(3Â years, 6Â months ago)
Commons ChamberMy hon. Friend is quite right. As set out in our policy paper, the duties and functions of Ofwat, Ofcom and Ofgem have significantly expanded since privatisation. I agree that the Bill would enable us to move more quickly, and I would like to work with him to see what we can do to improve regulation more broadly.
I thank the Minister for her response to this important question. All our constituents are squeezed due to rising prices over which they have no control. In the light of her response, and in anticipation of her correspondence with the hon. Member for Weston-super-Mare (John Penrose), I hope that we can increase accountability and reduce prices, and thereby reduce inflation, which will help our constituents.
The hon. Gentleman is right that our constituents are at the end of what the regulators are doing, so our reforms should build on their strengths and continue to reinforce the UK as a leading global destination for investment in utilities infrastructure, to the long-term benefit of all our constituents and consumers.
You have called me, and I have a question ready-made here, Mr Speaker. Like on “Blue Peter”, here is one I prepared earlier.
Only yesterday, the Secretary of State signed a trade deal with the Ukrainian First Minister to provide pivotal support to the Ukrainian economy. Has the Secretary of State assessed how soon that will impact Ukraine in helping it—[Interruption]—lay the foundation for revival?
I am afraid I missed the end of the hon. Member’s question but I am happy to write to him in response.
(3Â years, 6Â months ago)
Commons ChamberFirst, I thank my right hon. Friend the Member for North Somerset (Dr Fox) for securing the debate and for all the work he did to ensure the Down Syndrome Act 2022 became law.
During our lifetime, there has been a significant change in attitude towards Down syndrome. Undoubtedly, there is still more that can be done to improve the quality of life and opportunities of people with Down syndrome, but as we mark the 18th anniversary of the first World Down Syndrome Day, we should not forget the progress that has been made in understanding the condition and supporting those with Down syndrome to be treated fairly so they are able to live full and productive lives.
I speak with personal experience. My father had an elder brother, Donald, who had Down syndrome. I was only told of his existence when I was 27 years old and pregnant with my second child. Donald died in 1946, aged about 25. He spent all his life in an institution, which was standard practice at the time. My father did not talk about his brother. He found it too painful. My mother explained to me that when my father was a small child, my grandmother had taken him with her every month to visit his brother in the institution and the experience had traumatised him.
When I spoke during the Down Syndrome Bill debate last year, I referenced the BBC series “Call the Midwife”, which documented attitudes towards Down syndrome and how they started changing in the 1950s and 1960s as people with Down syndrome were able to take an active part in their communities. Not only have attitudes changed, but life expectancy has increased dramatically in recent decades from 25 years in the 1900s to 60 years today. Medical science has advanced and people can live extremely healthy and long lives, and make a great contribution to our society.
I am incredibly grateful for this opportunity to celebrate the achievements and contributions of people with Down syndrome to their local communities and to our society as a whole.
I congratulate the right hon. Member for North Somerset (Dr Fox) on securing the debate. We are all encouraged by the situation. What comes to my mind is a young gentleman called James Martin, the 31-year-old who starred in the roaring success, “An Irish Goodbye”. He has gone from working in Starbucks to living his dream by winning a globally recognised award. Most importantly, he has never let his disability get in the way of goals and achievement. Does the hon. Lady agree that James is a true role model to all individuals out there who feel that society restrains them due to their disability, and reminds them that the world is their oyster—or in this case, their Oscar?
I thank the hon. Gentleman for his intervention. He is absolutely correct.
In Stoke, the Stoke and Staffordshire Downs Syndrome Social Group was set up in 2016 by a family in my constituency after their son was born with Down syndrome and the couple walked away from hospital with just a factsheet about the disorder. Today, the group meets regularly in Birches Head and is making a difference to the lives of more than 50 families by organising regular trips and activities, as well as supporting families emotionally and connecting them with wider support groups.
I would also like to highlight the great WorkFit programme for its role in making workplaces more inclusive. WorkFit is an employment programme that matches places and supports individuals with Down syndrome into work, with more than 1,000 individuals successfully accessing the service to date. In my constituency of Stoke-on-Trent Central, I was delighted to hear that the programme supported Grace into her role at Dunelm distribution centre, where she works dealing with returns from customers. She works two days a week and really enjoys being part of a great team who are very supportive. She uses her computer skills to process returns from customers and is very proud of her job.
Last week’s Budget outlined ways in which we would like to see a greater proportion of working-age people in employment, with a specific emphasis on supporting disabled people into work. One thing I would like to see is an improvement in ensuring that public transport services are available for travelling to and from work, so that a lack of access is not a barrier to that aim. Indeed, while it is wonderful to hear stories like Grace’s, according to the Down’s Syndrome Association, people with Down syndrome often face barriers and prejudice, lack of opportunities, low expectations, stereotyping and other negative attitudes. A study by Mencap found that 62% of adults with learning disabilities in the UK want to work, but only 6% have a paid job.
Everyone should have the right to work. People who have Down syndrome want to work for the same reasons as everyone else: to earn their own money, learn new skills, meet new people, feel valued, contribute to society, and have the chance to be more independent. Work is important for so many reasons and is a key part of our personal ambitions. For employers and their workforce, being equipped with the knowledge and understanding of how to better support a colleague with the condition is at the heart of the matter. In fact, it is key to achieving an inclusive work environment.
The same goes for education. The majority of children with disabilities in developing countries are currently out of school, while many of those enrolled are not in learning. To ensure that all children have access to quality education, education policies and practices must be inclusive of all learners, encourage the full participation of all, and promote diversity as a resource rather than as an obstacle. I was listening to an interview with a teacher recently, who said that she had seen such a difference in her class after moving from retrospectively altering her lesson plans for children in the class with Down syndrome, to thinking about how she can make a plan that includes the needs of all her pupils from the beginning. When we think about successful inclusion, it is about how are we supporting teachers to include and value everyone from the start, as opposed to adapting and modifying in retrospect.
The theme of this year’s World Down Syndrome Day is “With Us Not For Us”. I think that reflects my point well: a move from the outdated charity model of disability to working with others to treat them fairly so that they have the same opportunities as everyone else.
(3Â years, 6Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I commend the right hon. Gentleman for bringing this debate forward. One of my concerns, which I suspect he has along with others, is for those with eating disorders, which is clearly a mental health and physical issue. Across the United Kingdom of Great Britain and Northern Ireland, there are 700,000 young people with eating disorders. That is not a core part of the Government’s plan, but it needs to be. Does he agree that eating disorders have to be key and core to any strategy addressing mental health and physical health?
(3Â years, 6Â months ago)
Commons ChamberIn bringing this matter up, the hon. Lady is doing what we all must do, which is to raise these issues in public. That is what the Afghan women I met were pleading for—to make sure that their plight was not forgotten—and they were enormously grateful for hon. and right hon. Members raising these issues, so that not only does the world media not forget, but our colleagues on the Treasury Bench do not forget either.
I commend the right hon. Lady for bringing this debate forward. Unfortunately, I have a meeting today so I cannot make a speech.
This is not just about the politicians across the world; it is also about the likes of my mother, who is 91 years old —soon to be 92—and still gets up to make fresh scones, drives a car and looks after my brother, who is disabled. It is also about my wife who runs the home, volunteers at an animal shelter and cares for the grandchildren, giving childcare to help make ends meet. I am a grandfather of three beautiful and wonderfully sassy granddaughters, who I believe will change the world, and I am the proud employer of six fiercely strong, independent and intelligent women. My point is clear: does the right hon. Lady not agree that on this day, and indeed every day, we have much to be thankful for with all the women in our lives who have shaped us and who continue to shape our world and make it a better place?
I thank the hon. Gentleman for that intervention. He is always a great supporter of women. He raises an important issue, which is that women have many different roles in this country and in our national life, and we should celebrate all those roles in this debate. But, above all, we need to ensure that women have a choice as to what role they take on, and we should never allow barriers to get in the way of them succeeding and reaching their potential in life. I am sure his sassy granddaughters would agree with that.
The Commission on the Status of Women, as well as being harrowing at times, was also enormously uplifting. It was empowering to hear from other female parliamentarians, NGO leaders and activists about how they are working and campaigning for change. I had the great pleasure of meeting the Speaker of the Belize Parliament, the honourable Valerie Woods, who is also deputy chair of Commonwealth Women Parliamentarians. The Inter-Parliamentary Union had many meetings at the CSW, which serves to remind us of the importance of organisations such as the Commonwealth Parliamentary Association and the IPU, in the light not only of our Parliament, but of Parliaments around the world. They are incredibly useful organisations for women to be able to drive change and learn from other Parliaments.
As I said, the UK Parliament had four delegations—the biggest group ever to be at the CSW—demonstrating that the significance and importance of women’s rights among colleagues across the House has never been more heightened. At the UN this week, thousands of women from across the world saw laid bare the global erosion of women’s rights since the Beijing declaration was adopted in 1995: the reversal of Roe v. Wade; 4 million women and girls out of education in Afghanistan; women in Ukraine rendered victims of sexual violence at the hands of aggressors. Closer to home, two women are murdered by their partners each week in the UK—I am sure my hon. Friend the Member for Birmingham, Yardley (Jess Phillips) will be talking about that in her contribution to the debate.
There is no doubt that in the UK over the past decade a huge amount of progress has been made. I pay tribute to the Minister for Women and her predecessors—of which I am one—for all they have done to ensure that we continue to see momentum in women’s rights. The Minister has done so much, particularly on women’s health, and I pay tribute to her work in that area. Although I will speak about some of the challenges that we have to face, and ways to address them, it is important to keep at the back of our minds that huge progress that we have made as women, and the huge contribution that women make to public life, making this place, and other places, better as a result.
How do I know that this place is better for having women in it, and why it is important that we continue to push for more women to enter public office? True representation is the answer to that question. Representation—good, strong, diverse representation—is vital in political life because it encourages trust in political bodies. Engagement in democracy is stronger when people see themselves in their elected representatives. Representation tends also to result in diversity. That in turn results in a greater range of ideas, which for a deliberative system such as our democracy is hugely important to improve our decision making.
In the business world, research by McKinsey found that, for every 10% increase in gender diversity in senior executive teams in the UK, earnings in that company before interest and tax rose by more than 3%. There is a dividend not just for commercial organisations, but for organisations such as ours in ensuring that that diversity is in place.
(3Â years, 6Â months ago)
Commons ChamberA consistent approach to GRCs is fundamental to the effective functioning of legislation in this area. The GB-wide Equality Act was carefully drafted in the light of, and to reflect, the specific limits of the UK-wide Gender Recognition Act 2004. It is important, for the effective functioning of the Equality Act, that the recognition of international GRCs is in line with the basic principles of the GRA.
I thank the Minister for his response. Many people in Northern Ireland, and the United Kingdom as a whole, have concerns about gender recognition certificates. Has he had an opportunity to talk to some of those organisations to get their opinion, so that we can draw up a policy that is recognised by everyone?
(3Â years, 6Â months ago)
Commons ChamberThe Better Health: Rewards pilot that we are funding in Wolverhampton is very exciting, and more than 10,000 residents have already registered with the app. We will be monitoring the lessons of the pilot closely and looking at how we can apply them more broadly.
For such families it is about not necessarily the right food, but the cheapest food, which means that, in many cases, young children become obese through no fault of their own. What can be done to help families to buy healthier foods on a budget that is often minimal?
The hon. Gentleman is completely correct. As well as the actions that we are taking on healthy eating and obesity, that is exactly why we are spending £55 billion to help households and businesses with their energy bills this winter—one of the biggest packages in Europe. It is also why we have the £900 cost of living payment for 8 million poorer households, we are increasing the national living wage to its highest ever level, and we are spending £26 billion on the cost of living support this year. He is completely right and I commend his work on it.
We will be setting out our next steps on smoking shortly, but we already have the lowest smoking level on record: it has fallen to 13%, partly as a result of the doubling of duty on cigarettes and partly owing to the introduction of a minimum excise tax. We will be investing ÂŁ35 million in the NHS this year to ensure that all smokers who are admitted to hospital are given NHS-funded tobacco treatment.
It is indeed a worrying experience for people to be waiting to know whether they have cancer or, having received a diagnosis, to be waiting for treatment. However, I can assure the hon. Gentleman that more people are currently coming forward for cancer checks, more people are being treated for cancer, and the NHS is reducing some of the backlogs following the pandemic.
(3Â years, 7Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is always a pleasure to speak in Westminster Hall, and I thank the hon. Member for Bath (Wera Hobhouse) for securing this essential debate. She has made it her passion in the House—in Westminster Hall and the main Chamber—to highlight these issues, and I commend her for that. Her enthusiasm and energy for the subject are worth noting. This is an emotive issue and, like other hon. Members, I have recently been fighting a case for a constituent who needed in-patient care and could not be seen in Northern Ireland.
According to a report published by the Regulation and Quality Improvement Authority in its review of eating disorder services in Northern Ireland, approximately 50 to 120 people develop anorexia nervosa and 170 people develop bulimia nervosa every year in Northern Ireland. That is a significant number. Thanks to the office of former Health Minister Edwin Poots, and thanks to his energy and commitment, a young woman who was a constituent of mine at the time went to St Thomas’s across the way. He saved her life—I have no doubt about that at all. Her mum and dad were extremely concerned about her, and I was concerned because I know the family very well. Today she is a married woman with two children and she has a life like everybody else because action was taken. That is a true story and shows what can be done. In another case—I know the mother and the young girl herself well, but I will not mention any names—my constituent needs advanced help.
We want to address the issue of stigma, discrimination and shame. It is clear that eating disorders are becoming more prevalent, and there are a number of reasons why people believe that is the case. I have heard of those who blame filters on social media, which make vulnerable people believe that a flat stomach, perfect abs and enhanced proportions are real. As the hon. Member for Bath said, that mostly affects men, but some girls want that as well. Others have highlighted that eating disorder forums accessible on the internet and on social media give tips on how to eat as little as possible.
I had a parent tell me before Christmas that a school classmate pledge was the reason why her daughter dropped to 6 stone at a height of 5 feet 9 inches. The classmates decided that none of them would eat Christmas dinner and that they would weigh themselves several times a day. That is peer pressure. Again, that illustrates what the hon. Lady has said in this important debate. This parent said her daughter went to the GP and was found—at 14 years of age—to have damaged her heart and to be in danger of starvation, yet she felt the schoolyard pressure to fit in with other dieting 14-year-olds. We need to get things in place because boys and girls could destroy their health, or even kill themselves, if they do not have access to mental health services. The mental health aspect is really important.
My hon. Friend is outlining some harrowing cases from his constituency. Does he agree that some progress has been made in the wider context of the debate but that, as in other walks of life, we need to ensure that more progress is made to get to a better place?
I thank my hon. Friend and colleague for that intervention. Yes, I fully agree. As always, and I say this not because he is my friend and colleague, he brings wise words to Westminster Hall. I thank him for that.
On mental health, it is also known that early recognition and early treatment are associated with improved outcomes, so it is vital that all healthcare professionals are able to identify those at risk. There is an onus on them to do that, and patients should be able to access care quickly.
However, this is not simply a disease of young girls or indeed of young people in general. As others have said, one person in four with an eating disorder is a man, and the eating disorder charity Beat launched the United Kingdom’s biggest survey to date of men’s experience of eating disorders. Of those who took part, one in five had never spoken about their struggles—that happens—and four in five felt that raising awareness would help more men get treatment sooner. I ask the Minister, what has been done to promote awareness and to signpost available help—not simply for worried parents, but for worried brothers and sisters and for family members and friends who can see that things are not going well for their loved one?
I read an article on the National Eating Disorders Association website with the heading “Nine Truths about Eating Disorders”. I am not sure whether I have time to mention them all, but I will do my best—I will talk really fast, and nobody will be able to understand. [Laughter.] No, I am not going to do that.
The article states:
“Many people with eating disorders look healthy, yet may be extremely ill… Families are not to blame, and can be the patients’ and providers’ best allies in treatment.”
The third point, which I want to emphasise, is that an
“eating disorder diagnosis is a health crisis”—
that is what it is, and we should be under no illusion that it is anything else—
“that disrupts personal and family functioning.”
The article continues:
“Eating disorders are not choices, but serious biologically influenced illnesses… Eating disorders affect people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses… Eating disorders carry an increased risk for both suicide and medical complications”
Others have mentioned that. The article goes on:
“Genes and environment play important roles in the development of eating disorders… Genes alone do not predict who will develop eating disorders.”
The ninth and last truth is:
“Full recovery from an eating disorder is possible. Early detection and intervention are important.”
I want to finish on this point. I am thankful for Eating Disorders Awareness Week, but I say with the greatest respect to the Minister—it goes without say that I greatly admire her, and we are dear friends—that we need an action plan. Will she put her shoulder to the wheel and implement what is necessary to effect change in the way we fund this area and approach this killer, because it is just that? Will she do so as a matter of urgency?
It is pleasure to serve under your chairmanship, Ms Harris, and I pay tribute to the hon. Member for Bath (Wera Hobhouse), who has campaigned tirelessly on the issue and brought the debate to the House today.
The hon. Lady talked about the focus on men and why that focus is important—one in four of those affected by an eating disorder is a man. We have heard some statistics today, including that there has been an increase of 128% in hospital admissions of men for this issue, so it is right that we should highlight it this morning. We have also heard that men are notoriously poor at asking for help, so it is important that we have so many male MPs here this morning, speaking out and raising awareness.
I want to talk about the BMI issue, which was mentioned by the hon. Member for Westmorland and Lonsdale (Tim Farron). I remember having my BMI measured during a health screening process at my previous place of work. At the time, I was six months pregnant, but I was a slim six months pregnant.
I thank the hon. Gentleman for that comment. However, I was told that my BMI showed that I was obese. I said, “I’m not obese, I’m pregnant”, and they said, “No, you are obese. You’re showing up as obese.” And they gave me a leaflet on obesity. It seemed that I could not break through that mindset. Those carrying out and promoting these tests sometimes have absolutely no understanding of what obesity is about. I was able to speak up for myself quite capably, but there may be others for whom it is different, so I totally agree with the comments about BMI.
The hon. Gentleman talked about the importance of intervention and how it makes such a difference. He spoke about a young lady in his constituency who is alive today because of an intervention to help her. All of us have to hear those types of stories.
I am a teacher by profession, and over the years I worked with a number of young people who had eating disorders. It was interesting that most of them wanted to get better; they understood that there was an issue. It was often high-performing young people, as well; eating disorders represented an element of control for them. We saw that early intervention made such a difference for them. It was important that teaching staff and other people in a young person’s life were able to recognise the signs early on, and did not put them down to, “She’s just doing a bit of extra exercise”, or, “He’s just trying to achieve that body.”
Unrealistic expectations are put on young people. We have heard from a number of Members this morning about the impact of social media. I would add that some TV programmes also have an impact. I will name one in particular: “Love Island”. It shows beautiful young people with perfect bodies wandering about all day, scantily dressed. If young people aspire to those unrealistic standards, it is not good for anyone. The producers of such programmes need to take responsibility for their impact.
The NHS digital survey asked children and young people aged between 11 and 19 a number of questions, including, “Have you ever thought you’re fat when other people said you were thin?”, “Have you ever made yourself deliberately throw up?” and “If you eat too much, do you blame yourself?”. The responses were really worrying. Among 11 to 19-year-olds, 12.9% screened positive, meaning that they answered yes to two or more of those questions. Among 17 to 19-year-olds, the screening positive figure was 60%. If that is what young people are thinking, then we are at crisis level.
The waiting times to receive help are too long. We heard from the hon. Member for Sheffield, Hallam (Olivia Blake) about a 2017 report on eating disorders that referred to patients being failed, and how that situation really has not improved. We also heard harrowing stories about patients being restrained, which I think all of us here were quite disturbed by.
The right hon. Member for Romsey and Southampton North (Caroline Nokes), who is Chair of the Women and Equalities Committee, talked about the impact of shortages in services on those affected by eating disorders, and mentioned that it would not do young people any good to be treated in adult services. We must provide appropriate treatment in appropriate settings.
My hon. Friend the Member for North Ayrshire and Arran (Patricia Gibson) talked about two very prominent women, Karen Carpenter and Lena Zavaroni. I will talk about a colleague of mine who had an eating disorder. She was getting over it when, sadly, she had a heart attack and died. We do not talk enough about the long-term impact of eating disorders on physical health. We know that the heart is affected by them.
As time is short, I will scoot through my speech and get to the asks. First of all, we need action on social media companies that target vulnerable individuals. We also need the removal of calories from menus; their inclusion was aimed at tackling obesity, but unfortunately the message is hitting the wrong people. We need better input to mental health services, and we absolutely need signposting for families who are going through the trauma of having a family member suffer from an eating disorder.
Finally, I thank the hon. Member for Bath once again for securing this debate, and for giving us all an opportunity to speak about the issue this morning.
(3Â years, 7Â months ago)
Commons ChamberAgain, I am somewhat disappointed that the Opposition are talking down the opportunities we have. These MOUs seek to bolster the already strong trading relationships with US states, which, as I said, are worth £3.3 billion of UK goods. As we move through and implement the MOUs—we have good faith and goodwill with the people we have been negotiating with—we will inevitably increase our trade volumes. The US is already our strongest and most important trading partner, accounting for about 16% of the UK’s overall trade, and growing.
In my constituency, companies are able to sell to Europe, the far east, South Africa and south America, but they have difficulty selling their products—foodstuffs that come from our farms across Strangford in Northern Ireland—to the US. Will the Minister give some indication of what can be done in conjunction with the Department for the Economy in Northern Ireland to open those doors to sales?
We are fighting for opportunities right across the UK. As I said, the US is a really important trading partner. With the MOUs, we are seeking further opportunities, but we are also working on removing trade barriers and inhibitions to trade. For example, since leaving the EU, we have secured major trade deals with the US, reinstating beef and lamb imports and ending damaging steel and aluminium tariffs, so we are working in individual sectors to try to find further opportunities at both state and federal level.
As I have said, we will continue to work with the EU to try to reduce barriers that do exist. I cannot make a promise on behalf of the Home Office, but I note what the hon. Lady has said, and I will try to facilitate the appropriate meeting with the appropriate Minister for her.
The fairness of imports and exports in Northern Ireland is hindered by the impacts of the Northern Ireland protocol. What steps are being taken to ensure that the Northern Ireland Protocol Bill, which is sitting in the House of Lords like the Mary Celeste, as others have said, passes smoothly and efficiently to reinforce trading fairness for businesses in Northern Ireland?
Northern Ireland plays a full part in all our trading agreements, and I believe that a Northern Irish machinery exporter is involved in the Australia deal. My hon. Friend and I have spoken quite a bit about the Northern Ireland protocol in respect of the Bill I took through recently, and he will be aware of the sensitive discussions that have taken place with the Administration to ensure everything can be as smooth as possible. If needed, I will always be available to meet my hon. Friend.