Oral Answers to Questions

Debate between Justin Madders and Sarah Newton

Monday 11th February 2019 Commons Chamber

[Justin Madders (Ellesmere Port and Neston) (Lab)]

On 2 November, my constituent won his ESA appeal—the DWP did not even bother to attend—but three months on, it is still arguing about whether he should get the full back pay. At what point did the Department become above the law?

[Sarah Newton]

Something has clearly gone amiss, and I should be happy to meet the hon. Gentleman and see what we can do to sort it out as soon as possible.

Recognition of Fibromyalgia as a Disability

Debate between Justin Madders and Sarah Newton

Tuesday 15th January 2019 Westminster Hall

[The Minister for Disabled People, Health and Work (Sarah Newton)]

It is a pleasure to serve under your chairmanship today, Mr Bailey. I begin by paying tribute to Adrienne, who I believe is with us today in the Public Gallery. It is through her persistence and determination to use the mechanism of petitioning Parliament that we are here in Westminster Hall today. It is a really good example of how people all around our country can ensure that their voices are heard in this place, so I congratulate her on that.

I also pay tribute to the hon. Member for Chesterfield (Toby Perkins), because he picked up on that opportunity and worked with his constituent. I am very pleased to say, as my hon. Friend the Member for Southend West (Sir David Amess) and everybody else has done, that the hon. Member for Chesterfield is a champion. It is great that he has championed this cause, raised awareness of the issue and made sure that all of our public services are doing everything they can to help people with fibromyalgia, because we have heard today how absolutely debilitating the condition can be and how many people it affects.

Today has been a really good opportunity to build on the work that has been done with the petition and have this debate. I share the frustration that so many people have mentioned that we do not have time to address all the issues that have been raised and hear from the many people who have written to Members across the House because they want their individual voice to be heard.

Before this debate, I extended an invitation to the hon. Member for Chesterfield to bring his constituent into the Department. What we are discussing is a cross-Government issue; it affects the Equalities Office, which is the custodian of the Equality Act 2010. There has been much discussion about what more we can do about health services and research, so I will ensure that, along with me as Minister responsible for the main disability benefits, we have Ministers from the relevant Departments at a roundtable and summit, so that we can properly work with the information that has been provided today and with the great organisations that are undertaking research and standing up for those with fibromyalgia.

I pay tribute to my hon. Friend the Member for Morley and Outwood (Andrea Jenkyns), and to the wonderful husbands who have spoken about wives who are suffering. It is brave of Members of Parliament to stand up and talk so personally about situations that have such a detrimental impact on them. It is difficult for MPs to admit to any sort of weakness; we live in fear of our constituents thinking less of us for expressing that we have a condition or disability that might be perceived as a weakness. However, it is vital that people with disabilities and health conditions are in this place, because they have an important role to play in society. I am absolutely determined to ensure that we have a society in which we focus on what people can do rather than on what they cannot, and in which they are supported to reach their full potential.

I will now draw on some of the points I have been asked to raise. On the support in the health service, we have heard that it is clearly too intermittent. I know that there are good examples; colleagues in the Department of Health and Social Care have told me that there are bespoke services for people with fibromyalgia, but we have heard from colleagues today that it is too much of a postcode lottery and that the services are not consistent. That stems from the fact, which has been recognised today, that it is a difficult condition to diagnose. Because the way in which fibromyalgia manifests is unique to each person, general practitioners want to ensure that they rule out the possibility of other conditions. We have heard so powerfully today that no two people are the same, so GPs, in the absence of a diagnostic tool, need to explore many different avenues before they can get to a diagnosis of fibromyalgia.

[Justin Madders]

It is not just about the postcode lottery. Many GPs do not really know about the condition, and we need to get more understanding out there. My wife saw a number of doctors before she got a diagnosis. Also, her experience of gaining specialist help to access the pain clinic, which hopefully she will do later this year, was that she had to be referred to a rheumatologist to get a diagnosis and then was referred back to the GP, to refer her on to the clinic. That is a pretty inefficient way of doing things.

[Sarah Newton]

The hon. Gentleman makes a very important point, but I understand that to help GPs the Royal College of General Practitioners and Arthritis Research UK have developed an e-learning course on musculoskeletal care, which includes fibromyalgia and is free to all healthcare professionals. It aims to improve core skills in diagnosing and managing any musculoskeletal condition. A medical guide on diagnosis and treatment has also been developed by the Fibromyalgia Association UK, and a mandatory core component of all GPs’ training is an applied knowledge test. This AKT is a summative assessment of the knowledge base that underpins independent general practice in the UK, within the context of the NHS. The content guide for the Royal College of General Practitioners, which serves to prepare trainees for the test, includes specific reference to a required knowledge of fibromyalgia. Clearly, therefore, there is now a consistent attempt to ensure that GPs going through training and coming into general practice have a much better understanding of how to diagnose and treat fibromyalgia than we have seen hitherto.

Oral Answers to Questions

Debate between Justin Madders and Sarah Newton

Monday 21st May 2018 Commons Chamber

[Sarah Newton]

The hon. Gentleman recounts the truly tragic case of his constituent, and of course he will be able to apply for attendance allowance, but that is not the only support available. Clearly he will need support from the NHS and adult social care, where a range of support is available, and attendance allowance can be used on Motability aids as well.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

13. What mental health awareness training her Department provides for personal independence payment assessors.

[The Minister for Disabled People, Health and Work (Sarah Newton)]

Assessment providers write and deliver training for health professionals; this includes how to identify the impact of mental health conditions on claimants. We require providers to have mental health function champions who are available to provide advice and support. They must have at least two years’ full post-registration clinical experience in the management of the relevant conditions.

[Justin Madders]

I suggest the Minister goes back and sees how that works in practice. A constituent came to see me recently about their personal independence payment assessment; they were asked during the course of the assessment why they thought their previous suicide attempts had not been successful. Does the Minister share my disgust at that cruel, inhumane and disgusting way of asking questions?

Police Pay and Funding

Debate between Justin Madders and Sarah Newton

Thursday 14th September 2017 Commons Chamber

[Sarah Newton]

I will not repeat myself again, but I will say that I think the police have risen magnificently to the challenge of having to deal with the reductions in their funding. We only have to look at this in terms of the reduction in crime and the rising public confidence in the police. The nature of policing is changing, and the nature of policing needs to change because the nature of crime is changing. The Government are supporting the police in that transformational work. In addition to the annual budgets given to police forces, we also give significant funding for transformation—up to £175 million—and we are doing a huge amount of work on innovation to support crime prevention and crime reduction. The Government are standing four-square behind the excellent and determined work that our police officers are doing all across our country in facing up to and dealing with the new crimes and emerging threats.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

Is not making half the pay award non-consolidated a sleight of hand, which officers will see right through? If they are worth a 2% pay increase, why can the Minister not make it a genuine consolidated 2% increase?

[Sarah Newton]

I do not think we can be accused of sleight of hand when we are standing here in Parliament being very clear about what we have done and why we have done it. In addition to all the support we are giving to frontline officers and their leadership through the transformation funding, we are doing a huge amount to enable police officers to be supported by the wider public sector. Every day, police officers have to deal with vulnerable people, who are often suffering a mental health crisis. The Government have supported the wonderful partnership work between the NHS and police officers so people—and police officers—are properly supported. This is about not just the amount of money that is going into police funding, but the transformation and partnership work, which is being enabled far better than it was in 2010.