Railway Ticket Offices

Debate between Jim Shannon and Chris Loder

Wednesday 13th September 2023 Westminster Hall

[Chris Loder]

I will highlight some of the issues in a moment. There is clearly a veil, behind which is hidden an enormous reduction in staffing hours at stations, which is a key issue that I shall address in a moment.

[Jim Shannon (Strangford) (DUP)]

To completely alter decent ticket services for constituents is wrong, primarily because of what the hon. Member for Twickenham (Munira Wilson) said, but also because the impact will be even greater in rural areas across the United Kingdom, particularly for elderly constituents and those who are not au fait with the online system. Does the hon. Gentleman agree that, as the hon. Member for Twickenham said, we need a review and for everybody to be able to input into the process before the Government and the Minister progress with the changes?

[Chris Loder]

I will address those points later, if the hon. Gentleman will allow me.

Moving staff from being solely behind the ticket office window to being more visibly present on the station, and directly helping passengers with purchasing tickets or helping people on and off trains, is a good concept. In principle, it is an initiative that I support, but behind the veil is the reality: at Sherborne station, the overall staffed hours will be 40% less than today; Crewkerne station in south Dorset, which serves the rural west of my constituency, will have its hours slashed by 50%; and the reality for Dorchester, the county town of Dorset, is that South Western Railway currently proposes to slash the staffing presence at Dorchester South station by 55%.

NHS Dentists: South-West England

Debate between Jim Shannon and Chris Loder

Wednesday 24th May 2023 Westminster Hall

[Chris Loder (West Dorset) (Con)]

I beg to move,

That this House has considered the provision of NHS dentists in the South West.

It is a pleasure to serve under your chairmanship, Ms Elliott. I am grateful to colleagues from across the House for attending this very important debate. If someone living in Dorset rings their nearest NHS dentist looking for an appointment, there is a 22% chance that they will be told the practice has gone private. If someone living in Dorset rings their nearest NHS dentist, there is also a 42% chance that they will be told the practice is not taking new patients with special or additional needs. There is a 50% chance that they will be added to a waiting list that is over 12 months, so half the constituents calling today could be waiting until May or June 2024 before they are seen. Finally, if someone living in Dorset is calling to book a dental appointment for their child, there is a 77% chance that they will be told the practice is not accepting new child patients.

The reason for these unacceptable statistics is because access to NHS dentistry in the south-west has been on an alarming downward trajectory for some time. Today, rural parts of Dorset, many of which can be found in West Dorset, experience worryingly low access to vital and sometimes life-saving dental treatment on the NHS. This is no doubt a widespread issue across the country, which is plain for all to see in the recent flurry of debates and questions on this subject in the House. Following this debate, there is an Adjournment debate in the House this evening examining dental care in the north-east, which shows how this issue is affecting constituents across the country.

According to recent reports, a quarter of the adult population in England have unmet dental needs, despite there being 24,272 active NHS dentists. That is enough for one for every 539 people, but these statistics can be misleading, because, importantly, even though there has been a 2.3% increase in the number of NHS dentists this year compared with last year, productivity has slowed. As many as half of these 24,000 dentists have cut back on their NHS work, according to the British Dental Association, forcing more people to either choose to go private and shoulder the burden of these additional costs themselves, or to go without and face the risks of poor dental hygiene that that can bring, such as tooth decay and gum disease.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman and his team of MPs who come along to support one another on these issues. I am really impressed by how well they do their job. They did it yesterday, and they are doing it today; well done to them.

Across the whole of the United Kingdom of Great Britain and Northern Ireland, there are issues. The hon. Gentleman referred to the figures in his constituency; in my constituency, 100% of people cannot get an NHS dentist. Paying online for a whole year’s subscription to a dentist is not possible for many, including people who are elderly. Does he agree that the Minister should liaise with the devolved Administrations, in Northern Ireland in particular and in Scotland and Wales, on how we can better do this together? Clearly, it does not matter where we are in the United Kingdom of Great Britain and Northern Ireland—dentist appointments cannot be got for those who need them most.

[Chris Loder]

I thank the hon. Gentleman for his short and succinct intervention, as ever. He is absolutely right and confirms that this issue needs to be addressed across the United Kingdom, not just in the south-west. I am delighted that he has attended this debate on dentistry in south-west England.

The south-west region was recently rated fifth out of seven for adult NHS dental coverage, with only 35% of adults covered by access to essential dental services, which is below the national average. Dorset fares slightly better, but adults in my constituency and those immediately neighbouring it also experience below the national average coverage for an NHS dentist.

The inequality is also affecting children, whom I am particularly concerned about. Although they are faring better than adults, with a coverage rate of 46% in both Dorset and the south-west, that is still below the national average for access to NHS dental services. Without those services, almost one third of five-year-olds are suffering from tooth decay, which is the most common reason why children aged between five and nine are admitted to hospital. Tooth decay is mostly preventable, so its effects serve to demonstrate what a lack of access to NHS dentistry is doing to our children.

Why are we faced with this difficulty? Why is dentistry in England, and particularly the south-west, under such pressure? Although the answer is multifaceted, I believe the reason is primarily threefold: first, the National Health Service Act 2006 and the subsequent dental contract; secondly, the lack of institutional services and the knock-on effects; and finally, the NHS backlog following the covid-19 pandemic.

The National Health Service Act 2006 set out the provisions for agreement between NHS England and dental practices in relation to services that would be provided and the renumeration for those services. Before the Act became law, the National Audit Office and the Public Accounts Committee both produced reports to the then Government on reforming NHS dentistry, which raised concerns about the 2006 changes. Those concerns included the urgent need to change the incentive mechanism for dentists to increase their commitments to NHS dentistry, the difficulty for patients in better-off areas in accessing public health services, and the difficulty for those in more deprived areas in accessing any services at all.

The reports also raised concerns that there would be a shortage of NHS dentists, a glut of people who would be left without access to NHS dentistry, and no guarantees that the reformed contract would be enough to commit dentists to the NHS rather than private practice.

Council Tax and Revenue Support Grant

Debate between Jim Shannon and Chris Loder

Tuesday 31st January 2023 Westminster Hall

[Chris Loder]

I would like to remind Members present that, just before the Division, I was talking about the fairness of the specifics of the Dorset Council revenue support grant. For the past three years, Dorset has received exactly zero revenue support grant. This is the first year since my election that we have received any form of revenue support grant. At a slim £654,000, that equates to roughly 0.2% of total council income. Although welcomed, that has come only after others and I spent a long time banging the drum for the situation to change. I am afraid that it is still overshadowed by the £24 million that, for example, Wandsworth Borough Council and other boroughs receive.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Gentleman for being such an assiduous MP for his constituency, which he clearly is. He is outlining the pressure caused by the rising cost of living. Councils are finding it increasingly difficult to balance their books, and I believe that Government must consider increasing the grants to ensure that the basic service-level provision is in place—that basic services are maintained, and that the parity of grant that the hon. Gentleman has referred to applies across the whole of the United Kingdom. There is deep privation in the hon. Gentleman’s area: the same is true in other parts of the country.

[Chris Loder]

I agree that deprivation affects all parts of the United Kingdom—not just urban areas, but rural areas as well, and indeed all four nations of the UK.

Despite Dorset benefiting from £654,000 from the revenue support grant, local councillors have made me aware that while we have finally received a positive revenue support grant contribution, other Government grants have been reduced by a broadly similar amount, meaning that the council is little better off in real terms. It is therefore clear that the way in which local government finances and the revenue support grant are calculated and delivered is in need of urgent review. Unlike others, I am not looking for favour or preference for Dorset, or indeed West Dorset, but I am looking for fairness.

The average age in rural Dorset is much higher than almost anywhere else in the UK, with one third of the community aged over 65, compared with an average of 19% in England and just 10% in some London boroughs. That, alongside rising special educational needs and disabilities among young children, means that 69% of Dorset Council’s revenue is spent on social care. Since 2010-11, there has been a 25% rise in the number of those aged between 65 and 84 in Dorset, and a 20% increase in those aged over 85—with, of course, the associated social care needs. Those changing demographics have caused the council’s spending to change dramatically, with net spending on adult social care in Dorset increasing by 15% to £139 million, and children’s social care spending increasing by almost 25% between 2010-11 and 2019-20, reaching over £60 million. However, the fundamental funding structure has still not changed.

Care of adults and children is an obvious council priority, and with internal migration having increased the average age in Dorset, that service has taken up more and more of the council’s budget in recent years. That has resulted in cuts elsewhere: planning, development, culture, environment and regulatory services, and highways and transport have all seen reductions in net spending over the same period to facilitate the priority of adult and child social care. Highways and transport spending has been reduced by more than half over the past 10 years —a fact that is only too evident, as Dorset is also home to the worst frequency rail line in the country, between Yeovil, the county town of Dorchester and Weymouth. At best, there is a train every three hours, if you are lucky.

Buses have also been impacted, with Dorset Council having to spend its already tightening pool of transport resources on taking over vital community service routes from commercial operators that have pulled out. While concessionary bus passes appear good, they result in operators receiving 92p from a £6.50 single fare. That makes many routes commercially unviable and, paradoxically, reduces bus services in rural Dorset, which cuts off elderly communities from essential health and community services—the very groups of people who are meant to benefit from those concessionary passes. The young in West Dorset are also impacted by the inequalities in funding for transport. While I recognise that transport provision is often the responsibility of the Department for Transport, I am bringing up this issue today because of the situation we are in with the allocation of local government funding. Children throughout London enjoy the perks of free bus and tram travel to go to school or see their friends, but the parents of children in West Dorset are faced with financial obstacles. Some school bus passes cost over £600—and that is just for their child’s daily travel to and from their place of learning at sixth form or college.

A 17-year-old living in Dorset will have to find a way to pay to get to their sixth form college or apprenticeship. A 17-year-old living in a London borough will not, thanks to the 16-18 bus pass, which is included in the funding for London. It is also worth noting that per passenger journey in London, TfL receives 10 times the amount of public funding than we do in Dorset. This refusal to give Dorset its fair share, according to its population and characteristics, is pushing the elderly into increasing isolation. That is an increasing concern for me as their MP.

It also places obstacles in the way of our bright, young minds, all while residents and small businesses continue to buckle under the ever-high rates of council tax. It is time that Dorset received its fair share of Government investment and funding and that my hon. Friend the Minister and his colleagues show that the south-west is just as important to the levelling-up agenda as the north-east or indeed other parts of the United Kingdom. The need for funding is especially pronounced following the impacts of the covid-19 pandemic, during which, I am afraid to say, we lost some 20% of our businesses.

A very topical subject being debated around the country is funding for emergency services. Here, too, we see the detrimental impact that the Government’s failure to treat Dorset fairly is still having. My constituency and those surrounding it continue to face the difficult blight of county lines drugs gangs. Dorset Police’s resources are pushed to breaking point during the summer months, especially when the county’s population trebles with holidaymakers and day trippers. Dorset is the sixth-most popular region in the country for visitor trips during the summer, but these can sometimes stretch police resources. I understand that the Minister cannot answer for the Home Office, but I would like him to note this difficulty that we face.

I recognise that these policing matters sit with the Home Office, but I wonder whether my hon. Friend would consider the points I raised at the beginning of the debate. I will refresh everyone’s memory on what those are. Why is levelling up not focused on rural areas in the same way as urban areas? Why does rural hardship not seem to matter in the same way that urban poverty does? Why does Dorset Council have to raise 85% of its funds through council tax, when the national average is 50% and even less in some urban locations? Why is it deemed acceptable to put financial obstacles in the way of access to rural education but to remove them for urban education?

Why does Transport for London get £1.7 billion of Government money when needed, yet Dorset Council gets hardly anything? Why, despite known patterns of domestic migration, is the cost burden of rural social care placed on the local community, whereas other communities can get help? Why does Dorset receive such low levels of the revenue support grant, whereas in inner London there are boroughs that charge very low rates of council tax comparatively and are furnished with tens of millions of pounds in Government grants?

In short, it is my intention with this debate for the House to consider two central points. The first is that rural Britain, and specifically rural Dorset and my constituency of West Dorset, should finally receive its fair share of Government local authority support. For too long, Dorset has been overlooked in the allocation of RSG payments, and for too long council tax has had to cover the deficit. It is time that services in Dorset had adequate funding, so that they can continue to support rural and coastal communities in the way they need to. Finally, as I continue to champion relentlessly the needs of West Dorset and advocate for fairness across the board, I believe that the Government need to examine the whole system of revenue support grants, and that there is a need for reform so that local authorities such as Dorset Council receive their fair share of Government funding and support to enable us to thrive.

Support for British Farming

Debate between Jim Shannon and Chris Loder

Wednesday 23rd November 2022 Westminster Hall

[Chris Loder (West Dorset) (Con)]

It is a pleasure to speak in this debate. I pay tribute to my hon. Friend the Member for East Devon (Simon Jupp), who is almost my constituency neighbour, and congratulate him on securing this important debate. I declare my interest as a tenant beef farmer’s son in my home constituency.

Although I could talk a lot about farming across the board, particularly beef and sheep farming, I want to focus my remarks on egg production and the effects we are starting to see. Some people say the situation has been caused by avian flu, but I would like to share some other aspects of the debate that may help to inform the discussion. The egg industry has been going through a period of turbulence for some time. In my opinion, it is because the supermarkets control the supply chain, totally dominate the market and force producers to accept a price at which they cannot afford to produce. I am afraid it highlights the fact that the Groceries Code Adjudicator, which I spoke so strongly in favour of in my maiden speech in February 2020, is proving to be totally ineffective.

Most of my local farmers in West Dorset tell me they do not want to receive Government subsidies, but they have to. Why do they have to? More often than not, they are forced into that position because the Groceries Code Adjudicator is not doing its job and is allowing supermarkets to dominate the field in such a way that farmers cannot continue to provide the goods that we all need to consume. In effect, in my opinion the Government are ultimately subsidising supermarket profits. That has to stop.

We all know that egg production costs have risen. Rising energy costs, the war in Ukraine and inflation have clearly all had an effect on that. But we cannot continue in a situation where large supermarkets’ strong yield-management policies are forcing this to occur. It is not new. Only a few days ago, the British Retail Consortium confirmed that

“some UK supermarkets are putting limits on egg purchases due to shortages largely linked”

to the avian influenza pandemic. Well, I do not agree with that. It is wrong. I think supermarkets are hiding behind that explanation a total failure in their yield-management strategies of probably many months, if not longer.

In West Dorset, a number of egg producers have told me that it is now so difficult for them to make money. Let me to put that into context: supermarkets broadly have raised the price of a dozen eggs by 50p over the past six months. The British Free Range Egg Producers Association says that farmers and producers are receiving just 18p of that, in the light of all the additional production costs they are having to bear. They cannot therefore do things like invest in pullets—new young stock—to ensure the future. This has basically resulted in a gradual 13% reduction in egg production over the past year alone. That is not solely because of avian influenza.

[Jim Shannon]

I have a number of egg producers in my constituency as well. If they sell their eggs locally to smaller shops, they can get a good price—for instance, £1 has been increased to £1.89. That is an increase that smaller shops have made, but the larger supermarkets are hellbent on screwing the producers to such an extent that they will no longer be in business. It is the big boys that need to be taken on.

[Chris Loder]

I totally agree with the hon. Gentleman’s remarks, which concur with my thoughts. I am afraid this is the beginning of a ticking time bomb. If ever there was a time that this House had to urge the Government to give the Groceries Code Adjudicator the teeth it needs to sort this mess out, it is now. If we think there is difficulty in the market today, I can assure this Chamber that in less than 12 months’ time we will not be in a situation where we have a reduction in eggs available for sale to consumers—we will be lucky if we have any eggs on the shelves at all.

Covid-19: Military aid to Civil Authorities

Debate between Jim Shannon and Chris Loder

Tuesday 8th February 2022 Westminster Hall

[Chris Loder (West Dorset) (Con)]

I beg to move,

That this House has considered requests for military aid to civil authorities during the covid-19 outbreak.

It is a pleasure to serve under your chairmanship today, Mr Hollobone. I am grateful to the House for allowing time for this important debate.

Coronavirus has created pressures on all public services the likes of which we have never seen before. When those services are critical for preserving life, the pressures—increased absenteeism and greater demand—are significantly more noticeable. Many constituents have had awful experiences of waiting four, eight or even 10 hours for an ambulance for either themselves or a relative. I applied for this debate because constituents—many of whom are relatives of vulnerable people—have recently been in touch to share their despair over having to wait many hours for an ambulance, even in urgent circumstances.

One constituent had to stay by the side of his late father’s body for nine hours before an ambulance was able to attend to his father and take him away. The shock of finding his father unexpectedly dead at home would have been enough—I cannot imagine having to sit beside a deceased loved one for many hours, waiting for help that just does not turn up. Another constituent in her 80s waited for an ambulance for 10 hours after she broke her hip at home. Another was identified as having a stroke by a doctor who lived nearby; because they could not wait for an ambulance, the doctor kindly drove her directly to the hospital.

There are many such stories. I am sure West Dorset is not the only area in the United Kingdom experiencing such difficulty, and I am sure I am not the only MP hearing such stories. In this debate, my intention is not to pile criticism on the South Western Ambulance Service. In West Dorset and across the wider south-west, our ambulance service has been working to absolute capacity until it simply cannot do any more. Diligent MPs cannot stand by and allow this situation to go on without proper scrutiny. It is clear that something needs to change.

These failures are caused not by incompetence or inefficiency, but by a greater demand upon our health systems than they are capable of handling without further back-up. A lack of social care options for people fit for discharge has caused a backing up throughout the hospital system that has ultimately compounded this situation. Ambulances often need to queue outside A&E for hours, with patients having to wait so long that they are triaged in the ambulance.

Ambulance drivers are in frequent close contact with vulnerable people. They have needed to be even more vigilant than the rest of us about self-testing and isolating when required so that they do not infect their patients. While that sense of care and responsibility is their duty, it has resulted in higher levels of absenteeism than the ambulance workforce has been able to manage.

The compounding of those issues—with absenteeism and capacity pressures in hospitals resulting in ambulances queuing at A&E, unable to leave until they have safely transferred their patients into the care of hospital staff—has meant the ambulance service is unable to respond to the next call. The result at home in West Dorset is a lack of ambulances available and people waiting for hours, sometimes in great pain and distress.

When our civilian services are in this situation, during a national crisis or not, the last step of escalation is to the Government, for assistance from the Ministry of Defence.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on an absolutely superb debate, as I was saying to him beforehand. It will probably encapsulate all our thoughts, and I know the Minister will wish to respond to him. We have been grateful recipients of Army medics in our hospitals during covid-19; indeed, even this week, help is being given by 50 to 60 medics in the Ulster Hospital, just on the edge of my constituency. Does the hon. Member not agree that there is a very clear role for the Army to play, and that that role has not yet ended? Further, we owe a debt of gratitude to those who serve us in times of war and peace—our wonderful armed forces.

[Chris Loder]

I cannot agree enough with the hon. Gentleman. I am delighted to be part of the armed forces parliamentary scheme and spending time with the Royal Navy at the moment. Those in the armed forces not only dedicate their lives to service of this country, but go so far in supporting and helping those in need in the most difficult situations. They are to be commended far more than I can do in this debate this afternoon.

Although we understand that the armed forces capacity is not limitless, we unconsciously rely, safe in the knowledge, that in the direst circumstances our service personnel will step in and avert a crisis. When that does not or cannot happen, the resilience of our emergency services comes into question.

My local South Western Ambulance Service first scoped its request for military support in July last year. There were six operational and clinical areas where it sought additional support, because of increased activity and absenteeism due to coronavirus. Of those six areas, only one was fulfilled. After many weeks of negotiation, the South Western Ambulance Service received very limited military personnel on 11 August last year: 18 soldiers to fill logistics roles, who also replenished equipment on ambulances until the end of August. Those 18 soldiers were much appreciated, but that was only 18 for 5 million people in the south-west.

The South Western Ambulance Service had also asked for clinicians, blue-light drivers and mechanics, among other roles, but those requests were not granted. I know that it is not the role of Her Majesty’s armed forces indiscriminately to provide any and all support to civilian services that is requested. However, in March 2020, the Secretary of State for Defence announced:

“From me downwards the entirely of the Ministry of Defence and the armed forces are dedicated to getting the nation through this global pandemic.”

At that time 10,000 personnel were put at higher readiness, thus making 20,000 personnel available, if needed. Therefore, we might be forgiven for believing that assistance from the Government would be more forthcoming in this case.

The period of the coronavirus pandemic has been one where our armed forces were at their most ready to assist civilian services, and should be commended for it. Of course, more services required help and so military assistance had to be spread more thinly, but it was surprising to discover that the MACA request from the South Western Ambulance Service was fulfilled only to an extremely small extent. That gives me and my constituents great cause for concern. That was mainly as a result of the original request being filtered down and weakened by some civil servants before evaluation. That is a great concern to me as a south-west MP.

I have no doubt that difficult decisions had to be taken. The armed forces are needed operationally for so many things. To ask them to support civil services is no small request in terms of resources and, of course, the military cannot simply be diverted from its primary role. However, given the extent to which we have experienced ambulance waiting times, citizens waiting in pain for so long, and the watering down of the needs of ambulance services before evaluations took place, I question whether there are things that can be learned to improve the process of MACA requests in future, by looking at examples such as those I have outlined.

Ambulance services exist to respond to acute and critical events. Those are situations that cannot, by definition, wait without potentially endangering life. Compared with another operational deployment of the armed forces in the pandemic, testing, one has to note that, although testing was vital for oversight of the overall size of the pandemic in the UK, a timely covid test does not compare, in terms of urgency, with a person waiting for hours in acute pain—a person in their 80s having broken their hip or a person with a suspected heart attack or stroke.

Perhaps in the future we ought to have a better publicised hierarchy of need when we face a crisis that requires military support to the civilian authorities. I cannot pretend to know the intimate details of every MACA request submitted to the Government, but I can think of few acute and urgent services that might need prioritised support—and none other than our ambulance service.

One of the criteria for MACA provision is that military aid should always be the last resort, and that the use of mutual aid, other agencies and the private sector must be otherwise considered as insufficient or unsuitable. I pay tribute to St John Ambulance, which has provided much support and continues to do so. It is a volunteer army in itself, with a deeply held mission to help those in need. I wonder whether there needs to be a more established role for St John Ambulance in this area, so that it is able to more readily and structurally respond to some of these needs and to have a more substantial role in our nation’s resilience arrangements to support the emergency services. That would enable ambulance services to receive support more readily than in the cases I have outlined.

The South Western ambulance service did not and does not ask for help lightly. Only when the situation for its patients was becoming very difficult indeed did it contact the Government for help. I should say that it is only following my own intervention and inquiry that the ambulance service kindly shared some of its insights with me. Even I was surprised, though, to hear that only one out of six of its specific requests was partly fulfilled.

I hope this debate will offer an opportunity for the Government to review and improve the systems surrounding MACA requests. Greater clarity and transparency for those services making requests is needed so that they know what levels of support they can expect, especially when there is no alternative. Then my colleagues and I —MPs of Dorset and the wider south-west—will be able to further support the ambulance service in making sure we never experience some of these difficulties again.

Long Covid

Debate between Jim Shannon and Chris Loder

Thursday 14th January 2021 Commons Chamber

[Chris Loder (West Dorset) (Con)]

I commend the hon. Member for Oxford West and Abingdon (Layla Moran) for bringing this debate to the Floor of the House today. It is much needed, and I am pleased to be able contribute on behalf of my constituents. I pay tribute to the NHS and the Government for the work they are doing on long covid; I was delighted to receive the NHS briefing on the five-point plan on long covid this morning.

The debate is shining a light on a condition that is not fully recognised or fully appreciated. The focus of our national effort, understandably, has been on stemming the virus—particularly the new strain—but against the headlines about daily cases and deaths, NHS capacity and, of course, vaccinations, I fear that we are forgetting those who suffer from covid, survive it, but do not fully recover.

[Jim Shannon (Strangford) (DUP)]

Will the hon. Gentleman give way?

[Chris Loder]

If the hon. Gentleman will forgive me, I would like to keep going.

As I was saying, we are in danger of forgetting those whose immediate threat to life from the more common symptoms has subsided, but who are left with one of the many debilitating conditions that relate and go on to form long covid. I would like to share with the House some shocking statistics that I have found in my research over the past day or so: 21% of those who get covid suffer with it for five weeks or more—112,000 people suffered with it for between five and 12 weeks. That statistic is from November last year, so there are bound to be more. One in ten of all those who get covid suffer from it for longer than 12 weeks.

Today, I want to speak in support of children with long covid and those who care for them. Sammie McFarland is a constituent of mine, and I pay tribute to her and her colleagues, who have set up Long Covid Kids, a support group for children and their parents who are contending with some of the most difficult of long covid situations. The inspiration for the movement came when Sammie and her daughter caught covid last March and both went on to struggle with long covid. Long Covid Kids has highlighted some profound realities, which we have talked about in this debate.

I will conclude my remarks with some clear and decisive asks of the Minister. Children must be counted in long covid cases, and I fear that so far they have not been. Paediatric provision is needed in the long covid clinics. We need to raise awareness of long covid in schools. We need a plan and consideration to be given to the return to school of long covid children, avoiding fines for parents but also appropriately phasing the return of children who are recovering.