(6 years, 2 months ago)
Commons ChamberI can give my hon. Friend that assurance. He makes an important point. As he will know, the Government will have a comprehensive spending review later this year, and there will be a multi-year capital settlement. Having the right amount of capital to ensure that we do all that is required for our NHS will be a priority.
Some 50% of people living with cancer require radiotherapy treatment, and yet only 5% of the cancer budget is spent on radiotherapy. What that means in real terms is that constituents of mine have to make two, three or four-hour roundtrips to get life-saving daily treatment. Will the Chancellor commit to spending money on radiotherapy provision, to provide satellite units at places such as Westmorland General Hospital?
The hon. Gentleman raises a very important issue. We are absolutely committed to providing the resources necessary for the NHS to provide even better cancer treatment for all our constituents. That is one of the reasons for this record financial settlement. Capital is also necessary, and further capital investment to have better cancer treatment will also be a priority.
(6 years, 5 months ago)
Commons ChamberI will make some progress and then I will give way.
I want to contrast our approach with that of Labour Front Benchers, who have demanded higher borrowing and higher taxes at every Budget and Queen’s Speech for the past 40-odd years. Their tax rises would hit hard-working families, and they will not be clear on that. Their tax avoidance plans contain a £2.5 billion mistake, and that is according to the Institute for Fiscal Studies. Their spending promises would cost far more than they say. Their manifesto contained £1 trillion of spending commitments. For the shadow Chancellor’s benefit, let me say that that is £1,000 billion of spending commitments. They have not costed expensive promises such as renationalisation, and they have made dozens of unfunded promises since the last election. And you know what is even worse than that? The shadow Chancellor has admitted that the huge borrowing plans that he has are just “the first step”—he means the first step back to the road of ruin.
That is exactly what I mean when I talk about levelling up the economy and ensuring that all parts of our great nation are benefiting from the infra- structure revolution.
The Chancellor is being generous in giving way. As taxpayers, the British people collectively bailed out the banks a decade ago, and the banks have repaid taxpayers by closing down branches on every high street and in every village in the country. Just in the past two weeks, we have seen Barclays withdraw from the scheme that underpinned the Post Office, which now does its work for it. Will he stand up to Barclays and demand that it remains part of that Post Office scheme?
I agree with the hon. Gentleman that the banks should think carefully about their responsibilities to all communities, and the Economic Secretary to the Treasury met the chief executive of Barclays just today to discuss that very issue.
(6 years, 5 months ago)
Commons ChamberYou are very kind, Mr Speaker. In his announcement this week, the Chancellor chose not to invest a single penny in the Westmorland General Hospital in Kendal, but will he at least end the Treasury’s 3% deficit tax on our local hospitals trust, which has cost £4 million from hospital spending in the past three years? That is money that should have been spent on a new radiotherapy centre for local cancer patients.
On cancer treatments, I am delighted that survival rates are at the highest they have ever been. On diagnostic treatments, the recent announcement of £200 million to upgrade diagnostic equipment up and down the country will make an enormous difference to early screening and testing. On funding in general, we are in the first year of a record five-year investment in the NHS—£34 billion more promised by this Government.
(6 years, 10 months ago)
Commons ChamberWhile there are only 300 people registered as unemployed in my constituency, there are nearly 2,500 children living below the poverty line, which tells us that living in a workless household is not the principal or only cause of poverty; low wages are also a cause. Will the Chancellor urgently review the living wage, so that it actually becomes a living wage, rather than giving it an inaccurate label intended only to ease the consciences of the comfortable?
The national living wage has gone up to £8.21 an hour. The Government’s aspiration is to allow it to rise to 60% of median earnings. It is important to acknowledge that in 2010 take-home pay was £9,200 after national insurance and tax. For someone working full time on the national living wage, that figure is now £4,500 more, at £13,700.
(6 years, 11 months ago)
Commons ChamberMy right hon. Friend the Chief Secretary has just appeared before the Procedure Committee to address just the issue that my hon. Friend raises.
Given that our social care system is breaking, causing indignity, poverty and hardship to millions of people in their old age, might it be time to consider increasing fair taxes, so that we can live in a civilised society that looks after its most vulnerable people?
As the hon. Gentleman may know, £400 million went into social care just at the last Budget. It is the mission of this Government to get taxes as low as possible so that we have a strong economy. Our record is good: we have about the highest level of employment in this country’s history, more women are in work than at any time in our history, and we have halved unemployment since the mid-1970s. All of that is about creating the wealth and the money to make sure that we can afford the public services that the public expect.
(7 years 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend illustrates a point that I will come on to in my speech. My constituents who are here today feel very strongly about that.
Leonard Cheshire, the UK charity for disabled people, highlights the issues facing many disabled people when trying to access train station platforms. Its research and analysis, based on data provided by the Office of Rail and Road and the National Rail website, shows that more than 40% of railway stations across England do not have step-free access, leaving many disabled people unable to travel by train. Research with more than 1,600 disabled adults shows that 35% of working-age disabled people have experienced problems using trains in the past year as a result of their disability.
Staveley station in my constituency, the first station in the Lake District national park, is accessible only by a 41-step staircase. Does the hon. Gentleman agree that one of the problems is having to bid for access funding to provide ramps and lifts? We expect the operator to make a bid, and the operator, in my case Northern, which has not covered itself in glory in recent times, has been reluctant to do so. We should have a top-down approach where perhaps the Minister helps to deliver solutions to, for example, Staveley’s lack of access, directly.
Having lived in Carlisle for several years, I am also aware of the hon. Gentleman’s constituency and his station. Like my station in Mill Hill, his was constructed at a time when disabled and step-free access was not a top priority. Similarly, Govia Thameslink and Network Rail were not aware of my constituents’ need and desire to have step-free access at Mill Hill Broadway station, so I sympathise with his point of view.
(7 years, 2 months ago)
Commons ChamberWorld-class connectivity is vital to tackling the deficit, but the Treasury’s decision to stop investors in community benefit societies receiving 30% tax relief could undermine the good work of broadband pioneers such as Broadband for the Rural North—B4RN—in Cumbria. Given that B4RN has reached the parts of Cumbria that the Government and BT could not or would not reach, what assessment has the Chancellor made of the effect of that decision, and will he think again about his damaging proposals?
Mr Hammond
I am not familiar with the case to which the hon. Gentleman has referred, but obviously we want to encourage the delivery of high-speed connectivity in all areas, including rural areas. If the hon. Gentleman wishes to write to me with the details, I shall be happy to look at them and respond to him.
(7 years, 3 months ago)
Commons Chamber
Mr Hammond
The answer, of course, is to ensure that we leave the European Union in a way that supports our economy across the United Kingdom. That means a negotiated deal that allows us to have a smooth exit and retain a close trading partnership with our European neighbours in the future.
Some 51,000 shops on the UK’s high streets closed in the past year. Local businesses in even successful places such as Kendal and Windermere struggle because they are forced to pay huge taxes while mega-online retailers get away with paying next to no tax at all. Will the Chancellor give a well-deserved Christmas present to the high street by halving business rates there paid for by taxing internet firms on the basis of their turnover, not just their profits?
Mr Hammond
I am not sure whether the hon. Gentleman was in his place for the Budget, but I did in fact announce a digital services tax based on turnover. I also announced a reduction of one third in the business rates for independent retailers. I am very happy to have a meeting with him and explain the changes in detail.
(7 years, 5 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I thank the hon. Lady for that contribution. We do not really understand eating disorders deeply enough and we need to start a lot earlier. We need facilities for people younger than 17; we need to get into the issue at a much earlier age. It is all about understanding what the problem really is. We are a long way from properly understanding the deep-rooted causes. The more treatment available and the earlier we can intervene, the better.
I congratulate my hon. Friend on securing this important debate. Early intervention is hugely significant. Many eating disorders can be prevented from developing to their full extent with proper preventive care. Is she aware that the Government enable public health bodies in Cumbria to spend only 75p per head for children in the county on preventive treatment? Does she agree that that is a disgrace and that we ought instead to be investing in, for instance, having a mental health worker attached to every single school, to ensure that we prevent people getting to the later stage?
Across the board, and particularly when it comes to public health, prevention is so much better than picking up the pieces afterwards. We can save so much money if we do something early rather than only intervening when somebody is already in crisis. That is particularly true for mental health, and the challenge here is that eating disorders are still not very well understood.
Anybody who has had a close family member in such a situation will understand the hon. Gentleman’s point, but families are often pretty helpless too, if they do not really understand what can be done and how they can help their family member to get out of the problem. It is a form of addiction, and like with any other addiction, family members are co-sufferers. They want to help but do not really understand the deep-seated problems. Family members are important, but we need the professionals and their understanding to help families get through together. The hon. Gentleman is absolutely right that families are incredibly important.
Eating disorders define large periods of people’s lives. How can we shorten that time? We need people to be okay with saying, “I’m not okay.” We need to tackle the stigma around eating disorders, and the message needs to get through to a lot of people. More than 1 million people in the UK have an eating disorder; three quarters are women and one quarter are men. That is a very large number, plus there are the friends and family who suffer with them. So many people with conditions such as anorexia and bulimia blame themselves. It is not their fault and we need to make sure that they know that.
When I announced on Twitter that I was holding this debate, I received a wave of emotional responses and personal stories. Yesterday, a local doctor dropped into my office a book that she had written, which described her fight with eating disorders since the age of 13. That shows how early it can start.
I also got an email from a young woman called Lorna, who experienced serious anorexia while studying in my constituency in Bath. This is what she told me:
“I ended up with an initial diagnosis of anxiety and depression, and was started on antidepressants. I suspended my studies and worked as a carer in my local village, living at home with my mum and brother. People I’d known all my life began commenting on the weight I’d lost, and telling me how good I looked. This is when my anorexia began to take full hold.
I stopped eating completely, lying to my mum and saying I’d eaten at work, began over-exercising compulsively, and remember pacing the corridors at work to burn extra calories. I became obsessed. I weighed myself up to 12 times a day.
My mum was terrified, and didn’t know what to do. Eventually she came with me to my GP and I told him everything. I told him I was petrified of putting on weight, exercising excessively and skipping nearly every meal. His response was ‘Oh, that’ll be your antidepressants.’ He took me off a high dose, there and then. Cold turkey.
Each time...I told him how out of control I felt with my eating. He’d force me onto the scales, shaking and crying, and then tell me my BMI was ‘healthy’ and I didn’t meet the diagnostic criteria. I was devastated. I had opened up and was denied help. I never got diagnosed with anorexia, despite going from a size 16 to a size 8 in less than a year.
I went through the monthly humiliation of being dragged onto scales and told I wasn’t thin enough to be helped yet. And not having that formal diagnosis is hard. When I tell people I was anorexic, they never quite believe me, as even doctors didn’t. I think they always assume I was being dramatic, or ‘it wasn’t that bad then’. Today, I am weight-restored, although struggle with now being overweight.
It took me 3 years to recover. 3 years of misery and obsession. I was dangerously unwell, but not sick enough to get an ounce of support.”
When I read that story, I am amazed by how brave Lorna is. She was brave to ask for treatment and even braver to put her trust into the medical system a second time, even after she did not receive the treatment that she really needed. She was very brave to tell her story. Lorna has gone on to campaign for proper treatment for eating disorders. She is here in the Chamber, and I want to thank her personally for letting me share her story—Lorna, thank you. I am so sorry that you had to go through such an awful experience. I know your words will help others, and I desperately hope that together we can improve the treatment and care of those with eating disorders and end the stigma for good.
We cannot ignore the medical failings in Lorna’s story. We need to use them and the figures that prove that Lorna’s experience is not an isolated case. First, we need to break the stereotype that all people with eating disorders are underweight. Hope Virgo’s campaign to “Dump the Scales” was also a response to being told that she was not thin enough to receive support. She is calling on the Government properly to implement the eating disorder guidance delivered by clinicians, a call that I strongly echo along with over 60,000 signatories to her petition. To judge an eating disorder simply by BMI is not good enough; rather, we need to look at the trend and rapidity of weight loss and the story that sufferers tell.
We know that the Department of Health and Social Care knows this is an issue. We know that if we fail to take action, people not only suffer but, in some cases, lose their lives. When questioned on waiting times, the Minister often says that the Government do have targets, but he ignores the fact—or he does not tell us—that there is none for adult services. On average, adults wait twice as long as people under the age of 19. The Government must do everything to remove barriers to treatment. In particular, young adults are incredibly vulnerable. At our autumn conference, the Lib Dems called for the Government to ensure that all young people can access young people’s mental health services up to the age of 25, because from the age of 18 many young adults move out of home, go into further education or start their first job, all of which can be stressful when they no longer have support from home. We must also introduce waiting times for adults to ensure that they receive help as quickly as possible.
The Minister is likely to mention that in 2015 the Government allocated £30 million of extra resources per year for five years to improve the NHS treatment of eating disorders for teenagers. However, in some cases that is not reaching the frontline, because the funding is not ring-fenced and can be diverted to other priorities.
Leading on from that point, my hon. Friend will be aware that in 2016 the Government pledged money for a specific one-to-one eating disorder service for children and young people under the age of 18. Yet two and a half years on, that service does not exist in Cumbria, and people who present with eating disorders often go through the struggles that she has just talked about, because the people that they see are not specialists.
I will come to that. The lack of proper training is really at the heart of what my hon. Friend describes.
(7 years, 5 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I take the hon. Gentleman’s point and will come to it later. I have heard the voice of the BHA and it has tried to effect change.
According to the petitioners, nearly 200 horses are killed on racecourses each year. Others are taken away injured and die later, but do not appear in any industry figures. Horses are whipped as normal practice. Rule-breaking abuse with the whip runs to more than 500 offences a year, committed by 260 jockeys or more. That alone is a damning indictment of the BHA’s failings, and there are other issues, which I will come to. A point of progress noted by the BHA at our meeting was the fact that it now counts horses that have died off the racetrack.
The BHA has lacked urgency and has failed to take pragmatic steps when horses have been killed. If racing has a bad name in the media, that has been brought on by a failure to acknowledge and act. Let me read just a few headlines that expose the deficiencies: “‘Record’ number of thoroughbreds being slaughtered for meat”, “Jockey banned after…punching horse”, “Three horses die within 30 minutes at Hexham races leading to calls for an inquiry”, “Worcester Racecourse is among worst venues for horse safety”, and “Plumpton described as ‘death trap’…six horses died in just nine days of racing”. Of course, there was also the recent Cheltenham incident. Such headlines are written because of the public interest in animal welfare, which is ever growing—a point that the petition’s signatories have made clear.
The hon. Gentleman is making extremely good points. Many people, including me, think that the BHA has many qualities and many good people, and serves an important role. However, does he agree that the BHA has so many responsibilities, of which animal welfare is only one, that it is very hard for it to exercise that responsibility as well as it might? Put bluntly, the conflict of interest between promoting the sport and protecting animal welfare ought to lead us to conclude that there should be an independent body.