Oral Answers to Questions

Lisa Cameron Excerpts
Tuesday 23rd January 2024

(2 months ago)

Commons Chamber
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Maria Caulfield Portrait Maria Caulfield
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I have news for the hon. Gentleman, because we have a plan and it is working. Our investment of £143 million into crisis support is showing early evidence of reducing admissions—admissions are 8% lower. With the crisis telephone services, which are available 24/7, we have admissions down 12%. More importantly, detentions under the Mental Health Act are 15% lower. We have a plan, and it is working.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (Con)
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15. What recent progress her Department has made on reducing the number of people with a learning disability in in-patient units.

Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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We have made progress against our target to reduce learning disability and autism in-patient numbers in England by 50% since 2015. For people with a learning disability without an autism diagnosis, there has been a 58% net reduction; for people with a learning disability who are autistic, the net reduction is 35%.

Lisa Cameron Portrait Dr Cameron
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I thank the Secretary of State for that comprehensive answer. As chair of the all-party parliamentary group for disability, I have been hearing from organisations such as Mencap that remain concerned that people with learning difficulties are disproportionately detained for five to 10 years and for over 10 years. Will she reassure those organisations that the “Building the right support” action plan will continue to progress the great work that is being done?

Victoria Atkins Portrait Victoria Atkins
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I thank my hon. Friend for her interest and, of course, her many years working as a clinical psychologist. She brings that experience to the Chamber. National commissioning guidance to integrated care boards was published in November. It sets out that a mental health in-patient stay for a person with a learning disability

“should be for the minimum time possible, for assessment and/or treatment which can only be provided in hospital”.

In overseeing implementation of the action plan going forwards, the “Building the right support” delivery board will maintain focus on quality of care and on reducing long stays.

Oral Answers to Questions

Lisa Cameron Excerpts
Tuesday 6th June 2023

(9 months, 3 weeks ago)

Commons Chamber
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Steve Barclay Portrait Steve Barclay
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Clearly, an increase in population in a specific area will have an impact on the health needs there. I recognise the concern that my right hon. Friend raises, and I will ask the Minister for Primary Care and Public Health to follow up with him on this important point. While the NHS is well equipped to deal with short-term pressures, this issue highlights the importance of the Prime Minister’s commitment to stop the boats and the Government’s overall strategy on illegal migration.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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T5. As chair of the all-party parliamentary health group, I have been hearing so much about the importance of artificial intelligence innovation in mental health, and I was pleased to launch the AVATAR2 clinical trials in three universities across the UK. Will the Secretary of State commend this progress being made in digital innovation? It deserves scrutiny, but can make much progress.

Steve Barclay Portrait Steve Barclay
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I very much welcome it. I am delighted to hear that constructive approach to AI from the hon. Lady. The importance of AI is why we have been funding more than 80 AI lab schemes with more than £130 million. AI has huge potential to help patients. We are seeing that, for example, in stroke patients getting care much quicker. She is right that there are also some regulatory and other issues that we need to address, but we should not miss the opportunities of AI, and she is right to highlight them.

Food Labelling and Allergies

Lisa Cameron Excerpts
Monday 15th May 2023

(10 months, 2 weeks ago)

Westminster Hall
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Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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It is a pleasure to serve under your chairmanship, Sir Graham. I congratulate the hon. Member for Don Valley (Nick Fletcher), who opened the debate on behalf of the Petitions Committee. It is an extremely important and very poignant debate for many here today and for people across the United Kingdom who have been affected by allergies and inadequate labelling and service provision, which have led to the tragic deaths that have been relayed by Members today. I thank the families for the work that they have done and will continue to do in this space until the allergy tsar is appointed—a proposal that has been supported by everybody who has spoken so far.

The hon. Member set the scene perfectly. He asked for the allergy tsar to be appointed to address the important issues that have been raised, and he highlighted why it is so vital that menus are explicit. The point was also made that although people can have a discussion about their health-related issues at the dinner table, it is perhaps something that not everybody feels comfortable doing. That is exactly why it is so important that menus are explicit and that the issue is taken forward with prominence.

The hon. Member spoke about the numbers of people affected and why it is so important that we have accurate data, which includes not only those who have been impacted, but the near miss cases. Only with accurate data can we understand the scale of the issue and the prevention measures that are needed. He highlighted some of the difficulties for the trade in implementing the changes needed, but, my goodness, when young people’s lives are at stake, it is vital that those changes are made and that we work together with industry to ensure that they happen.

I also thank the hon. Member for Dagenham and Rainham (Jon Cruddas), who highlighted that this is a corporate responsibility across Government and that we have been waiting for 20 years, which is far too long, with far too many lives lost in the interim. We must make sure that the strategy comes together, that the tsar is appointed and that Government implement the policies that are so desperately needed.

The hon. Member for Winchester (Steve Brine) said that Owen’s law has already progressed in the Republic of Ireland. That is very important because it shows that despite the difficulties outlined at the start, this can be done and progress can be made. This proposal therefore has to be implemented pragmatically. The hon. Member for Chesham and Amersham (Sarah Green) described her constituent’s near miss case very eloquently, saying that that is why it is so important that we have a standardised approach.

The hon. Member for South East Cornwall (Mrs Murray) spoke eloquently on behalf of her constituents, as she continually does in this House. She raised the case of Owen and spoke of the support she has given to the family. She has also ensured that constituents’ concerns are heard at the highest level. She called it an absolute priority, and asked the Government for changes to be made in law.

There were some very good interventions from the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier), who is no longer in her place, particularly about the Food Standards Agency having been too slow to react. The hon. Member for Hammersmith (Andy Slaughter) spoke at length, reinforcing the need for the tsar to be put in place. His point that the clinical outcomes have not improved was so important: whatever has been done so far has perhaps made progress, but it is just not enough and is not making a difference clinically. He underlined the point that the current position is therefore inadequate. Finally, the hon. Member for Sheffield, Brightside and Hillsborough (Gill Furniss) said—this sums up the debate—that common-sense changes are needed, that we must work together and that no one has disagreed.

I would like to reinforce the asks that have been made of the Minister. I also think that much more testing should be available for allergies. I remember being tested, and the nurse saying to me, “Do you have any allergies, Lisa?” I said no, and I was so shocked when my arm started coming up with lots of little red spots and I was told that indeed I had quite a few allergies. We need to make sure that everybody can have that diagnosis and testing so that there are not accidental cases in which people may not even be aware that they have allergies.

As has been said, training for staff in the hospitality sector and others is so vital in this case. The other thing that I am very interested in is the digital, technological advancements that we are making. I would like to hear from the Minister—he can write to me if he does not have this information today; that would be perfect—about the blockchain digital technology that I have heard can be applied to food labelling and distribution. That technological advancement might help us to move forward in this case. Finally, I echo everybody’s words and call on the Minister to please appoint an allergy tsar, because we will be saving very many people’s lives.

--- Later in debate ---
Neil O'Brien Portrait Neil O’Brien
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To reiterate what I said at the start of my remarks, I am mentioning some of the issues that we have to solve, not presenting them as insuperable obstacles to doing what a lot of people are calling for.

Another challenge that we have to grapple with, and are grappling with, is how to avoid some smaller businesses taking away a lot of choices for people with allergies by simply labelling too many items as containing allergens. Such businesses may have small kitchens that work with lots of different products and multiple allergens. We cannot take away lots of choices for people with allergies; we want them to have the freedom of choice that everyone expects to enjoy, but to have safety at the same time.

Lisa Cameron Portrait Dr Cameron
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The Minister is making some good points, but on his last point, even if some outlets are being over-cautious, surely it is more sensible to be over-cautious than to put people’s lives at risk.

Neil O'Brien Portrait Neil O’Brien
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That is a perfectly reasonable point. Of course, safety has to come first; I am merely laying out some of the challenges that we are grappling with as we think about Owen’s law and how we go further.

Even as we work on these issues and think about how we go further in providing information, we are getting on with improving training and knowledge for people in the food industry. Since September 2020, 380,000 people have signed up for allergy training through the FSA, which is a huge improvement in the provision of information and the correct treatment of people with severe allergies. Over the past 22 years, the FSA has invested about £22 million into researching these issues. Its scientific and social research, which improves the understanding of the views of those who are affected, of food businesses and of other key stakeholders, underpins our approach. To underline what I said a few moments ago, although I am not making an announcement today, nothing is off the table. We continue to look at and work on these issues at pace.

Let me turn to some other issues that have been raised in the debate. We have heard the calls for an allergy tsar, a form of leadership to advocate on behalf of those with serious allergies and their families. We already have parts of that leadership role in place, although, to address the point made by the hon. Member for Hammersmith (Andy Slaughter), that responsibility is not squarely on one individual’s shoulders. We will look closely at the proposal and at how we get to a more joined-up approach. The hon. Member asked directly whether I would meet with expert groups and those representing families who have been affected. The answer is yes, absolutely. I am extremely keen to meet and learn from those who have done lots of work on the subject.

It is worth setting out a bit about how the current NHS England operation works and what it is doing, although I recognise that that operation is not what those who are campaigning for a single joined-up tsar are asking for. In NHS England, there is a clinical reference group chaired by the national specialty adviser, Dr Claire Bethune. The group provides clinical advice and leadership on specialised immunology and allergy services. Its members include clinicians, commissioners, public health experts and patient and public voice members to try to capture the insights of those who are most affected by the issues. The members use their combined knowledge and expertise to advise NHS England on the optimal arrangements for the commissioning of specialised services. That advice includes the development of national standards in the form of service specifications and policies. As hon. Members know, those are tremendously important in defining what NHS services must be available.

The CRG is in the process of commencing a review of the current service specification for specialised allergy services. The output of that review will be an updated specification that makes reference to up-to-date guidance and takes account of the very latest evidence to clearly define the standards of care for commissioned specialised services, including transition into adult services.

The CRG is just one tool that we have at our disposal to address the multifaceted challenges that people with allergies face. Officials across Government are working with the National Allergy Strategy Group to consider how we can work more effectively together through things like an expert advisory group for allergy. The arguments that I have heard today will strike a chord with many people listening across the country. I am certain that it is right that we continue the conversation about how to work in a more joined-up way in future.

On ensuring that we have the right mix of staff to support people with allergies, in recent years there has been a 100% fill rate for doctors going into the two most relevant training pathways, allergy and immunology. NHS England will continue to identify priorities for investment in this space, in line with the expressed service priorities of the NHS across all medical specialties and the wider workforce. That work will be complemented by the forthcoming long-term workforce plan that we have commissioned NHS England to develop for the next 15 years, which we have committed to publishing shortly. It will include projections for the number of doctors, nurses and other professionals that will be needed in five, 10 and 15 years’ time, taking full account of improvements in productivity and the need for particular specialisms and skilled people to deal with things like immunology and allergy.

Most people with an allergy can be cared for in primary care settings, with services planned and commissioned by their local ICB. Specialised allergy services, however, are also provided for patients with the most severe allergic conditions, or those who have common allergic conditions for which conventional management has failed or for whom specialised treatments are required. In the current financial year, 2023-24, those services are jointly commissioned by NHS England specialised commissioning integrated care boards, in line with the published service specification.

All patients have access to those specialised services. Specialised services are required to be compliant with the service specification, including the need to have physicians, dieticians and nurses who are specially trained in allergy or have had long specialist expertise in the practice of allergy management and have up-to-date, continuing professional experience. All that work is serving to improve the lives of millions of people who have been affected to a greater or lesser degree by allergy.

There is clearly much more that remains to be done. The Government and those who have personal experience and great expertise working together will be central to driving forward continuing improvements, building on the work that has already been done and the changes that have been made. In future, we want to work closely with those who are most affected to improve the care and service provision for those who have serious allergies, so that they can live full, meaningful and safe lives.

Oral Answers

Lisa Cameron Excerpts
Tuesday 25th April 2023

(11 months, 1 week ago)

Commons Chamber
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Helen Whately Portrait The Minister for Social Care (Helen Whately)
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My hon. Friend makes a really important point. I can say to her here and now that functional neurological disorder was previously regarded through a diagnosis of exclusion. It now has a rule-in diagnosis with available treatments, which is a major step forward in destigmatising the disorder. I am very happy to meet her to discuss this further.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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T5. As chair of the all-party parliamentary health group, I have heard from UK patients who struggle to access GP appointments from chain GP practices. Many of those practices have very low ratios of GPs to patients, including, in one case, only two GPs registered for 30,000 patients. Will the Department meet the APPG to address these grave concerns?

Neil O'Brien Portrait Neil O’Brien
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We have increased real-terms spending on general practice by over a fifth since 2016, and as a result there are now 10% more appointments happening every month. We are grateful to GPs for that. We have more doctors and clinicians, but we want to keep going, and I am happy to discuss this with anyone who has useful ideas to keep us powering forward.

NHS Staffing Levels

Lisa Cameron Excerpts
Tuesday 22nd November 2022

(1 year, 4 months ago)

Westminster Hall
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Margaret Greenwood Portrait Margaret Greenwood (Wirral West) (Lab)
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I beg to move,

That this House has considered NHS staffing levels.

It is a pleasure to serve under your chairmanship this afternoon, Mr Hollobone. I pay tribute to all the nurses, doctors and other medical professionals—indeed, everybody who works in the NHS—for the work they do to look after patients and keep us all safe.

I have been overwhelmed by the number of organisations that have shown interest in this debate and have shared details of how the NHS staffing crisis is impacting on the people they represent. They are too numerous to mention here, but they include the Royal College of Nursing, the Royal College of General Practitioners, Versus Arthritis, Cancer Research UK, Unite the union, Parkinson’s UK, the Royal College of Midwives and many others. It is clear that there is insufficient capacity in the NHS in England to meet the needs of patients.

The NHS staffing crisis is a direct result of the failure of Conservative Governments to plan and deliver the workforce that we need. The crisis is not just about the impact of the pandemic; it predates that. In June this year, there were more than 132,000 vacancies in the NHS in England, which is up from around 98,000 the previous year and from around 105,000 in March. When we look specifically at registered nursing staff, as of June there were over 46,000 vacancies. Alarmingly, that is almost 8,000 more than in March. For medical staff, there were over 10,500 vacancies in June, which is around 2,500 more than in March.

By way of comparison, in December 2019 there were around 38,000 nursing vacancies and more than 8,800 medical staff vacancies. What was already an extremely serious situation before the pandemic has become worse. Staffing shortages create stress for NHS workers, and delays and deteriorating quality and safety for patients. As well as vacancies, waiting times for treatment and emergency services have continued to soar. Last month, of the nearly 1.4 million people who visited major A&E departments, more than 550,000 waited more than four hours from arrival to admission, transfer or discharge. That is 45.2% of attendees, which is way short of the target of 95% to be seen in four hours. In December 2019, 31.4% waited for more than four hours. Again, an already serious situation before covid has got worse.

As of last month, a total of 7.1 million people in England were waiting to start routine hospital treatment. More than 400,000 people had been waiting more than 52 weeks, and more than 2,000 longer than two years. Behind those statistics are huge numbers of people waiting in pain and anxiety. Cancer Research UK points out that, in September of this year, only 60.5% of patients started treatment within 62 days of an urgent referral, against a target of 85%. That means that, in September alone, around 6,000 people waited for more than 62 days for their cancer treatment to start. Even before the pandemic, cancer patients were waiting too long for diagnosis and treatment. The 62-day target has not been met since 2015.

On the Conservatives’ watch, millions of patients are being deprived of the timely treatment that they desperately need. Because of the unacceptable delays, some are paying for expensive private healthcare, and many are distressed to do so, because they believe in a publicly owned, universal, comprehensive national health service. They have been failed by Conservative Governments.

The staffing crisis is having a devastating impact on retention. Last month, the Health Service Journal reported that a record number of NHS workers voluntarily resigned from their jobs during the first quarter of this financial year. Almost 35,000 resigned voluntarily, which is up from around 28,000 during the same period in 2021 and around 19,000 in 2020. The most common reason for leaving during quarter 1 of 2021-22 was work-life balance, which almost 7,000 NHS workers cited as their reason for leaving.

A few months ago, I met with members of the Royal College of Nursing. They told me about the incredible amount of pressure that they are under because of staff shortages. They also told me of nurses suffering financial hardship. Some are going to food banks, some are unable to afford to drive to work, and some are leaving the profession to work in chain stores for better pay. However, it is not just about pay. The nurses told me that they often simply do not have enough colleagues to work alongside them. That is extremely stressful for them, and dangerous and deeply unfair for patients.

I turn now to industrial action. NHS staff care deeply about their patients, but they can also see that the NHS is at breaking point. Earlier this month, the Royal College of Nursing voted to take strike action in its fight for fair pay and safe staffing. That is unprecedented and has not been done lightly. The RCN has been clear: its members have voted for fair pay for nursing, safe patient care and to protect patients.

Numerous other organisations, representing thousands of workers, are also balloting for industrial action, including Unite the Union, Unison, the Royal College of Midwives and the GMB union. The Conservative Government’s failure to address the NHS staffing crisis is putting those working in the service under immense pressure and, in some instances, putting patients at risk. It is notable that, in a poll of 6,000 adults, carried out on behalf of Unite, 73% of respondents supported NHS and careworkers receiving pay rises that keep up with the cost of living. The Government should take note.

We cannot discuss the NHS staffing crisis without highlighting the Conservatives’ privatisation agenda, because it does impact on people working in the service. The Health and Care Act 2022 split the NHS in England into 42 statutory integrated care systems, each comprising an integrated care board and integrated care partnership.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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I thank the hon. Lady for making such a poignant and important speech, and for securing this debate, because we are all grappling with the issue. Does she agree that the staff in the NHS do their very best, but the future planning of the workforce is also an issue? We do not have enough staff for the future workforce plan. That is particularly the case in mental health and learning disabilities. I read that 215 young people took their lives in 2021, the highest figure since records began. Is that a concern to her, because I think it is for most of us in the House? I am sure that, in the excellent speech is making, she will want to highlight that.

World Menopause Day

Lisa Cameron Excerpts
Thursday 27th October 2022

(1 year, 5 months ago)

Westminster Hall
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Carolyn Harris Portrait Carolyn Harris (Swansea East) (Lab)
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I beg to move,

That this House has considered World Menopause Day.

It is a pleasure to serve under your chairmanship, Mr Hollobone. I thank the Backbench Business Committee for granting time for this important debate. I am delighted to co-sponsor it with the right hon. Member for Romsey and Southampton North (Caroline Nokes), who shares my passion and determination to improve access to support and treatment for those experiencing symptoms of the menopause.

Anyone in or around Parliament last week might have noticed a buzz of activity. The reason, obviously, was that last Tuesday was World Menopause Day. It was an honour to welcome a group of women who have been instrumental in campaigning for change, from grassroots campaigners to clinicians and celebrities who are using their platform to amplify the message. The day ended with a rally in Old Palace Yard, almost 12 months on from our last Westminster menopause rally. Last year, I stood among jubilant women in Parliament Square. We were celebrating the fact that the Government had listened and committed to dramatically reducing the cost of NHS prescriptions for hormone replacement therapy in England, which would bring them somewhere near the free prescriptions in Wales, Scotland and Northern Ireland. They also committed to setting up a taskforce to look at other barriers women face.

This year, many of the same women were back again. They were as determined as they were last year. They were loud—possibly a little louder than last year. But they were a little less jubilant, a little more sceptical and far less confident in the Government’s commitment to the promises that they made in October 2021. However, they have not given up.

At the rally, Menopause Mandate launched a wonderful book, “It’s Beyond a Joke”, a collection of real lived experience stories from women. Some are graphic, some are funny, but some will break your heart. Every one is an honest account of a woman’s personal menopause journey, and every one is different, because no two women experience the same menopause. There are stories of misdiagnosis, insufficient workplace support and HRT shortages. There are stories from women who are struggling to afford the cost of the menopause, and from women who are hitting brick wall after brick wall when they try to access support. Thankfully, there are stories from women who faced some dreadful experiences but came out the other side—stronger, happier and ready to be their wonderful selves all over again.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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I thank the hon. Lady for bringing this vital debate to Parliament. Her speech is a wonderful contribution on what so many people have gone through. Does she agree that menopause is not just a physical condition or response in the body, but something with a mental health and wellbeing impact? People need access to specialist services and clinicians, so that their psychosocial needs can be met in a holistic way.

Procurement of Evusheld

Lisa Cameron Excerpts
Wednesday 12th October 2022

(1 year, 5 months ago)

Westminster Hall
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Daisy Cooper Portrait Daisy Cooper
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I am grateful for that question. In fact, Evusheld is now so effective that not only has it been rolled out in 33 countries, but a number of countries, including Japan, Italy, Spain and Israel, have actually put in repeat orders for Evusheld, and the Centers for Disease Control and Prevention in the US has even launched a public drive to increase uptake. In private discussions, both the Minister and his predecessor have indicated to me in meetings that there was some evidence that countries had bought the drug but were not using it.

Let us be clear: the failure of any Government to identify clinically vulnerable patients and distribute the medication to them has nothing to do with the effectiveness of that particular drug. Before we throw stones in glass houses, we should remember that of immunocompromised patients in England who caught covid and were referred for treatment, only 17% actually got it. That failure to distribute is more to do with the fracturing of our health systems; it is not about the effectiveness of this drug.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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I thank the hon. Lady for bringing forward this vital debate on behalf of the many constituents who have contacted me and in my capacity as chair of the all-party parliamentary health group. Does she agree that when people feel they are being left to rot, it is not only their physical health that is impacted; their mental wellbeing is crippled in the stage of recovery where they need the most support possible?

Daisy Cooper Portrait Daisy Cooper
- Hansard - - - Excerpts

The hon. Member is absolutely right. Many people are clinically vulnerable because they have a health condition, and their physical health is getting worse, as it would when someone is stuck at home for two and a half years, but the mental health impact is also incredibly profound. We know that many of our constituents have experienced suicidal thoughts.

I turn now to the advice of the RAPID C-19 oversight group, which has been mentioned. The Government refused to share this advice for some time, and many of us were asking for it. I was pleased to see that this advice was finally published last Thursday on 6 October. I was pretty shocked for two reasons. First, the report actually says that the group looked at real-world data and the impact on people and that data was very strong. Then it looked at the data in a non-clinical setting and decided not to roll it out. That seems absurd to me.

There is a second problem with the evidence that was published last week. It lists the evidence that the group reviewed, and it leaves out one very critical scientific study by the Francis Crick Institute—a study that I believe the Government commissioned themselves. That study was commissioned to look at the effectiveness of a different drug: sotrovimab. That report concluded that sotrovimab was effective, and the Government are using that report to justify why they continue to use sotrovimab. However, the report also concluded that Evusheld was even more effective. So why not buy Evusheld too? Perhaps the Minister can enlighten us.

On the same day the Government published this RAPID group report, The Lancet—the world’s highest-impact general medical journal—carried an article by 19 experts calling on the World Health Organisation to update its guidance on Evusheld, based on the study the Government commissioned. In the article, those experts say that Evusheld should be used for not only preventative, prophylactic use, but treatment. The UK Government are really trailing behind. Can the Minister tell us why the RAPID study ignores this vital piece of research, which they must have known about?

Many of the people we are talking about have already had five or six vaccine jabs, even though they will mount very little, if any, response. The Government say it is important that these people get those vaccines, because they say some response is better than none. Why does that same test not apply to Evusheld? Why is it being singled out and held to an impossible standard?

Let us look at what the Government are proposing, instead of following the science. Ministers have referred Evusheld to NICE for further clinical and cost-effective assessment; apparently, we might hear back in April 2023. That is another delay—another six months of isolation—even though every other covid treatment and vaccine was urgently procured before being appraised. I ask again, why is the Government’s treatment of Evusheld so inconsistent?

Infant Mental Health Awareness Week

Lisa Cameron Excerpts
Thursday 16th June 2022

(1 year, 9 months ago)

Westminster Hall
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Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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Thank you, Mrs Murray; it is a pleasure to serve under the chairmanship of such an esteemed lady and parliamentarian, who is friendly to all.

I thank the right hon. Member for South Northamptonshire (Dame Andrea Leadsom), and congratulate her on securing such a vital debate. Having worked all my life as a psychologist prior to coming to the House, I think it is fantastic that there are champions for this issue in this place, because setting the right foundation right across the United Kingdom and giving people opportunities to thrive from their earliest days is a fundamental premise for creating a healthy society. The right hon. Lady should never underestimate the value of the work she is doing in this House, not just today but for generations to come. I wish her all the best with her early years review, and will gratefully give any support that I can offer.

We also heard from the hon. Member for Twickenham (Munira Wilson), who spoke about the social care system for children and the particular plight of children in care, which goes back to the disorganised attachment styles that were mentioned. In fact, this debate has taken me right to my psychology days—I trained a long time ago—and Bowlby’s theory of attachment, which is the foundation for much of what we are speaking about today. It is so important that if a parent is not there, there is a trusted and secure caregiver. It does not have to be the mother. As the hon. Member for Strangford (Jim Shannon) said, it is often the mother, but it can be the father or another trusted adult. The important thing is that there is a secure attachment.

The hon. Member for Twickenham was spot on when she spoke about why having disruption in early childhood—particularly for children who go into care settings—can have an adverse impact. We must make sure that trusted, secure and stable relationships are built and provided throughout every child’s life. That is vital, and we must support it.

The hon. Member also spoke eloquently about CAMHS support for infants and why it is so crucial. Helen Clark, a former MP who leads on the child mental health charter, is doing vital work on that through the charter with Play Therapy UK. There are many therapies that should be open and available to families with infants, including family therapy, behaviour therapy, which I used to do when I was practising many moons ago with very young children, and play therapy.

I will never forget the feeling of looking out of the window during covid when the council was opening up the playpark across the road from my house and seeing the children, including my own, running to it. There is something very therapeutic and nurturing about peer support and being able to play in a positive environment. I experienced that exact sentiment when I visited refugee centres in Lebanon. One of the most fundamental changes for those young children was the building of a playpark in the refugee centre. They were able to smile and laugh and play. Therapeutic involvement is vital, as is having natural environments that enhance wellbeing. I thank the hon. Member for Twickenham for her contribution.

The hon. Member for Strangford is an absolute stalwart of this issue and so many others in the House. He spoke about the impact of covid-19 on children’s development. There will have to be a lot of research done into that, because we may not see the full impact for years to come. Longitudinal studies will be needed to address that. We must all come together to ensure that funding, support and programmes are put in place so that children have every opportunity to catch up with the socialisation and education they have missed during this critical period.

The hon. Member for Richmond Park (Sarah Olney) made an important contribution about gaps in service and maternal mental health. She also gave a shout-out for dads’ mental health, which is rarely mentioned but is so crucial. When I first came to the House, my husband took on many more of the activities I had usually done. The first week I came back from Parliament, I opened the fridge door and there were a whole host of Tupperware dishes in the fridge. I said, “What’s this? Where did it come from?” The neighbours had very kindly handed him food for himself and our children, because they assumed that they would be reliant on me and not him. I do not think he needed the food, because he stepped up to the mark, but it still shows that we cannot value fathers enough. They are all-round heroes when it comes to early childhood development.

The hon. Member also mentioned health visiting and face-to-face contact, which is extremely important. As chair of the all-party parliamentary health group, I know that face-to-face contact is vital for people. Particularly when they are speaking about mental health and wellbeing, they find it very difficult to do that over Zoom. They often do not bring it up at all in that format or over the phone. It is important that they have a personal relationship that is built up over time. The same can be said for GPs: it is vital that people can get back to seeing their GPs face to face, and we will be carrying out an inquiry into those issues.

I want to quickly mention adverse childhood experiences. I worked in and out of young offenders institutions and prisons for adults for a number of years, which involved visiting people because of their mental health issues and doing mental health assessments. Very few of the people I assessed after they had ended up in the criminal justice system did not speak of some trauma in childhood. The more we can do at the earliest stage, the better, in order to give people a path that will lead them to a fulfilling life. Early difficulties do not always lead to criminal justice problems, but there is a significant correlation, if not causation. We know the risk factors, and we must do all that we can. The British Psychological Society has highlighted that preschool children of parents with poor mental health are three times more likely than the general population to have mental health difficulties, so there is an intergenerational aspect, and we have to help with wellbeing more generally and across the lifespan for families.

Having come from being a psychologist to working as an MP, I see that we are not picking up young people who have autistic spectrum disorder or learning difficulties early enough. Those assessments can be done before they start school. The people who come to see me at my constituency surgery often tell me, “I have been saying for years and years that I need an assessment,” yet the waiting lists preclude that happening at the right time. Two years is a long time in the context of childhood development and the developmental milestones that children may not reach at the correct time because they do not have additional support to help them catch up, so we need to get early diagnosis through children and families hubs, or through community health services. As chair of the all-party parliamentary health group, I can say that this is an issue right across the UK, because I hear about it from people right across the UK. Parents are asking for help, and they need to have it.

Parenting programmes are vital. Our school system has become so dynamic that some of the things that we did when I was at school have been lost. Yesterday I spoke to a nutritionist, who told me that he is having to do a lot of work with parents on nutrition for infants. He said that some parents never undertook any kind of cooking at school—it was called home economics when I was there—and are blitzing McDonald’s to feed young infants. These are things that are fundamental for parenting support, and we need to make sure that we put them in place. We need access to paediatric care, including psychology and types of therapy such as play therapy, and we need parity between mental health and physical health. Looking at the wellbeing recovery from the covid pandemic will be key, and parenting programmes for parents who feel that they need a bit of extra support will be vital.

It would be lax of me not to quickly mention some of the work that the Scottish Government are doing. We have the baby box, which has been delivered to more than 200,000 families since 2017. It ensures that we in Scotland welcome every child, and that children have a basic provision for the first few months of their lives. We are saying very positively, “You’re welcome. We want to do our best for you throughout your life.” The Scottish Government also recognise the significant impact of the covid-19 pandemic and are doing work to address the issues that I have raised. We have the Best Start five-year plan for neonatal care, and perinatal and infant mental health programme boards have been set up. A number of increased payments and grants have been made too.

I concur with what I have heard in the debate, and I want to work wholeheartedly with everybody who is working in this vital area. It has been nice to be taken back such a long time—many decades—to my education as a psychology graduate and to Bowlby’s important theory of attachment. We should ensure that the work of Infant Mental Health Week is taken forward every week of the year, and especially that we hold infant mental health as a key issue in our work in Parliament.

Government Action on Suicide Prevention

Lisa Cameron Excerpts
Wednesday 8th June 2022

(1 year, 9 months ago)

Westminster Hall
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Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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It is a pleasure to serve under your chairmanship, Mr Bone. I start by thanking the hon. Member for Bristol East (Kerry McCarthy) and commending her work—she is an absolute champion for this matter. She spoke extremely powerfully on the need for data collection, which I think is the crux of taking good service delivery forward. She spoke very emotively about her own personal experience, and her words resonated with many people here when she advocated for services for those families who are left behind. I thank her for being a champion of this important issue. It is often neglected, and is something that for many years has been difficult for people to speak about. The more that it can be spoken about and raised in this place, the better for everybody right across the United Kingdom.

The hon. Member for Bradford West (Naz Shah) spoke about how difficult it is to access mental health services, particularly for children and young people. I think there are gaps—chasms, actually—in waiting times across the United Kingdom that need to be addressed. As chair of the all-party parliamentary health group, I hear about that constantly. No matter where someone lives, it is very difficult for them to access services. It takes far too long and people are falling through those gaps. The hon. Member for Blaydon (Liz Twist) spoke about the importance of levelling up regional and gender disparities. I am interested in the point she made about adult males being particularly at risk.

There has been good work going on across Scotland— I am sure these exist across the United Kingdom— through the Men’s Sheds developments. I have two in my own constituency that I have visited—one in Lesmahagow and Blackwood and one in the Stonehouse area. They are doing fantastic work to reduce loneliness and isolation, and to create environments where people can begin to speak about issues and receive important social support from like-minded people. We still have a society where there is more stigma for men who speak up about those issues, so such developments are crucial. The hon. Member for Blaydon is also an advocate for this issue in her role as chair of the all-party parliamentary group on suicide and self-harm prevention. She has made key recommendations for the Government to take forward.

The hon. Member for Liverpool, Walton (Dan Carden) spoke about the LGBT community and about alcohol-related harm. What is key—and I know this from my professional life prior to Parliament, working in psychology —is that often having an addiction diagnosis on someone’s medical records can make it more difficult for them to access mental health services. That just should not be the case because, exactly as he says, having alcohol or drug-related problems is, in itself, a risk factor for suicide. Therefore, it should be something that heightens people’s access to services, rather than diminishing it. I would therefore like to thank him once again for the work that he does on these matters.

The hon. Member for Strangford (Jim Shannon)—who is in his place in most of the debates that I happen to attend because he is such a strong advocate for his constituents—spoke about the devastating suicide rates in Northern Ireland, and something else that is very important, which was the impact of and bullying on social media. I think that that is something that really must be tackled. I know, from some work I have been doing with the Diana award in Parliament, that it has been supporting young people’s advocates across schools in the UK—anti-bullying ambassadors to give children and young people peer support—because often young people prefer to speak to peers than to parents. I know that myself, particularly from having adolescents at home who do not want to be seen with or speak to me at this stage in their life.

The hon. Member for Richmond Park (Sarah Olney) also raised an important constituency case—I am so pleased that the family is here today—that families are not listened to enough. Well, if we are not listening to families, who are we listening to? Families know people better than anybody else. I think that long gone is the time when we say, “Well, professionals know best.” It should be an assessment that involves everybody, wherever possible. Families who want to reach out to services are doing that because they have anxiety that something that is traumatic is going to happen in that case. They know that person better than anybody else, so they must be listened to.

When I worked in mental health, the training and risk assessment were very clear; it is not a static assessment; it is dynamic—it changes. That is the thing about it. The British Psychological Society issued guidance on risk assessment. A risk assessment is not a questionnaire; it is a clinical judgment with tools that help that. However, it also must highlight risk indicators. Importantly, it is not just that an assessment is completed; it is that there is a risk-management plan as well—people are aware of their risk indicators, they know when risk is heightened, they know who to seek help from, and that there is a risk-management plan that can protect them and prevent harm coming from risk. The point made by the hon. Member for Richmond Park is key, and I wish her all the support that I can give for her campaign for these matters to be taken forward and for key frontline staff to be given adequate training in risk assessment.

As chair of the all-party parliamentary health group, I hear constantly that the bar is set too high for access to services. Some of the things said are that because someone might have a personality disorder, they could not benefit from treatment. Well, we know that people with personality disorder diagnoses still suffer from mental distress, so of course they should be able to access treatment for that mental distress. That should not be a barrier to treatment. There are also psychological therapies that have been shown to be clinically valid for use in those cases, but people cannot access them.

People who have drug or alcohol problems may present at accident and emergency and be told, “Well, you’ll have to deal with your addiction and then come back and deal with your mental health problem.” However, that is not right either, because we know about the risk and the importance of services being integrated and created for dual diagnosis. Where people have more than one clinical condition, it is very important that both are treated together because, as has been said, mental health might be one of the triggers for alcohol and drug use, which, of course, exacerbates it.

Dan Carden Portrait Dan Carden
- Hansard - - - Excerpts

It is really important that we send a clear message that it is absolutely nonsense to send people away to recover from their addiction without the mental health support they need, as happens up and down the country. We should send a clear message that the guidance needs to be rewritten, and that support for mental health and addiction services must be delivered.

Lisa Cameron Portrait Dr Cameron
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I thank the hon. Gentleman for making that important point. I wholeheartedly agree. If we are serious about preventing harm and suicide, and about helping people, their care must be looked at holistically. We cannot syphon off parts of people’s diagnosis and say, “Deal with this first, then that.” People’s lives are not like that. As we know, the formulation means that it is interwoven, so both conditions must be dealt with simultaneously.

Other things I have heard include, “It is attention-seeking,” “It is a behavioural issue,” “It is not a psychiatric illness,” “There’s no diagnosis,” but surely people who suffer acute psychological distress should have access to services without having to qualify in diagnostic terms as having a major mental illness. Many people need help at such time, and it should not need to be exacerbated to the point of mental illness if we can use prevention. Equally, many people who go on to harm themselves and even commit suicide never have a diagnosis of a mental illness such as depression or schizophrenia, but they still deserve help, so there must be services for them.

GP access is very important, as has been said. I know from my constituents and from chairing the all-party parliamentary health group that that is another issue that must be dealt with. People find it very difficult to see GPs face to face, and if they are in mental distress, speaking to receptionists on the telephone is really not adequate. They must be able to sit down and speak to a GP they know. It is hard enough to open up at that point, but without that access, I am afraid that so many people will fall through the net.

The Scottish Government have committed £120 million for a recovery fund following covid. They are committed to doubling the current £1.4 million of annual funding for suicide prevention, and they have a new strategy coming out.

I thank the services in my constituency, which have been on the frontline when people have been languishing on waiting lists, including the Trust Jack Foundation, set up because someone lost their life. The lady in charge of it is a wonderful individual who has taken her personal tragedy and turned it into support for other people across our constituency. Victorious People in East Kilbride is providing counselling for young people, and Talk Now in East Kilbride is providing services for trauma survivors. That is just to name a few of the fantastic services that have been developed.

I plead with the Minister to fill those gaps and make sure there are services for people suffering acute mental distress, crisis and suicidal ideation. They should not have to have a mental illness diagnosis to access treatment. That is why we are losing people, and families are being hurt in the process.

Special Educational Needs and Children’s Mental Health Services

Lisa Cameron Excerpts
Wednesday 9th February 2022

(2 years, 1 month ago)

Westminster Hall
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Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
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It is a pleasure to serve under your chairmanship, Ms Fovargue, and to speak in this debate on behalf of the Scottish National party and also as chair of the all-party parliamentary group for disability, a role that I have been proud to champion in my six or seven years of being in Parliament.

We must thank the hon. Member for Newbury (Laura Farris) for realising how vital this debate is and for securing it. She spoke eloquently of her concerns, which were reinforced in just about every speech. Her questionnaire asking constituents about services is a fantastic initiative, getting to the frontline and the heart of what is happening.

When I visit local services in my area, they often give me statistics and tell me how things are improving, but it is not until I speak to people and ask about their experiences that I see whether it has translated into changes for the children who need the services. The hon. Lady emphasised that a timely CAMHS diagnosis is absolutely necessary for someone’s chances in life. That is the key message from today.

The hon. Member for Sheffield, Hallam (Olivia Blake) spoke from her heart about her personal experience. That is a very powerful thing to do in this House. She is a real champion for the screening of neurodivergent conditions. Because of her own struggles, she has been a role model for so many. It is important that she uses her voice, as she has done so powerfully today.

The hon. Member for Newcastle-under-Lyme (Aaron Bell) spoke of the battle faced by parents in his constituency and of the lack of staffing. It is not just about money; it is about training and staffing and making sure that there is an appropriate workforce plan. I hope that the Minister will address that point.

The hon. Member for Bristol East (Kerry McCarthy) eloquently said that the system as it stands is stacked against parents. From what we have heard, I think that is so true. There has to be mental health support in every school, and it has to be at a local level. We cannot expect families and children who are already extremely vulnerable to travel a huge distance for the care that they need.

The hon. Member for Bracknell (James Sunderland) said that 14 times more money is spent on adult services than on children’s services. I worked in psychology prior to coming to this House, and children’s services were always seen as a Cinderella service—entirely wrongly, in my opinion. Investing in our children is investing in our society for the future, and we really need to understand that.

The hon. Member for Oxford West and Abingdon (Layla Moran) described what many of us experience: that people come to us and say that their MP is the last hope for their family. That is how we feel, because that is what people tell us: “You are my last hope; I have tried everything.” It is unacceptable that families have to battle the system to that extent. The Disabled Children’s Partnership contacted me prior to the debate and said that 60% of families with disabled children have sought mental health support for themselves, which shows just how desperate the situation is.

The hon. Lady mentioned another really important issue, which the British Psychological Society has also raised with me: the lack of educational psychologists in the UK. There is only one for every 5,000 young people. That is a really crucial issue that the Minister should take forward. To make a difference, we must have the correct professionals in place to undertake the required diagnoses.

The hon. Member for Cities of London and Westminster (Nickie Aiken) spoke really well about the trauma experienced by children in the pandemic. We must not underestimate that. Their childhood has been different from that of every other generation: the trauma that that cohort has experienced, the loss that many have experienced, the loss of their daily structure and the loss of contact with their loved ones, which was snatched away at a critical time. We need to improve services not just generally but very specifically for the most vulnerable children with special needs.

The hon. Lady also spoke about the impact of social media. I have heard so many negative things about online algorithms and the impact of constant social media use on children and young people’s mental health. That has such a negative impact that we should look at taxing social media companies specifically to raise money to increase mental health support. That must be addressed in the Online Safety Bill.

The hon. Member for Vauxhall (Florence Eshalomi) spoke about her excellent work helping those from diverse backgrounds in her constituency and the important issue of knife crime. She said that, when people are failed in childhood, they can go on to engage in antisocial behaviours; they are steered down that path because the system has failed them. We must ensure that we avoid that at a much earlier stage.

The hon. Member for Keighley (Robbie Moore) spoke about the importance of early diagnosis and the battle against bureaucracy, and the hon. Member for Strangford (Jim Shannon) about the impact of the pandemic and the lack of structure on children with special needs, which has been severe. In my own constituency, we are still struggling to get services back up and running at the level that they were before the pandemic. Parents are continually contacting me, worried that the pandemic may be used as a rationale to reduce services. That must never happen; we are here to champion those parents and to make sure that that does not happen. The hon. Member for Strangford also underlined all of the very bleak statistics that show the greater impact of the pandemic on children with special needs.

The hon. Member for Bury North (James Daly) spoke emotionally and powerfully about his son. The hon. Gentleman came here to listen, but decided to give us the benefit of his own experience. That is one of the bravest and most important things we can do when we come here to raise our voices for others. That personal experience resonates with everybody more than statistics or anything else that the rest of us have to say.

The hon. Member for Winchester (Steve Brine) said that he has been a Member of Parliament for almost 12 years and has been talking about these issues for 12 years. Clearly, these issues have to be taken forward. What I will say—this is slightly different from the speech that I prepared—is that having worked in the services, it is very clear to me that CAMHS cannot manage diagnosis and assessment for children with special needs, as well as the overwhelming number of children who are there for mental health issues. There has to be a streamlined diagnostic service that is available locally, at local authority level, where children can have that intervention, that assessment, because one year in a child’s life is a huge amount of time. The six years that we heard about is almost one third of their childhood. The developmental milestones that have gone by can never be caught up on, so early diagnosis is crucial. There has to be the development of a streamlined service with specialist practitioners who can do the diagnosis and also, from the diagnosis, provide intervention. Why wait six years for a diagnosis only to be told, “You’ve got your diagnosis, but nothing follows it”? That is totally unacceptable.

The all-party parliamentary group for disability would be keen to engage with the Minister, who I know wants to do her very best on these issues, and the Department to look at, where possible, streamlining services for diagnosis and treatment for those children with special needs who deeply require it—we have all said the same thing today—and to learn from best practice right across the UK. There are things that we are doing well in Scotland, and there are things that we can learn from as well. At the heart of this are children, and we must do our best for those children. I want to work collaboratively to try to ensure that we do, together, across this House.