Mental Health: Absence from Work

Debate between Jim Shannon and Clive Betts

Wednesday 17th October 2018 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to be called to speak, Mr Betts.

I congratulate the hon. Member for North Warwickshire (Craig Tracey) on securing the debate. His introduction was excellent. The subject is important and topical, and one that I am aware of primarily through my constituents, as will be the case for others who participate in the debate. I hope that the Minister will give us some answers.

Recently, I read an interesting article in the Safety and Health Practitioner about this very issue. The crux of the matter is clear: with great respect, we are doing a disservice to those suffering from mental health issues if we make no changes. That is why this debate in Westminster Hall is important, even though many other things are happening in the House at the same time.

We are all aware of the massive impact that mental health issues have on our physical wellbeing, our mental acumen and our ability to cope with work relationships, home life and, simply, life in general. As an elected representative, I am into my 34th year, whether as a councillor, an Assembly Member or, now, an MP. Over all those years I have been very aware of those with mental health issues such as depression and anxiety, and the impact that all that has on their life, work, income and whole lifestyle. The issue is so important.

The article is worth reading—it would be time well spent—but I do not have the time to repeat it verbatim in full:

“In the workplace, mental health issues can have a serious impact on both the morale of employees, those suffering from mental health issues and their colleagues who then pick up the additional workload.”

If an individual is under pressure to work but is not able to cope and is doing less, who knows who else will have to do more? That is one of the reasons why I want to highlight the issue.

The article goes on:

“It can also impact an organisation’s productivity and profitability through overtime costs, recruitment of temporary or permanent cover—absence from work due to mental health issues is thought to cost the UK economy £26 billion per annum.”

That assesses the magnitude of the issue financially, but it only tells a small part of the story. Each one of us, as elected representatives, will have individual cases with which to illustrate matters. Furthermore:

“Mental health issues can appear as the result of experiences in both our personal and working lives.”

Sometimes people’s personal life spills over into their working life, and sometimes their working life spills over into their private life. The person who is always happy and jolly in the workplace might not be a happy or jolly person when he or she gets home.

The Health and Safety Executive’s draft health and work strategy for work-related stress identifies that 1.5% of the working population suffers from mental health issues, a figure that resulted in 11.7 million lost working days in 2015-16. That is another indication of how, if we improve the health ability of our workforce, we can save working days and thereby turn around the profitability of a company. Compare that figure with self-reported injuries: 4.9 million working days lost—the scale of workplace mental ill health is almost two and a half times the physical impact of unsafe workplaces and working practices. Clearly, something needs to be done. Perhaps the job of the Minister and his Department is to lead the way. Furthermore, it is suspected that at least a third of injuries go unreported, and the same is likely to be true for work-related stress.

The initiative “Mates in Mind” has identified that the suicide rate in the construction industry could be 10 times more than the rate for construction fatalities. If that estimation is true, we have a massive problem that needs to be addressed. I am pleased that the Government created a suicide prevention Minister—that is a direction we need to be moving in. That Minister is not present, but perhaps the Minister responding to this debate will also comment on that initiative.

In 2011, the then coalition Government developed “No Health Without Mental Health”, a cross-Government mental health outcomes strategy for people of all ages. It was a great idea, but it has not stopped the rise in the numbers of those with mental health issues. The document states how the Government want people to recognise mental health in the same way as they view physical and biological health.

The strategy also set out the aspiration of improved services for people with mental health issues. However, only an extra £15 million is expected to be pledged for creating places of safety and, with respect to the Minister, that amounts to only about £23,000 per parliamentary constituency. That is not a terrible lot per constituency—mine has a population of 79,000; I am not sure about the Minister’s constituency, but the average one has about 70,000, 75,000 or 80,000. If that is the case, that is about £3 per person, which does not really go anywhere towards addressing the issue.

According to the Centre for Mental Health, the financial cost to British business of mental ill health is an estimated £26 billion per annum, but positive steps to improve the management of mental health in the workplace can enable employers to save at least 30% of the cost of lost production and staff turnover. We are looking not only for the Government to do something but for companies to. It is important for companies to accept their responsibility—clearly, if they cut down on days lost to mental stress by making some changes, they thereby help themselves. If they can indeed save at least 30% of the cost of lost production and staff turnover, I say gently that it is an open-door policy and one that should be adopted right away.

One in four people will experience a mental health problem in any year. A common misconception is that mental health problems are only caused by issues at home—no, they are not—so some employers feel that it is not appropriate, or their responsibility, to intervene and provide support to employees. More commonly, the cause of an employee’s mental health problems is a combination of issues relating to both work and private lives.

To conclude, what I have sought today is not only to show in a small way support for the hon. Member for North Warwickshire but to seek Government intervention and help, and to raise company awareness. Companies have a clear role to play and one that they cannot ignore or not take responsibility for. I believe that the hon. Gentleman intended to demonstrate in his introduction to the debate that it is more cost-effective to take small steps to promote good mental health in the workplace, rather than having members of staff feeling like they cannot cope and going on the sick. We want to prevent that if possible.

I believe that enforced lunch breaks away from desks are an essential component, for example. It is all too easy for people to stay at their desks—my staff do it all the time. I was thinking about this before the debate: sometimes we ought to say to our staff, “Girls, go on down to the wee café there and take half an hour, 45 minutes or an hour, whatever it may be, away from the office”, because if they stay to eat their lunch, they also answer the phone. If someone comes in, they speak to them. I am not saying that they should not do that, but I am saying that the two—work and breaks—need to be divorced from each other.

I do not have all the answers but I do believe that we must do more—not because that is good for business, but for the sake of our one in four who are struggling with their mental health and who simply need help.

[Mr Clive Betts (in the Chair)]

We are going to have a Division imminently, so it is sensible to suspend the sitting now for 15 minutes. We can go to vote and then come back to resume the debate.

Non-EEA Visas: Inshore Fishing

Debate between Jim Shannon and Clive Betts

Tuesday 17th July 2018 Westminster Hall

[Jim Shannon]

My hon. Friend is absolutely right that they bring skill; I think if the Home Office looks at this issue it will see the skills that the Filipino fishermen have. They should fall into tier 2, where we can enable them to be accepted. I think the hon. Member for Na h-Eileanan an Iar is right when he says it is a simple issue. I read the same article in the paper that he did. The Home Secretary accepted that there was a methodology that justified the right for doctors and so on to come in. By the same logic, that should happen here as well, and I would like to see it take place.

We want to see the Filipino fishermen allowed in. Under the transit visa provisions, non-EEA nationals cannot come to work on vessels that operate wholly or mainly within the 12-mile limit. People who work, or employ people to work, on inshore vessels after they have come to the UK on a transit visa or sought to enter at the border to join a ship are breaking immigration law.

Even more important, prawn trawlers, for example, operate by dragging a trawl net across the seabed to catch prawns, so only certain parts of the sea can be fished. The sea off the west coast of Scotland, containing the sea of the Hebrides, the Little Minch and the Minch, is a particularly good fishing ground for langoustines, but these areas are also well within territorial waters, as is most of the sea around Northern Ireland. Prawn trawlers have one of the highest demands for non-UK crew. Therein lies a key issue for my constituents and for the constituents of other hon. Members present. The difference is down to geography and, as usual, the postcode lottery does not work in favour of my constituents.

I, along with other interested MPs— the right hon. Member for Orkney and Shetland (Mr Carmichael), the hon. Member for Na h-Eileanan an Iar and the hon. Member for Banff and Buchan (David Duguid)—met with the Minister for Immigration and had a very forthright meeting, in which we tried to press collectively, from our four different parties, the importance of this issue. I know that the fishing organisations in my area are currently working hard to address the fact that, despite the demands of their difficult and often dangerous job, fishing vessel crew members are not deemed to be sufficiently skilled to fall within the ambit of tier 2. We need these workers to be elevated to tier 2, or tier 2 to drop down to that level. I feel the frustration that the hon. Member for Na h-Eileanan an Iar expressed; I am not always cool, but I try to make the case in such a way that people can understand the need to do it.

The Northern Ireland Affairs Committee, which I sit on with other colleagues and hon. Friends, is doing an inquiry into fishing. One of our recommendations is that the issue of Filipino fishermen should be addressed. I am conscious of the time, so I will make one last comment. The Department for Infrastructure in Northern Ireland did a trawl—if I can use that pun—across the whole of the UK and Europe for 150 job vacancies. That is the Department, not Jim Shannon or the local councils; it was the Northern Ireland Assembly when it was functioning. We got some 30 replies to that from the whole of Europe, and only 10 applicants were suitable for interview. Eight attended the interview; six were chosen, of whom one did not turn up; five took the jobs. We have 145 jobs that Northern Ireland’s DFI cannot fill.

We have done everything we can on this. The local Assembly has tried. We now look to the Minister and the Home Office to do the same thing as for the doctors and nurses—to bring in the Filipino fishermen who would help our industry to thrive. When we are out of Europe, on 31 March 2019, we will need an industry that is able to respond to what we can do when we advance. I thank the hon. Member for Moray again for introducing this debate. Everyone is united in this. All we need now is for the Minister to say, “Yes, let’s do it.”

[Mr Clive Betts (in the Chair)]

I have two more hon. Members who wish to speak. Some hon. Members have not quite followed the guidance, and we have to finish Back-Bench speeches by half-past 10, so it would be helpful if the remaining speakers could look at that and split the time between them.

People with Autism: Public Building Access

Debate between Jim Shannon and Clive Betts

Wednesday 31st January 2018 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Member for Bristol West (Thangam Debbonaire) on bringing the issue of autism to Westminster Hall so honestly, compassionately and clearly. No one who listened to her speech could fail to be encouraged and energised by it.

If I may, I would like to offer a Northern Ireland perspective. The hon. Lady referred to what is happening in Wales, Northern Ireland and Scotland, and I would like to give some introductory information about autism in Northern Ireland, as well as about some other matters. Statistical analysis has been carried out on the rate of autism in children in Northern Ireland, and its findings are concerning, to say the least. They suggest that the estimated prevalence of autism in the school-age population in Northern Ireland has increased from 1.2% to 2.5% in less than a decade. There is a significant difference in the estimated prevalence rates of autism between the genders: males are four times more likely to be identified with autism than females, in line with UK-wide and international figures.

The Northern Ireland urban population has a statistically significant higher prevalence rate than the rural population, and we need to try to understand why that is so. Worryingly, using the Northern Ireland multiple deprivation measure ranking, the rate of autism from 2008-09 to 2013-14 was higher in the least deprived decile than in the most deprived. However, by 2016-17, the rate of autism in the most deprived area was 47% higher than in the least deprived area and 42% higher than the Northern Ireland average. Those figures illustrate the problems with autism.

In Northern Ireland, we have had a report by Autism NI and we have done some other work; I say “we”, but the work was done by the Northern Ireland Assembly, in which I served before coming here. Autism NI is a very active group in the Northern Ireland Assembly and it has come forward with some great strategies, visions and ideas for the future. Some of the things that it has put forward—back in my time at the Northern Ireland Assembly and since then—have been very significant.

My introduction to autism has been through interaction with people as a constituency MP, as a Northern Ireland Assembly Member and as a local councillor. I have filled in forms for parents to claim disability living allowance for their children, and I have dealt with other benefit issues, as well as referrals for educational assessment so that schools can get the classroom assistants that they need. Those are the real things that affect people, and engaging with them is how we learn about autism.

An interesting point was made in a separate debate this morning. We come to these debates to add our bit of knowledge, but also to gain knowledge from others. It is good that we will be able to leave this debate with knowledge from Scotland, from the hon. Member for Bristol West, from the shadow Minister, from the hon. Member for Makerfield (Yvonne Fovargue) and, indeed, from the Minister.

The estimated prevalence of autism has increased across all school years. In 2009-10, 74% of children identified as having autism were classified at stage 5 of the special educational needs assessment. I have been directly involved with that assessment, so I understand the issues clearly. However, in 2016-17 the percentage of children identified as having autism and classified at stage 5 of the assessment had fallen to 63%. There was a slight improvement in that time, which is probably down to the autism NI strategy. That strategy has addressed some autism issues, although it will take a while to work out all the figures.

Autism is a massive factor for children and young people in Northern Ireland, but it is not a death sentence by any stretch of the imagination. What is required is to teach communities about tools for people with autism. I loved it when the hon. Member for Bristol West made a comment about a wee boy or girl having autism. As she said, people with autism are the same as the rest of us; they just have a different way of doing things, and it is important that we understand that. As I say, I loved that little comment, because my mind was working in a very similar way. I think that those who deal regularly with people with autism would know what I mean.

One tool that I have come across is the Autism Friendly award, which is provided by the National Autistic Society and helps to teach communities about autism. The award helps businesses to become educated and aware of what they can do to help themselves and the families who use their services. It might be a simple thing, but it can really make a difference, and that is what we want.

According to the National Autistic Society, 79% of autistic people and 70% of families with autistic children feel socially isolated. I have often been involved in cases with a single parent—often a lady—with an autistic child and a couple of other children. The children are all pressing upon her. I see such women in my office and I understand how they can feel socially isolated, because their whole life is focused on looking after their children and doing their best for them.

Half of autistic people and their families sometimes do not go out because of concern about people’s reaction to autism, which goes back to the point that the hon. Member for Bristol West made earlier. We have to be more understanding and not stare, as children sometimes do; sometimes adults stare, too. We need to be aware of these things.

The NAS website states that:

“Even though more than 1 in 100 people in the UK are autistic, many of them and their families still struggle to access essential community spaces, businesses and shops”,

so the Autism Friendly award for business is good. The NAS website continues:

“The National Autistic Society’s Autism Friendly Award champions premises who commit to making sure that autistic visitors receive the same warm welcome as everybody else.

This doesn’t mean investing in expensive alterations or training your staff to be autism experts. Small changes can make a massive difference to autistic visitors and just a little understanding can go a long way.

We have worked with everyone from airports, heritage sites to sports arenas, local hairdressers and high street stores. Every customer-facing organisation, whatever their size or business, can benefit from becoming autism-friendly.”

That is what the NAS wants to achieve, and we in this House should want to achieve it, too.

I am conscious of your instruction about time, Mr Betts, so I will come to a close. Each venue that achieves the Autism Friendly award will help to make the UK a more autism-friendly place by opening its doors to autistic people and their families, whose lives are affected daily by businesses that do not understand their needs. I fully support initiatives such as the Autism Friendly award. They help to raise awareness and make a positive difference to families with autism, who simply need a little compassion, a little more understanding and—I say this gently—a little more support from the Government. I believe that, as a matter of principle, every single Government-funded building must be autism-aware and autism-friendly.

I look forward to hearing the Minister’s response to this debate, and I wish her well in her new position. I should have done that at the very beginning of my speech, and I apologise for not doing so. She and I came into the House at the same time. I know that she is a lady of compassion, so we look forward to a compassionate response.

[Mr Clive Betts (in the Chair)]

The two Opposition spokespersons are next. Five minutes each, please.