Terminally Ill Adults (End of Life) Bill

Debate between Meg Hillier and Caroline Nokes

2nd reading
Friday 29th November 2024 Commons Chamber

[Lola McEvoy]

Will my hon. Friend give way? I pay tribute to her for the strength that she is showing. Indeed, I pay tribute to all Members on both sides of the House who are dealing with this very difficult issue. Does she agree that we already have assisted dying in this country? Legislation already allows for choice, proving that people would be able to die at home with carefully administered, practitioner-led pain management. Does she agree that the inconsistency of this application of good pain management at the end of life, causing compassionate legislators to feel that the only option is to vote for the Bill, is a failure of our existing national health system, and does she—

[Madam Deputy Speaker (Caroline Nokes)]

Order. Interventions will have to be short in this debate because many Members wish to speak, so perhaps that is enough.

[Dame Meg Hillier]

I thank my hon. Friend for that intervention. She is absolutely right. When we see the system working, it is great, but some of what we have heard today has referred to a failure of the system. That cannot be a reason for us to accept the Bill today. For more than 30 years I have been scrutinising the policies and actions of public bodies and seeing the mistakes that they make, both in the care sector when I was in local government and more recently as Chair of the Public Accounts Committee.

Financial Services: Mansion House Speech

Debate between Meg Hillier and Caroline Nokes

Monday 18th November 2024 Commons Chamber

[Madam Deputy Speaker (Caroline Nokes)]

I call the Chair of the Treasury Committee, Dame Meg Hillier.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

I draw the House’s attention to the fact that a family member works for Allied Irish Bank, and to the fact that I am a trustee of a pension fund.

I want to ask my hon. Friend about the remit letter for the Financial Conduct Authority. Just as the pushmi-pullyu in “Dr Dolittle” did not know which way to go, there is a danger that if we try to pursue the secondary objective while protecting consumers, consumers could lose out. Could she set out clearly how she expects the FCA to ensure that it maintains its approach of protecting consumers? Could she pick up on the comment from the hon. Member for Wyre Forest (Mark Garnier) about whether there will be any move to mandate pension funds to invest in UK infrastructure?

No Recourse to Public Funds

Debate between Meg Hillier and Caroline Nokes

Thursday 8th October 2020 Westminster Hall

[Meg Hillier]

I am grateful to my right hon. Friend, the Chair of the Work and Pensions Committee, for that intervention, because that is correct. People assume that there is a safety net there—we all assume a lot of things about other people’s lives in a general way, because people do not always live that path themselves—but many of our constituents do not have a penny coming in, even though their children are British. It is the main householder who affected. There is a really big cost and those children are growing up in increased poverty as a result.

If we want to invest in the future of our country, we must consider these young people with their driven parents—parents who came here, who are working, who want to work and want to contribute, and anyone would say that they have the right work ethic to ensure that their children will also achieve—because they are living in much more difficult circumstances than they need to. The cost of any public funding will not suddenly fund their lifestyles; it is just going to help them to keep afloat, to keep their housing and to keep playing their active role as working members of society.

I will touch on the point that my hon. Friend the Member for Brent North (Barry Gardiner) made about people who cannot afford the fees; we talked a bit about that. I pay tribute to my constituent, Chrisann Jarrett, and to We Belong, which is a group of young people who are taking the long route for citizenship; some are from families with no recourse to public funds, but there is a wider point that I raise here, too. These people are young, gifted and talented, and they came here as young children. They want to contribute to this society; they are not going to live anywhere else. The countries that their parents were born in are of interest to them, but usually they cannot visit them because they do not have citizenship. However, they have to pay these repeated fees. Often, they never got citizenship early on because their parents simply could not afford even to start them on that process. Then they find that they cannot go to university and they are left sitting around, kicking their heels.

In July, the Home Secretary said—very genuinely, I feel, and I say that to the Minister—when she made her latest statement on Windrush that she wanted to root out any unequal treatment in her Department, and that she wanted to see a root-and-branch review of how it treated people. I took her at her word on that; she stood there, said that, and I believed that she meant it. If she really means it, this group that I have talked about—We Belong, which I believe she has met or is about to meet—are really good advocates for this. Surely, however, if she really believes what she said, she needs to look at no recourse to public funds, because if we look at the profile of the people who are affected by that, we see that it does not meet the equality standards that she professes to support.

In summary, I hope that the Minister will answer the detailed questions on the Home Office statistics. Does he have the statistics? If they are available, why can we not see them? If he does not have those statistics, can he tell us how he will get hold of them, so that he can make sure that he and the Home Office are making policy decisions based on proper evidence and data?

[Caroline Nokes (in the Chair)]

I thank Members for allowing plenty of time for the Front-Bench spokesmen.

Covid-19: BAME Communities

Debate between Meg Hillier and Caroline Nokes

Thursday 18th June 2020 Commons Chamber

[Caroline Nokes (Romsey and Southampton North) (Con)]

I congratulate the hon. Member for Brent Central (Dawn Butler) on having secured this important and timely debate. She picked up on several themes that I will probably echo, but she also spoke about voices, focusing on Marcus Rashford and Raheem Sterling—people who have used their voices effectively. In my speech, I will concentrate on the voices of BAME workers in our health service.

At the very start of the pandemic, we had a debate in this Chamber about the emergency covid legislation. I vividly remember receiving a briefing from the Equalities and Human Rights Commission that spoke about how the pandemic might affect different groups of people differently. It is interesting to read and review that briefing with 2020 hindsight. When it spoke of BAME communities, it mentioned their employment opportunities, including the likelihood that young BAME people in particular would be working in unsecure employment in the gig economy and on zero-hours contracts. What it did not speak about was their health.

I think that the death toll has shocked us all. But it is not only the death toll, is it? As the hon. Member for Brent Central highlighted, BAME people are more likely to be hospitalised. If hospitalised, they are more likely to end up in intensive care units. And if in intensive care units, they will be there for longer. As we have learnt over the course of the pandemic, all those things have a significant impact on people’s wellbeing going forward because the longer that someone is in ICU, the longer it will take them to recover and to return to their home, their family and their employment.

At the start of the pandemic, the Women and Equalities Committee launched an inquiry into the unequal impact of covid. That has now split into three separate inquiries looking specifically at: the impact on disabled people and their access to services; the gendered impact of covid; and—the inquiry that we have launched within the last couple of weeks and on which we have already taken significant evidence—the impact on our BAME community. As I said to Committee members last week before we had the first evidence session, “If there is one thing you can rely on from the Women and Equalities Committee, it is that our inquiry will come up with recommendations for the Government to act.”

Yesterday we heard from Dr Chaand Nagpaul and Professor Kamlesh Khunti. I do not wish overly to paraphrase their evidence, but I only have six minutes so I really will have to. They both reiterated what can be found in the NHS England and NHS Improvement briefing on the disproportionate impact of covid—that BAME staff are over-represented in the lower grades of the NHS hierarchy, that there is not enough diversity in management structures, and that, as a direct result, BAME staff are worried to speak up when they do not have the right PPE. Those staff are not having their voices heard—or, worse, they are too scared to use their voices. That is Britain in 2020: BAME staff in the NHS are scared to speak up. We have to make sure immediately that channels are open for people to be able to do so, whether they work in the NHS or in other frontline roles such as bus drivers, retail workers and nursery assistants—the people without whom, to be blunt, our country would have ground to a halt over the course of the last 12 weeks.

The Committee heard from Professor Sir Michael Marmot, who did a review back in 2010. He refreshed his review in February this year—hard up against the start of the crisis.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The right hon. Lady makes a valid point about the NHS, in which there is not a great record on whistleblowing but at least many of those workers would be in regular jobs. Does she agree that there is a disproportionate number of black, Asian and minority ethnic people in insecure employment, for whom raising an issue could mean losing their jobs? They should not have to make that choice.

[Caroline Nokes]

The hon. Lady is absolutely right. That is why I specifically raised those who are working in transport and the gig economy, who do not have those routes. In the NHS they should at least be there; in some sectors, they do not exist in the first place.

We heard from the hon. Member for Brent Central some uncomfortable truths—issues that may be difficult for us to hear—but we cannot just listen and review; we must act. When I rather proudly told one of my constituents, as Chair of the Women and Equalities Committee, that we had launched an inquiry, her instant response was not great: it was, “Not another inquiry. Not another review. Please, can you come up with some action?” She was right.

The race disparity unit in the Cabinet Office was set up specifically to obtain data, but it needs to do more than just get data. It needs to be able to look at datasets and understand them—of course it does; we have to know where the structural inequalities lie—but it is of no use to accurately record a growing deficit, or perhaps a shrinking deficit. We have to have actions. We need policy levers to effect change, so that the young Caribbean boy in the constituency of the hon. Member for Brent Central has the same educational opportunities as the white girl in mine; so that the job opportunities and chances of progression in work—and that is absolutely key: it is about not just getting a job but getting a good job getting, a better job—are available whatever someone’s ethnicity; and so that someone’s ability to speak out when they do not have the right PPE is the same regardless of their gender, ethnicity, religion, age, sexuality or disability.

I cannot stand here and predict the outcome of my Committee’s inquiry—it would be wrong to do so—but I can predict that we will expect delivery from Ministers, not warm words, not more reviews and not more commitments to get better data. We want action and improvement.

Covid-19 is of course a novel virus and we have been forced to learn about it at pace, but it has highlighted health inequalities that are real and current: if someone lives in overcrowded, poor-quality housing, they are more likely to be negatively impacted; if someone is in frontline, public-facing work, they are more likely to be negatively impacted; if someone’s English is poor or they have learning difficulties, they will not be able to receive the important public health messages that they need; and if someone lives in multigenerational families, they are more likely to be negatively impacted, as are those whose work is insecure. Of course, a person may well have no choice but to carry on working at the height of a pandemic to feed their family. No one can be a careworker, a retail worker or a transport worker from the safety of their own home.

We have not had a public health crisis like this since the Spanish flu 100 years ago, and I do not know whether our generation will see another, but we cannot lurch to another crisis without having worked out how to risk-assess our frontline workers; without having established culturally intelligent ways to disseminate information; and without having empowered people in the workplace to voice their concerns and enabled the routes to redress.

I know that the Minister and her colleagues across Government will work hard on this issue. We heard last week from my hon. Friend the Minister for Equalities about the importance of the work that the race disparity unit is doing, but I urge the Minister present to come forward with what is actually going to happen, because that is what our BAME communities up and down the country wish to hear.

Windrush Compensation Scheme

Debate between Meg Hillier and Caroline Nokes

Tuesday 9th April 2019 Commons Chamber

[Caroline Nokes]

I commend my hon. Friend for his work on the JCHR; I certainly recognise the moving and compelling testimony that the Committee listened to during the course of its inquiry. It is absolutely right that we reflect on the advice that we have received, that we seek to make the scheme as fair as possible, and that we put in place a scheme that can respond quickly and efficiently to claims. That is why we will have a taskforce that will be 120 strong at full complement. We have also made provision for individual claims for compensation to be split, so that the quick and easy parts of the claims to assess can be split off and paid immediately.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The report of the Public Accounts Committee highlighted that this scandal does not stop with the Windrush generation, but that thousands of other Commonwealth citizens are affected, and my own caseload bears that out. When the Home Secretary came before the House to make his statement, he was not specific about whether the Home Office would go through the lists of people, identify those who could be affected and proactively contact them. Will the Minister either make that commitment today or acknowledge that the Home Office systems are just not fit for this purpose?

[Caroline Nokes]

My right hon. Friend the Home Secretary did make it clear last week that the scope of this scheme is not limited to Caribbean nationals and that almost all Commonwealth nationals who arrived before 1 January 1973 will be eligible to apply. It is important that we are working across the Commonwealth to highlight and emphasise to the high commissioners and our posts the wide cohort of people who will be eligible to apply, so that they can work with those people and claims can be settled.

Oral Answers to Questions

Debate between Meg Hillier and Caroline Nokes

Wednesday 5th July 2017 Commons Chamber

[Caroline Nokes]

My hon. Friend raises a really important issue. The impact of WannaCry was felt by the NHS as a result of a legacy of some unsupported IT systems and inconsistent software patching. NHS Digital is taking a proactive approach to ensure that security patches are applied promptly, and the National Cyber Security Centre has provided expert guidance to CareCERT and is supporting individual NHS trusts and organisations in their migration from unsupported systems.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The Cabinet Office rejected a Public Accounts Committee recommendation that it should set out a detailed plan for how the National Cyber Security Centre will enable those under attack to get help. We heard evidence from many people in large organisations who were very confused about where to go for that help. Will the Minister now reconsider the rejection of that requirement and look again?

[Caroline Nokes]

Our advice is very clear: we have funded a substantial national cyber-security programme, which goes alongside expertise from the National Cyber Security Centre. That is directed specifically towards improving the cyber-security of Government and the wider public sector. Our collective focus is on ensuring we have the most secure systems, and that public services and buildings are kept up to date so that our information is safe.