Beer and Pub Taxation

Debate between Lisa Cameron and John Howell

Wednesday 5th February 2020 Westminster Hall

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

Will the hon. Gentleman give way?

[John Howell (Henley) (Con)]

Will my hon. Friend give way?

[Mike Wood]

If I may, I will give way to the hon. Lady first, and then I will come back to my hon. Friend.

Medical Cannabis under Prescription

Debate between Lisa Cameron and John Howell

Monday 20th May 2019 Commons Chamber

[John Howell (Henley) (Con)]

I congratulate my right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) and the hon. Member for Gower (Tonia Antoniazzi) on securing this timely debate. Let me start by picking up on something that my hon. Friend the Member for Reigate (Crispin Blunt) mentioned: all we are talking about is medicinal cannabis. We are not talking about making cannabis available for general recreational use. I am sure that there are Members of the House who would have an opinion on that, and we could have a full debate on it, but we are talking only about use for medicinal purposes. The wording of the motion is very important. When I read it, I saw that it stressed the practicalities of getting cannabis medicines prescribed. It is not about the general issue—we had the debate on that and the Home Secretary reached his decision—but about the practicality of getting some sort of result.

I realise that this is not easy for the medical profession and that the Government have initiated a review of the barriers to clinically appropriate prescribing. That is a very important review to undertake. I am aware that the National Institute for Health Research is going to participate in the review, which is a positive step, and I will set out what I think are a couple of the barriers that prevent prescribing

What we are really waiting for is some NICE guidelines. I understand that they are coming, but they need to be brought along pretty quickly. We cannot wait for them forever, nor can the children who are suffering.

[Dr Cameron]

The hon. Gentleman is making an excellent point and an excellent speech, which relates to the practicalities for children in my constituency such as Cole Thomson. His mother, Lisa Quarrell, has been trying to get medicinal cannabis for him for some time. Not only does she have to battle his absolutely debilitating epileptic illness, which gives him multiple seizures every day, and to see the deterioration each day in his condition, but she has to battle the medical system, battle with financial costs and battle the Government as they take one step forward and two steps back, giving hope and then taking it away. It is too much and too traumatic for any family in that situation to cope with.

[John Howell]

I thank the hon. Lady for her excellent intervention, and I agree with much of what she said.

One of the main barriers that I see is the simple question of who is allowed to prescribe. The General Medical Council holds a list—a specialist register—of specialist doctors who are allowed to prescribe. Why do we have a specialist list, and why can only those on that list prescribe? Is it because people are nervous about their careers or other things? Why do we limit the number of doctors who can prescribe in this way? I have read claims that something like 110 patients have been prescribed the medicine, but from what has been said in this debate, I understand that only one has received it.

Chibok Schoolgirls

Debate between Lisa Cameron and John Howell

Thursday 8th September 2016 Westminster Hall

[John Howell (Henley) (Con)]

It is a pleasure to serve under your chairmanship, Mr Davies. Let me start by congratulating the hon. Member for Liverpool, West Derby (Stephen Twigg) on securing this debate, which is very timely and on an issue that we should not forget. I am very grateful to him. I thank too all those who have contributed so far and made valuable points. I do not want to say anything that might diminish their points, which I fully support. The situation is tragic not just for the girls, important though that is, but for their families. Some speakers have given weight to the fact that we are talking about girls who are daughters, cousins and members of larger family groups. That is an important feature of Nigeria.

In my short contribution, I want to widen the debate, pick up some of the points about the underlying cause of the situation and try to give some guidance on how it might be prevented from continuing. I do that in my role as the Prime Minister’s trade envoy to Nigeria. I have just come back from a visit there when I was able to raise this on several occasions with Ministers and businessmen operating there. First, I want to echo the comments of the hon. Member for Liverpool, West Derby about the success the Nigerian Government are beginning to have against Boko Haram. The hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) pointed out the large area that it still covers, principally because Nigeria is a very big country, but Boko Haram is being contained. I like to believe that our advice on counter-terrorism and our practical assistance to the armed forces in Nigeria are helping to do that.

All that is good, but it is not enough and the underlying causes of Boko Haram need to be examined. It seems from conversations that Boko Haram’s terrorist threat is linked to the economic situation in the country. The hon. Lady mentioned some of the issues that contribute to that, one being the extent of corruption in a country where 40% of oil revenues are stolen before they reach the Revenue. That is a phenomenal amount of lost revenue that the country could use in the fight against Boko Haram by making conditions much better for people. We must give all the support we can to President Buhari and his Government who, after all, came to power on an agenda to tackle corruption. He is doing that effectively as far he can.

Hon. Members have mentioned peace and justice and I want to pick up on the justice elements because the British judiciary is participating in projects to toughen up the Nigerian judiciary and to give it the ability to tackle these problems in its courtrooms. All that is an important contribution to the work of President Buhari and his Government to try to increase the extent to which the country is tackling underlying causes.

Secondly, the problems in Nigeria will not go away until the currency has been sorted out. Earlier in the year, the Central Bank of Nigeria stated that it would introduce a flexible currency for the future, but we are still waiting for details of exactly what that means. Until then, British companies will resist going into the country. This market will have 400 million people by 2050 and has enormous opportunities for British companies that want to go there. Dealing with the currency problem will have the enormous advantage of ensuring that companies go in sooner rather than later, and by going in sooner they will exert influence over the Buhari Government and their successors and start to take action themselves.

My third point is about the prosperity agenda, which goes across Government and includes the Department for International Development and the Foreign Office. Its purpose is to increase the country’s prosperity. All trade envoys are looking out for opportunities to encourage the use of the prosperity agenda, particularly for training.

All that leads to stability in the local marketplace and that too helps the situation. But it is really important that we concentrate on ensuring that the prosperity does not go to just a few rich Nigerians. Boko Haram has such success in the north of the country because it is one of the poorest areas. If that wealth is spread more effectively, we will begin to see the erosion of Boko Haram and, I hope, release of the girls.

[Dr Cameron]

I am enjoying listening to the hon. Gentleman’s expertise in the area. It was marked during our visit that there is little electronic transfer of money in Nigeria. I am wondering whether progress been made on that because the Government were unable to collect many of the taxes that were due because money was being bartered and there was no record of it.

[John Howell]

I thank the hon. Lady for her question and I wish I could answer yes, but I cannot. The situation is confused and in the last few weeks it has got worse for electronic transfer of money. That, too, is something the Buhari Government must concentrate on to make sure there is a free-flowing money system that will tackle directly the Boko Haram challenge and hopefully lead to release of the girls.

I want to pick up on a point that the hon. Lady made about equality. During one of my visits I went to LADOL, a deep-water offshore oil and gas company run by a woman who trained as a surgeon in Oxford. Although she has two brothers, she was invited back by her father to run the company because of her undoubted ability to do so. It was a great pleasure to see her. She set us up with a long line of inspections of the army, the police, customs officials and taxmen, all of whom were stationed on her free trade island in the lagoon at Lagos. Believe it or not, I had to take the salute. It was fascinating.

At a dinner with Nigerian businessmen afterwards, I asked why this woman was not in the Nigerian Parliament and the answer was simply because she is a woman. It was as bold and as simple as that and came from prominent businessmen in Nigeria. I do not think they approved of that and I think they took the view that it was bad, but that the fact that she was there—admittedly she was an exception—was a move in the right direction towards more equality.

There is a trend for the middle classes in Nigeria to come to London. While I am a trade envoy, I want to take London to Nigeria because I firmly believe that will build a stronger middle class in Nigeria which will help to press for release of the girls and the ending of the Boko Haram menace.

Also, to the extent that I have not had the opportunity to do this so far, I would like to have discussions with the hon. Member for Liverpool, West Derby offline, because anything that I can do when I go out there to push this agenda forward, I will very happily do to ensure that this issue is taken up and pursued with equal vigour by President Buhari and his Government and the British Government.

DFID does and has done a number of things in Nigeria that I want to pick up. One is that, since 2011, the incomes of 1.1 million people have been raised by up to 50%; 200,000 of them were women. That is a very good targeted use of our money in that country. Similarly, in terms of the focus that there has been on state budgets, looking at both education and health, that money has been extremely well spent. It is useful to reflect that the work being done on privatisation of the power sector also has an effect. It, too, leads to a much broader and more secure economy that helps tackle Boko Haram and this whole issue. I understand that DFID now spends more than 60% of its funds in Nigeria in six northern states, which I think is a very good move. It is one that I am sure we all, across the House, will support and, hopefully, enjoy.

Stillbirth

Debate between Lisa Cameron and John Howell

Thursday 9th June 2016 Westminster Hall

[John Howell (Henley) (Con)]

I congratulate the hon. Member for North Ayrshire and Arran (Patricia Gibson) on securing the debate. She has spoken with great passion from a personal perspective. We have all been moved by what she has said. It was very powerful.

I want to make a short contribution on behalf of a constituent and a member of my family. My constituent wrote to me to tell me about how she lost her first child to stillbirth:

“This life altering event has led to us being placed into a world we never knew existed. Sadly, the baby loss taboo leaves many unsupported and prevention affected.”

She has been trying to get information from her clinical commissioning group on what is happening to ensure that such things do not happen again and that more women can be protected. What she has got back from the CCG so far has been a general statement of Government policy, which includes the four principal activities that CCGs are asked to concentrate on: reducing smoking in pregnancy; monitoring foetal growth; raising awareness of foetal movements; and improving foetal monitoring.

That is all very well—I put great emphasis on the improvement of foetal monitoring, so that the information is provided and is fed back to the individual concerned—but my constituent also wants detailed information about what the CCG is doing to ensure that the issue is addressed. The CCG operates across two obstetric units and four midwife-led units and has a small number of babies delivered at home each year. She has not been able to get detail about what that CCG will do to address the situation for the future. I hope we can send a strong message to CCGs around the country that concentrating merely on the Government’s four key objectives is not good enough. What we need is the detailed information on how they are going to go about dealing with this issue through their sustainability and transformation plans to provide reassurance for women who are in this situation.

I appreciate the effect that stillbirth has on women, but it is not exclusively a woman’s problem. The fact that stillbirth occurs is a problem that affects the whole family, and it affects men as well. I know that, to my own cost, through a family incident. It is essential to bear in mind the impact on the mental health of men who are involved in cases of stillbirth and simply do not know where to turn in what is a completely traumatic experience. I urge the Minister to concentrate on providing information about what the Government are doing for the whole family and for the wider community.

My next point is that essentially we are talking about an artificial distinction here. We are talking about the distinction between miscarriage and stillbirth and about a particular period, which comes at around 24 weeks. That is totally unfair. Before the 24 weeks, parents are given no chance to grieve for the baby who has been lost, or to go through the process of putting their lives back together again. We ought to look at that to see whether that distinction is still relevant.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

Does the hon. Gentleman agree that counselling should be available for the whole family on request? We should be seeking to take that forward across the whole UK.

[John Howell]

The hon. Lady is absolutely right. Counselling needs to be provided for the whole family unit to see them through a very traumatic experience.

Trade Union Bill (Eighth sitting)

Debate between Lisa Cameron and John Howell

Thursday 22nd October 2015 Public Bill Committees

[John Howell]

Not at the moment. If we look at Barclays bank, for example, we see that the level of tolerance of this is phenomenal. It is frightening to see that; in fact, it makes one wish to change one’s account straightaway.

In answer to the question asked some time ago by the hon. Member for Cardiff South and Penarth about other organisations that use these methods, I fully accept, as I said at the beginning, that electronic balloting—electronic voting—is gaining wider and wider significance and acceptability. However, the organisations using these methods are approaching that in a systematic way. All I wanted to say at this point was that tremendous caution needs to be exercised. I shall finish again with the opinion of Mr Killock that

“internet voting is a bad idea.”

[Dr Cameron]

It is a privilege to serve under your chairmanship, Sir Edward, and to speak on clause 8. At the outset, I declare again my interests as a member of Unite the union and a former representative of Unite.

We are having a very interesting debate, but we must put it in the context of modern times. This is the way events are moving. It is what the public expect and want, and trade union members are very used to voting electronically or using electronic means in many realms of their lives. We therefore have to ensure that as a society and in this legislative process, we are modernising and it is in kilter with society.

I seek to question whether people’s opinion is based on evidence. Perhaps they are right to some degree to suggest caution, but is it based on evidence from such ballots having taken place in other realms, such as the candidate selection for Mayor of London, which has already been mentioned. However, there does not appear to be any evidence from these actual cases that anything untoward has happened. All of this, apart from being grounded in modern society and the way we live our lives, has to be grounded on an evidence-based approach rather than an opinion-based approach.

Our amendment advocates electronic and workplace balloting. Currently, all ballots and elections in trade unions must be conducted on a fully postal basis. Unlike major companies and other membership organisations, including political parties, trade union members have not been allowed to vote online. We cannot continue to leave trade union members behind; the system must be modernised. I was pleased to hear earlier that the Minister accepts electronic contact and communication in other areas relevant to the Bill.

Trade Union Bill (First sitting)

Debate between Lisa Cameron and John Howell

Tuesday 13th October 2015 Public Bill Committees

[John Howell]

Q 72 We heard from the CBI and the British Chambers of Commerce that all this Bill does is modernise the way in which trade unions behave. It does not introduce a fundamental change in the trade union rules that apply, so it is very difficult in that circumstance to understand why you describe the Bill as unlawful and unwarranted. In the example that you use of not being able to tell what the nature of the dispute is, surely it is in the interests of transparency that that should be settled and be clearly on the ballot paper.

Stephen Cavalier: The problem here—I was in a meeting with some employers’ lawyers and they were expressing it this way—is about forcing such a detailed description of all the matters at issue in a dispute at the start. The lawyers’ concern is that unions will be forced to draw the dispute as broadly as possible to include every single aspect, and moreover, that it is likely to escalate matters because unions will feel reluctant to compromise on individual issues in the dispute, as employers will otherwise argue that consequently the dispute has changed and that there needs to be a re-ballot. It forces extreme behaviour, if you like, and it is likely to mean that a dispute escalates.

In terms of being unlawful, we mentioned in our submission the areas where we believe it contravenes the European convention on human rights and the International Labour Organisation code. The other point to make is that, as the Regulatory Policy Committee said in its response to the impact assessment, there is absolutely no evidence that it will work. In terms of modernising industrial relations, the Regulatory Policy Committee has said that there should be separate assessments of the 50% threshold and of the 40% threshold. It completely rejects the analysis of the likely impact of the threshold on the outcomes of disputes, because there is no analysis of the impact of a threshold on voting behaviour and turnouts in the elections themselves.

[Dr Cameron]

Q 73 The Government are consulting on draft regulations that would repeal the restriction on providing agency staff during industrial disputes. What are your views on these proposed changes? Could they further undermine industrial relations?

Mike Emmott: Our view is that the consultation paper overstates the likely impact of removing the prohibition on employment agencies supplying workers on a temporary basis during industrial disputes. It is already possible for employers to recruit temporary labour without any difficulty, provided that they do it directly. For some of the reasons that emerged from the last witness session, we think that issues of training and safety, never mind the availability of qualified staff, will very considerably reduce the impact of this, which is the third of the consultation issues. It is likely to be pretty much a non-event, except possibly in some cases where employers—maybe large employers—have close relationships with agencies, and on a daily basis they take on quite a lot of temporary labour. It might be difficult to know whether or not particular workers were engaged in replacing workers who are on strike. But in general, we do not think that this particular part of the Bill is likely to have any major impact. I do not speak for recruitment agencies or recruitment businesses, but I think that many of them will be quite reluctant to get sucked into industrial disputes.

Stephen Cavalier: Indeed, the recruitment businesses’ own organisation, the Recruitment and Employment Confederation, has said that this is a very dangerous proposal which it does not support. The Regulatory Policy Committee itself said that there was absolutely no basis for the Government’s assertion that 22% of days lost would be solved by this. Moreover, there are very good emergency arrangements in place to ensure that cover is provided in the public sector, certainly in the fire service and in midwifery. I am sure that people would much rather have those arrangements than agency workers brought in to put out fires or to deliver babies.