(3 years, 3 months ago)
Commons ChamberMy hon. Friend is exactly right. That is why Labour is arguing for a comprehensive, joined-up approach from Ministers, in which DEFRA’s policies align with those of the Ministry of Housing, Communities and Local Government and with Treasury funding. They do not do so at the moment; we have a developers’ charter that does not match the protections that the Minister is talking about. I believe the Minister when she says she is passionate about this, but I just do not see that read-across in Government policy. The peripheralisation of DEFRA in the Government debate is not helping to protect our habitats when other Ministers are able to get away with habitat-destroying policies and seemingly all we have is a Minister patting himself on the back for this Bill. That is not enough, and I am glad my hon. Friend raised that example.
I am worried that the Government’s approach to species conservation is seemingly ad hoc and represents an unambitious approach that seems to have overtaken DEFRA. Labour’s amendment 46 demands a strategic approach to species conservation through protecting, restoring and creating habitats over a wider area to meet the needs of the individual species that are being protected. It acknowledges the vital role that species conservation can play in restoring biodiversity and enabling nature’s recovery. Indeed, it builds on Labour’s amendment to the Bill tabled by my right hon. Friend the Member for Leeds Central (Hilary Benn) at the last stage that would see a nature recovery by 2030. I welcome the steps forward on that but I would like to see more detail, because at the moment it seems like a good press release, but without enough action to ensure that the delivery is ensured.
Mr Speaker, you will know that I am a big fan of bees. I should declare an interest because my family keep bees on their farm in Cornwall. Since 1900, the UK has lost 13 of its 35 native species of bee. Bees are essential to our future on the planet, to pollinating crops and to the rich tapestry of biodiversity that depends on them. Bee health is non-negotiable; we must do all we can to protect our precious pollinators. On the first day on Report, the Conservatives voted down Labour’s amendment that would have restored the ban on bee-killing pesticides; on day 2 on Report—today—will the Government back or defeat Labour’s amendment 46 on species conservation? This really matters because bees really matter, and I think the concern is shared across party lines. The steps that the Minister has taken to support sugar beet farmers, especially in the east of England, is welcome. I want to support sugar beet farmers as well—I want to support British agriculture, which is especially needed given the risk of an Australian trade deal—but lifting the ban on bee-killing pesticides is not the answer. It will not help us in the long term.
Like many campaigners and stakeholders, we on the Opposition Benches are concerned that the overt focus on development in the explanatory narrative on clause 108 supplied by the Government suggests that it could fall into a worrying category. Labour’s amendment 46 seeks to correct that by putting nature-recovery objectives, underpinned by evidence, into the heart of the strategies and ensuring that each one abides by the mitigation hierarchy, starting with trying to conserve existing habitat and then moving to habitat compensation only when all other avenues have been exhausted. That will ensure that each strategy serves to recover a species, rather than greenlighting the destruction of existing habitats that are important to that species, in return for inadequate compensation elsewhere. Our amendment is common sense, it would strengthen the provisions in the name of the Secretary of State and, if passed, will show that this House cares about getting the most out of the Bill. I hope the Minister will give additional attention to those provisions when the Bill enters the other place.
On the other amendments that have been tabled on the Conservation of Habitats and Species Regulations and Government new clauses 21 and 22, I look forward to hearing from the hon. Member for Brighton, Pavilion (Caroline Lucas)—she and I share an awful lot in common on this matter—because on the face of it we are minded to agree that we cannot rely on the Government not to dilute the environmental protections currently in the nature directives. I heard what the Minister had to say and think her heart is in the right place, but I want to see things put in law. She may not be a Minister forever and we need to make sure that whoever follows her will have the same zeal and encouragement. I am afraid that unless it is on the face of the Bill, there is a risk that that might not happen.
We support amendments 26 and 27, tabled by the Select Committee Chair, the hon. Member for Tiverton and Honiton (Neil Parish), on deforestation, the extension of due diligence requirements to the finance sector and the strengthening of protection for local communities and indigenous peoples. That is a good example of a Select Committee Chair proposing something meaningful and important that might not always get the headlines. He is playing an important role and we encourage power to his elbow.
In conclusion, the Bill has been stuck for too long. I had hoped that the delay in bringing the Bill forward caused by the Government would have altered the Government’s pedestrian approach and resulted in bolder action, with more amendments to the Bill to take on the concerns of non-governmental organisations, stakeholders and, indeed, the constituents we all represent. But on air quality, it fails to put WHO targets into law. It fails to require enough trees or seagrass to be planted. It fails to look at our marine environment in a meaningful way. On targets, it is weak, and the difficult decisions required to hit net zero seem to be parked for future dates. It is absent on ocean protection, which is surely a key part of our environment as an island nation.
Labour’s amendments would strengthen the Bill. In all sincerity, I encourage the Minister to look closely at them, because they are good amendments. But that is precisely why I fear that the Government will Whip their MPs to vote against them. I do not think that Ministers want a strong, landmark Bill; I think they want a weak Bill that allows them the freedom to park difficult decisions, delay urgent action and act in their own best interests rather than the planet’s. This Bill is enough to look busy—to do something—but not enough to make meaningful change. It is in that grey area that a real danger lies: enough to convince the public that something is being done without fundamentally changing the outcomes at the end of it—to lull people into a false sense of security that change is happening and does not require the difficult decisions that we all in our hearts know are coming.
I am listening carefully to the hon. Gentleman, as always. I do not think it is fair to say that it is a weak Bill. May I probe the Opposition, as we are on Report, on the whole issue of biodiversity as a condition of planning permission? There are amendments on the amendment paper in that respect today; where do the Opposition stand on planning permission and biodiversity as a precondition thereof?
I am grateful to the hon. Member for that intervention; I know he always listens carefully to my speeches on this subject, and his question is a good one. We are facing a bit of a planning crisis. I am concerned that the developers’ charter that has been set out by the Government regarding planning on one side of Government practice does not fit neatly with what is being proposed in this Bill, on this side of Government practice.
If we are to have the expansion in a free-for-all for development that is being proposed by one Government Department, it is hard to see how that fits with the biodiversity protections on another side of Government. I would like them to gel together, because I want developers to provide the more affordable homes, the zero-carbon homes and the low-carbon homes that we need in all our constituencies. To do that, we need to send a clear message to them about how biodiversity is to be built into the planning system. Where, for instance, is the requirement for swift bricks to be built into new developments—building nature into them? Where is the requirements to have hedgehog holes in some of the fences, as we have seen from some developers?
There are an awful lot of good interventions on biodiversity and planning that create not unnecessary red tape or cost, but an environment where we can build nature into our new planning system. At the moment, I am concerned that those two things do not match together, which is why we want to see biodiversity much more integrated into the planning system. If I am honest, I think Government Members also want that to happen, which is why the planning reforms proposed in the Queen’s Speech do not fit with this Bill and why there is such concern.
(3 years, 7 months ago)
Commons ChamberI rise to speak to new clause 9 and amendments 25, 39 and 23 in my name and those of my hon. Friends.
Parliament declared a climate and ecological emergency on 1 May 2019. A year and a half has passed, and the need for more urgent action on the environment has only increased. If we are to avoid catastrophic climate change that would only destroy jobs, homes, biodiversity and our planet, we have just nine short years to cut carbon emissions and protect nature, according to the UN’s experts on climate and biodiversity. As David Attenborough says,
“the living world is on course to tip and collapse. Indeed, it has already begun to do so”.
This Bill is a cobbled-together set of disparate actions that is sinking under the weight of greenwash that has been applied by Ministers. It does not take the urgent action that is so desperately needed.
This legislation is not perfect by any means, but the Bill should already be law. The deliberate pausing of Report stage after today means that some amendments will not be debated by MPs until May, the Bill will not be in the House of Lords until just before the summer, and it risks not being on the statute book until the autumn. That means we could be waiting over six months more for an environmental watchdog, for powers to stop our children breathing unsafe air, and to regulate Ministers’ actions. The Minister said that she did not want to see a delay in the Bill, while she was moving a motion to delay the Bill. That simply is not good enough. What a terrible message to send to the world in the year we are hosting COP26. It was supposed to be in law before Britain left the Brexit transition period and it is not. It was supposed to be bold and world-leading because of the urgency of the climate crisis and it is not.
This is a go-slow Government when it comes to environmental action. If we could solve the climate crisis with press releases then the planet would have nothing to worry about, but it is actions, not words, that we need. We need faster action to create the well-paid green jobs our communities need, and we need bolder action on improving standards and protecting habitats and species, so we can strengthen our economy and rebuild our country. If building back better after the pandemic is to be genuine, and not a smash and grab on the language of the environmental left, it must be underpinned by bold policy.
The Bill has a number of important issues, so let me deal with some of the main ones—first, air quality. The whole House remembers Ella Kissi-Debrah, a nine-year-old girl who tragically died following an asthma attack in London seven years ago. The coroner’s court found that air pollution made a material contribution to Ella’s death. I pay tribute to my hon. Friend the Member for Lewisham, Deptford (Vicky Foxcroft) for working with Ella’s mum Rosamund in demanding bolder action. This Sunday would have been Ella’s 17th birthday. As her mum wrote in The Sun on Sunday:
“Had WHO air pollution limits been in place and enforced then, according to the Coroner’s report, she would still be here today.”
Air quality is a matter of social justice, of equality and of poverty and requires fundamental change in the way we do business.
There are three amendments on air quality in the names of my Devon colleague the Chair of the Environment, Food and Rural Affairs Committee, the hon. Member for Tiverton and Honiton (Neil Parish), and my hon. Friend the Member for Swansea West (Geraint Davies) and in my own name. All the amendments seek real action on air pollution. Labour will back all of them if they are put to the vote. According to figures published by NHS England, on average 5% of deaths in those over 30 can be attributed to PM2.5 air pollution. What that means is 40,000 deaths a year are caused by poor air—40,000 deaths. The Confederation of British Industry estimates that a £1.6 billion economic benefit to the UK could be released if we met WHO guidelines.
It is frankly bizarre that, faced with such mounting evidence of the unnecessary deaths caused by poor air, Ministers still refuse to put WHO air quality standards into law. I want to see the Department for Environment, Food and Rural Affairs step up and hold Ministers’ feet to the fire. That means taking the case for the toughest WHO air quality targets to force the Department for Transport, the Ministry of Housing, Communities and Local Government and other Departments to radically up their game. If Ministers still refuse to accept our amendments, can the Minister confirm she will use the powers in the Bill to adopt WHO targets and exceed them if she can whenever the Bill eventually gets on the statute book? A Labour Government would adopt WHO targets because it is simply the right thing to do, so that everyone in all our communities has clean air to breathe.
I will not for time’s sake.
You cannot build back better if you are struggling to breathe.
Secondly, let me to turn to the Office for Environmental Protection. The Bill should have been passed by the end of the Brexit transition period, and the OEP should be up and running now. Labour offered to work with Ministers to ensure that that happened, but here we are with that date passed and the Bill still unlikely to become law until autumn, which is a year too late. That means the UK is now without an environmental watchdog, as the OEP has not yet been set up. We are concerned that it will be a weak watchdog with no real teeth. Calling it tough will in itself not make it tough. The OEP needs to be vigorously independent. That is why our amendment would delete a clause that would allow the Secretary of State to give guidance to the OEP and effectively let the Government mark their own homework. It is backed by the cross-party Environment, Food and Rural Affairs Committee, which concluded that we should make sure that
“every step is taken to ensure the Office for Environmental Protection is as independent from the Government as possible”.
Although I think many of us would have preferred an out-and-out environmentalist to be leading the OEP, the appointment of Dame Glenys Stacey is welcome and I hope the board members she is now recruiting will look a tad greener. But I must say to the Minister that, as a south-west Member of Parliament, I am deeply concerned that the Government have just robbed the south-west of the Office for Environmental Protection. She will know it was announced in October 2019 that it would be going to Bristol. She knows that the expectation was that this would be a south-west-based regulator and she knows of the anger—the anger—that this will cause in the south-west on finding out it has been sent to somewhere that she claims is near Bristol. Worcester is nowhere near Bristol and that promise is nowhere near being met. The south-west has been robbed of a regulator and I think that is deeply, deeply worrying.
Let me turn briefly to bees and Labour’s amendment to prevent the Government from lifting the ban on bee-killing chemicals. I am a fan of bees; my family keeps bees on a farm in Cornwall. Since 1900, the UK has lost 13 out of 35 native bee species. Bees are essential to the future of our planet, to pollenating our crops and to our rich tapestry of biodiversity, so bee health is non-negotiable. That is what MPs on both sides of the House say in good times, so I expect them to say it now. Labour’s amendment would oppose the Conservative plan to lift the ban on bee-killing pesticides. If bee health really is non-negotiable, the ban must not be set aside just because it is convenient to do so now. There is no doubt that sugar beet farmers have been hit hard by crop blight, but lifting the ban is not the solution. Improved sugar contracts, compensation and accelerating blight-resistant varieties are a much better answer.
(5 years, 9 months ago)
Commons ChamberWill the Minister support Plymouth’s Peninsula Dental School in training more dentists and encourage use of the underspend in the south-west dental spending pool?
Yes. I would be interested to hear more about anything that can increase access to dentistry in the hon. Gentleman’s part of the world.
(6 years, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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That is so unlike the hon. Gentleman. Good clarification.
The stigma quite rightly has been mentioned by pretty much everyone who have spoken today. We recognise that people with ME have encountered significant stigma, in part due to the unfavourable media representations of the condition that not only go back to the 1980s but have continued in recent times. I have seen a clip of Ricky Gervais in one of his otherwise amusing stage shows, when he says of ME, “Yes, that’s the one where they say I don’t want to go to work today.” Ricky Gervais is a very talented comic, but given that he is quite active on Twitter, perhaps he could retract that and apologise to the ME community today. Perhaps he could put #ME so we can look out for it.
My right hon. Friend the Member for New Forest West (Sir Desmond Swayne) made a very good point about mental health; it is totally wrong and insulting to say it is all in the head, but it also goes against the grain of what we are talking about in modern-day healthcare: the parity between mental and physical health. There must be a parity, and to suggest that that somehow lessens it is wrong. His intervention was timely and good.
The physical impacts of the condition have an impact on mental health, as other hon. Members have said. I am also the Minister with responsibility for cancer, so I speak in lots of debates in Westminster Hall and we talk about the mental health impact of cancer—the hon. Member for Washington and Sunderland West (Mrs Hodgson) knows all about them. A recent example was when we talked about the mental impact of blood cancer. People with ME often report that the legitimacy of their symptoms has been questioned by family, friends, employers, healthcare professionals—yes—and society as a whole. Lest hon. Members did not understand it from my opening remarks, let me clear that Ministers—especially this one—are not among that group of people.
That stigma can and does play a part in the development of the co-morbid symptoms of depression and anxiety, particularly for young people—I will come on to them in a minute—who keenly feel the consequences of the resultant social isolation at that moment of their development. As we have heard, suicide is not unheard of. We know that those who experience stigma often also experience discrimination, which has a profound negative effect on their lives. That is unacceptable, so I welcome the debate as a forum to raise awareness of ME and talking about it. The hon. Member for Plymouth, Sutton and Devonport (Luke Pollard) mentioned that MND is being talked about, and he is absolutely right. He is a very good communicator, and I think this will probably be one of his next Facebook Live sessions.
He is nodding. It is important that we raise awareness and educate people, including me, about the condition and its impact on people’s lives.
I will now turn to the two issues that have primarily been debated today, research and treatment. On research, the Government invest more than £1.7 billion a year in health research via the National Institute for Health Research and the Medical Research Council through UK Research and Innovation. The NIHR and MRC welcome high-quality applications for research into all aspects of CFS and ME, which would certainly include the biomedical research that the hon. Member for Glasgow North West spoke about in her opening remarks.
Since 2011, the MRC has funded seven projects on CFS/ME totalling £2.62 million, and it is ready to support further applications of the highest scientific quality, which is required to make those scientific breakthroughs. My hon. Friend the Member for North West Norfolk (Sir Henry Bellingham) is no longer in his place, but he spoke about the Norwich Research Park—didn’t he push that a few times?—which sounds very promising. I look forward to hearing more about it, and I feel certain that he will tell me.
The MRC has had an open cross-board highlight notice on ME since 2003. It was updated in 2011 alongside a bespoke funding call in that year. ME research remains an area of high strategic importance for the MRC. Applications that focus on the underpinning mechanisms of ME are encouraged, with priority areas including immune dysregulation—[Interruption.] Sorry, I am distracted by someone shouting about stopping something outside—I think he is saying, “Stop ME!”. The priority areas include pain, improved sub-phenotyping and stratification of ME, and mechanisms of ME in children and young people.
A number of people mentioned the late Baroness Jowell. I was very privileged to meet her. I did so just the once, but I was left in no doubt about her resolve on the issue of brain tumours. Let me say in reference to her and to the research environment that, as my Parliamentary Private Secretary, my hon. Friend the Member for South Suffolk (James Cartlidge), reminded me, that journey started around the time of a Westminster Hall debate. Perhaps that is a good sign.
Our challenge with brain tumour research is the lack of high-quality research proposals that have come forward. The late Baroness Jowell was passionate about stimulating the research community to get that situation changed, and we have latched on to that. That is one of her great legacies. I would hazard a guess that her greatest legacy is yet to be reached, but that is one reason it is important to mention her today.
The NIHR has, since 2011, provided £3.37 million of funding for projects and training on ME. That might not be termed biomedical research, but as with other disorders, given that the cause and mechanisms of the condition are still poorly understood, it is important that we carry out both biomedical research, to further our understanding, and applied health research, to improve the treatment offered to people with ME now and to help to improve their symptoms and quality of life.
The NIHR and the MRC recognise that ME is a debilitating condition and are working with the UK CFS/ME Research Collaborative, which was mentioned towards the end of the debate, and with patient representatives on how best they can support a joined-up approach to encourage high-quality research into this complex disorder. I mentioned that Baroness Jowell is a good example of how to start such research. They hope to be able to update colleagues on those discussions by the end of the year, and I for one will look keenly for that update.
For Members who do not know about that important collaboration, it was set up in 2013 to promote high-quality basic and applied research into ME. The CMRC brings together researchers, major funders and charities, and provides them with a mechanism for working together in a co-ordinated and collaborative way, increasing awareness of ME in the research community—that is so important if we are going to stimulate applications—highlighting priorities for research funding and increasing such funding. Both the NIHR and the MRC sit as observers on the CMRC board.
Everyone who contributed to the debate spoke passionately, but the hon. Member for Ealing North spoke particularly passionately, and I liked his point about humanity. This is a matter of good Christian humanity in many ways.
The Royal College of General Practitioners oversees GP training in England. It provides an online course for GPs and other primary care practitioners that includes an overview of the presentation, diagnosis, assessment and ongoing management of ME. The course highlights common misconceptions about ME and considers the challenges that surround that complex condition for patients, carers and primary care professionals. It is produced as part of the METRIC study, which is funded by the NIHR.
Of course GPs can always know more and learn more, but let me speak up for them for a moment. They are called “general practitioners”. Be a GP for a day—it is incredibly difficult to know everything about everything and to be a master of all. General practice is, though, where most patients with ME are likely to be managed, certainly in the first instance. The condition is identified as a key area of clinical knowledge in the RCGP applied knowledge test content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in England and a key part of GPs’ qualifying exams.
Although I understand hon. Members’ points about raising awareness among medical professionals, and as a result of the debate I will redouble my efforts to do that as part of my role as Minister for primary care, all GPs certainly should be aware of ME, and should maintain their clinical knowledge of it and other conditions, as part of their commitment to continuing professional development. Indeed, I have resolved—I have already sent a note to myself—to send a copy of the report of the debate to Professor Helen Stokes-Lampard, who currently leads the RCGP, and to ask for the college’s latest thinking about this subject.
Before any medical condition can begin to be treated, it must be diagnosed. That goes to the heart of our challenge. As the symptoms of ME often resemble those of many other debilitating illnesses—we heard about Lyme disease—there is no test with which to make an accurate diagnosis. ME, therefore, is not always easy to diagnose, to put it mildly. Diagnosis relies on clinical observation of symptoms by healthcare professionals. We understand that that can be frustrating, to put it mildly, for patients—and, it must be said, for their clinicians.
People with ME should be referred to a specialist service, where care should be based on their needs, on the type, complexity and severity of their symptoms, and on the presence of co-morbidities. That decision should be made jointly by the patient and their healthcare professionals. As the shadow Minister said, referral to specialist ME care should be offered within six months of presentation to people with milder symptoms, within three to four months of presentation to people with moderate symptoms, and immediately to people with severe symptoms. Clinicians are responsible for advising patients about available treatment options.
Of course I am aware that access to services for those with severe ME is a big and ongoing issue. Under the Health and Social Care Act 2012, the configuration of services is a matter for local NHS commissioners, who have to be best placed to deliver services for their area. A number of Members referred to the report of the chief medical officer’s independent working group on ME, which was published in 2002. Following that, a central investment programme of £8.5 million was established to address the service gaps across England—I am responsible for the NHS in England. That included the establishment of 13 centres of expertise across the country, 36 multidisciplinary community teams for adults and 11 specialist teams for children and young people, and facilitation of access to advice on clinical management for patients, families and health professionals.
Linked to that—the Department is, of course, now called the Department of Health and Social Care—the vast majority of people with severe ME and their families will come into contact with social care services at some point. The Care Act 2014 requires a local authority to carry out a needs assessment where an adult or carer appears to have care and support needs. The local authority must then decide whether the person has eligible needs by considering the outcomes they want to achieve, their needs, and how those impact on their overall wellbeing. Where a person is assessed as having eligible care and support needs, those must be met by their local authority.
Let me say some more about children and young people, who were mentioned by a number of Members. There is a powerful moment in “Unrest” where a young lady is celebrating her birthday. She says, “I remember my 16th birthday in this bed, and my 17th birthday, and my 18th birthday”—and she goes on through; I think she was celebrating her 22nd birthday in the film. Although access to services was raised, I know that access to education is also a huge issue for children and young people with ME.
All schools have a legal duty to make arrangements to support pupils with a medical condition in school. Guidance to schools states that they should put in place arrangements that show an understanding of how medical conditions affect a pupil’s ability to learn and give parents and young people confidence in the school’s ability to provide effective support for their condition. Children and young people with ME should have an individual healthcare plan, which should normally be drawn up in partnership with the school, healthcare professionals, parents and the young person, and should be tailored to their needs.
Schools and other services should work together to ensure that children and young people with ME receive an education that is flexible and appropriate. That could mean programmes of study that rely on part-time attendance, in combination with alternative provision or home schooling, which was mentioned. Consideration should also be given to how children and young people are integrated back into school after a period of absence, when they are feeling better and, hopefully, more able physically to cope.
A lot was said about NICE guidelines, which are clearly a sensitive topic and a source of much unhappiness among Members and the wider ME community. According to NICE guidelines, recommended treatments for ME include cognitive behavioural therapy and graded exercise therapy. I know that many patients disagree with those treatments, and we heard powerful testimony about that. The NICE guideline is clear that there is no one form of treatment to suit every patient; that the personal needs and preferences of the patient should be taken into account; that doctors should explain that no single strategy will be successful for all patients; and that, in common with all people receiving NHS care, ME patients have the right to refuse or withdraw from any part of their treatment that they do not agree with or they think is doing them harm.
As we heard, the NICE guideline is being updated—a jolly good job, too. NICE will look at the current evidence base, including the PACE trial, which has been debated at length in the House before. Of course, we welcome NICE’s decision to undertake a full review of ME guidelines. Many of the ME charities we have heard about today are registered to take part in the guideline development process, but NICE is the independent expert body responsible for developing robust, evidence-based guidance for the NHS to design services that are in line with the best available evidence, and no one should hide from the evidence. It would be inappropriate and wrong for Ministers to interfere with the process, but I feel sure that NICE will be listening to the debate and taking a keen interest in it.
(6 years, 5 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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As I have said, we will be considering the four-week pilot as part of the Green Paper. We want to see these mental health first-aiders in schools, and as soon as we can give my hon. Friend an exact timetable on the situation Crawley, as well as elsewhere, I am sure that my colleague the Under-Secretary will do so.
Some 75% of mental health problems start before the age of 18, but less than 10% of funding goes to young people. What can the Minister do to prioritise more funding for CAMHS?
As I have said, the overall budget is the money we have promised in the Green Paper, but the hon. Gentleman is absolutely right. The Green Paper has at its heart a focus on prevention and significant support—in early years, through schools and, as the hon. Member for Heywood and Middleton (Liz McInnes) mentioned, through higher education—to prevent issues from snowballing in the first place.
(7 years, 1 month ago)
Commons ChamberI will ask NHS England, but if that is what it has told my hon. Friend, that is what will happen.
14. What plans he has to improve the integration of mental health services for young people and adults.