Social Mobility: North-west

Debate between Jo Platt and Bambos Charalambous

Wednesday 9th January 2019 Westminster Hall

[Jo Platt]

I thank my hon. Friend for making that really important point. He is absolutely right about the support that is out there for communities such as ours. Later, I will talk about what we can do to come together to make this issue work for places such as Leigh and St Helens North.

We have been left isolated from our booming cities, without the tools to remedy our situation. There is no doubt that the talent and aspiration are there. I am often struck by the energy and determination of our young people, who are desperate to get on in life and succeed, and by the passion of our incredible community leaders such as Peter Rowlinson and Elizabeth Costello in the Leigh Film Society, who work relentlessly to put Leigh on the map. Without outside help and meaningful plans for inclusive growth, towns like Leigh are left feeling helpless.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

I am very lucky to live in a constituency that has very good transport links into London. I was in Manchester at the weekend and had the pleasure of travelling on the trams there. Does my hon. Friend think that greater investment in the transport system would benefit Leigh and overcome the social mobility issues?

[Jo Platt]

I thank my hon. Friend for making that really important point. Again, that is something that I will talk about later in my speech. This is not just about education, but about a whole-system approach, which includes transport. We need to bring it all together.

Let me talk about the pathway of a young person growing up in Leigh and share that experience. The statistics and Ofsted reports show that our school provision is good. We are not letting young people down between five and 16, as they progress through education, but when a young person reaches the stage of deciding their career path, they hit a brick wall. There is no obvious industry to enter as there used to be. We are desperately short of inward business investment, which often comes with the offer of apprenticeships and training. With only one sixth-form college in the constituency, achieving A-levels is difficult. Our young people have to travel out of the constituency to gain decent A-levels. A higher education is even more difficult with no providers at all. Where other constituencies might rely on transport connectivity to access those opportunities, the young people of Leigh cannot. They are brought up in the fifth largest town without a railway station in the country. Those young people are left with the looming question at the end of their mandatory education: “Then what?”

Quite simply, our failure to provide adequate options in answer to that question, which should be at the top of our list of priorities, is an enormous failure of us all as a society. Although I am enormously optimistic that this week’s draft spatial framework in Greater Manchester will explore the options for a railway station in the constituency—I will be working closely with Transport for Greater Manchester on that—we must look at the Government’s broader responsibility to promote and ensure inclusive prosperity. When I look at their response however, I am left asking, “Where is the pathway for local areas to propose local plans? Where are the resources to tackle”—in the words of the Prime Minister—“those ‘burning injustices’? And where is the joined-up strategy across Government needed to tackle such an enormous problem?”

As delighted as I am that the Under-Secretary of State for Education, the hon. Member for Stratford-on-Avon (Nadhim Zahawi) will respond for the Government, why has it fallen to the Minister of State for Children and Families to respond to an issue in desperate need of a cross-governmental approach? Social mobility needs a whole-Government approach that opens the machinery of government up to local areas. This is not only a children’s or educational issue, as it feeds into our infrastructure needs and our transport connectivity, and it crosses into the Department for Digital, Culture, Media and Sport, the Department for Business, Energy and Industrial Strategy, the Department of Health and Social Care, the Ministry of Justice and the Treasury. This truly is a cross-Whitehall task that needs the resources of a cross-Whitehall response.

Too often, token vanity projects from the Government are hailed as the golden bullet for social and economic progress. They include, for example, the creation of the Social Mobility Commission—it went nearly a year without commissioners after they all resigned—the northern powerhouse and HS2. HS2, a prime example, was meant to connect northern communities with London and the south-east—the famous trickle-down model of economic inclusivity. HS2 will cut through the middle of my constituency, however, and offers no connectivity whatsoever. The nearest station to access HS2 will be an hour away for some residents. How does that help our northern communities, which are feeling isolated and held back?

We must also recognise that the Government’s response cannot be blanket across the country, but needs to complement and respond to plans drawn up locally with the input of the community, and in Leigh we took the first step last year. I recognised that our towns face unique challenges, so I organised the first Leigh social mobility roundtable, where the local council, schools, businesses, community organisations and stakeholders were all invited to discuss our situation, what can be done and what needs to be changed to help everyone in Leigh to succeed.

As I am sure the shadow Minister, my hon. Friend the Member for West Ham (Lyn Brown)—to whom I am grateful for attending our roundtable—would agree, what quickly became apparent is that without Government support for local plans or the devolution of investment and infrastructure decisions, towns such as Leigh will never be connected to the educational and employment opportunities in nearby cities or their thriving economies. Put simply, without a railway line and with such poor road infrastructure, which already struggles to cope with our daily pressures, how will constituents access educational and retraining opportunities outside the town, and why would businesses decide to invest in our towns? The people of Leigh have been left in this never-ending cycle of limited employment, low pay and restricted opportunities to upskill or retrain.

To us, Leigh is a beautiful place to live and bring up a family; a place with rich culture and heritage, near to both Manchester and Liverpool. But we have seen our town transformed from the thriving powerhouse of the industrial revolution to a place left feeling isolated and held back; a place that no longer offers the opportunities that it once did. For the first time, the next generation may not see fulfilled the promise of a better life than the generation before them. That sad reality underlines the importance and urgency of taking action to leave our community on a better footing than when we found it.

I therefore urge the Minister to review the approach that the Government take, recognise the importance of locally produced models and commit to empowering and entrusting our communities with the investment decisions that have such a heavy impact on their lives.

ADHD Diagnosis and Treatment

Debate between Jo Platt and Bambos Charalambous

Tuesday 15th May 2018 Westminster Hall

[Jo Platt]

I thank my hon. Friend, the vice-chair of the all-party parliamentary group for ADHD, for that intervention. He is absolutely right to mention that the lack of data causes a mismatch and a bit of a postcode lottery, which I will address later.

At a recent APPG meeting, we heard stories of people waiting years for a diagnosis—years battling without the support or guidance they need, falling behind in school, or struggling in their occupation. We heard stories like that of my constituent Mick, whose son has suffered enormously, falling into crime before he was diagnosed, which unfortunately is all too common. About 25% of male prisoners are thought to have ADHD.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

I congratulate my hon. Friend on securing this important debate. She mentioned that about 25% of male prisoners are thought to have ADHD. Does she agree that early intervention and diagnosis of ADHD would not only reduce crime and save money, but improve the life chances of people with ADHD who fall into the criminal justice system?

[Jo Platt]

I completely agree. ADHD in the criminal justice system is an area that evidently needs a lot more investigation. The simple fact that an estimated 24% of the prison population are thought to have ADHD is a cause for concern.

--- Later in debate ---

[Jo Platt]

I completely agree. We have focused on young people in school settings, but that affects adults enormously.

I received a message from a constituent, Diane, who felt that she was different at school. Diane’s story speaks to the point, made by the hon. Member for West Dunbartonshire (Martin Docherty-Hughes), that adults are affected too. Diane went under the radar as she was high-functioning. She passed her GCSEs but failed at university as she felt that she could not concentrate. Diane developed mental health issues and has spent most of her life on anti-depressants, which she found did not work. She was unable to keep a job or a relationship, and in her 30s she tried to take her own life. It was only when her doctor advised her to be tested for ADHD and she was treated appropriately that her life turned around. That is not an uncommon story.

Since the debate was publicised on the House of Commons Facebook page last week, it has become clear that the scale of the diagnosis crisis is even greater than I could have imagined. The post was seen by 37,000 people and was engaged with by more than 1,000 people, shared right across the country. We saw stories of five-year waits and longer, of people forced to get a private diagnosis costing up to £1,000, and of children in school without the support they need. I urge the Minister to head to the Commons Facebook page and read some of the powerful stories.

After reading those stories, I could not help but wonder how in 2018 our healthcare provision can be so unresponsive to a condition that affects so much of the population. Earlier I quoted from a survey but did not state what the average waiting time is for a diagnosis across the country. That is because such information is not collected by the NHS or the Department of Health and Social Care. We have no idea what the average wait for diagnosis is, and therefore there are no target times.

From the unofficial data that is collected, it seems that we are likely encountering a vast postcode lottery that is unfairly dictating the speed of a diagnosis and the support available. Just take the comment of Sian on Facebook. Her son in Wigan has received excellent care, which she described as “life changing”. However, she teaches in a neighbouring constituency where children are waiting more than a year for diagnosis and encounter a far more confusing process. Without the diagnosis data, we have no way of either assessing the effectiveness of the current diagnosis process or identifying areas of good practice. That data must be collected before we can begin to assess our treatment strategies.

The third way we are letting people down is through the lack of an integrated support strategy for those with ADHD. By looking at each impact of ADHD in isolation—at just the medical impact, just the impact in educational settings, or just the behavioural impact and the social implications of the condition—we, as a society, are failing to offer the whole-system approach to ADHD, and to mental health more generally, that is needed. Tackling ADHD should be about transforming lives; not just responding to symptoms, but working to unlock the full potential of the incredibly creative minds that those with the condition possess.

The current approach to ADHD is not fit for purpose. Too many are falling through the net; too many are still waiting for a diagnosis after years on a waiting list; too many are without the right support; and too many are living undiagnosed with a condition that can have a severe impact on their daily life. I introduced today’s debate because of stories such as Becky’s, Sam’s, Hugh’s, Sarah’s, Claire’s, and the countless others who got in contact with me out of desperation, and who I know will be watching today.

What changes do we need? First, there needs to be more research. A recent Demos report highlighted that ADHD is under-researched, particularly its social and economic impacts. There also needs to be research into the difference made by early access to diagnosis and treatment to the long-term outcomes and costs of people with ADHD.

Secondly, the NHS and the Department of Health and Social Care need to collect data on waiting times. As we have seen, there is a vast postcode lottery across the country that determines the speed of diagnosis and the level of support. The system is grossly unfair and is reducing the life chances of people, based purely on where they live.

Thirdly, we need a streamlined and integrated approach to the support process we offer to children and adults with ADHD. As I have mentioned, those living with the condition are no less able but are often not suited to traditional methods of learning. We must implement a strategy that diagnoses an individual with ADHD speedily and then, crucially, signposts and tracks that individual through a system that promotes educational or employment opportunities suited to their skill set. More broadly, that means that as a society we must be unafraid to promote the untraditional or unconventional routes to success, to promote the creative industries, and to destroy the social stigma that too often forces individuals down the academic route.

In my own borough of Wigan, we have seen the beginnings of such an approach. The local clinical commissioning group has implemented a new joint mental health strategy that is designed to facilitate the seamless interaction of healthcare professionals with support services and education providers. The early signs are promising. Already we have seen the average local wait down from 15 weeks to six weeks, which will help numerous local young people to thrive. However, there is still a long way to go. The strategy addresses ADHD only in children and its implementation is too recent to see the long-term local impact. The local nature of the strategy also highlights yet again the importance of a national framework to achieve equality of provision across the country.

[Bambos Charalambous]

Is my hon. Friend aware of the Government’s mental health Green Paper? Does it contain anything of substance in relation to ADHD? Is there any strategy? If it does not, does she think it should?

[Jo Platt]

The Green Paper is a step in the right direction, but it does not go nearly far enough to confront the enormous scale of the challenges we face. In the case of ADHD, it is important to remember that the condition is neuro-developmental and not a mental health issue.

I have a final ask of the Minister: I invite her to a meeting of the APPG to listen to some of the experiences of people with the condition and to understand the barriers they face. ADHD is highly treatable and is, in many ways, a great asset, but only if it harnessed correctly. I hope that in this Mental Health Awareness Week we can commit to the beginning of a fundamental transformation in our approach to ADHD. No longer can people be waiting years, if not decades, for diagnosis; no longer can social stigma form a barrier against success; and no longer can we leave such enormous talent locked, restricted and hidden away in society. Now is the time to act. I hope that we will see from the Government the strategy and the leadership needed to support those with ADHD and break down the barriers to success that thousands across the country face today.

Rail Connectivity

Debate between Jo Platt and Bambos Charalambous

Friday 19th January 2018 Commons Chamber

[Jo Platt]

My hon. Friend is absolutely right. This is not just about my area; it is about connections to all our towns and cities, particularly in the north.

It is outrageous that the Government have only given TfN the powers to prepare a strategy and provide advice, and no power to implement such a strategy. That power still lies with the Secretary of State. Labour would give TfN those powers, but the Conservative Government are treating the north with characteristic contempt by failing to match our offer. However, within the detail of TfN’s plans, I was pleased to see Leigh listed as a major economic centre in the middle of four strategic corridors. The Government’s lack of support for TfN has hampered its ability to set out detailed transport plans, but I hope that when those plans arrive, they will lead to the transport improvements that we need in Leigh.

I have also received a letter from Transport for Greater Manchester this week stating its commitment to review the current lack of rail connectivity in Leigh, which I also welcome. However, following meetings with both TfGM and TfN recently, I have identified two key problems with the relationship between our regional transport bodies and the Government. First, I am concerned that investment from the Government is based on responding to growth rather than creating it. We cannot continue with this failed approach to investment that focuses on areas of existing growth without preparing our towns for the economy of the future.

Secondly, as I will discuss later, the Government are failing in their obligation to adequately fund these bodies. Therefore, TfN’s 30-year plan must ensure that our post-industrial towns are carried with the growth of our northern cities. Leigh was at the heart of the first industrial revolution, and we must now act to ensure that its residents are not merely spectators in the so-called fourth industrial revolution.

Poor rail connectivity is also having a direct impact on social mobility in our towns. The Social Mobility Commission recently concluded in its “State of the Nation” report that the

“worst performing areas for social mobility are no longer inner city areas, but remote rural and coastal areas, and former industrial areas”.

These outer towns such as Leigh are becoming ever more disconnected from our booming cities, and the commission subsequently placed Leigh in the lower rank of constituencies.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

In my constituency, the extension of the London underground to Cockfosters allowed the area to flourish almost a century ago. Does my hon. Friend agree that transport connectivity is vital for social mobility and essential if an area is to grow and flourish?

[Jo Platt]

My hon. Friend is absolutely right. We are naming transport as one of the key indicators for social mobility. There are obviously many others, but transport connectivity is much needed.

Infrastructure is letting down the young people of Leigh. Despite their dedication and hard work, they are struggling to gain the necessary education, skills and employment to remain competitive. They are being let down, and to realise why we only need to read Alan Milburn’s letter of resignation as chair of the Social Mobility Commission. He wrote that the Government

“is understandably focused on Brexit and does not seem to have the necessary bandwidth to ensure that the rhetoric of healing social division is matched with the reality. I do not doubt”—

the Prime Minister’s—

“personal belief in social justice, but I see little evidence of that being translated into meaningful action.”

There is no greater example of this than Leigh, which is in urgent need of investment today—not after our Brexit negotiations or in 20, 30 or 40 years’ time, but today. For the young people growing up in outer towns, we are talking about their futures. There are simply no second chances for them. Unless we act urgently to improve our nation’s connectivity, we are at serious risk of leaving behind a forgotten generation of young people who are unable to access the employment and education opportunities offered in our cities.

That brings me on to the specific transport situation that we face in Leigh. As a thriving town situated between Manchester and Liverpool, with nearby Warrington and Merseyside providing key employment and educational opportunities, transport is clearly critical to my constituents, and yet our town has no rail connectivity whatsoever. Indeed, we are the fifth largest town in the country with no rail connectivity.

It would be remiss of me not to mention the recent transport investment that Leigh has received. The guided busway into Manchester has proved to be a superb project, exceeding expectations, reducing journey times into Manchester and proving the importance of strategic investment into our town. However, the busway does not assist those travelling to work outside the city. For example, one constituent got in touch with me this week to tell me that his journey to work, which takes 40 minutes by car, is a two and a half hour journey by bus. Another constituent, Lynn, highlighted the impact on businesses, saying that if a customer wants to visit her shop from further afield by train, they get put off by having to use the bus for the final leg. The impact is felt not only by our young or our businesses. Cuts to public transport and the process of deregulation of our bus services have a huge impact on our most vulnerable and older people, and that impact cannot be overstated.

Rail connectivity cannot be happen on its own. There must be seamless integrated connectivity with road networks, cycle lanes and other public transport. Reducing congestion, noise and air pollution is also an important aspect of addressing detrimental health outcomes in our less-connected towns. While Leigh is an amazing constituency in which to live, perfectly situated as it is between many northern cities, a great place to bring up a family with its good and outstanding schools, and the fertile ground for businesses to invest, without efficient and comprehensive transport connectivity we are being held back. We are restricting business and economic growth, employment opportunities, and the life chances of our young people. Now is the time to act because, despite the Government’s best efforts, the northern powerhouse cannot succeed unless our towns are positioned as the engine of northern growth.

I anticipate that the Minister will respond by placing the weight of responsibility on regional transport bodies in the north and will insist, rightly, that it is for local bodies to determine the transport needs for local areas. However, the Government have not been funding those bodies adequately to allow investment in the medium to large projects that will mark the much-needed step change in our transport connectivity. Passing the buck to regional bodies, without giving them the resources to deliver, shows exactly how this Government treat the north: without any concern or ambition for the region to succeed.

When talking about the north’s transport woes, the Government must understand that the Opposition are not talking about an extra bus here and a new route there—that simply will not cut it. If the Government are serious about putting the passenger first, they must transform how they invest in all infrastructure, creating seamless connectivity. We need a total revolution in our approach to transport and infrastructure spending. We need the Government to commit to prioritising areas of poor social mobility and to invest in their infrastructure, bringing their local economies into the 21st century and making sure that no town is left behind.