Oral Answers to Questions Debate
Full Debate: Read Full DebateStephen Hammond
Main Page: Stephen Hammond (Conservative - Wimbledon)Department Debates - View all Stephen Hammond's debates with the Department for International Trade
(5 years, 7 months ago)
Commons ChamberPreventing health problems is the best way to improve life expectancy. We are taking action on childhood obesity, diabetes and cardiovascular disease and action to reduce smoking rates. Later this year, my Department will produce a prevention Green Paper, which will set out cross-Government plans for prevention in greater detail.
In Newcastle, cervical cancer screening rates are significantly lower in more deprived areas of the city, and the recent Macmillan cancer inequalities report showed that more deprived areas had worse access to cancer treatment. This is because people on lower incomes are more likely to be on zero-hour contracts and juggling childcare and other caring responsibilities with work, and therefore less able to access fixed-time appointments in places outside their local community. What is the Minister doing to ensure that the healthcare system reflects the lives of those in the poorest areas and to raise incomes so that we have fewer cancer and health inequalities?
The hon. Lady raises an important point. We know that we need to make it easier to book appointments and more convenient for women to attend them. That is why Sir Mike Richards is undertaking a comprehensive review of screening programmes. It will look at how we can improve the uptake and set out clear recommendations on how we can make those screening programmes more accessible.
ONS figures published in March 2019 show that the life expectancy of women in the poorest UK regions fell by 98 days between 2012 and 2017. Given that this is the first time that that has happened in peacetime since the Victorian era, what conclusions does the Minister draw from the fact that it has happened only since 2010?
The conclusion I draw is to look at Public Health England’s recent review, which made it clear that it is not possible to attribute the slowdown in the improvement of life expectancy to any single cause. That is why we are not complacent, as I said in answer to the hon. Member for Newcastle upon Tyne Central (Chi Onwurah). The Budget saw us fully fund the situation with a big cash boost, and there will be a prevention Green Paper and we have a prevention vision. All that will contribute towards ensuring that life expectancy, which has not been as good as one would have liked, improves.
Smoking rates among pregnant women, particularly in poorer regions, remain stubbornly high, so what action is my hon. Friend taking to reduce smoking rates in order to make pregnancy and childbirth easier for young people?
As I said in response to the hon. Member for Newcastle upon Tyne Central (Chi Onwurah), the Government have already put in place prevention programmes to ensure a reduction in smoking rates. The prevention vision and the prevention Green Paper will set out the means by which smoking can be reduced further to support people, pregnant or otherwise.
Life expectancy has fallen for the poorest women over the past nine years. What is the Minister’s analysis of why that has happened?
I answered that question just a moment ago. As I said, Public Health England’s recent review made it clear that it is not possible to attribute the slowdown to any one cause. It is therefore important to tackle all the causes of the deterioration in life expectancy, which is why the Government will publish a prevention Green Paper later this year.
Tackling domestic abuse is a key priority for this Government. That is why we have put £2 million into expanding the pilot programme, which will create a model health response for survivors of domestic violence and abuse. Training for frontline medical staff to help identify domestic abuse is included in a wide range of training and education curriculums for health staff.
According to Women’s Aid’s “Survival and Beyond” report, 54% of women experiencing sexual and physical abuse meet the criteria for at least one common mental health disorder. I note what the Minister says about training, but what specific domestic abuse training is the Department considering to ensure that it actually happens?
I commend the hon. Lady’s work on the all-party parliamentary group on domestic violence and abuse. She will know that the Department produced a domestic abuse resource for health professionals that advises them on how best to support adults and young people over 16 who are experiencing domestic abuse, and that training is available now.
Does my right hon. Friend agree that the publication of a definition of domestic abuse will help frontline staff to identify victims?
My hon. Friend is right. The definition, which also includes factors such as mental health and economic issues, will make things much clearer for frontline staff and help them to understand and look for incidents of domestic violence and abuse.
The most recent survey of women’s prisons shows that nearly 65% of prisoners have had a significant acquired brain injury, which often relates directly to their offending behaviour. The vast majority of the 65% have suffered domestic violence, so should we not be screening every woman as she arrives in prison to ensure that they get the neuro- rehabilitation support they need?
The hon. Gentleman raises an important point, and he will know that the Government have committed extra money to ensure women prisoners get the support they need for neuro problems when they enter prison.
Domestic violence can be extremely damaging for the children who witness it. What is the Minister doing to support those children?
My hon. Friend raises an important point, because domestic violence clearly impacts the whole of family life, and there is evidence that children are also affected. We need to ensure that there are no legal barriers to sharing data to protect children or vulnerable adults, and we need to ensure that the £8 million we are spending will help those children recover from domestic violence.
Health-based independent domestic violence advisers can identify victims of domestic violence that other services are unable to detect. SafeLives, the national domestic abuse charity, suggests that domestic violence often goes undetected among elderly and black, Asian and minority ethnic victims. Surely, by placing these professionals in an A&E environment, countless victims could be identified and helped. Will the Minister commit to placing independent domestic violence advisers in all A&E departments?
The hon. Lady raises an important point. We need to ensure that people are properly triaged for all sorts of diseases when they turn up at A&E, including domestic violence. I will reflect on her point and talk to NHS England about it.
Recent research shows that the HPV vaccine has led to a dramatic decline in cervical cancer. Having a vaccination saves lives, so can we use this opportunity to urge mums and dads across the UK to ensure that their kids have the measles vaccine?
My hon. Friend is exactly right. The evidence is clear that the MMR vaccine is safe and effective. Mums and dads should ensure that their children are vaccinated.