Policing and Crime Bill (First sitting)
Maria Caulfield Excerpts(8 years, 8 months ago)
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Maria Caulfield (Lewes) (Con)
Q I wanted to ask a question to Councillor John Edwards. Do you not agree that, for the public, it is quite helpful to have one accountable person? With the police and crime commissioners, it has really improved things for the public, having one person that they can go to with issues. I heard many of the same things when the police and crime commissioners were being mooted, from the police authorities, that I now hear from members of fire authorities. Do you not think it would be helpful for the public to have one person to go to? Also, dealing with operational issues will remain with the professional lead in the fire service. The issue is about the fire authority, not the fire officers.
Councillor Edwards: I think there is absolute sense in what you say. In my experience as a chair of a fire authority we have the best of both worlds. We have a person—the chair of the authority—to whom most of the public relate. We are the best-known member of the fire authority, for obvious reasons.
Maria Caulfield
Q Do you think most members of the public know who is on the fire authority?
Councillor Edwards: I think they do. I think certainly the correspondence that I get—directly, and the contact through social media—makes it really clear that there is a wide understanding of what the fire authority is and who chairs it; but we also have enough members on the fire authority to do the governance and accountability. We have a scrutiny committee, for instance, that holds the service and me to account. It is more difficult to do that with one person.
I am not arguing for no change. We are in a devolved area. We are embracing change. We are embracing our combined authority but embracing the potential move to an elected mayor in 2017. I am not against change, but I also think that a service like the fire and rescue service needs an accountable body of some sort to hold it to account and to provide the governance. I have seen no evidence that the police and crime commissioner could do that any more effectively than the fire and rescue authority does.
The Chair
This seems to be a theme that the Committee is anxious to discuss. I want to pursue it, but I am also aware that we only have 15 minutes left. I propose that anyone who wants to say anything about this particular theme—the accountability and visibility of the police and crime commissioner—pursues it now, and we will then hopefully move on to other things.
Women and the Economy
Maria Caulfield Excerpts(8 years, 11 months ago)
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Maria Caulfield (Lewes) (Con)
As a female MP I welcome this debate, but I struggle with the sentiments and the way it is being brought forward, and I agree with the Minister’s opening remarks. I am a strong supporter of women’s issues, and a member of the Women and Equalities Committee, but I am frustrated that the motives behind this debate are political rather than dealing with key and important issues faced by women. [Laughter.] Labour Members are reinforcing my point as I speak.
The Women and Equalities Committee, which is excellently chaired by my right hon. Friend the Member for Basingstoke (Mrs Miller), is currently at the start of an inquiry into the gender pay gap. It will tackle that important issue in a cross-party way, and I am sure that its findings will make a real difference. Over this Parliament the Committee will investigate a number of issues, and its members will have no hesitation in holding Ministers’ feet to the fire regarding how the Government support and promote women in this country. However, to say that the spending review has not supported women in this country is plain wrong. Women make up 50% of the population, and any benefit that affects the general population will improve the lot of women.
Simon Hoare
My hon. Friend is making a powerful point on an important issue. Did she share my confusion about the remarks of the hon. Member for Wirral South (Alison McGovern), who seemed to be suggesting that the best way to help women in the workplace was to subsidise their salary through tax credits and let men get on with it? What incentive would that be for an equal pay balance and for low subsidies, which is certainly what Conservative Members want?
Maria Caulfield
I thank my hon. Friend for his intervention. I have worked in the care sector all my life, and I am frustrated with the lack of campaigning for better wages, as that would mean that women would not need to rely on tax credits.
Key decisions in the spending review will benefit men and women alike. The increase in free childcare will help mums and dads, and the introduction of a national living wage will help men and women on low incomes. The funding that we discussed in the previous debate on mental health services will also benefit men and women.
Maria Caulfield
I will not because many other Members still want to speak. I am thankful that women still outlive men, and therefore the increase in the basic state pension will benefit women more than men—long may that continue. On women-only issues in the spending review, it cannot be denied that the investment of £1 billion to provide 15 to 30 hours of free childcare a week will benefit women. The introduction of tax-free childcare by 2017—that is up to £2,000 of childcare support per child per year for working families—will benefit women. Female employment is at a record high, and the gender pay gap has fallen to 9.4%—the lowest level since records began. We should be celebrating that, not criticising Members for achieving it.
The tampon tax has been much debated today. I am pleased that while the Chancellor negotiates with EU member states for the ability to zero-rate sanitary products, as he has pledged to do, the £5 million generated by the tax will be ring-fenced for women. The national living wage will benefit women—as we have heard, women in the care sector are disproportionately affected by low incomes—while 60% of the 660,000 individuals taken out of tax by the increase in the personal tax allowance will be women. I also welcome the £1.1 million investment from the superfast broadband roll-out programme that is helping to deliver the Swift project. I have been to sessions in my constituency where women just starting out in business are benefiting from that investment.
I could go on, but I will not, which will please Labour Members. If they want to be political, I am quite happy to be as well. I will not take any lectures from the Labour party, whose leader suggested that violence against women on the railways can be resolved with women-only carriages; from a party whose leader condones the segregation of women at public meetings; from a party whose leader was shamed into appointing women to the shadow Cabinet, and even then was selective in the positions he handed out; and from a party that uses all-women shortlists to force women into Parliament.
Talk is cheap. Labour Members should be supporting women, but this has been a wasted opportunity. The effective Opposition, the SNP, have really shamed Labour Members by raising important issues that we could have debated properly today. Talk is cheap, and the actions of Labour Members speak louder than words.
Assisted Dying (No. 2) Bill
Maria Caulfield Excerpts(9 years, 2 months ago)
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Maria Caulfield (Lewes) (Con)
I come to this debate as a nurse with more than 20 years’ experience in the NHS, most of which time was spent working in cancer care. I have looked after many patients with metastatic disease and many who needed end-of-life care. As a result, it has been my humble privilege to share the last few days, hours and minutes of many people’s lives and, on numerous occasions, I have held the hand of someone as they have breathed their last.
Having experienced dying at first hand, I can say that death can be one of the most rewarding parts of life. It does not have to be as painful or distressing as the supporters of the Bill have described. The reason behind my positive experience of death is the availability of good palliative care, which tackles symptoms such as pain and enables people to have a good quality of life right up to the end. In the field of cancer care, we are fortunate to have access to some of the best palliative care in the world. However, many patients living with other illnesses are not so fortunate. Patients with cardiac failure, multiple sclerosis and Parkinson’s—to name but a few—often have little or no access to palliative medicine, but instead of tackling the lack of palliative care, the Bill promotes assisted dying as a solution. Death today has become medicalised, and it is seen as a failure or as something to be feared instead of as a normal part of life. The reality is that a natural death can be a moving and peaceful experience for all involved.
Therefore, not only do I disagree with the rationale behind this Bill, but I have severe concerns about the lack of safeguards it contains. The first relates to its requirement to give someone a diagnosis of less than six months to live. It is almost impossible accurately to predict a person’s prognosis in months. In my experience, that is not something a consultant would readily do, as someone’s prognosis can vary greatly according to their disease, general health and response to treatment. This part of the Bill gives the false impression that having a terminal illness means life is over—nothing could be further from the truth.
If assisted dying becomes law, it will remove the incentive for science and medicine to find treatments for illnesses. Metastatic prostate cancer was a terminal illness 10 years ago but is now a chronic disease, whereby men, although not curable, are treatable and often die of other causes long before their prostate cancer ever becomes a problem. The same is true of metastatic breast cancer, with many women now able to live long and healthy lives even though they cannot be cured. HIV used to be a death sentence, but thanks to advances in medicine it is now a chronic illness that people live with, rather than die of. Would these treatments have been discovered if assisted dying had been legalised 10 or 20 years ago?
My third concern is that with so many doctors against legalising assisted dying—the Royal College of Surgeons, the British Medical Association, the Royal College of Physicians and the Association for Palliative Medicine are almost unanimous in their opposition—who will be left to assess the patients who wish to discuss assisted dying? The Bill requires both the attending doctor and the independent doctor to advise a patient on diagnosis, prognosis and treatment alternatives to assisted dying before giving consent. Most general doctors, however, would struggle to provide such specialist information. Are we certain that if we change the law, this will be carried out properly?
My final concern relates to the experience of places where assisted dying is already law. If the death rate in Oregon, where assisted dying is legal, were transposed to this country, 1,500 deaths a year would occur here from assisted dying. In Oregon, patients with lung cancer and prostate cancer are already being denied treatment on their state health insurance plan and are instead being offered assisted dying, as we have heard today. Is that what we want for patients in this country? Do we want them to be denied cancer treatment but offered assisted dying as an alternative?
Before we change the law to legalise assisted dying, we need to see serious evidence to prove, first, that the current law is not fit for purpose and, secondly, that what is being proposed would be better. On neither account has any convincing evidence been presented. Our current law is not perfect, but it does what it is designed to do: it holds penalties in reserve to deter malicious assistance, while allowing discretion not to prosecute, where appropriate. What is needed is not a change in the law, but better access to palliative care for all.