremely destructive to people’s livelihoods.
Another example of where we need to improve relates to card payments and the sending of digital invoices and receipts. Cards are often not charged and there are delays in the processing of payments, which poses an inconvenience for customers and business owners. When broadband is poor, emails with digital receipts will not send properly and online orders cannot be made efficiently. That creates more issues for local businesses, given that we encourage people to invest in them daily. I look again to the Minister, who always responds positively and grasps the issues that we put to him. I am confident that his answers will reinforce my faith in him. I ask him to look at the cases I have mentioned, and I would be grateful if he expedited any work on them for the betterment of my constituents’ businesses.
Many farmers in my constituency—others will probably say this as well—keep track of livestock through online apps. Given that there is so much rural theft, that is to be encouraged, and I encourage it in my constituency. To ensure that the agricultural industry can thrive, we must ensure that rural connectivity is made a priority. Doing so will benefit the local economy, which agriculture plays such an important role in making successful. Like the constituency of the hon. Member for West Dorset, my constituency of Strangford has seen many large high-street bank closures in the past couple of months. In the past couple of years, 11 banks have closed in my constituency, which has meant a huge shift to online banking.
I am conscious that others wish to speak; I want to give them equal time to contribute, so I will conclude. For rural constituents, online and telephone banking are more or less their main ways of accessing banking services. If decisions are being taken to close banks, we must ensure that consideration is given to having the best possible broadband and mobile signal. I am confident that we can achieve that, and I look forward to it. Again, I ask the Minister to chase up the constituency case that I mentioned and to keep in contact with my office. He has already given me that commitment, and I am quite sure that that will happen.
Thank you. That was just the amount of time that I had in mind: seven minutes. I call Selaine Saxby.
(1 year, 1 month ago)
Commons ChamberI commend the hon. Gentleman for raising this issue. It is a massive issue for my constituents and the personal experience through my own wife is very clear. Given that 10% of women leave work during the menopause, saying that they feel and have felt unsupported and unable to continue—which really should not be the case—does he agree that there should be a greater obligation on businesses to help women?
That is another point that I will touch on later, but the hon. Gentleman is spot on.
Anyone who happened to be in Westminster Hall on Wednesday last week will be able to testify to the work that the APPG has done. More than 100 Members and others gathered for a photograph to mark and celebrate World Menopause Day. My hon. Friend the Member for Swansea East said she was not sure that visitors to Westminster Hall were ready to see so many women parliamentarians and others doing impromptu exercise squats. However, she also said that, if it was a good enough location for Henry VIII to play real tennis, it was certainly good enough for a group of menopausal women to highlight the benefits of exercise to their physical health and mental wellbeing.
The fact that those influential women, grassroots campaigners and clinical experts were brought together in Parliament showed the world that Westminster was listening; but listening alone is not enough while women continue to suffer. Listening will not help them get a diagnosis or access to treatment, or find the support they need. That requires action, and on World Menopause Day the APPG, which is chaired by my hon. Friend the Member for Swansea East, launched the menopause manifesto. Based on evidence that the group gathered by speaking to those affected by the menopause and experts in the field, the manifesto sets out seven recommendations, which we are urging all parties to adopt in their own manifestos ahead of the next general election.
I cannot stress enough how important it is to the 13 million women in the UK who are currently perimenopausal or menopausal, and to all around them who are indirectly affected—the hon. Member for Strangford (Jim Shannon) raised that point—to know that those in power will support them. The first recommendation in the manifesto is for health checks. Every time that is mentioned in conversation, people are genuinely surprised that it does not already happen. Many will remember receiving, on turning 40—along with the cards, gifts and the good wishes—an invitation to a 40+ NHS health check. Those “MOTs” monitor our weight and blood pressure, and are used to assess the risk of developing conditions such as diabetes, heart disease and strokes. What they do not include for women, at present, are any questions about, advice on or reference to the menopause, which is at best a surprise and at worst quite shocking.
There is strong evidence showing that many women are accessing primary care and being treated for individual symptoms because neither they nor their clinicians are recognising the root cause of those symptoms—a point raised earlier by my hon. Friend the Member for Blaenau Gwent (Nick Smith).
By raising awareness among medical professionals, who can, in turn, help to educate women at their 40-plus health checks, we can reduce the number of extra visits that women make to surgeries and prevent further misdiagnosis and inaccurate prescribing. We can also dramatically increase the number of women who get prompt and correct diagnoses and access to treatment pathways. We know that this would save the NHS money in the long run.
Many healthcare providers are now starting to include menopause in their standard packages, having identified the fact that patients are being sent for appointments in secondary care for an array of symptoms that have not been correctly diagnosed as menopause. By including menopause treatment as standard, they are reducing the cost to the NHS of these unnecessary appointments.
The second recommendation of the APPG’s manifesto is a national formulary for hormone replacement therapy. Although HRT is not the answer for all women, millions across the country rely on this treatment to manage their symptoms. We know that, in a 10-minute consultation, prescribers do not have the capacity to go searching for alternative treatments if a patient’s usual product is out of stock, and we have seen a supply shortage for many of these products. A national formulary would resolve this issue, as all eligible products would be easily accessible on surgery systems, thus eliminating the postcode lottery and regional variations that women are currently experiencing.
The hon. Gentleman is most gracious in giving way. He mentioned that there are sometimes disparities from, say, county to county. There are also regional disparities. I know he accepts that, and the Minister has taken note too. When it comes to providing better treatment, a recommendation has to be that every part of the United Kingdom—England, Scotland, Wales and Northern Ireland—should have an agreed strategy for helping women. Does he agree that there should be the same policy, the same strategy and the same response everywhere?
I agree with the hon. Gentleman. It is crucial that women are able to go to any surgery and, although there may be marginal differences in treatment or access to treatment, the substance is that they should ultimately get more or less the same access and the same treatment, depending on their needs.
The third recommendation also relates to prescribers. The manifesto calls for the inclusion of menopause as an indicator within the GP quality and outcomes framework. This change would help to balance the deficit in knowledge and understanding among GPs by incentivising improvement in diagnosis levels and treatment provision within primary care. If clinicians were better informed, they would be more confident in discussing menopause with patients at their health checks and in prescribing appropriate treatment, which would greatly benefit patients who visit their GP to seek support.
Moving away from healthcare, I am proud to say that, earlier this year, Labour committed to the fourth recommendation: mandating that all companies with more than 250 employees introduce menopause action plans to support those experiencing symptoms. That goes some way to addressing the points raised by hon. Members.
Alongside this, the APPG would like to see the provision of specific guidance for small and medium-sized enterprises and the introduction of tax incentives to encourage companies to integrate menopause in their occupational health plans. There are great examples of companies embracing the issue, and there are some excellent tools available to help, such as the British Standards Institute’s menstruation, menstrual health and menopause in the workplace standard. With research showing that one in 10 women are leaving the workforce and thousands more are reducing their hours or avoiding promotion, it is vital that more is done to address the impact of menopause on women’s economic participation.
The APPG is not asking for women to be given special treatment; we are asking merely for an understanding that working arrangements and environments may need to be flexible. This willingness to incorporate flexibility will benefit businesses, boost the economy and give women the confidence to progress in their career.
The manifesto’s fifth requirement is about the licensing of testosterone for women. It has always struck me as odd that when women reach menopausal age, which is different for everyone, they become deficient in three hormones—oestrogen, progesterone and testosterone—yet only the first two are available to women when they are prescribed hormone replacement therapy on the NHS. As my hon. Friend the Member for Swansea East has noted previously, if a woman wants the third hormone, they have to pay for a private prescription. The all-party group is calling for an evaluation of female-specific testosterone treatments, with a view to their being licensed by the Medicines and Healthcare products Regulatory Agency.
In the sixth recommendation, we are calling for better funding for research into the potential links between menopause and other health conditions, as well as the varying experiences of women from different backgrounds and ethnicities—that is very important. We know from the evidence that the APPG has received that those with conditions such as autism and attention deficit hyperactivity disorder can struggle more with their menopausal symptoms, and that those who have been treated for cancer often experience early menopause. So it is vital that much more is done to better understand the different journeys that women from different backgrounds are experiencing. In the past week, my hon. Friend told me said that she had been lucky enough to visit two universities, one in London and the other in her own home city of Swansea. Both are keen to do more to support their staff and to bridge the significant gaps in understanding around more complex menopause experiences.
I thank the hon. Gentleman very much for the scene he is setting. Small and micro-businesses are predominantly male-owned, so the issue for them is understanding how to put over the requests on behalf of ladies who are going through the menopause. Does he feel that the Government and the Minister should take that on board as well, to ensure that those businesses have the relevant information and guidance to do that within the small workforce that they look after?
The hon. Gentleman makes a good point and sets out an excellent idea. I am sure that the Minister, as part of the expansion or integration of the manifesto, can take it on board.
As I was saying, my hon. Friend was delighted that Swansea University announced last Friday that it would be introducing menopause into the curriculum for all of its medical students, as well as launching a menopause clinic for staff and students. I truly hope that it will be the first of many universities to do this. Future policy in this area, and an improved women’s health strategy, will be possible only if more funding is dedicated to this vital research.
The seventh and final part of the manifesto calls for a review of the demand for specialist menopause care. We need to look at existing provision, evaluate where increased secondary care is needed and assess other ways in which women could seek help. That might, for example, include access to specialist nurses in primary care and pharmacists, to ease the demand on GPs. That is another simple recommendation that would be easy to achieve, while having a significant impact on the care and support that women are able to access.
Nothing in the all-party group’s manifesto is difficult to achieve; no big contracts or big budgets are needed to make the changes that will significantly improve women’s experiences. The only thing that is needed is a commitment to prioritise this area of women’s health. We need a commitment to improve support, diagnosis and access to treatment for all those who need it. Who would not want that? I know that every Member of this House would want it. We need a commitment to show the 51% of the population who will directly experience menopause that they matter—that they really matter.
(1 year, 10 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a real pleasure to serve under your chairmanship, Ms McVey. I thank the hon. Member for Birkenhead (Mick Whitley) for introducing the debate. I often come to support him in his debates in Westminster Hall, and I am here today to do the same, because he raises important issues and I want to add my support. It is also a pleasure to follow the contribution of the hon. Member for Hemsworth (Jon Trickett), which also was full of detailed evidence and content.
The hon. Member for Birkenhead referred to the Procurement Bill, which is currently going through Parliament. It applies to the devolved institutions, including Northern Ireland; however, we maintain our own legal framework for Northern Ireland, so that might give us a bit more input in the process as we go forward. It is no secret that I am a Brexiteer like yourself, Ms McVey, and I am proud to be a Brexiteer. I have always been positive about the opportunities provided to us by leaving the EU, notably our chance to secure British contracts with British companies to secure jobs for our people—for my constituents and the constituents of everybody here. It is great to be here to discuss how we can encourage that through the procurement process. I particularly look forward to the Minister’s response. I am fairly sure that we are on the same page. That being the case, I will ask my question only at the end of my contribution. I am keen to get the Minister’s response.
It is always important that we take the correct steps for our economy in terms of where we produce our products and where we procure them from. Some say that we have made mistakes in the past—it would be unfair to say that we have not, especially throughout the pandemic—but the principle behind the Bill gives us an opportunity to change that. A classic example from Northern Ireland, which I have referred to, goes back to March 2022, when leading UK bus manufacturer, Wrightbus, announced its second international zero-emission bus deal in a fortnight, under which it will ship dozens of clean buses to Europe. That is really good news.
Wrightbus has signed a deal with the German bus operator Regionalverkehr Köln GmbH, or RVK as it is better known—that is easier for me to say than to try and speak German—to supply up to up to 60 Kite Hydroliner single-decker buses over the next two years. All of those buses will be fully built at the Wrightbus factory in Ballymena, north Antrim, supporting green jobs and the wider Northern Ireland economy. While that is a welcome step, I can remember a time—of course, my lifetime is maybe a bit more than others—when London buses were ordered from Egypt, despite the UK containing the world-renowned manufacturer Wrightbus. I congratulate my hon. Friend the Member for North Antrim (Ian Paisley), and thank him for his energy and commitment in pursuing Wrightbus deals, not just in the United Kingdom but across the whole world. His pushing for that company as its MP has certainly paid dividends.
Thankfully, the procurement of London buses was brought home and the superior manufacturing that takes place in Ballymena is securing additional projects, but my point is that we need a legislative change to ensure that contracts within the UK are weighted, with procurement taking into account the impact on the local economy. While we have to remain competitive, every Government contract must consider our own manufacturers; we are indebted to them, and should be focusing on them, outsourcing only when there are exceptional reasons for doing so. That includes British companies that operate outside the United Kingdom.
In addition, I recall from a debate I spoke in some time ago that it had been highlighted by the House of Lords that the NHS sourced materials made by the forced labour of Christians, Tibetans, Uyghurs and Falun Gong practitioners in Xinjiang, China, and the Government took steps to deal with that. That has also become an issue in international procurement: making sure that the materials we rely on are not made or processed by those subject to human rights violations such as forced labour, child labour, unsafe working conditions or illegal wages. Those human rights violations have become increasingly apparent in the apparel sector—clothes, handbags, accessories and so on—where young children are being trafficked into child labour and forced to produce affordable clothes. Those clothes will attract millions of people internationally, but the price—the human rights price, the physical price, the emotional price—is just too high.
Our national procurement policy statement will ultimately ask public authorities to consider benefits for the public, such as the creation of new jobs, improving diversity, and ensuring integrity and value for money. I put great stress on integrity, and I think it is important that we focus on that as well. Many think that we must procure internationally to be successful and diverse; however, I suggest that there are numerous opportunities in our own back yard that we can take advantage of. We should be focusing on those and supporting them, not to the detriment of elsewhere in the world, but certainly to the advantage of our own manufacturers.
I have mentioned the importance of defence and cyber-security procurement for the United Kingdom. Contractors such as GKN Aerospace, or Thales in the constituency of my hon. Friend the Member for Belfast East (Gavin Robinson), have the capacity to build our own products to the highest standard, and should be made aware of more procurement opportunities.
One definition of contract monitoring is the process of tracking the performance and status of contracts, to ensure that the obligations within them are being fulfilled as intended; it is not just about the purchase of a contract, but the monitoring. Does the hon. Gentleman agree that in the current climate, given the massive cuts that local government has endured over the past 13 years, it is being denuded of its ability to monitor some of those contracts, and that that issue has to be addressed as well?
I thank the hon. Gentleman for his intervention, which was succinctly put. I am sure that the Minister is taking notes, and I hope that he will reply to his request.
It is right that we oversee and ensure that local government, wherever it may be, has the same opportunity and is not precluded by financial or other restrictions. In Northern Ireland, we are fortunate to have some of the best cyber-security companies in the whole of the United Kingdom. There are some in south-east England that perhaps might be able to match them, but we have been at the fore in cyber-security, and that includes the two companies that I referred to. Thales, for instance, is at the fore in supporting the NLAWs—next generation light anti-tank weapons—being provided to Ukraine. Again, our cyber-security is excellent. Does the Minister agree that Northern Ireland must be included in the Procurement Bill? Its inclusion will bring significant benefits for the country and Northern Ireland businesses, as well as our great Union, which we are here to protect and promote.
To conclude, many would say that it is time that the Bill is put into law so that we can repeal the current EU-based procurement regulations and make our own. It is time to do that. After the UK’s exit from the EU, we should have the scope to create new home-grown procedures, select suppliers and award contracts. That will also allow for the advancement of smaller businesses. My constituency has many small businesses; it has some large ones as well, but there are a larger number, percentage-wise, of smaller businesses. They are the backbone of my constituency of Strangford and of the economy. I look forward to learning about the opportunities for us to do all that we can to ensure that this great nation, the United Kingdom of Great Britain and Northern Ireland, progresses together in the way that it should.
(3 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Mr Dowd, I would like to suspend the sitting and take part in the Division.
The hon. Member for Strangford (Jim Shannon) is not on the list to speak, so it is in the grace of the Minister and the Member in charge. I am happy to suspend the sitting if other Members wish to do so, but I cannot suspend it only for the hon. Gentleman.
If the hon. Member for Blackpool South (Scott Benton) and the Minister want to go ahead, I am happy with that, but I have a small intervention that I would like to make. Do we have eight minutes for the Division?
Can we move on? I call the hon. Member for Blackpool South (Scott Benton).
It is a pleasure to serve under your chairmanship, Mr Dowd, for the first Westminster Hall debate that I have had the privilege to lead. I refer Members to my declaration in the Register of Members’ Financial Interests for a fact-finding visit I undertook to Israel and the Palestinian Authority in 2019.
The landmark peace agreements signed between Israel and her Arab neighbours in recent months are an extremely welcome development after years of stagnation, but it is an unavoidable reality that the unrelenting attacks on Israel at the United Nations make regional peace harder to achieve.
It is no secret that the UN and its associated bodies have a long history of singling out Israel far more than any other nation in the world. Past UN Secretaries-General have publicly raised concerns about the UN’s fixation with Israel, with Ban Ki-moon stating in 2016 that
“decades of political manoeuvring have created a disproportionate number of resolutions, reports and committees against Israel.”
He rightly said that this bias does not help the Palestinian issue but instead foils
“the ability of the UN to fulfil its role effectively”.
His predecessor, Kofi Annan, said that while Israel faces “intense scrutiny”,
“other situations fail to elicit the world’s outrage and condemnations.”
The current UN Secretary-General has said that Israel
“needs to be treated as any other state”.