(7 years, 9 months ago)
Commons ChamberThe right hon. Gentleman is absolutely right to raise this issue, and we are considering the contributions from the Food Foundation, which are very important. He is right about the role that obesity plays in triggering diabetes. That is why we are focusing on preventing type 2 diabetes through the world’s first national diabetes prevention programme, which aims to deliver at-scale, evidence-based behavioural change to support people to reduce their risk of developing type 2 diabetes.
May I urge the Minister, in tackling childhood obesity, not to go down the line of nanny-state proposal after nanny-state proposal, but instead to look at Active Movement, which is in operation in a number of areas around the country? It builds exercise into the average day of children in schools, and it is already making a great difference to childhood obesity levels.
I very much welcome the hon. Gentleman’s support for a key plank of the childhood obesity strategy, which is helping all children to enjoy an hour of physical activity every day and which will include physical movement as well as specific physical education.
(7 years, 11 months ago)
Commons ChamberI am more than happy to agree with my hon. Friend. The staff at Kettering general hospital work extremely hard. I have been there, as he knows. It is a very busy hospital. One shudders to think what the impact would be if we removed a third of the doctor workforce in a hospital such as that.
I was just reading an article from earlier in the year from The Guardian newspaper, which said that Saturday working is the major sticking point in the junior doctors’ dispute. Does the Secretary of State agree that any doctor who goes on strike over premium rates of pay on a Saturday, which most people in this country do not get when they work on a Saturday, should hang their heads in shame? Will he give a commitment that he will not make any further concessions, as he has already given far too many. Is it not time to look at whether we stop doctors from going on strike altogether in the NHS, as is the case with other emergency services?
It may be the first occasion upon which the hon. Member for Shipley (Philip Davies) has vouchsafed to the House that he is a Guardian reader.
(8 years, 1 month ago)
Commons ChamberMy hon. Friend will find no more passionate champion of good data in the NHS than myself. He makes an important point about getting on with this, and I have already signalled to the team in NHS England that we will need to get a grip on this quickly, not least so that the new Administration implementing the Brexit decision will know the figures and have them to hand.
I made a recent freedom of information request to my local hospitals to find out the cost of interpreters. Airedale hospital reported that last year the cost was almost £200,000 and I suspect that, when I receive an answer, it will be even higher at Bradford royal infirmary. This money could be better spent on patient care. Surely it is better for these patients, if they want to contribute to the British way of life, to be able to speak English themselves. What is the Minister’s Department doing with other Government Departments to make sure that people who live in this country can speak English so that money for the NHS goes to the purposes for which it was intended?
Let me gently and respectfully point out that those who work in the NHS and the leaders responsible for it have made it very clear how dependent it is on people who come to work here in the NHS from overseas. Under the terms of our own mandate and indeed our own laws, the NHS has a duty to make sure that it provides proper diagnosis and treatment for all our citizens. For public health and safety, it is in nobody’s interests for citizens of the UK not to be able to integrate, deal with and get proper diagnosis from the system. My hon. Friend’s wider points about the speaking of English are well made, but they are not relevant to this particular question.
(8 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I am sure the Under-Secretary, my hon. Friend the Member for Battersea, will be able to pick up a number of issues that the hon. Gentleman has raised, but let me respond to some.
First, in relation to the report, as I emphasised by quoting the remarks from Public Health England, any advice that goes into the public domain which is to have credibility and upon which people should want to rely must be fully evidence based and as thoroughly researched as possible. If there is any doubt about that—if the evidence appears to be scant—it is right that such advice should be dismissed as irresponsible. We should continue to urge people to look at far more in-depth studies and internationally accepted views on health, diet and wellbeing. I made that point and I am pleased that the hon. Gentleman agrees.
In relation to the Government’s activity, the childhood obesity strategy will come forward in due course, but it cannot be said that nothing has been done in the meantime. The sugary drinks tax has been taken forward, and I can assure the hon. Gentleman that advertising, labelling and promotion definitely come into the strategy and will be looked at. Having spoken to my right hon. Friend the Secretary of State for Health, I am sure that the intention is to get the report out at a time when the House will be able to consider it. There is little likelihood of the House not having an opportunity to discuss and debate such an important matter, but it is important to get the report right. It is important that it meet exactly the challenges that the hon. Gentleman made from across the Dispatch Box. If it is not seen to be thorough, well researched and well evidenced, it will fall foul of the concerns raised by the irresponsible report today. I am grateful for his support. The outcome is something we all want to see, and I can assure him that my hon. Friend the Minister will be studying his remarks carefully.
In the hope that the Minister has doubled up his bets with the Secretary of State, may I join my hon. Friend the Member for Bury North (Mr Nuttall) in urging him to curb the Department of Health’s natural nanny state instincts when it comes to a childhood obesity strategy? If the sugar tax is part of that childhood obesity strategy, can he explain why the tax is being directed at a certain number of products, when other products with far more sugar in them will not be covered by the tax? Will he abandon this policy and encourage the Chancellor to abandon it before it becomes the new pasty tax policy?
Tempting though it is to use my temporary position for a whole range of announcements in relation to this area, I think that would be unwise. I can inform my hon. Friend that I have him on an accumulator with my hon. Friend the Member for Bury North (Mr Nuttall); I am not saying who is the final part of it. No, the Government will stick to their declared policy in relation to sugary drinks. Perhaps my hon. Friend might welcome the fact that all the money from that is going into physical activity through sports in schools, which I know he is really keen on as well. Perhaps that mitigates any concern he might have.
(8 years, 3 months ago)
Commons ChamberI must confess to being rather puzzled. The BMA said all along that the strike and dispute had nothing to do with weekend pay and terms, yet after negotiations limited simply to weekend pay and terms, the BMA has come to a deal and advised against strike action. Can we take it that, despite much huffing and puffing from the BMA that this was about the future of the NHS and all the rest of it, at the end of the day it was all about weekend pay and terms?
I think my hon. Friend is right that that was the big sticking point. It was the BMA’s willingness to be flexible and negotiate on that that ultimately made an agreement possible, but it is also fair to say that the Government recognise that there are many other non-contractual issues in the way that junior doctors are trained and treated by the NHS, and we want to use this opportunity to put them right.
(8 years, 4 months ago)
Commons ChamberIf the right hon. Lady is asking whether I will compromise in my pursuit of a safer NHS for her constituents and my constituents, the answer is I will not. I am the Health Secretary who had to deal with Mid Staffs and with a huge number of hospitals up and down the country that the Labour party, when in power, did nothing to turn around. We dealt with that. We put 27 hospitals into special measures. We have dramatically increased the number of doctors and nurses in our hospital wards because we care about a safer NHS. When there are issues about weekend care, the right thing to do is to address those issues, not to duck them.
I think the Secretary of State can be criticised in this dispute, and my criticism is that he has been far too generous to junior doctors. Despite their understandable embarrassment at admitting it, this is a good old-fashioned pay and terms strike by an old-fashioned trade union. As far as I am concerned, it is an absolute disgrace to withdraw emergency cover on the basis of what premiums are paid on a Saturday when most of my constituents, who are much more poorly paid, go out to work on a Saturday as a normal day without any premiums whatsoever. No Government should ever give in to this kind of industrial action. Will he give a firm commitment that, despite the bluster from the Labour party, he will stick to his guns on this issue?
I absolutely give my hon. Friend that commitment. He is absolutely right to say that professionals should not withdraw emergency care in pursuance of a pay dispute. It is totally and utterly inappropriate. It is not just me saying that; it is what very experienced doctors such as Professor Bruce Keogh are saying. This is the wrong way to go about this dispute. In the end, the public recognise a simple truth: you cannot choose which day of the week you get ill. If we are to have the best health service in the world, we need to reflect that in the medical cover we provide at the weekends as well as during the week.
(8 years, 5 months ago)
Commons ChamberWe know that the deficit will be bigger this year, and that there is extreme pressure. Part of the reason for that is that NHS trusts have rightly said that, in the wake of what happened at Mid Staffs, they want to ensure that their wards are properly staffed, but they have done that by using unsustainable agency staff. The most important thing that we need to do is to move to permanent full-time staff rather than agency staff who are too expensive and not good for care.
T10. A number of my constituents are unable to access an NHS dentist. May I ask the Minister to look at the availability of NHS dentists in my constituency and use his good offices to ensure that there is enough capacity for all of my constituents who want to use a good NHS dentist to be able to access one locally?
Overall access to NHS dentistry is good, but it does vary from area to area, and West Yorkshire, as the hon. Member for Dewsbury (Paula Sherriff) well knows, is one of the areas that worries us and that we are trying to do something about. Work is being undertaken in the West Yorkshire area to look at issues around NHS dentistry. I have met a number of hon. Members to discuss this matter. It has my attention, so I will be monitoring it closely, and my hon. Friend was right to raise it.
(8 years, 7 months ago)
Commons ChamberI thank the hon. Lady for bringing her personal experience to the House, and I hope that all is well. She will understand that screening has to be a non-political matter. That is why we have a specific, clinically led committee to look at whether a screening programme should be implemented. It has been looking at NIPTs over the past year and will be making its decision very shortly. On the principle, though, I completely agree with her; it lies at the foundation of the NHS and we support it.
12. What assessment he has made of the adequacy of clinical commissioning group transformation plans in addressing the needs of (a) all vulnerable children, (b) children in the care system, and (c) children who have been abused.
I think it is a case of wishing the hon. Gentleman a happy birthday.
Thank you very much, Mr Speaker—much appreciated.
Children who have suffered the trauma of abuse may benefit from a range of therapeutic services, but there is a lack of consistent data about the number of abused children in need of therapeutic support and the number of services available. Can the Minister assure me that as part of plans to transform children’s mental health, the needs of abused children will be properly monitored and considered at every level?
I am grateful to my hon. Friend not only for his question but for previous questions in relation to this area and his obvious interest and concern about it. He is right. Nationally, the numbers of looked-after and abused children in the new prevalence survey—the first since 2004—would be relatively small. We have therefore asked the statisticians to look at different ways of assessing the data and the numbers so that we can address this issue. I hope to be able to report further on that later in the new year after I have had that meeting.
(8 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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No, I do not think it possible to make that sort of estimate or assessment, but the longer that doctors go on working under an unsafe contract that includes long hours, consecutive nights and long days, the more that will add to the pain and pressures of those working in the NHS. That is why a new contract with safer hours is a better option. Encouraging the BMA to return to negotiations and settle this issue, so that the threat of strike action is not hanging over us, is also important for morale.
Does my right hon. Friend agree that this strike action is completely irresponsible and that such action is never an acceptable substitute for the kind of negotiations offered by the Secretary of State? Will he guarantee that the Government will not give in to this strike action, as that would be a terrible precedent for the Government to set?
My hon. Friend reflects well the feelings of Chief Medical Officer Professor Dame Sally Davies, who urged junior doctors to think again because the severity of the proposed action is a step too far. I find it difficult to conceive of a circumstance in which I would support a medical practitioner withdrawing their labour, and I hope that anyone would think that such things should not happen. The Secretary of State is doing everything he can to make clear the terms of the contract, the safety principles on which it is based, and to deal with misleading information. Even at this stage, he urges the BMA to come back and sit round the negotiating table and—I repeat—he has not ruled out conciliation after that.
(8 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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I beg to move,
That this House has considered the matter of male suicide and International Men’s Day.
It is a pleasure to serve under your chairmanship, Mr Gapes. I thank colleagues throughout the House for supporting the debate and the Backbench Business Committee for finding the time to hold it. I also thank the many people who have been in touch with me to tell their stories or put forward their organisations’ point of view. I am grateful to all of them for taking the time to do that.
I said in my maiden speech that I would campaign hard against the blight of political correctness that is doing so much damage to our country. Ten years have passed, and I am still here fighting that battle. The number of ludicrous cases of political correctness has reduced, but the more entrenched ones are still well and truly thriving. One of the main areas where we see the pernicious effects of political correctness is the treatment of men and women. I heard about International Men’s Day and decided it was only right, given that we have a debate each year on International Women’s Day, to appeal for time to be given for a debate to commemorate the day, in the interests of gender parity.
The aims of International Men’s Day are admirable. They are:
“To promote positive male role models; not just movie stars and sports men but everyday, working class men who are living decent, honest lives…To celebrate men’s positive contributions to society, community, family, marriage, child care, and to the environment…To focus on men’s health and wellbeing; social, emotional, physical and spiritual…To highlight discrimination against men; in areas of social services, social attitudes and expectations, and law…To improve gender relations and promote gender equality…To create a safer, better world; where people can be safe and grow to reach their full potential.”
I commend my hon. Friend for securing this important debate. He has outlined the importance of International Men’s Day. Does he share my disappointment that this debate is being held in the second Chamber, Westminster Hall, rather than on the Floor of the House of Commons?
I am grateful to my right hon. Friend for coming to the debate and making that point. I would have preferred the debate to be in the main Chamber, especially given that the International Women’s Day debate is held there, but I am grateful that we have the opportunity to raise these issues, which we have never done before, so it would be churlish of me to be too critical.
I want today to be the day when we in this House start to deal with some of the forgotten men’s issues and realise why the political correctness that underpins issues relating to the differing treatment of the sexes can be damaging to men. It might sound odd for someone leading the debate on International Men’s Day to say this, but in many respects, I would rather we did not have to be here having this debate, because when we think about it, in so many ways, considering men and women separately as if they live their lives in complete isolation from one another is ridiculous. Neither group is isolated. Both sexes have mothers and fathers, sisters and brothers, uncles and aunts, grandmothers and grandfathers, sons and daughters, husbands and wives, boyfriends and girlfriends. Every woman has related male parties and therefore a vested interest in men’s issues.
The problem is that virtually everything we do and debate in the House seems to start from the premise that everything is biased against women and that something must be done about it. There is never an appreciation that men’s issues can be just as important and that men can be just as badly treated as women in certain areas.
The hon. Member for Belfast East (Gavin Robinson) supported my request for a debate, and I know he is sorry that he unfortunately cannot be here today. Had he been here, he no doubt would have shared the fact that last year, Belfast City Council hosted its first event to mark International Men’s Day. I understand that the event was held in Belfast castle and opened by the First Minister and the Lord Mayor of Belfast at the time, Nichola Mallon, following a proposal by Alderman Ruth Patterson. It seems our Ulster friends appreciate that there are some specifically male issues that should be addressed, with both sexes involved.
I want to be very clear: I do not believe there is actually an issue between men and women. Often, problems are stirred up by those who might be described as militant feminists and the politically correct males who sometimes pander to them. Members do not just need to take my word for it. Before the Equal Opportunities Commission was merged into the Equality and Human Rights Commission, it conducted research that found women had very clear views on these matters. Its findings included the following conclusion:
“There was little support for the idea that women, as a group, are unequal in society today.”
Presumably, that went down like a lead balloon in an organisation dedicated to fighting for women’s interests and rights, so it was pretty much swept under the carpet.
One of the most depressing things to happen recently was the introduction of the Select Committee on Women and Equalities. After everything else, in 2015 we have a separate Committee to deal with women’s issues, on top of the Women’s Minister, Women’s Question Time and the many strategies in this country that only deal with women.
For the record, I could not care less if every MP in this House were female or if every member of my staff were female, as long as they were there on merit. To assume that men cannot adequately represent women is a nonsense, just as it is to say that only women can represent other women. As a man, I can say quite clearly that Margaret Thatcher represented my views very nicely indeed, but I am not sure she would be a pin-up for many of the politically correct, left-leaning women who are obsessed with having more women in Parliament today.
It seems to me that we have an “equality, but only when it suits” agenda in Parliament that often applies just to women. The drive for women to have so-called equality on all things that suit the politically correct agenda but not on the things that do not is a great concern. For example, we hear plenty about increasing the number of women on company boards and increasing female representation in Parliament, but there is a deafening silence when it comes to increasing the number of men who have custody of their children or who have careers as midwives. In fact, there generally seems to be a deafening silence on all the benefits women have compared with men.
Would my hon. Friend add to that list the deafening silence about the shortage of male teachers in primary schools, who are important male role models?
My hon. Friend is absolutely right; we hear very little about that. If there were a shortage of female primary school teachers, I suspect we would hear a great deal more about it.
The fight for equality on all things that suit women has ended up in a situation where we are quick to point out that women need special protections and treatment in certain areas but need greater equality in others. Let me give the example of prison uniforms. Men in prison have to wear a prison uniform; women in prison do not. How, I have asked on many occasions, can that possibly be fair? Where is the equality in that? I will come on to the treatment of men and women in our justice system later, but that is clearly an issue. What is the explanation? I am told that it is because women are different. As I have said, it is a question of equality, but only when it suits.
I congratulate my hon. Friend on securing the debate. I may not agree with everything he has said until now, but one thing I very much agree with him on is the constant obsession with gender equality. Does he agree that some of the people who have the worst life outcomes, particularly in our areas, are working-class men, who suffer some of the worst health issues and have some of the poorest life chances? Simply replacing a middle-class, privately educated man with a middle-class, privately educated woman does very little to increase diversity and opportunity for working-class lads.
I very much agree with my hon. Friend. Increasingly, working-class boys are some of those who are doing the worst at school and need the most help. I certainly agree with him about political representation. I have often said that replacing Rupert from Kensington and Chelsea with Jemima from Kensington and Chelsea does not do much for diversity in the House of Commons, but that is perhaps a debate for another day.
Of course, some people believe that only men can be sexist. Frances Crook of the Howard League for Penal Reform, for example, tweeted the following a few years ago:
“Sexism is not about choosing between two genders, it’s about historic & current oppression by men. Only men can be sexist.”
That view is not uncommon, but it is, I believe, misguided. If it is not okay for a man to be sexist, it cannot be okay for a woman to be sexist. A good example of that is positive discrimination, which is portrayed as a great thing that can rebalance things for oppressed females, yet it is just discrimination. Whether we put the word “positive” in front of it or not, it is still discrimination. In my opinion, there is absolutely nothing positive about positive discrimination, and it certainly has nothing to do with equality.
Just a few months ago, a publishing house declared that it would not accept any male authors for a year to redress some perceived discrimination against female authors. I never quite understood that, because as far as I can see, there are plenty of published female authors, but leaving that aside, people commended the publishers for their stance. Imagine if another publisher had said that it was not going to publish female authors—there would have been an outcry. Thankfully, when I put a complaint to the Equality and Human Rights Commission about that, it agreed with me that it would be unlawful. However, it is interesting to note the number of people whose minds that clearly did not cross; because it was in favour of women, they thought it was fine.
I was very grateful to see the motion on the Order Paper to do with male suicide and male mental health, which is why I and some of my colleagues came along today. I disagree with some of the points that my hon. Friend has been making about the broader equality agenda, but could we perhaps move on to the conversation about male mental health, on which there are important things to be said?
I am grateful to my hon. Friend for that intervention. If she had been a little more patient, I was just coming on to male suicide. I was setting the context for the debate, which, as she will see if she looks at the Order Paper, is also about International Men’s Day and is not just limited to male suicide. I am now coming on to the issue of male suicide, but I am glad to have been able to set the scene, and I am sorry that pointing out that men are sometimes badly treated in the world is so discomforting for her to have to listen to. However, that is part of the problem we have in this House.
Does my hon. Friend agree that gender politics needs to be more collaborative in style and that we should not antagonise either sex in order to achieve equality? Real equality is not achieved by causing upset or offence to either men or women.
I very much agree. I hope that this will be part of a move towards a day when men’s issues are treated in this House as being as important as female issues. If that is what my hon. Friend is saying, I am all for it, and I hope that this debate helps us move towards that.
The motion that we are debating today, as my hon. Friend the Member for Faversham and Mid Kent (Helen Whately) pointed out, specifically mentions male suicide. I want to deal with that subject in particular, as suicide is desperately sad and it is clear that more men than women take their own life each year. In fact, the figures show that around three quarters of all people who commit suicide are men. I would like to place on record the fact that although men are more likely than women to commit suicide, those left behind grieving will be of both sexes and often children.
Can I point out to everyone in the room, please, that no one in this country has committed suicide since 1961, when suicide was no longer a crime? People “commit” murder, burglary or arson, but they do not “commit” suicide. They take their own life, but they do not “commit” suicide—“commit” is a word that relates to a crime, and suicide is not a crime.
I am grateful to the hon. Lady for picking me up again. The terminology may be important to some people, but if I am going to be chastised for using the word that, as far as I can see, is used by every member of the public whenever they discuss this issue, I do apologise. But let us not get bogged down in politically correct terminology. I would much prefer that we dealt with the issue that I am trying to raise.
As somebody who has had a family member commit suicide, I am perfectly happy with the use of that term, and I do think it is political correctness to use some other terminology to make it more acceptable to others.
As long as we are going to get on to a serious debate about the issue, I will give way to the hon. Lady. I know that she knows a lot about this issue, and if she wants to make a sensible point, I am very happy to give way to her.
I only ever make sensible points on the issue of suicide, on which I spend a considerable amount of my time.
I can tell the hon. Gentleman that for many families who have been blighted by suicide, the word “commit” is deeply offensive and causes great distress, because it is part of a feeling of alienation and criminality that enters their family. It is an issue of great sensitivity for them. I am sorry that the hon. Gentleman is rolling his eyes, but that is the reality.
The hon. Lady has made her point. I would prefer that we actually dealt with trying to prevent people from taking their own life, or committing suicide, or whatever term anybody wants to use. The end result is the same and that is perhaps the thing we ought to concentrate on the most, rather than focus on what we call it, which does not necessarily help anybody who is a victim of it.
According to the Office for National Statistics, the number of female suicide victims declined from 10.9 per thousand in 1982 to 5.1 per thousand in 2013, whereas male suicide rates in the UK were much higher and were virtually the same in 2013 as they were in 1982—19 per thousand in 2013 and 20.6 per thousand in 1982. Those statistics sound bad enough, but it is nothing compared to the reality of suicide: according to the House of Commons Library, what that means is that in 2012, more than 4,500 men felt they had no choice but to take their own life. Given that there was an increase in suicides in 2013, the figure for that year is nearly 5,000 men.
In fact, over the last 30 years, according to ONS figures supplied by the House of Commons Library, more than 130,000 men have taken their own life. That is a staggering number: it is a staggering number of people who have needlessly died, and a staggering number of families left behind—parents, spouses, children, friends and colleagues —all of whom have been left grieving and suffering.
In our county of Yorkshire, 81% of the deaths from suicide in 2013 were men. To take my hon. Friend back to my earlier point, does he not agree that we have to do more to intervene early, particularly for young men from the poorest social backgrounds, who are the most at risk because of unemployment, low self-esteem caused by low educational outcomes, or the social conditions in which they live? Again, that is a particular group of our society to whom the services are not necessarily best placed to respond, but for whom we need to do better as a nation by intervening earlier.
I am sure that my hon. Friend is right and that most people would agree with him. In fact, in the time allocated to this debate, statistically at least one man will have taken his own life, which means that yet another life will have been ended prematurely and another family will have been left devastated.
According to the Campaign Against Living Miserably, which is supported by many individual charities and which I would like to thank for its help with today’s debate, a YouGov poll this month that surveyed 2,000 men found that
“42 per cent…had considered suicide, with…41 per cent…never talking to anyone about their problems.”
In addition:
“49 per cent…of those who didn’t seek help ‘didn’t want people to worry about me’. A third…felt ashamed, nearly four in 10…did not want to make a fuss and…43 per cent…didn’t want to talk about their feelings.”
According to various sources, including the Government’s suicide prevention strategy for England, the suicide rate is highest among males aged 30 to 59. It has fluctuated in recent years between 30 and 44, but it is currently those who are aged 45 to 59 who have the highest suicide rate.
We might ask why these men feel that they have to end their lives in such numbers. There is the obvious issue of mental health problems; not wanting to ask for help could mean that those go untreated in some men. I was sent a briefing by the Royal College of Psychiatrists, which said:
“Three quarters of all people who end their own life are not in contact with mental health services and men who are suffering from depression are much less likely than women to look for formal help from mental health professionals.”
There are also clearly other things that are likely to affect men more than women—for example, being in debt or being a war veteran. The Samaritans point to evidence that suicidal behaviour comes about as a result of a complex interaction of a number of factors. In the case of men, financial worries play a big part—so unemployment and redundancy can be a trigger—and also the influence of a historical culture of masculinity.
In some cases, men might feel—usually mistakenly—that they are a burden on others or that people would be better off if they were dead. The fact that men still see themselves as the providers in many cases means that financial hardship is very significant, and in their mind reduces their contribution to the family unit. Someone in debt might think that their family would be better off if they were not there. Even putting aside the enormous emotional loss to those left behind, the financial gain may not be as the person intended, as taking their life could invalidate their life insurance.
A minute ago, my hon. Friend mentioned the importance of mental health care for men and of men accessing it. It is well known that men may well go to an accident and emergency department to seek care when they have mental health needs and often A & E is the only place that is available in the middle of the night, but although some hospitals have good care in the form of psychiatric liaison teams, many hospitals do not have good psychiatric liaison services. Those services are known to be very helpful. I know that my right hon. Friend the Minister supports such services and that some funding is going towards them, but can we make certain that that funding ensures that there are good psychiatric liaison services in all hospitals and transparency about the level of those services, so that we can ensure that they are effective?
I am very grateful to my hon. Friend for that intervention. I am sure that we all hope that my right hon. Friend the Minister will deal with that point when he makes his contribution to the debate.
Shockingly, 56.1% of men who commit suicide do so by hanging themselves. I cannot imagine the horror of finding someone who has hanged themselves. Add to that the fact that that person is a loved one and it is even more tragic. Then, there are all the questions that inevitably arise following a suicide from the person’s loved ones. Why? Why did I not know there was something wrong? Why did they not talk to me? Why did they leave me? What could I have done to prevent this from happening? The guilt and sense of loss that those left behind must feel after someone has killed themselves should be reason enough to want to do something, never mind the absolute waste of life of the individual concerned. Suicides account for more deaths than road traffic accidents, so one would expect the Government to be trying to tackle this issue.
Sometimes this place is also about sending out signals or messages, and the message that I want to go out loud and clear today to anyone contemplating suicide is: you are not alone. There is nothing whatever weak or wrong in seeking help, and there are plenty of people out there who can help you, so please talk to someone—confidentially and anonymously if you prefer, but please talk to someone. Suicide is never the right option.
The Royal College of Psychiatrists says:
“We also need to work towards building a society where people should not be afraid to seek help for fear of being stigmatised and where the media agree to responsible reporting of suicide.”
I could not agree more. It says that it is also important that information on depression and how men can get support is available in what might be traditionally considered male settings, such as football stadiums, barbers or pubs. Again, that seems like a very good idea.
Suicide, especially in the numbers that we see for men, is a huge, tragic problem, and we need to work together to achieve change. One thing that leads men to contemplate suicide is the breakdown of a relationship, especially if children are involved. It is clear that the courts are more likely to place children with the mother than with the father. This is a massive area where men face very different treatment from women. We underestimate the effect on fathers of having to battle to see their children and facing the inevitable likelihood that they will come off worse simply because of their gender.
I am certainly not saying that all cases are like that. Many, many reasonable mothers allow the father as much access to the children as possible, and we should always recognise that, but life is not always that simple in every relationship. Some women do use their children as a stick to beat the father with—perhaps because they are bitter about the failed relationship, because of financial reasons, or because they have moved on and it is easier for them if their new partner takes on the role of father to their children. Women can fail to put the father on the birth certificate, limiting his rights, or lie to him about whether he is even the father. Short of a child-swapping disaster in hospital, women know for sure that their babies are their own, but fathers can never know 100% that that is the case without a formal DNA test. Many are sure because of their trust in their partner, but plenty will be unsure because of their partner’s behaviour, or because they have been deliberately tricked.
I have received numerous messages on the subject of fathers and their children. Unfortunately, we do not have time to go through them all, but I will read out one or two that contain the points that many people have made and that link the serious issues of fathers not having access to their children to the issue of suicide. One person said:
“Dear Mr Davies,
A number of local fathers have been in touch with…our MP, as I have over the years, about the way fathers are routinely excluded from their children’s lives or treated very differently from mothers.”
This was from a constituent of my hon. Friend the Member for Kettering (Mr Hollobone), and the person said that they were delighted that my hon. Friend had helped us to secure this debate. They continued:
“It’s been proved time and again that children benefit from parenting by both their parents after separation but it is all too easy for false allegations to be made in an attempt to exclude fathers. There are rarely any repercussions and it can be many months before broken relationships with children can be mended—if ever.
Sadly, I know a number of men who have been driven to suicide as a result of their experience. Many fathers I meet at the local meeting I chair have mental health problems associated with separation and the difficulties they have experienced. And that’s aside from other members of their families including of course grandfathers, of whom my husband is one.
I do hope something positive comes from the debate on Thursday”.
That is from Jenny Cuttriss, chair of the Families Need Fathers branch in Kettering.
Messages from other people on the subject include one saying:
“I have spent the last 4 years going through the Family Courts trying to maintain a decent relationship with my children. Over and over again my ex has been emotionally abusing my daughter and alienating me from her life… She has also maliciously claimed DV”—
domestic violence—
“and taken out a Non-Molestation order against me to try and stop me…having contact or being involved in my daughter’s life in retaliation to me getting my ex’s mother arrested for assault as she attacked me inside a court building.”
I had been aware of the stories about men’s chances when it comes to custody of their children for some time, so last February I asked the Ministry of Justice
“in what proportion of all cases heard in family courts where both the mother and father sought custody of their children the residence order was awarded to (a) the mother, (b) the father and (c) jointly”.
The answer from the then Minister was:
“The information…does not record details of the orders…such as which…parties were awarded the order. The information requested can only be obtained…at disproportionate cost.”—[Official Report, 24 February 2014; Vol. 576, c. 261W.]
However, from everything that I have heard, including from those who actually do the adjudicating in family courts, it seems that it takes something out of the ordinary for men to be awarded custody of their children, and it seems that the Ministry of Justice cannot say otherwise. The Equality Act 2010 does not seem to apply in this area.
If people think men have life easy, they need to think again when it comes to families. Women have an awful lot of control, and there is an inbuilt bias towards them when it comes to the very important job of raising children. It does not look as though that is going to change anytime soon, yet as someone wrote in a message to me,
“I really believe that if this system worked against women the way it works against men there would be hell on about it! Whenever there is any discussion of gender inequality the focus is solely on women being disadvantaged…and never about these inequities or those that you yourself raise or the many other areas where men are disadvantaged.
The fact that women usually take responsibility for childcare is often cited as an obstacle to women’s progression in their careers and…under representation in senior roles and I believe society’s perceptions and family law appear to be perpetuating this issue. Perhaps more equality in family law and wider society could prove a win-win for both sexes?”
That seemed to me a very good point.
I am very grateful to the hon. Gentleman for securing this important debate, but I feel that the evidence that he has just presented is anecdotal; there is no concrete evidence. He has given us just individual cases, and I am concerned that this discussion is straying down a slightly misogynistic route.
I am sorry that the hon. Lady feels like that. Again, it is part of the politically correct culture that we have in this place that the moment anybody raises anything that affects men, people are accused of being misogynists. That is part of the problem; the hon. Lady is part of the reason why these issues never get debated. It is raised to try to deter anybody from ever raising their head above the parapet. Many people in her constituency are affected by these issues. Perhaps she ought to go and consult some of her constituents about the problems they face in these areas. She might learn that it is right to raise these issues in Parliament. It is not misogynistic to raise the issues faced by some fathers in her constituency who are having trouble getting custody of or access to their children. If she does not think that that is a problem, she needs to get out more, frankly.
Order. I say to hon. Members: please can we conduct this debate in a civil manner, without it degenerating into an argument of that kind? I ask all Members, please, can we get back to the subject of the debate?
Mr Walker wanted to intervene.
I did; thank you, Mr Gapes. My hon. Friend has never been afraid to put his head above the parapet. We may not all agree with every point that he makes, but he is raising important issues about family breakdown and suicide. Does he agree that reforms to create equal parental leave are important in fostering men’s role in the family? It is vital that the Government continue to pursue such initiatives as the family test to ensure that we take every opportunity to avoid the causes of family breakdown, which is a great problem for men as well as women.
I agree with my hon. Friend that we need to do more to make sure that we have genuine equality, and not the “equality when it suits” agenda. We need to do as much as we can to help families stay together, wherever possible.
I will move on to talk about violence. In this House, we always seem to be hearing about strategies for combating violence against women and girls—in fact, there have been debates in the House on that very subject—so people might be forgiven for thinking that there is a special problem of violence against women and girls, and that it does not apply to men and boys. Some might think that far more women and girls than men and boys must be victims of violence, but the reality does not always match people’s concerns. It is a fact that in this country, men are much more likely than women to be victims of violent crime. The most recent biennial statistics from the Ministry of Justice on the representation of females and males in the criminal justice system confirmed that 1.4% of women interviewed in the crime survey reported being a victim of a violent crime, compared with 2.3% of men.
It is not just when it comes to violence generally that men do worse than women. Women accounted for around 30% of recorded homicide victims between 2006-07 and 2012-13, while men were the victims in the remaining 70% of cases. The picture emerging is that men and boys are far more likely than women and girls to be victims of violence and murder, but there is little or no mention of men and boys in our debates and strategies relating to females. I asked the Secretary of State for Education in Parliament last November
“what her policy is on educating children about violence against men and boys.”
I also asked
“what her policy is on educating boys about domestic violence against men and boys.”
The reply from the Minister for Schools was:
“Education has an important role to play in encouraging young people to build healthy relationships, and to identify those relationships which are unhealthy. Pupils may be taught about violence against men and boys in personal, social, health and economic (PSHE) education.”
I will just leave that there for people to reflect on.
There has been a lot of talk about the female victims of domestic violence. Figures from the Office for National Statistics show that 8.5% of women were victims of domestic violence in 2013-14, but so were 4.5% of men. That is equivalent to 1.4 million female victims and about 700,000 male victims of domestic violence. That figure refers not to partner abuse, but to all abuse in a domestic setting, including among families. When we look at the figures for partner abuse, we see that 5.9% of women and 2.9% of men report being victims. It is quite clear that around one in three victims is a man.
I wanted to make a speech, but I cannot because I have constituents visiting. My hon. Friend makes an important point about domestic violence towards men, but the fact remains that most domestic violence is towards women. Does he agree that although we should tackle domestic violence against men, International Men’s Day is the perfect opportunity for men to stand up as part of the white ribbon campaign, for which I am pleased to be an ambassador, and say that we will never remain silent when other men commit violence against women? Although both issues are important, International Men’s Day offers a particular opportunity for men to take a stand against other men who commit violence against women.
My hon. Friend is absolutely right. All such violence is unacceptable, whether the perpetrator is male or female, and whether their victim is male or female. That is my point 100%. We should criticise them all equally.
There is evidence of under-reporting among male victims of domestic violence. In the crime survey for England and Wales, victims of partner abuse in the previous 12 months were asked who they had spoken to about the abuse that they experienced. A third of victims told someone in an official position about the abuse, but nearly twice as many women as men did. Perhaps more significantly, women were nearly three times more likely than men to tell the police. Despite what we might think from the focus on male perpetrators of domestic violence, there are also many female perpetrators. When anyone says “domestic violence”, the first thing that springs to most people’s minds—including mine—is a poor woman being attacked by a bullying man. The figures show that it is much more complex than that, however, and that stereotypical image needs to be smashed if we are to tackle the problem as a whole.
Something else that needs to change is the reaction to violence against males, certainly when it comes to female-on-male violence. Some see it as almost a laughing matter, but nobody would laugh or turn a blind eye if a female was the victim. Anecdotal evidence suggests that male victims are treated differently from female victims by the police and other agencies. Considering the sheer numbers involved, male victims are given hardly any resources in comparison with female victims. Resources should be available to both male and female victims of domestic violence.
Issues such as the lack of places of refuge and the lack of support for men need to be addressed. The ManKind initiative, which works with men suffering from domestic violence or domestic abuse, says that it will run out of funding in January. It needs people to back it now so that it can provide the emotional support and practical information that male victims need. There are moving stories on its website from men who have suffered domestic violence. Although there seem to be more female victims of domestic abuse, each male victim is also a person, not a statistic, and it is only right and fair that help should be there for victims of both sexes.
I have gone on longer than I thought I would because I have taken so many interventions. The final issue I want to raise is sentencing, and how men are treated differently from women in our criminal justice system. I had a debate here in Westminster Hall three years ago, at which I had plenty of statistical evidence to show that women were treated more leniently than men, but that did not seem to be accepted at the time. Since then, progress has been made, because that fact is now broadly accepted. For far too long, those who peddled myths were able to get away with it because people simply repeated their mantra without question. Perhaps someone would like to try to explain why women should be treated favourably in the criminal justice system, but at least it is accepted that that is the case.
Since that debate, I have amassed much more evidence on the subject. I will not go through it all now, otherwise we would be here all day, but I want to put some of the key facts on the record. About 5% of the prison population at any time in recent history has been female, and the other 95% has been male, yet so much consternation, time and effort have been expended on the very small number of women in prison. For every category of offence, men are more likely than women to be sent to prison. That is a fact. I will give an example to illustrate that: 45% of men sentenced for an offence of violence against the person will be given a custodial sentence, compared with just 23% of women. Of those with 15 or more previous convictions, 39% of men but only 29% of women are sent to immediate custody. In Crown courts, which deal with the most serious offences, probation recommends immediate custody in 24% of cases for male offenders, and just 11% of cases for female offenders.
The average sentence length for an indictable offence is 17.7 months for men and 11.6 months for women. Men serve, on average, 52% of their prison sentence; women serve 46%. The average length of time that men spend in a prison cell each day is 14.1 hours, but that figure is 11.5 hours for women. The list is endless. I have spoken about domestic violence and have an additional fact on that subject: 3,750 male sentenced prisoners were victims of domestic violence, compared with 1,323 female prisoners.
There has been a rise in publicity surrounding female paedophiles. In a few high-profile cases recently, the sentences given to women were much more lenient than those that would be given to men. Just the other week, a babysitter who had sex with an 11-year-old boy escaped jail. There is no way on this planet that a male who had sex with an 11-year-old girl would have avoided prison—a point that the National Society for the Prevention of Cruelty to Children made about the case. There is no chance of that happening at all, and yet that was the sentence handed down.
The facts and figures that I have set out show that there are certainly questions to be answered about how men are treated in the justice system, compared with women. It seems that there is clear discrimination against men. If outcomes are all-important, what do people have to say about that? What will be done to deal with that balance? Well, the Under-Secretary of State for Women, Equalities and Family Justice has made an announcement. She has said that she wants fewer women in prison—not fewer people or fewer men. Yes, hon. Members heard me right: just fewer women. The Conservative manifesto read:
“We will improve the treatment of women offenders, exploring how new technology may enable more women…to serve their sentence in the community.”
Now, I am not somebody who supports prisoners, but where on earth is the equality in that? How does that fit in with the Equality Act 2010?
Does my hon. Friend therefore consider it desirable to have more women in the prison population, to achieve equality?
Yes, I would like to see more people in prison, but that is a debate for another day. I would certainly like women who commit serious offences sent to prison in the way that men who commit serious offences are. I am grateful to my hon. Friend for allowing me to make that point very clear.
Where is the equality in the current sentencing regime? It is just like the example I gave of female prisoners not having to wear a uniform. Somehow, the fact that hardly any women are in prison in the first place seems to be a problem, because it just is—because they are women. If there is to be true equality, this cannot be allowed to continue. We should be gender-blind when it comes to sentencing, if that is what the equality agenda is all about. If women commit serious crimes that are enough to warrant prison sentences, they should serve them in prison. We need to stop pussyfooting around when it comes to female offenders. A judge in my local Crown court recently said to a female offender:
“I have every sympathy for your children but the biggest burden they labour under is that their mother is a drunken thug”,
before rightly sending her to prison. I could not have put it better myself.
There are so many other areas where men are being discriminated against, or are suffering more than women. Unfortunately, I cannot go through them all now. If they are not raised by other Members today, I hope we will have similar debates in the future, so that I can highlight the further problems faced by men. Some of the issues that I do not have time to get to include: male circumcision and its effects on some men; the fact that men suffer from anorexia and bulimia, too; the health effects of men not seeking help early enough to prevent their conditions from getting worse; the fact that men tend to live shorter lives than women; and the fact that boys underachieve in school.
To conclude, this debate is a fantastic opportunity to deal with the issues that affect men. This Parliament should not be hijacked by those who constantly want to perpetuate myths about men and women that are simply not accurate. Some people cannot see common sense for the blur of their rose-tinted, politically correct glasses.
I hope the message goes out around the country that politicians are not all blind. I also hope that many of the men who contacted me today to say that they have never felt that anybody has reflected the problems that they face feel reassured that they have a voice in Parliament on all issues that affect them, just as much as everybody else has. For a parliamentary democracy to work, everybody in the country has to feel that somebody is speaking up for them. Today, lots of people feel that their voice, at last, is being heard.
As the shadow Mental Health Minister, I am grateful for the opportunity to take part in this debate on International Men’s Day. I will respond specifically to the motion, which tackles male suicide.
I thank Members from throughout the House for their contributions to the debate, which have revealed just how significant a challenge male suicide is in all our communities. I also add my thanks to CALM for the work it has done to raise the profile of the issue and push for a debate on it. Its #BiggerIssues Thunderclap campaign today has reached millions of people on Twitter and across social media. That is an important indication of the strength of feeling on this issue. On Monday, the Mind media awards featured countless nominations for programmes and coverage that had raised the profile of this significant issue. The campaign award was won by the #FindMike campaign, which was run by Jonny Benjamin and Neil Laybourn, recognising the contribution that they have made to the debate.
I pay tribute to the chair of the all-party group on suicide and self-harm prevention, my hon. Friend the Member for Bridgend (Mrs Moon), for the vital contribution that she and the group have made and continue to make to the ongoing debate on suicide. As a society, we should be doing everything that we possibly can to prevent it. I also thank the Samaritans and the Royal College of Psychiatrists for their helpful briefings ahead of this debate.
The rate of male suicide in this country is a national scandal. It is shocking that in today’s society the number of people taking their own life is increasing. The fact that such a disproportionate number of those suicides are by men demands our urgent attention. I shall share again some statistics that we have already heard, because they are so significant: of the total number of suicides in the UK in 2013, 78% were male and 22% were female, and suicide is the single biggest killer of men aged under 45 in the UK. Every time a person is lost to suicide, it is a tragedy—for their loved ones, their friends, their community, and society as a whole.
Members from across the House have mentioned cases of suicide in their constituencies, and sometimes within their own families; each one is tragic and devastating in its own right. The impact of suicide can be wide-reaching and incredibly long-lasting. Apart from the obvious human cost, which often affects whole communities in schools, colleges or workplaces, we must consider the huge economic cost. I was particularly struck by the Department of Health impact assessment, which put the economic cost of just one suicide at a staggering £1.7 million.
This debate has given us an important opportunity to examine the factors that might lie behind the shocking statistics. A report by the charity Mind outlined some of the possible reasons why men are more likely to take their own life. It suggests that men compare themselves to a gold standard of masculinity, power and control, and are more likely to feel shame and guilt when they fall from that standard. There is a link between unemployment and suicide—unemployed people are two to three times more likely to take their own life. Just this week, the University of Liverpool published research into the number of suicides that, tragically, have happened in areas with a higher number of work capability assessments.
The hon. Lady and the hon. Member for Caithness, Sutherland and Easter Ross (Dr Monaghan) try to draw attention to work capability assessments and blame suicides on them. Will she accept that it was the Labour Government who introduced work capability assessments, under which more than 60% of people were found fit for work? In work capability assessments now, only 27% of people are found fit for work, so her Government were finding more people fit for work than this Government ever have. Will she at least acknowledge that fact, rather than trying to make a rather cheap political point?
I pointed out just one reference to the work capability assessment that is particularly relevant because that research has been prominent in the press today. There are many other factors—that is just one—and I will come on to address them, but that research has been conducted academically and is particularly relevant this week. That is not a political point; it is something that is significant in many communities and that has been raised by Members of all parties, not just by the Opposition.
Some groups of young men are particularly at risk. Research conducted by the charity METRO found that more than a third of LGBT young people have attempted suicide at least once. Shockingly, it has recently come to light that suicides in our prisons have increased by more than 50% in recent years. Every four days a prisoner takes their own life, and the majority are men. Analysis by the Samaritans and a number of academic studies show that there is also a very strong link between socioeconomic class and suicide, with those living in deprived areas on the lowest incomes being most at risk.
Men are more likely to take risks with drugs and alcohol. They are also much less likely to open up to their friends and family and seek emotional support, as many Members have said. We have also heard concerns about the impact of economic crises on suicide rates, which I echo. My hon. Friend the Member for York Central (Rachael Maskell) referred to debt, and we also heard about the challenges in Greece, which has seen an increase in suicides.
All those individual factors are important and demand our consideration and attention, and I hope that the Minister will respond to each of them in turn. Whatever factors contribute to a person wanting to take their own life, there is one thing of which we must never lose sight: suicide is not inevitable. If people are in crisis, good care can make a vital difference, and it can and does save lives.
We have heard about the challenges in ensuring that people with mental health problems get the support that they need, and there are particular challenges due to fragmentation in the system. Service users, professionals and experts are warning of a mental health system under unsustainable pressure. The number of people becoming so ill with mental illness that they need hospital care has increased. At the same time, the number of mental health nurses has decreased, and we are hearing of too many instances of people having to travel hundreds of miles for a bed or, in some cases, not getting any help at all.
The Royal College of Psychiatrists has advised that men tend to use more lethal forms of suicide than women. It is therefore vital that the very first time someone says they have had suicidal thoughts, they get the best support possible. It is vital that that support is provided in the first 24 hours after a crisis begins. Mental health charities have long been campaigning for better crisis care. Research from the charity Mind has found that people in mental health crisis might not be able to get help immediately.
I echo the comments of my hon. Friends the Members for Bridgend and for York Central about the role of the police. Some important pilots of street triage teams are going on throughout the country. I had the opportunity to join one in Liverpool and saw at first hand the fantastic work being done by the police and mental health professionals to contend with issues of suicide and suicide prevention. They often identify people and take them to a safe place, but we know that only one third of people who use NHS crisis care services are assessed within four hours, which should concern all hon. Members. Research has found that when people present to services, perhaps after having been brought there by a member of the police or a street triage team, there are often not enough staff to provide the care that they need.
When someone has a mental health crisis and is most at risk of suicide, one of the places they are most likely to be taken is the local hospital’s accident and emergency department. I echo the point made by the hon. Member for Faversham and Mid Kent (Helen Whately): there is a serious shortage of liaison psychiatrists in acute hospitals. I have had the opportunity to join a number of such teams in A & E. They do an incredible job in very difficult circumstances and under a lot of pressure. I have heard the staff say that they are not able to deal with all the cases they would like to in an adequate time, which should concern all of us. Having experts on hand is key to ensuring that people get the support they need. I would welcome an update from the Minister on the work he is doing to increase the number and coverage of liaison psychiatrists in our hospitals.
Labour Members welcome the mental health crisis care concordat—the national agreement between local agencies to work together more closely when responding to people in mental health crisis. I note that great strides have been made in supporting the police to improve their response to people with mental health problems. However, it is not clear what tangible progress is being made on the ground in relation to suicide as a consequence of the crisis care concordat. A King’s Fund report published last week found that just 14% of people felt that they received appropriate care in a crisis. I hope the Minister will share with us his plans to evaluate what the crisis care concordat has achieved and what it might go on to achieve.
My hon. Friend the Member for Bridgend rightly raised the complex and under-researched issue of suicide contagion. I echo the concerns raised by Members from both sides of the House about the challenges caused by the lack of research into suicide. There are some great research facilities, but they are few and far between. Although their work leads the way, funding for all types of mental health research is significantly lower than funding for research into physical health conditions. Public Health England published guidance in September on how to identify and respond to suicide clusters. I hope the Minister will tell us about the work his Department is doing to understand more about and prevent suicide contagion.
Ensuring that people in mental health crisis get the support they need is an urgent priority. However, to stem the tide of male suicide, we must do much more to prevent men from reaching the crisis point in the first place. A number of hon. Members have talked about the important fact that three quarters of people who take their own life are not in contact with mental health services. Men who suffer from depression are much less likely than women to look for formal help from mental health professionals. They are also less likely than women even to talk to their family and friends about how they are feeling. We need a cultural shift so that men feel able to discuss their mental health, seek help and get the support they need.
Just as important as ensuring that men feel able to talk openly about their mental health is ensuring that when they come forward, there are services available that they feel comfortable accessing. We need to do more to ensure that men can access information about mental health problems. We must make support available in what might be considered traditionally male settings, such as where men meet, eat and watch sport. That point has already been made this afternoon. I have seen at first hand the work done by Everton in the Community, an organisation connected to Everton football club that looks at mental health in particular. It has mental health champions and does work on the football playing field and just after matches, and it has a significant impact. It is a great project and there are others, but they are not the norm, so we need to do more work.
There is a real need for joined-up working between different sectors, including health, social care, education, employment, social welfare and the Ministry of Justice, to reach out to men who are depressed and at risk of suicide. Underpinning all of that is the need for a concerted and co-ordinated approach from the Government to prevent suicide. The Government’s suicide prevention strategy was published in 2012, yet there is still a high rate of suicide in our country. The strategy has not been as successful as any of us would like. My hon. Friend the Member for Bridgend said that she is concerned that the strategy lacks teeth and that there are no timeframes or tangible reporting mechanisms by which to measure its success. Does the Minister agree that it is time for an urgent review of the suicide prevention strategy? We also need timely access to data about suicide. It is not right that there is a two-year delay in receiving such figures. What plans does the Minister have to improve the availability and transparency of information about suicide across the country?
In the light of the rising suicide rates, it is clear that we need a revolution in suicide prevention to address the fact that many more men than women take their own lives. For too long, mental illness has been the subject of stigma and prejudice, which means that people—particularly men—often feel that they cannot talk openly about their mental health problems. A few brave public figures, such as Stephen Fry, Graham Norton and my hon. Friend the Member for North Durham (Mr Jones), have spoken up about their own mental illness, but for too many people mental health remains hard to speak about openly. Only last week, in my constituency surgery a man in his 50s told me that he is not able to relate to either his siblings or his parents about the mental health condition he has been affected by throughout his adult life.
It is incumbent on all of us to make the rhetoric about parity of esteem a reality. Challenging stigma is key to making equality for mental health a reality. We need a cultural shift in our schools, colleges, universities and workplaces to enable men to discuss their mental health and feel able to seek help. We need to overcome the stereotypes of masculinity placed on men’s shoulders and give them the support they need. Each suicide is a terrible tragedy and a waste of precious life. Members from both sides of the House have talked about the important work that must be done to tackle the challenge and about the many practical steps that must be taken. It is clear from their contributions that together we can prevent suicide and save the lives of many men. I look forward to the Minister’s response.
And so is my hon. Friend.
I congratulate my hon. Friend on securing the debate and picking the topic. I thank CALM and the other charities that backed the debate, as well as all the colleagues who have spoken. I will come to everyone’s speech in due course, but a couple of colleagues—my hon. Friends the Members for Worcester (Mr Walker) and for Faversham and Mid Kent (Helen Whately)—have been in here for the whole time and have not made a speech. It is sometimes unusual for colleagues to sit and listen because they are interested in the debate, without feeling the need to contribute. We all appreciate their presence. I thank the hon. Member for Liverpool, Wavertree (Luciana Berger) for her comments, which I will come on to. I am only mildly annoyed that she said some of the things I wanted to say, but I can say them again. She either read my mind or had a look at my speech in advance.
I will spend the bulk of my remarks dealing with the suicide element of the debate, but I want to start with International Men’s Day because I recognise its significance and because it is why we are here. I have previously referred to my hon. Friend the Member for Shipley (Philip Davies) as “the Member for grit and oyster”, and he proved that to us once again today. This place is used to rough speeches. If any hon. Member wants to get anything done, say anything mildly controversial or challenge people, there is the chance that they will not only challenge but put some people’s noses out of joint in doing so. My hon. Friend is particularly good at both those things. We all have to take the rough with the smooth—we have all sat in the House of Commons and heard things from both sides that we do not like, but that is all part of it. That is what this place is about and we do not get things done by always going along with the status quo. Today, I heard from my hon. Friend things that I appreciated and things that that I thought were profoundly wrong.
I echo the feelings of those who said today that the purpose of International Men’s Day is to highlight the fact that gender equality is not a zero-sum game. It is not one thing to be gained at the disadvantage of another. The Department of Health’s approach to illnesses and conditions that might specifically affect men or women is that both deserve equal attention and neither is supported at the expense of the other. That is important. There is a strand of that argument on both sides that occasionally expresses itself in challenging ways. The hon. Member for York Central (Rachael Maskell) made brave reference to the row at the University of York to say that it is right and important to think about International Men’s Day, and for a university to censor it and prevent something from happening frankly looks rather silly. There is a lot of stuff in the United States at the moment about the prevention of free speech that is getting into that area. Academic institutions need to be particularly careful about ensuring that they do not shut down debate just because they do not like it. The hon. Lady was quite right to say what she did.
I think our debate today has emphasised that this is not a zero-sum game. There are particular issues on which men are specifically challenged. It is important that they are raised as issues in their own right and that it is not suggested that they have arisen because men have been disadvantaged by women. The underachievement of boys, particularly white, working-class boys, is a real issue that any of us would be concerned about. It does not need to be considered in the context of whether girls are doing better. It is just a fact for those boys, and what can we do about it? My hon. Friend the Member for Shipley was right about that.
The difficulties of family problems, separation and other such matters are particularly hard because the courts have as their primary objective the interests of the child. It is not about the interests of one party or the other; the paramount duty of the court is to have the interests of the child as the basis of what it does. How that is interpreted can be tough in contested situations. The pain felt by men who suffer separation is real. That is not to suggest that pain is not suffered by women in similar circumstances, but the facts are as they are and not to raise them and not to regard them as important would be to miss something. My hon. Friend was also right on that.
As for the issues my hon. Friend raised, some of his challenges to put things on the record were right and some of them, I feel, are wrong, but I am grateful to him for being prepared, as he always is, to confront issues that some others might shy away from. That is what this place is all about.
The hon. Member for Bridgend (Mrs Moon) made a quite excellent speech, again demonstrating to people outside this place that some colleagues here get so immersed in a subject that they really know their business and are able to speak authoritatively on it from years of experience and practice. The hon. Lady gave us an object lesson in that. She was right about language. When she said that the phrase we should use now is not “to commit suicide” but rather “to take one’s own life”, that was not designed to chastise my hon. Friend the Member for Shipley or anyone else. I had a conversation on this subject this week with Jonny Benjamin, who I am pleased to say is here and following the debate closely, because I had also used the former phrase. I did so because it is a common phrase, but it is right to challenge its use, because, exactly as the hon. Lady said, it suggests that to take one’s own life is similar to committing a crime. That was not my intention when I used the phrase and I understood entirely when Jonny suggested that the right wording is “taking one’s own life”. As the hon. Lady said, the feeling of loss experienced by affected families is considerable; that the language used could add to that a sense that their loved one did something criminal had not occurred to me, but on reflection I certainly understood it. Her remark was not meant to chastise anyone. I have corrected my way of looking at the matter as a result of what I was told. That is just sensible sensitivity.
The hon. Lady also mentioned the importance of coroners. In case Members do not know, because I did not know until I took on this job, I can tell them that coroners write to me if they feel that there is something in a case that has a wider governmental impact that relates to my Department. It is an important part of the process that coroners indicate when they feel that they have uncovered something in a particular case that has a wider implication and the Government can do something about. I appreciate the work of coroners and I want to take this opportunity to pay tribute to them and thank them for their thorough work in investigating deaths. It is much appreciated by Government.
My right hon. Friend the Member for Basingstoke (Mrs Miller) spoke about attitudes and the importance of gender equality not being zero-sum game, which I appreciate. I also recognise that my hon. Friend the Member for Shipley quite rightly challenged gender stereotypes in his contribution. My right hon. Friend the Member for Basingstoke mentioned parental leave, which is dealt with by the Department for Education, so we will get an answer to her on that. It is an issue, and it is strange, although perhaps not surprising, that it is handled similarly around Europe and around the world and that men do not take the opportunities that are given to them, but I suspect that that attitude may change over time. I will ensure that the Department for Education gives her an answer.
My right hon. Friend also made reference to living in a multi-generational household. I too live in such a household, but there are only two males in mine. All the rest are women. There is me and Mr Darcy, my darling daughter’s pug. We are the only two blokes in our house, and I depend on him for male company when I get home. Multi-generational houses can be a lot of fun, and I appreciate living in one very much.
I have mentioned the hon. Member for York Central challenging the University of York, but she also made reference to the issues at Bootham Park hospital, in which we are both well versed. I appreciate her work on this and that of my hon. Friend the Member for York Outer (Julian Sturdy). It is a particular situation that has arisen owing to the closure of that hospital because of the risks that she mentioned. It exemplifies the fact that work has to be done as swiftly as possible to replace the facilities that have been lost, and she is entirely right to say that the trust must have a good eye on where people are being treated now and how we can get back to local facilities as soon as possible. She knows that my door is open if she wants to see me when the moment is right, and we are pressing the local authorities to bring forward their plans.
My hon. Friend the Member for Bury North (Mr Nuttall)—may God continue to bless his constituency and all its wonderful people—spoke of the need to challenge stereotypes. He also made reference to something that I want to highlight because it is absolutely central to the problem—the hon. Member for Liverpool, Wavertree also mentioned it. This is what has been so wrong: the acceptance. My hon. Friend gave every impression of being outraged that we have sort of accepted that there is a figure for suicide in this country and a gap between men and women; we have sort of got used to it. He is right, and that will be at the heart of my remarks about how we deal with the matter. He has looked hard at the statistics to examine the gap between men and women and found that it is not only consistent, but widening. I thank him for his work.
I visited the constituency of my hon. Friend the Member for Derby North (Amanda Solloway) a few months ago to meet a group that she brought together to deal with a variety of mental health issues. She can take my kind regards back to them, because I found the meeting to be very instructive. In her contribution, she spoke of her difficult personal experience and made reference, as several colleagues did, to the issue of men’s feelings about their place in society, their feeling of inadequacy should they admit to any sense of failure, their worry about not fitting in, banter and everything else. That brought to my mind the relatively recent tragedy of Gary Speed, the Welsh international manager, and the impact it had on the sporting community that someone seemingly in full command of his life and everything else could have such things going on to lead him to do what he did. Along with other celebrities and colleagues in the House talking about such things, it is those occasions that wake people up and make us say, “This is a bigger problem than we realised.” That is probably one of the reasons why we are all present today.
My hon. Friend the Member for Derby North and the hon. Member for Liverpool, Wavertree referred to the good that can come from sports clubs, associations and so on. In my constituency I am lucky enough to be a member of a number of organisations—for example, I am president of Biggleswade athletic club and I regularly go to see matches at the football clubs. They are places where people can go, gather together and form associations. Bearing in mind the difficulties we have been discussing, including feelings of loneliness and isolation—for men in particular—the more people can be scooped up by and remain part of groups and organisations the better. They are a vital link. Perhaps women do such things differently from and better than men, but perhaps sports clubs and other such places can do something more for men. In that connection, I commend the work being done at Everton.
My hon. Friend the Member for Derby North commented on asking people how they are and getting the reply, “Fine.” Are they really fine? Most of us leave it at that, because we do not want to get involved in the conversation, but it is important to take such opportunities.
May I make another point? It is a bit personal, but not too harrowing as it turned out. It is an important point. Last year my old school magazine reached me and in the obituaries column was the name of one of my classmates, someone I had also been at university with. I was completely horrified. We had been in touch reasonably regularly over the years, but perhaps not for a year or so. I thought, “My friend has died and I don’t know anything about it.”
In actual fact, fortunately, it turned out to be a mistake. My immediate reaction had been to hit the last number I had for my friend to find out what had happened, and I had discovered that the magazine was wrong. It had shocked me, however, and I remember saying to him, “Do you know what this teaches me? We have a number of friends we haven’t been in touch with for a while—we don’t always know where they are—and we will end up seeing each other’s families at each other’s funerals.”
At my sort of advanced age, if we have not been in touch with friends for a bit—I have a lot of school friends I remember well, even if I have not spoken to them for a while—we might simply miss something. Again, I think blokes do such things worse than women. If it were not for my wife keeping up with friends using Facebook and so on, my social life would be much worse. That is something for men to think about. If we have not been in touch with friends for a bit, we should do it this weekend.
The hon. Member for Caithness, Sutherland and Easter Ross (Dr Monaghan) made reference to Scotland’s suicide strategy, and I was pleased to hear about it. The strategy goes back a long time, to 2002, so it is a long-term strategy to combat the brutal fact that the suicide rate is higher in Scotland than in the rest of the United Kingdom. Any lessons to be learned from a falling rate are important. It is right to focus on what might work.
My hon. Friend the Member for Telford (Lucy Allan), too, talked about the underachievement of boys at school and the particular issues in her constituency. She mentioned Twitter—she need not be worried about being attacked on it, because she has nothing to worry about—and I will speak about social media later. The importance of her remarks, however, was in talking about the issues.
Although the hon. Member for Heywood and Middleton (Liz McInnes) did not make a speech as such, she intervened with particular pertinence, as she always does on such occasions. It is good to see her in her place and taking a strong interest in the debate throughout.
I have a little more to say, given the time and the opportunity. I hope to be pertinent. I want to put on the record some of my own thoughts on the subject—although the hon. Member for Liverpool, Wavertree has anticipated some of my views. I want to see the ambition of our society and of the Government changed in relation to the issue of suicide. Fundamentally, I want our position to be that we challenge the inevitability of suicide. As far as our statistics are concerned, our rates are mid-range for societies such as ours, but that is not good enough.
Do we need to know more? How do our strategies compare with those of others? Have we identified the right drivers, and are our local and national strategies flexible and dynamic enough to respond? Why, in a world where gender equality is encouraged as the norm, must we speak specifically about men because this affects men more than women?
Since I have been in office, I have been much moved by those I have met in relation to suicide. I have met those who help in prevention and counselling, those who work clinically, those who campaign and, most of all, those who have been touched by the tragedy of suicide in some way. I am fortunate. I have not personally been affected through the loss of a close friend or a family member, but I have known others more tangentially who have. I have met people whose children have taken their own lives, and others who have come close to it themselves.
The other day I met Jonny Benjamin, as I said, whose story of having been persuaded against suicide by a stranger on a bridge led to his extraordinary efforts years later to find, successfully, the man who saved him. He is taking a close interest in the debate today. He spends much of his time taking his story, and the issues surrounding it, out there to help others. Other people around the country are also doing such things—I commend their work, and I deeply appreciate what Jonny is doing. The shock and emptiness left by suicide is excruciating to behold, hard to listen to and desperate to feel.
We have a new challenge. What must we do to have the best suicide prevention strategy in the world? To be mid-range is no longer good enough for any of us. With that in mind, I assure the House that mental health is a key priority of the Government, and I set our work in that context. The hon. Member for Liverpool, Wavertree raised that issue. We want to do all we can to build on our momentum and to ensure that people get access to the services they need when they need them. We have done a certain amount towards fulfilling that commitment, and the hon. Lady was generous enough to praise one or two of the things that have been done.
Jonny Benjamin and others have done a great deal of work on making people more aware. His #FindMike campaign has captured many hearts and minds. We have legislated, for the first time, for parity of esteem between mental and physical health, through the Health and Social Care Act 2012. We were the first Government to include access and waiting times for mental health. Last year we gave the NHS more money than ever before for mental health services, with an increase to £11.7 billion, and we have invested more than £120 million to introduce waiting times standards for the first time.
I am conscious that when I say such things, people say, “Well, not in our area.” There is an issue with how the national money appears in local clinical commissioning groups, but we are on to it—there will be better monitoring this year, and we have made it clear that CCGs must use a proportionate amount of an increase that they receive for mental health services. We are watching out for that, because it is a fair criticism.
We have also helped to extend the accessibility of successful talking therapies, in which field we are a world leader. We invested more than £400 million in recent years in the improving access to psychological therapies programme, to ensure access to talking therapies for those who need them. That has led to real improvements in the lives of people with anxiety and depression.
We have also invested more than £33 million in crisis care. We launched the crisis care concordat in 2014, and every local area now has in place a crisis care action plan to support people experiencing a mental health crisis to receive the right help and support when they need it. I welcome the Care Quality Commission report of some months ago, which we commissioned. Although it was a bit tough in places, it provided a sort of baseline for where we do well and where we can do better. I recognise that accident and emergency did not come out well, and we need to strengthen the relationships there. I noticed that police and ambulance services did well when responding to people in crisis, but best of all were the independent and voluntary agencies involved with such people.
There are lessons to be learned, such as the need to build on all that work through street triage and so on. I shall mention that later, but it has been one of the most interesting outcomes. The crisis care concordat is not found universally, and some local areas that I have visited might want a different approach, but there is no doubt that the concordat and what the Government have sought to achieve through it have made a real difference. It is certainly being monitored locally and nationally—the hon. Member for Liverpool, Wavertree is right about that—and I take a keen interest in it. I expect to see the CQC reports improve as times go on, because we want to look at the areas where concerns were found.
One of the ways in which we can better look after people with mental health issues is to recognise that they often have physical issues as well. Sometimes that has been poorly regarded in the past, and it can add to feelings of depression, isolation and not being considered and so play into the issues that we are discussing. It is important to address premature mortality in people with mental illness, and we have committed NHS England to doing so through the NHS mandate,. One way in which we can do that is to look at the person behind the illness and provide treatment and care for the whole person, so that we also address the physical health and social care needs of people with mental illness.
Let me say a brief word about children, because this starts early. I am particularly keen to ensure that we get the right support in place for young people. We have committed to invest an additional £1.25 billion over the life of the Parliament to improve the mental health and wellbeing of children and young people. We know that, for many people, mental illness can manifest itself early in life, and that the first experience of psychosis is often during adolescence. We are using that additional investment to improve awareness of mental health issues in our children and young people and to improve the information and support they receive at school on mental health and wellbeing.
There cannot be enough warning about the dangers of peer pressure and social media and the ways in which they can induce depression and harm among young people at a sensitive age. My hon. Friend the Member for Telford referred to Twitter, and we see that what young people face on Facebook and other social media can be immensely damaging. New technology is a boon, but it has risks and dangers and it is important to talk about that.
May I commend the report issued just this week by the British Youth Council’s youth select committee on young people’s mental health? It made this recommendation:
“Cyberbullying and sites which promote self-harm can have a significant impact on the mental health of young people. Hoping that children will simply stop using social networks is not a solution. We recommend that the Government should facilitate a roundtable for charities, technology companies, young people, and the Government to work together to find creative solutions needed to help young people stay safe online”.
The Government will issue a full response from both my Department and the Department for Education, but I commend the Youth Council and that select committee for the hard work they have put in, which will certainly be taken seriously.
About a month or so ago I got a letter from a young lady not in my constituency—she had written to the Prime Minister. She said:
“I am writing to you to express my ideas on new legislation…The topic I have chosen is extremely personal to me. I have lost a friend to suicide, and I feel as though if he had had a better understanding of his own illness, he would not have felt the need to take his own life. Not only this, I also feel that if the people surrounding him at his time of suffering were better educated on the topic, it would have helped him to feel less alone and unaccepted in today’s society.”
It was a good, brave letter and I hope to see the young lady at an event we are doing to combat stigma. She made the point that the problem starts early, and I am pleased that the Government now have a Minister in the Department for Education, the Under-Secretary of State for Education, my hon. Friend the Member for East Surrey (Mr Gyimah), who is devoted to mental health issues in schools. I appreciate his work. We are working together on that, which demonstrates the Government’s determination to work across Departments on these issues.
Finally—I appreciate the House’s indulgence—I turn to talk about suicide and men.
Thank you, Mr Rosindell, for chairing this debate, along with the hon. Member for Ilford South (Mike Gapes). We very much appreciate that.
I echo the Minister’s remarks: we have had a very good debate. We had the expertise of the hon. Member for Bridgend (Mrs Moon), who chairs the all-party group on suicide and self-harm prevention, and represents a constituency that has been more tragically affected by suicide than most. It has been great to have my right hon. Friend the Member for Basingstoke (Mrs Miller) here, as she is Chairman of the Women and Equalities Committee. I certainly support her view that we need greater genuine gender equality.
I am grateful for the presence of the hon. Member for York Central (Rachael Maskell), who, as a good constituency MP, rightly drew attention to how the issue affects York. My hon. Friend the Member for Bury North (Mr Nuttall) is a member of the Backbench Business Committee and so helped to grant this debate, and I am grateful to him for that. I was very struck by his point about how stubborn the levels of suicide have been for many years, and how difficult it is to tackle the issue. My hon. Friend the Member for Derby North (Amanda Solloway) talked powerfully about the need to end the stigma around some of these issues.
I am grateful to my hon. Friend the Member for Telford (Lucy Allan), who went on to make a very good speech after her early criticisms of me; I will forgive those. She spoke about her son, who sounds like a hero to me—I very much hope to meet him sometime soon—and her genuine belief in true gender equality. I echo the Minister’s remarks to her on not worrying about Twitter; I have 11,000 Twitter followers and all of them hate me.
We were very grateful for the perspective from the Scottish National party, given by the hon. Member for Caithness, Sutherland and Easter Ross (Dr Monaghan). He spoke about what the Scottish Executive are doing and how seriously they treat the issue, before going slightly off piste on the work capability assessment; I am sure we will forgive him for that. The shadow Minister spoke about how much more there is to do on this issue. Everyone here would echo that. We all appreciate the Minister’s commitment to this difficult issue, and how hard he works to try to tackle it. He comprehensively covered everything he personally and the Department are doing to tackle it.
The debate was enhanced by the passionate and important contributions from my hon. Friends the Members for Faversham and Mid Kent (Helen Whately), for Brigg and Goole (Andrew Percy), for Christchurch (Mr Chope), for Isle of Wight (Mr Turner) and for Worcester (Mr Walker). I echo the remarks of my hon. Friend the Member for Worcester about homelessness. I spent some time volunteering with a wonderful charity in Leeds called St George’s Crypt, which does great work on that. The hon. Member for Heywood and Middleton (Liz McInnes) has stayed here for the duration of the debate, which does her an awful lot of credit. I should also mention my hon. Friends the Members for Pudsey (Stuart Andrew) and for Milton Keynes South (Iain Stewart), who have also sat and listened to the debate with great care. We are grateful for that.
Before we conclude, I will say that I do not agree with the Minister and the hon. Member for Bridgend about language and the word “committed”. One problem we have in our society is political correctness. Lots of people in this country are petrified of saying anything in case someone takes offence. I do not believe that any word or phrase is offensive; the context in which it is used and the intention behind it are what makes it offensive. When people start taking offence where none was ever intended, we get into terrible problems, because people will not speak out lest someone complain that they were offended. If people feel offence where none was intended, that is more their problem, as far as I am concerned, than the problem of the person who made the remark. I cannot agree with the Minister and the hon. Lady on that point.
This has been an important debate. We have raised issues that very rarely get discussed in the House of Commons. Lots of people throughout the country are delighted that some of those issues have finally been raised, as they have been campaigning on them for years and years, and not really getting the recognition they deserve. We have done the country and the House a great service by debating these things, and for that I am incredibly grateful to the Backbench Business Committee for granting the debate. It has shown why that Committee is so important to the House; long may that continue.
Question put and agreed to.
Resolved,
That this House has considered the matter of male suicide and International Men’s Day.