Covid-19 Response

Caroline Nokes Excerpts

Tuesday 2nd June 2020 Commons Chamber

[Matt Hancock]

The hon. Lady is absolutely right to raise that. It appals me that people would try to raise a scam in response to this mission-critical national project of NHS Test and Trace. NHS contact tracers will never ask for your personal financial information. They will never ask you to pay for anything, and they will never disclose your personal medical information. If any of those things start to happen on a call, it is not a call from NHS Test and Trace. We have worked closely with the National Cyber Security Centre to ensure that we get the scripts right and that we protect against these risks, and she is right to raise it.

[Caroline Nokes (Romsey and Southampton North) (Con)]

My constituent Dr David Flavell, the scientific director of Leukaemia Busters, has sent a face mask to every Cabinet member, every shadow Cabinet member and, indeed, the entire Health and Social Care Committee. I hope my right hon. Friend has received his. Will the Government consider upgrading their advice on the use of face masks from recommended to mandatory?

[Matt Hancock]

I have not received mine, but I would like to. Let us try to find it, wherever it has got to in the system—it might be in the bowels of the Department of Health and Social Care somewhere. I will go and dig it out; that is an unfortunate image. The serious point is that face coverings are important, especially in areas where you might come into contact with people you would not otherwise frequently see, such as on public transport or in some shops. I will look into the issue that she raises.

Coronavirus Bill

Caroline Nokes Excerpts

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

[Caroline Nokes (Romsey and Southampton North) (Con)]

There have been some fantastic speeches this evening so far, including from my hon. Friend the Member for High Peak (Robert Largan) who made a stunning maiden speech, but I wish to go back to the words of my right hon. Friend the Secretary of State when he said that the virus impacts most the weak and vulnerable. He is of course right.

I support the measures in the Bill. They are extraordinary measures that can only be used in extraordinary times, but that is exactly what we are facing. Tonight I wish to speak for the weak and the vulnerable, as hon. Members might expect from the Chair of the Women and Equalities Committee. I have real concerns about how equalities might be impacted and about how those people with protected characteristics for whom we speak might be affected. I draw particular attention to the elderly, who we know are the most impacted by this disease, and their need for care that is appropriate in their own homes at the right time. I speak for the disabled, who of course have the biggest challenges and who desperately need assistance. I appreciate why we have the powers in the Bill, but they must be used proportionately and reasonably.

I also speak for those from black and minority ethnic backgrounds, and, of course, the Paymaster General, my right hon. Friend the Member for Portsmouth North (Penny Mordaunt), has done some phenomenal work with faith communities, making sure that funerals can be held appropriately for religions. But I would like to point out that it is in the gig economy where we are most likely to find people from a BAME background working: they are also most likely to be young people. They are also most likely to be self-employed, on zero hours or sole traders, and we must be particularly cognisant of the impact the virus will have on those people who we will want—when this horror is over—to be able to bounce back to be the entrepreneurs who will enable our economy to recover from this difficult period.

I will also, of course, mention women. We know that caring responsibilities fall most heavily on their shoulders. We also know that in areas such as childminding, childminders are not only doing the caring, but of course are providing the support that enables women to go out to work, whether it be in our essential professions at the moment or in all parts of the economy. We must provide support to the childminding sector as well as the early years sector, because when the virus is quashed and we are in a position to rebuild the economy, we will need childminders to enable that 50% of the workforce to go back to work. We have done great work over the past few years in making sure that there are more women in employment, but we have to make sure that it is possible for them when this is over to be able to—

[Steve Brine]

That is exactly the point: so many of the early years sector and childminders are self-employed. That is another reason to repeat the point that so many have made today about why we need something for that part of the economy.

[Caroline Nokes]

My hon. Friend is right, so I have managed to fit in the childminding sector and the self-employed in one hit.

I want also to speak about volunteering and the clarity that is needed. There is a great company in my constituency that runs Kimbridge Barn. That is shut, of course, but the company wants to enable its staff to volunteer, whether in the health service or the care sector, or as delivery drivers—it has many vehicles—but it wants clarity as to whether the 80% of salaries that HMRC will underwrite will be applicable if people are effectively outworking in a voluntary capacity.

I also draw attention to the comments made by my right hon. Friend the Member for South West Surrey (Jeremy Hunt) about whether local government officers should be considering planning applications at the current time. I would also ask whether they should be implementing or imposing parking fines. Those are all areas of regulation that are undertaken by local authorities that are far from an imperative at the current time.

I would like to pay tribute in the voluntary sector to both Southampton Voluntary Services and Unity in Test Valley, who have done some brilliant work pulling together volunteer bureaux and making sure that people in the shielded group will have the support from people in the community who can help deliver medicines and essential shopping.

There is much in the Bill that in ordinary times we would not consider, but I end with one final plea about parliamentary scrutiny. There is as yet no mechanism or ability under Standing Orders for Select Committees such as the Women and Equalities Committee—which has much to scrutinise in the Bill—to meet remotely by video link, by Zoom, by Skype for Business or through any other mechanism. I understand that the Leader of the House will make a statement at some point. I very much hope that he will make sure that, at the very least, the Select Committee structures can work at this time to ensure that measures such as this are held to proper scrutiny, so that we understand how they are impacting on the most vulnerable.

Covid-19

Caroline Nokes Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

I discussed this issue with the hon. Member for Leicester South (Jonathan Ashworth). The delivery of support to make sure that nobody is penalised for doing the right thing is incredibly important but, as the hon. Lady says, there is no employer for those who are self-employed, so it has to be delivered through the benefits system.

[Caroline Nokes (Romsey and Southampton North) (Con)]

With flight restrictions around the world, many of us have constituents who are stuck abroad. Will my right hon. Friend provide reassurance that consular assistance is available and that he is working closely with the Foreign and Commonwealth Office so that stranded constituents in countries that have imposed flight bans can get home?

[Matt Hancock]

Yes. That is an incredibly important point that I discuss regularly with the Foreign Secretary.

Coronavirus

Caroline Nokes Excerpts

Monday 9th March 2020 Commons Chamber

[Caroline Nokes (Romsey and Southampton North) (Con)]

Home working is all but impossible in the early years sector, in which employers tend to be small and medium-sized enterprises and employees tend to be women. I have been contacted by nursery owners in my constituency who are extremely concerned that the advice they are getting from Government helplines is not consistent. I urge the Secretary of State to make sure that the information provided to these essential businesses in a crisis is consistent and kept up to date.

[Matt Hancock]

Yes, absolutely, and if my right hon. Friend could bring the individual concerns to my attention, I would be very happy to look into them.

Eating Disorders Awareness Week

Caroline Nokes Excerpts

Thursday 5th March 2020 Westminster Hall

[Caroline Nokes (Romsey and Southampton North) (Con)]

I thank the Minister for giving way; there is nothing more aggravating than somebody coming very late to a debate, but I have been in the International Women’s Day debate all afternoon. On relapse or eating disorders continuing into adulthood, does she agree that we have made massive strides forward in treatment for young people, but that there remains a problem of transition when sufferers turn 18? For those who develop an eating disorder slightly after their teenage years, or even well into adulthood, there is still a challenge in accessing services for those not eligible for children’s services.

[Ms Dorries]

My right hon. Friend makes an important point. That is why we invested £2.3 billion in mental health services, which, as I always say, is more than half the entire prison estate budget. We are focusing on young people and young women in this debate, but funding for mental health services is growing faster than the overall NHS budget. That funding and the development of community services is there to pick up exactly the cases she cites.

No mental health service, other than the very extreme, is better delivered in a hospital than in the community, whether for children, young people or adults. Despite that investment in community mental health services, our challenge is unprecedented, and our challenge is about workforce—it is about attracting people to work in this arena and to help us develop the community services that we need to provide treatment for adults and young people. That is the challenge we have taken on, and it is a challenge that we are meeting and moving forward with. It is our ambition and my absolute hope that children, young people and adults, regardless of their age—this illness is severe, whether in adults or children and young people—receive the treatment they require, when they require it.

Coronavirus

Caroline Nokes Excerpts

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

There is a huge number of things that we need to do in the next few days and, as I have said, this area is under review.

[Caroline Nokes (Romsey and Southampton North) (Con)]

Across Government, in different Departments, there are many people with healthcare experience and professionalism. For example, the Department for Work and Pensions has 3,000 trained professionals working on assessments. What conversations is my right hon. Friend having with other Secretaries of State to understand whether there could be access to those individuals so that they too could be on the frontline?

[Matt Hancock]

That is something we are absolutely willing to look at.

Oral Answers to Questions

Caroline Nokes Excerpts

Tuesday 29th October 2019 Commons Chamber

[Jo Churchill]

That was part of the prevention Green Paper. We have the consultation responses, which we will assess and come forward with proposals.

[Caroline Nokes (Romsey and Southampton North) (Ind)]

There is still too much reliance on body mass index as an indicator of good health in sufferers of eating disorders. Will the Secretary of State get behind the “Dump the Scales” campaign and meet the indomitable campaigner Hope Virgo, to ensure that GPs realise there is more to eating disorders than just weight?

[The Parliamentary Under-Secretary of State for Health and Social Care (Ms Nadine Dorries)]

I thank my right hon. Friend for her question. The National Institute for Health and Care Excellence guidelines state clearly that GPs should not use BMI as the sole indicator for treatment. I have just met the eating disorder charity Beat to discuss how we approach eating disorders. With the £2.3 billion that we have invested in mental health services, we have made a commitment that any young person presenting with an acute eating disorder will be seen within one week, and others within four weeks.

Southern Health NHS Foundation Trust

Caroline Nokes Excerpts

Tuesday 3rd May 2016 Commons Chamber

[Alistair Burt]

Let me point out that we have announced an increased resource for mental health of £11.7 billion. The extra £1 billion that the Mental Health Taskforce recommended being spent by 2020 will be spent, and it will be spent right across the board from perinatal mental health to crisis care. It will also improve baselines to ensure that the governance and quality of foundation trusts are good enough, and we are watching what CQCs are spending. Yes, we recognise that there has been historical underfunding from Governments of all characters, but we are determined to improve it and the money is there.

[Caroline Nokes (Romsey and Southampton North) (Con)]

All too often it is our constituents with mental health problems and learning difficulties who find it hardest to get their voices heard. Those who are patients of Southern Health are not in a position to call for urgent change. I note that the Minister has said that the delivery plan is being evaluated, but can he reassure us that that is being done with the utmost speed so that we see improvements on the ground and not just more reports gathering dust?

[Alistair Burt]

Today, I met departmental officials and spoke to the regional director responsible for NHS improvement and, as I mentioned earlier, the deputy chief inspector of the CQC who is responsible for this report. I can assure my hon. Friend that, in so far as it is up to me or the Department, that change will be adequately delivered with a sense of urgency, because, as she rightly says, patients and families have, in some cases, waited much too long for this. If warm words are to mean anything, we must show that delivery follows.

Brain Tumours

Caroline Nokes Excerpts

Monday 18th April 2016 Westminster Hall

[Caroline Nokes (Romsey and Southampton North) (Con)]

I add my congratulations to the Chair of the Petitions Committee, the hon. Member for Warrington North (Helen Jones), on the Committee’s excellent report, and to every Member on today’s thoughtful debate. I pay particular tribute to colleagues who spoke movingly about their own experiences or those of people close to them.

I will briefly mention one of my own constituents, but first echo the comments of my hon. Friend the Member for North Dorset (Simon Hoare) about Sacha Langton-Gilks. It is clear that someone is a dedicated and doughty campaigner when they not only attend the surgeries of their own Member of Parliament, but pitch up at those of other Members. Sacha came to see me when I was a new MP—bringing with her the legal requirement, one of my constituents, who introduced her—and spoke incredibly movingly about her son, David. She also brought with her the HeadSmart cards and emphasised the importance of early diagnosis and the HeadSmart campaign, which seeks to bring awareness to schools, doctors and, particularly, parents. As a result of that meeting, I was able to introduce her to the leader of Hampshire County Council, who agreed for those cards to be distributed in Hampshire schools. Those cards are incredibly informative, outlining symptoms in an age-specific way and, above all, not provoking alarm; they just educate people. It is important that we increase awareness of brain tumours without instilling fear in people.

[Rebecca Harris]

I, too, commend the HeadSmart cards, but does my hon. Friend agree that unless the medical profession is more aware of brain tumours we will run into the problem, as we have time and again, that it overlooks parents’ instincts in such cases?

[Caroline Nokes]

I pay tribute to my hon. Friend’s work as chair of the APPG, and I will highlight exactly that situation with the case of a constituent. Brain tumours are not as rare as we might think; they are the biggest cancer killer of children. That is why I argue that research and knowledge are critical.

I received an incredibly moving letter from my constituents, Charlotte Swithenbank and James Butler, the parents of Alfie, who is not yet two years old and has been fighting his cancer for more than a year. As in many cases, Alfie was not initially diagnosed. It was not until his seventh trip to the doctor in just two weeks that he was referred to Southampton general hospital. Within 36 hours of admission, he was diagnosed with a grade 3 infant ependymoma, and he has since had more than 24 hours of surgery. He has also had chemotherapy.

[Simon Hoare]

Does my hon. Friend agree that there may be a correlation between a perception that brain cancers and brain tumours are somehow lower down the pecking order and the fact that GPs are less inclined to refer? They do not necessarily see them as part of the great initiatives of the Department.

[Caroline Nokes]

To be brutally honest, I do not know, but I agree with the chair of the APPG that it is critical that the medical community be incredibly aware of such cancers and make referrals as quickly as possible.

Alfie has been for proton beam therapy in the USA and has lived in hospital for more than five and a half months of his short life. He is scheduled to have his MRI today, which is why his parents are not here; I am sure that they will catch up with the debate later. That MRI will, we hope, establish whether Alfie has gone into remission. We want that news to be positive, but as his mother, Charlotte, says, even if Alfie is now in remission, given the type of tumour he has, there is a 50% chance that it will return within seven years. As a family, they will live in fear even if he has gone into remission.

Charlotte also says that early diagnosis is key. It was her persistence in going back to the GP time and again, and refusing to accept that it was just an ear infection, that meant that Alfie’s diagnosis, in comparison with many, was relatively quick. That got him referred to an excellent children’s unit, which has helped him to have a fighting chance.

Charlotte has sought to convey to me how urgent this issue is. Unlike other cancers, the incidence of brain tumours is rising and the improvements in outcome that we have seen in other cancers have not been matched in brain cancers. In Southampton, we are incredibly lucky to have the Cancer Research UK unit located adjacent to the general hospital. MPs are invited there every year to hear about the work it does and to see graphs that show that, for the majority of cancers, treatment rates are more successful and incidence is going down. However, for brain tumours, those are going in the other direction; the cures have not been as forthcoming as for other cancers.

We are all here today to convey the message to the Minister that we want more investment in research in this field, so that more parents do not have to go through what Charlotte and James are going through, and more children like Alfie have the best possible chance of a positive outcome.

Contaminated Blood

Caroline Nokes Excerpts

Tuesday 12th April 2016 Commons Chamber

[Diana Johnson]

I wish to move on now to highlight a few of the problems with the consultation. First, as has already been said, many of the existing recipients will receive lower payments under the new scheme. The Government’s proposals would end all discretionary support, such as winter fuel allowance, child supplements and low income top-ups, which means that many people will lose out, potentially by thousands of pounds a year.

Secondly, most of the current beneficiaries have hepatitis C stage 1 and currently get no ongoing support. They are left begging for individual payments from the Caxton Fund. The Government proposals will provide annual payments for people in stage 1, which is welcome, but those people will be subject to regular individual assessments. That could result in fluctuating payments and reduced financial certainty for individuals. Assessments will also take only clinical factors into account. They will not look at the loss of education or employment, and decades of loss of amenity, ill health and loss of earnings. According to the information from the Government, those assessments will cost £500,000 a year to carry out. Would that money not be better spent on providing financial support to those people?

[Caroline Nokes (Romsey and Southampton North) (Con)]

I congratulate the hon. Lady on her determination and her decision to champion this issue. She highlighted the decades of ill health from which many suffer. There is also the emotional stress and trauma. Does she agree that the consultation process itself has added to that burden for some of those people? That is certainly the message that I have received loud and clear from my constituent, Mike Webster, who came to see me on this issue.

[Diana Johnson]

The hon. Lady makes a valid point. I will proceed with my concerns with the consultation, because I would like other Members to speak in the debate.

My third point is about the inadequate provision for the “affected” community—the widows, the partners and the dependants of those infected. The proposals for widows appear to be extremely complex. They create six categories of widows, with big variations in what is offered within each category. Department of Health officials could not explain how they would work when they met the APPG’s secretariat and have not provided an explanation of these proposals as promised. There also appears to be nothing here for dependent children.