(10 months, 2 weeks ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I thank the hon. Lady for her point. I am not aware of the particular case to which she refers, but it is certainly our position that we want to work closely with people who have been through that scheme. The advisory board originally just covered the group litigation order claims. We then expanded its remit to cover all three schemes, so that it could ensure that they provided fair outcomes to all those involved. We wanted to give a level of consistency across the three schemes. The hon. Lady may want to contact Lord Arbuthnot or the right hon. Member for North Durham (Mr Jones) to discuss her concerns. I am happy to discuss the matter with the advisory board to see what might need to be done.
We can never right the original wrong or undo all the suffering; all we can do is make sure that the misery is not ongoing. For those who do not look for a grand pardon, what rights of appeal exist other than a request to the Criminal Cases Review Commission?
The hon. Lady is right to say that no amount of final compensation can ever make good what has happened to many of these people, whether it is loss of home, loss of business, loss of livelihood, loss of reputation or loss of life. No amount of money can ever compensate for that, but we are keen to make sure that, wherever we can, people do get compensated across all those different areas. Compensation schemes provide for pecuniary and non-pecuniary losses, which are some of the things that, sadly, have happened to people in their personal lives. That is exactly what we have set out today. We are keen to make sure that, if people are overturning convictions, there is no requirement to go to the CCRC to do that. It is something that we can do through legislation in this place, and we will be setting out exactly how we will deliver that in the coming weeks.
(1 year ago)
Commons ChamberI thank the right hon. Lady for that clarification. She is right but, as we saw through the pandemic, it was local authorities who did so much to make up for the failings of the over-centralised Government, who—through the covid-19 inquiry—we now understand were incapable of getting to grips with the pandemic in our communities. That is why local governance is so important. I will move on to my speech.
On the delivery of net zero projects, does the hon. Member agree that local authorities are well placed to deliver on the ground and that, rather than having centralised delivery, it is much better for them to do that work?
I absolutely agree. We should take pride in our local authorities. They understand the landscape and the needs of communities, but they must be properly funded to deliver these essential services. I am afraid that, as with the reinforced autoclaved aerated concrete problem we see right now in our schools—two particular schools, Myton School and Aylesford School, in my constituency have RAAC—we see delays in rectifying problems because the Government have become so over-centralised.
If I may, I will move on to my speech—I am sure that everyone is waiting for it. I am afraid that, in the last 24 hours, we have seen holes beginning to appear in the Chancellor’s autumn statement. There are holes in the claims he made about lowering taxes, holes in its credibility and holes in the public finances, as my right hon. Friend the Member for Hayes and Harlington (John McDonnell) alluded to. For the public, the manifestation of that is probably most often seen and understood through the holes in our streets and on our roads. That is the reality of the decay we face across our country.
What surprises and disappoints me is the Government’s chutzpah and the claim that they are making long-term decisions when just five weeks ago the supposedly cautious Prime Minister and his Chancellor stated that it was “virtually impossible” to make tax cuts. It now seems that the Prime Minister realises not only that has he got an election coming up soon but that he does not have many options, so it is best just to spend some money and run. His five pledges, even, have wasted away—they have reappeared as five long-term decisions. What will we expect next month on his five promises to the country? It is yet another reset—I think we have had 11 already.
As I mentioned in an intervention, we are a year on from the kamikaze Budget, which cost the country an estimated £40 billion—[Interruption.] Forgive me, Madam Deputy Speaker; my voice is quite weak due to a chest infection. At the time, I asked the then Chancellor, the right hon. Member for Spelthorne (Kwasi Kwarteng), whether he had
“not just fired the starting gun on a run on the pound”.—[Official Report, 23 September 2022; Vol. 719, c. 964.]
He was utterly dismissive of my assertion, but of course that is entirely what happened, and that is what we saw on the financial markets within minutes of him speaking. Of course, that translated into higher interest rates, which in turn meant higher interest rates for mortgages, so this year we see 1.5 million households moving off their fixed rates and facing higher mortgage costs averaging a further £250 a month. Next year, we will see a similar number of households moving to higher mortgage costs. That comes at a real cost to households up and down the country.
The Prime Minister talks about inflation being a tax, which is a bizarre way of considering it, but we have to remind the public of why we have such high inflation— he may suggest that he has managed to halve it; he is claiming the success from it, although he did not seem to claim responsibility when it went up—and why we faced higher inflation than the majority of the major G7 nations. The truth is, we still face an inflation premium relative to the United States, Germany, France and all the other major nations purely because of what happened a year ago. That is costing our households and businesses. It is costing us all; and, indeed, it has massively damaged our reputation.
That comes on top of 13 years of austerity and failure, with people really feeling the costs on their lives of the austerity that the Government imposed on us. They see services collapsing around them and feel the fabric of society being weakened by successive Conservative Governments.
As we look at the economy and what was announced yesterday, I am reminded of a photograph that I saw a couple of days ago of the Chancellor and the Prime Minister at a further education college. I do not know whether hon. Members noticed how both of them were trying to hold a screwdriver, but it was almost as if they had never held one before. There is a real need to reskill this country, and we could start with some of the people in power. We have a former Prime Minister who, we are now told, could not understand graphs or data, and therefore struggled to interpret how we should react to the pandemic.
We now face a stagnant economy, as we are told by the OBR and all the balanced economic observers: it was flatlining at just above zero for the last quarter, and we are looking at absolute zero in the current quarter. But somehow the Chancellor wants us to applaud growth rates of 0.7% next year and, possibly, 1.4% in 2025—a huge downgrade on what was forecast earlier this year. The public are being duped by the claims the Government made yesterday that things are rosy and will be positive next year. The public know that they have suffered 13 years of mismanagement, in which the Government have failed to solve the productivity puzzle. I used to work in France, where the average worker is 20% more productive than the UK worker. Why is that? Is it down to employment legislation or the lack of investment incentive in this country? The harsh reality is that we all have to work much harder in order more or less to stand still versus the French.
The Chancellor quoted an aggregated growth figure in his statement, but any credible observer should have looked at growth per head, which is far weaker in the UK than in the US, Japan and Spain, and is fractionally ahead of France. In the real economy, people are feeling the impact of the last 13 years, and particularly the last couple of years. They have less money in their pocket, and the money is not going as far. They are suffering a real-term loss of income. We are told that next year their real-terms income will fall a further 1%. Energy costs now account for a much larger proportion of income, having increased by 50% over the last two years: gas has increased 60% in the two years since 2021, and electric is up 41%. Energy bills have increased an average of 51% versus 2021-22. This was not all necessary. We can talk about global energy price increases and inflationary pressures, but the UK suffered because we did not have the energy storage or resilience, particularly in low-cost onshore wind.
We also have some of the least efficient housing stock in Europe. People have to spend more to keep their homes warm, because their houses are inefficient. The houses built since 2016—1.2 million homes—should have been zero-carbon homes but, because all that legislation was torn up, they are not. Instead, they need more gas and electric, which means higher demand. Without that, total aggregate demand would have been brought down to a lower level.
Let me talk about the predicaments facing students. They face a much higher rate of inflation than the typical UK adult, but maintenance loans have not kept up with inflation. According to the House of Commons Library, there has been an 11% real-terms cut in maintenance loans. That equates to them being £1,200 worse off a year as a result of this Government.
I listened to the Chancellor on this morning’s media round. It was only a matter of time before being economic with the truth would give way to the truth about the economy. He was asked whether there were tax cuts when taxes continue to rise, and about his selective approach to cuts being undermined by stealth and concealed taxes, resulting effectively in higher rates of tax brought on by what economists refer to as fiscal drag. He was asked about the freezing of tax thresholds that will see 7 million people overall paying higher levels of tax: 4 million who have never previously been liable having to pay income tax, and 3 million who have moved from the lower to the higher threshold. His promises on lower taxes are empty, and the public will know that.
Let us not forget that this Conservative Government have imposed the highest tax burden in the post-war period, and the most regressive. The Conservatives like to present themselves as the party of lower taxes, but let us remember that when they came into power in 2010 the first thing they did was increase VAT, from 15% to 20% ultimately—33% up on the most regressive tax of all. There has been a whole raft of other stealth taxes, including on insurance. The public need to know that they face five years of further tax rises.
Let us be clear: the Chancellor is funding these tax cuts by tightening non-protected public services. Given the country’s experience over the past 13 years, the Government’s plans should ring alarm bells, because they sound remarkably like “Austerity II: the sequel.” Given the deep damage they exacted on our communities and our social fabric, that will come with a real social cost.
It would be churlish not to acknowledge a few welcome moves—plagiarism is the most sincere form of flattery. The NHS workforce plan was something that Labour proposed. Planning reform is welcome, but the Government do not seem as ambitious as the Labour party. Elsewhere, I welcome the expensing changes to encourage business investment, but I do not know why it could not have happened earlier, because we have not seen the scale of investment in the UK that we should have seen. On support for innovation and certain developments, I would like to see more, particularly on the role of universities.
The support for the UK automotive sector is particularly welcome for companies such as Jaguar Land Rover, Aston Martin and the myriad supply companies in my constituency. The Government talk about an advanced manufacturing plan, but where has it been for the last few years? They have not had any form of industrial strategy. In fact, the former Chancellor could not even bring himself to use those words when he was in post. I add my support for the Winser report and the rolling out of the grid. It is way too late, but we need to get on with it. It is essential that we electrify the UK economy.
Increasingly, this appears to be a Government without a cause. If they have a purpose, it is as a self-preservation society, as perhaps was exposed yesterday. At their heart is a weak Prime Minister. His King’s speech betrayed a lack of vision and substance; out of ideas and out of road. I am afraid that the public will be underwhelmed by this statement, and by a Government so utterly out of touch. As they say in examinations: compare and contrast the clear direction and purpose of the five missions forged by my right hon. and learned Friend the Member for Holborn and St Pancras (Keir Starmer) with the soft, fluid aims of the current Prime Minister.
Overnight, analysis from independent think-tanks such as the Institute for Public Policy Research and the Resolution Foundation has underlined the inequality in the tax burden, where those on the lowest income and those least able are paying disproportionately more under the Conservatives. Overall, the average household faces a £4,500 increase in taxes in the period 2019 to 2028. The Prime Minister and the Chancellor may pat each other on the back, but in this Parliament alone they have presided over a £1,900 tax increase, according to the Resolution Foundation. After 13 years of failure, chaos and mayhem, when energy prices are rising astronomically and food prices dramatically, we now see changes to the tax threshold. The public are really hurting. I am afraid the Government just do not get it.
The hon. Gentleman has made his own case, but as a keen campaigner on all aspects of our housing crisis, I very much agree with his sentiment.
We have heard from the Government Benches that the taxpayer’s bill for the local housing allowance is about £34 million. If the Government were finally willing to build a great many more social homes, the taxpayer would not have to face that enormous bill.
The hon. Lady is right about social homes. A number of leading organisations working in the housing sector would say that we need 90,000 social homes per annum. However, let me gently point out that it is not just a question of the supply of social homes; the spike in rent that we have seen in recent years is also exacerbated by a broader shortage of housing supply of all types and all tenures. That is why my party has committed itself to a fundamental review of not just of our planning system but, importantly, the supply of land, and I hope that everyone in the Chamber who is serious about considering how we can build the homes that we need will commit themselves to a similar process.
I turn back to the thrust of my contribution. This autumn statement is a damning indictment of the Government, leaving people with a higher tax burden at the end of this Parliament than when they were re-elected in 2019. It is the latest economic failure at the end of 13 tears of national decline. It is time for change: a change away from high taxes, low growth and falling living standards; a change away from dodgy contracts, covid fast lanes and looking after their friends; a change away from the Conservatives.
The Labour party is offering that change, with a plan to cut household bills by £3,000 a year by investing in clean energy, building new homes and insulating the homes we already have; a plan to prevent another catastrophe like last year’s mini-Budget by putting a fiscal lock into law; and a fully funded plan for a healthy society and a healthy economy by investing an additional £1.1 billion a year to deliver 2 million more NHS appointments, scans and operations so that people are genuinely supported back to work. That is Labour’s offer and, if yesterday was the Conservatives firing the starting gun on the election, that day cannot come soon enough.
The United Nations has warned that we are on track for 3°C of global warming. That is unacceptable and would be a catastrophe. We urgently need to limit global temperature rises to 1.5°C. We cannot pretend that the UK is safe from climate change. Last year, the UK suffered the most intense heatwave it has ever faced. Hospitals struggled to cope, there were around 3,000 more deaths among people aged over 65 and 20 % of operations were cancelled. These impacts will only get worse.
Sadly, our Government are in denial. The Chancellor speaks about economic growth, yet fails to understand that reaching net zero is an opportunity as well as a necessity. The green transition can encourage billions of pounds’ worth of investment, yet this Government are ignoring that unprecedented opportunity. The US Inflation Reduction Act and the EU’s green industrial plan will see a combined $670 billion of green investment. Even Canada, an economy smaller than ours, announced a package that offers nearly £50 billion-worth of tax credits for clean technologies. This autumn statement was an opportunity to equal the ambition of our international partners, but the Chancellor is explicit that the UK will not match the ambitions of other countries
If the UK does not invest now, we will turn our backs on investment worth potentially £1 trillion by 2030. I am pleased that the Government plan to halve the time taken to build new grid infrastructure, but why has it taken 13 years to see the problem? I am also pleased the Government will provide tax relief for meeting energy efficiency targets. However, why are they waiting until 2025 to put these measures in place?
All the dither and delay gives the Government time to U-turn on their commitments. Their record speaks for itself, including on transport. After months and years of defending HS2 and spending millions of pounds preparing for it to go ahead, the Government are now in chaos and without a vision. Transport is the largest emitting sector in the UK. Rail produces 76% less carbon dioxide emissions than the equivalent road journey. We must encourage a move away from polluting transport modes, towards greener public transport, such as trains.
I hear what the hon. Lady is saying, but instead of building the extra bit of HS2, the money will be used in a variety of ways, mostly on roads and the electrification of train lines. That is an important way of decarbonising our existing rail industry. Between 2010 and 2015, both Secretaries of State, including the current leader of the Liberal Democrat party, were Secretaries of State for the Department of Energy and Climate Change, so they were there when that policy was being developed in a variety of ways, early on in the lifetime of the Government.
I am not sure what the right hon. Member’s question is, but I am not denying that we need to invest more in all these sectors. The worst thing about HS2 is the dither and delay, the back and forth about decisions. That is what wastes the millions of pounds of taxpayers’ money and is unacceptable.
The decision to scrap the northern leg of HS2 will mean 500,000 more lorry journeys up and down the country. Meanwhile, as the right hon. Member for Suffolk Coastal (Dr Coffey) has just said, the Chancellor plans to take £8.6 billion meant for the railway to support road use.
The Government also want to increase aviation. I was shocked to hear that Luton Airport has called for an expansion in passenger numbers to 32 million a year. Hertfordshire’s skies would become polluted with endless planes and noise. The plans directly contradict the Climate Change Committee’s recommendation of no net expansion in airport capacity. I urge the Government to do the right thing: listen to local people from Harpenden and Berkhamsted and block the Luton Airport expansion, which flies in the face of our climate commitments.
This Government have failed to invest in renewables, have failed to support greener public transport, and are now failing to keep our constituents warm. Last winter was devastating, with the average annual household bill increasing by nearly 178%. Many people had to make severe sacrifices in order to heat their homes. It is a scandal that some people had to restrict themselves to one shower per week. This was not a blip. The Government need to realise that, even under the energy price cap, annual bills this winter will be 69% above summer 2021 levels. People need help. Lowering energy bills must be a priority, yet there was nothing in this autumn statement to support my constituents from the increase in energy bills.
We Liberal Democrats propose that the Government implement a social tariff. This would bring in lower energy bills for vulnerable customers. The Government must also ensure that the warm home discount is made available to all customers in vulnerable circumstances. That would prevent a repeat of last year, when suppliers set limits on the number of people who could access this money.
The green transition is a huge opportunity. We need a Government with the political courage to treat climate change with the urgency it demands. The country needs a bold Government with a bold plan. This autumn statement is simply another missed opportunity.
(1 year ago)
Commons ChamberI commend the APPG on bringing this important issue to the House, and I thank the Backbench Business Committee for granting today’s debate. The menopause is a time of change for every woman. For some, it can be completely debilitating. Big physical and emotional changes in one’s body can be extremely unsettling. Some 51% of our population are women, who all go through the menopause, yet the experience of the menopause remains shrouded in mystery and stigma. That means there are far too many barriers to support. Too often, women must fight before their symptoms are taken seriously, which adds insult to injury.
The culture of silence that surrounds menopause makes bearing and dealing with symptoms even harder. Research by the Fawcett Society found that only 22% of people who experience menopause disclose it at work, because they are worried about the stigma they may face. Why should women feel too ashamed to talk? The Government’s appointment of the first menopause employment champion is a step in the right direction to start this much-needed conversation. However, it has taken far too long and there is still much to do.
As we have heard, many women choose to leave the workforce prematurely because they feel unsupported by their employer during the menopause. That is not new information: the Chartered Institute of Personnel and Development found in 2019 that almost 900,000 women in the UK had left their job because of menopause symptoms, and we have made little progress since. Women with years of experience are still forced to sacrifice their career, retire early or choose not to put themselves forward for promotion. Not only does that contribute to an absence of women in executive positions, but it lessens workplace productivity.
Eight out of 10 women say that their employer has not given them adequate support. I am pleased to hear of good examples in this space; it is important that we share them, because there are still far too many bad examples. Such support could include a menopause absence policy to help women balance their career with the major life changes associated with the menopause.
I welcome the Government’s commitment in the women’s health strategy to ensuring that employers are well equipped to support women during the menopause, but the Government have shown little interest in trialling menopause leave in England, despite the evidence presented by the Women and Equalities Committee that it would make considerable savings. The private sector is beginning to understand the economic benefit of menopause leave. The Government should explore all avenues to best support women experiencing menopause, including a trial to see the benefits of menopause leave.
Alongside difficult everyday symptoms, those who experience menopause face risks to their health. During menopause, the body produces less oestrogen, which can increase the risk of coronary heart disease, heart attack and stroke. Women also face greater risk of osteoporosis—I am pleased that the hon. Member for Bradford South (Judith Cummins) talked extensively about that—caused by the loss of bone density in the first few years after the menopause.
I am proud that the Royal Osteoporosis Society is based in Bath, and I congratulate it on its campaign with the Sunday Express for greater access to fracture liaison services and a good standard of services across the country. We have heard today about the Better Bones campaign. I hope that everyone in the Chamber will champion it and help it along, because we really need that gold standard across all hospital trusts. The Royal Osteoporosis Society has a very helpful helpline that everyone can access. Just by googling the Royal Osteoporosis Society, every woman can access advice, which is so necessary.
We have also heard extensively about hormone replacement therapy, which can lessen the health risks from menopause. HRT is a welcome treatment for many struggling with menopause symptoms. It can reduce hot flushes and protect cardiovascular health. However, it remains out of reach for many women across the UK. Women face a postcode lottery when it comes to accessing vital HRT treatment. A report conducted by the APPG on menopause last year found that there is a stark socioeconomic divide between women who can access HRT and those left without it. Financial struggles should not be a barrier to healthcare. I commend the APPG on menopause for all seven of its recommendations. The call for all parties to include those recommendations in their manifestos is a good one.
We Liberal Democrats welcome new measures to ensure that women in England pay less for repeat HRT prescriptions. However, the list of exemptions for prescription charges is out of date: it has not been fully updated since 1968 and contains many anomalies. The current prescription charge system is grossly unfair and must be urgently reformed.
Menopause currently affects 13 million women. We cannot continue to allow a common health issue to force women out of their jobs. It is unacceptable that accessing vital healthcare is still a postcode lottery. I have not actually experienced any adverse symptoms from menopause, but I was still completely uncertain about what to expect, and that in itself is very unsettling. Young women know what to expect when their period starts, but why are older women not given at least some advice by healthcare professionals about what to expect when the menopause starts, what the symptoms are and so on and so forth? It is very unsettling for every woman that complete mystery still surrounds the menopause, and that definitely needs to change. I hope that the debate will help to break the culture of silence and end the stigma.
I commend the hon. Member for Bootle (Peter Dowd) for setting the scene so well. I have made a few interventions, but I will add a few words to put on record my support for the motion, as I am here on behalf of my party.
The hon. Member for Walsall North (Eddie Hughes) made an interesting point to which I subscribe from a personal point of view. My wife Sandra went through this, and it was quite difficult for her, not just physically but emotionally. The hon. Gentleman put forward some incredibly helpful ideas: better understanding in the home, better understanding in the family and better understanding in the workplace. I employ seven girls and one fella in full-time and part-time roles, and although I am not better or more knowledgeable than anyone else, I do understand some of the issues that are apparent in the office. That understanding has to start with me and end with everyone in the staff to ensure that the right things happen.
Over the last period, we have had a menopause support group in Northern Ireland. It was created for one reason. The hon. Member for Walsall North referred to a private place. Sometimes people need a private place where they can discuss their experiences and talk about what is happening with others, sharing information on the perimenopause, the menopause and any hormone-related issues. I know the knowledge that women will be able to give each other in those private circumstances and discussions. That is so very important.
The hon. Member for Bradford South (Judith Cummins), who has the Adjournment debate on osteoporosis, reminded us all of the increased risk of osteoporosis, fractures and brittle bones through menopause. She clearly and helpfully reminded us that when it comes to understanding those things better, the health sector needs to be a bigger part of the picture.
It is important that everybody understands that osteoporosis leads to many premature deaths. That is why we need to talk more about it. I am glad that we have all been talking about osteoporosis in connection with the menopause. Does the hon. Gentleman agree that we need to raise awareness of it, because it leads to many premature deaths?
I thank the hon. Lady for her intervention. I referred to the groups in Northern Ireland because, in many cases, we find that it is the women themselves who are initiating the private support groups and ensuring that things are happening. I ask the Minister, is there any help from Government to ensure that these advice groups are available?
To go back to the subject of osteoporosis, the hon. Member for Bradford South is right. In my office, I have a staff member specifically tasked with looking after benefit issues, and the work for that lady is enormous; she is probably working the equivalent of a five or six-day week. She tells me that, in many cases, the issue is access to personal independence payments. I know that this does not come under the Minister’s Department, but is there a process in place to help ladies understand and apply for that benefit, which is there for a purpose? Government have created the benefits system, and people should never feel that they should not apply for a benefit if it is there for them, which I believe it is.
When people are drained and emotionally raw, which many are, and when the sweats mean they have to shower several times a day and they need prompting to eat and take care of themselves, we need a system, and we need someone there to help along the way. I am my party’s health spokesperson, and I want to add my support to all those who have spoken.
The Government need to be proactive and ensure that guidance is given to businesses, so that they can do things the right way. Some 45% of women felt that menopausal symptoms had a negative impact on their work, and 47% said they needed to take a day off work due to the menopause. That underlines the need for support.
With that, I will conclude, ever mindful that we are fortunate to have a shadow Minister, the hon. Member for Erith and Thamesmead (Abena Oppong-Asare), who will add her support to the debate—I look forward to hearing from her—and a Minister who well understands our requests. I am very confident that we will have the help we need, not for us, but for our constituents, for the women who contact me, for my wife and for all the other women who find it very hard to deal with these issues.
(1 year, 1 month ago)
Commons ChamberI beg to move, That this House agrees with Lords amendment 1.
With this it will be convenient to discuss Lords amendment 2.
Workplace sexual harassment blights our society. Not a week goes by in which we do not hear about sexual misconduct in an organisation somewhere in the UK. Some 43% of women have experienced at least three incidents of sexual harassment at work. Most victims do not report it, for fear of not being believed or of damaging their working relationships and career prospects. Although sexual harassment is not confined to women, the vast majority of victims are women.
Harassment has a devastating impact on victims. Nearly half of women harassed at work said that it had harmed their mental health. One in four said that they avoided certain work situations, such as meetings, courses, locations and shifts, to avoid the perpetrator. More than one in four said that they wanted to leave their job but could not. Nearly one in five left their job as a result of this treatment.
Every person should be safe from sexual harassment, but every day new stories expose the extent of the problem in our workplaces. Just this year, there has been a torrent of misconduct allegations against prominent companies and organisations. There remain questions to be answered at the CBI, Odey Asset Management, the Royal National Lifeboat Institution, the fire services, the National Crime Agency and even our NHS.
The hon. Lady is making a very important speech about a powerful topic. As a former NHS employee for over 30 years, I am aware of some poor practice and lack of control over certain individuals who are sexual predators. They are only a small minority, but they have a massive impact on other NHS workers. Does she agree with me that we must protect our precious NHS staff and stamp out sexual harassment in all workplaces?
I could not agree more. The hon. Lady points out that a few individuals damage the reputation of a whole organisation and, especially when it comes to our NHS, that is devastating. The Bill should be good for organisations because it protects them as well.
Will the hon. Lady clarify—I am not sure from her remarks so far—whether she is in favour of Lords amendment 1, or is she speaking against it?
I will come to that later, but I will be supporting the Lords amendments.
There are many good employers who have implemented measures to safeguard their employees. However, far too many have not done enough to prevent and punish sexual harassment.
My hon. Friend is making a powerful speech about an issue that, as she says, has blighted our workplaces. Does she agree that part of the problem is that employers do not act when harassment begins at a low level? Putting workers down, talking over them and belittling them is just the start and it grows from there. Too often in the past, people have just been moved to a different department. Will her Bill put an end to that sort of atmosphere in the workplace?
Yes, it should be the beginning of a culture change to prevent sexual harassment happening before it gets to a point where it has such damaging effects.
The Equality and Human Rights Commission found that in nearly half of cases reported the employer took no action, minimised the incident or placed the responsibility on the employee to avoid the harasser. What one also finds again and again is that the employer does not really know what to do. When the Bill becomes law, there will be guidance for employers so that they know exactly what is expected of them. That should help organisations to face those problems.
I thank the hon. Lady for giving way, because she is making a very important speech. Protecting people, especially women, from harassment is hugely important. The Government have a fantastic track record of bringing in legislation to protect vulnerable people. I had strong concerns about the Bill in its unamended state, particularly on making employers responsible for third-party harassment. However, yesterday I contacted Denise Rossiter, the chief executive of Essex chambers of commerce, to ask the opinion of Essex businesses. The message I received back was clear: local Essex employers warmly welcome the amendments made to the Bill in the other place. I am delighted the Government have backed them. I welcome the amendments, in particular Lords amendment 1, and I support the Bill in its amended state.
I thank the hon. Lady for that intervention and I am pleased we have come to a point across both Houses where we can pass the Bill, as amended, into law. I will come to the amendments later in my speech and she will hear what I have to say.
The current laws on sexual harassment mean that employers often adopt individualised responses to institutional problems. That creates space for employers to minimise what is going on and leads to confusion about how to respond appropriately. Only 45% of managers felt supported by their organisation when reports were made to them. Ultimately, our current laws do not protect people who have encountered traumatic experiences. We can and must do better.
My Bill will strengthen the legislative protections against workplace sexual harassment. It will help to create safer working environments that are fit for the 21st century. It introduces a standalone duty for employers to take responsible steps to prevent sexual harassment within their organisations. That will make a real difference, as it will require employers to take proactive steps to address sexual harassment. It will help to instil a culture change, and it will ensure that people who abuse women and others can no longer rely on their workplaces turning a blind eye. Instead, they will be held accountable for their actions, making workplaces safer, more productive and more enjoyable for everyone.
The hon. Lady defines exactly the issue. She talks about the intent of the Bill being to protect people from feeling distressed, which I think is absolutely right—we should all intend that—but it is difficult for law to manage and protect people’s feelings. The consequence of writing that into black and white means that we then require courts to adjudicate on all sorts of very difficult emotional issues.
The hon. Lady talks about the intent behind the Bill. We all intend the right thing here. We are all in unity that we disapprove of harassment and incivility, but we disapprove of all sorts of things that we cannot and should not try to criminalise. The consequence of criminalising bad manners—even very bad manners—is fundamentally to curtail free speech and the freedom upon which all of our civility as a society depends.
I am glad that we are having this discussion in a very respectful way, because that is how it should work. I recognise that that discussion may not have been had enough and we need a little more time having it. Does the hon. Gentleman think that legislation guides better behaviour and that, for that reason, it is important that we pass certain laws? That is the intention of the Bill. As I say, I have accepted the Lords amendment, but does he agree that legislation guides better behaviour and that is what we should aim for?
This is an important discussion. The hon. Lady is saying that the law is a teacher—indeed, it is—and influences the culture. It is also true that the law needs to reflect the culture, so we modernise our legislative framework in response to public opinion and how things are. We now legalise things that were illegal in the past in response to the way culture evolves.
However, the law is a teacher in a bad way too. It can introduce negative effects into our culture and chill free speech. It can inhibit the sorts of conversation that are necessary for the development and progress of our society, which is a topic that will come up later in other legislation. There were significant attempts during the pandemic to effectively criminalise or inhibit free speech around the pandemic response, on exactly the same grounds that we might use in this debate, namely that it is important for public protection and the protection of the vulnerable that misinformation, disinformation and, in this context, harassment should be criminalised. That was wrong, and I really worry about the possible chilling effect of this legislation.
A narrow gap is left in this law to criminalise free speech. Many Members will raise the outrageous and unacceptable behaviour that many employees have to put up with in the workplace—I recognise that too. We absolutely need to insist that that does not happen, but that is a job for the culture and for employers. In a sense, it is a job for all of us to instil the right sort of moral conduct in our communities, but frankly it is impossible to write legislation in black and white that achieves the outcomes the hon. Lady wishes without also inhibiting free speech.
I will end with an observation about another piece of legislation that I understand is being contemplated for the King’s Speech: a conversion therapy ban. I am afraid that that is another instance where, under the noble and honourable impulse to stop outrageous and unacceptable practices going on, we are proposing a piece of performative legislation in response to a vocal and activist lobby group that will put into law an imprecise and fuzzy set of moral aspirations. Once Opposition Members get hold of it in Committee, on Third Reading and in the House of Lords, the scope will be expanded and then courts will be required to criminalise conversations between adults and their therapists, parents and children, which is exactly what happens in other countries where this well-intentioned legislation has been passed into law. The law is a teacher, but it is not an opportunity for moral grandstanding and virtue signalling. We have an obligation to put into black and white words that the courts clearly understand and that do not end up curtailing free speech.
I thank the Minister for her comments. The Government have a majority, so if they wanted to keep the Bill in its original form they could have ensured that it passed. Let me quote what she said at Committee stage. She said that
“the Government committed to a package of new measures aimed at reducing incidences of workplace harassment. That includes the two legislative measures being brought forward in the Bill: explicit protections for employees from workplace harassment by third parties, such as customers and clients; and a duty on employers to take all reasonable steps to prevent their employees from experiencing sexual harassment.”––[Official Report, Worker Protection (Amendment of Equality Act 2010) Public Bill Committee, 23 November 2022; c. 10.]
It is true that I have accepted the Lords amendment. Indeed, it was ultimately me who proposed that we should go all the way in order to preserve one thing that I find incredibly important, which is the preventive duty on employers. Does the hon. Member not agree that this is an important step and for that reason it is right that I accept the Lords amendment?
I accept what the hon. Member says. We will certainly not oppose the Bill, but we do have to challenge the Minister on why she has changed her mind, given that, last year, she said that the measures in the Bill
“continue to form a key part of the Government’s national strategy for tackling violence against women and girls.”––[Official Report, Worker Protection (Amendment of Equality Act 2010) Public Bill Committee, 23 November 2022; c. 10.]
Why have the Government decided to change their mind on it? It seems to me that they have folded to pressure from their Back Benchers. Let us not forget that the Bill came about as a result of an extensive Government consultation, which received more than 4,000 responses.
Private Members’ Bills are fragile things: they rely on cross-party support, but also support in both Houses. For that reason, it was very important to be pragmatic; otherwise, the whole Bill would have fallen. I am grateful for the Government’s patience and their support for the part of the Bill that we all can agree is so important, which is to create a preventive duty on employers. If the Bill passes today, it will be a good day, and I hope everybody will be able to support the amendments so that it can pass.
Lords amendment 1 agreed to.
Lords amendment 2 agreed to.
(1 year, 5 months ago)
Commons ChamberThey do need to get better. A quarter of all homeless young people are LGBTQ+. Some 77% of those have suffered rejection or abuse from their families.
As a patron of the Albert Kennedy Trust, I was shocked when I first heard the statistics on homelessness among LGBT+ people. Is it not time we celebrate the work of the Albert Kennedy Trust and praise it for bringing to light these terrible statistics and tragic stories?
Yes, indeed. In fact, perhaps I should have declared an interest as a long-time supporter of the Albert Kennedy Trust.
On crime, as other colleagues have noted, hate crimes against LGBT people and trans people in particular have risen dramatically. Now the Government plan to amend the Equality Act 2010 in a way that would make the exclusion of trans people the norm. Counselling and medical care for people with gender dysphoria and for young people in particular is practically non-existent. The south-west’s only clinic for gender dysphoria, in Exeter, has an initial waiting time of seven years.
As other colleagues have said, we only have to look at America to see what happens when rational, evidence-based policy is replaced by hate, fundamentalist ideology and moral panic. In America this year, a record 520 pieces of anti-LGBT legislation have been introduced at state level, 220 of which focus specifically on trans and non- binary people. A record 70 anti-LGBT laws have already been enacted. Fifteen ban gender-affirming healthcare, seven require or allow students to be misgendered, four censor the school curriculum and there are many more.
We had the appalling spectacle this week of grandparents in Canada stopping a school sports contest to demand that a 9-year-old cis girl be physically examined to make sure she really was a girl. They thought that she was a boy who had an unfair advantage over their granddaughter. This is what happens when Governments and the press pursue a culture war. We have friends, a gay couple with a daughter, who live in Florida. They are leaving because they are frightened. Culture wars, as the hon. Member for Carshalton and Wallington (Elliot Colburn) said, will not restrict themselves to attacks on LGBTQ+ people. The whole of the equalities space will eventually come into their sights. An attack on trans people is an attack on all of us.
I am afraid that a number of politicians, right-wing think-tanks and powerful media supporters here in the UK seem to want us to go down the route of the Republican states in America. The deputy chairman of the Conservative party says he wants to run the next election campaign on these culture war issues and on trans issues in particular. I have a mild caution for him and the Prime Minister, from my experience 26 years ago. Then, the Conservative party thought that by running a virulently homophobic campaign against me they would hold Exeter and gain votes nationally. It suffered its worst swing to Labour in the south-west and its worst general election defeat in modern history. If it wants to continue to row back LGBT rights and equality, and to fight the next election on that terrain, I believe it will discover, as it did back then, that the British people are better than they think and a lot better than them.
I am heterosexual and I identify with the same gender that was assigned to me at birth. I cannot share any stories as moving as those I have heard this afternoon, but I deeply sympathise with the struggles of the LGBT+ community.
Call me naive, but I cannot for the life of me understand why, in 21st-century secular Britain, people choose to make enemies of each other on the basis of sex, sexual orientation and gender identity, when, in those famous words, there is so much that unites us rather than divides us; or why it should be so difficult to make sure that we all enjoy the same protections and rights together; or why it should be so difficult for us—in the words of the hon. Member for Warrington North (Charlotte Nichols) —to show each other supportive indifference on these issues. We are all people; we all are the same—human beings.
I am going to repeat quite a few things that I have heard in speeches already, but they should be repeated in this space. Pride Month is a time to celebrate progress and diversity and it is worth reflecting on how far we have come as a country. According to the British social attitudes survey, nearly 70% of people think that same-sex relationships are “not wrong at all”, compared with 11% in 1987. That is great progress, which should be welcome. However, Pride Month is also a reminder of how much more work still needs to be done, and we have heard plenty on that already this afternoon. In 2015, the UK was ranked No. 1 for LGBT+ rights in Europe by the International Lesbian, Gay, Bisexual, Trans and Intersex Association. The latest ranking puts us at No. 17. The struggle for true equality still needs to be fought in this country.
LGBT+ people face many obstacles in the UK. Take healthcare, where those who want to be parents face costs that heterosexual couples do not face. I have heard from many constituents who are concerned about unequal access to in vitro fertilisation. LGBT+ couples must fund 10 cycles of artificial insemination themselves before they can access NHS IVF, costing them up to £16,000—money they do not have to spend. It is unacceptable that so many couples face this extra financial stress. We have a moral duty to provide gay couples with the same help that we would make available to any prospective parents. I am interested to hear the Minister’s plans to address these continuing inequalities and poor healthcare systems.
The Government also need to show leadership. They must not bow down to people who simply hold reactionary views—I am talking about conversion therapy. We Liberal Democrats believe that conversion therapy is an appalling practice that is incredibly harmful to anybody subjected to it. [Interruption.] I think I have just seen Jayne Ozanne in the Public Gallery. I commend her for the fearless work she has done in this space on conversion therapy. We have fought long and hard for a complete ban. The Government promised five years ago to ban conversion therapy, but Ministers are still dragging their feet.
The LGBT+ community also faces greater discrimination in the workplace. Seven in 10 LGBT+ workers have experienced sexual harassment at work, and one in five workplaces does not have policies in place to support their LGBT+ staff. Only half of managers surveyed by the TUC said that they had a policy prohibiting discrimination, bullying and harassment against their LGBT+ workforce. Less than half had a clear route for workers to raise concerns about harassment against them. With little support on offer, no wonder many workers feel unable to come forward and report their harassment. No one should have to suffer in silence. I hope the Government continue to support my Worker Protection (Amendment of Equality Act 2010) Bill to protect people from harassment and to create safe and respectful workplaces, particularly for the LGBT+ community.
Although there has been clear progress in the UK, we must remember that intolerance remains widespread around the world. LGBT+ people have been imprisoned, stoned and publicly flogged. Uganda has passed an appalling new law that threatens LGBT+ people with the death penalty. Sixty-four countries have laws criminalising homosexuality, including 29 members of the Commonwealth, as has already been mentioned.
The UK cannot look the other way. We must oppose human rights abuses wherever we see them. Instead of supporting people fleeing persecution, the Government have treated them like criminals. The Home Office’s own equality assessment of the Rwanda policy admits concerns about the treatment of some LGBTQ+ people but denies that these abuses are systematic. Human Rights Watch says this assessment is “wishful thinking”, with no basis in reality, LGBT+ Rwandans have reportedly been arbitrarily detained. Stigma persists, and the country has no specific anti-discrimination law to protect this community. To threaten LGBT+ people with deportation to a country where they will be at particular risk is pure cruelty. I am interested to hear what the Government will do to protect them.
LGBT+ refugees also face unique hurdles to securing asylum in the UK. Research by the University of Sussex has found that one in three claims was refused because officials did not believe a refugee’s sexual orientation or gender identity. I hope the Minister will commit to working with colleagues to end this culture of disbelief.
Rights have been won, but they can be lost just as easily. Now is not the time to be complacent. Stigma and discrimination have no place in 21st-century Britain. The Government must match their words of support with concrete action.
I want to make clear that the Bill will include targeting efforts to change someone from being transgender—that will be in there. I am also pleased to remind the House that the Government fund a victim support service run by the anti-violence charity Galop, which enables those at risk of, or undergoing, conversion practices to report their situation and access tailored support and guidance. I have been to visit that group—it really is very moving—and I continue to urge anyone in need of help in this area to contact that support service.
Today, many Members have also talked about the issues around transgender rights in this country. I must be absolutely clear: transgender people deserve our respect, support and understanding. Members have quite rightly talked about dialling down the arguments. We can have a debate that listens carefully to the considered opinions of both sides of the argument—and let us understand both those sides—but hatred has no place. I hate seeing the impact that this has on some people in our country. Courtesy and respect are not hard things to practise— I simply do not understand it. As the hon. Member for Wallasey said, empathy does not cost anything, and as my hon. Friend the Member for Darlington mentioned, it is a reminder of the fear that many of us went through all those decades ago. I really do believe that we need to make sure we have this debate in a proper and dignified way, and I certainly commit that in any debate I take part in, I will always show respect to anyone, regardless of what their opinions are.
I also wanted to talk about some of the health areas that have been raised by other Members, particularly some of the issues relating to our campaign on HIV. We have made great steps in that area, as in other areas of LGBT healthcare. The published HIV plan, pledging a goal of zero new HIV transmissions and zero AIDS and HIV-related deaths in England by 2030, is to be welcomed. I am glad to say that the data tells us that we are on track to achieve that, which is good news.
Another area that Members raised in the course of the debate is RSE. Children need to understand the modern world in which they are growing up. Guidance is clear that pupils receive teaching of LGBT content. In secondary education, sexual orientation and gender identity are talked about and explored, but at a timely point, as my hon. Friend the Member for Cities of London and Westminster (Nickie Aiken) mentioned, and in a clear, sensitive and respectful manner. The Department for Education is currently reviewing that, and public consultation will take place in the autumn. The advice within it will have been led by an independent expert panel bringing together health, the curriculum and safeguarding.
I am glad that Members raised the issue of homelessness, because it is important for me personally. I remember when I lived in Manchester hearing the shocking story of a young man who was kicked out of his family home because of his sexuality. He had no choice but to end up as a sex worker, and he was sadly murdered by one of the people who was abusing him. I am therefore keen that we do something about it. In May, I convened a roundtable with the Minister with responsibility for homelessness, my hon. Friend the Member for Kensington (Felicity Buchan), to bring together local authorities from around the country and the charity sector so that we could explore best practice and the importance of collecting data. The more data we have, the more we will know about the situation.
On the issue of LGBT veterans, we recognise the experience of many of those who wanted to serve our country and who were putting themselves forward and putting their own lives at risk to defend our freedom. I am as keen as everybody for the review to be published as soon as possible. I will certainly pass on the message from the House today.
Can the Minister please respond to the point I raised about IVF treatment and gay couples?
I will have to get the line; I cannot remember the actual details. If the hon. Lady does not mind, I will write to her after the debate.
Touching again on international issues, while we are able to celebrate progress here, I am conscious that it is not always the same story abroad. That is one of the reasons why I wanted to wear the armband at the football World cup. It was an opportunity to show that a lot of LGBT people from around the world did not feel they could go to that competition.
The situation in Uganda is a stark reminder of the real and awful issues that people are facing. Uganda’s anti-homosexual law is the most regressive piece of anti-LGBT legislation globally and of grave concern to us all. We are firmly opposed to the death penalty in all circumstances in every country, and in regard to the law’s death penalty clause for aggravated homosexuality, the Prime Minister has raised our concerns with the Ugandan Foreign Minister. That is why at the Commonwealth Heads of Government meeting, £2.7 million was given by the UK to help reform outdated and discriminatory laws. I will continue to work closely with Lord Herbert, the Prime Minister’s special envoy on LGBT rights, and the FCDO to make it clear to other Governments moving in a similar direction to Uganda that it is not something we support, and I will certainly highlight the contributions made by Members in the House today to colleagues across Government.
(1 year, 6 months ago)
Commons ChamberAgain, I and my colleagues continually engage with industry about how it can help support consumers, because both the Government and businesses have a responsibility to help consumers in these challenging times. That is precisely why we had the summit this week, which I am sure the hon. Member is well aware of.
We are committed to upholding the UK’s high environmental standards in our trade deals. In our Australia and New Zealand trade deals, for example, we included commitments to preserve our right to regulate, protect the environment, and affirm international environment and climate commitments. We work across Government on environmental matters and utilise international fora to promote our environmental aims.
Trade deals can protect or destroy our natural environment. What the Minister has just said seems to contradict this, but our assessment is that the Government consistently fail to guarantee existing environmental standards in trade deals. For example, they have removed European palm oil tariffs to join the comprehensive and progressive agreement for trans-Pacific partnership. The Royal Society for the Protection of Birds said that that could devastate forests, destroy orangutan habitats and fuel climate change. Can he explain why the Government are happy to ignore the environment, and will the Government establish core environmental standards for any new trade deals?
I am disappointed to hear that from the hon. Lady, because we generally agree on a lot of things. We have no intention of weakening environmental standards through trade agreements; in fact, they are often an opportunity to enhance standards through co-operation. CPTPP prohibits parties from waiving, derogating from or failing to enforce environmental laws in order to encourage trade or investment. I am afraid the reality is the exact opposite of what she says.
(1 year, 8 months ago)
Commons ChamberI pay tribute to the right hon. Member for Basingstoke (Dame Maria Miller) for opening the debate and for all her work for women over the years. I share her comments about celebrating our wonderful women parliamentarians and all their achievements. It is very good to see you in the Chair this afternoon, Madam Deputy Speaker, and our excellent female Clerks at the Table, too.
My hon. Friend the Member for Birmingham, Yardley (Jess Phillips) will read out the list of UK women killed this year, which is truly heartbreaking and a reminder of the dangers that women and girls face in our country. Three years ago, my constituent Libby Squire was on that list. She was a young woman studying at Hull University whose life was taken in 2019 by a predatory man who had been prowling the streets of Hull looking for a victim. But Libby’s murder was not an out-of-the-blue attack: in the 16 months before Libby’s rape and murder, the perpetrator had committed a string of sexually motivated offences, including indecent exposure, masturbating in public, spying on women through their windows and stealing sex toys and underwear.
Very sadly, we know that the behaviour of men who expose themselves is devastatingly everyday, common and normalised. When I asked women MPs earlier this week about their experiences of men indecently exposing themselves, everyone had a story, whether it had happened outside their sixth-form college, on public transport or on the way to school. Just today I received a letter from an 80-year-old woman who recalls being a victim of indecent exposure when she was 18. She still lives, 62 years later, with the impact of that assault.
We found out at Libby’s killer’s trial that many of his earlier crimes had not been reported to the police. Why was that? It was because victims often feel that they will not be taken seriously by the police and that reporting will not actually trigger any action. We know that these crimes are committed by predators and can be a precursor to more extreme violent behaviour. We ignore these warning signs—these red flags—at our peril.
Earlier this week, Wayne Couzens was sentenced to 19 months for indecent exposure, having committed a string of non-contact sexual offences in the years before his arrest. One of those incidents, when he exposed himself to staff at a McDonalds drive-through, happened just days before he kidnapped, raped and murdered Sarah Everard. In handing down the sentence, Mrs Justice May reported that Wayne Couzens’s ability to commit these deeds with impunity only
“strengthened…the dangerous belief in his invincibility”.
Very sadly, as with Libby’s murderer, the offences escalated.
A review of evidence from 2014 found that a quarter of men who exposed themselves went on to reoffend, with as many as 10% going on to commit serious sexual offences.
Is it not true that most people underestimate what an assault on a woman is like? It is really only when it happens to you that you understand the impact. It is so important that we listen to the women who have been through an assault and understand the trauma that it has caused them.
Absolutely. I am very grateful for that intervention. I think every woman in this Chamber or watching this debate will fully understand the impact that it can have.
I return to the statistics. Since 2018, almost 250 men found guilty of indecent exposure have subsequently been found guilty of rape. Indecent exposure and non-contact sexual offences are gateway crimes that are still not taken seriously enough. In the years since her daughter’s murder, Libby’s mum, the formidable Lisa Squire, has fought to raise the importance of reporting these “low-level” sexual offences. She has been working with Humberside police on the Libby campaign to urge women always to report them to the police. Her call on women is, “These offences are not trivial. They are not harmless. If you are the victim, please report it to the police. It could save another woman’s life.” She has already managed, alongside Humberside police, to reach 17,000 young people in the Humberside area. She is also working with the Metropolitan police and Thames Valley police. I spoke to Lisa this morning; she is a formidable woman, and I have no doubt at all that we will see change because of the work that she is doing.
Of course, reporting is not the only hurdle. This week, we heard from one of Couzens’s victims, who said in her impact statement:
“Four months after you exposed yourself to me, you raped and murdered an innocent woman. There were opportunities to identify you and they were not taken. I did not feel that, when I reported your crime, it was taken as seriously as I felt that it should have been.”
If women are to report crimes, they must have faith that they will be believed and respected, that action will be taken, and that, most importantly, the police themselves are not a danger.
A recent analysis found that of the 10,000 indecent exposure cases logged by police in 2020, only 600 reached court. That is simply not enough. I have tabled amendments to Home Office Bills to try to tackle the issue, but sadly the Government did not accept them. I met Home Office Ministers, with Lisa Squire, to talk about what more the Government could do. As Chair of the Home Affairs Committee, I raised the issue directly with the previous Home Secretary, the right hon. Member for Witham (Priti Patel).
I believe that the Government must do much more about tackling violence against women and girls. The Prime Minister declared this to be a national emergency back in November, but he did not make it one of his top five priorities. Why not make it the sixth priority? If this Government will not accept this as a national emergency, I hope that the next will. Indecent exposure is not a minor crime—we know that it is frequently a stepping stone to escalating violence against women by predatory men—and perpetrators, although pathetic, are not harmless; they are often very dangerous. We must take this issue far more seriously, doing so for Libby, for Sarah, and for all the women taken from us. Just like women down the years fighting for a cause—the suffragettes, the Bow match girls, the Ford Dagenham equal pay strikers, and Hull’s own headscarf revolutionaries—we will persevere and we will see change.
I think that point is actually a very good one. To guarantee the quality of these tools and the content there needs to be a degree of inspection. We know we will find bad actors everywhere in society, and perhaps in schools we need to make sure that we do have that protection.
Very briefly, because I know there is a lot of pressure on time, is it not also important that the people who deliver these courses—the teachers in the room—have to be specialist teachers, rather than leaving it to a maths teacher?
I actually have less sympathy with that point. I think we should all understand what standards of good behaviour are, and it should be intrinsic. Frankly, no teacher should be allowed in a classroom if they do not understand respect. It comes down to that ultimately, and I think all teachers should be equipped with that.
When I was a teenager, I used to question why there are so many ways to tell the relationship status of a woman—Mrs, Miss, Ms—but there is just a Mr. I am still wondering that as a grown woman. Articles always include the age of the woman after her name, but only sometimes the age of the man. Why is that? Our laws and language are designed to keep women vulnerable and exposed in a particular way.
I was a secondary school teacher and, although a married woman, with four children, in my middle age, I was always “Miss”, whereas a man was always “Sir”. Is that not bizarre?
It completely is. Again, it is about language, and what it is designed for and to do.
It is an honour to speak in this debate that has ranged widely from local to national to global women’s issues. We have heard some powerful speeches and contributions. International Women’s Day is a time to celebrate the progress that we women have made, while recognising how far away we are from true equality and true recognition of women in law.
The most powerful speech every year is the one from the hon. Member for Birmingham, Yardley (Jess Phillips). She makes us all sit here for many minutes in silence to reflect on the terrible stories that we hear each year of women who suffer domestic abuse and violence. I agree that we are still very far from making real progress. I thank the right hon. Member for Basingstoke (Dame Maria Miller), who always ensures that we have these discussions every year on International Women’s Day. It is important that we continue to have that debate in the House.
Disrespect for women remains endemic across society. Half of British women have been sexually harassed at work or their place of study. Women are 27 times more likely to face online abuse than men. Nearly a quarter of women have experienced sexual assault or attempted sexual assault since they were 16, and one in 14 women have experienced rape or attempted rape. These are more than just statistics—these are women, these are lives and every story is a story of trauma and hurt. We all need to recognise that for what it is. They are not statistics, they are lives, and that reflects everyday reality for women and girls across the UK.
My Worker Protection (Amendment of Equality Act 2010) Bill aims to protect women from sexual harassment in the workplace. Too many people are suffering silently because they feel unable to report that, or because their concerns are not taken seriously—we have heard many examples of that today. My Bill strengthens protections for those women by imposing a new duty on employers to prevent their employees from experiencing workplace sexual harassment. The Bill would also make employers liable for the harassment of their staff by third parties, where they have failed to take all reasonable steps to prevent such harassment from happening. I have been pleased to see such cross-party support for my Bill, but legislation is only part of the solution. To fight misogyny, a root and branch culture change is needed.
Last Friday marked two years since the brutal murder of Sarah Everard by a serving Met police officer. Wayne Couzens exposed himself to women just four days before her murder. His victims have argued that, if their reports had been taken seriously by the police, Sarah might still be alive. The terrible story of Sarah’s murder, and the police failings that have been identified subsequently, are still difficult to come to terms with. The first report of Operation Soteria Bluestone found that some serving officers do not think that sexual offences should be a priority for policing. It quoted one officer who believed that cases of rape and sexual offences were “pink and fluffy”. That officer openly admitted to avoiding such cases in favour of burglary and robbery. The new Metropolitan Police Commissioner has said that they are investigating 1,000 sexual and domestic abuse claims involving 100 of its officers. Those are more than just bad apples; they are part of the rotten culture of misogyny.
Police in England and Wales are recording record numbers of rape offences, but rape prosecutions are down by 70% over the past four years. Last year, charges were brought in only 4% of recorded rape cases. This is a national scandal. We say these things again and again, every year on International Women’s Day we point out that we need to make progress, and we do not make progress. The Government need to listen up, because only with a momentous culture shift can we begin to address the concerns and fears that so many women have about engaging with policing and the justice system.
In my constituency, Avon and Somerset police—I want to give them credit—have shown what can be done with a dedicated, well-resourced team and the right leadership. I hope they will lead by example and take other police forces along. Their team have tripled charge rates and brought more cases to the Crown Prosecution Service. However, much more needs to be done across the country. Nearly half of women have said that their trust in the police has declined following Sarah Everard’s murder, and the Government must focus on rebuilding that trust. Liberal Democrats are calling for immediate action to ensure that police vetting procedures are fit for purpose to start rebuilding that trust.
Violence against women and girls is a global threat. During war and natural disasters, women face unique dangers. In Turkey and Syria, humanitarian groups have warned that women are finding it harder to access aid, and are at severe risk of exploitation. Conflict-related sexual violence is one of the oldest weapons known to people— I give credit to the hon. Member for Totnes (Anthony Mangnall), who has raised this issue in Parliament many times and is working hard on it. He has my full support. Such violence destroys bodies and communities, and its impact is felt long after the fighting has finished. The Ukrainian Prosecutor General’s office has identified 171 victims of sexual violence by Russian troops, 119 of whom are women. I am sure that many colleagues across the House share my admiration for the bravery of the women of Ukraine—indeed, they have already been mentioned today. We should not underestimate the substantial trauma that women and children are suffering, especially if they have experienced sexual violence.
I also want to remember the women of Afghanistan. In January, Mursal Nabizada, a female MP who remained in Kabul, was killed. Just four of the 1,500 Afghan citizens who were eligible for the UK resettlement scheme because they were at high risk after the Taliban takeover have now arrived in the UK. Women and girls were meant to be a priority, but they have been left without a specific route to apply for safety. That is a shameful Government record and nobody can walk away from that. Women all over the world are leading movements against authoritarianism.
Many constituents have contacted me to express their solidarity with the women of Iran. I echo that and pay tribute to their courage in the face of atrocious human rights abuses. Many have reported sexual assault. Let us not forget those women, because it is very hard to take on those regimes, which are all led by men. Women’s voices have been ignored for centuries, and in many parts of the world they still are; 2023 must be the year that Governments around the world listen up and hear us.
It is a pleasure to follow the hon. Member for Bath (Wera Hobhouse), and I thank the right hon. Member for Basingstoke (Dame Maria Miller) for securing this debate. Let me begin by paying tribute to Lady Betty Boothroyd. She was a force of nature in this place, and a great female trailblazer to us all when, in 1992, she overturned more than 700 years of parliamentary tradition and became the first woman to be elected Speaker in this place.
I also pay tribute to some fabulous and successful women in my constituency: Deborah Frimpong is chair of Moorings Neighbourhood Forum and a formidable community activist; Councillor Averil Lekau, deputy leader of Greenwich Council, is doing great things at a local level to support women and champion their inclusion; Hend Kheiralla is the host of the Ladies of the Lake podcast, which amplifies the voices of women who have grown up, worked, and lived in Thamesmead; Debbie McFaul, is director of Crumbs Bakery, a business that truly brings in and supports the community; Karen Saunders from Greenwich Centre of Mission does a lot to support young people in our community, particularly bringing us together when two young boys, Kearne and Charlie, were murdered in my constituency; Claire Hallinan from Hawksmoor Youth Club has delivered fantastic services to young people and the wider community of Thamesmead, but has also faced considerable challenges with the state of its facilities; finally, Catherine Molnar, founder of CC Events, hosts a market in Abbey Wood and Thamesmead and has won awards for the role they play in the community.
Let me now turn to some issues closer to home. I am concerned by the rise of misogynistic influencers such as Andrew Tate, whose content sends a troubling message to men and young boys about how they treat women. I am particularly concerned that we may see a backsliding on progress that has been made in schools to tackle misogynistic attitudes, if men such as Andrew Tate are allowed to spread their hate online. Misogyny should be a hate crime, and I am proud that the Labour party has championed that. There should be no place for toxic influencers such as Andrew Tate to spread their hate and encourage violence against women and girls.
I have argued for making misogyny a hate crime for so long, and yesterday I was again given the reply that that would just be gesture politics. Does the hon. Lady agree that, if misogyny is a hate crime, we will give a powerful signal that all crimes will be investigated properly and not just brushed away, as we have seen? Making misogyny a hate crime would be a big signal, not just political gesturing.
The hon. Lady could not have put it better. Misogyny should be a hate crime, and I hope the Government take on board what I and the hon. Lady have said.
I am proud to chair the Labour Women’s Network, which supports women standing for election and advocates for greater female representation within our party and beyond. It is 35 years old this year. In those three and a half decades, LWN has trained thousands of women for public office, outlawed all-male panels at Labour party events, fought for tougher action on sexual harassment, made Labour’s selection process shorter and cheaper, improved parental leave arrangements for councillors, and seen the proportion of women in the parliamentary Labour party increase from 9% in 1987 to a proud 52% today.
Hundreds of women have contributed their time, skills, energy and occasional rage to our movement over those 35 years, but it would not exist at all without four women who turned their frustration into organisation: Barbara Follett, Hilary De Lyon, Barbara Roche and the late Jean Black. Every day, we are thankful for their determination to level the playing field for women. Every day, we look forward to the day when our work is no longer necessary because women have equal representation, power, agency and visibility inside the Labour party and beyond.
In the last 12 months, LWN is proud to have grown in numbers and roar. We are delighted we now have more members than ever before. We are also proud to have trained more women than ever before. Through the LWN Political School and the Jo Cox Women in Leadership Scheme, we support women to serve and lead as feminist changemakers at all levels. Our graduates include my right hon. Friends the Member for Ashton-under-Lyne (Angela Rayner) and for Leeds West (Rachel Reeves), my hon. Friends the Members for Hampstead and Kilburn (Tulip Siddiq), for Bristol West (Thangam Debbonaire), for Birmingham, Yardley (Jess Phillips), for Kingston upon Hull West and Hessle (Emma Hardy) and for Oxford East (Anneliese Dodds), and many more, as well as our councillors, police and crime commissioners, and the UK’s only woman Metro Mayor, Tracy Brabin. More than 54% of the women selected to fight seats for Labour at the next general election are also graduates of the LWN training programme. With the greatest respect to my colleagues across the Floor, I am looking forward to seeing Conservative men replaced by talented and diverse Labour women.
The architect of our training schemes is the one and only Nan Sloane, whose good advice to stand firm, take up your space and never apologise for yourself rings in the ears of many Labour women during the critical moments in their political journeys. I would also like to pay tribute to our director Claire Reynolds for her strong leadership and drive for positive change, alongside Jane Heggie and Cat Price.
Another absolute powerhouse of the Labour Women’s Network is my good friend, the right hon. Jacqui Smith, the first ever female Home Secretary. We are immensely proud that Jacqui has served on the LWN executive committee for over a decade. As she prepares to move on to fresh challenges, from NHS leadership to broadcasting to ably chairing the Jo Cox Foundation and championing its commission into civility in public life, I wanted to say a huge thank you. Thank you for showing us what resilience in public life looks like. Thank you for smashing glass ceilings and supporting others to. And thank you for never kicking down the ladder and always finding time to encourage your sisters.
As well as LWN turning 35 this year, we have another important anniversary to celebrate: 2023 marks 100 years since the first three women Labour MPs ever were elected: Susan Lawrence, Dorothy Jewson and Margaret Bondfield. Margaret, a working-class trade unionist and universal suffrage campaigner, went on to become the first ever woman Cabinet Minister and first female Privy Counsellor. Largely written out of history since, the centenary of her election provides a welcome opportunity to correct that, as well as to run commemorative events with Labour Women’s Network. I join the calls led by my hon. Friend the Member for Wirral South (Alison McGovern) to see a portrait of Margaret installed in the House of Commons where it belongs.
While the LWN has been busy sorting out women’s rights within the Labour party, the Labour party has been readying itself to sort out women’s rights within the country. Labour is ready to close the gender pay gap. Labour is ready to deliver a revolution in affordable quality childcare. Labour is ready to support women entrepreneurs. Labour is ready to help employers to support staff through the menopause. Labour is ready to end the black maternal mortality gap. Labour is ready to ensure that rapists meet justice. With due respect to my hard-working sisters across the House, Labour is ready to clear up the mess the Conservative Government have made of women’s rights. It is time for a Labour Government.
I wish all sisters across the House and beyond a happy International Women’s Day. I hope we can work together in co-operation to protect women’s rights. I end by echoing the comments from my hon. Friend the Member for Birmingham, Yardley: we need deeds, not words.
Absolutely. We do need to look at how we support women, and that includes female MPs. I am thinking of Rosie Cooper, who simply left the House of Commons because of what she had experienced. She has gone on record as saying that she did not feel safe continuing.
I do not have a huge amount of time, but I will give way a couple more times.
I will be very quick. The police are saying that they need to move away from viewing the victim as a credible witness, and move on to the perpetrator. Too often, the perpetrator gets away while the police are investigating the victim.
I entirely agree. This is about changing culture as much as about changing the structure of services: we have seen plenty of evidence of that. Let me also pay tribute to the hon. Lady for her private Member’s Bill, which will tackle sexual harassment in the workplace. She has done tremendous work on the Bill, and we hope that it will make swift progress in the other place.
(1 year, 8 months ago)
Commons ChamberAs I set out, this Government in 2017 set out world-leading regulations requiring larger employers to publish their average salaries, but that does not stop other employers from doing the same. We would have to pass new regulations to reduce that threshold and change the Equality Act 2010, but we are seeing all employers wanting to reduce the gender pay gap, and we are leading the way in government, with the Department for Culture, Media and Sport and the Department for Work and Pensions having eliminated that gap in their Departments.
I am going to have to be quicker, or I will never get on the “Women in Westminster: the 100” list.
The Law Commission recommended against adding sex and gender to the hate crime laws. It found that the addition of those characteristics might make the prosecution of crimes that disproportionately affect women and girls more difficult. The Government share the Law Commission’s concern. Parliament repeatedly voted against making misogyny a hate crime last year, and there are no plans to change.
I recognise the arguments that have been made. Most violence against women originates in misogyny. Therefore, making misogyny a hate crime would send such a powerful signal to all offenders that all their offences will be taken with the utmost seriousness and investigated properly. Victims of Wayne Couzens have argued that, if only their reports of his indecent exposure had been taken seriously, Sarah Everard might still be alive today. Is it not time that we made misogyny a hate crime?
I beg to disagree. It may send a signal, but it is more of a virtue signal than a real signal. We have more police officers than ever, and we are determined to stamp out violence against women and girls.
(1 year, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered Eating Disorders Awareness Week.
It is a pleasure to serve with you in the Chair, Ms Harris. I thank the Backbench Business Committee for granting the debate, and all colleagues across the Chamber who have supported it.
Across the United Kingdom, an estimated 1.25 million people have an eating disorder. That includes binge eating disorder, bulimia, anorexia and other specific feeding or eating disorders—indeed, any disorder that avoids or restricts the intake of food. Left undiagnosed and untreated, eating disorders can be a silent killer. Anorexia has the highest mortality rate of any mental illness, and results from one study have shown that a third of people with binge eating disorder are at risk of suicide.
Increasing awareness and our understanding of the causes of eating disorders are crucial to providing the right care. Eating disorders are still hugely misunderstood. Does the hon. Member agree that Ministers must fund more research on that, because just 1% of mental health research funding is directed to eating disorder studies?
I completely agree. Indeed, the all-party parliamentary group on eating disorders inquiry on research funding found how crucial it is, and in particular that eating disorder research should be ringfenced. Some progress has been made, and the eating disorder charity Beat has made good progress on the issue, but more research needs to be done.
For too long, sufferers have been left feeling trapped and alone. Here in Parliament, we have been raising the alarm for some years about this rising epidemic, which still needs more urgent action from the Government. However, I want to acknowledge the good working relationships the eating disorders APPG has had with various Ministers. I hope that will continue, and that today’s debate helps us to make progress together.
The theme for this year’s Eating Disorders Awareness Week is eating disorders in men. Eating disorders do not discriminate. Many people think that eating disorders affect only women, but at least one person in four affected by an eating disorder is a man, and 89% of men and boys aged 16 to 18 in my county of Somerset worry about how they look. Those experiences are often overlooked.
Toxic stereotypes are pervasive, and half of respondents to a recent survey of men’s experience carried out by Beat did not believe that someone like them would develop an eating disorder. One male sufferer in five has never spoken out about their struggle. That is why the debate is so important. We must encourage men to speak up and get the help they need.
Other rigid perceptions of eating disorders persist. Eating disorders are frequently misunderstood and viewed as a lifestyle choice. Contrary to popular belief, eating disorders are most common among people with severe obesity. Too many people are still being turned away from treatment because their body mass index is too high. To imply that someone seeking help for an eating disorder is not skinny enough is a terrible mistake that can lead to added suffering, and I commend Hope Virgo for her tireless campaign, Dump the Scales, which has made a significant difference.
Owing to those perceptions, people with eating disorders face a postcode lottery in trying to access specialist treatment. Beat has found large inconsistencies in the availability of treatment for binge eating disorders. Only 12 of the 51 providers in England that responded to Beat’s freedom of information request offered all three services for binge eating disorders recommended by the National Institute for Health and Care Excellence.
In some areas, treatment for people with bulimia is being rationed according to the frequency of binging and purging episodes. In others, treatment is simply not available. The Somerset and Wessex Eating Disorders Association, also known as SWEDA, has seen a 150% increase in people seeking help for eating disorders compared with pre-pandemic figures. Its children’s service has been overwhelmed with young people and their parents desperately trying to get support.
Eating disorders can take years to recover from, and many children and young people need to continue their treatment into adulthood. Young people miss out on so many educational and social opportunities. These years are stolen from them, and that is not to mention the potentially irreversible effect on their physical health. Again, this affects girls and boys, men and women—eating disorders do not discriminate.
I thank the hon. Lady for securing this important debate. She will be aware that the variation of eating disorders called T1DE—type 1 diabetes with disordered eating—is a growing problem that affects young men as well as young women. The right hon. Member for Maidenhead (Mrs May) and I have been co-chairing an inquiry into that variation of eating disorders. I will not pre-empt what our report will say, but one thing is clear: professional support, both psychological and physical, is vital to these young people, who could otherwise end up seriously ill if they do not take their insulin—in some cases, it is fatal.
I thank the right hon. Member for his intervention. As I mentioned, eating disorders manifest themselves in different forms. We need to increase our understanding of the different types of eating disorders, and much more specialist treatment needs to be available to cater for people’s different needs. I thank him for mentioning that specific form of eating disorders among people who are suffering from diabetes.
As I mentioned, eating disorders result in years being stolen from young people, and they can take many years to recover from. Some of the figures are just staggering. A third of people with eating disorders recover fully, a third never really recover, and a third get worse. For the third that never really recover, it is a lifetime sentence of a life that is not as good as it could be. That is why early intervention and understanding the symptoms of eating disorders are so crucial. The earlier someone receives intervention for their eating disorder, the more likely they are to make a full recovery. The longer symptoms are left untreated, the more difficult it is for the person to recover.
Healthcare should focus on prevention before cure, and early access to the right treatment and support can be life-changing. Some 75% of SWEDA’s staff and volunteers have lived experience of an eating disorder, which is another aspect of this issue that is so important: we need to hear from more people who have lived experience of an eating disorder. Their speaking up and leaving behind the stigma that is still associated with eating disorders is so important, and I commend everybody who has come forward and talked about their lived experience. I understand how difficult that can be, but we need them to do it. All those working for SWEDA say that they wish they could have accessed help long before they were offered it. That is why such organisations are so important: they offer specialist therapy and support to people with eating disorders and body image issues before they become ill enough to need more intensive treatment.
However, those organisations cannot cope on their own. Waiting times for eating disorder patients are out of control, and waiting lists for children’s eating disorder services have doubled since March 2020. From 2021 to 2022, only 61% of urgent cases started treatment within a week—well below the current NICE standard of 95%. I hope the Minister will be able to respond to that. For adults, there are not even targets in place. The Independent has revealed that more than 80,000 adults with eating disorders are waiting to be seen for therapy—a record number—while just 30% of adults got treatment within four weeks of their referral. Again, I hope that the Minister will refer to adult eating disorder services, where we do not have any waiting list targets or targets for support. It is very important that adult services get the same support as children’s services, where we have made progress because there are targets.
Data from the eating disorder charity Beat showed an average delay of three and a half years between someone’s eating disorder symptoms emerging and their accessing treatment. That is simply not good enough. Targets are crucial if we are to tackle this epidemic. An access and waiting time standard for adults would provoke significant extra funding and focus. If we want to encourage people to seek help, we need to give them a guarantee that they will be seen.
Having clear standards can facilitate service improvements. Standards introduced in 2015 for waiting times for children and young people’s eating disorder services have been crucial in driving service improvements. However, similar standards have been lacking in adult services. Shockingly, sufferers are reaching the point of emergency hospitalisation before they can access care. Again, that is not good enough. It also costs a lot more money if we reach people only at that crisis point.
Clinicians have reported a significant increase in the proportion of young people first presenting when they are already severely ill. NHS figures show that hospital admissions for people with eating disorders in England have risen by 84% in the past five years. For children and young people, there was a 35% increase in the past year alone—and among men and young boys, hospital admissions have risen by 128%. There is an increasingly alarming picture that eating disorders in men and boys are being overlooked and not treated early enough. That is why today’s debate is so important.
Tragically, people are losing their lives. Take the terribly sad death of Zara Taylor after two years of struggling to get the right treatment for her eating disorder. An investigation by the Health Service Journal found that at least 19 lives were lost to eating disorders in England over the past five years. At least 15 of those were deemed avoidable and resulted in coroners issuing formal prevention of future deaths reports. Coroners described patients’ safety risks being missed or poorly managed because of limited knowledge of eating disorders among doctors and health professionals, and delays in accessing appropriate treatment. That is why it is so important to have more research into eating disorders, and focus on the more specialist and rare forms of eating disorders. Those same failings were among the key issues identified five years ago by the Parliamentary and Health Service Ombudsman in its report “Ignoring the Alarms”. Surely, we need to do more and to do better.
I was disappointed that the Government decided against publishing a 10-year cross-Government mental health and wellbeing plan for England. Instead, they have developed and published a major conditions strategy that would include mental health alongside other groups of conditions, including cancers, cardiovascular disease and dementia. That is not helpful. Compared with physical health, mental health has been a Cinderella service; for years, we have been asking for parity. If everything is put together again, we run the risk of losing special attention to mental health.
Can the Government not see that for targeted and varied issues we need targeted and varied strategies? I point them to Hope Virgo’s eating disorder manifesto, which calls on the Government to implement an evidence-based national eating disorder strategy, with a plan outlining how they will tackle the huge rise in people affected by eating disorders.
I want to single out Hope Virgo for her tireless campaign. She has made such progress in helping us to understand what it is to suffer an eating disorder and access services. She has continually engaged with us and Government in order to achieve improvements. She has done fantastically well. The strategy that she calls for should integrate obesity and eating disorder prevention plans, given the overlapping factors between the two. The Government should also look at reforming treatment approaches. I hope they are looking seriously at Hope Virgo’s manifesto and strategy.
A recent University of Oxford study found that using the integrated CBT-E—enhanced cognitive behaviour therapy—approach over the current in-patient approach reduced readmission rates for people with anorexia by 70% over a year. That means that we need to treat this as a mental health condition first and foremost, and to treat people’s physical health as a result of the mental health issues. If we do not tackle the mental health issues, we will not cure the physical problems.
The strategy should also include better training. According to Beat, 20% of medical schools do not include eating disorders in their teaching at all, while those that do provide less than two hours on the topic. Training should be compulsory in order to spot early signs of eating disorders. Many participants in a 2021 Beat survey reported having a negative experience when they first sought help from a GP. There are many brilliant practitioners in the NHS delivering excellent care, but I want every doctor to complete their training with the knowledge and skills to best support people with eating disorders.
The crisis in the NHS has decimated mental health services. Staff shortages are growing. According to the National Audit Office, between 2021 and 2022, 17,000 staff left the NHS mental health workforce. The Royal College of Psychiatrists 2021 workforce census shows that since 2017 there has been a 30% increase in the number of vacant or unfilled consultant posts in England. That is not good enough. How we can encourage specialists into services is a big question that the Government need to answer.
Eating disorder psychiatry has one of the highest numbers of vacancies, with just 28 full-time consultants. We need significant investment in staff retention. The RCP’s members report high workloads and poor work-life balance. NHS trusts should be supported to meet important improvement targets for retention. I hope that the Government will keep their commitment to publish an NHS workforce plan and that they will bring that forward early, along with adequate investment.
Mental health services need proper funding. This financial year, only 13.8% of local health spending has been allocated to mental health services, although mental illness accounts for 21.3% of the total disease burden in England. The money spent on young people’s eating disorder services has not kept up with the number of young people who need treatment. I support the NHS Confederation’s call for £12 million of additional funding to be made available over the next year to get children and young people’s eating disorder services back on track.
The funding that is provided needs to reach frontline services. An inquiry by the APPG on eating disorders, which I am proud to chair, found that 90% of the additional NHS funding given to clinical commissioning groups for children’s services did not reach the services to which it was pledged. We wrote to CCGs at the time, and the answers that we received were not satisfactory. The Government must ensure that their funding pledges are not empty words and that money is getting where it is needed. A one-off boost for children’s mental health services is not enough. Soaring demand for underfunded services will lead to children missing out on care.
We are all aware that the NHS is in crisis. We hear harrowing stories about ambulance and A&E delays, but the impact on mental health services has received little attention. I hope that today’s debate will make a difference and that we will hear more about the crisis in mental health service provision.
The Liberal Democrats firmly believe that physical and mental health should be treated equally in the NHS. Eating disorders are an epidemic. The sooner we realise that, the sooner we can treat them with the attention they deserve. No one should be condemned to a life of illness, nor should anyone be dying from an eating disorder in 2023.
I am delighted to participate once again in this debate in Eating Disorders Awareness Week.
An eating disorder is a cruel and distressing illness both for those who live with the disorder and for their families, who are so often at a loss as to how best to support their loved one who is experiencing the illness. As we have heard, an eating disorder can affect anyone, regardless of gender, age, ethnicity or social background, and the impact of this serious mental illness, affecting 1.25 million people across the UK, is profound. The causes are complex, and there is no quick fix to resolve this condition. There is no doubt that, as we have heard, the gap between the onset of the illness and the start of treatment is simply too long. While family members shrink into the grip of the illness before the eyes of loved ones, families are left feeling helpless to understand what is happening and how best to provide the support that is so obviously needed.
One innovation, or new measure, that has not helped the charities and those on the frontline seeking to support people living with this condition or in danger of developing an eating disorder is calorie information on menus, which has become mandatory in England. Although we all understand the good intentions behind it, I believe it is a misguided measure. The eating disorder charity Beat is urging the Scottish Government not to follow suit on that, for very understandable reasons.
My first knowledge of the issue of eating disorders was through the story of Karen Carpenter, who died at the age of 32 in 1983 because of illness related to her eating disorder, and then Lena Zavaroni, a Scottish singer and entertainer who died in 1999 at the age of 35 because of issues surrounding her long battle with anorexia. Both those young, beautiful and very talented women spent almost all of their short lives battling with this condition, and they ultimately lost their lives to it.
Those are two very high-profile examples of deaths from eating disorder. Many people will have heard their stories and about their struggles. Sadly, it is the case that, for anyone who develops this condition, the mortality rate is frighteningly high: it is the highest mortality rate of any mental illness. As we have heard today, eating disorder does not come alone; it is accompanied by other mental health conditions such as depression, self-harm and obsessive behaviour.
Is it not also important that we look at athletes? We have heard that a lot of eating disorders are combined with over-exercising. It is important that we look at those highly successful and high-performing people, who are in danger of developing an eating disorder.
Indeed. We have talked about the overlap and common ground between eating disorders and obsessive behaviour. That territory certainly includes issues such as athletes who are very conscious of body image and how to maintain it.
We have heard that eating disorders are often incorrectly, and perhaps almost exclusively, associated with young women. Stereotypes around the disorder mean that often men who are living with this condition can be deterred from seeking the help that they need. They can also have their difficulties and struggles misdiagnosed. That is why this year’s Eating Disorders Awareness Week theme is eating disorders in men. In fact, one in four people with eating disorders are men, and it is important that we raise awareness around that so that people understand this is not restricted to women.
What a pleasure it is to close for the Opposition with you in the Chair, Ms Harris. I thank the hon. Member for Bath (Wera Hobhouse) for bringing forward this debate; I am honoured to be part of it again. It is a shame that we have to be here every year talking about this issue, but it is a testament to how seriously we take it. We will be here until we see the issue resolved.
This is normally the point at which I mention a few comments from Labour Members and say, “Didn’t they do well?”, but every single contribution and intervention was valuable. I learned new things on a topic that I thought I already knew very well. I hope that this debate will not just be filled with words about what needs to change, but that there will be something tangible—some action—at the end.
Across the UK, as many as 1.25 million people are living with an eating disorder. That is a staggering number, if we actually think about what that means. We have heard about the considerably high mortality rates; anorexia claims the most lives of any mental illness. With timely and appropriate treatment, people can go on to live healthy and fulfilling lives, so how many of those deaths are avoidable? That is the truth that we have to face.
I welcome the fact that we have opportunities in this place to mark Eating Disorders Awareness Week, but we have to do so much more all year long to challenge the stereotypes and assumptions that so many people still hold about eating disorders. It is so important to remember that eating disorders can manifest themselves in a variety of ways—through people eating too much or too little, or even restricting what they eat. To echo what has been said, we must never forget that eating disorders can affect people of any age, gender, ethnicity and socioeconomic background.
We have heard that one in four people with eating disorders is a man. It is staggering that it is still so difficult for boys and men to come forward and talk about their issues with eating. In my work in A&E, I see younger and younger people—especially boys—talking about their struggles with food and body image. They often cite social media and peer pressure as the source of those struggles.
I always like to thank the charity Beat for its incredible work. It works so hard to combat the negative stereotypes and misleading perceptions of eating disorders, which are sadly all too common. As was said eloquently today, people experiencing an eating disorder can often find themselves in mental health hospitals. To pick up on the point made by my hon. Friend the Member for Sheffield, Hallam (Olivia Blake), about the use of restraint, I have written to the Minister on that topic. I look forward to having a meeting about it, and to seeing the end of the inappropriate use of restraint. Mental health in-patient settings must be a place of safety, where patients and their loved ones can expect to be treated with dignity and professionalism. However, that is clearly not always the case.
For the families of those with eating disorders, the situation is crippling. They have an all-encompassing fear of the unknown when it comes to what their loved one will eat that day. They are concerned that they may have to give up their job, or even not care as much for their other children because they are obsessed with what one child is eating. They know that the child could lose their life at any moment.
It has been agonising to listen to the recent reports of the death of 19 eating disorder patients in in-patient settings; serious concerns were raised about their care. Lives should not be needlessly lost because of poor care and a lack of understanding of eating disorders. My heart goes out to their friends and families. Far too many families—not just the families of those with eating disorders—have lost loved ones in mental health hospitals. How many more people will lose their life before the Government get a grip on safety in in-patient settings? We need a Government who will get serious about mental health and eating disorders. As we have said time and again, access to proper treatment can be life-changing. Prevention is important, and early intervention provides the best chance for recovery. Think of those families who have lost loved ones, knowing that it could have been prevented, and that we in this place have not yet done enough to save these lives.
Targets on accessing treatment are being routinely missed. In 2016, a clear standard was set that 95% of children and young people experiencing the most urgent eating disorder cases should receive treatment within one week. Since then, however—I accept that the Minister has not been in post that entire time—the Government have missed the target; I hope the situation will improve. Disappointingly, only 60% of urgent cases were seen within one week last year. That means that four in 10 children and young people were not seen at the point of desperation. Children and young people are being left on lengthy waiting lists, unable to access support. Meanwhile, their families are helpless, and are trying their best to support their children without vital help from mental health professionals.
Does the hon. Lady realise the mental health impact on those who see a sufferer suffering and not getting the intervention they need? Families see what is happening to their loved one. They are waiting with them, and their mental health is deteriorating at the same time.
Without a shadow of a doubt, not investing in a person with a mental health need often has a knock-on impact on four, five or six members of the family. Ultimately, we then need to use more mental health resources to serve their needs as well. It makes no economic sense, and no moral sense either, so I thank the hon. Member for her intervention.
The strain that an eating disorder places on an entire family is immense. As I say, parents often have to stop working to care for their child around the clock. How can the Government continue to fail young people with mental health needs? This cannot go on. For how long do the Government think it is acceptable for young people to be stuck on waiting lists for mental health treatment? Eating disorder psychiatry and child and adolescent psychiatry are two of the three psychiatric sub-specialties with the highest consultant vacancy rates. Where is the Government’s workforce plan? Patients are suffering.
After more than a decade of Tory mismanagement, patients are being failed, waiting lists are soaring and services are struggling to cope. I do not like to make eating disorders a political football—they are not—but the truth has to be told: the Government have failed thus far on their commitment. If they cannot get a grip and improve services, Labour will. We stand ready with a bold plan to recruit 8,500 additional staff in order to provide mental health treatment within a month for all who need it. Labour will put prevention and early intervention at the forefront of our approach to mental health. We will place a mental health specialist in every school, and we will place an open-access mental health hub for young people in every single community. The Government can no longer continue to neglect mental health services.
Absolutely; I will look out for the results of those trials. I am keen that we use evidence-based medicine, and if something has proven to be effective in clinical research, it absolutely needs to be rolled out. An hon. Member touched on the lack of research into eating disorders. The National Institute for Health and Care Research does have funding available, so I would encourage clinicians, researchers and charities that want to undertake research into eating disorders to apply for funding for those trials. We need more research into eating disorders, particularly around men and high-risk groups, such as diabetics.
Will the Minister respond to the concern raised that Government money had been made available but did not reach the frontline, as a freedom of information request by Beat showed? How do the Government intend to tackle that and ensure that money reaches frontline services?
The Government have made huge amounts of funding available, for both mental health and eating disorders. More funding than ever before has gone into those services, but that funding needs to reach the frontline. That speaks to my point about local commissioners: where funding is given to a particular area, commissioners are supposed to use that money to commission services at a local level. If that is not happening in some parts of the country, then I am happy to meet with those commissioners and Members of Parliament to find out why.
We want to ensure that funding is going to the frontline to make the difference that we need it to. We are the first Government to prioritise mental health, and the first to set targets for eating disorder referrals. We are the first Government to set a standard of recruiting 27,000 additional mental health workers. We have started to roll out mental health teams in our schools, and when I spoke to the Royal College of Psychiatrists yesterday, for the first time it said that it had filled all its training posts in the last year.
We are making significant progress, but patients need to feel that. That is the next step. I am happy to work with the hon. Member for Bath and the APPG on eating disorders to make sure that is happening on the ground, because, as someone said, it is great to talk about it, but we need to see the impact for patients.
I hope that reassures right hon. and hon. Members about how seriously we take this issue. I look forward to working with everyone across the House to make eating disorders a bigger priority for clinical work. Good progress has been made, but there is a lot more to do.
It has been a real pleasure to listen to all the contributions today; I thank everyone who contributed to the debate. It was wide-ranging, reflecting the wide-ranging issues associated with eating disorders, from body image and social media to access to services, waiting times and the need for early intervention and diagnosis, as well as the need for research funding and more specialists in the field.
This is a cross-party effort to eradicate the epidemic of eating disorders. The good news is that eating disorders can be treated and full recovery is possible, but we need to do a lot more to make that happen. We need to increase our knowledge about the many different types of eating disorder. We need many more specialists and specialist services, and mental health and physical health services need to be integrated, as has been made clear today. Eating disorders are a mental health condition, as well as a physical health condition. If the two are not treated together, then we are failing patients.
Eating disorders do not discriminate; we must encourage everybody to come forward to seek help, especially boys and men. That was the main topic of the debate. Early diagnosis and treatment can make a life-saving difference. As we have heard many times, men do not like to come forward or talk about physical problems, but it is important for men of all ages to come forward and seek help.
I thank everybody who contributed, particularly those tireless campaigners, including Hope Virgo, who has been mentioned several times, and the eating disorder charity Beat. Without their tireless efforts, awareness of eating disorders and treatment would not be what it is today.
Question put and agreed to.
Resolved,
That this House has considered Eating Disorders Awareness Week.
(1 year, 9 months ago)
Commons ChamberWithin the life sciences missions, manufacturing is a key point. I was at the life sciences conference in San Francisco when we finalised the deal with Moderna. Of course this is not about playing politics; I am more than happy to meet the firm in the hon. Gentleman’s constituency, because vaccine manufacturing will be a key growth area for us.
Europe remains a vital destination for British businesses, with exports of over £386 billion in the year to September 2022. That is up almost 25%, in current prices, on the previous year. As we speak, the Secretary of State is in Rome to establish the UK-Italy export and investment promotion dialogue, which will help to strengthen practical co-operation on exports in high-performing sectors and promote inward investment. We are also working closely with EU member states to tackle priority barriers and unlock export opportunities for UK businesses.
More than half of firms surveyed by the British Chambers of Commerce are struggling with the new post-Brexit export system. The Office for National Statistics reports that Brexit costs the economy £1 million per hour, and the UK economy has not recovered as well as other countries post covid. What plans does the Minister have to reduce trade barriers and EU border bureaucracy, which have hugely increased since Brexit?
As I said earlier, I hope that we can look at the opportunities of leaving the EU as well as trying to fight past battles. There are a host of opportunities; for example, I do not think that the EU had a particularly proud record on services around the globe. We are opening up services for many companies, which under the EU we were to a very large degree constrained in doing. We have huge resources for supporting businesses. Trade with the EU has been growing considerably, and we will do everything we can to support further growth.