NHS

Debate between Victoria Atkins and Chi Onwurah

Thursday 23rd May 2024 Commons Chamber

[Victoria Atkins]

I thank my right hon. Friend for presenting us with what is happening on the ground, rather than the relentless doom and gloom that we hear from the Opposition. There are excellent examples in our local areas of people not just enjoying working in the NHS, but thriving in it. My right hon. Friend’s general practice will be one of those that have contributed to the 60 million more GP appointments made available in the last year—an election promise that we made in 2019, and have kept. Let me explain the maths to the Opposition: that means more than 1 million primary care appointments each working day. That is something of which we should all be proud, and for which we should thank our GPs.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

May I say how sad I am, Madam Deputy Speaker, that whatever the result of the general election, it will not bring you back to the place that you so wonderfully occupy?

Waiting lists, dental services, mental health services, clinical trials, workforce morale, cancer care, innovative treatments, childhood obesity—whatever the measure, the Tories have failed us on health. Is the Secretary of State really asking the people of this country to vote for five more years of Tory failure, when they can, by voting Labour, vote for the change that the health service, and indeed the country, so desperately need?

[Victoria Atkins]

May I gently remind the hon. Lady that her party leader is a former barrister? I declare an interest: so am I. In the old days, we barristers used to rely on the evidence, but the evidence on which the Leader of the Opposition relies is produced in Wales. He says that it is a blueprint for what will happen in NHS England. My goodness me! As I have said, a quarter of the people on NHS waiting lists are in Labour-run Wales. The highest number of patients who are waiting two years is in Labour-run Wales, and patients wait on average six weeks longer in Labour-run Wales than in England. I am genuinely surprised that, having been in his post for as long as he has, the hon. Member for Ilford North (Wes Streeting)—for whom I have considerable respect—has not been able to influence or direct his Labour colleagues in Wales to follow his ideas, if he thinks that they are so good. That is clearly not working.

Cass Review

Debate between Victoria Atkins and Chi Onwurah

Monday 15th April 2024 Commons Chamber

[Victoria Atkins]

I thank my hon. Friend sincerely for that. Again, she articulates the concerns of many families where a teenager or young person may be suffering complex needs and are asking questions of themselves and their place in society. We must treat not just the child or young person, but the family with care and respect, trying to support them to get to the right place for the child.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

Some constituents who have contacted me see in the Cass report a vindication of their long-held views on sex and gender following years of abuse, sometimes violent. Others who have contacted me fear that the Cass review represents an attack on their very existence as trans people and fear the abuse to come. Will the Secretary of State set out that she opposes utterly the toxification and politicisation of questions of sex and gender? Will she also set out that she will collect the additional evidence that the Cass review calls for, without which there cannot be an evidence-based approach? Will she also set out that she will put in place the resources our young people need in terms of healthcare to ensure that they receive the healthcare appropriate to them?

[Victoria Atkins]

I thank the hon. Lady for giving me the opportunity to make it clear again that this report is about gathering the evidence to help support our children and young people to the best care they can have. For a very small number that may well be a medical pathway, but for the overwhelming majority we know from Dr Cass’s report that there may be other ways in which they can be best supported and looked after. I do not want anyone to walk away from this debate thinking that this is somehow a report about those adults who have made that decision of their own free will and are living their lives as freely as we all want them to—it is not. It is about the healthcare and emotional care and support that we give to young people and their families, and the professional confidence we give to clinicians to ensure that we get to the right place for each and every individual child.

Oral Answers to Questions

Debate between Victoria Atkins and Chi Onwurah

Thursday 17th October 2019 Commons Chamber

[Victoria Atkins]

I thank my right hon. Friend, who as Chair of the Women and Equalities Committee has done so much work on ensuring that employers’ and regulators’ responsibilities in the area are met. I welcome—indeed, I encourage—strong action from regulators to stamp out sexual harassment. We are working with relevant enforcement bodies and inviting them to join our public sector equality duty network to share and promote best practice. We are particularly focusing on regulators of specific relevance, to explore how they can support compliance with equality law.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

The #MeToo movement was inspired—if that is the right word—by the activities of Harvey Weinstein in the film industry. Despite all their celebrity, many of the women affected did not feel able to turn to anyone when they encountered bullying and harassment in the workplace. That is all the more true for women today, particularly in small businesses. What is the Minister doing to ensure that women have legal and present support? Does she agree that the fact that Harvey Weinstein remains honoured by the British state with a CBE is a terrible indictment of our honours system?

[Victoria Atkins]

Of course, the #MeToo movement met with a great deal of attention and support across the world. In terms of sexual harassment, the consultation that closed on 2 October looked at all sorts of workplaces across the United Kingdom, and we are looking at responses to it very, very carefully. The hon. Lady will appreciate that it is only just over two weeks since the consultation closed and I do not want to pre-empt anything. In terms of Mr Weinstein, I cannot comment on individual cases; his case will be dealt with in the US.

Gender Pay Gap

Debate between Victoria Atkins and Chi Onwurah

Thursday 4th April 2019 Commons Chamber

[Victoria Atkins]

My hon. Friend makes an excellent point. This is not just about board level, although of course that is important; it is also about ensuring that women are paid properly and fairly when they start their career. Work on the gender pay gap will help address that, because it forces employers to look at how they treat women throughout the entire structure of the business.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

The Minister talks of a future of equal pay, but she knows that that cannot happen as long as well-paid sectors such as engineering and science are dominated by men and low-paid sectors such as care are dominated by women. Will she therefore adopt Labour’s policy of sector-specific diversity charters, so that we can start to address the structural issues in some sectors?

[Victoria Atkins]

It starts much earlier than that. We must give girls the confidence to carry on with science, technology, engineering and maths in school. That is why we are doing so much work to ensure that girls are encouraged to continue studying those subjects. The hon. Lady is absolutely right to point to industries such as engineering. In fairness, many businesses in those very male-dominated industries are beginning to get more women in at the lower end of the pipeline, but this will take time and, as I have said, I want to bring business with us rather than dictate from on high how society should view female employees. This is as much about cultural shift as it is about structures and legislation.

Child Sexual Exploitation Victims: Criminal Records

Debate between Victoria Atkins and Chi Onwurah

Tuesday 19th March 2019 Commons Chamber

[Victoria Atkins]

I cannot comment on the specific case that the hon. Lady has raised. She makes an important general point about the way that we treat victims as they come forward. The criminal justice system has improved in the way that it looks after victims in the course of giving their evidence. Special measures can also be put in place, but, as always, if colleagues are aware of cases where the court system is not applying the rules as carefully as it should, they should please let me or Justice Ministers know. We are very keen that when victims are giving evidence, we do right by them and treat them fairly in the court process.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

Girls and vulnerable young women in Newcastle suffered horrendous sexual abuse, rape and exploitation and yet found the courage to work with the police and social services to bring perpetrators to justice. As we have heard, the consequences can last a lifetime, and the support that we offer them should last a lifetime, too—I am talking about the kind of support that is provided by the sexual exploitation hub in Newcastle, for example. I know that the Minister recognises that and knows that we are talking about decades, not simply months, of support. What funding is available to provide support so that these victims can rebuild their lives and have the futures that they deserve?

Sexual Exploitation: Newcastle

Debate between Victoria Atkins and Chi Onwurah

Tuesday 12th June 2018 Commons Chamber

[The Parliamentary Under-Secretary of State for the Home Department (Victoria Atkins)]

I thank the hon. Member for Newcastle upon Tyne Central (Chi Onwurah) for securing the debate. She talked not only about the need for support, but about the long-term effects of such disgraceful and unacceptable behaviour to a fellow human being. She has represented her constituency this evening with passion and understanding, but also with a clear determination to ensure that her great city does not see a repetition of these terrible episodes.

I know that this subject is enormously important to Members in all parts of the House. I was glad that the hon. Member for Newcastle upon Tyne North (Catherine McKinnell) intervened on her hon. Friend’s speech, because I have received parliamentary questions from both Members. I will start with an observation that they made, quite properly, about the responses that they had received to questions about the Spicer review and the fact that answers had tended to focus on child sexual exploitation. I very much take that on board, and I apologise. They are right that, sadly, the abuse in Newcastle not only concerned children, which is appalling enough; these defendants appear to have targeted vulnerable people, some of them with learning disabilities. The ruthlessness of the exploitation is almost too much to comprehend. I am therefore grateful to both Members for speaking up tonight.

The details are shocking and we know that vulnerable people were let down by a range of services in Newcastle over many years. I am pleased that the serious case review concluded that local practice has improved tremendously since 2014, but of course the victims and survivors still bear the terrible scars of their abuse.

The Government welcome David Spicer’s comprehensive serious case review. Although it is clear that significant improvements have been made locally, it shows us that Government still have more to do. His recommendations are already informing the way Government work with local commissioners, and we will certainly look at how best to provide advice on supporting vulnerable adult victims of sexual exploitation in addition to child victims. His recommendation that further research be carried out into the perpetrators of this awful abuse will be taken forward through the work of our centre of expertise, which I will discuss in more detail later. It will assess UK and international impacts and evidence for both victims and perpetrators. The report makes many recommendations for central Government action, all of which will be considered as part of our ongoing work.

I will not be able to deal with all of the questions the hon. Member for Newcastle upon Tyne Central has raised, but I will respond in writing on those I do not respond to tonight. She wishes the Government to respond officially to the report, and I commit to writing to her covering the national recommendations in the review. As she knows, the Government do not usually respond to serious case reviews, but the details of this review are significant enough for me certainly to write to her about it. On the funding of Changing Lives, unfortunately I do not get to make funding decisions, but I will make inquiries about the application that charity made. I am pleased to hear of the work the hub is doing, and I understand that the police and crime commissioner has received £1.56 million plus £116,000 for victims of child sexual abuse. The Ministry of Justice is reviewing long-term funding not just for the hub but for all local and national provision, because we do take on board the point that the victims of these terrible crimes live with the consequences if not forever for very many years and decades.

The Government want to ensure that all victims of sexual exploitation feel that they can come forward to report abuse and that they can get the support they need. Whether a victim is a child or an adult, the same principle must apply.

This Government have empowered PCCs to deliver services for victims. So in the first instance PCCs must make an assessment of the support needs of all victims in their force area, including children and vulnerable adults alike, and commission services to meet those needs. We are allocating around £68 million to PCCs this year to provide emotional and practical support services for victims of crime, and we have increased the overall victims’ support services budget from around £50 million in 2012-13 to around £96 million in the current financial year.

As I have said, the PCC in Northumbria has been allocated more than £1.5 million of core victim grant to provide support to victims, and additional money to the tune of £116,000 has been allocated to services for victims of child sexual abuse. Of course, the PCC has her own budget from the main grant, and central Government say to PCCs, “You know the needs of your local area and we trust you to make these decisions.” We therefore hope is that if she feels that more funding needs to be allocated, she will be able to do that from the main grant.

We have also provided £250,000 this year to support four rape support centres in Northumbria, including the Grace Project in Newcastle. The Grace Project is one of 15 rape support centres that have opened since 2010 with Government funding. We now support 98 centres directly, helping women, men, boys and girls to begin to recover from the effect of these appalling crimes, and we have committed to maintaining funding for rape support services at the current level until at least 2020.

Our ambition is to support victims and survivors, whoever they are and wherever they are. That is why we have invested £100 million in this spending review period to support our commitment to tackling violence against women and girls, and it is why NHS England has now commissioned 47 sexual assault referral centres in England at a cost of £27 million, including the Teesside SARC, which provides support for victims of sexual violence across the north-east. It is also why we have recently launched the £13 million trusted relationships fund, protecting vulnerable people from sexual exploitation, gang exploitation and peer abuse.

We want to do more, so we are investing £7.5 million in the centre of expertise on child sexual abuse, which will tell us far more about what works, where gaps exist and what more support we can give to professionals and commissioners. It has already published research into local commissioning practice, which will form the basis for a framework for commissioners. The Home Office will publish that framework later this year. It will share good practice and help commissioners to assess need and provide support. We are also piloting the child house model, based on international best practice. In a child house, child victims can receive all the support they need in a single, comfortable environment. We have invested more than £4 million in the first house, which will open its doors in London in the autumn.

Despite all that has been achieved in recent years, we must continue to challenge ourselves to improve the support we provide for victims, not only because the needs of victims change over time but because the nature of crime itself is continually evolving. That is why we are developing a new cross-Government victims strategy, which will comprehensively review how crime has changed and ensure that our response still meets the needs of victims. The strategy will provide a framework for future work and national cross-Government direction. For example, as part of the strategy, we are developing a more sustainable funding model for sexual violence support services, so that victims can access the support they need immediately after the crime and throughout every stage of their recovery.

The strategy will consider how we might improve provision of the services that victims are entitled to receive under the victims code. It will also continue to drive improvement in victims’ experience of the criminal justice process. The hon. Lady’s description of the ordeal of victims having to give evidence at trial summed up the need for that very strongly. We must ensure that criminal justice agencies provide victims with a service that is appropriate to their needs and respectful of them as individuals. Victims want cases to be well managed and dealt with swiftly, so that they can deal with the experience and, hopefully, put it behind them. We will consider how the agencies responsible for delivery of those services might be better held to account.

I know the interest of the hon. Lady and the hon. Member for Newcastle upon Tyne North, so I would value a meeting with them and my officials to discuss any thoughts that they may have on how the victims strategy can be improved to cover the points raised in tonight’s debate.

[Chi Onwurah]

I thank the Minister for giving way, for the tone of her comments and for the way in which she recognises the importance of the issues that I have tried to raise on the behalf of my constituents. I have listened carefully to what she says, and I appreciate the offer of a meeting and the commitment to some sort of response to the Spicer review. However, I get the impression that funding for the hub and the multi-agency approach will come from the police and crime commissioner and potentially the sexual violence support grant as part of any future strategy, or is that something that we can discuss in detail in a meeting?

[Victoria Atkins]

Could we discuss that in the meeting? We have always tried to ensure that local commissioners are commissioning the services that they feel are needed in their area, but I am happy to hear the hon. Lady’s thoughts on that in the meeting that we will have with my officials.

In conclusion, I thank the hon. Lady once more for securing this important debate. Victims and survivors of the most appalling crimes rely on us, both in government and on both sides of this House, to represent their needs and to ensure that they receive the support to which they are entitled. It will be a privilege to continue to work with colleagues across the Government and across the House, and with representatives locally, to ensure that victims in Newcastle and in all areas of England and Wales are heard, are supported and are able to recover.

Question put and agreed to.