Medicines and Medical Devices Safety Review
Neil Gray Excerpts(6 years, 10 months ago)
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Neil Gray (Airdrie and Shotts) (SNP)
The Secretary of State was right to say that patients’ views have been neglected, and that they need to be central to this review. My constituents who have been impacted by Primodos lost faith in the working group’s review, not least because of that concern. How far will this review go? Will it, for instance, look into the fact that there might be a diminished amount of evidence available because the medical records of women who took Primodos were destroyed, including those of my constituents?
Oral Answers to Questions
Neil Gray Excerpts(7 years ago)
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The Minister of State, Department of Health (Mr Philip Dunne)
I can confirm that the health and wellbeing overview and scrutiny committee has submitted a request for a review by the Independent Reconfiguration Panel. I understand that officials have reverted to the committee to clarify the terms of the referral. Once that has come through to the Department, I am sure that the review will take place.
Neil Gray (Airdrie and Shotts) (SNP)
Safeguarding Adults with Learning Disabilities
Neil Gray Excerpts(7 years, 2 months ago)
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Neil Gray (Airdrie and Shotts) (SNP)
It is a pleasure to serve under your chairmanship, Mr Wilson, and to sum up the debate on behalf of the Scottish National party. It is customary at this stage to congratulate the hon. Member who has brought the debate, but those words do not do justice to what the hon. Member for Newcastle upon Tyne North (Catherine McKinnell) has brought before us.
This is an incredibly tragic, harrowing and cruel case, and she has done her constituent and his family a great service in bringing it to the House. She should be congratulated on her perseverance in ensuring that the story was heard today; the manner in which she covered such tragic and horrendous issues was commendable and incredibly honourable. I pay considerable tribute to her for her contribution and I thank her for it, and I am sure the House does also. I am also sorry that there were not more hon. Members in the Chamber to hear what happened. I am sure we all, as constituency MPs and representatives as well as parliamentarians, will have taken note of what happened in Lee Irving’s case, and will hopefully have learned lessons for ourselves and our local services as well.
The case that the hon. Lady raised covered unspeakable cruelty and was harrowing and devastating to hear; it was probably one of the hardest things I have had to hear in my time as a parliamentarian, particularly in the Chamber. Most concerning are Mencap saying that this is possibly not an isolated case and the history of missed opportunities in the handling of Lee’s case, with clear warning signs and failures from a variety of services that should have supported him to get on, but sadly let him down.
I am also very sorry for Lee’s mother, Bev; if she is watching and listening, this will be incredibly difficult. As a father, my worst nightmare must be losing a child, but to do so in such cruel and painful circumstances must be an incredible torment. My heart goes out to her. It is unspeakable, and I am so glad that, in the end, it appears that justice has been done and that those murderers are behind bars and serving the time they deserve for their horrible crime.
Most aspects of the issues discussed are devolved, so forgive me for raising some of what is happening in Scotland. It would not be right for me to comment too heavily on aspects of the case, as much of it is a matter for England and Wales. The SNP Government acknowledge that transformational change is needed for disabled people of all ages to realise their full potential. That is why the Scottish Government are working with partners towards the long-term ambition of halving the disability employment gap in Scotland. In 2015, the employment rate in Scotland for those who were Equality Act-disabled was 42%, compared with 80.3% for those who were not. It was 73.1% for the total population aged 16 to 64. We will work to reduce the barriers to employment for disabled people and will redress the imbalance of disabled people making up only 12% of the private and public sector workforce in Scotland.
The SNP Government are also working with the national skills agency, Skills Development Scotland, to make modern apprenticeships more open, attractive and available to people with disabilities. The SNP is also committed to promoting and protecting equality and human rights for disabled people. We want to make sure that disabled people can take part fully in all areas of daily and public life. We are working to break down the barriers to independent living that people may face. Living an independent life is important to people with learning disabilities. That means having the same choice and control in their lives that others have.
The Scottish Government have taken practical steps such as supporting disabled and young people and their families from birth, through school and into the world of work. We are also investing £5.4 million over the next two years to improve learning disability services in Scotland. We are continuing our work to create a fairer and more equal society through our draft delivery plan, which sets out the steps we will take over the next four years to implement the United Nations convention on the rights of persons with disabilities. We are also consulting disabled people and the organisations that represent them, including the likes of Mencap, to bring the voice of disabled people into the heart of Government in Scotland.
We are committed to the independent living fund and will protect the funding for it. The Deputy First Minister announced in April 2014 that the new Scottish independent living fund would be set up following the decision here in Westminster to close the fund. On 1 July 2015, the Independent Living Fund Scotland came into force and now administers the Scottish and Northern Irish independent living fund service users’ awards. The scheme will safeguard more than 3,000 disabled people across Scotland and will build on existing care through a £5.5 million investment, which will reopen to new users, ensuring its long-term future.
Clearly, there is more work to be done with ILF Scotland, but I am confident that Scottish Ministers can and will continue to support that service. We also passed the Social Care (Self-directed Support) (Scotland) Act 2013, which embodies the ideas of equality, human rights and independent living. The Act is designed to give those who require community care more choice and control over the social care they receive and will integrate the language of self-direction into support in legislation. The Scottish Government also legislated to better integrate the provision of adult health and social care with more joined-up working between local authorities, health boards and third sector organisations.
Again, I congratulate and pay tribute to the hon. Member for Newcastle upon Tyne North. I wish to put on the record my deep condolences again to Bev, Lee’s mother, at a time when the cruel and unspeakable death of her son is being raised in such a public way again. If nothing else comes from this debate, I desperately hope that the fact that this case has been heard today in such a public setting will trigger the people responsible for the care of vulnerable adults with learning disabilities to always press a little bit harder to save a life.
Phil Wilson (in the Chair)
Order. I got the procedure the wrong way round and called the SNP spokesman before the hon. Member for North Swindon (Justin Tomlinson), so I apologise for that.
Health and Social Care Budgets
Neil Gray Excerpts(7 years, 9 months ago)
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Neil Gray (Airdrie and Shotts) (SNP)
It is a pleasure to take part in this debate, Mr Bailey, once again with you in the Chair. I will keep my remarks brief to allow the required summing up to take place.
I pay tribute to the hon. Member for Hackney South and Shoreditch (Meg Hillier) for securing the debate, and I congratulate her on her speech. She highlighted the issues very well and was right to focus on the shift from capital to resource: £940 million this year, the third year in a row of such a shift in NHS England.
This has been another good debate on the subject. Only three weeks ago, I summed up for the Scottish National party in a social care debate. The right hon. Member for Kingston upon Hull West and Hessle (Alan Johnson) said in that debate—I agreed with him—that social care was the greatest domestic policy challenge facing the UK Government. Some revisions to what was said in that debate are required, however, as a result of the Chancellor’s Budget statement. It was welcome that he chose to spend £2 billion on health and social care in England, but it was a mistake for him to stagger it over three years. That is simply not enough.
We welcome the Barnett consequentials that go to the Scottish Government as a result of the social care enhancement—£99 million in 2017-18, £66 million in 2018-19 and £33 million in 2019-20. I am sure that those funds will be used by the Scottish Government to continue investing in the new health and social care joint boards which have been legislated for and recently established. The joint boards are local authorities and health boards working together to overcome the challenges of bed blocking, delayed discharge, domestic adaptations and care packages.
One of the most frustrating cases that we all deal with as MPs is delay to domestic adaptations, which is frustrating for the family, the recovery time and the flow through the healthcare system. I used to deal with dozens of those as an MP and previously as a parliamentary assistant. Thankfully, they are now becoming fewer and further apart. I am not saying that there are no challenges in Scotland—of course there are—but north of the border we are in a very different place from what we see in England.
Over the past two years, as we have started to integrate health and social care and invested record levels in our NHS in Scotland, Scotland’s core A&Es have been the best performing in the UK. On 5 February this year, in a report comparing UK health services, the BBC stated:
“Out of all the four nations, hospitals in Scotland seem to have fared the best...Much of the credit has been given to the way councils and the health service are working together.”
According to the most recent figures, the four-hour A&E waiting time target is being hit in 92% of cases in Scotland, 79% in England, 76% in Northern Ireland and 65% in Wales. Taken with other initiatives and investments, standard delayed discharge of more than two weeks has dropped by 43% in Scotland.
In the Scottish Government’s 2016-17 draft budget, we have allocated a further £250 million to health and social care partnerships to protect and grow social care services and to deliver our shared priorities, including paying the real living wage to adult care workers. In spite of the cuts to Scotland’s budget, the SNP has increased funding for adult social care. As a result, the average time received for home care is 11.3 hours a week, compared with 5.6 hours a week in 2000. Again, I am by no means saying that things are perfect in Scotland, but we faced up to the social care challenge long before it became the crisis we see south of the border. I hope that the UK Government can look to the Government up the road for inspiration as they face up to their own serious domestic policy challenges in England.
Dementia and Alzheimer’s Disease
Neil Gray Excerpts(8 years, 8 months ago)
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Neil Gray (Airdrie and Shotts) (SNP)
I congratulate the hon. Member for Strangford (Jim Shannon) on securing this debate and pay tribute to him for his excellent speech, which will have touched many hon. Members here, as evidenced by the turnout today, and our constituents.
My father’s mother was diagnosed with Alzheimer’s years before I was born and my only memories of her, albeit fond, are of her diminished self. My father has told me about how kind, warm and generous his mum was, but Alzheimer’s changed her personality and made her short-tempered, intolerant and at times aggressive. She was nothing like the big-hearted and loving wife and mother her family knew so well. In her final months, she was unable to recognise my dad, and that was heart breaking for him and the rest of the family. I remember that distinctly.
As a young boy, it was difficult for me to understand why she kept asking if she was a pest and required an answer every time. She seemed remote and at the time I did not know why. On one visit to us in Orkney, when my grandfather was admitted to hospital for an operation, she insisted on going to the shops to buy sweets for my brother and me, but would not hear of anyone taking her. In the end, my parents had to compromise, so I went with her: a four-year-old guiding and making sure a 71-year-old found her way and got home again.
I cannot imagine how difficult it must have been for my grandfather, my dad and my auntie to watch that slow decline in someone who was once central to the whole family—a war-time wife and mother, and a proud, capable and clever woman. The way my grandfather cared for her well into his 70s was phenomenal and incredibly touching. When she was hospitalised, he visited her twice a day, his own health suffering after years of devoted care and worry.
It is difficult not to speak about the negative impact of Alzheimer’s because the results are real and devastating. It is also difficult to see beyond the illness, when for so many loved ones that is what dominates their daily lives for many years, but wonderful work going is going on to help people with different forms of dementia and their families. In my area, NHS Lanarkshire is working with Dementia Friends Scotland and Alzheimer Scotland to run a dementia friends programme at Wishaw general hospital that supports staff to recognise the signs of dementia and supports them in recognising that people with dementia can live fulfilling lives when given the care, support, respect and dignity they deserve.
It is important to put on the record the five key messages of the dementia friends programme: dementia is not a natural part of ageing; it is caused by brain disease; it is not just about losing your memory; it is possible to live well with dementia; and there is more to the person than dementia. It is important that we are all mindful of our language and actions. This debate is helpful in highlighting some of the issues that the dementia friends work so hard to bring to the fore. We all recognise the challenges faced by those with dementia and their families. We cannot hide away from them. They are faced from diagnosis through to end-of-life care.
If I had more time, I would have liked to touch on some of the Scottish Government’s excellent work. I am glad that my hon. Friend the Member for Argyll and Bute (Brendan O'Hara) mentioned it and I thank him. In February, they introduced the Carers (Scotland) Bill, which enshrines in law for the first time in Scotland the rights of carers, coupled with a commitment, if re-elected, to raise the level of carer’s allowance to match that of jobseeker’s allowance.
I am grateful for the opportunity to speak today and I thank the hon. Member for Strangford for raising the matter.
Graham Stringer (in the Chair)
I thank hon. Members for co-operating with the time limit on speeches, but if I am to get the last two speakers in, I must reduce it to three minutes.
Mental Health
Neil Gray Excerpts(9 years ago)
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Mr Hunt
The BMJ was very clear in saying that conclusions about cause and effect should not be drawn, but let me make a broader point about suicide. Suicide rates—under the last coalition Government and the previous Labour Government—have been above and below the 20-year long-term average, but I think they are an important bellwether of the effectiveness of mental health services. I think we should be bold and ask whether we could have a zero-suicide ambition. No country in the world has delivered that, and it would require a big rethink of the way we approach mental health services. Nevertheless, I think that we should be bold and ambitious and think in terms of that objective, and then think about all the factors that may contribute to people being in a highly distressed state and unable to get the support that they want.
World Prematurity Day
Neil Gray Excerpts(9 years ago)
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Neil Gray (Airdrie and Shotts) (SNP)
It is a pleasure to serve under your chairmanship, Mr Hollobone. I pay tribute to the hon. Member for Daventry (Chris Heaton-Harris) and congratulate him on securing the debate. I am delighted to make a small contribution on behalf of the Scottish National party.
The hon. Gentleman started by saying that the House does not give enough attention to this issue, so again I pay tribute to him for securing the debate and for his dedication to this issue over a number of years. He delivered an excellent speech, citing examples and stories to highlight the issue. I was incredibly touched by his personal example from Catherine and Nigel. I put on record my sympathy for the loss of Luke—what an incredibly touching and harrowing story. As a father, I find it impossible to comprehend how difficult that time must be, not only for Catherine and Nigel, or for any of the other parents we have heard about today, but for all those who have experienced pre-term birth, whether or not their child has survived. It is an incredibly traumatising time for all those parents.
The hon. Gentleman said that if we were to match the pre-term survival rate of Sweden, we would save 1,000 babies a year in the UK, which would save 1,000 families from tragedy, so I hope the Minister will look at that. I absolutely agree that we must ensure that stillbirths and pre-term babies are as few as possible and that parents are properly supported. On one of his visits to his local hospital, the hon. Gentleman learned that three babies had passed away the night before. We cannot imagine the pain felt by the families, but as he said, we must also recognise and pay tribute to the work of our NHS staff, who will share that pain and trauma. I take this opportunity to pay tribute to those staff, who do an incredible job for all of us. I sincerely congratulate the hon. Gentleman on doing a great service to his constituents and friends.
The hon. Member for Croydon North (Mr Reed), in another good speech, cited the excellent unit at Croydon university hospital, which he visited with Bliss. He said that the families were delighted to receive excellent NHS support but were also terrified and traumatised by not being able to hold their babies—babies who had survived but required extra help—because they were so fragile. When a child is suffering, it is the most natural maternal and paternal thing for their parents to want to hold them. The difficulty experienced by those parents cannot be comprehended, and we must ensure that the necessary emotional and practical help and support is in place. The hon. Gentleman gave the example of the family of an 11-week pre-term baby being forced into debt, which is an absolute tragedy that must be sorted out. I hope the Minister will touch on that in his contribution.
The hon. Member for Banbury (Victoria Prentis) brought her personal experiences to the debate in a very touching way. She cited some excellent but harrowing statistics that are difficult for us to understand. Some 40% of mothers of children born pre-term experience mental health problems, compared with 5% to 10% of mothers of children born at full term. That takes us back to the support required by parents of premature babies. It is absolutely right that extra support should be available for all parents if their baby passes away, but we must also consider the support that is available to parents whose children survive. She also mentioned the link between pre-term babies and cerebral palsy, which my family has experienced. She is right to draw attention to that, because it needs wider consideration. I thank her for her contribution.
The hon. Member for Strangford (Jim Shannon) made a typically reasoned and measured contribution, touching on the long-term health problems to which surviving pre-term babies are susceptible. That point was in tune with many of the other contributions made today. He mentioned one statistic that startled me: three quarters of the 1 million babies around the world who, tragically, die after pre-term birth could have survived with adequate care and support. We must address that not just here in the UK but internationally. Surely we could consider it in our aid budget.
My hon. Friend the Member for Paisley and Renfrewshire North (Gavin Newlands) made a passionate personal plea to the Minister in an intervention, and I hope that the Minister will respond. Finally, the hon. Member for Colchester (Will Quince) also brought his personal experience to the debate in a touching manner; he made a great speech. He is absolutely right: it is a national scandal that we have one of the worst pre-term mortality rates in the western world. He reminded us that when we talk about that mortality, we are talking about babies. Hopefully that brings the issue home to all of us. He also recognised the difficulties experienced by employees, and the fact that employers must take better cognisance of the fact that their employees in that situation will need extra support. I hope that the Minister will take note of that too, and refer back to it when he sums up.
The World Health Organisation promotes World Prematurity Day to raise awareness of the one in 10 babies worldwide who are born prematurely—that is, before the 37th week of pregnancy. It is the leading cause of death in newborn babies and the second most common cause of death in children under five. According to Bliss, a charity that supports families with premature babies and helps raise funds for adequate hospital equipment, 15 million babies worldwide are born prematurely every year, or 29 every minute, and 1 million of those will not survive. In the UK, 60,000 babies are born prematurely every year, which is one in 13.
A motion has been lodged in the Scottish Parliament commemorating world prematurity day and congratulating Sarah Brown on launching a new £1.5 million study on improving educational outcomes and life chances for premature babies. The study is called the Theirworld Edinburgh birth cohort. It was launched last week at the University of Edinburgh, and it will involve researchers at the university following 400 newborns from birth to adulthood, collecting biological samples and brain scans as well as information about socioeconomic status and educational attainment. There is a lot of work going on in Scotland at the moment that I would have loved to mention if there had been slightly more time.
From a local perspective, my constituency is served by the maternity and neonatal unit at Wishaw general hospital. In 2013, there were 5,988 births, 426 of them premature. Some 13% of those premature babies were born weighing less than 1,500 grams. Wishaw general hospital has had its problems in the past, but I am proud to say that NHS Lanarkshire is the only health board in Scotland to have received nominations for the Royal College of Midwives’ annual midwifery awards, which are coming up in March. My local health board has been shortlisted in two categories: the better births award, for which Maureen McSherry and Carole Burns have been nominated for their post-delivery debriefing, and the Pregnacare award for maternity support worker of the year, for which my constituent Leigh-Ann Johnstone from Airdrie has been nominated.
Earlier this year, NHS Lanarkshire implemented Scotland’s first heart rate observation system. Equipment has been installed in Wishaw general hospital to monitor the heart rate of premature and sick babies. It provides early warning of irregularities and can indicate the development of infection, a leading cause of death in vulnerable babies. I again pay tribute to the hon. Member for Daventry for securing this debate, and I thank everyone for their contributions.