Oral Answers to Questions

Wera Hobhouse Excerpts

Thursday 18th May 2023 Commons Chamber

[Nigel Huddleston]

Again, 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.

[Wera Hobhouse (Bath) (LD)]

14. What steps her Department is taking to uphold environmental standards in trade deals.

[The Minister of State, Department for Business and Trade (Nigel Huddleston)]

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.

[Wera Hobhouse]

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?

[Nigel Huddleston]

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.

International Women’s Day

Wera Hobhouse Excerpts

Thursday 9th March 2023 Commons Chamber

[Dame Diana Johnson (Kingston upon Hull North) (Lab)]

I 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.

[Wera Hobhouse (Bath) (LD)]

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.

[Dame Diana Johnson]

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.

--- Later in debate ---

[Jackie Doyle-Price]

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.

[Wera Hobhouse]

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?

[Jackie Doyle-Price]

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.

--- Later in debate ---

[Dawn Butler (Brent Central) (Lab)]

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.

[Wera Hobhouse]

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?

[Dawn Butler]

It completely is. Again, it is about language, and what it is designed for and to do.

--- Later in debate ---

[Wera Hobhouse (Bath) (LD)]

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.

[Abena Oppong-Asare (Erith and Thamesmead) (Lab)]

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.

[Wera Hobhouse]

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.

[Abena Oppong-Asare]

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.

--- Later in debate ---

[Maria Caulfield]

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.

[Wera Hobhouse]

Will the Minister give way?

[Maria Caulfield]

I do not have a huge amount of time, but I will give way a couple more times.

[Wera Hobhouse]

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.

[Maria Caulfield]

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.

Oral Answers to Questions

Wera Hobhouse Excerpts

Wednesday 8th March 2023 Commons Chamber

[Maria Caulfield]

As 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.

[Wera Hobhouse (Bath) (LD)]

2. What recent assessment the Government have made of the potential merits of making misogyny a hate crime.

[The Parliamentary Under-Secretary of State for the Home Department (Miss Sarah Dines)]

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.

[Wera Hobhouse]

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?

[Miss Dines]

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.

Eating Disorders Awareness Week

Wera Hobhouse Excerpts

Tuesday 28th February 2023 Westminster Hall

[Wera Hobhouse (Bath) (LD)]

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.

[Margaret Ferrier (Rutherglen and Hamilton West) (Ind)]

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?

[Wera Hobhouse]

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.

[Sir George Howarth (Knowsley) (Lab)]

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.

[Wera Hobhouse]

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.

[Several hon. Members rose—]

--- Later in debate ---

[Patricia Gibson (North Ayrshire and Arran) (SNP)]

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.

[Wera Hobhouse]

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.

[Patricia Gibson]

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.

--- Later in debate ---

[Dr Rosena Allin-Khan (Tooting) (Lab)]

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.

[Wera Hobhouse]

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.

[Dr Allin-Khan]

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.

--- Later in debate ---

[Maria Caulfield]

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.

[Wera Hobhouse]

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?

[Maria Caulfield]

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.

[Wera Hobhouse]

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.

Oral Answers to Questions

Wera Hobhouse Excerpts

Thursday 9th February 2023 Commons Chamber

[Ms Ghani]

Within 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.

[Wera Hobhouse (Bath) (LD)]

7. What steps she is taking to help increase trade with European countries.

[The Minister of State, Department for Business and Trade (Nigel Huddleston)]

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.

[Wera Hobhouse]

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?

[Nigel Huddleston]

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.