(4 years, 2 months ago)
Commons ChamberMy hon. Friend makes an important point. He represents the oldest constituency in the country, so this is an important matter for him and his constituents. This comes back to the central point that it is critical to get the right balance between the measures we take nationally and those we take locally, according to local rates of infection.
There will be a number of relieved parents in my constituency because of the change in informal childcare. I have spoken to primary and secondary headteachers across Gateshead, and it is clear that their difficulty in obtaining tests and getting results quickly is causing real disruption for schools and not allowing them to take swift action to stop onward transmission. I note that the Secretary of State listed teachers in his statement, but will he do more to ensure that tests are available for teaching staff and that results are available more quickly?
Of course I am working to exactly that end. If somebody has the symptoms of coronavirus, they should self-isolate even if they cannot get a test. I understand how frustrating that is, and I am working as hard as I can to try to get those turnaround times as fast as possible.
(4 years, 2 months ago)
Commons ChamberYes, absolutely. As I mentioned in my statement, I want to see the A&E in Chorley reopen as soon as is safely possible. My hon. Friend is right that we have put in a huge amount of support, and we all want to see it reopening. I look forward to the day—I hope soon—when we can announce that that has happened.
As my constituency sees the introduction of the new local restrictions in the north-east, will the Government give extra thought to easing the restrictions on informal childcare? It is an important part of the north-east economy and an absolute necessity for those on the lowest incomes, particularly women. I understand it is something that the local authorities have also requested. Will the Secretary of State think about that again for the north-east?
(4 years, 2 months ago)
Commons ChamberIf people have symptoms of coronavirus, they should self-isolate and get a test. We have heard examples—of course we have—of people having challenges getting tests. I am very glad, though, that in two of the cases that my hon. Friend outlined, home tests have been sent. In the third case, there was clearly a technical problem, given that the barcode is emailed to people who supply their email address. People with covid symptoms need to self-isolate and then, if somebody gets a positive test result, their households also have to self-isolate. These policies are absolutely critical to the control of the virus.
It has been reported that the coronavirus pandemic is leading to a second, quieter epidemic in mental health. The amazing north-east suicide prevention charity, If U Care Share, says that calls to its helpline have risen by nearly 300% during covid, and a survey of Samaritans volunteers found that callers across the country are generally more anxious and distressed than before the pandemic. Will the Secretary of State tell us what plans are in place to ensure that there is support for areas such as mine—Gateshead—before this becomes a crisis?
Yes, absolutely. The hon. Lady is right to raise this. We are putting more support into mental health services, but there is a challenge, especially with people who were not able to access mental health services during the lockdown and therefore their condition got worse and more acute. This is an area that I am working on closely. I have had meetings with the Royal College of Psychiatrists throughout the crisis. I would also like to correct or amend a response I gave in a previous exchange, about which the hon. Lady has written to me, when I said that the number of suicides had fallen. The fact is that the number of suicides reported has fallen, but there are concerns about how many were able to be reported because of delays with coroners. I just want to put on record my correction to that fact, in acknowledgement of the problems in reporting. I reported on the figures as fact, but we should report that those figures are the reported facts.
(4 years, 2 months ago)
Commons ChamberOn a point of order, Madam Deputy Speaker. May I first start by thanking the Secretary of State for putting some of the record straight about the suicide figures for the first quarter of this year? However, he will know that I also asked him to confirm that the suicide figures for the last full year, 2019, have, sadly, risen. I think it is important that we get that on the record as well.
I am happy for that to stand on the record.
(4 years, 2 months ago)
Commons ChamberYes I do, and I put everything I possibly have into driving it as fast as possible, subject to it working effectively.
Today’s Office for National Statistics suicide statistics show that middle-aged men remain at the highest risk of suicide. It is well established that recessions can lead to increases in suicides, but that is not inevitable. What will the Secretary of State do to ensure that suicide prevention is a Government priority and that this group of people is supported through the recession caused by the covid-19 pandemic?
The hon. Lady is quite right to raise this issue. It is good to see the figures showing that suicide rates have fallen, but we absolutely must and will remain vigilant.
(4 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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Following on nicely from that, what local resources and funding will be put in place for local authorities to deal with local lockdowns where they are needed?
We have already allocated £300 million for precisely that task. Making sure that local authorities are properly funded for their important role in local action is of course an important part of the task.
(4 years, 8 months ago)
Commons ChamberI will say three things in response to my right hon. Friend’s questions. On special schools, one of the carve-outs in the closure of schools was keeping open schools for those who are vulnerable, including those with special educational needs. The Bill includes a power to enable us to move from that position, but we do not propose to exercise it unless absolutely necessary. The position therefore is that if someone wishes to send their child to a special school, that is fine. It was one of the specific carve-outs. In the same way, if a key worker needs to send their child to school and cannot look after them at home, schools are available.
My right hon. Friend asked about care. I want to make it clear that for people who are volunteering in response to covid-19 and those who are caring, even if their responsibilities are unpaid or informal, they are okay to do that and should do that. They should stay more than 2 metres away from others wherever possible, but that has to be a practical instruction, because of course we need to care for people. As I said in the statement, travel allows for caring, and I want to make it clear that volunteering in the response to covid-19 is a legitimate reason to travel. For example, the increasing numbers of volunteers in the NHS are important. Although it is not paid work, it is work in the national effort to respond to covid-19.
My third point is that the Patient Safety, Suicide Prevention and Mental Health Minister is sitting next to me and close to me, because she has recovered and all the evidence shows that people cannot catch covid-19 twice, at least not in quick succession. I welcome her back to her place.
Following on the volunteering theme, I know that the Government have already made arrangements for schools and given advice that volunteers may still go in for certain purposes. Will the Secretary of State expand that to cover organisations such as Samaritans, which uses volunteers to travel to call rooms? Will he make it clear that it is acceptable for volunteers to do that?
(4 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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It is a pleasure to speak in this debate. I wanted to take part in it because alcohol harm has been a live issue in Gateshead and the rest of the north-east for a long while. Across Gateshead, which covers my community, the admission rate for alcohol-related conditions in 2010-11 was 817 per 100,000, compared with 643 for England as a whole. However, when we look at 2018-19, the latest year for which we have figures, we see that the rate had increased by 28% compared with an all-England increase of 3%. Admission rates for alcohol-related conditions now stand at 1,045 per 100,000 for Gateshead, compared with 664 per 100,000 across England.
I will talk specifically about minimum unit pricing, as other colleagues have done. Sheffield University research shows that if there was a minimum unit price of 50p per unit, there could be 8,000 fewer deaths, 14,000 fewer hospital admissions and 21,000 fewer crimes related to alcohol consumption every year. The impact of minimum unit pricing would be greatest in the most deprived areas, even though—this point is really important—people in those communities do not necessarily consume larger amounts of alcohol. Nevertheless, nine out of 10 alcohol-related deaths in those areas could be prevented.
I will also say a little about the impact of pubs, because most Members will have been lobbied very strongly by constituents, as I have been, as part of the Long Live the Local campaign, especially in the run-up to the Budget. I agree with the idea behind Long Live the Local. In fact, I will declare an interest, as a community shareholder in the community pub in the village where I live, Ye Olde Cross; we won an award recently for saving our pub. However, having made that plug, pubs seriously have an important role to play in the community.
Evidence already mentioned by the hon. Member for Congleton (Fiona Bruce) shows that minimum unit pricing would have little impact on pubs, as the minimum unit price is aimed at the strongest and the cheapest alcohol. Across the UK as a whole and more specifically across the north-east of England, where my constituency is, 48% of pub managers support minimum unit pricing, because they are competing with cheap, shop-bought alcohol that is consumed at home or while people are out and about.
I want to be clear that to resolve this issue, we should not simply point the finger at individuals; this is a public health issue and it must be tackled as such. For many people, it is linked to poverty, poor social conditions and lack of opportunity, so we need to take a holistic approach to resolving it, and minimum unit pricing is one element of that approach.
I am sure that the Minister knows what I am about to say—we need to restore public health funding. We also need to ensure that public health directors know what their funding is, so that they can provide the appropriate services, as a matter of urgency.
As other Members have said, minimum unit pricing must be part of a wider strategy. I urge the Minister to consider minimum unit pricing as an important part of that strategy along with marketing, which makes alcohol more attractive.
I thank colleagues at Balance North East for their research and for working with me on this issue. I also want to say that this is not about completely stopping people drinking; that is a personal choice. It is about ensuring that the odds are not stacked against people who may find it difficult not to drink to excess.
(4 years, 8 months ago)
Commons ChamberI am grateful for the constructive tone in which the hon. Gentleman asked the questions. This is an example of the House working well, because he and I have sometimes had cross words across this Chamber, but he has asked these two questions quite rightly. The advice given on 111 has to be dependent on the circumstances presented to the clinician giving that advice on the other end of the phone. It is really important that I do not fetter their discretion, but if he comes to me with details of the individual case and wants me to double-check that his constituent got the right advice, I am happy to do so.
On the second point, the deputy chief medical officer had a discussion with the Prime Minister today that was videoed and put on Facebook, and in that she was clear on this question about masks. There is not an advantage in wearing a mask if you are healthy—that is the advice from the medics here—but there is an advantage in respect of keeping others safe if someone who is ill wears a mask. There are also examples of when medical staff will need to wear the right type of mask to keep them safe. But the general advice is: don’t wear a mask unless you are advised to by PHE; or if you are ill, it is perfectly reasonable to wear a mask to stop infecting others—that is an act of generosity.
First, I thank Mr Speaker, his team and the House authorities for ensuring that this statement is signed. A concern has been raised by Action on Hearing Loss and others about the lack of information in British sign language.
This afternoon, my office was contacted by a constituent whose mother is in a care home that has been closed to visitors for what is described as “the foreseeable future”. Will guidance be issued to residential care homes to ensure that the proper arrangements are made for access to residents?
(4 years, 8 months ago)
Commons ChamberMadam Deputy Speaker:
“Good health is an indication that a society is thriving and that economic and social and cultural features of a society are working in the best interests of the population”—
not my words, but those of Michael Marmot last week. It was hard to hear his conclusions on health equity 10 years on from his 2010 report, especially for those of us in the north-east, where we have seen the biggest declines.
In the Metropolitan Borough of Gateshead, which includes my constituency, the gap in life expectancy between the most deprived and least deprived areas has increased: in 2010-12 it was 8.6 years for men, but for 2016-18 it was 12 years; for women, the gap has increased from 8.8 years to 11.2 years. The gap in healthy life expectancy is even more stark: between 2009-11 and 2016-18, the gap in healthy life expectancy for women in Gateshead increased from 4.6 years to 6.2 years. Healthy life expectancy is a significant issue because it creates more pressure as people need support from the NHS and social care.
The Minister said earlier that local authorities need to and can take control of this issue; Gateshead has been doing so, as recognised by Michael Marmot. The North East Child Poverty Commission estimates that 209,272 children throughout the north-east are growing up in poverty. That is 6,224 children just in my constituency of Blaydon, or nine children in a class of 30, living in poverty. There is growing evidence that growing up in poverty has a devastating effect on children’s physical and mental wellbeing.
This morning, I attended the launch of the Royal College of Paediatrics and Child Health report on the state of child health in 2020. During the speeches, I was struck by the president of the college saying that it was too late for him to change his life expectancy—unless he takes up smoking and drinking, which he is not going to do—so he is focusing on the need to act for children. I was also struck by one of the things that the college recommended, which was for the Government to restore the money from the £1 billion real-terms cut to the public health grant for local authorities. It also recommended that funding should increase at the same rate as that for the NHS and be allocated based on population health need.
I would have liked to talk about smoking and alcohol, but time does not permit.