Puberty-suppressing Hormones

Nadia Whittome Excerpts

Wednesday 11th December 2024 Commons Chamber

[Wes Streeting]

I do not agree with the hon. Member’s characterisation. A whole range of medicines are prescribed for a whole range of uses among a whole range of patient cohorts that may well be unsafe, inappropriate or ineffective for use by other patients with other conditions. That is a basic fact of medicine and, if I may say so, the hon. Member’s intervention is why we should listen to clinicians, not politicians.

[Nadia Whittome (Nottingham East) (Lab)]

I share the deep disappointment that many young trans people and their families will feel about the Health Secretary’s decision today. I know that many will be devastated by this news, and I know that they have communicated to the Health Secretary and his Department the huge concerns that they have about their wellbeing in the face of these restrictions. Too many young trans people are already in, or at high risk of, mental health crisis. What consideration has he given to the impact of this decision on their mental health?

[Wes Streeting]

Very heavy consideration—of all the considerations, it is the one that has weighed most heavily. As I said in my statement, trans people too often find themselves at the wrong end of the statistics on mental ill health, self-harm and suicide. I take those issues very seriously indeed.

What I would say to my hon. Friend, Members of this House, and campaigners—particularly online actors—is that a number of claims have been made about the data that are not borne out by the facts. In fact, I asked Professor Louis Appleby, the Government’s suicide prevention adviser, to examine the evidence for some of the claims made that there has been a large rise in suicide. His paper, published on 19 July, concluded as follows:

“The data do not support the claim that there has been a large rise in suicide in young gender dysphoria patients at the Tavistock.

The way that this issue has been discussed on social media has been insensitive, distressing and dangerous, and goes against guidance on safe reporting of suicide.

The claims that have been placed in the public domain do not meet basic standards for statistical evidence.

There is a need to move away from the perception that puberty-blocking drugs are the main marker of non-judgemental acceptance in this area of health care.

We need to ensure high quality data in which everyone has confidence, as the basis of improved safety”.

I would add that it is important that we make sure that these children and young people have access to good-quality mental health support, and I am working with NHS England to make sure that this is the case. This area is one in which all Members should tread carefully when engaging in debate.

Oral Answers to Questions

Nadia Whittome Excerpts

Tuesday 6th June 2023 Commons Chamber

[Neil O’Brien]

This is absolutely the top priority I am working on at the moment. I am totally seized of the challenge that my hon. Friend mentions. I have mentioned some of the reforms we are already making, which have increased dental activity by about a fifth in the year to March, but we know that we have to go further and we will do so shortly.

[Nadia Whittome (Nottingham East) (Lab)]

T6. More than one in 10 social care roles are vacant, and the biggest culprit in this recruitment and retention crisis is low pay. According to recent TUC analysis, a £15 an hour minimum wage for care workers would not only tackle staff shortages, but level up places such as the east midlands, introducing an £800 million economic boost. Will the Government introduce that?

[The Minister for Social Care (Helen Whately)]

I want to see the care workforce recognised and rewarded for the work that they do. That is one reason why we gave adult social care a record uplift to its funding of up to £7.5 billion in the autumn statement, for local authorities to fund care providers to pay their workforce in turn. That goes hand in hand with our workforce reforms to develop the skills and career opportunities for the care workforce.

Government PPE Contracts

Nadia Whittome Excerpts

Tuesday 6th December 2022 Commons Chamber

[Nadia Whittome (Nottingham East) (Lab)]

The Government’s actions on PPE were a catalogue of failures from start to finish, with devastating consequences. Before coronavirus, the existing PPE stockpile did not include everything it should have. Then the Government were slow off the mark. They took too long to understand that we would need more PPE and failed to get on with ordering it. That meant that in the first wave of the pandemic, those on the front line were left dangerously exposed. I know that because when I returned to care work to help relieve the strain on my former colleagues, I saw at first-hand masks being rationed and visors donated by the public.

When I spoke out about those PPE shortages, Conservative Members insinuated that I was lying. Among them—I have informed them that I will be referencing them—were the Secretary of State for Foreign, Commonwealth and Development Affairs, the right hon. Member for Braintree (James Cleverly), the right hon. Member for Mid Bedfordshire (Ms Dorries), who was a Health Minister at the time, and the hon. Member for Mansfield (Ben Bradley). Despite report after report proving that there were PPE shortages and that I was telling the truth, not one has ever apologised for those comments. It is not me I want them to apologise to, but the millions in the care sector, both staff and the people they were caring for, who were forgotten and neglected by their Government.

The Government put care workers’ lives at risk, as well as the lives of those receiving care. The workers, overwhelmingly women and disproportionately migrants, earnt poverty wages. Of course, that was not everyone’s experience of the pandemic. While my former colleagues worked day and night for a pittance, with some paying with their lives, the rich saw the chance to cash in. One businessman’s company made a £70 million profit on a contract for PPE that was reportedly not suitable for the NHS, and therefore went unused. He paid himself £13 million and celebrated his birthday last week by eating a cake shaped like a briefcase of cash on a private yacht. Meller Designs was awarded PPE contracts worth more than £170 million. In 2020, it made profits of over £13 million, a 9,000% increase on the previous year. One of the co-owners had donated nearly £60,000 to Conservative politicians and the central party since 2009. Unsurprisingly, the company was referred to the fast-track VIP lane by a Conservative Minister.

Once the Government started ordering PPE, all too often it was not about who could supply the best, the fastest and at a reasonable price, but about who had connections to the Conservative party. Those referred to the VIP lane were 10 times more likely to be awarded contracts. So the Government acted unlawfully, wasted billions of pounds of taxpayers’ money in the process and failed to protect those on the frontline.

We talk about how corruption robs citizens and ruins public services in countries across the world, but when it is happening right here in front of our eyes, we dress it up in euphemisms. I urge the Government to come clean and release all the papers relating to the awarding of contracts to Medpro, and also relating to all contracts awarded through the VIP lane.

Oral Answers to Questions

Nadia Whittome Excerpts

Tuesday 1st November 2022 Commons Chamber

[Steve Barclay]

Part of the reason for having the targeted funding is so that ICSs can look at those areas under particular pressure for recruitment and do that on a place-based basis. It would be interesting to look at the evidence, but I know that the fund has been used by my hon. Friend’s local ICS.

[Nadia Whittome (Nottingham East) (Lab)]

T9. Care workers were already struggling to get by on wages that hardly pay the bills, and now, with an escalating cost of living crisis, care workers in Nottingham and beyond are being pushed deeper into poverty. Does the Secretary of State back trade union calls for a £15 an hour minimum wage for care workers, and what steps is he taking to make this a reality?

[Helen Whately]

Care workers should be properly paid for what they do, the skills they bring and the compassion they bring to their work. That includes being paid at least the national living wage, which was increased by 6.6% in April. I am also increasing the Care Quality Commission’s oversight of local authority commissioning, and we have created a £1.36 billion market sustainability and fair cost of care fund, which will ensure that local authorities always pay a fair cost of care.

Childhood Cancer Outcomes

Nadia Whittome Excerpts

Tuesday 26th April 2022 Commons Chamber

[Taiwo Owatemi (Coventry North West) (Lab)]

Thank you, Mr Deputy Speaker. I would like to start by thanking the hon. Member for Gosport (Dame Caroline Dinenage) and the Backbench Business Committee for bringing forward this important debate. I am so grateful to contribute following so many powerful and moving speeches today.

As a trained cancer pharmacist, I am only too aware of the issues associated with childhood cancer, which is why I want to use my time here to raise awareness concerning a key issue that specifically affects childhood cancer outcomes. Outside infancy, cancer remains the most common cause of death in children and the most common disease-related cause of death in teenagers, yet less than 4% of all cancer research funding is spent on cancer that primarily affects children. Childhood cancer research has been underfunded and neglected for decades in comparison with investment in researching cancers that affect adults. That unacceptable inequality of resources has fatal consequences for children in the United Kingdom.

This was the case for Ben Crowther, a seven-year-old boy from my constituency of Coventry North West, who tragically died in 2019 due to the aggressive form of childhood cancer called rhabdomyosarcoma. Though RMS can occur at any age, it most often affects children, as we have heard from many Members in the House, and therein lies the crucial distinction. Ben’s type of cancer most often affects children, yet research into that type of cancer has largely plateaued in recent years. Ben was treated with the best medicine available to him at the time. However, much of the treatment was decades old, and Ben’s doctor could not recommend that he join any clinical trials to give him a better chance of survival because there were simply no ongoing clinical trials for that form of cancer that he could join.

[Nadia Whittome (Nottingham East) (Lab)]

My hon. Friend is making an extremely powerful speech in memory of her constituent Ben. One of my constituents died at the age of only five years old from a brain tumour, and tragically he is far from alone. While 80% of children survive childhood cancer as a whole—still far too low—80% of children with brain tumours die within five years of diagnosis. It is the biggest cancer killer of those under the age of 40, yet brain tumours receive less than 1% of the national spend on cancer research. Does she agree that funding must be increased in order to improve outcomes for children and adults with brain tumours?

[Taiwo Owatemi]

I agree. My hon. Friend makes an important point. We need more funding for cancer research across all cancers.

His medical team did everything they could to save Ben but, in the end, decades of circumstantial neglect of RMS patients failed him. With Ben in mind, I just wish to make two brief points today. The first is that this Government must do better to encourage research into cancers that primarily affect children, not just adults. Parent-led charities and special named funds such as Pass the Smile are fundraising at grassroots level, but it is not right that the burden of raising funds should fall on the shoulders of bereaved parents. Secondly, we must treat the issue of childhood cancer outcomes with more urgency. We regularly call childhood cancers “rare”, but we must not lose sight of the fact that cancer is the disease that most commonly kills children.

Finally, I wish to thank Ben’s parents, Sarah and Scott, for allowing me to share Ben’s story, for their bravery and, above all, for their desire to ensure that no other family goes through what they have been through. I hope that the Government will listen to the stories that Members have shared today, and take the necessary steps to encourage greater awareness and improve research into cancers affecting children.

Children’s Mental Health

Nadia Whittome Excerpts

Tuesday 8th February 2022 Commons Chamber

[Nadia Whittome (Nottingham East) (Lab)]

When I was in school under the then Conservative-led coalition Government, I remember friends and classmates whose mental health was in crisis. They struggled to be seen, and they waited months, even years. Since then, the situation has only got worse.

I am regularly contacted by parents who are caught in the snare of long wait times for underfunded and non-specialist services when trying to access mental health support for their children. In Nottinghamshire, 78% of children referred to child and adolescent mental health services wait longer than four weeks to be seen. Between April and October 2021, just six months, more than 409,000 children were referred to CAMHS for self-harm and suicidal thoughts. I challenge anyone here to tell me that that does not constitute a crisis and that it should not be dealt with as such.

This motion calls on the Government to ensure that there is mental health treatment within a month for those who need it; specialist professional mental health support in schools; and the establishment of open-access mental health hubs in every community. These are moderate demands when we consider what is at stake. There has been a 77% rise in the number of children needing treatment for severe mental health issues since 2019. In my constituency, referrals for treatment for eating disorders—as we have heard, these are the psychiatric conditions with the worst mortality and morbidity outcomes—outstripped predicted levels last year.

Last Friday, I visited children and young people at Hopewood, an in-patient unit in Nottingham East. Many of them were far away from home and far away from their family and friends, and one remarked to me that they felt forgotten about and that no one cared. They were all concerned about mental health funding. Of course it is important for us to talk about awareness, but the sad truth is that people are already aware because they are living it. What they need is material change, and that cannot be provided by volunteers operating on a shoestring. There is no way around it. The only option is for the Government to invest significant amounts of money in proper mental health support and in children’s mental health services.

We must also tackle the root causes of poor mental health in children. The Mental Health Foundation highlights that living in poverty is a risk factor, and the Children’s Society has said:

“Reductions in family income, including benefit cuts, are likely to have wide-ranging negative effects on children’s mental health.”

This is not just a crisis of children’s mental health but a crisis of inequality, too. That inequality is exacerbated by the policies of this Government, who now have a duty to fix it.

Covid-19

Nadia Whittome Excerpts

Wednesday 11th November 2020 Commons Chamber

[Nadia Whittome (Nottingham East) (Lab)]

I would like to begin by thanking the many frontline workers in in my constituency in Nottingham—my friends, my neighbours and my constituents—for the hard work that they are doing to get us through this virus.

Like everyone here today, I was excited and hopeful to hear the news of Pfizer’s promising new vaccine. After months of painful sacrifices, there may finally be a way out of this crisis. It is early days, and we have to be cautious in our optimism, but we must do all that we can in the House to make sure that once a vaccine gets the go-ahead, we make its roll-out a success, and keep people safe in the meantime. That is why I am concerned about the rise of conspiracy theories. People across the country have had leaflets dropped through their doors warning against wearing masks. They have seen stickers saying that covid was a plot by a shadowy elite, or come across websites making false and disproven claims about vaccinations. Anti-lockdown protests have also been happening across the country, often featuring placards with known antisemitic tropes, or promoting the far-right conspiracy theory QAnon.

When I hear from people who become interested in these ideas, I get it. I do get it. I understand why people are scared and frustrated, and why they are looking for answers. It is hard being separated from your loved ones for months on end, worrying about how you are going to pay the rent and make ends meet and, in the meantime, watching the Government make a complete mess of the handling of the crisis. It is painful to know that, while we have had to sacrifice our friendships, passions and mental health, those in power have failed us over and again: from ignoring their own scientific advice, which made this lockdown longer and harder, to failing to protect jobs and livelihoods, failing to plan and leaving our frontline workers without PPE, and reportedly spending £12 billion on a privatised test and trace system that proved to be a shambles. It is hard to blame people for becoming suspicious when they see the Government awarding multi-million pound contracts to their friends and donors, often without even a competitive tendering process, or when they see the Prime Minister’s closest adviser flout lockdown rules without any consequences.

When we spend time home alone isolated, it is easy to fall down dangerous rabbit holes and to start believing that it is all a lie, that the virus is a conspiracy or that lockdowns are unnecessary and merely a tool to control people. But we know that that is not the answer. I think all of us, in our heart of hearts, know that, even the right hon. Member for New Forest West (Sir Desmond Swayne), who has vacated his seat. It is our responsibility, as Members of this House, every single one of us, to fight this pandemic of misinformation, which is spreading like a virus and is sabotaging people’s efforts to save lives.

I am also concerned that some people are exploiting people’s pain to spread their hateful agendas, like the British National party, which, for the first time in my living memory, has been sending letters to small businesses in my constituency, or those ready to sacrifice human lives in order to stay relevant and boost their careers. I am referring here of course to, among many others, Nigel Farage, who in March was criticising the Government’s herd immunity approach and is now rebranding himself as the leader of the anti-lockdown movement.

My constituents have made it clear to me that they are not having any of it and that our city is not having any of it. I hope that everyone in this House can join me in condemning the cynical and ridiculous way that people, and the far right in particular, are exploiting people’s suffering to spread lies.

Public Health: Coronavirus Regulations

Nadia Whittome Excerpts

Tuesday 13th October 2020 Commons Chamber

[Nadia Whittome (Nottingham East) (Lab)]

A week ago, Nottingham showed for the first time a dramatic increase in our covid-19 infection rate. We needed immediate action from the Government, but instead all we got was confusion and delay. We were left in the dark for a week, with no action and no communication from the Government, and during that time the infection rate doubled to be the highest in the country. The saddest thing about that is that it was avoidable.

The Government have failed us time and again during this crisis. They failed to protect elderly people and vulnerable people, who died at an alarming rate in care homes and nursing homes. They failed to implement a test and trace system and they failed to listen to the OECD’s advice that the best way to protect the economy was to prevent a second wave, instead telling people one minute to go out to pubs, to eat out to help out, and then blaming them for doing so the next. The Government prioritised the interests of the economy over saving lives, yet failed to do both, and we are now faced with the worst recession in the developed world.

Last week, MPs, councillors and members of the public were left to find out in the press that we were due to go under a local lockdown, without any details of what that would look like for residents and for businesses. People in Nottingham have made enormous sacrifices during this pandemic, but frankly people are fed up. People want the Government to do their part. That means a serious economic package to protect jobs and businesses, and fixing the privatised Serco test and trace system. Are the Government so wedded to privatisation that even when it is utterly failing and public health is at risk they just plough on? We also need to extend the eviction ban so that no one loses their home during this time.

We know that lockdowns work only if people can afford to self-isolate, so why is it that, eight months into this virus, statutory sick pay is still £95 a week? The Secretary of State said that he could not live on that, so why are my constituents expected to? My final question to the Minister, in the last few seconds, is why have the Government not even followed their own scientific advice, which was to ban households mixing, close pubs and bring all university teaching online? How many people have to die before the Government get a grip of this virus?

[Mr Deputy Speaker (Mr Nigel Evans)]

If hon. Members are on the call list between number 25 and 35, they really should be in the Chamber now, please.