Mental Health Provision: Children and Young People

Debate between Jim Shannon and Luciana Berger

Tuesday 12th December 2017 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Lady on bringing such an important issue to the House at this time of the day. Taking into account reports that mental health problems affect about one in 10 children and young people and that 70% of children and young people who experience a mental health problem have not had appropriate interventions at a sufficiently early stage, does she agree that it is time not for words but for action that would see the Health Department and the Department for Education working cohesively to address the issue she has put forward?

[Luciana Berger]

The hon. Gentleman makes a really important point about co-ordination between various Departments to ultimately effect change and support young people across the country, and that is what I and so many others are really looking forward to. However, I am going to set out in the rest of my remarks why I think the opportunity has been missed.

We have seen programmes such as Channel 4’s “Kids in Crisis”, which have brought many of the issues I have set out to a broader audience. That has included the scandal of too many young people having to travel hundreds of miles from their homes to receive treatment and support—and that is if they get in at all.

We know that the younger generation, coming into adulthood, are prone to a range of mental health conditions: depression, anxiety, eating disorders, self-harm, suicidal thoughts, phobias and other challenges. Those destroy confidence, blight education, training and employment opportunities, alienate young people from society, and, in some cases, drive families to tearful despair.

There is a social justice aspect to this too. Children from the poorest fifth of households in our country are four times more likely to have a mental health difficulty than those from the wealthiest fifth. Health inequalities in our country persist as strongly in mental health as in physical health.

Cancer Treatment and Prevention

Debate between Jim Shannon and Luciana Berger

Tuesday 11th March 2014 Westminster Hall

[Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship again this morning, Mr Gray. I congratulate the hon. Member for Mid Derbyshire (Pauline Latham) on securing the debate, and thank her for sharing her personal connection with its subject.

Every two minutes someone in the UK is diagnosed with cancer, and more than one in three people in the UK will at some time develop some form of cancer. One in four of them, sadly, will die of it. Cancer touches every community, without exception. Its reach is wide and its impact devastating. We have won many important victories in our battle against cancer, but there is a long way to go to ensure we are diagnosing it earlier, treating it more effectively, and preventing it in the first place. Many hon. Members have focused on those things in the debate, and I want to discuss them.

Detecting cancer early can make a real difference. When cancer is diagnosed at an early stage, the treatment is often simpler and the outcome is more likely to be positive. The hon. Member for Strangford (Jim Shannon) shared some startling statistics about the impact of early detection on ovarian cancer survival. Developments in cancer screening and increasing efforts to promote public awareness, such as the Be Clear on Cancer campaigns, are welcome. On Saturday, I saw the great work being done by those campaigns when I joined a team at a shopping centre in Liverpool to raise awareness of ovarian cancer in women.

Encouraging people to visit their GP sooner rather than later if they have any symptoms of concern is a simple message that can make a big difference. However, we have further to go to ensure that GPs are getting the training and support that they need to help them identify cancer signs and symptoms. Several hon. Members have raised concerns this morning about the amount of training of that kind that GPs receive. I hope that the Minister will respond on that issue in particular. I share the alarm expressed by the hon. Member for Basildon and Billericay (Mr Baron) about the fact that too many cancers are detected in accident and emergency.

Improvements at the first point of contact are not enough if, once cancer is suspected, people are not seen quickly enough by a specialist. Before Christmas there was concern at the news that in as many as half of cases the Government are missing their target for 95% of people with suspected cancer to be seen by a specialist within two weeks. It was right that Labour introduced the two-week cancer guarantee. We also left plans in place to speed up diagnosis, but unfortunately it appears that focus has drifted a bit from that important part of the fight against cancer. I am keen to hear the Minister’s comments on what further steps the Government are taking to improve early diagnosis.

If cancer is diagnosed, people need to feel safe in the knowledge that they are going to receive the most effective treatment possible, as quickly as possible. Many hon. Members expressed concern about that this morning. The hon. Member for Basildon and Billericay said that if we reached the average European survival rates we would save an additional 5,000 lives. I think that we can do better than that. Despite improvements in survival and mortality in recent decades, cancer outcomes in England remain poor when compared with the best outcomes across Europe. The hon. Members for Mid Derbyshire and for Lancaster and Fleetwood (Eric Ollerenshaw) mentioned the Cancer Drugs Fund and raised the question of its future, and I share their concern.

In more than 90% of cases when cancers are cured, it is as a result of surgery or radiotherapy. That is where our focus and resources should be directed. I welcome the Government’s recent focus on radiotherapy, and, in particular, on access to intensity-modulated radiation therapy. Last week I visited the Clatterbridge cancer centre in Merseyside, which treats 26,000 new patients every year, and saw how cutting-edge treatments are positively affecting patients’ lives.

Last week, however, we heard that the Prime Minister’s pledge that, from April 2013, all cancer patients would receive the advanced radiotherapy treatment they need, where it is clinically appropriate and cost-effective, has not been met. A less than glowing report published by Cancer Research and NHS England last week said that

“more needs to be done”

to achieve the Prime Minister’s guarantee. The report describes how momentum has been lost during the transition resulting from the NHS reorganisation in England, and it identifies a number of challenges on which I hope the Minister will comment.

One concern is that ageing equipment is preventing centres from keeping pace with innovation and providing advanced techniques. Another key concern is about deficiencies in the numbers of staff in crucial positions such as physicists, therapeutic radiographers and clinical oncologists. When I visited Clatterbridge last week, I heard first hand from the management how they are struggling to get physicists in the hospital.

There is also concern about the shortfall in radiotherapy work force capacity across the services, which impinges on the ability to deliver advanced techniques and innovate. On the number of radiotherapy treatments administered per 1,000 patients, we are well off the pace compared with other parts of Europe. While advances are being made, the pace at which innovations have been adopted across the NHS has been inconsistent. In Liverpool, cancer mortality rates are twice that of parts of London. Clearly, we still need to do much more about inequalities in access and outcomes for cancer patents. I hope that the Minister, in her response, will share with the House the Government’s plans in that regard.

Our battle against cancer will not be won with treatment alone. As the title of the debate suggests, we also need to look at prevention. More than half of all cancers could be prevented if people adopted healthy lifestyle choices such as stopping smoking, eating a healthy diet and exercising. I will focus on each of those in turn.

On smoking, great progress has been made in the past decade, but a quarter of cancer deaths are still linked to tobacco and smoking is by some margin the largest single cause of cancer in the UK. About 20% of our population smoke. That is down from 27% in 2000, but that figure is still too high. For every 1% decline in smoking prevalence, we could prevent about 3,000 deaths. Last month, Parliament voted in favour of an amendment to make Labour’s proposal of a ban on smoking in cars with children in them a reality. That great step forward will protect children and, ultimately, create a shift in smokers’ behaviour.

We are glad that the Government have agreed to standardised packaging; we look forward to Sir Cyril Chantler’s review. We are also pleased that the Government adopted our proposal to ban proxy purchasing of cigarettes. However, we must maintain momentum and ensure that those three victories are not pursued in isolation, but are part of a much bigger ambition. I hope that the Minister will share what more her Department is doing to reduce the number of smokers and smoking-related deaths, specifically in relation to the cancers that we are discussing.

Obesity is the second area for prevention and some of my biggest concerns are about the Government’s approach to tackling that. The voluntary responsibility deal stands little chance of delivering the fundamental change needed to improve our national diet. We need action that will impact on the whole population rather than the current piecemeal scheme that works on a product-by-product basis.

I was concerned to hear in the press reports relating to the World Health Organisation’s position on reducing our consumption of sugar, which leads to obesity. If what we read was correct, the view was that the Government might ignore that expert guidance. I hope that the Minister will respond to that and outline specifically what her Department is doing to tackle the obesity crisis in order to reduce cancer prevalence, because so many cancers are connected to obesity. On physical activity, to secure significant improvements in tackling the main causes of cancer, we need to see a fundamental shift in our nation’s behaviour.

[Jim Shannon]

To step back one sentence to the hon. Lady’s comments on better diet, and the need to have that at an early stage, many education authorities across the United Kingdom—they are doing this in Northern Ireland—are trying in schools to address children’s diets and the relationship of that to their parents and their family budget. Does she feel that education and health can play a joint role to help get the diet right at an early stage, which would prepare children for adult life?

[Luciana Berger]

The hon. Gentleman makes an important point about the role of education. A real intergenerational role can be played in education. If we educate our students and young people, they can play a role in informing and educating their parents and grandparents too. Some work has been done on that, but more can be done. I am concerned that when children start school, about 10% are obese or overweight, yet when they get to year 6, about a third are obese or overweight. That is a shocking statistic that we need to address urgently. I am working with my colleagues who shadow education on that and I hope that the Government are looking at what more can be done to affect the lifestyle and food choices of our young people to give them the best chances in life. A child with obesity will live on average nine or 10 years less than a child who is not obese, which is of serious concern and I thank the hon. Gentleman for making his point.

Labour is putting physical activity at the core of its public health policy. The easiest lifestyle change to make is moving from inactivity to activity and, once achieved, people can begin to feel better about themselves and more in control, and can then make better choices on smoking, drinking and eating, yet more than two thirds of our population fail to meet the minimum recommended levels of physical activity a week. I am concerned about the Government’s cuts, which have led to a reduction in local leisure services, which I have seen locally. The end of free swimming, for example, serves only to create further barriers to participation in physical activity. I would be interested to hear from the Minister on what the Government plan to do about that.

On prevention, the hon. Member for Mole Valley (Sir Paul Beresford) raised some important questions on vaccinations, specifically the HPV vaccination. I hope that the Minister will respond to those points.

Undoubtedly our national fight against cancer is going in the right direction, but is that enough? I do not think that it is. We have had a thorough debate this morning, with interesting and varied contributions. Collectively, we have touched on what needs to happen. We need earlier diagnosis, swifter access to the most effective treatment and an even stronger focus on prevention. We need bold, ambitious and concerted action on all three counts to ensure that we win not just the battle, but the war. I look forward to the Minister’s reply.

Violence against Women and Girls

Debate between Jim Shannon and Luciana Berger

Thursday 14th February 2013 Commons Chamber

[Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)]

On the day when we celebrate love and romance, I am glad to take part in a debate that seeks to ensure that no one should ever be subject to a mentally or physically abusive relationship. I congratulate the Backbench Business Committee on securing the debate and my hon. Friend the Member for Walthamstow (Stella Creasy) on her work in raising the profile of the incredible One Billion Rising campaign.

Despite Liverpool being the second safest city, victims of domestic violence make more than one in five of all 999 calls to Merseyside police—the highest rate in the country. That amounts to 43,995 calls. The increase in the incidence of domestic violence across Merseyside is staggering, with 32,511 incidents having been reported in the last year—an increase of 36% from 2003. This situation cannot continue. It is a terrible indictment that in 2013 in the UK one in six children aged 11 to 17 experience sexual abuse and that 109 women and girls lost their lives last year at the hands of a partner or former partner.

At least 750,000 children a year witness domestic violence. Although that affects both girls and boys—I note the point made by the hon. Member for Shipley (Philip Davies)—80% of calls to ChildLine on abuse were from girls. The statistics on that are many. Even if the Government do not accept the enduring physical, psychological, emotional and social consequences experienced by too many women across our country because of this terrible crime, it must surely be in their interest, given that according to the Home Office violence against women and girls costs the public purse £36.7 billion a year, to address these heinous crimes and do more about this stain on our national conscience.

We have a serious problem in our society when findings from the crime survey in England and Wales show that one in 12 people think that a victim is completely or mostly responsible for someone sexually assaulting them when they are under the influence of drugs or alcohol, or when they are sexually assaulted by someone they were flirting with heavily beforehand. No one in the country should ever blame a victim for the crimes perpetrated against them.

Is this any wonder when too many abusers are glorified? Perhaps one of the most famous cases of domestic violence was in March 2009, when the music artist Chris Brown was charged for, and pleaded guilty to, assaulting Rihanna. Members will remember the shocking photos of Rihanna in our press—her lip was split and she had a bloody nose and major contusions on either side of her face—yet two years later Chris Brown was given an international platform at the Grammies. This is the man who subsequently got a tattoo on his neck showing a woman bearing a striking similarity to Rihanna and the scars of a serious beating.

We heard the other week that some of our major supermarkets are stocking an energy drink called Black Energy promoted by the convicted rapist Mike Tyson. It uses the slogan “Sex energy” and includes a series of adverts in which he is surrounded by scantily clad women in bikinis and calls himself “an animal”. I remind the House that this is a man who spent three years in jail for his heinous crimes. We also heard last year about the tragic story of a girl from Battersea who did not report a rape at the age of 11 because of a storyline in “Eastenders” that made her so worried about the court process that she thought she would not be supported.

[Jim Shannon (Strangford) (DUP)]

I understand that a television advertising campaign beginning today or tomorrow will highlight the fact that 30% of young girls are sexually assaulted and that 25% are physically abused. Does the hon. Lady believe that such a campaign will help to reduce those figures?

[Luciana Berger]

We know that there has been a massive reduction, if not a complete moratorium, on the Government spending money on public information adverts. I think, however, that money spent in this area would be welcome, so I hope that the Minister will think seriously about allocating some of the budget to informing and educating the public about domestic violence and abuse, particularly at a time when this crime is on the increase.

There are people committed to tackling violence against women and girls. In Merseyside, our recently elected police and crime commissioner, my predecessor, Jane Kennedy, signed up to a dedicated series of pledges to tackle violence against women and girls that included maintaining specialist domestic violence and public protection units within the police service, which are at risk across the country owing to police cuts; delivering specialist training in domestic and sexual violence; and developing the roll-out of an integrated local action plan to tackle violence against women and girls. In December, we also saw the launch of the Draw A Line campaign, specifically aimed at combating domestic violence.

The reason for today’s debate, however, is that we need to do even more. We need our schools to do everything they can to educate the next generation. We recently saw the One Billion Rising sessions that took place across the country—we had one in Liverpool, at which women called for the statutory introduction of sex and relationships education in all our schools. We also need urgently to challenge the stereotypes in the press and media and to teach both girls and boys about how to respect each other in relationships. We need these statutory provisions to make personal, social and health education, including a zero-tolerance approach to violence and abuse in relationships, a requirement in every school in our land.

Just before this debate, as has been mentioned, we came together in Parliament square in support of the One Billion Rising campaign and heard the names of the 109 women murdered last year by a present or former partner. It was tragic. The reason for the debate is that we need to do everything we can to ensure that we never have to read out the names of 109 women again.