Paris 2024 Olympics: Team GB Legacy

Debate between Tonia Antoniazzi and Jim Shannon

Tuesday 3rd September 2024 Westminster Hall

[Tonia Antoniazzi (Gower) (Lab)]

I beg to move,

That this House has considered the legacy of Team GB’s performance at the Paris 2024 Olympics.

What a summer of sport we have been treated to! The Olympics, sadly, only come around every four years, but they leave us with enough to talk about until the next. Paris 2024 is no exception: a total of 327 Team GB athletes went to the games, winning 14 golds, 22 silvers and 29 bronzes, so Team GB secured 65 medals at Paris from 131 athletes over 18 different sports. Paris 2024 also saw Team GB’s 1,000th Olympic sporting medal: silver in the men’s cycling team pursuit.

The Olympics, however, are about more than medals. The spirit of the games is in every athlete who made it there and in everyone, like me, who was watching them on television. Behind the numbers, there are many stories to be told—stories of believing in oneself, overcoming adversity and working hard to achieve goals. We said an emotional farewell to Sir Andy Murray in his final tournament. We had Andy McDonald, aged 55, competing in the men’s park skateboarding. We watched Katarina Johnson-Thompson finally win an Olympic medal at her fourth games.

Such stories are reflected in everyday life. Most of us will not compete in the Olympics—present company included—but many of us need to persevere, believe in ourselves and work hard to achieve what we want. The success and stories of Team GB are to be celebrated but, for me, it is what happens next that I want to discuss more. Members might know that sport is one of my personal passions, and I feel strongly about getting people more involved in sport, whether competitively or just for pleasure.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady on securing this debate. Every one of us takes joy in sporting achievement and memories of it. Does she agree that homecoming events, such as that at Newtownards for GB gold-winner Jack McMillan and gold-medal pommel-horse winner Rhys McClenaghan—both from my constituency—are truly inspirational for children? The real legacy must be change in the mindset of our children, so that they understand that hard work and the drive to push on after failure can make the moment golden. We can reinforce that with additional funding for sports clubs for our children.

[Tonia Antoniazzi]

I totally agree. It is lovely that the hon. Gentleman has had the opportunity to celebrate those Northern Irish athletes at their homecoming. That is really magic and I look forward to the homecoming that the Paralympians will have as well. It is important that we have that funding. How do we find the next Kate Shortman and Izzy Thorpe? They are our first ever artistic swimming medallists, who trained in their local community pool. “Legacy” is a word that is thrown around an awful lot, and we are very familiar with its use around the Olympics. Legacy was a huge part of London 2012: a pledge to get 2 million people involved in sport and physical activity was at the heart of the bid. However, it is not enough to rely on major sporting events to drive up participation at the grassroots level. The sporting benefit promised by the London 2012 organisers sadly has not been fully realised. In 2022, a decade on from the games, only 13% of leaders across the sports sector agreed that the London 2012 Olympics had delivered the legacy promise—that was in a survey from the Sports Think Tank.

The biggest legacy failures were identified in the delivery of a sporting and physically active nation, and in inspiring a generation of young people to create a sporting habit for life. That is where I have an ask for the Minister. I have the passion and drive to work with the Minister and her Department in the new Government to make sport and activity something that we continue to do, from the time we can toddle around until we toddle off. I genuinely believe that that is what we need to do.

According to ukactive, 25.7% of people—11.9 million—in the UK still engage in less than 30 minutes of exercise a week. If we are going to create a legacy for future generations following on from the elite sporting events we saw this summer, we need a strategy and, importantly, we need infrastructure.

--- Later in debate ---

[Adam Jogee (Newcastle-under-Lyme) (Lab)]

Jim wants to play.

[Jim Shannon]

I’m too old to play.

[Tonia Antoniazzi]

Jim, I’ll drop you a text.

I had not picked up a tennis racket since I was a child, and the only reason I played tennis as a child was that it was the nearest place I could go to play sport. I could not play rugby or cricket, but the opportunity was there for me to play tennis—perhaps my parents wanted to get rid of me on a Saturday morning for 50p. Those opportunities are here now, and being active is key, whatever someone’s size or ability. It makes me come to work really happy every day. It is all about picking up a sport and having a community and sense of belonging through team sports—as well as making lifelong friendships and cross-party friendships, which we know in this House are very important.

I have spoken about my rugby career, and I still pick up my boots, gumshield and put my shorts on for the Wooden Spoon Welsh women’s veterans team and for the Commons and Lords rugby team, which plays an important part in the lives of parliamentarians, who do not often have the chance to be active. That is why it is still important to me at the ripe old age of nearly 53.

Sport England’s “Moving Communities” report found that 7 million participants at 563 leisure facilities in England in 2023-24 generated £891 million in wider social value, the most significant contribution being from the higher wellbeing derived by participants from engaging in sport and physical activity. The average total social value per participant is estimated to be £119 in 2023-24. There are other positives examples to learn from. The FA launched the Inspiring Positive Change strategy in 2020 to create a sustainable future for girls and women’s football in England. When the Lionesses won the Euros in 2022, 41% of secondary schools in England offered football to girls in PE lessons. It should be 100%, but that is brilliant. After the team campaigned tirelessly, the previous Government committed to equal access to all sports in schools, and by the end of 2023, 75% of schools had met this target, a year before the FA’s own target.

Inspiring Positive Change was a multi-layered scheme that covered grassroots through to professional football. It focused not only on the game but on wider structures such as coaching and refereeing. If a child in school feels that they love a sport, then they should have that opportunity . If they are not at the top, they feel that they cannot compete, but it is really important that they are part of the game. If we do not have coaches and referees, we are not on the pitch playing, so those people play an integral role. Getting children to understand that is the part of the process that we have to push forward. As a great example of how we can utilise good results to improve uptake while not relying on them, the structures were already in place when the Lionesses took the trophy, which is wonderful.

I prefer a different-shaped ball, which I have already spoken about, and 2025 sees the women’s rugby world cup hosted in England. I hope that being able to see that, and believe it, will help women and girls across the United Kingdom to see that they can pull on the jersey for their country and represent themselves.

Getting people more active is, as I have impressed on everybody, not something that one Department can fix, because the reasons why people do not participate are so varied. Furthermore, there are metaphorical hurdles in the way even when people want to take part. Facilities may be too far away, too expensive or in too poor a condition. Over the past few years we will all have seen in our constituencies rising energy prices, which have led to so many leisure centres and swimming pools either closing or changing their opening hours.

We are seeing a lack of uptake in sports, and if we are serious about getting people moving, Departments across Westminster need to engage. This involves the Department of Health and Social Care, the Ministry of Housing, Communities and Local Government, the Treasury—the list goes on. We also need to work with devolved Governments, local authorities and community leaders, so will the Minister commit to a cross-Government approach to increasing participation in sport and physical activity and ensuring that, after Los Angeles 2028, we are in a much better place to discuss legacy?

I could talk all day—everybody knows that—but I want to end here and highlight the fact that 18 September is National Fitness Day. It is a great opportunity to grab the excitement from this summer and push it into long-term investment in sport and physical activity.

Commercial Sexual Exploitation

Debate between Tonia Antoniazzi and Jim Shannon

Tuesday 23rd July 2024 Commons Chamber

[Tonia Antoniazzi]

I thank my hon. Friend for her intervention. I know that the Minister is listening and will likely agree with her, as I do.

Multimillion-pound pimping websites have been allowed to operate freely. Men who drive demand for sex trafficking by paying for sex have been left to abuse with impunity, while the most popular pornography websites in the country have been free to peddle videos of rape and sexual abuse.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for bringing this debate forward. She was active on this subject when she was on the Opposition Benches, and I commend her for that. To be fair, so was the Minister in her place tonight, so I am quite sure that, whatever we ask for, the Minister will respond in a very positive fashion, and I am glad about that.

Does the hon. Lady not agree that we must be at pains to ensure that the open border between Northern Ireland and the Republic is not used as a trafficking channel? Would she join me in asking the Secretary of State for Northern Ireland to meet the relevant Republic of Ireland Minister to discuss and agree how we can collectively ensure that this is not a back door to abuse and misuse?

Service Personnel and Veterans: Rehabilitation

Debate between Tonia Antoniazzi and Jim Shannon

Tuesday 22nd November 2022 Commons Chamber

[Tonia Antoniazzi (Gower) (Lab)]

I welcome the opportunity to discuss in this House the rehabilitation of injured and sick service personnel and veterans. The people of our constituencies and of this country send us to this Chamber to represent them, but all too often what we discuss on these Benches seems a million miles away from the realities of those we seek to serve. We talk about the overview of massive nationwide schemes and about budgets in the tens of millions. We find ourselves talking about people as statistics—the percentage who need x, the numbers who have used y. It is only right that we talk about the big picture and the huge issues that this country faces, but I would like to use this opportunity to talk about some of the people we seek to serve: those who have served us and their country.

It is particularly poignant to speak in this House about the rehabilitation of veterans and service personnel in the week following Remembrance Sunday, when Members across the House attended services in honour of those who have given their lives in service. It is important that we all recognise that remembrance is not simply about familiar symbols and services over a few days in November, but about remembering those we have lost, honouring them by doing what we can to support the living, and recognising the reality of their lives.

Last year, I was honoured to be invited to join the armed forces parliamentary scheme. The scheme aims to give Members of Parliament like me, with no experience of serving in the armed forces, an insight into military life. I had zero insight into that world until I took part in the scheme with the Royal Navy and with Royal Marine commandos. Along with some unforgettable experiences, I had the chance to meet service personnel from all walks of life, hear from them about their experiences, see them training and see them in the field. I actually bumped into ex-pupils from the last 20 years of my teaching career, which was quite the occasion.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for securing the debate; I spoke to her beforehand. I fully support what she is saying and what she means. A charity in my constituency called Beyond the Battlefield offers rehabilitation for service personnel and veterans and ensures that their wellbeing is taken into consideration. As well as rehab, it offers incredible mental health support and temporary shelter while veterans get back on their feet.

In Northern Ireland, housing priority has not yet been extended to service personnel, so they are often left in housing need if they become ill or injured. Does the hon. Lady agree that a more in-depth discussion is needed to ensure that veterans are protected through priority housing if they become ill or injured while in service or out of service?

[Tonia Antoniazzi]

It is really important that we continue to have the conversation about housing needs, particularly in Northern Ireland, as the hon. Gentleman knows. I would like to continue to have that conversation with him outside the Chamber in my role as shadow Minister for Northern Ireland. I thank him for his intervention.

One thing that struck me about my experience in the armed forces parliamentary scheme was that there is no standard military job. The diversity of experiences and skills, and of people, was striking.

Medical Cannabis (Access) Bill

Debate between Tonia Antoniazzi and Jim Shannon

Friday 10th December 2021 Commons Chamber

[Tonia Antoniazzi (Gower) (Lab)]

I rise to support the Bill. I am very proud of the work that my hon. Friend the Member for Manchester, Withington (Jeff Smith) has done to break the barrier that is there. I commend the hon. Member for Dover (Mrs Elphicke); I know Emma Appleby and Teagan very well, and I listened with joy to the hon. Member’s words, which show her great understanding of the situation that Emma finds herself in for her child to survive. She is one of many parents we work with. As co-chair of the all-party parliamentary group for access to medical cannabis under prescription— with the hon. Member for South Leicestershire (Alberto Costa)—I am very proud of our work, particularly with the hon. Member’s predecessor, the right hon. Member for Hemel Hempstead (Sir Mike Penning).

This has been a journey. I have been in this House for nearly four and a half years, which is not a long time—I am quite a youngster by many standards—but I remember standing at the doors on a Friday, overhearing the conversations of peers from across the House. Basically, they were laughing at a Bill introduced by my late hon. Friend the Member for Newport West, Paul Flynn. It really did break my heart, because Paul worked tirelessly to break that barrier and get medicinal cannabis legalised. Soon after he passed away, we had a breakthrough thanks to the campaigning of the right hon. Member for Hemel Hempstead, the End Our Pain organisation and the tireless work of Hannah Deacon and Peter Carroll. Those people must be remembered in this House, along with the many, many parents and people working alongside them, as well as the hon. Member for Reigate (Crispin Blunt). Many people are fighting for the cause.

We are in a ridiculous situation, and I am very emotional. My hon. Friend the Member for Middlesbrough (Andy McDonald) has spelled out what it is like to be a parent and have that loss. I cannot even bring myself to imagine it. It does not matter whether you are a parent or not; to see these children is heartbreaking. It is four and a half years since I stood here incredulous at the mockery made of the Bill that was being brought forward. The law has changed; we have had three prescriptions on the NHS. We have had no other change.

I thank the Minister and the Secretary of State for our recent conversations about this situation. While there is a lot of empathy in this House, there is little action. I have stood with the parents and we have had many meetings here in the House. Members have gone to meet the parents and sometimes the children—most recently outside of the House because of covid regulations—to hear their story at first hand, and there is an empathy. But those parents and children have had to wait. They had to wait because Brexit was going on and they were on the back burner; they had to wait again because there was an election in 2019 and they were put on the back burner; and then there was covid, albeit nobody saw that coming, and they had to wait. They have been hospitalised, they have not been able to get hold of their prescriptions, there have been problems in fundraising to get their prescriptions and, as has been said, they have been unable to pay for their prescriptions, even having to sell their house. The situation they have been put in is inhumane.

I see that the hon. Member for South Ribble (Katherine Fletcher) is leaving, but I was going to pay tribute to her. I am so glad that she has engaged with this debate with her constituent Joanne and Joanne’s son Ben. It is wonderful that she has listened to them and continues to want to fight, even though she knows Joanne will not be voting for her, which is very amusing for us. It is good that there is that engagement. I do not stand here with a geeky knowledge of science, to use the hon. Lady’s words, or as a general practitioner, but I stand here with four and a half years’ experience—the experience of a mother—to see the passage of the tireless work that has been done across the House, only for nothing to have changed. That is why I pay tribute to the Bill.

[Jim Shannon]

The hon. Lady is right. If the Government are not minded to support the Bill, as it seems they may not be, does she, like me, ask, “Well if you’re not going to help, what are you going to do?”

[Tonia Antoniazzi]

Absolutely. I really want to know what they are going to do. This has been collaborative, cross-party work, and I have had good conversations with the Secretary of State this week and with the Minister a week ago. The solution that has been put forward to me is quite interesting. They say, “Oh, well you could find one of these drug companies that you know and work with, and maybe they could put an observational trial together, and we could have the conversations with the necessary bodies, we could work on this and then it could move forward”—this is the point I was coming to—“in another two to three years.” After four and a half years, we are already in a situation where some of these children are now adults, so we are going to be looking at another, completely different situation. This situation has to change.

My hon. Friend the Member for Manchester, Withington has worked tirelessly on the Bill, giving the Government an option to move this issue forward, yet yesterday I was told, “Don’t worry, Tonia; talk for as long as you like, because they’re going to talk it out anyway.” We have had debate upon debate upon debate. This is a private Member’s Bill. It would address the issues and move everything forward. That is the disappointment of this place. When the parents we work with know there is going to be a debate, they get all excited, and then nothing happens. Unfortunately, because of the way the parliamentary system works, that is how it is. That is why the Bill is so brilliant. It absolutely hits the nail on the head and I want it to pass—but we know that is unlikely.

We know there is a blockage in the system. I will not stand here and call out where I think that blockage is, but it is my personal view and my experience. It is what I have read and what I know. When somebody very high up in the system says, “We do not want this to happen,” it usually does not happen. There is a blockage, and that blockage has to be broken down. I am not a GP or a medical expert, but it is wrong that this is not being looked into properly.

In the conversations that the right hon. Member for Hemel Hempstead and I had with the NHS we were promised an observational clinical trial, but that had changed to an RCT by the time of our next conversation with the same people. Why? We had the perfect situation. These children were already on the medicine and were already proving that it makes their lives better.

Nightclub Safety

Debate between Tonia Antoniazzi and Jim Shannon

Monday 8th November 2021 Westminster Hall

[Tonia Antoniazzi (Gower) (Lab)]

I beg to move,

That this House has considered e-petition 598986, relating to safety at nightclubs.

It is a pleasure to serve under your chairship, Mr Gray, to discuss petition 598986 on making it a legal requirement for nightclubs to search guests thoroughly on entry. We have all seen the stories from around the UK, mainly about women having their drinks spiked and even being jabbed with drugs in some nightclubs. In Swansea, the police are investigating a number of incidents of drink spiking, and as of last week the police in Nottinghamshire were dealing with 15 separate incidents of spiking with something sharp. We now see nightclubs such as Sin City in Swansea taking action by ordering 12,500 StopTopps—anti-spiking lids—as well as implementing a policy that allows those who think their drink might have been spiked to get a replacement for free. In the absence of comprehensive drinks testing, that makes sense.

While those steps from some nightclubs are welcome, what will happen after the media interest has died down? It is not good enough for this issue to be in the hands of some nightclub owners. The Government must realise that something has to be done. A number of clubs have extra security staff on the floors of their nightclubs, so surely it is not beyond the owners’ financial capabilities to invest in making security checks a permanent feature across all clubs in the UK. I understand that this has been a financially difficult 18 months for many venues, but does the Minister agree that some investment in keeping people safe on a night out will make going out a much more attractive proposition and therefore worth it in the long run for club owners?

Many colleagues will have seen the Big Night In initiative, where cities across the UK boycotted pubs and nightclubs in a show of defiance against the increase in spiking. Many town centres were much quieter than normal. With 51% of the population being women, and other groups also being vulnerable to spiking, that is big spending power not out in the clubs; they have made their voices and concerns heard. I thank the many groups who have supported the campaign, including student unions, bars and clubs across the country that closed early, and the Swansea University men’s rugby team, who were among the first to show their solidarity.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Lady on bringing forward the debate. We have had 21 incidents of spiking in the last month in Northern Ireland. Does she agree that all Administrations in the United Kingdom of Great Britain and Northern Ireland must agree a policy that protects women? We could do it here centrally and feed it out to the Administrations.

[Tonia Antoniazzi]

I welcome the hon. Member’s comments. That is what the UK Government need to do, working hand in hand with the devolved countries. I thank him for that.

The petition has now been signed by more than 172,000 people, including 180 people in Gower and 224 in the Minister’s constituency, which demonstrates the strength of feeling on the issue. The aim of the petition is for

“the UK Government to make it law that nightclubs must search guests on arrival to prevent harmful weapons and other items entering the establishment. This could be a pat down search or metal detector, but must involve measures being put in place to ensure the safety of the public.”

That seems wholly acceptable to me and many others. The Government can take the lead. Working with local authorities to put in place clear and definitive guidelines to protect the safety of people using licensed premises seems a very sensible thing to do. It would protect not just customers but club owners and workers.

Perhaps the Minister can answer these questions. How many people have to be spiked before the Government will do anything? Do we have to wait until something terrible happens for the Government to act? Local authorities will be key in making these changes. Under their licensing powers, they should take measures to make clubs and pubs safe places to go. What discussions has the Minister had with local government to address this?

I thank Hannah Thomson, who started the petition, for her hard work in promoting it and for speaking to me last week. Hannah was a student in Edinburgh for four years, and though she graduated last year, she still has friends based there. A friend showed her the story about spiking with needles in Edinburgh, and they both questioned how needles were getting into clubs undetected. Hannah realised that in her entire time as a student, she had never been searched when entering a club. That prompted her to do some more research. She found that there is no law on this, and she felt that she could change that.

Medicinal Cannabis

Debate between Tonia Antoniazzi and Jim Shannon

Monday 6th September 2021 Commons Chamber

[Jim Shannon]

I thank the hon. Lady for her intervention. That is exactly how I feel, and I think it is exactly how we all feel as elected representatives on behalf of our constituents. I can well recall the bad old days of the pressure that was on the family: the pressure on the parents, the pressure on the child and the pressure on their friends, with all the multiple issues they had to address. There is an evidential base. It is as clear as a bell. I can see it in that wee girl Sophia. I can see it in the improvement that she has quite clearly made. That is why I totally support this product. I believe the evidential base is overwhelming. I can vouch for that, as I see that lovely wee girl and the improvements she has had.

My hon. Friend the Member for Belfast East (Gavin Robinson) sent me a letter, which I will record for Hansard if I can, written by his constituent, a fellow called Robin Emerson, whose daughter is a wee girl called Jorja. There is also an evidential base in her improvement. My hon. Friend very kindly gave me a copy of the letter last week, which refers to

“an important intervention to enable a number of children suffering with epilepsy to receive a treatment containing Cannabidiol (CBD) and Tetrahydrocannabinol (THC). This has made a crucial difference to their quality of life over the past two years”.

In some cases, quite honestly Mr Speaker, I believe they save lives. They definitely do. In my heart I believe that, which is why I am here tonight to speak on this matter. I feel it is so important.

[Tonia Antoniazzi]

I thank the hon. Gentleman for giving way on that point. Does he agree that there is no other medical intervention suitable for these children? It is intractable epilepsy. Nothing else has been found to give them that quality of life. Does he agree that we have to move forward in this debate?

[Jim Shannon]

The hon. Lady is absolutely right: we do have to move forward, and that is the message from us all in the Chamber tonight. I know that Robin, on behalf of Jorja, and Darren and Danielle, on behalf of Sophia, tried almost every other thing that they could before they came to medicinal cannabis, and they have seen the difference almost right away.

State Pension Age: Women

Debate between Tonia Antoniazzi and Jim Shannon

Thursday 31st January 2019 Commons Chamber

[Tonia Antoniazzi]

That is exactly the situation we are in, and it is really sad—it upsets me, and it is frustrating. My constituents ask me what is being done, where we are and what we are doing, and this debate is an opportunity for the Government to respond to those questions.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Lady on bringing the issue to the House for consideration. She has been proficient and active on this case. With 5,800 women in my constituency being out of pocket, many of whom are in manual labour jobs, my concern is that we are seeing a generation of women discriminated against and we seem to be achieving nothing for them. These women were told to expect something and they prepared their future financing around that. I am left wondering just what they did to warrant this treatment. Does she agree that this is nothing short of a disgrace?

--- Later in debate ---

[Tonia Antoniazzi]

I thank my hon. Friend for her comments. That is exactly where we are, and it is just wrong. The Women and Equalities Committee commissioned—

[Jim Shannon]

Will the hon. Lady give way?

[Tonia Antoniazzi]

It would be a pleasure.

[Jim Shannon]

The hon. Lady is most gracious and kind in giving way. This is a very important point. Many people in my constituency are employed in manual labour, which means that, as they get older, they have disabilities, arthritis and other such issues. Does she agree that it is not realistic to expect those people to retrain? What they really need is their pension—and probably in many cases some sort of disability living allowance or an attendance allowance because of their disabilities.

[Tonia Antoniazzi]

The hon. Gentleman makes a very valid point. When the Women and Equalities Committee took evidence from people about the difficulties they face in finding work, we found that employers need to make sensible adjustments in order to keep older workers. Can the Government guarantee that that is being done? It is recognised that ageism remains—

Lymphoedema Services

Debate between Tonia Antoniazzi and Jim Shannon

Tuesday 27th March 2018 Westminster Hall

[Tonia Antoniazzi (Gower) (Lab)]

I beg to move,

That this House has considered provision of lymphoedema services.

It is a pleasure to serve under your chairmanship, Mr Gray, and I thank the Minister for being here to respond. This is the first Westminster Hall debate I have secured, and I am proud it is on an issue that affects many people in the United Kingdom. It was first drawn to my attention by my constituent Melanie Thomas MBE.

Lymphoedema or chronic oedema is a chronic swelling due to the lymphatic system failing. It mainly occurs when the lymphatic system is damaged by surgery, radiotherapy, trauma or infections. People can also be born with lymphoedema if the lymphatics have not developed properly. It affects people of all ages, and the swelling can occur in any part of the body. People think it is rare, but it is not, and research suggests that about six people per 1,000 have lymphoedema which, to put that into perspective, is about 400,000 people in the UK. If we look at the legs and feet of people in supermarkets or even here in Parliament, we will see swollen oedematous legs.

The problem of chronic oedema is getting worse as we get fatter and live longer with the consequences of other health conditions. Fifty-five per cent. of the average community district nurse case load is people who have swollen oedematous legs, with or without wounds. Such nurses, however, are not lymphoedema experts, and most do not have the skills in lymphoedema bandaging or prescription of compression garments.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Lady on achieving this Westminster Hall debate. She referred to 400,000 people suffering from lymphoedema. Macmillan Cancer Support has estimated that there are 124,000 sufferers in the UK. Does she agree that there must be a better NHS support system, including more practice nurses, and specific training in lymphoedema care? The Government need to allocate the funding to support those suffering from this chronic condition.

[Tonia Antoniazzi]

I wholly agree with the hon. Gentleman. I will discuss training needs later—there is a definite need.

Lymphoedema can affect people physically, psychologically and socially. It has a significant impact on quality of life and prevents people from undertaking the normal activities of daily living. Reported issues include: massively swollen limbs that leak through clothes and soil carpets and beds; poor mobility; the inability to find shoes that fit and a limited choice of clothes; increased pain; inability to work; frequent admissions to hospital with cellulitis; stigmatisation and people being scared, anxious and depressed; and inability to cope and a feeling of lost control.

We might think that people can get treatment, but they cannot—that is the problem. Lymphoedema services are scarce. People suffering with lymphoedema cannot access the treatment they need or deserve. There is wide variation in the organisation and delivery of lymphoedema services throughout the United Kingdom. Some areas have commissioned full lymphoedema services—services for both cancer and non-cancer patients—others offer cancer-only services, and others provide no lymphoedema services at all.

Lymphoedema services that have been commissioned range from lone practitioners to small teams, so waiting and treatment times vary, as do treatment options. That diversity is not a result of patient need and is not patient-centred. Most people with lymphoedema go undiagnosed and untreated for long periods as a consequence of the poor level of knowledge among health professionals and the limited support from healthcare managers and commissioners. Lymphoedema is a growing condition, so what support are the Government providing to develop pre-graduate and postgraduate education for healthcare professionals to raise awareness of the condition? Something has to change.

Becoming aware of the lack of lymphoedema services in Wales, the Welsh Government listened to its members. I am very proud of that. The Conservatives might slate the Welsh NHS in the Chamber, but this is a wonderful area of work that has been developed in Wales, and I want to hail it. In 2009, the Welsh Government commissioned a lymphoedema strategy for Wales, which sets out clear aims to enable access for all lymphoedema patients to the appropriate services at the right place, at the right time and with the right person, regardless of whether their lymphoedema is related to cancer. Lymphoedema strategies have also been written in Northern Ireland and Scotland. England is the only nation not to have one.

In 2011, the Welsh Government invested £1 million to implement their lymphoedema strategy. The funding enabled lymphoedema services to be set up under every health board in Wales, managed by Lymphoedema Network Wales to maintain strategic oversight of the strategy for lymphoedema in Wales. Services are also made available in the more rural areas of Wales by the Tenovus Cancer Care mobile unit, which works closely with Lymphoedema Network Wales and the Abertawe Bro Morgannwg University Health Board.

Lymphoedema has always been a chronic, incurable condition, but new evidence suggests that significant improvements can be made for patients. In Japan and Europe, a super-microsurgical technique, which joins the defunct lymphatics to a functioning vein, has seen a 96% reduction in cellulitis episodes, and 70% of treated patients have stopped utilising compression garments as a result. The technique—lymphatic venous anastomosis, or LVA for short—is available on the NHS only in Wales. The Welsh Government supported the investment to make that happen and 42 patients per year can now have the innovative surgery that has the potential to cure their lymphoedema.