Respiratory Health

Debate between Liz Twist and Jim Shannon

Thursday 14th November 2024 Westminster Hall

[Liz Twist (Blaydon and Consett) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Rosindell. I thank the hon. Member for Strangford (Jim Shannon) for securing this debate. We spent many years working on these issues together, when I was in opposition.

[Jim Shannon]

I am still here in opposition, but the hon. Lady is now over there on the Government Benches.

[Liz Twist]

We worked together as part of the APPG for respiratory health. I pay tribute to the work of that APPG’s members, as well as to the clinicians and patient organisations involved, including Asthma and Lung UK and Action for Pulmonary Fibrosis.

Respiratory illnesses have a disproportionate impact on the most deprived communities. In my constituency of Blaydon and Consett, the rates of conditions such as COPD are particularly elevated, and I have seen at first hand in my surgeries over the years how debilitating they can be; they can affect every part of a person’s life, from their mobility to their mental health, and tackling them is key to tackling health inequalities. Deprivation is linked not only to heightened rates of respiratory illness, but to faster rates of progression and poorer outcomes. That is true for terminal diagnoses such as pulmonary fibrosis, which has outcomes similar to common cancers, as well as for more common conditions such as asthma, which has seen a 25% increase in deaths over the past 10 years.

We know that the biggest driver of preventable lung disease is smoking, which is responsible for half of the difference in life expectancy between our richest and poorest communities. I am pleased that this Government are taking the decisive action that is needed to protect future generations through legislation, and I am particularly proud of the work that has been done over a number of years by Fresh, which sees public health and ICBs working together to tackle this issue.

Access to timely diagnoses and appropriate clinical pathways is vital for ensuring that people get the best possible treatment, but such access varies between conditions and areas of the UK. Of about 1.7 million people living with COPD in the UK, 600,000 are undiagnosed. Meanwhile, one person in every three has never heard of pulmonary fibrosis, which can lead to people receiving incorrect diagnoses, such as asthma. Incorrect diagnoses of severe asthma are common among children with the genetic condition primary ciliary dyskinesia. It is not a mild condition. In fact, children with PCD—I am not going to try to say it again—have a worse lung function than children with cystic fibrosis. It is vital that we do what we can to raise awareness of these conditions, including the rare condition of PCD, and their impact, whether they are primarily genetic in nature or driven by preventable causes.

We know that our NHS is in a really difficult place, following 14 years of Conservative mismanagement. We lost 14 years in which we could have made progress to improve the lives of people living with these conditions, but instead, they were left extremely vulnerable to the pandemic, following a decade of under-investment and disastrous top-down reorganisation by the previous Government. That is not the fault of our NHS staff, who are working hard to provide services in very difficult situations—I want to be clear about that—but the state of our health service at present was laid bare in the Darzi report just a few weeks ago. Among many other things, the report specifically notes the poor outcomes for respiratory conditions in people with learning disabilities, as well as the link between the rise in these conditions and the growing levels of damp often found in the private rented sector.

We have a long road to travel to fix the problems we have inherited, but I am proud to serve under a Government who are committed to huge investment in our NHS, and who have already made key steps towards a prevention agenda. Better public health and community care will be really important for tackling respiratory conditions and the shocking health inequalities that follow from them. I know that the Government have a sharp focus on preventive measures, such as those mentioned by the hon. Member for Strangford, and will look at how we can best improve our access to diagnostics and treatments, including biologics, for respiratory health.

Violence and Abuse towards the Retail Workforce

Debate between Liz Twist and Jim Shannon

Tuesday 5th December 2023 Westminster Hall

[Liz Twist]

I most certainly do agree. My hon. Friend’s experience of visiting shop workers has clearly been the same as mine. She has heard the same stories, so we must do something to make such violence a specific offence.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for securing this debate. This is a massive issue in my constituency. My eldest son used to manage a local shop in the high street of the main town where I reside. He has made me aware of a few occasions when young people have gone in at night to steal items from the store and created a severe sense of fright and fear among the staff. A young girl who worked in the shop, a 19-year-old, was scared stiff—I use those words on purpose.

Does the hon. Lady agree that retail staff often face the most violent torrents of abuse and that more must be done to protect their security? That could include two things: panic buttons or immediate access to the police. Quite often, the police do not attend.

[Liz Twist]

I thank the hon. Member, who is right to remind us that the issue is about not only supermarkets, but small shopkeepers; I think of some of the villages in my constituency.

I want to talk about some of the comments from shop workers in the north-east given in response to USDAW’s survey. I thank USDAW for sharing them with me. These are quotations. One person said:

“I have had name-calling, threats of being hit with bottles, needles and actual assault.”

Another person said:

“Shoplifters swing crutches, punches and bags. They have made threats on my life and talked of getting me jumped.”

Another said:

“There are homophobic insults, intimidating words and being spoken down to.”

Yet another said:

“I have been pushed over, punched in the head and jostled by a large group.”

I am sure that MPs across the House will agree that no one deserves to suffer such abuse simply for doing their job, and that is true whether someone has been working in a shop for 20 days or 20 years.

We should also highlight the fact that retail has a young workforce. More than one in four retail workers is under the age of 24 and more than 60% of new starters in retail are in that age bracket. Indeed, a small but significant proportion of retail workers are aged just 16 or 17. Retail offers fantastic opportunities for young people to get into employment and it is shameful that they might be deterred from doing so because of the abuse that might be inflicted on them. Many workers also have caring responsibilities that they fit around their shift patterns. It is unconscionable that they are experiencing such fear in their daily working lives.

I encountered these stories in my own constituency, but the figures suggest that this local picture is representative of national trends. In March this year, the British Retail Consortium published a report on the scale of the abuse and violence towards shop workers. It found that incidents including abuse, physical assault and threats with weapons had risen from 450 per day in 2019-20 to around 850 per day in 2021-22. It also found that only 7% of incidents of violence or abuse were prosecuted.

Cost of Living: Financial Support for Disabled People

Debate between Liz Twist and Jim Shannon

Monday 22nd May 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

Thank you very much for giving me the chance to speak today, Sir Robert. I thank all those who signed the petitions to enable us to discuss these issues. In particular, as I always do, I sincerely and honestly thank the hon. Member for Battersea (Marsha De Cordova) for setting the scene so well. She is a lady with compassion and understanding, and she delivered a message with which, as she said, we can all concur. I also thank all hon. Members who have made contributions and those who will follow, whose contributions I very much look forward to. I also look forward to the Minister’s contribution. I think the Minister understands the issues, and I wish to ask him a number of questions. I hope that we can achieve the goals that we wish to achieve and get the answers as well.

I have stated many times, as have many others, that the cost of living impacts on many people. The issues have not yet subsided: we still see incredibly high costs for the most basic needs and many struggle to afford them. I also wish to give a Northern Ireland perspective on debates—hon. Members expect it and they will get it. My observations and contributions will reflect what others have said.

The debate is specifically about the cost of living and support for disabled people, and I wish to focus on that. I see this every day in my office, more so over the last period of time. I am not blaming the Government, by the way; that is not what this is about. It is about solutions. I am always about solutions—I am solution-led and solution-driven. That is what I wish to see.

Many people, especially those who are disabled and are financially challenged, are struggling to afford things in the current climate. It is important that exceptions are made for them and that their specific needs are taken into consideration. I see poverty every day in my constituency. I see families struggling to deal with it and mums who starve themselves so that their children can get food. Those are the realities of where we are, and that is why I look to the Minister and the Government to make these important changes so that we can address the issues that we see every day. Every hon. Member in the Chamber sees those issues as well.

As the hon. Member for Putney (Fleur Anderson) said, the DWP needs to expedite its system and address the fact that progress takes so long for those who are disabled. We have asked this before in the Chamber, and we ask the same question today: can it be expedited? The week before last, on the front page of my local paper, there was a report on food bank referrals in my constituency. The manager of the food bank, which is the first Trussell Trust food bank in Northern Ireland, and a very active one, said that referrals were up as much as 50% in one year—wow, I need to take a deep breath when I say and understand that. Christians Against Poverty also states that referrals are significant. All those people come together to help, and I am encouraged by the number of churches and individuals who help such organisations.

The hon. Member for Putney also referred to benefit issues and ME as one example of how people cannot cope with the systems, and she spoke about how long the DWP appeals process takes. I would add to that those with anxiety, depression and emotional issues. People who come to my office can be quite anxious and extremely confused about the system. What is being done to help people with anxiety, depression and the emotional overtures that affect their everyday lives? I know the Minister wants to help, and I certainly do.

Complex physical needs compound the issues and sometimes confuse the DWP’s interpretation of what is needed when a person sits in front of them. I see it very clearly. I have a member of staff in my office who does nothing but benefits because not everybody understands the benefits system. People need coaxing, help and support, and we try to provide that.

One of the petitions that we are discussing concerns the £650 payment, which people with disabilities should be eligible for. People who suffer with disabilities have very specific needs, some in relation to their diet and the food that they eat. There is an important cost factor in a specialised diet.

[Liz Twist]

The hon. Member reminds me of the work that we have done together on rare diseases, and Muscular Dystrophy UK has produced a report on the impact of cost of living rises and how that affects wellbeing.

[Jim Shannon]

The hon. Lady sets the scene very well. I thank her for that intervention because it reminds us all of the impacts on a section of the community across this great United Kingdom of Great Britain and Northern Ireland. We see the impacts every day, and we are trying to convey that to the Minister so that he can grasp what we are focusing on and give us the answers that we seek.

Inflation rates for food have gone up in the last year by 13.1% in Northern Ireland. Expanding the payment to people who suffer with disabilities would help them to stick to their routines and be able to rely on what they need to stay alive. I am not exaggerating the matter—they need it to stay alive. That is what I see in my constituency on a regular basis.

In addition, I have had numerous constituents raise concerns with me regarding the amount it costs to run certain types of medical equipment; the hon. Member for Blackpool North and Cleveleys (Paul Maynard) said the same thing. I deal with these matters every week: people with stairlifts, pumps for feeding tubes, electric wheelchairs, bath seats, and, more than ever, mobility scooters. Those of us who are able-bodied do things for ourselves, but we have constituents who cannot, without help, deal with the extra charges that come their way. I compassionately and respectfully urge the Minister and the Government to provide some form of grant to help ease the costs for the many people who must run medical equipment. Such issues are not momentary; they are there for a lifetime. The sad reality is that some people require those pieces of equipment to survive and continue to live. It is often a matter of life or death for them. That is the cold reality of where we are today with some of my constituents and those of others who have spoken.

Those constituents are no stranger to the increases in electricity and gas, and it is unfortunate that so many of my constituents have to deal with the impacts of that. We must do more to speak on behalf of those who are disabled and struggling to pay the increased cost of electricity and heating payments. There is certainly a conversation to be had about disabled people and employment. We need to air that today as well—today’s debate is perhaps a chance to do so—but in a constructive way. For some of those on non-means-tested benefits, there is an option for getting into employment, which must be made accessible to them. I welcome the many employers who have made a constructive and positive decision to be disability friendly. It is wonderful to see so many encouraged into work by so many, but there is still more to do.

Cystic Fibrosis: Living Costs

Debate between Liz Twist and Jim Shannon

Thursday 2nd February 2023 Westminster Hall

[Jim Shannon]

The hon. Gentleman has summed it up in that one sentence. I said when he made his maiden speech last week that his contributions will add much to this House. That is one of them, and I thank him for it. I wholeheartedly support him.

I again ask the Minister—she knows these requests, because I have made her Department aware of them—to remove VAT on energy bills. That is important for people with CF because, at a time when energy bills are already astronomical, the median energy bill for an adult with CF is £26 higher every month than for typical households. For parents of children with CF, the figure rises to £36, because they do more and keep more heat in the house for their children. Adults can sometimes bear with it a wee bit, but there is still a cost factor.

[Liz Twist (Blaydon) (Lab)]

The hon. Gentleman is making an excellent speech. Does he agree that it is really important that people with lung conditions have the right environment at home and the right heating? The additional costs, especially given the rising energy costs, mean that we must take care of those people who need extra heat. That applies especially to people with CF.

[Jim Shannon]

The hon. Lady is absolutely right. I thank her for her contributions on this subject. She brings much knowledge to these debates. I am pleased to be a member of the all-party parliamentary group for respiratory health with her. We work with others to ensure that we can pursue matters, and today we are pursuing this matter for our constituents.

Working People’s Finances: Government Policy

Debate between Liz Twist and Jim Shannon

Tuesday 21st September 2021 Commons Chamber

[Liz Twist (Blaydon) (Lab)]

Let me start by saying that I make no apology for referring to a subject that I have talked about very often in this House and in questions—universal credit and child poverty, which are inextricably linked. I want to talk again about the serious and really disproportionate effect that ending the universal credit uplift will have on people in my constituency of Blaydon and across the north-east.

Many constituents have written to me expressing their concern about the cut—the loss of the £20. I have heard both from people who receive universal credit themselves and know what a huge difference that has made to them, and from those who are concerned about other people in their community who will be affected by the cut. There is a real and genuine concern about how people will suffer as a result of the loss of that £20.

One of the many constituents who got in touch with me, Stacey, will, after the cut, no longer be able to afford to take her child to their hospital appointments as the travel fare is too expensive, leaving her, she says, to choose between buying food and accessing healthcare. Stacey’s story highlights perfectly what we know from the data and what we hear from charities across the region. Forty-six per cent. of families with children in the north-east will be affected by the universal credit cut, and that in a region that already had the second highest level of child poverty in the country before the pandemic. The cut will leave families worse off.

Of the 20 constituencies with the highest increases in child poverty between 2014 and 2019, 17 are in the north-east. In my constituency of Blaydon, 27% of children live in poverty. That is data from before the pandemic.

[Jim Shannon]

The hon. Lady is bringing forward the very important issue of child poverty. Charities have indicated to me that child benefit is a godsend, but they also say that the benefit cap has remained the same since 2013 and that, in the same period, inflation has been 17.56%. That means that people who have been on the same wage for eight years will find that if they go to their boss and ask for a wage increase, they will lose their child benefit. Does the hon. Lady agree that it is time to address that too?

[Liz Twist]

I thank the hon. Member for his intervention; of course, I absolutely agree with the important point he makes.

Some 7,320 households in my constituency of Blaydon, or 21%, will be affected by this cut, which represents a combined loss for low-income households in Blaydon of £146,400 a week. That is £146,400 being sucked out of the local economy each week, virtually overnight. Is that levelling up for my community? I thank the North East Child Poverty Commission for the important work it does to produce such figures, which graphically illustrate the problems we are facing.

We have talked a lot about jobs as well, because universal credit is as much an in-work benefit as it is an out-of-work benefit. Some 40% of those on universal credit are in work, many doing really important key worker jobs that did so much for our society during the last 18 months of the pandemic. This is not about people being lazy and wanting handouts. Low wages, poor-quality jobs, zero-hours contracts—they all mean that being in work is no longer enough to be out of poverty in this country.

Acquired Brain Injury

Debate between Liz Twist and Jim Shannon

Thursday 9th May 2019 Commons Chamber

[Liz Twist]

I thank the right hon. Gentleman for those comments. I most certainly agree that we need to have very specific proposals on how we can support people and to make sure that the support is actually put into place as well. As we know, there can sometimes be delays in achieving the ECHP, so I hope that more work can be put into that as well.

The Child Brain Injury Trust, which does excellent work in this area, has issued a call for action that includes some quite practical steps. It tells me that professionals across the field of acquired brain injury educational psychology are working hard to achieve the changes needed to support children in education following an acquired brain injury, but this requires all parties to listen and to implement the recommendations of the “Time for Change” report.

An acknowledgement of the support and interventions needed for paediatric acquired brain injury is required to limit the long-term societal costs and impact that this disability can have. Of course, it affects society as a whole, not just the individual. We want to give people the best chance in life, and that is why it is particularly appropriate to look at how we can support children who have an acquired brain injury. There needs to be improved training for newly qualified teachers—currently, acquired brain injury is not covered in that training—and a national campaign of recognition that acquired brain injury affects an additional 40,000 children and young people every year and has a significant impact on society.

The Child Brain Injury Trust says that acquired brain injury continues to be misdiagnosed and misunderstood, and our current system, and lack of knowledge and support, is letting down thousands of families. Funding is required for whole-family support. We need improved training for educators and youth justice teams, because over 60% of young people in custody report prior head injury. As other Members have mentioned, many young people affected by acquired brain injury are excluded from school due to their “inappropriate behaviour” and then go on to commit crime. Therefore, better knowledge of the condition and improved support has the potential to save society huge sums of money otherwise needed for youth justice.

The Child Brain Injury Trust calls for involvement and commitment from the Department for Education to support and fund some of these recommended initiatives. As I said, I hope that the Department for Education will take a more active part in looking after these young people and look again at its response to see how it can be improved.

The other area I want to touch on, which has already been mentioned by a number of Members, is acquired brain injury and carbon monoxide poisoning. This is not something that I had thought of myself. It shows, again, how many areas of our lives and our environment affect people and can cause acquired brain injury. I am a member not only of the APPG on acquired brain injury but the APPG on carbon monoxide, and earlier this year we had a special roundtable meeting chaired by my hon. Friend the Member for Rhondda. One of the difficulties is recognising when people are suffering from carbon monoxide poisoning, especially the impact that that can have on the brain. The shortage of support is particularly difficult for people with an acquired brain injury caused by carbon monoxide poisoning, as they are less likely to receive specialist treatment if they experience low-level carbon monoxide exposure that results in more subtle neurological effects. To address this, the APPG on carbon monoxide recommends that NHS England develop a specialist clinic for people with long-term neurological effects caused by carbon monoxide exposure. This will help to plug the gap in care provision and enable future studies that will innovate treatment methods.

We must also remember that, as the Government said in their November 2018 health and social care policy paper, prevention is better than cure, and preventing carbon monoxide poisoning will also prevent some of these acquired brain injuries. The APPG recommends that the Government introduce preventive measures, including mandating carbon monoxide alarms in all tenures. I know that the Government are already looking at this in certain tenures, but it should be across all tenures. Carbon monoxide monitors should be provided for those in first-time pregnancy. We must tackle substandard housing that increases the risk of carbon monoxide exposure. We also recommend that Public Health England and the Foreign and Commonwealth Office do more to raise public awareness of carbon monoxide, to encourage risk-lowering behaviours at home and abroad. The special roundtable meeting that we had was very productive. We had a high number of medical people there who were recognising this problem that perhaps the rest of us had not recognised until now. We need some practical steps to improve that.

I have mentioned the Child Brain Injury Trust’s recommended actions, particularly on education. There is so much more that I could say, but much of it has already been said, so I will only mention a few things. We are seeing more people survive severe trauma, and we must give more effective support after they recover from their immediate injury, to help them develop their life.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Lady for giving way. I have personal experience of this through my brother, who unfortunately had a very severe accident, which left him brain-damaged. Owing to the determination of my parents and family, who took the time to care for and look after him, we were able to give him some sort of an independent life, which is very important. He is happy and safe with his carers, friends and family. Does the hon. Lady agree that more needs to be done to support the families of those with ABI, to give them hope that there can be more than Sunday visits to a designated place—there can be a home life as well—and there is a chance of a semblance of normal life for people with ABI? Intensive care packages are essential to rehabilitation, and funding must be available for them. It is so important to give people who have acquired brain injury a normal life, if at all possible.

[Liz Twist]

I thank the hon. Gentleman for his comments. I certainly agree that we must give more support to the carers and families of young people or adults with acquired brain injury, while allowing the person who is directly affected to have as full and good a life as they can.

I want to mention the “One Punch” campaign. We are becoming increasingly aware of the impact that one punch on a night out, perhaps after a lively evening, can have. It can be devastating, and I am glad to see campaigns around the country aiming to ensure people are aware of that. We have talked about how sports must keep up the level of support and awareness and, if in doubt, sit people out. That is really important. We have also heard about the huge impact on our prison community. We must develop a response to that, so that we can take account of acquired brain injury and how it affects people’s behaviour and development.

Headway has made some recommendations. It says:

“Brain injury can happen to anyone, at any time. Living with the effects of a brain injury creates challenges in almost every area of life.”

That is so true. Headway is calling on Members of Parliament to recognise and support the needs of service users, families and carers, including greater understanding of the complexity and hidden effects of brain injury; wider recognition of the symptoms of brain injury, to ensure rapid and accurate diagnosis; access to timely, specialist rehabilitation and support services; an end to lengthy waits for social service assessments for support funding; changes to disability benefit assessments, which currently fail a large number of brain injury survivors and their families—Headway has a campaign called “Right First Time”—and more effective data gathering across the NHS, to provide clearer evidence of the needs of survivors, around diagnosis, acute care, longer-term rehabilitation and support to regain independence. Acquired brain injury is life changing, and we must do everything we can to support people across all spheres of life.

Blaydon Quarry Landfill Site

Debate between Liz Twist and Jim Shannon

Monday 1st April 2019 Commons Chamber

[Liz Twist (Blaydon) (Lab)]

I am very pleased to have secured this Adjournment debate on the Blaydon Quarry landfill site. It is a matter of great concern to my constituents in the communities surrounding the site.

My constituency has had more than its fair share of landfill sites, both in the past and more recently; there are landfill sites on either side of the main road from the town of Blaydon out to the west, so complaints about them are a constant. In 2016, there was a major incident at one of them, Path Head, when for months a heavy, sulphurous smell hung over large parts of Ryton, causing intense concern about the impact on health and seriously affecting residents’ ability to enjoy a normal life. Thankfully, that site has now closed and is being restored, but it has left an enduring concern about the effect that landfill sites have on our communities. In particular, it has had an effect on the established former mining community of Stargate and Crookhill, within just a few hundred yards of the site, which have had to endure odours and other problems throughout its life, but it also affects the Stella area. It is in that context that this debate and the concern of my constituents must be understood.

I turn to the subject of tonight’s debate. Blaydon Quarry is a landfill site in the west of my constituency. It is located in the village of Greenside, but is surrounded by the communities of Greenside, Winlaton, Barlow, Stargate, Ryton, Blaydon Burn and Blaydon itself. It is very close to each of those communities, and each has felt the impact of the site over many years. Over the years, there have been a number of different site operators—Premier Waste, Niramax, Octagon Green Solutions—each bringing its own problems. The site is now owned by a company called Recyclogical, but following the refusal of a transfer of the environmental permit to it last year, Octagon Green Solutions remains as the permit holder and site operator—an issue to which I intend to return later.

Over the period that my predecessor, Dave Anderson, was the Member of Parliament for Blaydon, and while I was a local councillor, residents have consistently—perhaps I should say, persistently—complained about the Blaydon Quarry landfill site, so this is by no means a new issue, but it is a very current one.

[Jim Shannon (Strangford) (DUP)]

I spoke to the hon. Lady beforehand to seek her permission to intervene. As her case is very similar to ones I have had in my constituency of Strangford, I wanted to make a short intervention. Does the hon. Lady agree that it is essential that quarry landfill sites are held to the highest standards when it comes to neighbourhood issues? A little common sense and perhaps a little money as well from quarries in due season would go a long way in ensuring good neighbour relations and, subsequently, result in fewer complaints. In the council I served on, Ards Borough Council—it is now Ards and North Down Borough Council—there were some issues, and we were able to have those issues addressed. Does the hon. Lady agree that people have a right to live in peace at night and without offensive smells, no matter what their postcode is?

[Liz Twist]

I agree, of course, with the hon. Gentleman’s last statement, but I disagree with some of his earlier comments, because I think the time is now ripe for us to go beyond monitoring, controlling or whatever. We need a totally different approach to landfill for the benefit of our communities.

As I was saying, over the period that my predecessor was in post and I was councillor, there were persistent complaints about the site, so it is by no means a new issue, but it is a very current one. Most recently, about two months ago, as they have done on many previous occasions, many residents contacted me about a bad smell in the air. I call it a smell, because calling it an odour, as the official documents do, is far too polite. In fact, residents did not need to contact me about it, as I could most definitely smell it myself when I was at home. The smell was persistent and very unpleasant. Some people reported the smell to the Environment Agency’s incident hotline, and many more complained to me, to councillors and to neighbours.

I raised the issue with the Environment Agency team, who were responsive, as always. Residents were very pleased to hear in mid-February that the site had been stopped from receiving waste for a period of up to two weeks while the operators fixed the problem of the smells from uncovered waste that were affecting our communities. The required action was taken and the tip reopened for waste, but problems continue.

That was just one of the latest incidents at the site that have blighted our communities over several years and, frankly, our communities have had enough. They have had enough of bad smells, enough of heavy vehicles on our country lanes, enough of litter from the site and trucks being scattered in our fields, and enough of dust from the site. They have had enough of the site and want to see it closed, and so do I. That will come as no surprise to the site owner or operator as I have made my views clear in the site liaison meetings, when we have had them—they are often very heated—and elsewhere.

In early 2015, during a period of high winds and despite advice from the Environment Agency, there was a huge escape of litter from the site, with litter sprayed around the hedges, in fields and in trees. Our usually green and pleasant area was festooned with rubbish. It was, frankly, disgusting and not easy to clear, and still today the tatter of plastic bags can be seen in trees and bushes around the periphery of the site. It created a huge outcry, with residents protesting, angry at this littering of their local environment. It was environmental vandalism of the highest order. No lay person could fail to see the devastating nature of this rubbish escape. Astonishingly, after consideration by the Environment Agency legal team, we were told that it was not possible to prosecute that breach, even though the scale of the devastation was clear to local residents.

Over the years, there have been other issues too. The Winlaton Action Group was set up by local residents after many people found dust settling on their cars and became extremely concerned about the impact that this and other issues at the site were having on their health. That remains a concern for local people, particularly in the context of the major problem that I mentioned earlier at the Path Head site causing really bad smells over a long period.

Another issue is the height to which rubbish is being tipped. I met some residents recently in Stargate, Ryton, who showed me photographs of an uninterrupted view past the landfill site over to a neighbouring village. When we lifted up our eyes from the photograph, all we could see was a mound of rubbish with a digger on top. The Environment Agency has been out to check the height and I understand that some action is being taken, but the tip has changed our local landscape.

Then there are the large lorries that transport waste from other parts of the country to Blaydon. It is not even our rubbish that is being tipped at the site—it comes from all over. Our waste goes to an energy from waste site under the South Tyne and Wear Waste Management Partnership. Not only is it inefficient for trucks to transport rubbish for miles and miles, but it is a hazard on the narrow roads immediately surrounding the site, creating mud and dust for other road users.

The Environment Agency, with whom I meet frequently, has sent me a list of enforcement actions taken since 2012—I am sure that the Minister will have a copy. It shows that there have been a number of formal interventions as well as the usual monitoring and advice that takes place.

In December 2014, an enforcement notice was served under regulation 36 of the environmental permitting regulations requiring actions following an escape of litter from the site. That ensured that any escaped litter was collected and that the site-specific litter management plan was revised. In March 2015, another enforcement notice was served under regulation 36 requiring actions following a further escape of litter from the site. That ensured that the further escaped litter was collected and that the site-specific litter management plan was again revised. Additional control measures were installed on the site.

In February 2016, a regulation 36 enforcement notice was served requiring the progression of engineering works to manage landfill gas. This notice ensured additional gas extraction wells were installed within a recently completed area on the site. In July 2017, a regulation 36 enforcement notice was served requiring improvements to the leachate management system on site. This notice ensured that more leachate was removed from the site, rather than just being recirculated around the site. In January and February 2018, two further regulation 36 enforcement notices were served, requiring the implementation of additional engineering works to manage landfill gas. These notices were served following odour issues identified from landfill gas emissions. The notices required the installation of additional gas extraction and further areas of capping.

In February 2019, a regulation 37 suspension notice was served, preventing waste inputs while remedial works were carried out. The notice was served following complaints of odour from the site. The odour complaints were linked to an area of waste not properly tipped or covered. The notice required that this area of waste be re-profiled and covered appropriately. The notice was served on 19 February. The work was completed and the notice lifted on 26 February. As we can see, there is a whole series of issues concerning smells, leachate and litter, on top of the day-to-day concerns residents have raised and continue to raise through liaison meetings and meetings with the Environment Agency.

Of course, it is not just the Environment Agency that is concerned with regulating the site. Gateshead Council also has a part to play through planning enforcement. There is quite a catalogue here, too. In May 2018, there was a report to the planning committee which summarised the outstanding issues, including: restoration of some completed areas; ecological provisions, including nesting for sand martins; and, perhaps most importantly, proposals for the drainage scheme on site. As late as last week, the council issued the company with a letter refusing to discharge all but one of the planning issues that had been raised. All that came after a stop notice was issued by the council in April 2018 requiring the removal of caravans from the site. The caravans were removed, but really they should never have been there in the first place.

On top of that, we have a very real concern that the split between the operator holding the environmental permit and the land owner, who appears to be actually working the site, represents a real danger for the effective running of the site. There have now been three applications for the transfer of the environmental permit and none has been granted. That has to raise real questions about the sustainability of the current arrangements and people are quite understandably concerned that this exposes our communities to further risks, as clearly the current operator, having sold the site itself, wishes to give up the permit.

My constituents and I are well and truly fed up with the impact the landfill site is having on our environment and our lives. We just cannot understand why repeated breaches on planning and environmental grounds cannot lead to the landfill site being closed, safely, once and for all, and the site restored. I should say that in my experience, staff at both the Environment Agency and Gateshead Council have been very good and helpful in pursuing the issues we raise, but we have had enough and believe that the site should be closed forthwith.

So what am I asking the Minister for? First, to strengthen the law covering landfill and waste sites to ensure that, where there are recurring problems, communities do not have to continue to endure the problems arising from landfill sites. We need much stronger powers for the Environment Agency to act to really protect our environment and to deal with landfill operators that fail to meet their duties as good neighbours.

Secondly, I ask the Minister to work with her colleagues in the Ministry of Housing, Communities and Local Government to strengthen planning enforcement, but moreover to ensure that no landfill sites should be allowed so very near to where people live, as is the case in Blaydon. There are families living immediately around the perimeter of the site who, over the years, have suffered from incidents directly affecting their properties, as have the villages and the people who live in communities just that little bit further out. Living next to a landfill site is never going to be pleasant and we must tighten up planning to ensure that this can never happen again.

Thirdly, I ask the Minister to take practical and legislative steps to end the use of landfill sites by strengthening environmental legislation and reducing waste to landfill. Fourthly, and perhaps most importantly for my community, I ask her to work with me, my constituents and statutory bodies to see that the Blaydon quarry landfill site, like the neighbouring Path Head quarry site, is closed safely and restored, to bring an end to the years of misery my constituents have had to endure.

Transport Safety: Blind and Visually Impaired People

Debate between Liz Twist and Jim Shannon

Wednesday 6th June 2018 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

The hon. Lady has secured an Adjournment debate on an important subject. Does she agree that, with 250 people a day starting to lose their sight in the United Kingdom of Great Britain and Northern Ireland, there is a real need for an increase in the number of specialised public buses and trains for the sight impaired in both rural and urban locations, to ensure that constituents with a sight impairment are not isolated?

[Liz Twist]

I very much agree that it is important not only that there is specialised transport, but that all public transport is accessible to people with a visual impairment.

NHS Wholly Owned Subsidiary Companies

Debate between Liz Twist and Jim Shannon

Tuesday 6th March 2018 Westminster Hall

[Liz Twist]

I most certainly do agree with my hon. Friend. We know that NHS trusts are under incredible financial pressure and are looking for ways to stretch the available funds. Some trusts have seen wholly owned subsidiaries as a way of reducing costs. Those trusts include the Gateshead Health NHS Foundation Trust, which provides excellent hospital services to many of my constituents.

The cost savings come about in two main ways: through saving VAT and by saving on staffing costs. For some, there may be a third area of income—advising other NHS trusts on going down the same path, which is one of the reasons why they are spreading across the country. In November 2017, the then Health Minister, the hon. Member for Ludlow (Mr Dunne), stated that:

“NHS Improvement is aware of 39 subsidiaries consolidated within the accounts of foundation trusts”—[Official Report, 14 November 2017; Vol. 631, c. 129.]

We know that more are being created even now.

[Jim Shannon (Strangford) (DUP)]

The issue of pensions is very much at the forefront of the minds of myself and others in this House. Does the hon. Lady agree that it is essential that staff working through the front door of the NHS or the back door of the wholly owned subsidiary company must be entitled to retain their NHS pension? Any attack on the pension scheme must be wholly rejected and the trusts must all be made to understand the position on pensions when these types of actions are taking place.

[Liz Twist]

I most certainly do agree, not just for pensions but also for terms and conditions.

What is the problem with these companies? First, it is that they come at a price, which for the most part is met by the staff who work for them. Secondly, the VAT saved by trusts with these companies is not new money coming into the NHS—the money that trusts save will be lost elsewhere in public services. Already, the Department of Health and Social Care has reminded trusts by letter that they should not engage in any activities that may be construed as tax avoidance, and the loophole could be closed in the future. Thirdly, the establishment of wholly owned subsidiaries leaves the services open to privatisation in the future, continuing the fragmentation of our NHS.