(6 years, 4 months ago)
Commons ChamberI welcome the power of new technologies to bring new drugs to the table. NHS England has made a very generous final offer to the manufacturer of Orkambi. Having spoken to those involved again over the past couple of days, I understand that a meeting has been offered to the company but not taken up. The company can break this impasse by accepting the very generous offer on the table.
Our chief medical officer is leading a systematic review of international research to improve our understanding of social media use and children’s mental health. We are also working with the Department for Digital, Culture, Media and Sport to consider what more can be done to reduce potential harm to children’s mental health from social media. This is being done through the Government’s upcoming internet harms White Paper, which is due later this year.
The longer people spend online, the more likely they are to experience cyber-bullying. Research by Childline, a service of the National Society for the Prevention of Cruelty to Children, shows that the number of young people seeking counselling as a result of online bullying has increased by 88% in just five years. What are the Government doing to improve research on this issue and to better understand the potential harms?
My hon. Friend is right to highlight this, but it is worth bearing in mind that there are also positive effects from engagement on social media. The relationship between social media use and its impact on mental health is not conclusive. That is why the chief medical officer is carrying out a review of all the evidence in this area, so that we can understand and shape future policy. That report will be due next year.
(6 years, 4 months ago)
Commons ChamberIt is a pleasure to follow the hon. Member for Liverpool, Wavertree (Luciana Berger). I too add my congratulations to the hon. Member for Croydon North (Mr Reed) on introducing this Bill and on his tireless efforts to guide this important piece of legislation through the House. I was here last month, when this Bill was last discussed, but unfortunately I did not get an opportunity to contribute, so I am very pleased to be able to speak in support of it today.
This is a sensible Bill. It follows recent announcements by the Prime Minister and Ministers addressing mental health, and feeds into current initiatives on how best to improve current systems of support for people who face mental health problems. The figures on mental health are striking: every week, one in six adults suffers from some sort of mental health condition, such as anxiety, depression and suicide. Even more alarmingly, one in five has considered taking their own life at some point.
I am encouraged to see that the Government are taking the issue of mental health so seriously and as seriously as physical health. In my view, parity of esteem means far more than simply saying we value a person’s mental wellbeing. It must mean tackling mental health issues with the same energy and priority with which we tackle physical illness. It is about changing the experience for people who require help with mental health problems. In addition, we must aim to put the funding and training for mental health services on a par with those for physical health services.
Crucially, we must end what appears to be the criminalisation of mental health conditions. The tragic case of Olaseni Lewis highlighted for many how quickly the police can become involved in mental health situations in a way that they perhaps do not in physical heath cases. Indeed, the Metropolitan police force received a phone call relating to mental health every five minutes last year, an escalating level of demand which they have said could be caused by NHS services struggling to cope. The number of calls handled by the Metropolitan police in which someone was concerned about mental health hit a record 115,000 in the past year—on average 315 a day, or about 13 an hour.
In some cases, ill people struggling to find help have even committed crimes to obtain treatment, believing that that was the best way to get access to mental health services. The Met also expects to use powers to detain under section 136 of the Mental Health Act 1983 more often. Data from health partners in my own area of Greater Manchester indicate that around 1,000 people each year are detained under section 136.
However, some really good initiatives are being rolled out. I wish to highlight an initiative from my own force in Greater Manchester. It has collaborated with Greater Manchester West Mental Health NHS Foundation Trust to provide a training programme for staff that improves the understanding of mental health. For the past 12 months, staff and officers at Greater Manchester police have received comprehensive mental health training, delivered by mental health professionals. The scheme was originally designed for staff in the custody offices where people are detained, but I am delighted to report that it has proved so successful that it has now been incorporated in the training requirements for response officers, police community support officers and special constables. The eventual aim is that all workers complete the sessions.
The concept of parity of esteem, and indeed the wider issue of highlighting the importance of mental health, is especially vital, as we know, for young people. Some 75% of all chronic mental health problems start before the age of 18, yet currently only a quarter of children and teenagers under 15 with mental health problems get the help they need from public services. Since January 2013, there have been 17 deaths of patients under the care of young people’s mental health services. I know that the Government regard patient safety as a key priority, which is why my right hon. Friend the Secretary of State published national guidance on learning from deaths last year to improve the way the NHS investigates and learns from in-patient deaths and to prevent future tragedies. I also welcome the £25 million of investment to support mental health patients so that we can achieve what we want, which is a zero suicide ambition.
I wish to speak to clause 12, which covers police-worn body cameras. That is already becoming standard practice in Greater Manchester. GMP has the largest force of officers outside London using body cameras, with more than 3,000 staff equipped with video recording devices. The Crown Prosecution Service has endorsed the equipment as a critical piece of technology not only in reducing violence, but—and this is key for this debate—in improving transparency. As the evidence suggests, there is merit in applying this measure across England and Wales. Body cameras have dramatically reduced the number of complaints made against police officers. During a trial period of their use, complaints dropped by 93%. It is because of that record that I believe body cameras will be an effective tool not only in assisting on-duty hospital staff, but in instilling those important patient safeguards.
There are good measures in the Bill which, coupled with the duties of the “responsible person”, will make this a very important piece of legislation. I am very pleased to support it and wish it well on its passage through this House.
(6 years, 6 months ago)
Commons ChamberMy hon. Friend is absolutely right. One of the most important ways of getting that change in mindset is by giving patients more control. Later this year, we will be offering all NHS patients an app through which they can access their medical record, and that should start to become a way in which people take control of their healthcare destiny, including such things as invitations to screenings for all cancers and many other public health measures.
While Stockport is one of the best areas for cancer identification, there will be concern that some people may have missed a routine call for screening. Last year, my constituents in Heald Green were particularly affected when their local breast cancer screening provision was relocated to Macclesfield District Hospital, which is over an hour away. As we address the screening issue, does my right hon. Friend agree that we must ensure that breast cancer screening is local and accessible?
(6 years, 7 months ago)
Commons ChamberIt is a pleasure to follow the hon. Member for Weaver Vale (Mike Amesbury). I start by declaring an interest as my husband is the non-executive director of a social enterprise in the area of social care. I join my colleagues and others across the House in welcoming this debate, and I am pleased to have the opportunity to speak about this hugely important issue.
I am a great believer in localism. I was a borough councillor for several years before entering this place. As a member of the Housing, Communities and Local Government Committee, I have worked with colleagues to examine the issue and to question Ministers on the provision of social care across the country, and I am pleased that the Committee published a report on adult social care last year.
The health and social care devolution settlement to my region of Greater Manchester provides us with an opportunity to tackle health issues from the ground up, and I commend the Government for the considered approach that they have taken since the proposal’s inception several years ago. Greater Manchester is home to almost 3 million people across 10 local authorities. However, according to the Office for National Statistics, life expectancy in Greater Manchester is among the lowest in the country, so the challenges that we face are significant. If things continue as they are, we will be facing an unsustainable £2 billion shortfall in health funding by 2021.
Greater Manchester faces a number of issues, one of which is dementia. Members will know from the experiences of the constituents they meet in their surgeries, or perhaps through their own personal experience, that dementia causes immense suffering to individuals and their families. Dementia is now a leading cause of death in the UK, and it is estimated that there could be nearly 35,000 people living with dementia in Greater Manchester by 2021, a third of whom will have symptoms so severe that they will require 24-hour care. Dementia care is estimated to cost around £375 million a year in Greater Manchester alone.
Similarly, strokes are the fourth biggest killer in the UK and a leading cause of disability. More than 100,000 strokes happen in the UK each year, with someone suffering from one every five minutes. In Greater Manchester, there are 6,000 a year. However, swift, specialist treatment can make a huge difference. My constituency has the No. 1 rated stroke unit in the country. Stepping Hill hospital’s stroke centre has high-tech scanners to detect blood clots in the brain and uses emergency clot-busting drugs to break them down. It also provides stroke patients with a full rehabilitation programme and a high-tech sensory garden in which they can recover.
Hospitals are an important part of our healthcare provision. However, if we were to start again, given the sort of patient environment we have today, perhaps we would not design a system like that developed in 1948, which focused on acute hospitals. We would create a system much more focused on health and tackling long-term conditions such as dementia, heart disease and diabetes, all of which account for 70% of the NHS’s total spend. As a result, much more needs be done in the community. A key aim of combining the health and social care budgets is to reflect that trend. Care needs to be moved out of hospitals into the community.
To provide effective support, integrated services are vital. A key Government aim from the outset has been to enable care to move out of hospitals and into the community, closer to where patients want to be—in their own home. An example of that strategy in practice is the “Stockport Together” programme, through which five health and care organisations have come together to integrate health and social care services across the borough. Stockport is proud of the fact that we are one of the healthiest places to live in the north-west, but the rising number of older people in Stockport means that there will be a greater need for health and social care support both in the short and long terms. Currently, one person five in Stockport is over 65.
NHS and social care organisations in Stockport, led by the local clinical commissioning group, have come together to tackle fragmented care by joining up services for older people in supported living schemes and care homes. I appreciate that there is no one-size-fits-all approach to addressing social care—what works for Stockport might not work for areas such as Salford, Sale or Stretford—so this is not about reducing the amount of money spent on care, as Members sometimes assert; it is about investing it in a smart way to ensure that we can meet the increased care needs that we face. The “Stockport Together” programme has demonstrated that, by joining up the arms of local government and health providers, we can reduce the number of ambulance call outs to falls and reduce the number of people in hospital who could be treated at home.
The Greater Manchester combined authority has £6 billion of devolved funding at its disposal, and I hope part of that will be channelled into primary care to facilitate early assessments and to support patients newly diagnosed with dementia. Doing so would have a positive knock-on effect. By focusing on community care we can reduce emergency admissions and care home placements, and relieve the pressure on our local hospitals.
The integration of health and social care in Greater Manchester is a significant milestone in tackling the challenges I have outlined, and I look forward to the publication of the Government’s Green Paper on this hugely important subject.
(6 years, 8 months ago)
Commons ChamberI think that would be the brilliant Bradford Telegraph and Argus. As I said, 75 dental practices are continuing to test the preventive focus clinical approach alongside the new remuneration system, which supports an increased focus on prevention through the dental contract. I know it is taking time, but I want to get it right.
We know that early diagnosis of cancer is crucial for successful treatment outcomes, but for many cancers, such as pancreatic and ovarian cancer, early symptoms can be vague and the chance to diagnose early easily missed. What are the Government doing to ensure that hard-to-detect cancers are diagnosed early?
That is an excellent question. We are testing the new Accelerate, Co-ordinate, Evaluate programme—ACE—which I visited recently at the Churchill Hospital in Oxford. Patients with vague symptoms can be referred for multiple tests and often receive a diagnosis or an all-clear on the same day. I do not get excited very easily, but that promises great excitement.
(6 years, 11 months ago)
Commons ChamberAs the House knows, cancer is a huge priority for me and for the Government. Survival rates are at a record high, but we know there is much more work to do. Early diagnosis is key, and that is never more true than with oral cancers. We are supporting dentists to play a vital role in spotting mouth cancers early. I was discussing this very point just last week with the British Dental Association, which shares our passion on this issue.
(7 years, 8 months ago)
Commons ChamberThe hon. Gentleman says from a sedentary position that we set up the CCGs. I remind him that CCGs came together without central prescription as to what their size should be, but we will always listen to the advice we get on the ground if people want to change their size.
The Prime Minister herself announced our commitment to developing and expanding digital mental health services, and we have backed that with an investment of more than £65 million. This work includes improving digital technology for the mental healthcare system, developing digital tools and therapies, and improving mental health information and services provided through nhs.uk and 111 platforms.
The Minister will know that for people with mental health problems, attending accident and emergency or going to see their GP is not always the best point of intervention, so I welcome measures to improve accessibility. Stockport Healthy Minds, which serves my constituency of Cheadle, provides a range of services such as online self-help courses, one-to-one therapy sessions, and group workshops. What is her Department doing to provide projects like Healthy Minds with the support and accessibility they need?
In addition to the funding that we are providing to improve the mental health pathways through nhs.uk and 111, we are providing £500,000 for the development of six digital tools, with a particular focus on children and young people’s mental health. I pay tribute to the work of Healthy Minds in my hon. Friend’s constituency and to her own championing of this issue.
(8 years, 4 months ago)
Commons ChamberIt is a pleasure to follow the hon. Member for Glasgow South West (Chris Stephens), who made some very good points, and to congratulate the right hon. Member for Tottenham (Mr Lammy) on securing this important debate.
I absolutely support the principle behind this proposal. One of the Treasury’s principles is to maximise capital receipts, and we must not forget that this country is about £1.6 trillion in debt. In the right circumstances, it makes absolute sense to sell off assets to pay off liabilities; that is a sensible economic policy. Of course, the Government since 2010 have halved a deficit that was running at £153 billion—now it is £75 billion—and simultaneously grown the economy. We have one of the fastest growing economies in the developed world. Day after day, we debate how we will balance the books and how we will pay off the rest of the deficit or reduce it, and the Opposition oppose every single cut that we suggest. At the same time, they complain about the lack of deficit reduction. It simply does not stack up.
We have talked recently about a new politics. I had the great pleasure of serving on the same Committee as Jo Cox, who really set the tone for the future. I hope that we will take forward the sentiment that we should have challenge, but it should be a constructive challenge. We should not be sanctimonious. The majority of people who come into the House do so for absolutely the right reason: to improve the lot of the less fortunate in society and those who have the least opportunity. Members on both sides of the House should recognise that.
Many Labour Members have made the point about the Land Registry’s important role in providing secure title for people, but in the same breath they bring forward policies such as the mansion tax, which would take away the security of that title. It is a complete contradiction.
Nevertheless, I have concerns about this privatisation, because we may create a new private sector monopoly. We absolutely cannot have that. The Treasury’s criteria for sale of these assets—it is absolutely right to pay down our debt—are to maximise capital receipts, to provide better customer service and to reduce Government control. We would all agree with those principles, but may I add another: not to create any private sector monopolies? There is no effective competition in prospect if the Land Registry is privatised. We all encounter problems in our surgeries with a company called BT, which is a de facto private sector monopoly, certainly in the case of superfast broadband.
I believe that that business suffers from a culture of corporate obfuscation in pursuit of maximising profits and minimising investment, while maintaining desperately poor customer service. We must not let that happen in another private sector context, although privatisation is of course positive if it encourages competition in that it drives innovation, it drives investment and it should in itself drive great customer service.
Another of my concerns, which has been repeated many times, is the likely amount we would get for the Land Registry. The figure is around £1 billion to £1.5 billion, but it consistently produces a surplus of over £100 million a year. That represents a return of 8% to 10%, but the Government can borrow money at about 1%, so it does not make financial sense to sell it.
The Government have another very important role, which is to be a facilitator or enabler, and there are so many opportunities for open-source databases. Ordnance Survey has recently provided open-source data that could enable many technology companies to develop applications. One of those involves broadband because Ordnance Survey data are hugely important in allowing fixed wireless providers to provide remotely—at desktop level—superfast broadband in communities.
The Government have done such work in other areas. They have opened Department for Environment, Food and Rural Affairs databases to provide a free flow of information to enable the development of new technologies and applications. We are on the verge of what is called the fourth industrial revolution—the fusing of physical, digital and biological technologies—which could have huge benefits to the economy and to mankind. Given those real opportunities, the Land Registry should be kept in public ownership.
We should provide a more long-term and strategic approach in the public sector, rather than look for short-term profits. Our very own Tim Berners-Lee, a member of the Open Data Institute, has said that the sale
“could undermine the government’s bid to make more data publicly accessible”.
On that basis, it absolutely should not be considered.
As my hon. Friend the Member for Carlisle (John Stevenson) said, the Land Registry does need reform. It has a relatively new chief executive officer. The average tenure of the 4,500 staff is about 25 years, so it probably needs a bit of a shake-up if it is to make the best use of some of these opportunities.
Another point is about underpinning property rights, which are a fundamental component of economic success. The Land Registry has been in operation since 1862, and the average person in the street might be surprised to learn that it no longer has any paper deeds, but keeps everything digitally. I think the average person would be very concerned about that combination—the fact that the information is held digitally and that it would be kept by a private sector company.
The Land Registry does not only provide an administrative function. As the hon. Member for Glasgow South West keenly observed, the staff also use their knowledge and judgment. They are often asked difficult questions, and they need to be experienced and knowledgeable to provide a proper service.
The Government have introduced new initiatives on beneficial ownership, including consideration of a public register to make sure that foreign companies disclose the true ownership of UK property. That is revolutionary in that it is trying to tackle money laundering, corruption, crime and tax evasion. Those are all reasons why it is better for the Land Registry to be in the public sector than the private sector.
I am involved in the property sector. You must excuse me, Mr Deputy Speaker, for neglecting to draw the House’s attention to my entry in the Register of Members’ Financial Interests. Just about all the people in the property sector to whom I have spoken are against this move, whether they are members of the Conveyancing Association, or solicitors, house builders or property agents. Indeed, the Competition and Markets Authority has said that a private sector provider may fail to
“maintain or improve access to the monopoly data; and…weaken competition to its own commercial products.”
The Government are committed to the ambitious target of providing 1 million new homes by 2020 and increasing home ownership. Does my hon. Friend agree that we should avoid any disruption to the Land Registry that might jeopardise its service to home buyers in the future?
I totally agree. As we have heard, the Land Registry service is regarded as a very high-quality service and the housing market is such a critical component of our economy, particularly now that economic markets such as the housing market are looking a little more fragile.
I have significant reservations about the privatisation of the Land Registry, and—supportively and gently—I ask the Government to think again about these proposals.
(8 years, 5 months ago)
Commons ChamberI beg to move,
That this House has considered carers.
Imagine a day when 6.5 million people did not turn up to work as expected. They had a duvet day. They went to the beach. They subscribed to Netflix. They did some beauty therapy and some shopping therapy. They went drinking and they had fun—they might have taken a trip to the beach, or had a day at a theme park. What if those 6.5 million people made no arrangements for the care of their loved ones? What if those massive numbers of people simply took a holiday and did not arrange any cover? How many vulnerable people would go unbathed and unfed? How many would be unable to get out of bed to go to the loo? There would be no pills, no jabs, no dressings administered and no GP appointments attended. There would be nobody caring for the people who cannot do it for themselves. How frightening, gravely concerning and inhumane would that be? How many people would die? How many people’s conditions would deteriorate? How would our emergency services cope? Who would pick up the slack if those 6 million carers did not turn up for work one day?
In this country, 1.3 million provide more than 50 hours of unpaid care a week. The care they provide is worth £132 billion a year, which is what the NHS costs us. There are 150,000 doctors in the NHS and 87,000 soldiers in our Army. In Eastleigh, there are more than 10,000 carers, and the same number in Chippenham and Sedgefield. There are more than 8,000 in Stirling and more than 12,000 in North Antrim. An army of carers turns up every day—day in, day out.
I congratulate my hon. Friend on securing this debate. She is right to highlight the financial value of carers. Does she agree that the personal value should also be considered? According to Carers UK, three out of four carers feel that their role is not understood in their community. Does she agree that community support is vital in helping to build carer-friendly communities?
I absolutely agree with my hon. Friend, and I am delighted to have secured this debate today to highlight these issues. I know that she works tirelessly in her community to support carers and the people who need them. I agree that there is a human cost and an economic cost to caring.
I thank the Backbench Business Committee for being so supportive in ensuring that this important topic gets time in the Chamber. I hope that this will be a wide-ranging debate. I am also grateful to the Government and to the Minister for Community and Social Care, who has been very supportive of my application to hold the debate this week, which is carers week.
We know the value of carers, but do we really understand what is involved? How do you become a carer? A loved one might get older or become disabled. A child might be born with challenges. Someone might experience an unexpected change in their health. There might be a car accident or an incident at work. An operation could go wrong. A mental health challenge could arise, resulting in the need for care. All of a sudden, you become someone who needs to be a carer. How do you manage it?
As my hon. Friend the Member for Cheadle (Mary Robinson) has suggested, long-term caring can have a financial and emotional effect on families. It can have an impact on relationships. You lose friends. You lose leisure time. You also lose your freedom. Relationships between husbands and wives change. You become a carer rather than a lover or a friend. The impact of the need for mum or dad or a child to come first means a big change for families. You can develop a fear of the phone. You could be at work, out shopping, doing the chores or walking the dog when you get a phone call to say that something has happened on your caring watch. It is worrying for you as a carer when the phone rings. You are mindful of what damage could be done while you are not there.
Carers week represents an important collaboration by Carers UK, Age UK, the Carers Trust, Independent Age, Macmillan Cancer Support, the Motor Neurone Disease Association and the MS Society. The focus this year is on building carer-friendly communities, and that is why I have tried in my opening remarks to remind people that someone in their lives is taking on the extra responsibility of being a carer. How many hidden carers do Members have in their constituency? Who do we know who is taking on that role? This debate gives us a chance to highlight the need to ensure that all our communities are aware of the work that unpaid carers do. Local GPs should understand the restraints a carer might face—I am aware that GPs themselves face many pressures—and employers should be spearheading flexible working and educating their own organisations to support carers.
(8 years, 7 months ago)
Commons ChamberI entirely agree and thank my hon. Friend for his comments. That example highlights the issues faced not only by the victim, but by the family from young to old. It is remarkable that special cases such as he describes are not recognised by the system. I hope that as part of the review those instances will be resolved.
What happened to Steve, Lee and all the others whom we have heard about today was wrong. In many cases it was avoidable. They were blameless victims who were handed debilitating, dehumanising—as my hon. Friend’s example shows—and degenerative infections that have caused heartache to all those affected. Although responsibility obviously lies with the commercial suppliers of the products, the NHS unwittingly administered them, and society owes the victims a debt. We must do the best we can to alleviate the pain and illness that victims have suffered. The decision that this House and the Government take should place those victims front and centre.
There are two threads to the approach that we should take. First, we must provide treatment for the victims, who suffer from various complex conditions and symptoms that require advanced and expensive care. It is right that we invest in the care and treatment available for those conditions, and in research. Thankfully, medical advances are making rapid progress. Secondly, we must ensure that as much restitution as possible is made to those who have suffered in that way.
My hon. Friend rightly talks about the blameless victims and the need for compensation. My constituent, who wishes not to be named, asked me about her husband, who was infected in the late 1970s and 1980s. He was a mild haemophiliac whose life was not previously at risk, but he is now living with conditions caused by contaminated blood. Does my hon. Friend agree that in the consultation on the proposals it is important that we consider the long-term impact on such families?
My hon. Friend makes a powerful point. The issue is not just money or the obvious conditions. A holistic approach is needed to what those families have faced. The example that she gives of a minor condition is truly shocking.
Money has been discussed at length this afternoon. Money can never bring back what victims have lost, but it is important that the Government do what they can to bring dignity to the shortened lives of many of those who suffer.
I welcome what the Government have done in relation to treatment. On the new generation of drug treatments, the National Institute for Health and Care Excellence is developing guidance on three further treatments, and NHS England announced last year that it had made available £190 million so that patients with confirmed cirrhosis from hepatitis C can benefit from new treatment options. The Department of Health estimates that around 550 individuals infected with hepatitis C through NHS-supplied blood and blood products can now access the new treatments under the NHS’s interim commissioning policies.
Medical advances will continue, and there will be beneficial new treatments around the corner, which I hope will stem much liver damage. They may prove to be the salvation for many, but it is early days in this pioneering field of research. There remains some confusion from victims about where the money is coming from, so I would welcome the Minister’s clarification on that. I will continue to push for the best treatments available, and for research so that even better treatments are around the corner.
On support for victims, I await the Government’s conclusions on the current consultation. Central to all of this is the need to bring dignity to all those afflicted. Victims tell me that they feel that the current system has in some way belittled them and that it is insufficient. Clearly a more suitable settlement for such victims is needed. Care for bereaved next of kin, as we have heard this afternoon, remains at the forefront of victims’ minds. The settlement needs to be flexible, and I await the proposals that the Government bring forward to address these concerns.
It saddens me that some victims, including those in my own constituency, do not view the Minister as being committed to this cause. I personally refute that. I have found her to be diligent and dedicated to this tragedy. She has been honourable throughout. She has spoken honestly with me, and with great compassion. On every occasion I have spoken with her about the issue, often late in the Division Lobby, she has been both knowledgeable and committed to righting this wrong. Campaigners and victims, such as Steve and Lee, will not settle for a halfway house. Although we can never turn the clock back, I am confident that the Government will do what they can to give dignity to all those affected.