Post Office Management Culture

Debate between Marion Fellows and Jim Shannon

Thursday 8th February 2024 Commons Chamber

[Marion Fellows]

I agree with the hon. Gentleman. He has been one of the people who has been pursuing this business for many years, and I pay tribute to him for that.

Shockingly, the Post Office’s attempt to suppress the truth continues as it cautions sub-postmasters under the Horizon shortfall scheme against mentioning compensation terms to anyone. The overall process of seeking fair compensation is described by one applicant as “soul destroying”, raising concerns about the added suffering imposed on those individuals who have already endured so much. Again, I have a personal example of a constituent I am trying to persuade to apply, but he is terrified because he signed a non-disclosure agreement. Because he has heard about how others have been treated, he is even more afraid to apply.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for her speech. One issue that burdens me— I think it burdens us all in this House—is those who unfortunately took their own lives as a result of what has happened. I am conscious of the families left behind now carrying that burden. Does the hon. Lady agree that there should be some methodology to ensure families who are left without a loved one are helped through the process, which they might find equally terrifying and worrying?

[Marion Fellows]

I absolutely agree with the hon. Gentleman. Many victims have described themselves as suffering from post-traumatic stress disorder. There is no scheme in place to help them and their families through what has been a traumatic and absolutely awful time for all of them, especially when someone has died before they have been vindicated. There are many recent examples of that.

School Pupils with Allergies

Debate between Marion Fellows and Jim Shannon

Thursday 30th November 2023 Westminster Hall

[Marion Fellows (Motherwell and Wishaw) (SNP)]

It is a pleasure to serve under your chairmanship, Mr Stringer. I, too, thank the hon. Member for Strangford (Jim Shannon), who has given us an insight into allergies in schools and how they should be treated. His remarks were personal and well thought-out. Other Members who contributed to the debate teased out the issues a bit further. My contribution will be from a Scottish perspective—I do not think anyone here would expect me to do anything else.

I thank those from the Benedict Blythe Foundation who have come here this afternoon. These debates are important because, as the hon. Member for Strangford said, we all learn new things. It must have taken great courage to come here. Speaking as a granny, I know that it is not easy for you, so I appreciate you coming.

Education, as Members know, is devolved in Scotland, and it is therefore up to the Scottish Government how they do things. Across the UK, as we might already have heard, 41 million people and between 5% and 8% of children live with a food allergy. The UK has some of the highest prevalences of allergic conditions in the world, with 20% of the population affected by one or more allergic disorder. Allergies are very common in children, and although some go away, many do not—we have heard about the awful consequences of that today.

New legislation for food businesses in Scotland and the rest of the UK came into force on 1 October 2021. Known as Natasha’s law, it requires businesses to label all food that is pre-packed for direct sale with a full list of ingredients, with the 14 major allergens emphasised. Such information can help parents and students to know what they are buying and whether it is safe for them to eat and to take into school. Food Standards Scotland chief executive Geoff Ogle said:

“This is a huge step in helping improve the quality of life for around two million people living with food allergies in the UK—with 200,000 of those living…in Scotland. If these changes drive down the number of hospital admissions caused by food allergies, which has increased threefold over the past 20 years, and prevent further tragic deaths such as Natasha’s, that can only be a positive thing.”

I mention that because we are looking for more than just guidance from all Governments in relation to allergies in school.

The Scottish Government have published guidance for NHS boards, education authorities and schools on supporting children and young people with healthcare needs, including allergies, in school. Education authorities are required to work collaboratively with NHS boards and to ensure that there is adequate and effective provision in place in the schools in their areas to support the healthcare needs of young people.

As noted in the guidance, the rights, wellbeing, needs and circumstances of the individual child or young person should at all times be at the centre of the decision-making process. Under article 24 of the UN convention on the rights of the child, all children have a right to the highest attainable standard of health and to healthcare services that help them attain that.

Any child or young person at school in Scotland may require healthcare support or the administration of medication. Healthcare support or medication for the management of long or short-term conditions is therefore really important and must be available. Schools must arrange specialist anaphylaxis training for staff where a pupil in the school has been diagnosed as being at risk of anaphylaxis. The specialist training should include practical instruction in how to use the different adrenalin auto-injector devices available.

As part of the medical conditions policy, the school should have agreed arrangements in place for all members of staff to summon the assistance of a designated member of staff to help administer an AAI, as well as for collecting the spare AAI in the emergency kit. Wherever possible, children and young people should be empowered and supported to manage their own healthcare needs and work in collaboration with the school health team, school staff, and their parents and carers to reach an understanding about how their health affects them and how their healthcare needs will be met. That option is not always possible but, when practicable, it should be exercised.

Children with allergies are often excluded from social or fundraising activities in school. That has an impact on them, and it should not happen in any school in the United Kingdom of Great Britain and Northern Ireland.

[Jim Shannon]

indicated assent.

[Marion Fellows]

I think I got it right that time—as the hon. Member for Strangford indicated. We play that game occasionally here.

Social or fundraising activities, including charity bakes, can be really dangerous for children with severe food allergies. When teachers are buying food—as they often do—for things such as Christmas parties, they should be aware of these things, so that they can eliminate the risk of children coming into contact with food they are allergic to.

If this debate encourages the Minister to bring in not just guidelines but regulations, everyone in this Chamber will be extremely happy, and I know that the Benedict Blythe Foundation will be too. I therefore encourage the Minister to look at the four asks and to see what he can do to help everyone involved.

Cost of Living: Financial Support for Disabled People

Debate between Marion Fellows and Jim Shannon

Monday 22nd May 2023 Westminster Hall

[Marion Fellows (Motherwell and Wishaw) (SNP)]

It is a pleasure to serve under your chairmanship, Sir Robert, and I thank the Petitions Committee for securing this really important debate. More importantly, however, I thank the petitioners and those who signed their petition.

I pay tribute to the We Care Campaign, which provided me with an excellent briefing for today. The hon. Member for Blackpool North and Cleveleys (Paul Maynard) mentioned that I had a debate in this Chamber last week—it was last Tuesday. I immediately reprised that debate during our Opposition day on Tuesday afternoon. Some of my contribution I could probably give without notes, and I am not going to repeat every statistic that I brought up. Nothing, however, has changed since last week. Even I would not have expected it to happen that quickly.

The cost of living, and how it affects disabled people and their carers, is something that this Government have to take seriously and do something about. Everyone who has contributed already has said most of what I was going to. I am going to repeat some of it because it is far too important not to repeat. There is real agreement across the Chamber today that the Government must do more to support disabled people, who are far more likely to live in poverty than those who are not disabled. They are particularly vulnerable to the rising cost of living.

Households across the UK and Scotland continue to face extremely challenging economic conditions. We know that food inflation is still at 19.1% a year, and for many disabled people on special diets the costs are even higher. We know that inflation disproportionately impacts lower income groups, and that is certainly true of disabled people, who spend a relatively higher proportion of their income on eating and keeping warm. According to Scope, disabled people are almost three times as likely to live in poverty than the rest of the population. That includes any disability benefits they get. Disabled households have to use a lot of their money to run powerful machines to help them live a more normal life. They have to pay more to get to hospital because they cannot generally use public transport. The list of things that cost more for disabled people and their households is incredible. The Government have to take it on board.

[Jim Shannon]

The hon. Lady is absolutely right, and has just brought to my mind the issue of being unable to travel. Some of my constituents cannot travel on buses because of their anxiety issues. They may have panic attacks when they are out; whenever they see a crowd of people they automatically focus on where they are. They panic, and that is why they cannot use public transport. What they need is taxis. Can they afford them? No, they cannot.

[Marion Fellows]

The hon. Member is, as usual, absolutely right. Oh, how we missed him last week.

Last week, Scope issued its latest Disability Price Tag report. I was privileged to go to its reception last Thursday, along with the hon. Member for Lewisham, Deptford (Vicky Foxcroft). It has always been the case that it costs more just to live if someone is disabled. In times when the cost of living is rising, however, and with huge inflation, it is even worse. Scope said that for a disabled household it can cost an additional £975 a month to have the same standard of living as non-disabled households. If we account for inflation, that cost rises to £1,122 per month. Not one single person in this Chamber believes that disabled households and people are actually getting that kind of money.

Against that worrying backdrop, the SNP remain deeply concerned about the UK Government’s welfare policies. The cost of living payments in 2022 and 2023 were designed to help families meet rising prices. However, according to Scope, 80% of disabled people said those payments were not enough to meet the increased costs they face. That support is welcome—no one is going to say, “No, thank you”—but one-off payments, such as the £650 petitioned for, are only a temporary fix when permanent solutions are needed. Rather than offering one-off payments to shore up the incomes of struggling families, the Government should reverse the damaging policies that are impacting our most vulnerable.

Legacy benefit claimants during the pandemic did not even get the £20 a week increase. They should have had it, they should have had it restored and it should have been increased in the meantime. In its recent submission to the UN Committee on Economic, Social and Cultural Rights, Human Rights Watch not only gives a damning review of the UK Government’s restrictive social security policies, such as the two-child limit and the failure to reverse the cut to universal credit, but highlights:

“It is worth noting that the £20 weekly increase was never applied to an estimated 2 million people on ‘legacy’ benefits, who were still waiting to transition to the Universal Credit system”.

The Government have to take on board the lives of disabled people. The continual refusal of the UK Government to fix the extensive known problems with the social security system is unacceptable. I know that in the health and disability White Paper, the Government have looked at promising to do things later, but that is not good enough. We need changes now that actually help vulnerable people.

I always get a bit emotional when I speak in these debates and that is a fault of mine, so please forgive me, Sir Robert. I really think that the Government should look at examples from other places. In Scotland, we try really hard with a fixed budget to make life better for our citizens. The Scottish Government run their social security system on the idea of dignity and fairness, and look to deal more on a daily basis with people who have lived experience. I know that the UK Government are now doing that, and I commend the Minister for it, but they really need to do something along the lines of what the Scottish Government have done; a new disability equality strategy is in preparation, and they will keep working with disabled groups to make it worthwhile and to do stuff that really impacts the lives of disabled people. Recently, the Scottish Government also doubled the fuel insecurity fund to £20 million and confirmed another £20 million for 2023-24. They have introduced a new winter heating payment, which replaces the cold weather payment and provides a stable amount every year to help around 400,000 low-income individuals with heating expenses. Even though there was no statutory requirement to do so, they uprated the winter heating payment by 10.1%.

The Scottish Government have a scheme whereby they look at energy efficiency and fuel poverty. It is important that the UK Government do that, because we leak energy across the UK, especially in the parts that do not have the schemes that the Scottish Government have put in place. The Scottish Government have done everything in their limited powers, but every time they mitigate some of the policies that the UK Government impose on us, they have to take the money from somewhere else. The only answer, as far as I, the SNP and almost 50% of the Scottish population are concerned, is independence.

A social tariff for energy is something that we would support, and it is necessary. The hon. Member for Blackpool North and Cleveleys, who is no longer in his place, said it might not work, but we have to grasp every opportunity possible to help disabled households, carers and families who are struggling on a daily basis with the cost of living. Politics is about choice and political will. Can we please see better choices and greater political will from the Government? Will they listen to disabled people and their carers and do better? The personal independence payment, for example, is meant to enhance disabled people’s lives. As has been said already, such payments do not even touch the sides. I ask the Minister to talk about this issue and to comment on social tariffs for energy. Can we please also consider that the best solution for disabled people is to spend less money on things such as replacing Trident and to use the money saved for social benefits, so that people with disabilities, their carers and their families can live better and more cheaply?

I do not think that anyone in this room does not agree that things have to be better for the disabled community, and it is up to the current Government to try their very best, to take on board what other countries are doing, to improve lives and to grant the wish of the petitioners, who were very modest in asking for a £650 one-off payment. That will not be the answer going forward; we need solutions.

Community Pharmacies

Debate between Marion Fellows and Jim Shannon

Wednesday 2nd October 2019 Westminster Hall

[Marion Fellows (Motherwell and Wishaw) (SNP)]

It is a pleasure to serve under your chairmanship, Sir David, and I congratulate the hon. Member for Halifax (Holly Lynch) on bringing forward this important debate. I do not want to spend too much time summing up and repeating what has already been said by other Members—I have a list of them here—because I want to leave time for the hon. Member for Washington and Sunderland West (Mrs Hodgson) to make her case and for the Minister to answer the many questions that have been asked—I know she will appreciate that.

As everyone here should know, the NHS operates differently in Scotland. There are many plus points to being a patient and a user of community pharmacies in Scotland, not least of which are free prescriptions for all and the way the Scottish Government value and support local pharmacies. As we are all aware, pharmacists are in a unique position to improve medication safety. They have the time and clinical expertise to make a difference to how patients manage chronic conditions, for which they might be taking multiple medications.

For many patients, it is probably much easier to consult a pharmacist than a GP. The community pharmacy often becomes the de facto community health centre, and most of us know the value of what those centres do. They can be the first point of care, and how many of us here have just popped into the chemist for a bit of advice when we did not feel well, taking some strain off our GPs?

I pay tribute to my local pharmacy, because I could not have managed the last year and a half of my husband’s life without the help and support of its staff. They provided help, advice and reassurance in equal measure and took a real interest in how I was doing. I saw them do exactly the same for other people who visited what is an invaluable point of help.

In Scotland, pharmacists already play an active role in coaching patients on the potential side effects of medication, going out of their way to say why it is important to take medicines exactly as prescribed. Unfortunately, due to this Tory Government’s disastrous handling of Brexit, there is a real possibility that community pharmacies and their customers will be left without an adequate supply of medicines. The Operation Yellowhammer documents gave us a real insight into how that will affect our communities. The threat remains significant and, with just 30 days to go until the Brexit deadline, information about medicine supplies and stockpiling is lacking. Pharmaceutical companies tried to stockpile for the 29 March deadline, but warehousing space is much reduced at this time of year, especially as warehouses fill up with Christmas goods.

Of the 12,300 medicines licensed for use in the UK, around 7,000 come to Britain either from or through the EU. According to the Government’s reasonable worst- case scenario, the flow of goods could be cut by 40% to 60% on day one following a no-deal break, taking a year to recover. As we have already heard, that would play havoc with our local community pharmacies, because they are very much on the frontline. They are where our communities turn when they need help with medication.

[Jim Shannon]

I declare an interest as a type 2 diabetic who is on tablet medication. Over the past few weeks, I have been contacted by type 1 diabetics who depend on insulin. The hon. Lady refers to the need to ensure that medication such as insulin is available after Brexit. I understand from my discussions with the Government that they have assured us that it will be. Does she agree that it is important for the public record that we say that in this Chamber today?

[Marion Fellows]

I thank the hon. Gentleman for his intervention. I am not standing here to cause panic; I have spent a long time not trying to cause panic, but I have been wondering what will happen if the medications that people rely on do not arrive, because that really is a critical concern for lots of people. I know that community pharmacies and pharmaceutical companies are doing their very best to make sure that it does not happen.

Because the NHS in Scotland is different, I have had my eyes opened to a number of things that I did not realise were happening. I had assumed that what happens in my own country would happen in England, but it very much does not; I have had that experience in my dealings with Vertex Pharmaceuticals with respect to cystic fibrosis drugs as well.

I have to say that the SNP Scottish Government really do recognise the importance of community pharmacies and are taking action to ensure that they remain properly resourced. In April, the Scottish Government announced that community pharmacies will receive an extra £2.6 million in funding this financial year. We must compare that with the cuts in spending that this UK Tory Government have made to community pharmacies’ funding over a number of years, with absolutely no provision being made for inflation, as we have heard.

The package announced by the Scottish Government includes confirmation that the Pharmacy First scheme has been integrated with the national Minor Ailment Service, so there is a real drive for people to consult their pharmacist first. People who can register with the Minor Ailment Service, such as those who are over 60 or in full-time education up to the age of 19, can see a pharmacist and be given medication there and then without having to see their GP. The scheme has recently been extended; it now covers not just things such as diarrhoea, but treatment for uncomplicated urinary tract infections and impetigo. All those things reduce the strain on GP services—we know that across the country, with its ageing population, they are under strain.

The increases in funding have been welcomed by the Royal Pharmaceutical Society in Scotland, which states:

“The RPS supports the Scottish government’s vision for more people to use their community pharmacy as a first port of call.”

The Scottish Government have reviewed pharmaceutical care of patients, and they really want to understand how community pharmacies can be better supported. They are putting their money where their mouth is.

I do not always get to stand here and tell an even better story, but in Scotland we care about how our communities can be better treated and have better health outcomes. To my knowledge—I need to verify this—a local pharmacy in Scotland does not charge for delivery to patients because, as the hon. Member for Heywood and Middleton (Liz McInnes) pointed out, people who qualify for a free prescription service are really hammered if they then have to pay for the delivery of their drugs. I ask the Minister to look at that. As hon. Members all know, I frequently stand here and say, “Can you look at how things are done in Scotland and see whether that can be adapted for better use here?” I plead with the Minister to look at that again.

The Scottish Government really do recognise the vital role that community pharmacies play in Scotland, in rural and in urban areas. I will sit down now and leave the hon. Member for Washington and Sunderland West to sum up for the Opposition.

Unemployment and Autism

Debate between Marion Fellows and Jim Shannon

Tuesday 2nd July 2019 Commons Chamber

[Marion Fellows (Motherwell and Wishaw) (SNP)]

I thank the National Autistic Society and the local group Autism Take 5 for their help in preparing for this debate.

Of those who have been fortunate enough to have received a diagnosis, there are 540,000 people with autism spectrum conditions. Some 433,000 are aged 18-plus, and 107,000 children are currently diagnosed with ASCs UK-wide. Research by the Centre for the Economics of Mental Health sheds light on the impact on the UK economy through lost productivity. This Government emphasise the need for people to move into paid employment and for higher rates of economic activity, but the autistic population is standing out as they are experiencing social and employment exclusion more than any other group. The cost of this is £27.5 billion spent annually supporting people with ASCs, and a 36% loss in employment in that group.

The World Health Organisation reports a substantial increase in people being diagnosed with autism spectrum conditions. Therefore, we must consider the large number of teenagers now approaching working age. This is significant because people with ASCs experience symptoms that are considered barriers to employment.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Lady for bringing this subject to the House for consideration. Every one of us in this House and those outside are concerned about it. Does the hon. Lady agree that support and understanding are the key to employment of people with autism, and that the option of free training—something different, and something proactive and positive for people with autism and their employers—should be available to private employers who wish to learn how to get the best from their staff, and ensure that their working environment is safe and secure for all workers?

[Marion Fellows]

I feel privileged that the hon. Gentleman has intervened in my Adjournment debate, and I could not agree with him more. I will come to his point later in my speech.

Following a survey commissioned by the National Autistic Society, the London School of Economics advises that only 16% of adults with ASCs are in full-time employment, despite 77% of them wanting to work. These figures have remained static since 2007 and are considerably lower than the employment figure for people belonging to other disability categories, which currently sits at 47%. Therefore, those with autism spectrum conditions are disproportionally unemployed.

We know that employment contributes to our identity and quality of life. Equally, we are only too aware that unemployment has significant individual and societal costs. As a result of these barriers, most people with ASCs who are fortunate enough to gain employment will experience mal-employment, and will most likely be placed in jobs that are a poor job fit for their skillset. This is commonly because the job does not align with individual interests, talents, specific skills or intelligence levels. It is common sense that the better the job fit, the more likely people are to succeed. By not addressing this, individuals with ASCs will experience high levels of job turnover, resulting in disjointed employment histories that limit their potential for continuous employment; we know that when applying for jobs, our work history can either facilitate or block our access to being invited for an interview.

Every adult—with or without a disability—has the right to enjoy employment, and should be able to choose their career without restriction, to work in positive conditions and to be protected against unemployment.