Oral Answers to Questions

Rosena Allin-Khan Excerpts

Tuesday 14th June 2022 Commons Chamber

[Mr Speaker]

I call the shadow Minister.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

Working a shift in A&E just two days ago, I could not have felt prouder of the teams of nurses who form the foundation of our NHS. As the Minister is so gushing about the Government’s track record, will he explain why specialist food banks are being opened up in hospitals? Will he explain why, in a report by the Royal College of Nursing, 83% said that staffing levels on their last shift were not sufficient to meet patients’ needs safely and effectively? These lifesavers need a Government who are on their side. Only Labour will deliver for the NHS workforce and ensure that nurses and patients get what they rightly deserve.

[Edward Argar]

I think that I detected the hint of a question in there. On a serious point, I pay tribute to the hon. Lady, as I often do on such occasions, notwithstanding the challenges that she throws at us, for the work that she does in the NHS and the work that she did before she was elected to the House. Through her, I also pay tribute to NHS workers up and down the country for their work.

The Government have put in place record support for our NHS, including nurses, which is about supporting those already on the frontline in the profession—that is absolutely right—and about growing that workforce to ensure that the work that needs to be done is spread among more people. That is exactly what we have done. We have record numbers in our NHS workforce, and we are well on target to meet our manifesto commitment on more nurses.

Government Action on Suicide Prevention

Rosena Allin-Khan Excerpts

Wednesday 8th June 2022 Westminster Hall

[Dr Rosena Allin-Khan (Tooting) (Lab)]

It is a pleasure to wind up for the Opposition with you in the Chair, Mr Bone.

I first thank those of you in the Public Gallery. It cannot be easy to be here today, and you are a testament to the love you hold for the ones you have lost. You are incredibly brave, and I want you to know how much we value your presence here and how important you are to our discussion. Part of our fight to make this better for people around the country is thanks to your work and your never-ending belief that things can get better. Thank you so much for being here. We see you. We recognise your pain and we send all our love and condolences to you.

I thank my hon. Friend the Member for Bristol East (Kerry McCarthy) for securing this extremely important debate and all hon. Members for their thoughtful contributions. Shadow Ministers often attend debates in which we have to make the closing remarks, and we do that because it is part of our job, but sometimes, although people might not know it, we have a personal and deeply vested interest in the subject matter. Today’s debate is of great importance to me for many private and professional reasons.

Many of us were together a few weeks ago in the Speaker’s chambers thanks to the hard work of my hon. Friend the Member for Bristol East, who put together a heartfelt event to mark the 42nd anniversary of the death of Ian Curtis. I applaud my hon. Friend for placing the issue of suicide at the heart of Parliament, bringing together parliamentarians, metro Mayors, staffers and musicians, and encouraging people to talk of their own experiences, which is never easy.

I thank my hon. Friend for sharing her personal experience of a loved one passing from suicide last year. We all send our condolences and are sorry for my hon. Friend’s loss. She did not share that experience in order for us to do so, but I would like her to know that we send our condolences.

My hon. Friend the Member for Blaydon (Liz Twist)—eloquent and insightful as always—highlighted the issue of self-harm, in a safe and supportive way and rightly placed particular importance on combating stigma around the issue. I thank her for all the work she does in that space.

The hon. Member for Richmond Park (Sarah Olney) was such a powerful advocate for Tom, Philip and their whole family. My hon. Friend the Member for Bradford West (Naz Shah), whom I am proud to call a friend, was so honest about her own experience and emphasised the scandal—that is what it is—of the postcode lottery for people seeking child and adolescent mental health services in Bradford. Unfortunately, the people of Bradford are not alone in what they face because it is rife across the country. That has to be addressed.

The hon. Member for Strangford (Jim Shannon) characteristically made many heartfelt points, and we always value his contributions to such debates.

I say to my hon. Friend the Member for Liverpool, Walton (Dan Carden) that I would be delighted to visit Paul’s Place, and I will set that up with him at the first opportunity. I thank him deeply for his comments on LGBT mental health, especially as June is Pride Month. It takes a certain bravery for someone to put their head above the parapet and talk about multiple personal experiences in a way that can effect change. My hon. Friend is testament to the fact that we can use the most painful parts of our lives to change the lives of others.

I want to draw on my personal professional experience as an A&E doctor in addressing the point made by the SNP spokeswoman—the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron), with whom I love sharing a platform—about addiction and mental health services. I cannot stand to have another night shift in A&E when I yet again have to tell someone who has come in while intoxicated with alcohol or following a drug overdose that I cannot plug them into mental health services because they tick the addiction box. I cannot stand another shift begging the drug and alcohol liaison team to come to see somebody who has also admitted that they have mental health issues. This is a deeply flawed system, Minister. I know her to care about the issue greatly, but it absolutely has to be addressed because lives are being lost as a result.

We have a duty in this place to break down barriers and improve people’s lives, and breaking down the stigma around suicide and mental illness is an area in which there is still so much more work that needs to be done. It is a tribute to people’s hard work that we are hosting events and debates in Parliament to break down the stigma, and we are getting fantastic coverage such as that in NME so as to reach more and more people, but four decades on from the tragic death of Ian Curtis, there should not still be so much work to be done to tackle suicide rates.

Over the past decade, it has been incredibly welcome to see the strides taken to tackle suicide and mental illness at a parliamentary level, to hear talk of parity of esteem and to hear colleagues open up about their own struggles, but since the publication of the national suicide prevention strategy a decade ago, what progress can the Government genuinely be proud of? We are talking about a life or death issue here: we need more than warm words while people are still losing their lives, and there are things we can tangibly do to resolve it.

A commitment was made in 2016 to reduce the rate of suicide in England by 10% by 2020, but by 2020 the rate was almost the same. In 2018, the Health Secretary announced a zero-suicide ambition for mental health patients being treated in hospital. That has still not been met. If the Government are genuinely serious about achieving their zero-suicide ambition, they need to look at the impact that social factors such as debt, employment, housing and benefits have on mental health. It is evident that insecure housing and employment, racism and discrimination, being pushed into debt and poverty because of cuts to universal credit or to other benefits, and loneliness and isolation have a considerable impact on a person’s mental health. We know that and must do something about it.

Three quarters of suicides are of men, and the rates of suicide in England are significantly higher in the north-east, Yorkshire and the Humber than in London. Those figures cannot be ignored. We must have the data to ensure that there is not simply a one-size-fits-all approach. That is a crucial point that must be addressed if the Government are serious about tackling the issues once and for all. I am proud to back the Samaritans’ call for the Government to launch a national real-time suicide surveillance system, in line with what is in place in Wales. We need to understand what is happening now, not two years down the line. How is anyone supposed to tackle a problem that they simply cannot see?

I urge the Government to work with the mental health sector, and consult on what is truly needed to drive down suicide figures. There is a looming mental health crisis in the wake of the pandemic. The backlog for treatment was already huge before covid. Now, with the sheer rise in referrals, the NHS is at risk of being completely overwhelmed and patients are unable to receive treatment.

That is why Labour is committed to improving access to mental health services. We will guarantee access to treatment within a month for all who need it, and expand the workforce, recruiting 8,500 additional staff to ensure a million more people can be seen. Crucially, we understand the need for prevention, reaching people before they hit crisis point. That is why the next Labour Government would ensure that every school had access to a mental health professional, and every community would have an open access mental health hub to ensure that every young person could access the support they need, safely and securely.

It is about offering people respect and dignity in their treatment. As it stands, two thirds of people who take their own lives are not in touch with mental health services in the year before they die. We have heard that this morning. Services need to reach out to people; they have to be accessible and be designed with the service user and families in mind. At a time of economic turmoil and after two incredibly difficult years, it is so vital to have this conversation, but please let us not lose any more lives needlessly to suicide. I urge the Government to act on what has been said today, and make real change in memory of those lives lost.

Oral Answers to Questions

Rosena Allin-Khan Excerpts

Tuesday 19th April 2022 Commons Chamber

[Mr Speaker]

We now come to the shadow Minister, Dr Rosena Allin-Khan.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

Our veterans have risked their lives for our country and deserve excellent mental health support. We must go even further: from the military frontline to frontline workers who have kept us safe, everyone deserves proper mental health provision. People have stepped up to protect our country and save lives during the pandemic, so is it any wonder that teachers and NHS staff are so furious with the comments made by the hon. Member for Lichfield (Michael Fabricant), about how they would go back to the staffroom and have a “quiet drink”, in an attempt to justify the indefensible actions of the Prime Minister? What does this say about the effect of mental health on our frontline staff? Will the Minister please condemn those comments and apologise for the hurt caused by those remarks?

[Gillian Keegan]

I am very happy to say that we of course thank very much all the staff who have been on the frontline, whether veterans or teachers, and involved in everything that kept us going throughout the pandemic. We are of course very much aware of the impact of those stresses and strains on mental health. There is additional support for mental health, and there will continue to be additional support for young people’s mental health and for adult mental health. That is one reason why I launched a call for evidence last week to inform a new 10-year cross-departmental mental health vision, and I urge everybody to input into that process before it closes on 5 July.

Health and Care Bill

Rosena Allin-Khan Excerpts

Consideration of Lords amendments
Wednesday 30th March 2022 Commons Chamber

[Edward Argar]

I would not suggest for a moment that Wales or Scotland should follow England or that England should follow Scotland and Wales. They are devolved competences. Each devolved Administration will rightly form their own view of the balance of benefits, the pros and cons, and that is right. That is what our devolution settlement is for. This House is considering the amendment that was brought here from the Lords and this is an opportunity for Members to express their view on what should happen in this country.

The Government remain of the view that the provision of early medical abortion should return to pre-covid arrangements, and face-to-face services should resume, given that the temporary change was based on a specific set of emergency circumstances. However, we recognise that their lordships have made an amendment in that respect and it is therefore right that this House considers it.

In normal times, we prefer and believe that decisions about the provision of health services are more appropriately dealt with through the usual processes, rather than through primary legislation. We have a number of concerns about the approach taken in the amendment. Parliament has already given the Secretary of State a power to issue approvals under the Abortion Act. That allows the Secretary of State flexibility to make decisions about how healthcare in this area is provided, which can be adapted quickly and easily to respond to changes in service provision or other external circumstances, as was the case with the temporary approval in response to concern about the risk to services from covid-19.

From a process perspective, it is not appropriate, in our view, to insert into primary legislation the intended detail regarding home use of both pills. That would mean that should any issues arise, there would no longer be scope to react quickly, as the Secretary of State did during the pandemic. However, we recognise that that is now a matter for debate and decision by this House.

In addition, Lords amendment 92, as drafted by my noble Friend Baroness Sugg, would not have the intended effect. If agreed to, it would create legal uncertainty for women and medical professionals by including wording on the statute book that does not, in fact, change the law in the way it appears to. On a procedural point, we therefore urge all right hon. and hon. Members to disagree with the Lords in their amendment.

All Members have the opportunity, however, to vote on our amendment (a) in lieu, which we have drafted to ensure, irrespective of colleagues’ views, that the provision does the job it was intended to do. We all agree that it is crucial that the law is clear in this area and does not create any uncertainty for those who rely on it. That is why we have tabled our legally robust amendment in lieu, which stands in my name and which would achieve the intended purpose of Baroness Sugg’s amendment.

It is for right hon. and hon. Members, in a free vote, to judge how they wish to vote on the amendment in lieu. I encourage them to reflect and make their decision when the amendment is pressed to a Division.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

The Opposition congratulate the Lords on their hard work on the Bill, which is much improved from when it left the Commons. We support the Lords amendments, which are sensible and proportionate and will go some way to tackling health inequalities that are still sadly far too prevalent.

Over the past two years, we have seen the very best of our NHS. Publicly owned and free at the point of use, it is the best of us and has protected our families for generations; I hope it will continue to do so for many years to come. Unfortunately, the Government are set on a power grab, and refuse to act to tackle workforce shortages and ever-growing waiting lists. Waiting times for cancer care are now the longest on record, patients with serious mental illnesses are being sent hundreds of miles away for treatment, and one in four mental health beds have been cut since 2010. We deserve better. Our NHS deserves better.

We can all agree that the amendments in this group are wide-ranging, so I will be covering a range of subjects. A number of amendments in the group speak to women’s health. We have seen time and again that the Government are dismissive of women’s health and have ignored the needs of half the population. In its original form, the Bill was far too scant on tackling health inequalities; it is only because of colleagues in the other place and Labour votes that we are making ground on tackling them at all.

Along with the rest of our health team, I am proud to support the continued provision of telemedical abortion services in England. Maintaining the existing provision of at-home early medical abortion following a telephone or video consultation with a clinician is crucial for women’s healthcare. Not only did that preserve access to a vital service during the pandemic; it enabled thousands of women to gain access to urgently needed care more quickly, more safely and more effectively. Women’s healthcare must reflect the needs of those whom it serves. Scrapping telemedical abortion services would drastically reduce access to that vital service, and would simply serve to increase the number of later-term abortions. Everyone should have access to safe and timely healthcare. I say to Ministers: please do not ignore clinical best practice and the expert opinions of organisations and royal colleges.

We welcome provisions to ban hymenoplasty, and the power to create a licensing regime for non-surgical cosmetic procedures. Those too were a result of Labour votes, because the original Bill did not even mention them. Ministers must stop treating women as an afterthought in healthcare provision. However, we are glad to see that the Government have accepted the Lords amendment to remove coroners’ access to material held by the Health Service Safety Investigations Body.

On the NHS frontlines, I see at first hand the pressure placed on staff. Staff must feel protected, and must be encouraged to come forward. It is crucial for the Bill to promote a learning culture, so that any investigation can establish what training and procedures need to change in order to prevent any future mistakes. Only by enshrining that culture can we ensure that staff will feel comfortable about coming forward.

We welcome Baroness Hollins’s amendment to introduce mandatory training on learning disabilities and autism for all regulated health and care staff, and we are pleased to see that the Government support it. Everyone deserves access to safe, informed, individual care, and hopefully the amendment will go some way towards reducing health inequalities that are faced all too regularly by people with learning disabilities and autism.

[Barry Gardiner (Brent North) (Lab)]

I agree with much of what my hon. Friend is saying. For instance, I too believe that it is a woman’s right to choose. One of the features of a physical consultation was that it gave the woman an opportunity to do so in a free environment. Does my hon. Friend share the concern that I know exists among many of our constituents that if the consultation is done by telephone, it is possible that a woman who is being coerced will not be understood to be being coerced by the consultant who is dealing with her? It is important that, in preserving the right to choose for the woman, we do not allow a situation in which that woman could be coerced, by a coercive partner, into making a choice that is not her own.

[Dr Allin-Khan]

I thank my hon. Friend for his intervention. There are widely held variations in views across the House, but I stand by the principle that everyone should have access to safe and timely healthcare, and that scrapping telemedical abortion services would drastically reduce access to a service that is incredibly important for women, and, as I have said, would simply increase the number of later-term abortions, which can have physical and mental impacts on the mother herself.

As for Lords amendments 85 to 88, it is disappointing to see the Government going against their own ambitions and targets. The consultation referred to in Lords amendment 83 would be on a statutory “polluter pays” scheme to make tobacco manufacturers fund measures to reduce smoking prevalence and improve public health. Smoking is responsible for half the difference in life expectancy between the richest and the poorest in society. Will the Minister please explain why we are still waiting to see the Government’s tobacco control plan, which we were promised by the end of 2021? The Government need to stop kicking public health matters into the long grass. They say that they recognise the stark health inequalities associated with tobacco use, but delays will do nothing to level the playing field and eradicate health disparities.

Ministers need to make sure they listen to the Lords, whose amendments go a long way towards eradicating the vast health inequalities that exist across society today. Rather than wasting time trying to overturn the changes, Ministers should now focus relentlessly on bringing waiting times down.

[Fiona Bruce (Congleton) (Con)]

I rise to speak to Lords amendment 92 and the Government motion to disagree, and to the amendment in lieu. A few months ago, in my role as the co-chair of the all-party parliamentary pro-life group, I wrote to the Health Secretary, supported by more than 60 parliamentarians—not an insignificant number—urging him to discontinue the temporary provision to allow for the taking of both sets of abortion pills at home. We said that we were deeply concerned about reports that taking both sets of abortion pills at home without direct medical supervision had led to a number of deeply concerning, unacceptable health and safety risks to women and girls in this country. These included a lack of basic checks by abortion providers before sending abortion pills, and the occurrence of severe complications and later-term abortions due to the lack of in-person assessment. We were also, notably, concerned about the greater risk of coercion by a partner or family member where the doctor does not see the woman in person.

Oral Answers to Questions

Rosena Allin-Khan Excerpts

Tuesday 1st March 2022 Commons Chamber

[Mr Speaker]

I call the shadow Minister.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

I echo the words of solidarity with Ukraine that many colleagues have shared in recent days.

There are stark inequalities in children’s mental health services, from the postcode lottery of whether a child is ever seen after a referral to the luck-of-the-draw results of eating disorder treatment. Children from black and mixed-race backgrounds make up 11% of the population, but account for a staggering 36% of those detained in the highest-level mental health units. However, just 5% of those who access routine children’s mental health services are black. That is unacceptable—something clearly is not working.

Labour will put a mental health support hub in every community and a specialist mental health staff member in every school. What are the Government going to do?

[Sajid Javid]

I think we all agree, across the House, about the importance of mental health services, especially for younger people. As for what the Government are doing, before the pandemic there was already a commitment to increase funding for mental health services in the NHS’s long-term plan by an additional £2.3 billion a year. On top of that, there has been the response during the pandemic, with the mental health recovery action plan and the additional £500 million that I referred to a moment ago. When it comes to children’s mental health services, there is £79 million included, which will pay for an extra 22,500 referrals.

Children’s Mental Health

Rosena Allin-Khan Excerpts

Tuesday 8th February 2022 Commons Chamber

[Dr Rosena Allin-Khan (Tooting) (Lab)]

I beg to move,

That this House recognises the importance of Children’s Mental Health Week; is concerned about the impact of the coronavirus pandemic on the mental health of young people and that there has been a 77% rise in the number of children needing treatment for severe mental health issues since 2019; calls on the Government to guarantee mental health treatment within a month for all who need it and to provide specialist mental health support in every school, including a full-time mental health professional in every secondary school and a part-time professional in every primary school; and further calls for the Government to establish open access mental health hubs for children and young people in every community to ensure the best start to life for future generations.

This is Children’s Mental Health Week. I congratulate the children’s mental health charity Place2Be, which launched the first ever Children’s Mental Health Week in 2015. I also congratulate all the mental health charities and schools that are taking part in events this week.

The whole House will want to recognise the hard work and dedication of mental health professionals, campaigners, advocates, teachers, parents and guardians, especially over the past two years. So many mental health professionals have themselves suffered mental ill health, exhaustion and burnout. As we reach out to all the children and young people affected by poor mental health, we want them to know that we in this House are with them.

The pandemic has placed a huge weight on the shoulders of our children and young people. With schools closed, financial uncertainty at home, the exams fiasco and anxiety about the future, the pandemic has hit the poorest and most vulnerable children hardest. This highlights the inequalities in our society.

Children with chaotic home lives, children in overcrowded and noisy housing and children from black and ethnic minority communities suffer disproportionately from worse outcomes and worse mental health provision than white communities. Black children are much more likely to experience a mental health problem but far less likely to receive any support.

[Tom Hunt (Ipswich) (Con)]

I am interested in that comment because, of course, the Education Committee recently found that white kids from the most disadvantaged backgrounds have the worst educational outcomes. I would take issue with the hon. Lady’s point.

[Dr Allin-Khan]

I thank the hon. Gentleman for his intervention. Perhaps he would like to understand that some white groups from poor socioeconomic backgrounds have such outcomes but, by far and away, it is disproportionately weighted against black and minority ethnic groups as a whole in this country.

There was a crisis in child and adolescent mental health provision in this country even before the pandemic made it worse. The latest report by the Children’s Commissioner shows that demand for child and adolescent mental health services—CAMHS—increased in 2020-21, with one in six children likely to be suffering from a mental health condition, up from one in nine in 2017.

[Mark Tami (Alyn and Deeside) (Lab)]

Does my hon. Friend agree that children and young people who have suffered cancer and had long spells of cancer treatment need mental health support, too? That should be part of the package. It should not be an add-on or something they have to search for; it should be part and parcel of their treatment.

[Dr Allin-Khan]

My right hon. Friend is absolutely right. Some children endure unspeakable circumstances that unduly affect their mental health in a way that we can never comprehend. It affects not just them but their family—their siblings and parents. I thank him for his intervention.

[Anna McMorrin (Cardiff North) (Lab)]

My hon. Friend is making an excellent speech. Unlike the UK Government here, the Welsh Labour Government are adopting a whole-school approach, viewing this issue holistically and offering a package of measures, while the English approach has been described as shocking and despicable.

[Dr Allin-Khan]

My hon. Friend is always a powerful advocate when it comes to the importance of positive mental health for young people. I have visited Wales and seen at first hand the fantastic examples of what can be achieved when Labour is in power.

One in six children are suffering with probable mental health issues, but only about a third are able to access treatment. Now things are getting worse: the Conservative cost of living crisis is causing more misery, uncertainty and upheaval in the lives of millions of children and young people. For weeks the House has been witness to the impact of that Conservative cost of living crisis on people and their families across the country.

Children are going to bed cold and hungry, and their life chances are impacted because they are unable to concentrate at school. Many are watching their parents worry and cry about being unable to pay the bills. Dragging an electric heater around the house before jumping under the covers just to keep warm because there is no heating—that, for too many of us, feels far too familiar. It is how my brother and I grew up, and it will stay with me forever. I had hoped that that perpetual fear of insecurity that never leaves one was a thing of the past, but sadly not: it is alive and well in Tory Britain in 2022. This is a “cost of Johnson crisis”.

[Layla Moran (Oxford West and Abingdon) (LD)]

The hon. Lady is making a powerful speech that stems from her personal experience. One of the groups who seem to be falling off the cliff edge are 16 to 18-year-olds, because by the time they are referred to CAMHS, the waiting lists take them out of the range that CAMHS can deal with. Does the hon. Lady agree that that is awful, and is leaving far too many young people with nowhere to turn?

[Dr Allin-Khan]

The hon. Member is absolutely right. So many 16 to 18-year-olds find themselves on a waiting list for an extended period only to drop off it just as they turn 18, or else have one or two sessions, then turn 18 and find that there are no longer any services for them. That goes on to have a detrimental impact. This is not just a tragedy for today but a tragedy for tomorrow as well, because poor mental health in children is carried into adulthood. What happens today will impact demands for mental health services tomorrow. The old saying goes “Prevention is better than cure.” That is why we have a range of public health measures in place for children—check-ups for eyesight, hearing, and growth.

[Janet Daby (Lewisham East) (Lab)]

A GP with a surgery in my constituency contacted me recently about a serious incident of attempted suicide. The child involved is now on the waiting list, but must wait a whole year to be seen. Does my hon. Friend think that that is acceptable, or do the Government need to take action as a priority for children’s mental health and wellbeing?

[Dr Allin-Khan]

My hon. Friend is entirely right, and that is why we are here today. Our children deserve better; they cannot go on like this. That is why we are talking about measures that can help to ameliorate these difficulties so that no child has to wait that long, and their families do not have to wait that long for answers. This is not okay.

[Ms Diane Abbott (Hackney North and Stoke Newington) (Lab)]

Does my hon. Friend agree that among young people, black and minority ethnic young people often experience particular mental health pressures? There must be more analysis of the support that they and their families need.

[Dr Allin-Khan]

As always, my right hon. Friend is a powerful advocate for all groups, but particularly when it comes to black and minority ethnic groups. We do not have the data—we do not collect the data—even to understand the scale of the issue. I think that that is convenient for the Government, because it means they do not have to accept that there is a problem which needs to be dealt with.

That is one of the issues for the future. We have to understand the true scale of the issue when it comes to some minority groups, and tailor support that helps them specifically. When people from minority groups are seeking help, often it is so difficult for them to make a connection with people who understand some of the particular social pressures they live with at home and some of the societal issues they have to deal with that also contribute to mental ill health—for example, systemic racism. My right hon. Friend is absolutely right to bring that up.

We have a range of public health measures in place for children—check-ups for eyesight, hearing and growth—and vaccinations to protect against measles, mumps and rubella, yet we ignore the wisdom of the ages when it comes to children’s mental health. As a doctor, I know that adverse childhood experiences are a key contributing factor to poor mental health in adulthood. In A&E, I see increasingly younger children coming in having self-harmed or living with eating disorders. It is simply heartbreaking, and for parents it is absolutely agonising. Parents bring their children to A&E wondering why they are fainting repeatedly and are constantly exhausted.

[Dr Rupa Huq (Ealing Central and Acton) (Lab)]

Does my hon. Friend agree with me as a parent—we are both parents and many of us here are parents of school-age children—that the coronavirus crisis hit everyone with kids? I have 13 private schools within my constituency boundary, and I even have parents of children there emailing in that their kids, who were happy and outgoing children, are zonked in front of Teams meetings all day and have turned into blithering wrecks of what they used to be. Coronavirus exacerbated what was a problem with CAMHS all the way along and that has hit all children in this country, and the only people who will not recognise it are Conservative Members, who are in denial because they have their own internal problems to be dealing with.

[Dr Allin-Khan]

I thank my hon. Friend for her very powerful point. When it comes to mental ill health, no group is unaffected. It is really important that we acknowledge that, while some groups are disproportionately affected, mental ill health can affect anyone. Children can live in a £3 million house, and still feel they want to take their own life or want to self-harm. The pressure that puts on parents is extremely painful, and it causes many parents to give up their job to sit at home and care for their child, because they are so crippled and so worried about what may happen if they leave the house and go to work. That is why it is so important that we acknowledge the real difficulty we have with waiting times for CAMHS.

[Esther McVey (Tatton) (Con)]

Given that the hon. Lady and her party, unlike me, were enthusiastic supporters of lockdown measures and closing schools, and were not prepared to stand up to the teaching unions, does she accept any responsibility at all for this mental health crisis among young people, because those lockdowns have had such a negative impact on our young people’s mental health?

[Dr Allin-Khan]

Do the right hon. Lady’s Government take any responsibility for the tens of thousands of children who are now bereaved as a result of losing their parents because of this Government’s shocking handling of the pandemic? We shall take no lectures from the right hon. Member and her party when it comes to protecting children’s mental health. I shall move on.

When children come to A&E—[Interruption.] Please feel free to intervene: I will take interventions.

[Edward Timpson (Eddisbury) (Con)]

The fact is that we are all in this debate this afternoon because we all care about the mental health of children right across the country. For me, this is an opportunity for us to use this precious time in the Chamber to try to find some common ground between us, so that we can move forward in a positive way and people watching can understand that there are things we can do to make their lives better. In that spirit, can I suggest to the hon. Lady that she look at my report on school exclusions, particularly at how we can ensure that teachers are better prepared at school, including with the mental health leads that the Government are bringing in, so that they understand issues such as trauma and insecure attachment and can enable children to get the support they need at the time they need it? That is the premise on which we should all move forward.

[Dr Allin-Khan]

The hon. Member highlights the point that mental health should not be a political football, which is why we hope that he will support the Opposition’s recommendations. I should be delighted if he sent me his report; I will read it with interest.

It is crucial that when a child comes to A&E or a hospital, doctors and nurses take the time to build trust with them as a patient so that they feel safe talking about their condition, but with waiting lists growing and the staffing crisis deepening, it is becoming all too difficult to find the time to build the trust and respect that every patient needs and deserves. That is the human cost of more than a decade of decline caused by under-resourcing and under-investment in our NHS and by the lack of a proper NHS workforce plan for the future.

The impact on entire families is crushing. Time out of school affects a child’s ability to learn and their later life choices and chances. Parents have to take time off work and sometimes leave their jobs as a result, and siblings are deeply affected. It should be a badge of shame for the Government that three quarters of children were not seen within four weeks of being referred to children’s mental health services.

[Geraint Davies (Swansea West) (Lab/Co-op)]

No doubt my hon. Friend is aware of the relationship between children’s mental health and air quality. Poor air quality can give rise to anxiety, depression, lesser focus and dementia, as well as mental health problems in unborn foetuses. Does she agree that more needs to be done, particularly in the most diverse and deprived areas where air pollution is worse? It is directly hitting children’s mental health.

[Dr Allin-Khan]

My hon. Friend is right to remind us that adverse childhood experiences and inequalities, including health inequalities, lead to worse mental health outcomes in later life and stop children from achieving their full potential.

Imagine being a mum or dad whose child is self-harming or presenting with symptoms of depression, anxiety or phobia, and being without specialist support for extended periods. We all agree that the pressure that that puts on families and parents is just so crippling. The number of children who needed specialist treatment for severe mental health crises between April 2021 and October 2021 was 77% higher than in the same period in 2019.

This is the UK in 2022. The bar to being seen by a specialist is high, the delays are long and three quarters of children were not seen within four weeks of referral. That time is one of anguish for them and their family. Does the Minister believe that making 369,000 children wait for vital mental health support is acceptable?

According to the latest report by the Children’s Commissioner, waiting times depend on where people live—so much for levelling up—and when they are eventually seen, services may be hundreds of miles away. It is making the situation so much worse. Ask any parent or any young person; they will tell us that the uncertainty and paucity of mental health services damages mental health, exacerbates mental health conditions, allows symptoms to persist and makes conditions harder to treat down the line. Ultimately, it also costs more.

[Wera Hobhouse (Bath) (LD)]

The mental health disorders with the highest mortality rate are eating disorders. What the hon. Member says is particularly true for eating disorders: the longer somebody waits for treatment, the longer the disorder persists, which makes it worse. We really need to look at prevention and early intervention in all our services. Does the hon. Member agree that instead of saving money at the wrong end, it makes absolute sense to put money into early intervention and, better still, prevention?

[Dr Allin-Khan]

I entirely agree. It has been a pleasure to work alongside the hon. Member in looking at eating disorder issues over the past couple of years; she is a powerful advocate. She reiterates my point that prevention is better than cure. We know that in the pandemic, eating disorders have increased. Young people who feel the loss of their sense of control through fear can, in trying to understand what is going on in their lives, develop habits that are unfortunately very difficult to break. We know that the earlier someone can intervene when there are such issues, the better the outcomes will be.

Sometimes the damage, especially the damage done by waiting, is permanent. Imagine if we treated childhood cancer like we do children’s mental illness: waiting for symptoms to get worse before seeing a specialist, waiting for months or even years for treatment and leaving patients and parents to rely on charity. There would be an outcry, yet that is what the Government are doing with children’s mental health. When the Minister responds, I invite them to tell the House what new measures the Government are taking, what new money is being allocated to CAMHS, and where it is going. How many mental health staff will be recruited? How will they deal specifically with the impact of the pandemic on mental health? How will they tackle the deep-rooted mental health inequalities on the lines of place, race, class and income?

[Matt Rodda (Reading East) (Lab)]

My hon. Friend is making an excellent speech and showing her deep understanding of this important issue. She is absolutely right to mention the enormous pressure on families and on staff. Does she agree that there should be an important focus on the retention of skilled staff by the NHS and the Government?

[Dr Allin-Khan]

I absolutely agree with my hon. Friend. There has to be retention, and I will come on to focus on our plan to grow the workforce. I will make progress, because I appreciate that I have been talking for a long time, and I want as many Members as possible to be able to speak.

I would like the Minister to tell us how they will tackle mental health inequalities on the lines of place, race, class and income—not slogans, not rehashed announcements, but a real plan with real funding. I have no doubt, sadly, that they will rehash old announcements. This is all while the Department of Health and Social Care wrote off £8.7 billion on wasted PPE equipment.

[Tom Hunt]

Will the hon. Member give way?

[Dr Allin-Khan]

I am afraid I have to make some progress. Labour has a plan for children’s mental health, and the next Labour Government will implement it.

The next Labour Government will guarantee mental health treatment within a month for all who need it, setting a new NHS target to ensure that patients start receiving appropriate treatment—not simply an initial assessment of needs—within a month of referral. The next Labour Government will recruit 8,500 new staff so that 1 million additional people can access treatment every year by the end of Labour’s first term in office. The next Labour Government will put an open-access mental health hub for children and every young person in the community, providing early intervention drop-in services. The next Labour Government will provide specialist mental health support in every school to support pupils and resolve problems before they escalate.

Labour’s plan will see a full-time mental health professional in every secondary school and a part-time professional in every primary school. The next Labour Government will make every week Children’s Mental Health Week, until every child has security, wellbeing and the support they need. Childhood should be a time of wonder and joy; a time to store up precious memories of friendship, holidays and play; and a time to experience the things that form us as adults, yet thousands of children are suffering from stress, anxiety or depression. We are failing them—failing on prevention, failing on access to treatment, failing on funding and failing on supporting their families—and the system is stretched to breaking point. The staff are exhausted. The children are suffering. It is all happening on the Government’s watch, and they are doing nothing about it. That is why I urge all Members across the House to support the motion.

[Several hon. Members rose—]

Covid-19 Update

Rosena Allin-Khan Excerpts

Monday 29th November 2021 Commons Chamber

[Dr Rosena Allin-Khan (Tooting) (Lab)]

I start by sending my best wishes to the shadow Secretary of State, my right hon. Friend the Member for Leicester South (Jonathan Ashworth), who cannot be here as he is off with covid; we all hope that he gets better soon.

I thank the Secretary of State for advance sight of his statement. This variant is a wake-up call: the pandemic is not over. We need to act with speed to bolster our defences and keep the virus at bay. It is also an important reminder that no one is safe until all of us are safe. Ministers have not met the commitments that were made at the G7 this summer to get the vaccine rolled out to other parts of the globe. What update can the Secretary of State give on the Government’s global commitments?

Given that omicron is already here, what we do at home truly matters. There are measures that we can put in place right now to keep infections down and ensure that the country has the best possible protection. Will the Secretary of State set out the rationale for not introducing pre-departure testing? Surely that would be an effective way of preventing people with covid from travelling into our country.

We support the decision to introduce measures on masks on public transport and in shops, but we believe that those requirements should never have been abandoned in the first place. Keeping in place requirements for masks would always have been our plan A. Will the Secretary of State extend measures on the use of masks to hospitality and other settings, or does covid not spread in pubs? Most importantly, what is the plan to enforce mask wearing? Shop workers have given so much during the last 20 months, alongside our emergency services. Asking shop workers to enforce mask wearing is yet another pressure that they do not need and do not deserve.

If masks had been mandatory, it would have been harder for this new variant to spread. A global study published in The BMJ argued that face mask wearing can bring transmission down by as much as 53%. This Government’s flip-flopping on masks has created confusion across schools, colleges and universities, so will the Secretary of State today confirm the new requirements across all education settings? The Prime Minister is not the best person to tell people to wear masks, when he cannot even be bothered to wear one himself when he goes into a hospital full of vulnerable patients—and may I ask the Secretary of State when Conservative Back Benchers will start wearing their masks?

Will the Secretary of State update the House on when he expects there to be a decision on vaccinations for younger children? The Government have fallen far short of their own target to offer all 12 to 15-year-olds the vaccine by October half-term, so can he say what action will be taken to speed up vaccine roll-out?

Our NHS has done us proud, and has done a fantastic job of delivering the vaccine, offering first, second, third and booster jabs, all at the same time as treating patients who are suffering from covid and trying to recover when it comes to elective procedures. I thank everyone who works in our NHS and care sector. We are putting even more demands on them at the moment. Our NHS has stepped up to the challenge; it is a shame that this Government simply have not.

Among those with mental illnesses, vaccine rates are low and mortality rates high. The Government need to stop weaponising mental health, and must instead recognise that good, clear, honest communication, which they have failed to have so far, is so important in a crisis. I know that I have mentioned this time and again, but the Government must acknowledge the trauma for people with severe covid and long covid, and for NHS staff, so where is their plan?

Labour has been clear throughout this pandemic that proper sick pay will help people to isolate. The Government have chosen to ignore us time and again, so I ask again: what support will be available to people who need to self-isolate? Is not this the time to finally fix sick pay? I would appreciate it if the Secretary of State updated the House on the new antivirals and how they will be used. Why are the Government not already giving antibody tests to the immunocompromised? The situation we find ourselves in was entirely predictable. Yet again, this Government have shown that they are incapable of protecting our communities, protecting our NHS and saving lives.

[Sajid Javid]

I, too, extend my best wishes to the shadow Health Secretary and wish him a speedy recovery.

I have to say that I think the hon. Lady has misjudged the tone of the House. This is a very serious matter. The whole country will be looking for all Members of this House to work together and support the nation. Surely she is not blaming the UK Government for the emergence of the new variant. Perhaps she was just auditioning for the reshuffle that is going on in her party right now.

The hon. Lady asked about international donations. The UK is leading the world on international donations—quite rightly. It is absolutely right that that be treated as a priority. We would like to see other countries step up as well. A few months back, the Prime Minister pledged 100 million donations by June 2022, 80% of which will go through COVAX, of which we are a huge supporter; 20% will be made bilaterally. So far, we have donated over 20 million doses—more than many other countries. COVAX, which we helped found, and which we support, has donated, I believe, some 537 million doses to 144 countries.

The hon. Lady asked about the rules on travel and masks, and other rules that I set out. I think I have addressed that. I believe that the measures are proportionate, and that this is a balanced response. We have just set out a huge expansion of the vaccine roll-out programme, and it is a shame that the hon. Lady could not find it in herself to welcome that. As I said, I will set out more details in coming days on exactly how we intend to meet the requirement to vaccinate more.

On antivirals, we are one of few countries in the world to have procured the two leading antivirals. Our independent regulator, the Medicines and Healthcare products Regulatory Agency, was the first in the world to approve one of those antivirals. I am pleased with the over 700,000 courses that we have for citizens across the United Kingdom, but of course, given the emergence of the new variant, we will be reviewing that and seeing if more needs to be done.

Oral Answers to Questions

Rosena Allin-Khan Excerpts

Tuesday 23rd November 2021 Commons Chamber

[Gillian Keegan]

I share my hon. Friend’s concern that waits for autism assessments and diagnosis are often way too long, and that is why we are investing an additional £13 million of funding this year. That funding will allow local systems to test different diagnostic pathways—including working on a multi-disciplinary basis, which will shorten the diagnosis time—and to find new solutions for addressing long waits. The precise allocation of funding for diagnostic pathways are decisions made at the local level, and those should be compliant with National Institute for Health and Care Excellence guidance. NHS England is working with local systems to evaluate what works well. Since November 2019, we have been reporting on waiting times between referral and first assessment, and that is important, because we use that to drive up local performance. I would be very happy to meet my hon. Friend to discuss this further.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

When the Government talk about waiting times, they refer to how long it takes simply to get an assessment, and not to when treatment may start. Most children face an incredibly long wait after that first step, or even have their referral closed. The real truth is revealed when we look at how long it takes for children to complete treatment. In Yorkshire and the Humber, it took one child more than 13 years to complete treatment for their anxiety. In the north-west, some children took three years to complete treatment for eating disorders. In the midlands, it is not uncommon for treatment completion to take five years. Will the Minister commit, as we have, to the provision of a counsellor in every school, a mental health access hub in every single community and regular mental health assessments for children in all key stages?

[Gillian Keegan]

We know that the prevalence of children and young people with a mental health condition has increased—in some cases, it has increased massively. That is why we remain committed to increasing investment through the long-term plan. Also, we have consulted on the potential to introduce five new waiting times standards, including for children and young people and their families and carers presenting to community-based mental health services. In addition, NHS England and NHS Improvement have announced an additional £40 million to address the impact of covid on children and young people’s mental health, including for eating disorders. Since 2014, extra funding has been going into children and young people’s community eating disorder services every year, but we know that we have more to do. This extra funding will enhance the development of more than 70 new and improved community eating disorder teams, but there is no doubt that there is much to catch up on. We are also introducing services into schools for young people.

Covid-19 Vaccinations

Rosena Allin-Khan Excerpts

Thursday 4th November 2021 Commons Chamber

[Dr Rosena Allin-Khan (Tooting) (Lab)]

I thank the Minister for giving me advance sight of the statement and take this opportunity say a huge thank you to our NHS. Frontline staff are doing a fantastic job continuing to deliver the vaccine programme, which is especially complex and fraught with challenges as they deliver first, second and third doses as well as jabs for 12 to 15-year-olds. They are coping with numerous pressures in the system, but continue to work flat out to get the UK through this pandemic.

Winter is coming, though, and frankly the Government just do not have a handle on covid, going into the busiest season for our NHS. The Government must get a grip on the stalling vaccination programme. Plan B, which contains measures that we already support, such as mask wearing and allowing working from home, is simply not enough on its own. Yes, we support it, but it is not enough on its own. We must turbocharge vaccine boosters, fix sick pay and improve ventilation.

The clinically vulnerable are simply not getting the jabs they need. Local residents are contacting us saying that they cannot get the boosters they so desperately need. One lady in her 70s who has underlying health conditions went to her pharmacy and called 119, just to be told that she was not eligible for her booster. She has now finally got one booked for December, but she had to rely on her daughter to book the appointment for her because she does not use the internet. The system simply is not working, particularly for many of those who need it most.

The Government had a deadline of 1 November for offering booster jabs to all care home residents. Right now, only 23% of care home residents in Leicester have had their booster jab, and the picture across the country is extremely patchy. To be clear, just promoting pop-up vaccine clinics does not help care home residents. We must use all the resources we have, including community pharmacists, retired medics and trained volunteers, to go into care homes and vaccinate residents. The Government are failing and this is putting people’s lives at risk.

In my borough of Wandsworth, the two-dose rate is only 67%, which means that almost 100,000 people do not have the recommended level of vaccination, but this is not an isolated example—people in Wandsworth are working very hard to get the vaccine out—and it is replicated across the country. What are the Government doing to increase the uptake?

Let us be honest, it is largely less affluent areas that have the lowest take-up, proving that vaccine inequalities are alive and kicking. Covid has shone a spotlight on the health inequalities that exist across the country. Why are the Government ignoring them again now? We are tired of issuing the same warnings time and again.

Our rate of child vaccination is shamefully low and slowed during half-term—the rate is still only around 20%. There were almost 250,000 children out of school in the days before half-term. Where is the plan?

On current trends, we will not complete the booster programme until spring 2022. The Government need to get a grip and set a target of 500,000 boosters a day. At the moment, the figure is less than 300,000 a day, which is why we are calling for more pop-up vaccine clinics, greater use of community pharmacies and the mobilisation of retired medics.

As we approach a difficult winter, Ministers have failed to put in place measures such as improved ventilation, proper sick pay and fully resourced local contact-tracing teams, all of which would help to reduce the spread of the virus. We must get the balance right and ensure flu vaccines, covid vaccines and boosters are all delivered at a high pace from now until the end of winter. While the booster scheme is so slow, the Government should never have scrapped mask wearing and working from home. The Prime Minister should never have abandoned those measures.

The Government have failed to plan yet again, and they are putting the country at risk going into winter. We need less bluster from this Government, who seem to spend more time planning to protect their mates than the lives of people up and down the country. We need action now.

[Maggie Throup]

Ninety per cent. of the adult population have had their first dose, and 8 million people have taken up the opportunity to have a booster jab. That is a successful vaccination programme, so I will take no lessons from the hon. Lady.

The hon. Lady talks about care homes and, from a personal point of view, I know how important it is to make sure our most vulnerable are vaccinated, which is why I am delighted that nine out of 10 care homes have had their jabs either delivered or booked. That is a great success.

This Government have already recognised that covid has exposed the disparities across the nation, which is why on 1 October we launched the Office for Health Improvement and Disparities to understand what is important and how we can make real change in our communities that need the most help.

The hon. Lady talks about bringing back retired medics and volunteers, but they are already back. They have been playing their part for months, and I take this opportunity to thank them for all their efforts. Just last week, I met a retired medic who had come back to St Thomas’ Hospital, and he was relishing his role in this amazing vaccination programme. The hon. Lady does those volunteers and returners a huge disservice.

I am always grateful to the hon. Lady and the right hon. Member for Leicester South (Jonathan Ashworth), because throughout this pandemic they have usually been co-operative, helpful and in agreement with us, but the hon. Lady’s remarks today give too little credit to the phenomenal role that the NHS and community pharmacies are already playing in the roll-out of our vaccination programme. They are delivering a booster programme of third doses while delivering the largest flu programme ever, with 35 million people now eligible for a flu jab. I call on people to come forward as soon as they can.

GP Appointment Availability

Rosena Allin-Khan Excerpts

Tuesday 26th October 2021 Westminster Hall

[Dr Rosena Allin-Khan (Tooting) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Robertson. I thank all hon. Members for their contributions this afternoon and the hon. Member for Beaconsfield (Joy Morrissey) for securing this debate on an extremely important issue as we recover from the pandemic. This issue is close to all our hearts and to the hearts of the people whom we service.

GPs play an essential role in our communities. They are often the first port of call for people accessing a wide variety of health services, and their hard work and dedication to serving their communities ensure that we can always obtain advice, medicine and referral to other services.

When we discuss GPs, it is important to remember that they are more than just nameless public servants doing a job. They do not just serve communities; they are an integral part of them. I myself have had the same GP for my whole life, if people can believe that. I am slightly giving my age away to say that she has been my GP for over 40 years.

GPs are the foundations of our national health service, and without access to them our whole health system would collapse. Chronic illnesses would not be caught in time, mental illnesses would go unchecked and life-saving medication would simply not be prescribed. From our birth to our death, a GP is there for us all, and everyone in this country should have access to their GP.

However, like much of the NHS, GPs are overstretched and under-resourced. Even prior to the pandemic, GP surgeries had to contend with a double hit of fewer doctors in the workforce and a rising ageing population. Demand simply outweighs supply. We need more GPs, pharmacists, physiotherapists and community health workers. But instead of supporting GPs during this challenging time, the Government prefer to blame them, making their jobs even more difficult at the time of greatest pressure for our NHS.

We have looked for virtual solutions so often during this pandemic, and for the most part their effectiveness cannot be disputed. They have allowed our economy to keep going and our public services to continue functioning, and also allowed a small degree of normality in what has been an extremely challenging and turbulent 20 months. I know from my own experience on the A&E frontline, especially early on in the pandemic, that infection protocols and social distancing made many elements of delivering compassionate care very challenging.

Digital solutions have worked well, but we know that they are not appropriate in every setting and they do not work for everyone; we have heard ample example of that today in this debate. However, we need to be careful not to conflate two separate issues. Digital solutions in practices were not just necessary for infection control. The sheer demand for appointments is through the roof. GPs have been offering telephone consultations and online appointments for some time now, even prior to covid. There were 2.2 million more appointments in August this year compared with August 2019. The percentage of appointments being delivered face to face is also rising. That shows that GPs are striving to see as many patients as they can, but to increase that number even further they need more support from the Government.

The Conservatives have promised more GPs in every one of their manifestos since 2015. However, we have approximately 2,000 fewer GPs now than we had in 2015. It seems like a simple fix for Government—deliver on manifesto commitments and expand the GP workforce. That will allow for even more appointments and it will help to reduce the burden on existing staff, leading to less burnout and less fatigue.

The British Medical Association conducted a survey of GPs in July. Half the respondents said that they are currently suffering from depression, anxiety, stress, burnout, emotional distress or other mental health conditions. I repeat—half the respondents said that. That is a huge percentage. Around the same proportion of respondents said they now plan to work fewer hours after the pandemic. When a workforce are supported, their absence rates come down and their productivity goes up; it is pretty basic. Ensuring that staff are supported not only benefits the workforce but the patients, through more effective and timely care. It is a virtuous cycle, which surely even the cynics would support, as it ultimately leads to more patients being seen and better care being provided.

We have heard about the trickle-down effect of not being able to see GPs and the knock-on impact that has on the rest of the NHS. Yet instead of delivering on their manifesto pledges, this Government would rather stoke the flames of division, by attempting to shift the blame to GPs and encouraging local residents to vent their frustrations at them rather than at the Government. The Health and Social Care Secretary has resorted to attempts to name and shame GP practices that were unable to guarantee face-to-face appointments. The Government will then deny additional essential funding to the practices they deem to be performing poorly. That provocation does nothing to improve patient care; it serves only to deflect anger away from the Government and towards the health service. I know from colleagues in GP surgeries across England that it has already resulted in abuse both online and in person. That leaves so many practitioners considering their career choices, and will lead only to further shortages in future.

Fundamentally, the Government need to make good on their manifesto pledge of an additional 6,000 GPs. Without that, there will be a detrimental impact on the workforce and, crucially, on patient care. That has a knock-on impact on how much time GPs are able to spend with patients. Patients are understandably frustrated, as the backlog of care due to covid continues to pile up, with a knock-on impact on waiting times throughout the NHS. At a time when case numbers are soaring again and the booster programme is faltering due to Government inaction, people are anxious about their health and the health of their local community.

[Chris Green]

Will the hon. Lady give way?

[Dr Allin-Khan]

No; I want to make some progress. The imminent arrival of winter is also a great cause for concern. Winter is always an extremely challenging time for the health service. GPs will be the first point of contact for the majority suffering from winter respiratory illnesses. However, GP surgeries cannot be blamed for being unable to fill vacancies as a result of wider workforce and funding issues. It is simply not acceptable. The Government are purposefully turning communities against one another, risking the health and wellbeing of patients and staff simply because they are unwilling to put forward a sustainable plan to support GPs to manage their workloads. GPs’ needs and patients’ needs are one and the same. It is a failure of Government that has led us here.

[Chris Green]

The Labour party voted against compulsory vaccination in the care setting, presumably because they sensed that it would have an impact on carers and their ability to carry on in the sector. Does the hon. Lady think that it would also have an impact on the NHS, with perhaps up to 100,000 people leaving, and GP surgeries?

[Dr Allin-Khan]

That is beyond the scope of this debate, but I am very happy to have a discussion with the hon. Gentleman afterwards. I do not believe it is appropriate to mandate vaccinations for NHS staff, forcing them to leave their jobs if they do not accept vaccination, as I put forward in the Labour party’s position on the care sector.

Let us be clear: GPs are being scapegoated for a failure of this Government to act and put people’s health first. The war against GPs that is being propagated by the Government does nothing to serve patient needs or to serve GPs, who are exhausted and unable to fulfil the commitments that they trained hard to carry out, because of a failure of this Government. I see that the hon. Gentleman feels rather pleased with himself for his intervention on me. Forcing people to have vaccinations in the communities that have been hardest hit, for whom trust has been completed eroded by this Government, does nothing to serve our collective aim, which is to ensure that the communities that we all serve have the treatment that they need and timely and respectful surgeries and appointments. That is the very thing that will keep our communities alive and well this winter.

Will the Minister, whom I welcome to her place, please outline what steps the Government will take to tackle the workforce shortages in GP surgeries? Will she outline what resources will be provided to ease the intense workload that GPs are already contending with? Will she outline why additional funding is all directed to secondary care, while our primary services are left to crumble?

I thank all the GPs out there serving our communities. I hope that the Government have listened to our points on the support that GPs, patients and communities need.