Coronavirus Regulations: Assisted Deaths Abroad

Tonia Antoniazzi Excerpts

Thursday 5th November 2020 Commons Chamber

[Matt Hancock]

Yes, I think this is a really important point, because high-quality palliative care and the question directly of assisted dying that is before the House today are not separate questions. They are intimately tied together and whatever view the House takes on assisted dying—and it is for the House—it is the Government’s intention to support and strengthen palliative care to make sure that we give the very best support for people towards the end of their life.

[Tonia Antoniazzi (Gower) (Lab)]

I welcome the Secretary of State’s clarification today to support people’s choice and their dignity in dying. He has spoken about palliative care at length, and I understand that there is further funding for hospices, but charities, such as cancer charities that support people with those choices, have had to make drastic cuts to their staffing and funding as a result of covid. What conversations has the Secretary of State been having with the Treasury, and what commitment will they make in the November spending review?

[Matt Hancock]

Obviously the hospice sector, which often relies on charity shops in order to fund its services, has had a very difficult year. We therefore have put funding support in and we always keep that under review. I applaud the fact that our hospices are funded both from taxpayers and through a huge amount of philanthropy. It leads to a stronger sector that is rooted in the communities that it serves. Nevertheless, I acknowledge that that has led to some significant challenges this year. We have put more funding in and will, of course, always keep that open to review.

Covid-19 Update

Tonia Antoniazzi Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Tonia Antoniazzi (Gower) (Lab)]

As the chair of the all-party parliamentary group on cancer, I thank the Secretary of State for a recent meeting regarding the Catch Up With Cancer campaign. I, too, pay tribute to those delivering frontline cancer services throughout the pandemic, but the 63% figure that he mentioned does not reflect the totality of the backlog, as the NHS has announced new figures since then. In August, the number of people waiting more than 52 weeks in England continued to surge to more than 110,000—the most in 12 years. The only way that the backlog will go away is through action and resources being deployed to tackle it. What progress has he made to address the need for a boost to cancer services, so that cancer does not become the forgotten “c”?

[Matt Hancock]

The hon. Lady is absolutely right to raise that issue. In my statement, I said that we have managed to reduce the backlog among the longest waiters, those who wait more than 104 days, by more than 63% and among those waiting more than 62 days by 44%. There is further work to do—of course there is—but the NHS has made significant strides on the backlog of people waiting for cancer treatment, and I pay tribute to all the work that it has done.

Oral Answers to Questions

Tonia Antoniazzi Excerpts

Tuesday 6th October 2020 Commons Chamber

[Helen Whately]

The hon. Member makes an important point, as did my hon. Friend the Member for Derbyshire Dales (Miss Dines) a moment ago, about the importance of visiting for those in care homes, and for their relatives and loved ones. We are striking the difficult balance between protecting those in care homes and ensuring that they have visits wherever possible, but these visits must be done safely. I have heard from the sector about the aspiration for some family members to be treated as care workers—for instance, if they visit the care home regularly. As we expand testing, I very much intend that we should test some visitors—and am making the case for doing so—but it is all part of how we expand and use our testing resources.

[Tonia Antoniazzi (Gower) (Lab)]

  If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (Matt Hancock)]

On Friday we confirmed the 40 hospitals we will build by 2030 as part of a package worth £3.7 billion, with a further eight new schemes also invited to bid, all to ensure that we protect the NHS long into the future.

[Tonia Antoniazzi [V]]

All I want from the Secretary of State today is a simple yes or no answer. It has come to light that the Northern Ireland authorities have taken unprecedented action and committed to pay for private prescriptions for medical cannabis for severely ill children. Will he do the right thing and follow the example set in Northern Ireland in supporting other children with intractable epilepsy by paying for their private prescriptions—yes or no?

[Matt Hancock]

The hon. Lady has long been a campaigner on this subject. We have made significant progress in terms of expanding access where it is clinically safe to do so. On this, as on so many things, I will make sure that I constantly follow the clinical evidence.

Covid-19 Update

Tonia Antoniazzi Excerpts

Monday 21st September 2020 Commons Chamber

[Matt Hancock]

Yes, giving 10 tests to all schools across the country has proved very popular, according to the feedback that I have had. I am very glad to hear that that is true in my hon. Friend’s part of the world as well. Of course we will continue that, with the right level of tests being sent out to the right types of schools in the right places, and I will make sure that we take into account rurality as one of those factors.

[Tonia Antoniazzi (Gower) (Lab) [V]]

On Friday afternoon, the Department for Work and Pensions informed Jobcentre staff that, from today, they have to reintroduce face-to-face 10 minute work search interviews with customers. So, Secretary of State, in the light of the rising number of cases and with everyone meant to be playing their part, is this really a sensible approach to be taking?

[Matt Hancock]

One of the good things about where we are now compared with where we were in March is that, in many areas, we are better prepared. We are better prepared in the NHS. We are better prepared in social care with the winter plan that we put out last week, and many employers and services, such as jobcentres, have been able to develop covid-secure approaches, which means that they can get on with the things that they need to do. The specifics of the question, of course, are for my right hon. Friend the Work and Pensions Secretary, but the principle of how we, as a society, manage to do more things while keeping ourselves covid secure is one that, thankfully, we have been able to develop over the past six months.

Covid-19 Update

Tonia Antoniazzi Excerpts

Tuesday 8th September 2020 Commons Chamber

[Matt Hancock]

Yes, and people will be hearing far, far more about hands, face, space. It is really simple: wash your hands, wear a face covering when you need to and keep that social distance. That is the responsibility of everybody to help us control this virus.

[Tonia Antoniazzi (Gower) (Lab) [V]]

The Secretary of State has had four months to respond to a letter I sent as the chair of the all-party parliamentary group on cancer, requesting a national cancer recovery plan. Of course I recognise the extreme strain that covid-19 has put on the NHS and his Department, but people living with cancer—diagnosed and yet to be diagnosed—have been left in limbo. When will the Secretary of State respond to my letter, and when will he make public his Government’s national cancer recovery plan?

[Matt Hancock]

I will respond right away. I am very glad that the hon. Lady has raised this issue. It is something that I have been doing a huge amount of work on, along with the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill). We have been working on it intensively and, as I say, the backlog has come down by about half, but clearly there is much more to do.

Coronavirus Response

Tonia Antoniazzi Excerpts

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

We are undertaking that research into immunology. It is incredibly important for people, like me, who have had the disease to know the likelihood of getting it again and of transmitting it again. Both are very important for obvious reasons—one for personal health; the other for public health—but it is not just about the antibody response; is also about the T-cell response. Both of those are different parts of the immune system responding. We are making progress in our understanding of that, but not yet enough to be able to recommend that people who have had the disease, or have antibodies, act in any different way from the rest of the community.

[Tonia Antoniazzi (Gower) (Lab)]

On 26 June, there was letter to the Secretary of State from the co-chairs of the all-party parliamentary group on access to medical cannabis under prescription about the desperate plight of epileptic children due to covid. On 9 June, there was an urgent email to the Under-Secretary of State following a meeting at the suggestion of the Secretary of State in this House on 2 June. On 22 May, there was a joint letter from eight cross-party chairs of cancer APPGs about an urgent need for a covid national cancer recovery plan. I have received no replies to any of that correspondence. Does the Secretary of State just not like me, or does that point to a bigger issue with his Department?

[Matt Hancock]

We have spoken about that in this House. It is absolutely true that during the peak of the crisis the Department was working incredibly hard and absolutely flat out, and we are now working hard to catch up on our correspondence.

Health and Social Care Workers: Recognition and Reward

Tonia Antoniazzi Excerpts

Thursday 25th June 2020 Commons Chamber

[Catherine McKinnell (Newcastle upon Tyne North) (Lab)]

I beg to move,

That this House has considered e-petitions relating to the recognition and reward of health and social care workers.

The Petitions Committee is delighted to have been allocated this business time today. On behalf of more than 4.6 million people from across the country who have signed petitions relating to this pandemic and other issues, let me say that we hope this is now the first of many debates we will be able to have, as 29 petitions are waiting to be debated and more are heading toward the 100,000 signature threshold—the petitioners’ concerns must be heard.

I am honoured to be leading this debate today on recognising and rewarding our health and social care workers. Indeed, the first ever e-petition debate in Parliament was on contracts and conditions for NHS staff, back in September 2015. I also believe we could hold this debate 10 times over, to recognise the contribution of so many during what has been an incredibly challenging time for our country. I am thinking of those who have kept our public services going—those in the police, the fire service, local government and other government departments, who have been working tirelessly to ensure that the support that is needed gets to households and businesses—and those who have been working in our shops, ensuring that we can all get essential supplies. There are so many people to recognise and thank for their service.

It is absolutely right that every week for 10 weeks, we came together especially, as a country, on a Thursday evening at 8 o’clock to recognise and clap for our carers. It was incredibly moving every time. Taking a moment to stop and reflect on the lives lost to covid-19, but also on those many lives saved through the tremendous skill, care and sacrifice of health and social care workers right across our country, we must never forget a frontline on which more than 331 NHS and care workers across the UK died as a result of covid-19. Indeed, it is concerning that we do not know exactly how many health and care workers have sadly lost their lives, because the Government are not producing consistent figures. That is one of the things that I ask the Minister to update the House on in her response.

Yet, as so many people have contacted me to say, those same people have been saving lives and caring for us day after day, long before this horrendous virus presented itself. It is absolutely right that we should clap and thank them for their extraordinary service during this period, but we must also recognise that a clap and a thank you is not enough. It was not enough before this pandemic, and it certainly is not enough now.

[Tonia Antoniazzi (Gower) (Lab)]

Will my hon. Friend join me in commending the Welsh Labour Government who recognised the efforts of care workers in Wales during covid by paying them £500 more? Many people could benefit from that. Will she also join me in calling for the Government not to make them pay tax on that £500?

Covid-19 Response

Tonia Antoniazzi Excerpts

Tuesday 2nd June 2020 Commons Chamber

[Matt Hancock]

We have learned a lot about this virus over the past three or four months. We have learnt, for instance, that asymptomatic transmission is a very significant problem and a challenge, but one of the things that we have learned on the other side of the ledger is that transmission outside is much lower than indoors. It is not risk free, but it is much lower, and that means that we are able to do things like recommend that being on the beach is one of the lower-risk activities—but that people should still keep 2 metres apart, because that is what the guidelines say is safe.

I am delighted that the beautiful beaches of North Devon are once again providing pleasure to local families so that they can really enjoy the weather.

[Tonia Antoniazzi (Gower) (Lab)]

Secretary of State, Teagan Appleby has been in intensive care twice in the past 10 weeks because her family were unable to pay for the medical cannabis that they need to keep her alive.

The families of these epileptic children have been put on the back burner by Brexit, a general election and now covid. The sums of money we are talking about are tantamount to what the right hon. Gentleman’s Department spends on paper clips. Will the Secretary of State make a call to NHS England immediately and right this wrong?

[Matt Hancock]

As the hon. Lady knows, I have put significant effort into trying to resolve this matter. We have made some progress. I am sorry to hear about the conditions that she describes, and I will ask my hon. Friend the Minister for Health to take this forward immediately after this statement.

Nursing Workforce Shortage: England

Tonia Antoniazzi Excerpts

Tuesday 3rd March 2020 Westminster Hall

[Tonia Antoniazzi (Gower) (Lab)]

I congratulate my hon. Friend the Member for Bedford (Mohammad Yasin) on securing this excellent and timely debate.

I speak today as the newly elected chair of the all-party parliamentary group on cancer. Currently, there are 3 million people in the UK living with cancer, and that number is set to rise to 4 million by 2030. In a survey conducted by Macmillan Cancer Support, more than two thirds of cancer patients said that they are not getting the support they need from the NHS in England, and that is because the NHS is buckling under increased workforce pressure.

The healthcare system is facing a staffing crisis that is crippling frontline services and affecting the care that patients receive. There are more than 40,000 nursing vacancies in the NHS workforce, and Government figures show that waiting times for cancer treatment and diagnosis are at record high levels.

Every day across England, NHS professionals work tirelessly to give people living with cancer as full a life as they can. They are stretching themselves and working harder every day to meet rising demand, but the harsh truth is that there simply are not enough professionals with the right skills to meet the needs of the growing cancer population. That is why I support Macmillan’s “Save our support” campaign. I was delighted to attend its parliamentary reception in January, along with nearly 140 parliamentarians who came to speak to frontline healthcare professionals and people with lived experience of cancer.

The NHS played a key role in the general election debate. Although the pledges on nursing numbers in the Tory party manifesto were welcome, it is imperative that we see the full NHS people plan for England published so that we can see how the Government intend to deliver on their commitment to grow and support the NHS workforce. Overall, we need a Government that get their numbers right and deliver on their promises.

I have concerns that the interim NHS people plan published last year contained no specific actions for cancer services. Without a clear plan for cancer, the NHS will not be able to cope with the demand caused by the rising numbers of people living with it. There are concerns that the NHS people plan will not be as ambitious and will not have the committed funding made available to ensure that it delivers for the 4 million people likely to be living with cancer by 2030.

According to a recent Health Service Journal, 20 of the UK’s largest cancer charities recently wrote to the Secretary of State to raise their strong concerns that the NHS people plan falls far short of what is needed to support the welcome ambitions within the NHS long-term plan on cancer survival and care across England. Will the Minister please confirm when the NHS people plan will be published, and will she provide assurances that the Government will provide the necessary funding and resources to ensure that it can meet its ambitious targets on cancer?

The Government’s target to have an additional 50,000 nurses in the NHS relies heavily on increasing staff retention. Macmillan Cancer Support published a report last year, “Voices from the frontline”, which underlines the important role that continuing professional development can play in supporting and retaining staff. The report reflects the views of lead cancer nurses from across England, focusing on the challenges that they and specialist cancer nurses face in accessing CPD opportunities and the impact of that on cancer care. Some 44% of lead nurses felt that their workload negatively affects the quality of care that they can give to cancer patients; 39% said that their current workload is unmanageable; and 44% say that the strain negatively affects their morale.

Macmillan professionals said that they had faced three main barriers to accessing CPD: a lack of protected time, funding, and locally available courses. Only a third of the specialist cancer nurses surveyed had protected study time to access and attend CPD training. A quarter of survey respondents reported that the availability of CPD training has worsened over the past two years.

Cancer clinical nurse specialists report that CPD is essential to the delivery of high-quality personalised care for people living with cancer. More than three quarters of respondents to the Macmillan survey were clear that having more time for CPD would help them improve care for people living with cancer. To address that, the Government should immediately return the CPD budget to at least £205 million, the level it peaked at in 2015-16 before budgets were cut, and not by 2024, which is the Government’s current plan. To ensure that the NHS has the well-trained and motivated cancer workforce it needs, will the Minister therefore please provide reassurances that the Government will return the CPD budget to at least £205 million to support the NHS people plan?

It would be remiss of me to stand here as a Welsh MP and not mention that the budget challenges we have spoken about are, as the hon. Member for Strangford (Jim Shannon) has highlighted, pan-UK issues. I understand how health services are devolved and that the challenges are ones we deal with every day, but we are losing experienced nurses quicker than we recruit them. We are on the edge of a full-blown crisis. I am very happy to stand here and say that the Welsh Government have an ambitious NHS workforce plan to train and recruit, and they have kept the nursing bursary. We need a positive action plan that will move quickly. In Wales we are moving quicker than the UK Government, so what are the UK Government doing?

As a former teacher I know what it is like to inspire young people to go into the teaching or nursing profession. What are the Government’s commitments? We need to work with our young people. Once they start on their journey into a profession, we need to highlight the benefits of working in the healthcare system. It could be a 12-year journey to become a senior nurse. By that time it is a little too late, because we have not trained them up in time to deal with the current crisis. What are the UK Government’s plans to recruit from overseas? We need to deal with that.

Lastly, it is important to dispel the myth around the funding that has been made available to the NHS in England. The NHS Funding Bill, which recently passed through both Houses, does not represent new money. It was first announced by the right hon. Member for Maidenhead (Mrs May) in June 2018 and does not cover the budgets for Health Education England, which include education and training for the extra nurses that the NHS in England desperately needs.

As part of the Budget next week and the comprehensive spending review later this year, it is crucial that the Chancellor supports people living with cancer across the country and ensures that the NHS people plan and Health Education England get the funding that they need to deliver the ambitious cancer care targets in the NHS people plan.

--- Later in debate ---

[Helen Whately]

I have not seen a database. The hon. Member refers to the coronavirus plans, which are very much on my mind as we talk about the immediate and longer-term plans to increase the number of nurses in the NHS. Clearly, we also have the short-term challenge of ensuring that the staff are there, and that work is absolutely in hand. Returners are an important part of it and we need to ensure that we make use of nurses who have already been trained, to boost the NHS workforce. All in all, we want to ensure that the NHS is a great place to work for nurses who return to it and for those working in it right now. The absolute foundation for ensuring that we no longer have nursing shortages is to look after the nurses that we currently have. On that foundation, we can seek to recruit and train new nurses.

[Tonia Antoniazzi]

I welcome the Minister to her place. As the chair of the all-party parliamentary group on cancer, I would like to take this opportunity to ask her to come to speak to us about the NHS people plan, if possible.

[Helen Whately]

I thank the hon. Member for her invitation. As I am new to the job, I am trying to ensure that I speak to as many stakeholders as possible. I would be delighted to talk to APPGs such as the one she chairs, as and when I can.

I turn now to the ambition to increase the number of nurses that we train. The latest UCAS stats show that there have been nearly 36,000 applications to study nursing and midwifery courses at English universities this year, which is about 2,000 more than last year. The new students will benefit from the new £5,000-a-year maintenance grant, an extra £1,000 if they study specialist subjects such as learning disability and mental health nursing—where we have shortages—and a further £1,000 if they study in areas struggling to recruit. There is also further funding available to support childcare costs, and that financial support is in addition to the learning support fund, which provides help with travel costs for placements, childcare and exceptional cases of hardship. That is all in addition to being able to apply for a student loan. Unlike other courses, students applying to nursing, midwifery and many allied healthcare professional courses as a second degree will also qualify for the maintenance grant and for student loans.

I set out the financial support we are offering because I recognise that, as the hon. Member for Bedford has said, it can be hard to afford to study nursing, particularly for mature students. We really want more nursing students. Last year, 23,630 people accepted a place to study nursing or midwifery in England. This year, I want to see more. As I have said, there has already been an increase in applicants, but it is not too late for anyone who has yet to apply. UCAS is accepting late applications up to 30 June, and from 6 July people can apply for a course through clearing.

My message goes out to anyone watching this debate who thinks that nursing is for them: please, get applying. If someone wants to become a nurse, we want to help them—no matter who they are or what their background is. However, we know that university is not the route for everyone, so there are other ways to become a nurse. For instance, the Government have developed the apprenticeship pathway, so people can go from being a healthcare support worker to being a nursing associate, and then to being a nurse. If they want, they can then move on to postgraduate advanced clinical practice and nursing. At present there are nearly 2,000 nurse degree apprentices. Although nursing associates are doing a really important job in their own right, they can become registered nurses via a shortened nursing degree.

The things I have just set out are all about increasing our home-grown nurse force, which is absolutely vital step in ensuring that this country has a sustainable nursing workforce. I am fully aware, however, that we will also need to recruit internationally in order to achieve the ambition of 50,000 new nurses. We cannot do that from the home-grown workforce alone. Many of us, including patients and their families, have good reasons to be grateful to nurses who have come from all over the world to work in our NHS. I am grateful to them.

As we look ahead to including international recruitment as a way to boost our nursing workforce, we do so mindful of the ethics of recruiting from elsewhere. We want to ensure that it works not just for us but for the countries that our nurses come from. We are determined to build bridges with health systems across the world, to share NHS expertise and provide staff who come to work in the NHS with a chance to learn from our health system, just as we benefit from their skills.

The hon. Member for Bedford asked how we plan to increase the nursing numbers by 50,000. In essence, the plan is to improve retention, to support returners to the workforce, to boost our home-grown numbers, and to complement that with international recruitment. In response to questions about when we will publish the NHS people plan, that will be done within the next few months. I have also been asked who is responsible for the workforce. I take the responsibility for workforce in my brief very seriously. I feel very strongly that, from day to day, the biggest determinant of the experience of any nurse or member of the NHS workforce is their employer. NHS employers are responsible for their workforce, and I am keen to see every single trust and NHS organisation investing in and supporting and valuing their staff. As I said at the beginning of my speech, the NHS is only as good as its people. They are great, and we must look after them.

I thank all hon. Members for their contributions. This has been an important discussion and some good points have been raised. The mere fact that we are having this conversation demonstrates the importance of nurses to us all and to our health system. Some hon. Members talked about a crisis in our NHS and in nursing, but we have to be careful in getting the right balance in the language we use. Yes, we know that it is tough on the frontline, but we also know that nurses and NHS staff more broadly talk about how very rewarding they find their day-to-day work, and about what a wonderful job it is. I have spoken to nurses who tell me that they would never want to do any other job, so it might be helpful to get the right balance.

The hon. Member for Gower (Tonia Antoniazzi) says that her experience as a teacher means that she knows how to inspire. I call on her and everyone else to follow that guidance, as we need to ensure that everybody knows that working in the NHS is a great career. The NHS is a great place to work. Let us not talk it down. Let us make sure that we spend time talking it up.

[Tonia Antoniazzi]

I appreciate the Minister’s comments. I would never talk down a profession that we need and depend on so much. The nurses I have come across, whether from throughout the UK or from overseas, have been absolutely wonderful. We are being positive and want to retain people, and this issue is important to us. Does the Minister agree that this is not just about our healthcare, but about our teachers and public services? We also have a commitment to our consultants, who have a lot of issues and are always overworking to ensure that frontline services continue. Their dedication is absolutely brilliant and we appreciate it.

[Helen Whately]

I thank the hon. Member for her comments. We can absolutely agree how much we value everyone who works in our public services and with the NHS, including consultants, junior doctors, nurses, nursing associates, healthcare assistants and allied healthcare professionals, as well as every single porter, administrator and member of the management team. I am sure that I have left out some individual roles—healthcare scientists, for example—for which I apologise. The whole NHS workforce has my appreciation.

The National Health Service

Tonia Antoniazzi Excerpts

Wednesday 23rd October 2019 Commons Chamber

[Tonia Antoniazzi (Gower) (Lab)]

It is an honour to follow my hon. Friend the Member for Reading East (Matt Rodda). I have listened to much of the debate, and it is clear that the NHS is a treasured institution under threat from a hard Tory Brexit, and that having a Labour Government is the only way to secure its future and keep it wholly in public hands.

Today I want to speak about a specific issue that I have been involved with since I was elected in 2017, when I was approached by families in my constituency about getting access to medical cannabis—a medicine that could change the lives of children living with intractable epilepsy. I really could not understand what the problem was until I spoke to my late friend Paul Flynn, who had done a lot of work on this issue, and he explained how it has been an uphill struggle.

[Jonathan Ashworth]

It was remiss of me earlier in the debate not to pay tribute to the leadership my hon. Friend has shown on this campaign, as well as the right hon. Member for Hemel Hempstead (Sir Mike Penning). She brought a group of campaigners to see me earlier in the year. I put on record our thanks for the tremendous work she has put into the campaign.

[Tonia Antoniazzi]

I thank my hon. Friend; I look forward to keeping on working with him.

It has been an uphill struggle. While thousands of people across the world have access to medicinal cannabis, the law was preventing patients in the UK from accessing it.

We have worked with the amazing families of the End Our Pain campaign, spearheaded by the amazing Hannah Deacon, who is mum to Alfie Dingley. Hannah’s campaigning meant that she got a special licence for Alfie to continue to use the cannabis that had transformed his life in the Netherlands. Then Sophia Gibson and Billy Caldwell were given prescriptions for medical cannabis. The highlight came last year, on 1 November, when there was a change in the law to reclassify cannabis so that it was available for medical use.

At the time, we thought that would mean that the children who were suffering would be able to have cannabis prescribed by specialist consultants. It turned out that that was not the case, so many other children were not given access to this life-changing medicine. Children from all over the UK continue to suffer because the Government are dragging their feet. The medicine is proven to work for many types of sufferers, but children are still being pumped full of steroids and unlicensed drugs that leave them severely impaired. The effect on the families has been terrible—on the children, the siblings and the parents. It is just not fair.

No one claims that this is a miracle drug. It is not a cure for epilepsy, but it does make a huge difference to the quality of children’s lives. Everyone has a right to live their best life.

I have worked closely with the parents of Bailey Williams from Cardiff, Rachel and Craig. I have seen at first hand the difference that this medicine has made to their son. When I called at their house one evening, Bailey got out of the chair, picked up a bunch of flowers and brought them to me. I actually cried to see a child who previously could not get out of bed get up out of a chair and give me a gift of thanks.

A lot of other children have the same story. Alfie has been riding a bike and a horse—something that would never have happened when he was on his previous drugs. The problem is that Alfie is getting to a point where the efficacy of this type of medicinal cannabis is dulling. As with all long-term medication, he needs a review and to be put on a new strain. However, the strict restrictions mean that even Alfie will not be able to access a new strain. As his tolerance to his medication builds, he is beginning to have more seizures. What next for Alfie? What will the Secretary of State do?

As we approach the anniversary of the law change, I want to reflect on what has happened to the lives of the families I have worked with, as co-chair of the all-party group on medical cannabis under prescription along with the right hon. Member for Hemel Hempstead (Sir Mike Penning). At the End Our Pain campaign event on 19 March, the Secretary of State told the families that he would make sure they got the medicine they needed. However, more than six months on from that promise and nearly a year on from the law change, not one new NHS prescription has been made, not one child has benefited from medical cannabis, and not one family have been able to move on with their lives.

[Sir Mike Penning]

Will the hon. Lady give way?

[Tonia Antoniazzi]

I will give way, but I will not take the extra time.

[Sir Mike Penning]

This issue shows the House how people from different parties, with very diverse views on politics, can work together for the good of children. There are children who are getting medical cannabis on prescription, but their parents or grandparents are paying for it. The NHS is free at the point of delivery. Surely that is how it should be.

[Tonia Antoniazzi]

I absolutely agree with the right hon. Gentleman.

I made a personal choice to go to the Netherlands with some of the parents to pick up the cannabis they need for their children—parents such as Emma Appleby who has a prescription for her daughter, Teagan, that costs thousands of pounds. She can afford to fly to the Netherlands to get the prescription because it costs less over there. The Government have created a two-tier system. Parents are forced to fundraise for medicines. One mother has put her house up for sale to pay for the next round of drugs. These families have run out of time, run out of money and run out of patience. All 20 families will go on hunger strike because they are at the end of the line.

I will move on swiftly. On 19 September, six months after the Secretary of State had made his promises, the families were continuing to fight for their kids. They took a bill to the Secretary of State showing the money they had spent on their private prescriptions, and they have delivered letters to the Prime Minister begging him to do something, but they have been ignored. They have not had a response, and that is absolutely disgraceful.

These families are being pushed to the end of their tether, and I honestly believe that it is time for the Secretary of State either to consider his position or to get this sorted. As a mother, if I was faced with this inaction, I would be fighting and fighting to get these life-saving drugs from the NHS—for free. I would be doing everything I could, and that is why I will continue to do everything I can to help these children who are needlessly suffering. I will raise this at every opportunity, and I will not stop until we have the good news that we need.