Draft Justification Decision (Scientific Age Imaging) Regulations 2023

Debate between Jon Trickett and Thérèse Coffey

Monday 20th November 2023 General Committees

[Jon Trickett]

I will try to be reasonably brief, although I need to repeat some of the points that have been made. First, we are not dealing with a huge number of people—over six years, from 2016 to 2022, there were only 700 people a year who were said to be under the age they were claiming to be. Seven hundred a year—that is perhaps two a day. Most of those people have already been identified using other techniques. It is therefore hard to see what the Minister thinks will be added by doing this very unethical and slightly dangerous procedure. Will he tell us how many people he thinks are escaping scrutiny at present?

Secondly, Professor Andrew Rowland, the officer for child protection at the Royal College of Paediatrics, says that the evidence shows that using X-rays to determine age is “widely inaccurate”, and that the “practice is ultimately unethical”. He goes on to say that we will be exposing children to radiation.

There is, surprisingly—perhaps not surprisingly, given the nature of the British establishment—the Age Estimation Science Advisory Committee, presumably to provide advice to the Government. It talks about informed consent, which is my third point. How on earth can we explain to people, many of whom will be below the age of majority, and who may be frightened and may not have English as their mother tongue, in a way they can understand, the risks of radiation exposure engaged in the procedure—x-raying a single tooth—that they are about to undergo? It raises the question in my mind that informed consent, which is a basic requirement imposed on medics generally and on the health service, will be lacking in significant numbers of cases. That is why I am not convinced by the Minister’s arguments, and why I could not possibly vote for this measure, given the arguments he has made.

What are the Government doing? They are effectively taking the power to bully these people by saying, “If you don’t have this X-ray, there will be a presumption that somehow you are not under the age of consent.”

[Dr Thérèse Coffey (Suffolk Coastal) (Con)]

It is the Age Estimation Scientific Advisory Committee which recommended the use of MRI and X-ray methods. The hon. Gentleman refers to this procedure being a potential risk to somebody’s life—would he suggest to that same person that they never have an X-ray, ever? It feels as if we are stretching the argument that he is trying to put across.

[Jon Trickett]

I am complaining about the fact that this procedure will be done to children, who are not capable of giving informed consent, which is a basic principle of medical practice. That is my point. Here is the thing: there is no evidence whatsoever that these X-rays will demonstrate the age of the person—the victim. The scientists are not saying that to the Minister. If he can say otherwise, let him say so, but the people who are responsible for this and the advisory committee do not think the procedure produces sufficient evidence.

I will just make one further point. Where are the practitioners doing these x-rays coming from? According to the Royal College of Radiologists, there is a massive under- supply of clinical radiologists in our country. In fact, by 2027, we are going to need an additional 3,365 clinical radiologists. We are already massively under capacity. I can only imagine that this will mean diverting people from looking after the health of ourselves, our friends, our neighbours and our citizens in order to carry out a practice that is unethical, impractical and unscientific. Where will these radiologists come from, and how long will it take to examine each individual?

I will refer to the report that the Minister has referred to, which says:

“Biological age assessment involving ionising radiation is limited to radiography of the third molar”

and/or of the wrist. This is hardly a great operation, is it? The final sentence on page 6 says that the authority notes all this, and says that the applicant—that is, the Government—should

“cease using X-rays when alternative methods are validated.”

If the justifying authority has major reservations about the use of X-rays in this unethical and unscientific way, what are the Government doing to look into alternative examinations, which the JA is clearly proposing we should do?

Health and Social Care Update

Debate between Jon Trickett and Thérèse Coffey

Thursday 22nd September 2022 Commons Chamber

[Dr Coffey]

I believe it is in the Isle of Wight where we have a particularly difficult challenge as many patients are still in hospital who do not need to be there. I know we have asked the local NHS to start working with the council on how we can get that discharge going, and I know how important it is to make sure that the hospital can function readily.

[Jon Trickett (Hemsworth) (Lab)]

This year, I have been in acute care, as have two members of my family; we were in four great Yorkshire acute hospitals. In many encounters with staff, whom I thank deeply for the work they have done, it was clear that they are universally wonderful but that the system is under stress. They were emphasising to me two basic principles of the NHS. The first was that nobody should make a profit from another person’s illness. The second was that the speed of treatment should be directly related to the gravity of the illness and not to the size of someone’s wallet. Will the Secretary of State confirm that she stands by those two principles? Finally, when will those staff get a rise?

[Dr Coffey]

GPs, dentists and pharmacists are all independent contractors, and it is up to them how they best manage and help patients. I am setting clear expectations on that. Furthermore, on pay uplift for people in the NHS, the Government have accepted the independent pay review body recommendation, and that is what we will be doing.