(3 weeks, 3 days ago)
Commons ChamberIn its inquiry on China from July 2023, the Intelligence and Security Committee, of which I was a member at the time, concluded that China was a threat. The Committee took evidence not from junior security officials, but from the chief of the Secret Intelligence Service, MI6, the director general of the Security Service and the director of GCHQ, the chief of Defence Intelligence and—this is an important “and”—all the deputy National Security Advisers at the time. That is already public; they reported to the Committee.
That report is clear and unambiguous in calling out China as a national security threat to UK interests. It is also crystal clear, taking the report as a whole, that China’s threat is both live and active. The report was from July 2023, and the alleged offences took place, apparently, from December ’21 to February ’23. I am aware that the refresh of the integrated review of ’21 was in March ’23. However, the Committee’s inquiry started taking evidence from those senior officials from November 2017 to a similar time in 2019, and then the subsequent Committee carried on its work. Senior national security officials were giving evidence to the ISC about China being a national security threat well before the offences happened in this place.
If we have the directors of all the intelligence agencies suggesting that China is a threat, it does not get much better than that. We have great deputy national security advisers, but their line managers—their directors, their bosses—were also clearly stating that China was a national security threat. In fact, the word “threat” is mentioned 284 times in that 207-page report.
The key word in this whole episode involving the deputy National Security Adviser—that is, the DNSA for intelligence, defence and security, not the other two remaining DNSAs, unless the Minister wants to correct me—is “active”. The question is whether China was an active threat, as underscored by the testimony to the Joint Committee on the National Security Strategy yesterday. The evidence in the ISC’s report would suggest that China has been known to be an active threat for some time. I have mentioned the various reviews. Indeed, in his own witness statement, the DSNA refers to China conducting “large-scale espionage operations”. Again, this is not a historical reference or a past-tense reference; it is clearly referring to the here-and-now operations taking place today. There is clearly an active threat, not just a general or undetermined threat.
China being an active threat was also underscored by the director general of the Security Service’s recent speech, in which he referred to China’s
“cyber-espionage…clandestine technology transfer…interference in UK public life”
and
“harassment and intimidation of opponents”.
Once more, these threats are not just historical; they are current and active, happening in the UK right now. They have not stopped. They are increasing. They continue.
(4 months, 1 week ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to serve under your chairmanship, Mr Pritchard. I, too, thank the hon. Member for Leicester South (Shockat Adam), who is a colleague both in my region and in primary care. His powerful testimonies about patients and what they suffer are exactly why he is an asset to this House. He presents information that we all need to hear when we debate health issues.
The hon. Member for Alloa and Grangemouth (Brian Leishman) spoke about the fantastic Perth royal infirmary. It is lovely to hear a success story. We do not hear enough success stories about the NHS, because the good news, despite what we hear in this place, is that the NHS broadly does a fantastic job for many patients, and we should never forget that. The experience he described is what we want to see across the country when it comes to dealing with glaucoma.
The hon. Member for Strangford (Jim Shannon) is nothing if not tenacious and consistent because, when I checked the records, I saw that in April 2024 he introduced a similar debate to raise this cause and to make sure people hear about it. He is a credit to his party and the people he represents when it comes to raising health issues.
The hon. Member for North Ayrshire and Arran (Irene Campbell) talked about NHS working groups. I have worked in places that have had PEARS—primary eye care acute referral schemes. Patients love them, GPs love them and I think the opticians and those who work in the services love them too, because they allow better joined-up care, which is what we all want.
Glaucoma is actually a spectrum of conditions. Ocular hypertension affects 3% to 5% of people in the UK aged over 40. Primary open angle glaucoma affects about 2% of people in the UK older than 40, but when we break that down, it affects 1% of people aged 40, 3% of people aged 60 and about 8% of people aged 80. With a growing elderly population, we can see why this is a problem. Primary angle closure glaucoma affects about 0.4%. There are also some rarer ones, but the point is that glaucoma affects about 700,000 people, who could potentially go blind.
Are the Government considering the call of the Association of Optometrists, and it is a simple one, to commission a national glaucoma pathway? I ask the Minister to think about that.
The National Institute for Health and Care Excellence guidance on glaucoma is very clear:
“If any of the following risk factors for glaucoma are present, consider advising people to have their eyes examined by an optometrist…Older age. People 60 years of age or older should be examined every 2 years until they are 70 years of age, when they should be examined annually—free examination is available through the NHS…Family history of glaucoma. People older than 40 years of age who have a first-degree relative (parent, sibling, or child) with open angle glaucoma should be examined annually—free examination is available through the NHS…Ethnicity. People older than 40 years of age who are of black African family origin should be examined…Certain people are entitled to…NHS-funded eye examinations by optometrists…These include people …With a family history…as described above…Aged 60 years or older…In receipt of certain benefits”
or
“Who have been advised by an ophthalmologist”
to have a follow-up. This is really important, as we have heard today, when we are talking about awareness. People should get their eyes checked, check their availability and, if they are 60 or over, make sure they understand that they can get their eyes checked through the NHS.
This issue was raised in a debate at the end of April 2024, just a few weeks before the election. It is worth looking at what was said by the then shadow Minister, the hon. Member for Gorton and Denton (Andrew Gwynne), who went on to be a Health Minister:
“I have a degree of frustration with the Government’s approach to the issue. Given the statistics, I would like to see the Minister commit today to turbocharge access to ophthalmology services and make eye tests more commonplace for people who do not routinely test their eyes, but also to get people access to eye care services once conditions have been diagnosed.”—[Official Report, 30 April 2024; Vol. 749, c. 51WH.]
And he finished his remarks by saying:
“We will support the Government in the remaining weeks or months that they have to get this policy right, but mark my words: the next Labour Government see this as a priority and we will act.”—[Official Report, 30 April 2024; Vol. 749, c. 53WH.]
Now that we are one year into this Government, it is worth checking the record to see whether that priority has been given.
Forgive me for being a bit of a pedant, but I checked Hansard to see how many times glaucoma has been mentioned. There have been four mentions since the election, only two of which were in the context of health. One mention was made by the hon. Member for Leicester South last month, and the other was made by the hon. Member for Strangford in a debate on rare retinal disease. That does not seem like it is a priority.
I am being a bit of a pedant, but I also looked through the 10-year plan again, and there were two mentions of eye care, one of which was “ophthalmology” and the other was “optometrists”. The Minister will argue that it is a strategy document, but it raises the question: what is the plan for glaucoma?
The last Government concentrated on several areas. These included early detection and greater use of community optometry, with an emphasis on the importance of routine tests. There was £500 million a year for sight tests and optical vouchers, supporting more than 12.5 million NHS sight tests provided free of charge. The budget was demand-led rather than limited by volume, and the public were encouraged through campaigns and social media advertising to get tested. Integrated care boards expanded local services for minor and urgent eye care, pre- and post-cataract checks and glaucoma referral filtering. The post-covid backlog recovery programme also received £8 billion.
I am getting death stares from you, Mr Pritchard, so I will move on to my main points and my questions for the Minister.
The shadow Minister needs to be brief. He has had five minutes, and I gave six minutes to the Liberal Democrat spokesperson. I will give the shadow Minister another 30 seconds.
To be clear, it is important that the Chair is both neutral and fair in the distribution of time.