ME: Treatment and Research

Debate between Michelle Donelan and Carol Monaghan

Thursday 21st June 2018 Westminster Hall

[Carol Monaghan]

I thank the hon. Gentleman for his intervention. Worryingly, the WHO is looking at reclassifying ME, too—we should all be aware of that—and its current classification of ME as a neurological condition has been ignored in terms of the treatment we have offered to patients here in the UK.

The Royal College of Psychiatrists goes on to state that symptoms are

“not due to a physical illness in the body. However, they can be explained, but to do this, we need to think about causes that are not just physical.”

Under the new “Improving Access to Psychological Therapies” guidance for people with long-term conditions, patients who present with ME are classified as people with medically unexplained symptoms who should undergo CBT therapy, in conjunction with other treatments—in other words, graded exercise therapy. However, as ME is classified as a psychological condition, patients risk getting trapped in the psychological care pathway.

[Michelle Donelan (Chippenham) (Con)]

I am co-chair of the all-party group on Lyme disease. Does the hon. Lady agree that there are many similarities between Lyme disease and ME, in that patients may be misdiagnosed and may not know where to turn, and that we need to invest in research in both those important areas?

[Carol Monaghan]

There are many conditions that we now think could be grouped under the wide umbrella of auto-immune conditions. Lyme disease, multiple sclerosis, rheumatoid arthritis and ME may all be in that group, but without research we do not know.

Some people consider ME to be a psychological condition, despite the fact that people with ME are not allowed to be blood or organ donors. Unfortunately, those who hold such beliefs often are in influential positions and have a blinkered view of the condition. I wonder what they have to fear from proper biomedical research into ME. If such research showed they were correct, their views would be vindicated. However, if it threw up new information that had an impact on ME treatment and care, as medical professionals they should surely support that.

Higher Education (England) Regulations

Debate between Michelle Donelan and Carol Monaghan

Wednesday 13th September 2017 Commons Chamber

[Carol Monaghan]

I will not give way.

The fact that such a sweeping change to fee structures can be brought in by stealth as a statutory instrument—or that such an attempt can be made—is an indication of how low the present Government are willing to stoop, and how scared they are of putting this brutal policy to the test.

That is not the only attack on English students. The interest on tuition fees has risen sharply from 4.6% to 6.1%. Maintenance grants have been scrapped. Now we hear that debt on completion of course has reached an astronomical £50,000 for students in England, which will leave many young graduates saddled with debt throughout their entire working life. I wonder how many hon. Members would have trooped willingly through the Lobby in 2010 to support the policy that, seven years on, has left so many of our young people financially crippled.

[Michelle Donelan (Chippenham) (Con)]

Does the hon. Lady think that the quality of education that students receive is important? An audit in Scotland found that 22% of Scottish university estates are now poor or very poor. The quality of education must come first.

[Carol Monaghan]

In Scotland, we take a holistic view of education that is not simply about higher education. In fact, I have referred to “tertiary education” several times already because the distinction between further education and higher education is fluid in Scotland. The Secretary of State suggested that fewer young people from disadvantaged backgrounds enter higher education in Scotland than other parts of the UK, but let me quote what UCAS has to say:

“For people living in England, Wales and Northern Ireland, UCAS covers the overwhelming majority of full-time undergraduate provision. Therefore, the statistics on acceptances or entry rates can be taken as being very close to all recruitment to full-time undergraduate higher education. In Scotland there is a substantial section of provision that is not included in UCAS’ figures. This is mostly full-time higher education provided in further education colleges, which represents around one third of young, full-time undergraduate study in Scotland… Accordingly, the statistics on UCAS entry rates and acceptances in these… charts reflect only that… undergraduate study that uses UCAS.”

To put that simply, UCAS only considers direct entry from school to university and takes no account of higher education provided in our FE sector or, indeed, of young people who enter university having completed an access or college course. To talk down the interactions between FE and HE in getting young people from disadvantaged backgrounds into tertiary education does a great disservice to the institutions and the young people served by them.