(2 years, 5 months ago)
Commons ChamberThis Government take very seriously the challenges women face in getting a diagnosis of endometriosis and in living with the symptoms. That is why it will be a priority area in the women’s health strategy.
My constituent Claire Ciano suffers from endometriosis. It has had a hugely detrimental effect on her career, thanks to the difficulty in getting diagnosed and the lack of treatment available. I commend the Minister on putting forward the women’s health strategy, but will she set out in further detail the steps she will take to raise awareness and improve treatment for sufferers of endometriosis?
The case of my hon. Friend’s constituent is unfortunately only too common. We know the average wait time for a diagnosis is around eight years. Unfortunately, while the National Institute for Health and Care Excellence’s published guidelines suggest how women should be diagnosed and the treatment they should receive, they are not mandatory. However, in the women’s health strategy we will strongly urge that they be followed.
I welcome the Minister’s comments. One of the biggest issues for women suffering from endometriosis is the lack of access to fertility treatment. She will know that I have been campaigning heavily for better access to, and regulation of, in vitro fertilisation treatment. Can she confirm that that will be a key priority in the women’s health strategy, and when can we expect an update to the Human Fertilisation and Embryology Act 1990, which is woefully out of date?
The hon. Lady has campaigned very hard on IVF. I can say that IVF will be in the women’s health strategy; IVF services are commissioned at a local level, but there is disparity in how they are commissioned in local areas, and we want to see consistency of service offered to women and partners.
I call the Chair of the Women and Equalities Committee, Caroline Nokes.
Endometriosis South Coast does brilliant work supporting women suffering from endometriosis, but it is seeking reassurance from the Minister that, when the women’s health ambassador is appointed, she will be a real champion for those affected by this condition and other women-only conditions that are so impactful on their to continue work. Can the Minister update the House on when the women’s health ambassador will be announced, given that we have been expecting the post since December?
I can reassure my right hon. Friend that the women’s health ambassador will be key in driving change, not just by raising awareness and confidence among women in coming forward for help, but by improving the services women receive, and she will have to wait only days, rather than weeks, before we release the name.
As I have said in answer to previous questions, the women’s health strategy will be forthcoming. We have had over 100,000 responses to our call for evidence. We published the vision document in December, and the full strategy will be published shortly.
The Royal College of Obstetricians and Gynaecologists has just released figures to show that gynaecology waiting lists have soared by over 60% to half a million people—a bigger proportion than in any other area of medicine. What are the Government going to do to sort this out and get waiting lists down so that women get the healthcare they need?
It is true that the backlog caused by covid is having an impact on gynae procedures. The roll-out of our community diagnostic centres will help significantly with that because GPs will be able to refer women straight to them, and they will be able to get some of their gynae procedures done there without having to have secondary care referrals. We hope that will make an improvement for women.
To be clear, the backlog is not caused just by covid. Figures published by the Royal College of Obstetricians and Gynaecologists shows that the number of women waiting over 12 months for healthcare in England ballooned from 66 women two years ago to 25,000 women today. They include a constituent of mine who recently wrote to me stating that the earliest available gynaecological appointment offered to her was in October 2023—over a year from now. Given that the Government’s long-delayed women’s health strategy still does not exist, what action will the Minister take now to reduce these unacceptable waiting times? After all, this week is meant to be the Government’s Health Week.
I think the hon. Lady has answered her own question. She says that cases have risen in the past two years; that is precisely because of the pandemic. If we were under a Labour Government we would still be in lockdown.
I can reassure the hon. Lady that Her Majesty’s Prison and Probation Service is working with NHS England to improve the treatment and support available to women in the prison service, including menopausal women, as part of the national women’s prison health and social care review.
The latest figures show that 39% of female prisoners are over 40, and a further 38% are aged between 30 and 39. Many of them will either be menopausal or perimenopausal already, or reach that stage during their sentence. As we know that menopause can have a significant impact on physical and mental health, including influencing behaviours, does the Minister agree that a menopause strategy within Her Majesty’s prisons would be both productive and beneficial?
I thank the co-chair of the menopause taskforce. We discussed this in our taskforce meeting yesterday, and we have agreed to invite Ministers from the Justice team to work on this issue. The Secretary of State for Justice is sitting beside me, and I am sure he has heard the hon. Lady’s words.
As I have said in answer to many questions this morning, the women’s health strategy will be published shortly. We had over 100,000 responses, we published our vision document in December and we will be publishing the women’s health strategy in the coming weeks. [Interruption.]
(3 years ago)
Commons ChamberImproving our understanding of women’s experience of health and the health service is a key priority for this Government. That is why in March this year we launched a call for evidence asking women to tell us about their experience. We had nearly 100,000 responses, which we are working through now and which will form the baseline of England’s first-ever women’s health strategy.
Yesterday this House passed a UK-wide ban on virginity testing through the Health and Care Bill, but banning virginity testing will only work if hymenoplasty is banned alongside it. Will the Minister use her good offices to ensure that the Government introduce amendments in another place to ban hymenoplasty and then encourage other countries around the world to stop these practices worldwide?
I am sure that all Members across this House will welcome the Government’s amendment yesterday to ban virginity testing. The evidence for a ban on hymenoplasty is mixed, so the Government have convened an independent expert panel to review all the evidence and look carefully at the issues, and that will report back to Ministers before Christmas.
It is HIV Testing Week in Wales, and yesterday I joined the Terrence Higgins Trust at Fast Track Cardiff and Vale to do my own free home testing kit. In Wales, everybody can get access to a free HIV test at home through Frisky Wales, but in some areas of England free home testing is not available to everyone. Will the Minister work with her Cabinet colleagues to follow where Wales leads and ensure that everyone in England can get access to a free HIV test kit if they wish to?
The hon. Lady raises an important issue. Free testing is available across the NHS in England, and same-day test results are often possible. I will look at the specific issue of home testing kits, because it is important that everyone who needs a test has access to it.
One of the times that women most engage with healthcare services is when they are pregnant. My constituent Michelle, a qualified midwife, has contacted me, talking specifically about the importance of retention in midwifery and highlighting the crisis that she says there is. What is my hon. Friend doing to make sure that qualified, experienced midwives stay working at the frontline where we need them?
I thank my right hon. Friend for raising this important issue. Maternity care is a top priority for the Government, and earlier this year NHS England announced a £95 million recurrent funding package to support the recruitment of 1,200 midwives and 100 consultant obstetricians. Maintaining both the skill mix and the numbers is key to retaining experienced midwives, who often have to take the pressure when there are staff shortages.
I welcome the Government’s commitment to tackling disparity in our healthcare, which is particularly important when it comes to maternity care. I ask the Minister to speak to her colleagues at the Department of Health and Social Care about Tameside Hospital, where there is a desperate need for capital funding in a new maternity unit and antenatal clinic. The current unit is located in the Charlesworth Building, which was built in 1971 and is poorly insulated, so sensitive clinical equipment often overheats. The capital funding bid badly needs support and I hope that she will work with me on it to deliver better healthcare for the women of High Peak.
Maternity care is a top priority for this Government, and we are making progress. Since 2010, we have seen a 25% reduction in stillbirths and a 29% reduction in neonatal mortality. On the new maternity unit at Tameside, I understand that the Acorn birth centre opened last year and has been well received locally, but I am happy to discuss further improvements with my hon. Friend.
(4 years, 8 months ago)
Commons ChamberLast year, NHS England announced that it would offer period products to every hospital patient who needs them, and the Home Office announced plans to change the law to provide period products to those in police custody. In January this year, the Department for Education launched a scheme to provide access to free products in state-funded schools across England.
That is welcome progress, although I would suggest that domestically there is still some work to do.
ActionAid tells us that one in 10 girls in Africa misses school because they do not have access to sanitary products or even private toilets. The Government have a target of eradicating period poverty in developing countries by 2030 and my hon. Friend the Member for North East Fife (Wendy Chamberlain) has introduced a Bill to improve transparency on that. Will the Minister meet me and my hon. Friend to discuss our Bill?
I thank the right hon. Gentleman for his question, and I am sure that we welcome the Bill. In 2019, the Department for International Development announced a global campaign of action on this very issue—to end period poverty globally by 2030. The global campaign was kick-started with an allocation of up to £2 million for the small and medium-sized charities working on period poverty in DFID’s priority countries.
A recent report by Women’s Aid shows that almost half of domestic abuse survivors living in refuges do not have enough money to pay for essentials. Schools, prisons and hospitals now provide free sanitary products for women and girls, so when can we expect victims of domestic abuse living in refuges, and their daughters, to be extended the same courtesy?
The hon. Lady makes an absolutely essential point. The tampon tax fund has dealt with a number of these points; it was established in 2015 to allocate funds generated from VAT on period products to protect vulnerable women and girls on this very issue.
Life expectancy at birth in England is the highest that it has ever been. Every single person deserves to lead a long, healthy life, no matter who they are or where they live. This Government have been clear that we will address the needs of all those who have been left behind.
Well, that is not true for women in the poorest communities in our country, is it? The Marmot review shows that life expectancy has fallen for women in the poorest communities. Frankly, that is what happens after 10 years of public service cuts and falling living standards. When are the Government going to take responsibility for the misery they have inflicted on the poorest women in the country?
I thank the hon. Member for explaining women’s health inequalities to me, but I fully support the Government’s commitment to delivering £33.9 billion of investment in the NHS—the largest cash boost in its history—which will make reducing health inequalities for all possible.
Will the Minister explain what action is being taken to support women—especially black and minority ethnic women, and single mothers—who have faced not only disproportionately more poverty under years of austerity, but also the greatest barriers to work? How are Ministers breaking down barriers to lift those women out of the poverty that this Government have put them in?
The hon. Member specifically asks about women from the poorest backgrounds, and black, Asian and minority ethnic groups. I thank the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Mid Bedfordshire (Ms Dorries), for the work she is doing in this regard. Through the long-term plan, the NHS will accelerate action to achieve 50% reductions in stillbirths, maternal mortality, neonatal mortality and serious brain injury by 2025, which specifically affect those women the most.
(5 years ago)
Commons ChamberI thank the right hon. Lady for her question and pay tribute to her for the work she did in that role. I am aware that there is more to do, which is why we have been consulting on how the covenant is being implemented. There are things to improve, and we will make sure that we improve them.
It is deeply frustrating that there has been no functioning Assembly for so long. MLAs’ pay is deeply controversial, but they are doing important constituency work. I have said that I will review MLA pay, and I am currently doing that.
I echo the sentiments about colleagues who are leaving, in particular my fellow Northern Ireland Affairs Committee member, the hon. Member for Vauxhall (Kate Hoey), who has stood up for Northern Ireland.
At the Select Committee last week it was revealed that the cost of MLA salaries has reached over £15 million since the Assembly was dissolved. MLAs do good constituency work, but is it not time to use that mechanism as a tool to get the Assembly back up and running?
My hon. Friend is right that this is a challenge. It is a controversial amount of money, but in my view we have to do everything we can to encourage the political parties in Northern Ireland to come together. We need to review pay, but we also need to encourage the Assembly to get up and running.
(5 years, 1 month ago)
Commons ChamberIf only they were, it would be a good thing. All the off-the-cuff announcements made by the Prime Minister since July do not add up to addressing the austerity created by the Conservative party and the Liberal Democrats during their period in coalition.
NHS England has made clear that core treatment targets cannot be met within the funding settlement offered by the Government. They cannot be trusted with the national health service. Waiting lists are going up, waiting times are going up, and the shortage of GPs continues to create problems at every doctors’ surgery. The Government’s refusal to guarantee key standards lets down the 4.4 million patients on the waiting lists, all those waiting longer and longer in accident and emergency departments, and the nearly 34,000 patients who waited more than 62 days for cancer treatment last year.
With 40,000 nurse vacancies, there is an urgent need to restore the nursing bursary for the nurses of tomorrow. If the Prime Minister really wants to defend the NHS, he needs to end privatisation so that our NHS is focused on making people better, not on people on the make—a universal service free at the point of use. We do not want just tinkering around the edges. We want to bin the Health and Social Care Act 2012 and truly end all privatisation in our national health service.
I trained in the bursary system and lived on a pittance each month. It is this Government who have introduced degree nurse apprenticeships whereby student nurses earn while they learn.
I have news for the hon. Lady: it is her Government who ended the nurse bursary system—simple.
Will the Prime Minister support Labour’s plans to provide free prescriptions to people in England, as has been done in Wales, Scotland and Northern Ireland? Will he also back Labour’s commitment to legislate for safe staffing levels in all our hospitals?
The previous Queen’s Speech, in 2017, stated:
“My Government will reform mental health legislation and ensure that mental health is prioritised in the National Health Service in England.”
Two years on, all we have are the same warm words. The mental health crisis continues to get worse and worse, as many people in great stress are told that there is no therapy available for several months. As a result, terrible things can happen.
It is a similar story on social care. The 2017 Queen’s Speech promised:
“My Ministers will work to improve social care and will bring forward proposals”.—[Official Report, House of Lords, 21 June 2017; Vol. 783, c. 6.]
Today we have the same promise after two years of inaction and failure, with 87 people dying every day while waiting for social care that is not provided.
This Queen’s Speech is shockingly weak on education, with no commitment on early years, on colleges or on universities. The money announced for our schools does not restore the funding lost since 2010. It is all very well promising extra police, but the reason why we do not have enough police is that the Government cut 21,000 police jobs and nearly 7,000 police community support officers. If the Conservative party—the party in government—wants to talk about providing police with protections, perhaps it can tell the police why it subjected them and millions of other public sector workers to cuts in their pay and pensions, damaging their terms and conditions of employment.
I know that this Government do not have a great record of listening to judges, but they are surely aware that judges already have the powers to ensure that the most serious offenders serve more than half their sentences in jail. Our prisons are severely overcrowded. There are 2,500 fewer prison officers in our prisons today than in 2010—hence many of the problems throughout our prison service. The privatisation of the probation service was a shambolic and costly failure. I hope that lessons have been learned, and we will examine closely any proposals on rehabilitating offenders. I hope that, alongside the tougher sentencing, the Government will also recognise that too many people are in prison on very short sentences for non-violent and non-sexual offences. Our society, I believe, could be better served by their being subject to community sentencing and restorative justice.
What will the Prime Minister do to address the appallingly low conviction rate for rape and other serious sexual offences? The dog-whistle rhetoric around foreign offenders is a rather ugly mask for the fact that, by crashing out of the EU, the Government risk losing some of the most effective measures in tackling cross-border crime: the European arrest warrant, participation in Eurojust and access to numerous databases.
We will, of course, closely study the detail of the Government’s proposals on rail reform, but it is no good simply changing the way in which train operating companies carry on extracting profit from our fragmented railway system. Only a Labour Government will cap fares and ensure that the railway is run for the passengers, not for profit. There is nothing in this Queen’s Speech to reverse the devastating cuts to bus services all over the country. A Labour Government will restore rail and bus services, and the integration of those services.
Two years ago, the horror of Grenfell happened. We all remember it very well and we remember the response of the public and in this House. But I have to say that nine out of 10 private blocks of flats with Grenfell-style cladding have still not had it replaced. Not a single private block has been made safe under this Prime Minister. Will he confirm today that he will set a hard deadline for all landlords to replace dangerous cladding, that he will toughen sanctions against block owners that will not do that work, and that he will fund the retrofitting of sprinklers in all high-rise social housing blocks? Will he restore the budget cuts to our fire service, who acted so heroically on that dreadful night of the Grenfell fire?
Perhaps the Prime Minister can set out what measures there are to address the Government’s abject failure on housing. That has led to more people sleeping on our streets, more families in hostels and temporary accommodation, and fewer people able to buy their own homes. Labour will end no-fault evictions. We will tackle the leasehold scandal and kick-start the largest council house building programme for a generation. It will be Labour that will fix the housing crisis in this country.
The introduction of pension dashboards is welcome, as is the legislation for CDC—collective defined contribution—pension schemes, which I hope will help to resolve the Royal Mail dispute. Sadly, the proposals do nothing to address the injustice done to women born in the 1950s. That injustice must be put right. Additionally, this Queen’s Speech does nothing to guarantee the free TV licence for the over-75s.
The Government handed our armed forces a pay cut for seven years. Cuts to council budgets in England have made it far harder to deliver the armed forces covenant, leaving our veterans and our personnel and all of their families worse off.
We will not allow the Government to stifle democracy by making it harder for people to vote. There was only one instance of voter personation at the last election. Some 11 million people in this country do not have—[Interruption.] This is serious. It is about elections and it is about democracy. Some 11 million people in this country do not have a passport or a driving licence. There are huge risks in the legislation being proposed which will disproportionately affect working class, ethnic minority and young voters.
(5 years, 1 month ago)
Commons ChamberNo, I do not take that view. The hon. Gentleman is an old friend, and I therefore take his comments in good part, but no: I admire the Prime Minister, and I know that what he is trying to do is what the Government are trying to do, which is to honour the votes of his constituents so that we can leave the EU.
Three million tonnes of the Republic of Ireland’s goods travel to and from the EU via the UK land bridge, and without a deal they will be liable for customs checks, tariffs and quotas. Does the Minister agree that, more than those of any other country, the best interests of the Republic will be served if the UK leaves the EU with a deal?
My hon. Friend and I both want to make sure that the Republic of Ireland is in the strongest possible position after we leave the European Union, and the best thing for the UK, for the Republic of Ireland and for the many interests that we share across these islands is to secure a deal.
(5 years, 1 month ago)
Commons ChamberAll those freedoms would continue, and I can reassure the hon. Lady that, as I have said many times, there will be no checks, for our part, on goods coming from the EU—that is to say from Ireland—into Northern Ireland, into the UK.
Is the Prime Minister encouraged, given the empty Benches opposite on Monday when we were debating important Northern Ireland issues, that Members have found their enthusiasm once again for all things Northern Ireland? Does he agree that any customs checks do not have to be done at the border or in customs posts, but can be done at points of origin and destination, as the Northern Ireland Select Committee heard in evidence?
My hon. Friend speaks with the technological optimism that has too long been absent from this debate. That is the way forward, and everybody understands that. That is what we are going to bring to those solutions, and this agreement offers a way of doing that at a pace and timescale that will reassure businesses and agricultural interests on both sides of the border.
(5 years, 2 months ago)
Commons ChamberI want to say thank you to the MPs in different parts of the House who worked so hard on the Bill that we all passed tonight. It is that cross-party working—putting party interest to one side and putting the national interest first—that the country expects of us. In particular, those colleagues on the Conservative Benches who have stuck to their principles and done what they think is right should be commended for that. The way that they have been treated has been shameful.
I am intrigued that as a result of the House of Commons saying clearly that we will not countenance crashing out of the EU with no deal, the Prime Minister’s response is that this somehow messes up his plan. It is as if it is news to him that the House of Commons does not want a no-deal exit. Was he not paying attention on the previous occasions that we voted to say that there should not be a no-deal exit? Is he seriously saying that the extent of his plan was to try to bully the EU and that he could get a good deal only by threatening that we would leave without a deal? Because if that is the extent of his plan, it is not very well thought through.
Will the hon. Lady confirm that if there was a general election, the Liberal Democrats would put in their manifesto a pledge to revoke article 50?
It should be no surprise to the hon. Lady that the Liberal Democrats want to stop Brexit. We have been crystal clear on stopping Brexit. For all our different views in different parts of the House about that, I do not think that anyone can accuse us of not being straightforward about where we stand.
On the negotiation, the Prime Minister—
I could not agree more. There are thousands of EU migrants in my constituency, and lots of them have absolutely no idea what their situation will be. I have to represent those people as much as I represent the people who would be allowed to vote in a general election or a referendum.
Is not the truth that the hon. Lady and many of her colleagues do not want a general election because they are as scared as we are of the Leader of the Opposition becoming Prime Minister?
Let us make no bones about the suggestion that I am not able to be completely critical when I think that things are wrong, both in my party and in the governing party. It is just a shame that quite a lot of the people sitting in front of me know that what has happened over the last two days is wrong, but are too cowardly to say in the House, in public, what they are all saying in the Tea Room. They know what has happened here. It is as if we were kicking out my right hon. and learned Friend the Member for Camberwell and Peckham (Ms Harman). That is what it feels like. I say to those people: the way your party has behaved is an abomination. You have all crowed and given sympathy to me about the problems that we have in the Labour party, but you have just sat by silently while your colleagues have been marched out.
(5 years, 4 months ago)
Commons ChamberA number of steps have been taken over the years to legislate in relation to dangerous dogs, and we all recognise the problems that some postal workers face, including being subjected to attacks by dogs when they are just going about their business—going about a job that is of benefit to the people of our constituencies.
This week has been a game changer in the politics of Northern Ireland, with this place legislating on devolved issues and with the sad death of Sir Anthony Hart. Sir Anthony chaired the historical institutional abuse inquiry, which investigated the rape and sexual abuse of thousands of the most vulnerable children in Northern Ireland between 1922 and 1995. Some were raped over a period of months, and some over decades.
Will the Prime Minister commit to bringing forward legislation before the summer recess to compensate those victims and to give them the justice they deserve?
First, I would like to pass on my condolences to the family and friends of Sir Anthony, who did an excellent job in the Hart inquiry of shining light on some horrific incidents that took place in Northern Ireland. Obviously, this issue was addressed by an amendment made to the Northern Ireland (Executive Formation) Bill last night. As the Bill passes through Parliament, the Government will look carefully at these issues.
(5 years, 6 months ago)
Commons ChamberI have enormous respect for the right hon. Gentleman—he is an honourable man who works very hard for his constituents and for Northern Ireland—but I disagree with him on this matter. The head of the civil service and Executive Office has put forward 15 questions that need a response. I have asked the parties in Northern Ireland to help me to get decisions on those questions. But I am not shying away from my responsibility in that area; I am merely asking them if they will help me to answer the questions that David Sterling has posed to me to enable me to take this to the next stage so that we can deliver for the victims as soon as possible.
The head of the civil service in Northern Ireland, David Sterling, has asked for legislation to be made in this place. When the Secretary of State talks about action on historical institutional abuse, is she talking about bringing legislation through this House?
I have said on many occasions that I am prepared to do the legislation wherever it is quickest that we do it. I want to see redress for these victims as soon as possible. But there are some fundamental questions that David Sterling has posed that need answers, and I will get to those answers more quickly if I have the support and co-operation of the parties in Northern Ireland in working with me.
The hon. Gentleman has raised an important point, and I recognise the force with which he has raised it and the concern that he has for the victims of that terrible attack. Sadly, we have seen too many people in this country being victims of terrorist attacks. The Lord Chancellor has indicated that the Ministry of Justice is reviewing this situation. He has heard the specific proposal the hon. Gentleman has put forward, and I am sure that he will take it into account in that review.
Returning to Northern Ireland, there has now been no devolved government there for two and a half years. Every week in the Northern Ireland Affairs Committee, we hear about the impact of this on ordinary people. Whether on equality issues, on funding for the Police Service of Northern Ireland, or on a pay rise for teachers, who are paid 6% less than teachers in the rest of the United Kingdom, Northern Ireland is being left behind. Will the Prime Minister do all she can to restore devolution before the end of the year?
I can give my hon. Friend that reassurance. I am as keen as she is to ensure that we see the restoration of devolution in Northern Ireland. I believe that all the parties have recently come together for talks with the Secretary of State and, as appropriate, the Irish Government, and we are ensuring that those talks are continuing. Obviously, there are matters that need to be addressed and concerns from the political parties on different issues. Those need to be overcome such that we can see devolution restored because, as my hon. Friend says, this is a matter for the people of Northern Ireland, ensuring that they have a devolved Government that can ensure good governance in Northern Ireland.