(5 years, 11 months ago)
Commons ChamberIn this crisis, there are many temptations to find someone other than ourselves to blame, to say “I told you so”, to exploit the situation for personal ambition, or to cry betrayal. We need to resist those temptations. Indeed, we need to act in the national interest. We are on a short 100-day journey to no deal, but there are turnings that we could take off this dangerous road, which would otherwise lead us to doing a Thelma and Louise on 29 March.
I admire the Prime Minister for many things. She and I coped well together as we toured the working men’s clubs of North West Durham in 1992, on our way to being crushed by Baroness Hilary Armstrong. Then, as now, I was impressed by the Prime Minister’s fortitude in the face of certain defeat. The one thing that I do not really admire her for is her attempt to hoodwink the British people into thinking that the only choice that we have in this vote is between a bad deal and no deal. She knows that that is not true, and to keep repeating it is beneath her.
We have six options. None of them is great, but some are better than others. First, we can accept the PM’s deal, which kicks the can down the road and keeps us thinking and talking about Brexit for many years to come.
Does my hon. Friend not agree that no deal is absolutely off the table? It must be off the table.
I totally agree with my hon. Friend. The damage that it would do to our economy would be utterly immense.
If the Prime Minister’s deal is passed, it kicks the can down the road for a number of years, and we carry on talking about Brexit into the foreseeable future. It traps the UK into EU rules, but with no say over what those rules are. It is the absolute opposite, then, of taking back control. Millions of those who voted leave would feel that they had been betrayed. Meanwhile, the Northern Ireland backstop seriously threatens the future of the Union, and every family and every business in this country will be hit by our exit from the single market. If Members think that we should honour the wishes of the British people, they cannot vote for this deal. If they think that we should protect the interests of the British people, they cannot vote for this deal.
Option two, which we have already covered, is that we leave with no deal. The upside of that is that we would—to use the vernacular—take back control. We would not be bound by EU rules or judgments, but the hit to our economy would mean that what sovereignty we would regain from the EU, we would lose immediately to the international financial markets, with all the impact that that would have on my constituents and the constituents of every other Member. There are already 2,200 children living below the poverty line in my community. I will not vote for any course of action that puts even one more child or one more family, let alone thousands more, in poverty. That is why I will vote against no deal.
A third option is that the Prime Minister has the courage of her convictions and puts the deal to the country in a referendum. Let us not kid ourselves: like most referendums, a referendum on the deal—a people’s vote—has the capacity to be divisive. However, I disagree with the right hon. Member for Sevenoaks (Sir Michael Fallon), as I believe that it would be decisive. Whichever option was chosen by the people would come into effect without further debate or delay.
Option four might be an early general election. There are 2,700 hours until Brexit. The country will not forgive us if we waste 1,000 of those hours on a self-indulgent general election. The same applies to option five, which is that the Prime Minister is sacked as the leader of her party. Again, that would be seen as the actions of the self-indulgent, the vain and the personally ambitious—the very antithesis of the national interest.
A sixth option is to withdraw article 50 and to renegotiate. As the right hon. Member for Putney (Justine Greening) said earlier, we leapt from the aircraft when we triggered article 50 without checking whether we had a parachute, and we are now within a few metres of hitting the ground with a great big splat. There is now a miraculous option to get back in the plane. We could withdraw article 50 and allow the Prime Minister to renegotiate a better deal, which she certainly could do if she changed her red lines. She could, for instance, seek membership of the single market, which is not dissimilar to the arrangement that Norway enjoys. The Prime Minister’s decision to rule out the single market was an entirely arbitrary and self-imposed choice made not to reflect the will of the people, but to placate the European Research Group in her own party. It should now be crystal clear to her that those folks are unplacatable, so she should instead seek to find a consensus with people who might be a little more reasonable.
I am a reasonable man. I am no EU flag-waving federalist, no apologist for all that emanates from Brussels, I do not have “Ode to Joy” as my ringtone, I do not know a single word of Esperanto, and, in 2008, I resigned from the Front Bench over the Lisbon treaty, but I have never been more convinced that Britain’s future must lie in Europe and that to leave would be a tragic, tragic mistake. I do not have time to go into all the reasons, but given that the focus of today’s debate is security, let us remember that 11 of the countries in the European Union today were once behind the iron curtain. Six of those countries had nuclear weapons on their soil pointed right at this city. Just as the nations that fought two bloody wars in the 20th century sit together, so do those from either side of the cold war divide. If that was the only reason for staying in the European Union, that would do for me. How short must memory be to cast that away?
I spend a lot more time in Westmorland than I do in Westminster, so last night I listened to my constituents and did my sums to find out how people in my communities think we should vote in this debate. Here are the votes of the Westmorland jury: 3.5% want us to leave with no deal; 10% want us to leave with the Prime Minister’s deal; 17% want us to remain in the EU without a people’s vote; and 68% want a people’s vote.
After taking the time to listen to people’s motives, it is clear to me that many of those who want a people’s vote hold a similar view to me—that referendums are poisonous and dangerous. If we did not see another referendum for the rest of our lives, it would be far too soon. Nevertheless, we cannot let what began with democracy end with a Whitehall-Westminster-Brussels stich-up. If the people voted for our departure, they must also have the right to vote for our destination, and to choose a better destination than the one that the Prime Minister presents to them, if they consider it not to be good enough.
This deal fails all its own internal tests. It would mean that we were run by European rules but without any ability to have a say over them, which would make us poorer, weaker and less safe. It would divide our Union, so it would make us less British. I love my country, so I will reject any deal that harms it. I reject no deal and this bad deal. There are better options; the Prime Minister should take them.
(6 years ago)
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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.