International Men’s Day

Maria Caulfield Excerpts

Thursday 17th November 2022 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

I am very pleased to be able to join this year’s debate to celebrate International Men’s Day. I thank the Backbench Business Committee for granting this debate so that we can join 80 countries around the world in marking this day.

I thank my hon. Friend the Member for Don Valley (Nick Fletcher) not just for leading the debate, but for his consistent campaigning on the issues that affect men, and for his work as chair of the APPG on issues affecting men and boys, which continues to shine a spotlight on issues from mental health and wellbeing to boys’ education. As my hon. Friend the Member for Watford (Dean Russell) pointed out, it is disappointing that so few Labour and Lib Dem Members are in the Chamber, because they have missed a tremendous debate.

We heard from my hon. Friend the Member for Ynys Môn (Virginia Crosbie) about the tragic suicide of her brother. The hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) spoke so well about the body-image issues that men face, which are rarely talked about enough. My hon. Friend the Member for Penistone and Stocksbridge (Miriam Cates) spoke about a multitude of issues that affect men, including in particular their roles and importance in family life, and pornography and how it affects young men.

My hon. Friend the Member for Watford made a moving speech on a range of issues, and I will start by addressing some of the points he made about suicide. It is tragic and unacceptable that, on average, 13 male suicides occur every day, and that suicide is the leading cause of death for men under 50. About 75% of all suicides are by men, so it is so important that we tackle the mental health issues that men face.

It is no surprise that after a number of years of tackling covid, which raised distress, anxiety and isolation over lockdown, as well as fears about jobs, before going straight into cost of living pressures, everyone—both men and women—has felt an impact on their mental health. However, we know that, for a variety of reasons, men are less likely to seek help. My hon. Friend the Member for Watford pointed out some of those reasons.

It is incumbent on all of us, across the House, to urge all men across our constituencies to reach out to the available support. In recent years, we have seen huge strides forward in the provision of support. We now have the Every Mind Matters campaign, which provides practical help and tips to improve our mental wellbeing. The NHS website supporting Every Mind Matters is easy to access and provides a range of tools that men can use themselves.

Importantly, we now have self-referral to talking therapies, so that men and women—but particularly men who are reluctant to seek help—no longer have to see their GP to get a referral. More than 1 million people have accessed talking therapies through self-referral. We are investing in those services by putting in an extra £2.3 billion a year to grow mental health services and meet demand. It is not enough simply to expect men to seek help themselves, however.

[Dean Russell]

I thank my hon. Friend the Minister for her kind words and feedback. A couple of years ago, I introduced a ten-minute rule Bill to make mental health first aid part of workplace first aid. Will she take that idea back to her colleagues across Government to see whether we could look at it again? I would like to introduce that again. Ensuring that people in the workplace know that they have someone to go to in the same way as if they had a physical issue could be transformative.

[Maria Caulfield]

I am very happy to discuss that with my hon. Friend. He might be pleased to know that there are mental health first aiders on the floors of the Department of Health and Social Care offices. They support staff there and do a great job. I am keen to speak to him about that.

We need a whole-systems approach, as the APPG highlighted in its report, which I have read. It makes for interesting reading in terms of how we support men, particularly around their different experiences of health services and how we can improve outcomes. A number of organisations are helping to support mental health for men, such as Men’s Sheds, which was mentioned in the debate. Men’s Sheds offers new opportunities to learn skills, build friendships and reduce isolation, and is helping men to meet in different ways from traditional settings, and to build relationships where they may feel comfortable to speak out and ask for help.

We also need to look at how different approaches can work in tandem. Earlier this year, we put out a call for evidence to support the development of a new 10-year plan for mental health. I am pleased that groups such as James’ Place, Men’s Sheds and Andy’s Man Club are among the many involved. We want to reduce suicide rates, and to do that we have to support men, who account for 75% of suicides currently. We are looking to bring forward some specific work on that shortly, and I will happily meet my hon. Friend the Member for Don Valley to see how we can take it forward.

We are taking significant action in terms of mental health, but a number of illnesses affect men in particular, including heart disease, cancer, smoking, and drug and alcohol addiction. While life expectancy in the UK is lower for men, women spend significantly more time than men in ill health and disability. That is why we have a women’s health strategy: because we want to tackle the basis for why women spend so much of their lives in ill health. We can improve life expectancy for men by ensuring that we tackle the illnesses that they face. My hon. Friend has challenged me on that before, because he feels so strongly that there should be a men’s health strategy, but I will happily discuss it with him after the debate to see what more we can do.

Not having a men’s strategy, or indeed a men’s Minister, does not mean that the Government or the NHS take men’s health any less seriously. We will continue to look for ways we can support men’s health. There are a number of exciting initiatives, such as the Man Van, which is an innovative outreach programme launched this year that provides free health checks for men and aims to boost early diagnosis of prostate and other urological cancers. That mobile health clinic visits workplaces and churches in London to improve healthcare access for men who are less likely either to come forward or to receive regular health checks.

The Man Van was developed by the Royal Marsden NHS Foundation Trust. I declare an interest, as I have worked for the hospital in the past and still do some shifts there. Its specialty is enabling us to target the men most at risk of developing prostate cancer and who have poorer outcomes if they are diagnosed, particularly those in manual jobs who often struggle to access healthcare. Black men, who have roughly double the risk of developing prostate cancer, and an increased risk of death once diagnosed, are also being encouraged to get checked. If the results of the pilot studies that are being rolled out show that they were successful, we will roll them out across the country.

In the short time that I have, I will touch on stereotypes, which have been raised throughout the debate. Phrases such as “man up” and outdated beliefs about what it means to be a man do not help men to get the help that they need. One issue that was not touched on much is domestic violence that affects men. The recent crime survey for England and Wales suggests that 13.8% of men aged 16 to 74 have experienced domestic abuse behaviours. That is an estimated 2.9 million male victims. While the figure is much higher for women, that is a considerable number of men who are experiencing domestic violence, and we need to ensure that we are reaching out to them and supporting them. The Government have increased funding by 60% for community-based support focused primarily on male survivors, and we will update the supporting male victims statement in August this year to outline the further work that we will do in this area.

In terms of getting equality for men, I think my hon. Friend the Member for Don Valley will be happy with the work being done to support fathers, particularly new fathers who want to take on a full role in family life. In terms of the work around shared parental leave, men are still more likely than women to have their requests for flexible working turned down by their employer, and men still struggle to get paternity leave rights. We recognise the vital role that dads play in helping to raise their children—that is why we are establishing the family hubs and Start for Life programme—and we are committed to ensuring that men get the parental leave they are entitled to.

In conclusion, today’s debate has raised some prominent issues that are affecting men, but we have not had much time to celebrate men. We all have dads, grandads, husbands, brothers, friends and colleagues who are men and who do a tremendous job. Men sometimes get a raw deal in terms of criticism. When my mum died, my dad had to take me and my brother on when we were teenagers, at a time when there was no such thing as childcare or support for single fathers. He did an incredible job. He used to take me to the football at the weekend, whether I liked it or not, which is why I am now an Arsenal supporter. He used to have to take me to work as well, where I learned to paint and decorate, because childcare was not available in those days.

All of us in this place who are married to men are thankful for the role they play. As my hon. Friend the Member for Penistone and Stocksbridge (Miriam Cates) said, they support us in our roles, and when we have had a terrible week or the online trolls are particularly active, we are very grateful for them just having that cup of tea with us and making us realise that there is a life outside this place.

The opportunity today to debate the issues that matter to men is important, and I will meet my hon. Friend the Member for Don Valley to make sure we pick up on many of the points raised in the debate. It is also an opportunity to celebrate and thank men for all they do for us, not just on International Men’s Day but all year round.