Mental Health and Wellbeing Plan

Jim Shannon Excerpts

Wednesday 15th March 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

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?

[Mr Jones]

As the hon. Gentleman knows, eating disorders can affect people of any age, but there is a huge cohort that are young. I am coming on to my concerns about particular emphasis on young people’s mental health, which needs to be addressed.

International Women’s Day

Jim Shannon Excerpts

Thursday 9th March 2023 Commons Chamber

[Dame Maria Miller]

In 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.

[Jim Shannon (Strangford) (DUP)]

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?

[Dame Maria Miller]

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.

Oral Answers to Questions

Jim Shannon Excerpts

Wednesday 8th March 2023 Commons Chamber

[Stuart Andrew]

A 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.

[Jim Shannon (Strangford) (DUP)]

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?

Oral Answers to Questions

Jim Shannon Excerpts

Tuesday 7th March 2023 Commons Chamber

[Neil O’Brien]

The 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.

[Jim Shannon (Strangford) (DUP)]

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?

[Neil O’Brien]

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.

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[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

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 £35 million in the NHS this year to ensure that all smokers who are admitted to hospital are given NHS-funded tobacco treatment.

[Jim Shannon (Strangford) (DUP)]

T3. Recent analysis from Macmillan Cancer Support shows that 2022 was the worst year on record for cancer waiting times. Will the Minister consider the introduction of an urgent support package for UK cancer services in the upcoming Budget to support our hard-working staff and to ensure that there is additional capacity to deal with the current pressures on the system?

[Helen Whately]

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.

Eating Disorders Awareness Week

Jim Shannon Excerpts

Tuesday 28th February 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

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.

[Mr Gregory Campbell]

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?

[Jim Shannon]

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?

[Carol Monaghan (Glasgow North West) (SNP)]

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.

[Jim Shannon]

You are still slim.

[Carol Monaghan]

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.

Oral Answers to Questions

Jim Shannon Excerpts

Thursday 9th February 2023 Commons Chamber

[Nigel Huddleston]

Again, 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.

[Jim Shannon (Strangford) (DUP)]

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?

[Nigel Huddleston]

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.

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[Nigel Huddleston]

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.

[Jim Shannon (Strangford) (DUP)]

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?

[Ms Ghani]

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.