Oral Answers to Questions

Debate between Steve Brine and Alex Chalk

Tuesday 24th July 2018 Commons Chamber

[Steve Brine]

They are linked but separate issues. Yes, the HPV vaccine is very important for adolescent boys, for men who have sex with men and for people before their sexual debut. Sexual health is of course a huge challenge. We work closely with local authorities—top-tier local authorities are all public health authorities—and, through the ring-fenced public health grant, which is £16 billion during this spending review period, we are providing those services.

[Alex Chalk (Cheltenham) (Con)]

Cancer survival rates are now at an all-time high thanks to the brilliant and dedicated work of clinicians, including at Cheltenham General Hospital, but prevention is better than cure. Will the Secretary of State direct his customary energy towards prevention work, including vaccinations, but also tackling risk factors such as obesity?

[Steve Brine]

Yes, he will. I am pleased to say that prevention is one of the Secretary of State’s three key priorities. The HPV vaccine is a key prevention measure, while one of the drivers behind the child obesity plan was Cancer Research UK’s very clear advice that being overweight was one of the big risk factors, alongside diabetes, in cancer. Yes, prevention is always better than cure.

Acquired Brain Injury

Debate between Steve Brine and Alex Chalk

Monday 18th June 2018 Commons Chamber

[Steve Brine]

I thank my hon. Friend. This is the first time I have been at the Dispatch Box since Baroness Jowell passed away. As I said during the debate when she was sitting in the Under Gallery with her lovely family, I did not know her well but the one time I met her I was left in no doubt about her determination on this subject. It is great that we are able to do so much. I pass on my condolences to Jess, her daughter, whom I have got to know a little, and her family. The trauma of the immediate is horrible and it goes on for a long time. Our thoughts are with them. I thank my hon. Friend for what she has said. We will do well by Baroness Jowell, especially through the money that we will put into research to try to instigate new research projects, which have traditionally been thin on the ground in this area. We are hoping to stimulate the research market.

ABI can have a devastating impact on our constituents’ lives; even minor head injuries can cause short-term impairment. Those surviving more severe injuries are likely to have complex long-term problems affecting their cognitive and functional ability, personality, close relationships and ability to return to any form of independent life.

[Alex Chalk (Cheltenham) (Con)]

rose—

[Caroline Lucas (Brighton, Pavilion) (Green)]

rose—

--- Later in debate ---

[Steve Brine]

I thank the hon. Lady for that point, which I shall come to. There are other Ministers on the Bench with me, including from the Department for Work and Pensions, because I wanted them to hear other parts of this debate. The hon. Lady’s point is well made.

[Alex Chalk]

The Minister rightly listed a number of impacts from traumatic brain injury. Does he agree that one of those can be an increasing propensity to commit criminal offences? We are starting to wake up to the fact that a number of people in custody have sustained precisely that injury. That should be a focus for preventive work in future.

[Steve Brine]

I thank my hon. Friend, who has professional experience of the criminal justice system. I shall come to his point in a moment, but I thank him for putting it on the record. Sometimes it is a difficult subject to talk about, but it is very relevant.

Oral Answers to Questions

Debate between Steve Brine and Alex Chalk

Tuesday 4th July 2017 Commons Chamber

[Steve Brine]

I thank the hon. Lady for her question. Since 2016, Sunderland’s GP Career Start scheme has recruited 10 newly qualified GPs. A further five newly qualified GPs will be recruited each year over the next three years. I understand her point about medical school provision. Undergraduate medical education is delivered in the north-east in partnership between Newcastle and Durham universities. There are currently 25 medical schools in England offering just over 6,000 Government-funded medical school places. We are funding 1,500 additional places each year. Five hundred have already been allocated, with 24 of them in Newcastle.

[Alex Chalk (Cheltenham) (Con)]

Recruiting more GPs in Cheltenham is vital to share the growing workload they face, but rising indemnity costs, particularly for out-of-hours care, can act as a disincentive. Does my hon. Friend agree that this must be addressed decisively?

[Steve Brine]

Indeed we do. We recognise the role that GPs play in the delivery of NHS care. Following the GP indemnity review, additional money was included in the contract last year to address indemnity inflation. We said in our manifesto that we will ensure appropriate funding for GPs to meet rising costs in the short term and work with the industry to produce a longer term solution.

Prisons and Probation

Debate between Steve Brine and Alex Chalk

Wednesday 27th January 2016 Commons Chamber

[Steve Brine (Winchester) (Con)]

Sadly, I cannot support the motion on the Order Paper, but I agree with parts of it. As the hon. Member for Darlington (Jenny Chapman) said, we have high rates of violence, self-harm and drug use in prisons, which I agree puts pressure on our NHS. I agree that no staff member should have to go to work to face threats to their safety. Who is not concerned with rehabilitation? The question concerns what we do about it.

I want to focus on prisons. Let me begin by reading a short passage to the House:

“The justice budget is far too high. Over the course of the last two decades, the vision for the justice system has been a maximalist one: expanding the reach of the system into people’s lives; expanding state interference through…legislation; expanding the numbers of people entering the courts and, ultimately, entering prison. The justice budget therefore could and should be cut substantially, but it must be cut in the right way.”

Hon. Members could be forgiven for thinking that that is a quote from a Conservative manifesto or a right-leaning think-tank, but they would be wrong. It is the opening paragraph from the 2015 spending review submission from the Howard League for Penal Reform.

I believe that we have a golden opportunity in this country. We have a new Government, a reforming Justice Secretary—my goodness, did he not prove that today?—a tough financial environment and a third sector crying out for a different approach. It is therefore good that the Prime Minister said the following in his party conference speech last autumn:

“We have got to get away from the sterile lock-em-up or let-em-out debate, and get smart about this”.

He was quite right.

Our aim has to be to reduce the incidence of crime and the factors that pull people into the criminal justice system in the first place. Is our reason for doing so money? Yes, it is about money and the need to find big savings in the Department, but it is also about effective government. I believe—this is not often said in the House—that it is also the Christian thing to do. Nearly half of all inmates go into prison with no qualifications. Many of them come out with none. All the problems that may have led them to that life remain unchanged, including, as the Secretary of State said, drug addiction, mental health problems and childhood abuse. Prison is literally locking poverty into our country and we as a society are paying the bills.

What is the intellectual basis for that? I have never been more sure that prison reform is compassionate Conservatism in action, both financial and social. That is why I would argue that criminal justice policy is not solely about the Ministry of Justice; it is as much about our education and welfare reforms. In my opinion, prison is the ultimate state failure, so a smaller secure estate is a smaller, cheaper and more effective state. That should be a cause that all Conservatives can rally around.

[Alex Chalk (Cheltenham) (Con)]

Does my hon. Friend agree that, if we are going to reduce the strain on our prisons, it is essential that we devise community penalties that are more robust and, frankly, more onerous, so that they can command the respect of the public, who rightly expect crime to be punished?

[Steve Brine]

I will come on to that. The community courts that I saw in the United States were a good step towards that. My hon. Friend will find that the Government are very interested in what is happening over there.

The Ministry of Justice is currently a demand-led Department—demand for prison places and probation services is fed by the criminal courts, which are in turn fed by the police and prosecution services, which are in turn fed by the incidence of crime. My view is that we should seek to place the penal system on a more sustainable footing by seeking to reduce demand on the system, particularly in respect of prison numbers, rather than pursuing the old, tired predict-and-provide policy.

If austerity did not force our hand, we should do it anyway. Austerity did not lead to the Right on Crime initiative in Texas, but we should look to it. The Justice Committee of the last Parliament, of which I was a member alongside the current Leader of the Opposition, visited Austin and Houston, where we met Republican state representative Jerry Madden, who is no fluffy liberal—he describes himself as a typical Texan Republican. He told us this:

“30% of the people in prison today we’re scared of - 70% we’re just mad at. We need to lock up the 30 and get a whole lot smarter about the 70.”

I think he is right. Let me be clear before anyone gets excited: this is not about throwing open the doors, but about slowing down the rate at which prisoners come in by providing less costly and more effective alternatives to sentences.

Custody should not be the only means through which society expresses its disapproval. Treatment should be a way of doing that, too. The Texan focus would therefore be to give judges options and to finally tackle the underlying causes of repeat offending. Madden made what must have been a welcome call on the Texas Governor of the time to recommend that he halve the budget earmarked for new prisoners and spend the rest on treatment instead. The drug courts that followed are one of his most striking creations. I spent an afternoon in Houston in Judge Denise Bradley’s STAR drug court in Harris County observing this new justice in action. Every one of the young people coming before it has been in prison before and is now a non-violent reoffender, which is why they are back.

Drug courts are a tough alternative. Offenders live in halfway house-style premises, but they hold jobs and maintain links with their families and, most importantly, their children. Every two weeks they come back to court for a kind of progress report. It is working. Recidivism rates in Texas are falling fast, so it is very welcome that the Government are exploring how we can bring these courts here to England and Wales.

There will always be serious offenders who need locking up and need to stay there. No one, neither here nor in Texas, is arguing any differently, but there are the others and we cannot afford the ongoing rate of state failure that they represent. I agree we should close the old Victorian prisons, but we should not just build more like-for-like. To be clear, I absolutely am saying we should reduce the prison population significantly. The Government should look again at older prisoners, the fastest-growing group in the estate, return to the 82 recommendations from Lord Bradley on the over-representation of people with mental health problems, and look again at Jean Corston’s work on women prisoners.

The Justice Secretary said, in his first major speech last summer, that there is

“treasure in the heart of man”.

I believe he is right. I believe that, like me, he is an optimist about the human condition. My right hon. Friend will know that Winston Churchill said:

“there is a treasure…in the heart of…man”—[Official Report, 20 July 1910; Vol. 19, c. 1354.]

at that Dispatch Box when he was Home Secretary with responsibility for police, prisons and prisoners. We have a much more fragmented system these days, but the basics have not changed. We can lock ’em up and spend a fortune biting off our nose to spite our face in the long run, but it is time to try something different.