Covid-19 Update

Wes Streeting Excerpts

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

I am happy to give that answer, which is very clear. For those in the city of Leicester, and in Oadby and Wigston, the position is that of the measures that I have set out: releasing, on 24 July, the closure of non-essential retail and of schools and childcare facilities, but keeping all the other measures in place. Those not in those two specific areas return to the same measures that the rest of the country is living with, except of course that we will keep the higher vigilance, the higher level of testing and the communications in those areas. The decisions on this geography were taken on the advice of local council leaders. While I have been on my feet, I have seen that the Mayor of Leicester has made some comments on this. I did ask him whether he wanted to put forward a different geography within the city of Leicester and he declined to do so, but we work very hard and as closely we can with Leicester and especially with the public health officials there, who are doing a valiant job in difficult circumstances.

[Wes Streeting (Ilford North) (Lab)]

On lessons learned, given the circumstances in Leicester, does the Secretary of State agree that the Government made a terrible mistake in cutting the Health and Safety Executive’s budget by 48% and by instructing the HSE to reduce inspections in the textiles industry by a third?

[Matt Hancock]

I have not seen those figures, but what I do know is that local councils have incredibly important responsibilities in this space and we will now act to make sure that we tackle some of the challenges that we find, especially in Leicester.

Coronavirus

Wes Streeting Excerpts

Wednesday 17th June 2020 Commons Chamber

[Matt Hancock]

My right hon. Friend is an incredible campaigner for Epsom General Hospital. The injection of approximately half a billion pounds into the local health economy will be a very welcome step. We absolutely have to ensure that the lessons of covid are learnt before the new development goes ahead, but I commend all those staff at the Epsom and St Helier hospitals for the work they have done, some of which has been done under great pressure. I also commend the leadership of the trust, who have done a fantastic job.

[Wes Streeting (Ilford North) (Lab)]

The Secretary of State did not answer the question from the hon. Member for Central Ayrshire (Dr Whitford), so I thought I would give him another chance. Can he explain why £108 million of the £350 million of personal protective equipment contracts was awarded, without being advertised, to Crisp Websites Ltd, which trades as PestFix, a small pest extermination company? Why was such a large contract awarded to a company with no expertise in trading or supplying any PPE, let alone highly specialised equipment for NHS staff? How do the Government think that such a small company, with only £18,000 of registered assets, can manage the cash flow required to procure £108 million of PPE?

[Matt Hancock]

When the demand for PPE shot up, as it did not only here, but around the world, we worked with so many companies to deliver extra PPE, and we have managed to deliver on what was needed. That is why we have now the medium-term supply chains in prospect. I pay tribute to all my commercial team, who did extraordinary and sometimes innovative things in order to make that happen, and that is what they did.

Covid-19 Update

Wes Streeting Excerpts

Tuesday 24th March 2020 Commons Chamber

[Matt Hancock]

If they are essential, yes, but the aim here is to try to absolutely push down the speed of transmission of this disease over the next few weeks, to get a grip on its spread. That means that, while we have set out four reasons where it is reasonable to leave one’s home, people should stay at home if they do not have a good reason.

[Wes Streeting (Ilford North) (Lab)]

I will not read the text message that I have received from my hon. Friend the Member for Birmingham, Yardley (Jess Phillips) because it contains unparliamentary language. However, further to the reply given to my hon. Friend the Member for Brentford and Isleworth (Ruth Cadbury), I think the Secretary of State needs to give the House a clear explanation as to why it was yesterday that clear guidance was provided by the Government on access to abortion early in the day, only for it to be removed from the Government website later in the day. Why is that? Why are the Government not listening to the royal colleges, and why are they making it more difficult for women to get access to an essential procedure during this time of crisis?

[Matt Hancock]

All I can do is repeat the clarity that there are no proposals to change abortion law.

Coronavirus Bill

Wes Streeting Excerpts

2nd reading & 2nd reading: House of Commons
Monday 23rd March 2020 Commons Chamber

[Matt Hancock]

Absolutely—all of that is in hand. My right hon. Friend is quite right to raise it.

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State for everything that he is doing. We are all rooting for him to be successful. I am genuinely worried about what is happening in London hospitals, and what it says about the prospects for the rest of the NHS. He is right to try and get staff to return, but we have to be able to keep them when they arrive. I have seen disturbing reports over the weekend of agency staff walking out mid-shift because they do not have the right protective gear, the right sanitising hand gel, and the things that they expect to keep themselves and patients safe. Can he look urgently at this issue, because London is the story that will follow for the rest of the country if we do not get this right?

[Matt Hancock]

Yes, this is what I have been spending the weekend on—absolutely; it is incredibly important.

Turning to the second part of the Bill, which is about easing the burden on the frontline and follows from that intervention, that refers not only to the NHS frontline but to the dedicated public servants who guard our streets, who care for our children, and look after communities, in local government—in short, all those who keep the UK running safely and securely. By cutting the amount of paperwork that they have to do, by allowing more remote working, by delaying some activities until the emergency has ended, we can keep essential services going while we get through the pandemic.

Some of the measures are difficult, and not what we would choose to do in normal times. For instance, the Bill will modify temporarily mental health legislation, reducing from two to one the number of doctors’ opinions needed to detain someone under the Mental Health Act 1983 because they pose a risk to themselves or others. In circumstances in which staff numbers are severely affected, the Bill allows for the extension or removal of legal time limits governing the short-term detention of mental health patients. The Bill also allows for an expansion of NHS critical care by allowing for rapid discharge from hospital where a patient is medically fit. NHS trusts will be permitted to delay continuing healthcare assessments, a process that can take weeks, until after the emergency has ended. The people who need this support will still receive NHS funding in the interim.

The Bill contains powers allowing local authorities to prioritise the services they offer, as we discussed earlier in relation to social care, and that prioritisation, while challenging, is vital. The measures would only be activated in circumstances where staff numbers were severely depleted. They do not remove the duty of care to an individual at risk of serious harm or neglect. We do not take any of these measures lightly. I hope that many will not have to be used, but we will do whatever it takes to beat this virus.

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[Matt Hancock]

Well, what can I say? I am concerned that people are not following the public health advice.

[Wes Streeting]

Some holiday companies have been responsible. For example, Sykes Cottages has cancelled a raft of bookings for weeks ahead. However, my hon. Friend the Member for West Ham (Ms Brown), by phone, has raised the fact that lots of Airbnb bookings are still available in holiday resorts. Surely that is irresponsible. If the companies will not do the responsible thing by limiting access to holiday properties, does the Bill give the Government the power to act? If so, will they act to stop this kind of behaviour?

[Matt Hancock]

If it is deemed a risk to public health, the Bill does give the potential power, through secondary legislation, to take action if that is needed.

Covid-19

Wes Streeting Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

I am discussing with the Chancellor of the Exchequer a further package of support, because it is absolutely clear that the measures that we are having to take will have a very significant impact on business.

[Wes Streeting (Ilford North) (Lab)]

Professor Costello of University College London says that the virus is particularly contagious at the early stages before symptoms present. Given the prevalence of this virus in London in particular, is the current Government’s strategy based too heavily on responding to observable symptoms and is there not a case now for going further faster, particularly in London?

[Matt Hancock]

The point behind household isolation is precisely to address the concerns that the hon. Gentleman has raised. Furthermore, by reducing all unnecessary social contact, we will help to reduce the sorts of transmissions that he talks about.

Health Infrastructure Plan

Wes Streeting Excerpts

Monday 30th September 2019 Commons Chamber

[Edward Argar]

I know the Horton well from my time as the parliamentary candidate for Oxford East, which I fought in 2010 and which, sadly, fought back. I also know of the work that my hon. Friend has done since before her time in the House in campaigning in the hospital’s interests. I will certainly look carefully at any application that is made, and I will judge it swiftly and fairly, as will the Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

I warmly welcome the investment in Whipps Cross University Hospital, which is one of the six projects that have actually been committed to, as opposed to the 40-odd that have been promised. However, as the Prime Minister found during his recent visit to the hospital, when he met my constituent Omar Salem, all is not well in respect of the consistency of the care provided there—not because of a lack of dedication on the part of the staff, but because the hospital and, indeed, the wider Barts Health NHS Trust do not receive the funding that they need to cater for such a large population across the whole of east London. I welcome the investment in the fabric of the hospital, but what will the Minister do to ensure that my constituents receive a consistently excellent quality of care when they visit the hospital?

[Edward Argar]

I am grateful to the hon. Gentleman both for his question and for the reasonable tone in which he pitched it. [Interruption.] Indeed, he is always reasonable. As he knows, the capital investment will allow for investment in a new hospital, providing a range of services across emergency, maternity and specific out-patient and other diagnostic services. As for consistency of care and the experience of patients, the hon. Gentleman is absolutely right to pay tribute to the fantastic work done day in, day out by the NHS workforce, and that is why we have seen that workforce grow under this Government. Equally, however, when I visit hospitals, as I have done since I was appointed, I observe that the infrastructure and the buildings in which they operate can play a huge part in delivering not only consistency of care, but speed of care and speed of access. That capital investment in the hon. Gentleman’s local hospital will play a huge part in giving its excellent staff the tools with which to do their job and the environment in which to do it, and he will see that delivering better and more consistent care to patients.

Tessa Jowell Brain Cancer Mission

Wes Streeting Excerpts

Monday 13th May 2019 Commons Chamber

[Matt Hancock]

Yes, I agree with all that. Of course, protection from too much exposure to the sun is part of the prevention agenda in healthcare, as well as being an absolutely sensible thing to do.

[Wes Streeting (Ilford North) (Lab)]

Like others, I want to congratulate the Government and everyone involved in the Tessa Jowell Brain Cancer Mission on making a painful anniversary for Tessa’s friends and family a bit more bearable for knowing that her vigour and energy are still very much alive and kicking through the mission. This is also a painful time of year for my constituents, Scott and Yang Lau, who lost their young daughter Kaleigh to a diffuse intrinsic pontine glioma, a particularly pernicious brain tumour that largely affects children. They are working with Jess Mills on fighting that particular form of brain tumour. What more can the Department do, generally and specifically through the Tessa Jowell Brain Cancer Mission, to focus on childhood brain tumours, particularly rare tumours such as DIPG, so that other families do not have to suffer what my constituents and others have had to go through?

[Matt Hancock]

The hon. Gentleman is right to say that, and I send my condolences to his constituents. The truth is that brain cancer is one of the most, if not the most, predominant cancers among children. Although it is relatively rare among all cancers, that is not true among children. Thousands of people still die from brain cancer, which is why it was right that Parliament and Tessa Jowell came together to highlight the lack of research in the area—something that we are determined to put right.

Oral Answers to Questions

Wes Streeting Excerpts

Tuesday 15th January 2019 Commons Chamber

[Stephen Hammond]

The hon. Gentleman is right to say that volunteers in the NHS provide an invaluable service, but he is completely wrong to suggest that any part of the long-term plan relies on volunteers. There is an expansion in numbers of nursing associates to deal with those vacancies and, as I have said to other hon. Members, we have seen an increase in the number of doctors in GP training. Obviously, he will welcome the £20.5 billion a year that is going into the national health service. That will inevitably mean more doctors and nurses, which is why we are making more training places available.

[Wes Streeting (Ilford North) (Lab)]

2. What progress his Department has made on contingency planning for the UK leaving the EU without a deal.

[Ian Murray (Edinburgh South) (Lab)]

3. What progress his Department has made on contingency planning for the UK leaving the EU without a deal.

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

We do not want a no-deal scenario in our exit from the European Union, but it is incumbent on us to prepare in case. We asked medical suppliers to stockpile a further six-week supply over and above normal levels, and that work is going well. We will continue to work to ensure the unhindered supply of medicines in all Brexit scenarios.

[Wes Streeting]

The Prime Minister’s threatening of this Parliament and the country with no deal is entirely reckless, irresponsible and unnecessary. It is also causing unnecessary fear and anxiety among a range of clinicians and patients who rely on the consistent supply of life-saving drugs. The Secretary of State says that the Government are stockpiling medicines for up to six weeks. Will he do the right thing and commission an independent assessment of those plans so that patients can be reassured? Better still, will he go back to the Cabinet and say that no responsible Health Secretary would allow no deal to take place, no responsible Prime Minister would allow no deal to take place, and this House will not allow no deal to take place?

[Matt Hancock]

It is incumbent on me as Health Secretary and on my team to ensure that we prepare for all potential scenarios. Of course, because of the overwhelming vote of the House in favour of the withdrawal Bill, no deal is the law of the land unless the House does anything else. If the hon. Gentleman is so worried, the best thing that he and all his friends can do is vote for the deal tonight.

Budget Resolutions

Wes Streeting Excerpts

Tuesday 30th October 2018 Commons Chamber

[Matt Hancock]

Yes, and the constructive approach that the hon. Gentleman has taken on this subject with me over many months, and for years before that, shows the progress that we can make. We are putting £20.5 billion extra into the NHS, and making an uplift like that means that we can turn resources towards preventing ill health in exactly the way that he describes. I pay tribute to the work that he has done on this subject.

[Wes Streeting (Ilford North) (Lab)]

Yesterday, the Chancellor boasted of a “jobs miracle”. If there is a jobs miracle, why is the chemotherapy unit at King George Hospital in my constituency closing because of a shortage of chemotherapy nurses?

[Matt Hancock]

We have a plan to improve the cancer workforce and to try to solve some of these problems. Maybe the hon. Gentleman should come over to this side and work with us to put record funding into the NHS. We can only have record funding for the NHS if we have a strong economy.

Paediatric Cancers of the Central Nervous System

Wes Streeting Excerpts

Monday 22nd October 2018 Commons Chamber

[Chris Elmore]

I agree entirely. I am sure the Minister will set out the extra work the Government here and the Administrations in Scotland, Cardiff and Belfast are doing.

The very fact that these cancers are rare often makes it difficult to get a research cohort together, but we cannot allow that to be a barrier to finding new treatments and even cures for such illnesses. The treatments currently available for childhood cancers in the brain or spine tumours range from neurosurgery to radiotherapy, chemotherapy and steroids, and finally proton beam therapy. The course of treatment is tailored to the individual case, with patients typically undergoing multiple treatments. Sadly, AT/RT patients do not typically have good survival rates, and outcomes are poorer if a child has signs of tumour spread at diagnosis. We cannot accurately predict the outcome for any individual child who has developed such a tumour, but children diagnosed who are less than 12 months old are less likely to be able to fight the disease.

It will come as no surprise to hon. Members when I say that the key to fighting this disease in the long term lies in medical research. There are many competing priorities in medical research, with many historic frontiers yet to be conquered, but we must ensure that all forms of illness that cause pain and suffering receive the attention and the willingness to tackle them they deserve. I welcome the announcement from the Department of Health and Social Care earlier this year that the UK will invest £20 million in brain tumour research over the next five years. In addition, Cancer Research UK is investing £25 million to support that work. Will the Minister say what percentage of that funding will be used specifically for research into paediatric cancers?

[Wes Streeting (Ilford North) (Lab)]

I am grateful to my hon. Friend for securing this debate. This year, I have attended the funerals of two very special and inspirational people. One was well known to us in this place: Dame Tessa Jowell, who led a valiant campaign against brain cancer. I welcome the Government’s response to her efforts. The other was my eight-year-old constituent Kaleigh Lau, who waged an equally valiant fight against diffuse intrinsic pontine glioma—a particularly rare form of brain tumour. May I endorse what my hon. Friend says about the importance of specific funding for childhood brain tumours, including rare conditions such as DIPG? May I also through him urge the Minister to look again at support, especially financial support, for families who travel long distances—in Kaleigh’s case, to Mexico—to access experimental, often successful and life-extending, treatment? That needs to be looked at, so that in future the life expectancy of a child depends not on how much money their parents have or can raise, but on whether our Government are prepared to ensure that all children have access to potentially life-extending treatment.

[Chris Elmore]

I agree, and I will touch on the impact on families later in my speech. People talk of the late Baroness Jowell—Tessa—and her legacy. There can be no greater legacy than securing the additional research funding through her campaign on tackling the causes of brain tumours. Of her many great achievements, that has to be the one that will live with all of us the longest.

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[Chris Elmore]

I entirely agree with my hon. Friend. I again pay tribute to her and her leadership not just on childhood cancer but on cancer generally. She is a true heroine of the cause and we are extremely grateful to have her in this House. It is clear that there is positive work being undertaken on this issue, but it has to be said that we can do more, much more, to help to tackle this disease.

Members across the House will remember when our dearly missed friend, the late Baroness Jowell, spoke so movingly, just days before Cian passed away last January, about the need to work much harder to make brain tumour research more effective. Tessa stressed the need to support the Eliminate Cancer Initiative to improve the chances of tackling this rare illness internationally. The creation of a clinical trial network around the world, an increase in the use of active trials, and the use of a global database would help to improve research and patient care. As Tessa so rightly said, through sharing knowledge across borders, and thereby at a local level across medical governance structures, we will be best placed to advance our knowledge of the most difficult and rare forms of cancers, including cancers of the central nervous system.

Making that happen will involve further investment in research into specific tumours such as AT/RT, and international collaboration to ensure that we have the best minds and the most innovative technology working on the most difficult of challenges. I believe the UK Government can be doing more to facilitate that. When Ministers visit other countries abroad, more often than not the two principal reasons for the trip are to further international trade or promote international security, both of which are of course vital. However, it is my view that in discussions with our foreign counterparts the issue of international research must rise up the agenda if we are to have any hope of accelerating our efforts in this area.

[Wes Streeting]

My hon. Friend is being very generous with his time. I am reluctant to introduce Brexit to this debate as we spend so much time discussing it, but on that specific point we have to ensure that we maintain research co-operation with other EU member states, not least so that we get the scale of rare cancers. In the week in which my local NHS trust announced it is closing the chemotherapy unit at King George hospital because of a shortage of chemotherapy nurses, may I gently ask the Minister to ensure that we recruit and retain, from both here and across EU member states, the staff we need to provide the high quality of care and treatment our constituents so desperately rely on?

[Chris Elmore]

I entirely agree with my hon. Friend. I will move on to the big B and the big C shortly.

Many of the children Cian was in hospital with had previously been sent abroad to participate in medical trials, including proton therapy. Will the Minister please look at what more we can do to collaborate with international drug trials and trials of new therapies to ensure that we have the most up-to-date treatments available here in the UK? Just as cancer affects so many people, so our efforts to counter it must include as many people as possible. This is simply not something that we can tackle alone.

Sadly, while the majority of my remarks have been about the big C, I must, as ever, touch on the big B. As we leave the European Union, it cannot be stressed enough how important it is for us to continue to work with our European partners to fund research, and indeed to undertake research ourselves into rare cancers. It is vital that we continue to play our part in EU research and development projects of genuine international importance. We must also continue to work with the European Association for Cancer Research, because we simply cannot sacrifice the potential new cancer treatments we will uncover in the name of, in my view, a misguided sense of regaining sovereignty. Indeed, the current treatment is agreed at EU level. Having first been established in 2002, the treatment was last fully reviewed in 2009. The drugs being used to treat this type of cancer are old in relative terms, showing what a vital role international governance can and will play in helping to improve outcomes in the future. Overall, the message I want to get across today is clear. So many cancers rightly receive a great deal of attention and research funding. I would argue that, just because rarer cancers, such as the one Cian suffered from, affect fewer people, that does not mean that we should not be as targeted or as innovative in our efforts to fight them.

If you will allow me, Madam Deputy Speaker, I would like to mention briefly the brilliant and selfless work Cian’s family have been doing to raise awareness of this particular type of cancer, and their work in fighting for new research and treatments for such paediatric cancers. Cian’s father, Richard, is in the Gallery today. I pay tribute to him and Cian’s mum, Lorraine, and his siblings Dillan aged 11 and Bethan aged 9, for their bravery. [Hon. Members: “Hear, hear.”] From when Cian was first diagnosed in November 2015, to when he was told in June 2016 that the tumours had gone, through to when he sadly relapsed in November 2017, his family have tirelessly raised awareness. His community have fundraised and, since his passing, they have continued their efforts.

I pay tribute to Cian’s family for all their efforts in the most difficult of circumstances. I would like to thank the whole community of Llanharan, the surrounding villages and far beyond, whose support for Cian has been unwavering. The online funding page set up following Cian’s death raised in excess of £6,000, which is going to help the charities who supported Cian and his family throughout his treatment. I am sure you will agree, Madam Deputy Speaker, that this shows what a mark this little boy has made on his local community. Likewise, I am so proud of all the staff, pupils and parents at Llanharan primary school, the school Cian attended, who were so supportive to Cian throughout his journey and who have been there for his parents and friends since. I was privileged to attend the memorial event they held shortly after Cian died. I am always proud to serve my constituents from the many communities across Ogmore, but I have to say that being part of this outpouring of love in the most tragic of circumstances was truly a privilege. I would like to put on record my thanks to Cian’s headteacher, Mrs Price, his class teacher, Mr Arthur, and all his school friends and the wider school community for the support and generosity they have shown Cian and his family. They planted bulbs which will bloom every year in his memory, so that Cian can never be forgotten.

I admit that there is no easy answer to the issues I have raised today. It will not be solved overnight simply by throwing money at it. The sad reality is that while we seek to meet some of the challenges, other families like Cian’s will sadly suffer the same anguish in the future. It is therefore essential that we raise awareness of the symptoms to look out for to ensure that this disease can be caught early, giving those unlucky few the best chance of survival. The National Cancer Institute finds that children who have developed AT/RT may experience the following: headaches, particularly in the morning; nausea or vomiting; fatigue or lethargy; difficulty with balance and co-ordination; and an increase in the size of their head. Because AT/RT develops so quickly, these symptoms can onset incredibly quickly over a matter of days or weeks. The symptoms can also vary depending on their age and the precise location of the tumour.

It is only right that I highlight the fact that many of these symptoms represent common medical conditions in both children and adults and, in the majority of instances, will not mean that a child has developed a brain tumour. If a parent ever has any doubt in their mind, however, I would always encourage them to seek medical advice. In Cian’s instance, he began experiencing stomach pains that were originally thought to have been abdominal migraines. In reality, it was the pressure of the tumour restricting the spinal cord that transmitted the nerve pain on to his torso.

Cian touched the hearts of all those around him. He was a warm, fun-loving and generous boy. While tragedies like this thankfully do not happen every day, when they do happen, it is only right that we reflect, pay tribute and act to help to ensure that we prevent such instances happening again. Cian was delighted to have met the Speaker during his visit to Parliament and No. 10 Downing Street back in 2016. While I would have liked him to have had the opportunity to return to this House, sadly this will now not be possible. Instead, we must ensure that the House comes together to support those affected by cancer and send a message that our determination to beat it—across all parties—is utterly unwavering.

I thank Members from across the House who have remained in the Chamber to hear Cian’s story and I thank the Minister for taking the time to consider what more we can do about this important issue. The key point I have stressed today is not party political; it is that we must continue to advance our knowledge base across the UK and, most importantly, internationally. By steadfastly supporting the Eliminate Cancer Initiative and redoubling our efforts to find new treatments, and, hopefully one day, a cure for cancers of the central nervous system, we can ensure that Cian’s legacy lives on.

Cian was a young boy with his whole life ahead of him. I appeal to the Minister and every Member: let us help to ensure that more children survive such cancers in his memory.

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[Steve Brine]

I will now take an intervention from the hon. Member for Ilford North (Wes Streeting).

[Wes Streeting]

I am grateful to the Minister for his thoughtful response to the debate. Will he and the Department look carefully at the issue of access to experimental treatment and financial support, and also the issue of control? One of the conversations that I had with Tessa was about how she had to wrest back control over her own choice in relation to risk and access to experimental treatment.

It would be hard enough for adults to make such choices for themselves, but parents are having to make those difficult choices, too. Some parents feel that they are making the best decisions for their children in turning down the opportunity of access to experimental treatment on the basis of an assessment of the risk and the impact on the life that they have left, while others choose to access such treatment in the interests of their children. While there are challenges in respect of the governance and, perhaps, some of the ethics of those arrangements, we must put a bit more trust and faith in parents. When they choose to access experimental treatment, even if the Department will not fund access to the treatment itself, it might be able, reasonably and ethically, to provide more support than it currently provides in respect of the associated costs of, for instance, travel, accommodation and subsistence.

[Steve Brine]

I will look into that. The late Baroness and I talked about exactly that subject. I do not think it is so much about ethics; I think that this must be clinically led. There is a great deal of debate in the clinical cancer community about the toxicity of concurrent treatments. However, I take the hon. Gentleman’s point about the costs, and the importance of supporting parents who must make decisions which are hard enough when people are making them for themselves.

My hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson) mentioned an all-party parliamentary group of which I was a member before I was a Minister. I take all-party parliamentary groups so seriously because I used to lead loads of them. I spent hours writing reports, and, dare I say, I wish that they were sometimes taken as seriously as I take such reports.

It is in all-party parliamentary groups that a lot of good work goes on in the House. Opposition Members, who are not in government at this time, have a huge role to play in moving the dial. The smart Ministers are the ones who say that they do not know everything. The lines that the civil service gives them are often great, but they are not the be-all and end-all. I see APPGs as a brilliant and rich vein of knowledge for me, and I learn a lot from them. So yes, I will look out for my hon. Friend’s work in Together for Short Lives.

My constituency contains one of the best children’s hospice trusts, Naomi House and Jacksplace. My heart goes out to the child hospice movement and my respect for it is ample, and what Together for Short Lives does to represent that movement is incredible.