(1 week, 5 days ago)
Commons ChamberI will give way first to the hon. Member for South Antrim (Robin Swann) and then to the hon. Member for Strangford (Jim Shannon).
As far as I am aware, the framework attempts to tackle some of those issues. I completely accept that the hon. Member maybe does not accept that or does not want to accept it; I do not know. I am not casting aspersions at all on the integrity or beliefs of Members. At no time do I say anything that denies the right of people to hold the views that they hold, which are clearly, deeply and obviously felt. In a way, I actually celebrate those differences.
I thank the hon. Member for his contribution. I want to give the point of view of my constituent, who runs a business. She says, “I currently supply materials to a lady in Devon, who then produces goods for sale within the United Kingdom, only I’m at a complete loss as to what to do regarding the GPSR rules coming in. The United Kingdom voted to leave the EU. Successive Parliaments have done what they can to make this nation as dysfunctional as possible and return us to EU subjugation.” What would the hon. Member tell my constituent’s business, which must close as part of the price to pay to further the aim of having an all-Ireland Irish Republic? That is what my constituent says, and it is very much contrary to what the hon. Gentleman said.
As I understand it, that issue is being negotiated. I understand what the hon. Gentleman says, but I do not accept the point he made about subjugation. I do not think it is subjugation, and I will come to that. I understand what the hon. Gentleman is saying. I respect the point he made, and I respect the views of his constituents, just as I respect the views of my constituents. But it does not alter the fact that the negotiation is taking place. As I said before—I will repeat it again—these things are never, ever symmetrical.
The question we have to ask ourselves is whether the Bill before us is a breach of a treaty or agreement. I will leave that question in the air while I let the hon. Gentleman intervene.
Everyone in this House respects the hon. Gentleman for his honesty, and for the way he has stood up for justice. In all the debates we have been in, in Westminster Hall or this Chamber, he has epitomised those who seek justice and honesty. However, in his contribution today, the rights of the people of Northern Ireland, of Unionists and of all those who wish to have their rights restored through this Bill have not been referred to. I ask the hon. Gentleman I know to take that on board, and to speak up for the people of Northern Ireland; unfortunately, he has not done that so far.
I regret that the hon. Gentleman takes that view of what I am saying. I would not say it is not fair, but I am genuinely trying to be as conciliatory as I can be given the circumstances in relation to the question of trust. The question is this: is this Bill a breach of an agreement or a treaty? In my view it is, and I think most people are not denying that assertion. There may be some people who do so, but as a House of Commons paper of 4 December says on page 17:
“No rule of a state’s domestic law can be used to justify a breach of its existing international obligations. This principle is set out in Article 27 of the Vienna Convention on the Law of Treaties.”
I genuinely believe that I am bound by that. We can caveat any breach of international law until the cows come home; it can be claimed that it is out of the concept of necessity as referred to before in terms of international law. However, although we can claim whatever we want, it does not wash with other countries with which we have negotiated, and that in a sense is all there is to that particular point.
(2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered National Highways maintenance and management of the A5036.
May I say what an absolute pleasure it is to see you in the Chair, Mrs Harris? It is also a pleasure to see the Minister in his chair, although not as much of a pleasure as it is to see Mrs Harris in the Chair.
I will set out some context to the issue of National Highways’ maintenance and management of the A5036. The A5036 is the main road from the M57 and M58 down to Liverpool port—in effect, the port access road—and is, I think, the only A road in the whole Merseyside city region that is managed by National Highways. There may be smaller ones in the Wirral or south Wirral, but for all intents and purposes it is the only major A road that National Highways manages in Merseyside city region, as I understand it. The road has about 40,000 traffic movements a day, or thereabouts, which is about 1,600 an hour; hon. Members can imagine that that is huge amount of traffic at peak times. The road is about 4 miles long, from the M58, down the A580, through to the docks.
I can also provide a bit more context as to why I am raising this matter. Some months ago, I had to raise with Mr Speaker a point of order in relation to what I saw as the inappropriate behaviour of the north-west office of National Highways. That revolved around a freedom of information request that a local group, the Rimrose Valley Friends, submitted to the office. When we got the information, some of the comments were completely inappropriate. They more or less said, “We best not tell the Member of Parliament”—that is, me—“about certain issues, because he will go off and rile up his constituents.” That is what they said, and that is the tone and culture of that organisation. I raised that with Mr Speaker, and the then Minister came to speak to me about it. That has set the tone for attempts to engage with National Highways in my constituency.
The bottom line is this: I do not underestimate the challenges of keeping a road of this nature, which is about 4 miles long, in some sort of shape in collaboration with the local authority. However, it is not a motorway; it is a road that goes from the M58 and M57 through residential areas. The residents expect that National Highways, in collaboration with whatever its partners are, will keep that road in some sort of order. I know that the local authority has had challenges working with National Highways on the matter, whether in relation to litter, detritus on the road or weeds. It appears that National Highways’ view is that the weeds do not affect the safety of the road—that, although the weeds are everywhere, they are not six feet high. National Highways seems to take the view that that does not matter, and it does not take into account the environment that people have to live in.
It is clear that the people along the road and in the area are put out, to say the least, by National Highways’ attitude to the matter. National Highways has an insouciant attitude: it does not think it is accountable to anybody, and it feels able to make the comments that it made about me in documentation. That sets the tone—I think I have said that three or four times—and consequently trying to engage with it is very difficult.
I will tell hon. Members another anecdote. There is a footbridge at Park Lane West that has been there for about 50 years. It links two communities, which include a church and a school; most children from one side of that major road have to go to the other. There were plans to rebuild it—National Highways bought land to build it up to modern standards—but there was delay after delay, and after a lorry collision it was decided that the bridge would be taken down. That gave National Highways the opportunity, as part of its maintenance programme, not to go ahead with building the new bridge.
National Highways said that the figures had gone up, although it is difficult to find out precisely by how much because of its secrecy and lack of candour. I said, “Look, if it’s outside the parameters of the particular cost set for the bridge, you may wish to go and ask the Department for exemption.” There is always the opportunity to use discretion in such situations. If National Highways was not able to use its discretion, perhaps the Department or the Minister could do so.
The situation rolled on and on, and about four weeks ago I asked the people at National Highways whether they had bothered to ask the Minister. They said, “No. We haven’t bothered to ask the Minister because we don’t want the bridge.” That was not the question they were asked. They were asked, “Could you go off and ask the Minister, the Department or whoever else for this dispensation?” That is the culture. They decided—as it said in the document—that a footbridge is a 20th-century solution. Try telling that to all those children who are frightened to death to walk across the road, even with their parents. Try telling that to older people. It is a massively busy junction. It seems that the focus is just on getting traffic along the road without taking appropriate account of the public and pedestrians. Of course, I have been told, “Oh well, we’re going to have a new pedestrian approach to this crossing.”
I commend the hon. Gentleman for bringing this issue forward. His passion and concern for his constituents is admirable. What is frustrating to me is National Highways’ response to his eloquent and sensible suggestions. The key issue, which he underlined, is the safety of the children. If a bridge that is important for the movement of children from one side of the road to the other is removed and not replaced, the safety issue is even more paramount. In the hon. Gentleman’s discussions with National Highways and the Minister, has a solution been proposed? There has to be a way.
I appreciate the hon. Gentleman’s intervention, and I am trying to find the way forward. That bridge is a reflection of National Highways’ whole approach to things: we are an encumbrance on the stuff it has to do.
With some other people, including my hon. Friend the Member for Sefton Central (Bill Esterson), I met one of the previous transport Ministers, Baroness Vere, because National Highways refused to give certain information after a freedom of information request, and she had to say to its representatives, “Give them the information.” That is the context in which we are operating. I do not want to get too technical, but it is important that National Highways provides data and shares information to show us what it is doing, and why it is or is not doing certain things. It is, in effect, a company with a budget of £1.34 billion in resource and about £3.5 billion in capital. Why it cannot use some of that to replace a bridge that has been there for 50 years is beyond me, but that is a different point.
Litter is of concern. That has been identified in the report from the regulator, the Office of Rail and Road, which I had to speak to about the situation, and it investigated National Highways. Surprise, surprise—although it was not a surprise in the least to me—the document it produced, the “ORR investigation into National Highways’ compliance with its licence and delivery of the second road investment strategy”, talks about:
“National Highways apparent concerns about sharing data and information restricts its ability to show how it is performing its function and results in more work for the company and for ORR.”
That quote sums up the situation. Of course, the Office of Rail and Road had to highlight that point to National Highways. The document goes on to say:
“National Highways has not been able to demonstrate consistently and reasonably, with evidence, the basis upon which it has taken decisions and the consequences of doing so on users”
—that is, my constituents—
“and network performance…During the investigation we identified instances where the company held material that it could, and should, have shared with ORR sooner, or where it told us it did not hold data or information that we needed to effectively carry out our statutory functions (and that we consider that the company should reasonably have held in order to carry out its own statutory functions)…National Highways provided around 300 pieces of information…While we would not have expected to see all this information as part of our business as usual or enhanced monitoring, there was enough across six areas of concern to indicate that there is more information that the company could and should share with us.”
That, from the independent Office of Rail and Road, again sums up the attitude of National Highways. In the grand scheme of things, how can any of us at a local level try to find that information, when even the Office of Rail and Road cannot get the information that it needs? As I indicated before, a Minister had to tell National Highways to give us the information. When we do find out the information it provides, it is absolutely outrageous, to the point that a Member of Parliament— that is, me—has to go off and raise the matter with a Minister.
That is the context. It is very difficult to engage with National Highways. There is an absolute lack of candour, a complete lack of respect for elected Members, a lack of respect for the local authority, but most important of all, a lack of respect for my constituents who have to live along that road, which is already challenging for them. I ask the Minister to take those issues into account when he responds, because this matter is not going to go away; this debate is not the end of it. The sooner National Highways understands that and tries to engage with me, with local residents and with the local authority—the partners and the users—the better.
I will finish on that point, but I reaffirm that this matter is not going away. I will be holding National Highways to account in every way I can to ensure that my constituents get the fair deal that they are entitled to.
(1 year ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to speak in this debate and to be called first from the Opposition side. I would say it is unique; it may not be all that unique, but that is by the way. I thank the hon. Member for West Dorset (Chris Loder) for leading the debate so well. He set the scene well for his constituency; I will mirror what he said for my own, and others will do the same shortly. I am aware of what the hon. Gentleman has done to improve mobile and broadband connectivity for his constituents. Most of us here share the concern that some cannot access the same technological advances as others. This is very much a UK-wide issue, so it is great to be here to give a Northern Ireland perspective, as well as that of my constituents.
As the Minister will know, back in 2017 we had a deal with the Conservative party, through a confidence and supply motion, to deliver some £150 million of broadband across Northern Ireland. That secured the delivery of broadband to almost 90,000 rural premises across Northern Ireland. While others, namely Sinn Féin, postured and said that we did not need to do that, public money was spent on high-speed broadband for rural dwellers, and the intervention has been the most transformative investment for our rural economy since the electricity network was extended. We should never underestimate the importance of what happened at that time.
One of the most startling statistics of the past five years has been the fact that Northern Ireland, at 82% full-fibre broadband, is already well ahead of England at 67%, Scotland at 60% and Wales at 49%. The Republic of Ireland was way behind us at 40%. Maintaining current rates of progress until 2025 will see Northern Ireland becoming the first country in these islands in which availability reaches 99% of our premises. That is some of the good news. In my constituency of Strangford, we have had 5,000 homes upgraded, which is a massive boost for my constituency. It underlines the importance of what we did, so I publicly thank the Minister and our Government for the partnership we had at that time.
To update hon. Members on where we are now, in June 2023 the Department for the Economy in Northern Ireland launched a public review aimed at improving broadband infrastructure, predominantly in rural areas, to catch up that 18% who do not have it yet. Many constituents who have been in touch with my office have been able to avail themselves of the scheme, but others are still unable to resolve the issue.
The public review is part of the planned implementation of Project Gigabit in Northern Ireland. Project Gigabit in the UK is the Government’s flagship £5 billion programme to enable hard-to-reach communities to access lightning-fast gigabit-capable broadband. It is a commendable project by the Government here, and one that I welcome because I see the benefits; I am sure we will see more benefits shortly. In addition, members of the public, businesses, groups, organisations, telecoms infrastructure providers were able to avail themselves of the scheme, but thus far I am aware of a few instances where businesses are struggling to regain better connection.
I will give an example. I spoke to the Minister beforehand about this and gave him a letter along these lines just last week: I am currently dealing with an issue for a constituent whose business is on a rural road in Saintfield, a village in my constituency. I have sent numerous emails to the Department for Science, Innovation and Technology. I handed the case to the Minister through the Whip. Indeed, I have spoken to the Minister.
On this rural road, cables, fittings and nodes have been secured to permit the extension of sufficient broadband to this area. It is frustrating to have all that stuff in place when all we need to do is make that last connection, and then that business will be up and running. The work was halted by the Department for Culture, Media and Sport, and my constituents have received little or no communication on the improvement of their broadband. I am hopeful that the Minister will help to resolve the issue for my constituents, and I know my hope and confidence in him will not be misplaced, but the damage and the hassle for local businesses are extremely destructive to people’s livelihoods.
Another example of where we need to improve relates to card payments and the sending of digital invoices and receipts. Cards are often not charged and there are delays in the processing of payments, which poses an inconvenience for customers and business owners. When broadband is poor, emails with digital receipts will not send properly and online orders cannot be made efficiently. That creates more issues for local businesses, given that we encourage people to invest in them daily. I look again to the Minister, who always responds positively and grasps the issues that we put to him. I am confident that his answers will reinforce my faith in him. I ask him to look at the cases I have mentioned, and I would be grateful if he expedited any work on them for the betterment of my constituents’ businesses.
Many farmers in my constituency—others will probably say this as well—keep track of livestock through online apps. Given that there is so much rural theft, that is to be encouraged, and I encourage it in my constituency. To ensure that the agricultural industry can thrive, we must ensure that rural connectivity is made a priority. Doing so will benefit the local economy, which agriculture plays such an important role in making successful. Like the constituency of the hon. Member for West Dorset, my constituency of Strangford has seen many large high-street bank closures in the past couple of months. In the past couple of years, 11 banks have closed in my constituency, which has meant a huge shift to online banking.
I am conscious that others wish to speak; I want to give them equal time to contribute, so I will conclude. For rural constituents, online and telephone banking are more or less their main ways of accessing banking services. If decisions are being taken to close banks, we must ensure that consideration is given to having the best possible broadband and mobile signal. I am confident that we can achieve that, and I look forward to it. Again, I ask the Minister to chase up the constituency case that I mentioned and to keep in contact with my office. He has already given me that commitment, and I am quite sure that that will happen.
Thank you. That was just the amount of time that I had in mind: seven minutes. I call Selaine Saxby.
(1 year, 1 month ago)
Commons ChamberI commend the hon. Gentleman for raising this issue. It is a massive issue for my constituents and the personal experience through my own wife is very clear. Given that 10% of women leave work during the menopause, saying that they feel and have felt unsupported and unable to continue—which really should not be the case—does he agree that there should be a greater obligation on businesses to help women?
That is another point that I will touch on later, but the hon. Gentleman is spot on.
Anyone who happened to be in Westminster Hall on Wednesday last week will be able to testify to the work that the APPG has done. More than 100 Members and others gathered for a photograph to mark and celebrate World Menopause Day. My hon. Friend the Member for Swansea East said she was not sure that visitors to Westminster Hall were ready to see so many women parliamentarians and others doing impromptu exercise squats. However, she also said that, if it was a good enough location for Henry VIII to play real tennis, it was certainly good enough for a group of menopausal women to highlight the benefits of exercise to their physical health and mental wellbeing.
The fact that those influential women, grassroots campaigners and clinical experts were brought together in Parliament showed the world that Westminster was listening; but listening alone is not enough while women continue to suffer. Listening will not help them get a diagnosis or access to treatment, or find the support they need. That requires action, and on World Menopause Day the APPG, which is chaired by my hon. Friend the Member for Swansea East, launched the menopause manifesto. Based on evidence that the group gathered by speaking to those affected by the menopause and experts in the field, the manifesto sets out seven recommendations, which we are urging all parties to adopt in their own manifestos ahead of the next general election.
I cannot stress enough how important it is to the 13 million women in the UK who are currently perimenopausal or menopausal, and to all around them who are indirectly affected—the hon. Member for Strangford (Jim Shannon) raised that point—to know that those in power will support them. The first recommendation in the manifesto is for health checks. Every time that is mentioned in conversation, people are genuinely surprised that it does not already happen. Many will remember receiving, on turning 40—along with the cards, gifts and the good wishes—an invitation to a 40+ NHS health check. Those “MOTs” monitor our weight and blood pressure, and are used to assess the risk of developing conditions such as diabetes, heart disease and strokes. What they do not include for women, at present, are any questions about, advice on or reference to the menopause, which is at best a surprise and at worst quite shocking.
There is strong evidence showing that many women are accessing primary care and being treated for individual symptoms because neither they nor their clinicians are recognising the root cause of those symptoms—a point raised earlier by my hon. Friend the Member for Blaenau Gwent (Nick Smith).
By raising awareness among medical professionals, who can, in turn, help to educate women at their 40-plus health checks, we can reduce the number of extra visits that women make to surgeries and prevent further misdiagnosis and inaccurate prescribing. We can also dramatically increase the number of women who get prompt and correct diagnoses and access to treatment pathways. We know that this would save the NHS money in the long run.
Many healthcare providers are now starting to include menopause in their standard packages, having identified the fact that patients are being sent for appointments in secondary care for an array of symptoms that have not been correctly diagnosed as menopause. By including menopause treatment as standard, they are reducing the cost to the NHS of these unnecessary appointments.
The second recommendation of the APPG’s manifesto is a national formulary for hormone replacement therapy. Although HRT is not the answer for all women, millions across the country rely on this treatment to manage their symptoms. We know that, in a 10-minute consultation, prescribers do not have the capacity to go searching for alternative treatments if a patient’s usual product is out of stock, and we have seen a supply shortage for many of these products. A national formulary would resolve this issue, as all eligible products would be easily accessible on surgery systems, thus eliminating the postcode lottery and regional variations that women are currently experiencing.
The hon. Gentleman is most gracious in giving way. He mentioned that there are sometimes disparities from, say, county to county. There are also regional disparities. I know he accepts that, and the Minister has taken note too. When it comes to providing better treatment, a recommendation has to be that every part of the United Kingdom—England, Scotland, Wales and Northern Ireland—should have an agreed strategy for helping women. Does he agree that there should be the same policy, the same strategy and the same response everywhere?
I agree with the hon. Gentleman. It is crucial that women are able to go to any surgery and, although there may be marginal differences in treatment or access to treatment, the substance is that they should ultimately get more or less the same access and the same treatment, depending on their needs.
The third recommendation also relates to prescribers. The manifesto calls for the inclusion of menopause as an indicator within the GP quality and outcomes framework. This change would help to balance the deficit in knowledge and understanding among GPs by incentivising improvement in diagnosis levels and treatment provision within primary care. If clinicians were better informed, they would be more confident in discussing menopause with patients at their health checks and in prescribing appropriate treatment, which would greatly benefit patients who visit their GP to seek support.
Moving away from healthcare, I am proud to say that, earlier this year, Labour committed to the fourth recommendation: mandating that all companies with more than 250 employees introduce menopause action plans to support those experiencing symptoms. That goes some way to addressing the points raised by hon. Members.
Alongside this, the APPG would like to see the provision of specific guidance for small and medium-sized enterprises and the introduction of tax incentives to encourage companies to integrate menopause in their occupational health plans. There are great examples of companies embracing the issue, and there are some excellent tools available to help, such as the British Standards Institute’s menstruation, menstrual health and menopause in the workplace standard. With research showing that one in 10 women are leaving the workforce and thousands more are reducing their hours or avoiding promotion, it is vital that more is done to address the impact of menopause on women’s economic participation.
The APPG is not asking for women to be given special treatment; we are asking merely for an understanding that working arrangements and environments may need to be flexible. This willingness to incorporate flexibility will benefit businesses, boost the economy and give women the confidence to progress in their career.
The manifesto’s fifth requirement is about the licensing of testosterone for women. It has always struck me as odd that when women reach menopausal age, which is different for everyone, they become deficient in three hormones—oestrogen, progesterone and testosterone—yet only the first two are available to women when they are prescribed hormone replacement therapy on the NHS. As my hon. Friend the Member for Swansea East has noted previously, if a woman wants the third hormone, they have to pay for a private prescription. The all-party group is calling for an evaluation of female-specific testosterone treatments, with a view to their being licensed by the Medicines and Healthcare products Regulatory Agency.
In the sixth recommendation, we are calling for better funding for research into the potential links between menopause and other health conditions, as well as the varying experiences of women from different backgrounds and ethnicities—that is very important. We know from the evidence that the APPG has received that those with conditions such as autism and attention deficit hyperactivity disorder can struggle more with their menopausal symptoms, and that those who have been treated for cancer often experience early menopause. So it is vital that much more is done to better understand the different journeys that women from different backgrounds are experiencing. In the past week, my hon. Friend told me said that she had been lucky enough to visit two universities, one in London and the other in her own home city of Swansea. Both are keen to do more to support their staff and to bridge the significant gaps in understanding around more complex menopause experiences.
I thank the hon. Gentleman very much for the scene he is setting. Small and micro-businesses are predominantly male-owned, so the issue for them is understanding how to put over the requests on behalf of ladies who are going through the menopause. Does he feel that the Government and the Minister should take that on board as well, to ensure that those businesses have the relevant information and guidance to do that within the small workforce that they look after?
The hon. Gentleman makes a good point and sets out an excellent idea. I am sure that the Minister, as part of the expansion or integration of the manifesto, can take it on board.
As I was saying, my hon. Friend was delighted that Swansea University announced last Friday that it would be introducing menopause into the curriculum for all of its medical students, as well as launching a menopause clinic for staff and students. I truly hope that it will be the first of many universities to do this. Future policy in this area, and an improved women’s health strategy, will be possible only if more funding is dedicated to this vital research.
The seventh and final part of the manifesto calls for a review of the demand for specialist menopause care. We need to look at existing provision, evaluate where increased secondary care is needed and assess other ways in which women could seek help. That might, for example, include access to specialist nurses in primary care and pharmacists, to ease the demand on GPs. That is another simple recommendation that would be easy to achieve, while having a significant impact on the care and support that women are able to access.
Nothing in the all-party group’s manifesto is difficult to achieve; no big contracts or big budgets are needed to make the changes that will significantly improve women’s experiences. The only thing that is needed is a commitment to prioritise this area of women’s health. We need a commitment to improve support, diagnosis and access to treatment for all those who need it. Who would not want that? I know that every Member of this House would want it. We need a commitment to show the 51% of the population who will directly experience menopause that they matter—that they really matter.
(1 year, 10 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a real pleasure to serve under your chairmanship, Ms McVey. I thank the hon. Member for Birkenhead (Mick Whitley) for introducing the debate. I often come to support him in his debates in Westminster Hall, and I am here today to do the same, because he raises important issues and I want to add my support. It is also a pleasure to follow the contribution of the hon. Member for Hemsworth (Jon Trickett), which also was full of detailed evidence and content.
The hon. Member for Birkenhead referred to the Procurement Bill, which is currently going through Parliament. It applies to the devolved institutions, including Northern Ireland; however, we maintain our own legal framework for Northern Ireland, so that might give us a bit more input in the process as we go forward. It is no secret that I am a Brexiteer like yourself, Ms McVey, and I am proud to be a Brexiteer. I have always been positive about the opportunities provided to us by leaving the EU, notably our chance to secure British contracts with British companies to secure jobs for our people—for my constituents and the constituents of everybody here. It is great to be here to discuss how we can encourage that through the procurement process. I particularly look forward to the Minister’s response. I am fairly sure that we are on the same page. That being the case, I will ask my question only at the end of my contribution. I am keen to get the Minister’s response.
It is always important that we take the correct steps for our economy in terms of where we produce our products and where we procure them from. Some say that we have made mistakes in the past—it would be unfair to say that we have not, especially throughout the pandemic—but the principle behind the Bill gives us an opportunity to change that. A classic example from Northern Ireland, which I have referred to, goes back to March 2022, when leading UK bus manufacturer, Wrightbus, announced its second international zero-emission bus deal in a fortnight, under which it will ship dozens of clean buses to Europe. That is really good news.
Wrightbus has signed a deal with the German bus operator Regionalverkehr Köln GmbH, or RVK as it is better known—that is easier for me to say than to try and speak German—to supply up to up to 60 Kite Hydroliner single-decker buses over the next two years. All of those buses will be fully built at the Wrightbus factory in Ballymena, north Antrim, supporting green jobs and the wider Northern Ireland economy. While that is a welcome step, I can remember a time—of course, my lifetime is maybe a bit more than others—when London buses were ordered from Egypt, despite the UK containing the world-renowned manufacturer Wrightbus. I congratulate my hon. Friend the Member for North Antrim (Ian Paisley), and thank him for his energy and commitment in pursuing Wrightbus deals, not just in the United Kingdom but across the whole world. His pushing for that company as its MP has certainly paid dividends.
Thankfully, the procurement of London buses was brought home and the superior manufacturing that takes place in Ballymena is securing additional projects, but my point is that we need a legislative change to ensure that contracts within the UK are weighted, with procurement taking into account the impact on the local economy. While we have to remain competitive, every Government contract must consider our own manufacturers; we are indebted to them, and should be focusing on them, outsourcing only when there are exceptional reasons for doing so. That includes British companies that operate outside the United Kingdom.
In addition, I recall from a debate I spoke in some time ago that it had been highlighted by the House of Lords that the NHS sourced materials made by the forced labour of Christians, Tibetans, Uyghurs and Falun Gong practitioners in Xinjiang, China, and the Government took steps to deal with that. That has also become an issue in international procurement: making sure that the materials we rely on are not made or processed by those subject to human rights violations such as forced labour, child labour, unsafe working conditions or illegal wages. Those human rights violations have become increasingly apparent in the apparel sector—clothes, handbags, accessories and so on—where young children are being trafficked into child labour and forced to produce affordable clothes. Those clothes will attract millions of people internationally, but the price—the human rights price, the physical price, the emotional price—is just too high.
Our national procurement policy statement will ultimately ask public authorities to consider benefits for the public, such as the creation of new jobs, improving diversity, and ensuring integrity and value for money. I put great stress on integrity, and I think it is important that we focus on that as well. Many think that we must procure internationally to be successful and diverse; however, I suggest that there are numerous opportunities in our own back yard that we can take advantage of. We should be focusing on those and supporting them, not to the detriment of elsewhere in the world, but certainly to the advantage of our own manufacturers.
I have mentioned the importance of defence and cyber-security procurement for the United Kingdom. Contractors such as GKN Aerospace, or Thales in the constituency of my hon. Friend the Member for Belfast East (Gavin Robinson), have the capacity to build our own products to the highest standard, and should be made aware of more procurement opportunities.
One definition of contract monitoring is the process of tracking the performance and status of contracts, to ensure that the obligations within them are being fulfilled as intended; it is not just about the purchase of a contract, but the monitoring. Does the hon. Gentleman agree that in the current climate, given the massive cuts that local government has endured over the past 13 years, it is being denuded of its ability to monitor some of those contracts, and that that issue has to be addressed as well?
I thank the hon. Gentleman for his intervention, which was succinctly put. I am sure that the Minister is taking notes, and I hope that he will reply to his request.
It is right that we oversee and ensure that local government, wherever it may be, has the same opportunity and is not precluded by financial or other restrictions. In Northern Ireland, we are fortunate to have some of the best cyber-security companies in the whole of the United Kingdom. There are some in south-east England that perhaps might be able to match them, but we have been at the fore in cyber-security, and that includes the two companies that I referred to. Thales, for instance, is at the fore in supporting the NLAWs—next generation light anti-tank weapons—being provided to Ukraine. Again, our cyber-security is excellent. Does the Minister agree that Northern Ireland must be included in the Procurement Bill? Its inclusion will bring significant benefits for the country and Northern Ireland businesses, as well as our great Union, which we are here to protect and promote.
To conclude, many would say that it is time that the Bill is put into law so that we can repeal the current EU-based procurement regulations and make our own. It is time to do that. After the UK’s exit from the EU, we should have the scope to create new home-grown procedures, select suppliers and award contracts. That will also allow for the advancement of smaller businesses. My constituency has many small businesses; it has some large ones as well, but there are a larger number, percentage-wise, of smaller businesses. They are the backbone of my constituency of Strangford and of the economy. I look forward to learning about the opportunities for us to do all that we can to ensure that this great nation, the United Kingdom of Great Britain and Northern Ireland, progresses together in the way that it should.
(3 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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Mr Dowd, I would like to suspend the sitting and take part in the Division.
The hon. Member for Strangford (Jim Shannon) is not on the list to speak, so it is in the grace of the Minister and the Member in charge. I am happy to suspend the sitting if other Members wish to do so, but I cannot suspend it only for the hon. Gentleman.
If the hon. Member for Blackpool South (Scott Benton) and the Minister want to go ahead, I am happy with that, but I have a small intervention that I would like to make. Do we have eight minutes for the Division?
Can we move on? I call the hon. Member for Blackpool South (Scott Benton).
(8 years, 5 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is always a pleasure to have the hon. Gentleman come along to a debate in support. He always does so, and his valuable contributions are always appreciated by us all. I wholeheartedly agree with him.
The way the system fails blood cancer patients can be illustrated via the case of ponatinib, a drug designed to treat chronic myeloid leukaemia patients who are resistant to or intolerant of other treatments. I will elaborate on this point later, for it is very important. I think that the hon. Gentleman has grasped that it is a vital issue as well. The drug is fully available to all CML patients in Scotland and Wales, but in the remainder of the United Kingdom it is provided on the NHS only to a small subset of patients who can benefit from it after NICE refused to appraise it because of the small patient population. One of the questions that we would like answered in this debate if possible—I am not sure whether the Minister is the right person to answer it, but I know that if he is not, he will certainly direct it to the right Department—is how we ensure that there is not a postcode lottery when it comes to the allocation and availability of cancer drugs.
I thank the hon. Gentleman for securing the debate. Does he agree that parents—in my case, the parents of nine-year-old Charlie Fearns—are confused, distressed and dismayed that they are not provided with the medical intervention that they need to treat their child’s illness? Charlie needs chimeric antigen receptor T-cell therapy, but Mr and Mrs Fearns are having to find as much as £150,000-plus to fund the therapy themselves. Does the hon. Gentleman agree with me that that extra burden, in their circumstances, is far too onerous?
I thank the hon. Gentleman for his intervention and for that personal story. I think that that situation is a disgrace. Any of us in the House would wholeheartedly agree with him. There has to be a system that enables all the people of the United Kingdom of Great Britain and Northern Ireland to partake of, use and access these drugs. The example he gives shows just where the current system falls short. This debate gives us an opportunity to highlight that and to seek the solutions that he and his constituents want.
The situation with ponatinib has resulted in the equivalent of a postcode lottery in patient access across the UK, with some patients having to move to Scotland or Wales to undergo treatment. Why should they have to move? It is not fair that they should. It seems grossly unfair that they should have to either move or travel to the hospital. For these patients, the drug could be an alternative treatment to a stem cell transplant, and a last chance of survival.
The systems of appraisal used to assess blood cancer medicines need to be able to take into account the small patient numbers and the issues that that raises about the amount and maturity of data available, to ensure that all patients who need access to medicines do not miss out because of where they live.
Chronic lymphocytic leukaemia is the most common type of leukaemia, a cancer of the white blood cells. In leukaemia stem cells start to overproduce white blood cells that are not fully developed; in CLL, these are called lymphocytes. Figures from Macmillan and NICE estimate that some 2,700 to 3,200 people in the UK are diagnosed with CLL each year, with most cases occurring in people over 60 and very few in people under 40. Around two thirds of the diagnoses are made by chance through a routine blood test with doctors; people do not know they have it and all of a sudden they find out they do. The other third of diagnoses are made following visits to the doctor for CLL-related symptoms: enlargement of the lymph nodes, liver or spleen, anaemia, bruising or fever, drenching night sweats and/or weight loss of greater than 10%. Someone with any of those symptoms should see their doctor, and do so soon.
CLL is more prevalent in men, with recent studies showing that some of the risk of developing it is inherited from parents. One in 20 CLL patients has a relative with CLL or a very similar condition; however, CLL can and does affect anyone.