Non-disclosure Agreements in the Workplace

Layla Moran Excerpts
Tuesday 5th September 2023

(7 months, 3 weeks ago)

Westminster Hall
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Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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It is a pleasure to serve under your chairmanship, Ms Ali. I start by congratulating the right hon. Member for Basingstoke (Dame Maria Miller) on securing this important debate. As we have heard, non-disclosure agreements were designed as a legal tool to protect trade secrets, but they have a dark side. There is now overwhelming evidence that they are being used to cover up bad behaviour, and buy victims’ silence. They have become insidious and pervasive. One survivor described it as

“a way of companies and people avoiding accountability”.

NDAs can take many forms. They can be stand-alone agreements or a single clause subtly included at the end of a contract generated by a lawyer or anyone else. The effect is what is important. An NDA for these purposes should be defined as any clause that has the effect of gagging a victim. It is usually in perpetuity, which itself is extraordinary when thought about in legal terms. It stops them speaking about their experiences for ever more.

Many NDAs are not legally enforceable, but the victims I have spoken to would not have a clue. They never have a clue—and I am not sure I would, frankly. I am not a lawyer. If I were given something on official headed paper and told that someone knowledgeable had looked at it and thought it was the best thing for me, and I was at my wits’ end at the end of a discrimination case, I would just want it all to go away, too. That is tempting, and we can understand why people in that moment—when presented with that way out—take the money, sign the NDA and run.

However, we also know that NDAs hold immense power over victims. Often many years later, long after the effects should have been forgotten, they are retraumatised over and over again. Imagine someone facing a discrimination charge at work who has had to leave. They then have a further interview where they are asked about why they left, and they cannot say. Over and over again, forevermore, they are forced to remember. Many are victims of NDAs; I put it in those terms specifically because NDAs themselves cause harm. The point is made by the right hon. Member for Basingstoke in her amendment, which I very much support, to the Victims Bill: in these cases, it is the NDA itself—the silencing—that is traumatising.

I was involved in this campaign initially through students. I am delighted that through cross-party support we had an amendment accepted to the Higher Education (Freedom of Speech) Act 2023; that is amazing. One of the young women I spoke to was a victim of sexual assault in her college. She was assaulted by another student. She was presented with what looked like an official document—it was not actually a legal document at all, but she did not know any different. There was essentially a gagging clause. Some clauses said that the assailant was not allowed into her accommodation or where she ate, which we absolutely support. However, a final clause said that she could not speak about her experiences publicly at all. When it was discussed at the time, it was sold as a way to protect her reputation. She should not have been talking about it on social media or Lord knows what damage it would cause to her later. Not only is that infantilising to a women—albeit a young woman, but an adult woman none the less who has the right to make her own decisions—but let’s face it: the reputation being protected in this case was that of the university and the college.

Maria Miller Portrait Dame Maria Miller
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I thank the hon. Lady for giving way and for her support today. She talks about the importance of protecting reputations. The reason why employers sometimes say that they want a non-disclosure agreement signed is that it will save an individual leaving a company and starting to talk badly about those left behind. Surely, we already have laws on defamation that cover that, so that is not a very good argument. Does she agree?

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Layla Moran Portrait Layla Moran
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I absolutely agree with the right hon. Lady. The problem is that the clauses are so wide-ranging; they are often not specific about time or what exactly they are allowed to say. We are not talking about any kind of confidentiality for when people are going through mediation, because that is time-limited; that is obvious. If mediation is going on, there would be a period where both parties would be asked not to talk about it. That is not what we are talking about here. The right hon. Lady and I have had a lot of engagement on this issue, and others have too. We have gone through every argument. There is an answer to every single rebuttal now. We have explored the logic. There is only one thing left to do.

We are falling behind. Other countries are ahead of us now, particularly in North America. Prince Edward Island in Canada has passed legislation that has essentially done what we are discussing. It is new, but it seems to be working. There is also the Speak Out Act in the USA, which was passed in 2022. It prohibits non-disclosure and non-disparagement clauses being agreed to in disputes involving specifically sexual misconduct. Other countries are also moving in that direction. We have seen a watershed moment following incredible campaigning by Zelda and others that is now forcing the issue, and we are falling behind as a nation.

We have golden opportunities in front of us. We have the Victims Bill; I urge the Government to look at the right hon. Lady’s amendment. I have also put one down that does the obvious thing of mapping the language in the Higher Education (Freedom of Speech) Act on to the Victims Bill. Given that people who sign these types of NDAs are victims, I think it is in scope. Either way they are complementary, but the Government need to do something that is not sector by sector. It should not affect one place or another. There is a bizarre idea that if an academic is living next to someone who works in a shop in my constituency, the academic is covered, but the person who works in the shop is not. Come on!

The Government have to do something—if not what we have suggested, then what? I have tabled a private Member’s Bill and the King’s Speech is coming, so the Government can borrow it if they want—I am sure that they will come up with their own—but doing nothing is not an option.

I will end simply by lending my voice to one of the victims, who signed an NDA and said:

“I relinquished the right to speak my truth; to reach out to and support other employees who were experiencing the same mistreatment that I faced.”

I very much hope that in his closing remarks the Minister will think of those victims and those people who are trying to do good. He will find that many people are willing to have his and the Government’s back if they decide to move, and it would not be before time.

Economic Crime and Corporate Transparency Bill

Layla Moran Excerpts
Kevin Hollinrake Portrait Kevin Hollinrake
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It is a pleasure to bring this Bill back to the House. It is crucial in ensuring that we can bear down on kleptocrats, criminals and terrorists who abuse our open economy, while also strengthening the UK’s reputation as a place where legitimate business can thrive. I am pleased to say that the Bill is now in a better place and there is a great deal more of it than when it left for the other place back in January. When introduced, the Bill ran to some 239 pages; it is now closer to 400. That reflects the spirit of genuine collaboration across both Houses and the fact that the Government have listened and taken many sensible proposals on board. I take this opportunity to thank Members of both Houses for their collaborative and cross-party approach.

The Government made significant amendments to the Bill in the other place. It is now unquestionably a milestone piece of legislation that takes the UK’s fight against economic crime to an entirely new level. I will summarise a few key changes, starting with the game-changing reforms to corporate criminal liability. As the Minister for Security, my right hon. Friend the Member for Tonbridge and Malling (Tom Tugendhat), committed to, the Government tabled amendments to introduce a new failure to prevent offence, which will drive cultural change towards improved fraud prevention in organisations and, failing that, hold organisations to account with prosecutions if they profit from fraudulent actions.

Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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I thank the Minister for giving way so soon. It is undoubtedly a positive thing that failure to prevent, or at least part of it, has now been included in the Bill, but does he have any sympathy for those warning that because this measure is targeting the larger firms, the small boutique firms—the one-man bands that are very aware of what they are doing and know how to get around the system—will still be allowed to freely operate? Would he consider supporting the Lords amendment that would close that particular loophole?

Kevin Hollinrake Portrait Kevin Hollinrake
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I will speak in detail to the various amendments, including the non-Government amendments, one of which is on the threshold that the hon. Lady refers to. If I may, I will defer addressing that until later in my remarks.

The Government have also introduced reforms to the identification doctrine for economic crimes to make it easier to prosecute corporations in their own right for these offences. The House will know that this is the largest and most meaningful change to corporate criminal liability in decades. It will have a transformative effect on our ability to hold corporates to account for the actions of criminal individuals. I thank my right hon. and learned Friend the Member for South Swindon (Sir Robert Buckland) and my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill) for all their work and engagement to further the cause for the reform of corporate criminal liability.

We have also made amendments to tackle strategic lawsuits against public participation, known as SLAPPs, that feature economic crimes. We believe that this is the first national legislation in the world to combat SLAPPs. The new clauses will enable an appropriate, fair and effective early dismissal procedure against SLAPP cases. I very much thank the right hon. Member for Birmingham, Hodge Hill (Liam Byrne) for his work in this area.

Members will also be pleased to hear that the Government have tabled amendments to improve the new statutory objectives for the registrar of companies, and I hope my hon. Friend the Member for Barrow and Furness (Simon Fell) and the hon. Member for Feltham and Heston (Seema Malhotra) in particular will welcome these improvements, given their previous amendments.

We also recognise the points made by several Members of this House, as well as in the other place, about the role of authorised corporate service providers in the identification process, and we have tightened the framework. Our amendments will improve the transparency of ACSPs, including by requiring verification statements made by ACSPs when they carry out ID verification on behalf of an individual to be made publicly available on the register.

Furthermore, we have tabled a number of important amendments to strengthen and increase the transparency of the register of overseas entities, which I trust the hon. Member for Aberavon (Stephen Kinnock) and the right hon. Member for Barking (Dame Margaret Hodge) will welcome, given the amendments they proposed in Committee. I must pay tribute to my ministerial colleagues Lord Sharpe of Epsom, Lord Johnson of Lainston and Lord Bellamy for all the work they have done to get this important Bill to where it is now.

Legislative Definition of Sex

Layla Moran Excerpts
Monday 12th June 2023

(10 months, 3 weeks ago)

Westminster Hall
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Tonia Antoniazzi Portrait Tonia Antoniazzi (Gower) (Lab)
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I beg to move,

That this House has considered e-petitions 623243 and 627984, relating to the definition of sex in the Equality Act 2010.

It is an honour to serve under your chairship, Mrs Cummins. I am pleased to open the debate on the petitions on behalf of the Petitions Committee. One petition calls on the Government to update the Equality Act 2010 to make the characteristic of sex refer to biological sex, and the other petition calls on the Government to commit to not amending the Act’s definition of sex.

Opinions about the relationship between biological sex, gender identity and the law divide organisations, political parties, and even family and friends. Many people have told me that this is something that they are afraid to speak of, and some say it should not be discussed at all. Others have told me of how they are relieved and happy that we are finally discussing it in Parliament.

Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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I am grateful to the hon. Member for giving way so early on. On her point about people being scared to talk about the subject, is she also aware of people like my constituents, who have written to me to say that they are scared that it is going to be talked about? Whenever such things are spoken about in Parliament, there is then a rise in hatred and violence. I thank you, Mrs Cummins, for your words about being courteous, but does the hon. Member understand the worry there is in some communities that the debate is happening, and would she urge other Members to stay compassionate and open minded?

Tonia Antoniazzi Portrait Tonia Antoniazzi
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When the hon. Member listens to my speech, I think she will understand the compassion with which I speak. She will also understand that we are in a difficult position: we are legislators, and where there is something that needs to be addressed, as there is in these two petitions, it is down to us to stand up and make that change and have the conversation. It goes with the job, I am afraid.

Members from all parts of the House can model the respectful, adult conversations that are needed across society. We can demonstrate, here at Westminster, that we can freely express and listen to different opinions. This is a set of issues on which views are held profoundly and with good intentions. The nature of this debate means that those views differ across the House, and even within our own respective parties.

I was in education for 20 years before coming to this place. My priority has always been the wellbeing of those in my care, be they adults or children. I am afraid that asking probing and difficult questions to get through issues and problems is in my nature. I will not be cowed when looking out for my constituents, be they lesbian, gay, bisexual or trans. The conversations that I get the most out of are the ones where I explore, learn and am able to disagree agreeably.

It is a mark of adult politics not to pretend that we are in perfect agreement on every issue, and Westminster Hall debates like this offer the opportunity for us to explore issues, free from the usual pressures of votes and the instructions of the Whips. This is a debate that will explore the difficult interrelationships that exist between rights, and it will mark the difficult lines between which individuals’ and collective rights are drawn. However, it is for the House to decide the way those rights are formed and how they are interpreted. We are holding this debate on behalf of individual people facing discrimination, and in support of service providers and public servants who have a deep commitment to reducing discrimination and to providing safe and welcoming environments. Our task is to make decisions on the boundary of rights and to take responsibility, rather than passing it on. We may draw different conclusions from historic debates on the legislation, but our responsibility is to make our decisions on what would be the right law to have now.

In order to prepare for the debate, the Committee Clerks arranged for me to meet the petitioners and organisations supporting these two petitions. I thank them all for their time and input. The House of Commons Library has also produced a debate pack that covers the complexity of the legal issues behind the two petitions. I am most grateful to everyone who has spoken to me, because there are two broad positions. Those who support the petition to update the Equality Act say that the law should be clear about the two sexes, and that it was never the intention of the Act to make it difficult or impossible to have sports that are for biological females only; to protect services that are for women, such as domestic violence refuges; to assure an elderly woman or a woman getting a smear test that, when she asks for a female carer or nurse, she has the right to be treated by a biological woman; to provide single-sex spaces where women are undressing and washing; for same-sex-attracted people to have opportunities to associate with each other; and for the public sector equality duty to consider the needs of women separately from those of trans women.

Kate Barker from the LGB Alliance and Julie Bindel and Tamara Burrows from the Lesbian Project, who support the clarification of the Equality Act, explained to me that the protected characteristic of sexual orientation is contingent on the definition of sex as biological, and that the Act did not intend to remove the rights of association for same-sex-attracted lesbians. I heard how, for the lesbians I met, biological sex is fundamental to understanding their rights as same-sex-attracted people, so the grey area that we have is creating ongoing problems for lesbians. If we do not say that “sex” in the Equality Act means biological sex, we may as well scrap the protection of sexual orientation. They said that the protected characteristic of gender reassignment exists. Trans people are able to hold their own separate groups under the protected characteristic and can also associate with lesbian groups already open to them; so the question posed was: why cannot lesbians organise lesbian-only spaces?

The Lesbian Project is an organisation that wants to research and study lesbian lives and survey lesbians. If trans women are included, it renders the research meaningless and pointless. This is not, I was told, about being anti-trans; it was about the bedrock of being a lesbian, and a lesbian is a female attracted to females. It was highlighted that there must be protections for trans people, but not at the expense of women’s rights. It is becoming a barrier to lesbians in coming out, which is a huge problem for them. The question for many is: should women be allowed female-only associations? Should it be easy and straightforward for women to be able to undress, shower and use a toilet in female-only spaces?

Those who want the Equality Act to stay as it is say that trans people are already using services for the opposite sex without concerns, regardless of whether they have a gender recognition certificate or not, and that not allowing them to do so would be harmful and detrimental to their human rights. It is therefore the responsibility of society and lawmakers to ensure that people are able to access opposite-sex facilities, services and sports. I would like to take this opportunity to thank Dr Finn McKay, Robin Moira White, Dr Paul Martin and Nancy Kelley for taking the time to speak to me and to explain the situation for that petition. Where this causes a problem is likely to be very rare, and a transgender person may be excluded on an individualised, case-by-case basis. Some of those arguing for no change to the Equality Act believe that trans women are women and trans men are men, and that therefore—

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Ranil Jayawardena Portrait Mr Ranil Jayawardena (North East Hampshire) (Con)
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It is a pleasure to serve under your chairmanship, Mrs Cummins. I thank the hon. Member for Gower (Tonia Antoniazzi) for opening the debate.

As I see it, the debate on women’s rights is much too important to be left to social media alone. I am a father with two young daughters, so this issue is very close to my heart. I think it is the job of Parliament to ensure that laws are clear and fair; it is our duty. We have an opportunity to protect children, uphold women’s rights, and bring about the beginning of the end, I hope, of the shouting matches and hyperbole, replacing them with some calm and common sense on the issues raised by the petitions.

I know that not everyone will agree with what I am about to say, but that is the point of Parliament. We should all be able to air our views freely and fairly, and the Government should act accordingly. One petition is about a very specific point of law, but the point is widely felt. The legal definition of sex matters in so many areas of life: schools, sports, health, crime and prisons. I want the rules of our society to be safe, clear and fair, for my daughters as much as for women and girls across Britain.

A Policy Exchange report, “Asleep at the Wheel”, found that 60% of schools are not maintaining single-sex sport, 19% of schools are not maintaining single-sex changing rooms, and 28% are not maintaining single-sex lavatories. Such provision at school is essential for the privacy, dignity and safety of pupils. A further Policy Exchange report, “Gender Identity Ideology in the NHS”, found that North Bristol NHS Trust was not willing to guarantee same-sex intimate care or same-sex accommodation to patients, stating:

“These arrangements meet all national standards relating to single sex accommodation.”

That is despite the trust’s biggest hospital recording up to 30 alleged instances of sexual assault against females having taken place on hospital property.

The way I see it is that we need to ask ourselves three questions. Do we want women and girls to be forced or shamed into sharing loos, changing rooms and dormitories with biological men and boys? Do we want women and girls to lose female-only sports, even though we know that the physical advantages of being male relate to sex and not gender identity? Do we want some of the most vulnerable people in our society—children in care homes, patients in hospitals, and women in homeless shelters, rape crisis centres or even prisons—to have the dignity, safety and privacy of single-sex spaces stolen from them?

I say no. But that is what happens if the law is ambiguous about the meaning of sex. I do not want schools, doctors, hospitals to have to lie to me or to other parents because they have been bullied or shamed into thinking that it is bigoted to use clear words. I just want to make a plea for a return to everyday, common-sense language. To be clear, that does not take away from the rights of anyone to live as they choose. The words for people who were born male are men and boys. The words for people who were born female are women and girls. Biologically, males cannot become females and vice versa. That is true whatever pronouns people want to use for themselves, whether they wish to take hormones or have surgery. These are plain, biological facts, but they have become controversial.

Many people tell me that you have to be brave to say those facts. That is wrong; everyone should be able to. But if it is anyone’s job, I believe that it is our job to harness this place to speak out and speak the truth and to stand up for everyone’s rights. That means using clear, accurate, unambiguous words both in our speeches and in the law. Surely no one here wants to take away from anyone’s ability to express themselves as they wish, identify as they feel is right or to live their own life. I do not, but rights come with responsibilities. That is why we must be clear about what it is we are legislating for.

That brings me to the specifics of the proposed amendment in the petition. It concerns the Equality Act, which is the law about discrimination—sex discrimination, age discrimination, religious discrimination and so on. The amendment is primarily about one strand: sex discrimination. The petition asks the Government to clarify in law, for the avoidance of doubt, that the term “sex discrimination” in the Equality Act means what it always has: discrimination because of the sex someone is, male or female. Having a gender recognition certificate does not make biological males female or biological females male, so it does not make a difference when it comes to sex discrimination. That is it. We are just making sure that the Equality Act aligns with reality.

This is not a new principle. It is not about what is said on social media or in the so-called culture wars. In 1597, Edward Coke, the Attorney General, told Parliament that the law cannot do the impossible. The example he used was the law cannot make a man into a woman. I believe that he was right then and that he is right now. Let me be crystal clear: to agree to this amendment does not take away any rights from anyone else. There is already a separate protected characteristic of gender reassignment. Someone covered by that already, rightly, has protection against losing their job or being refused a tenancy or service because of being transgender.

I remember that when my first daughter was born we did not find out the sex before, so there was a 50:50 chance. That is basic biology. We all know what the two sexes are. We all know what sex we are and what sex our children are.

Layla Moran Portrait Layla Moran
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Does the right hon. Gentleman accept that intersex people exist?

Ranil Jayawardena Portrait Mr Jayawardena
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I am sure that the hon. Lady will deal with that in her comments and that she will be staying for the whole debate. I will conclude my remarks so that other Members can have their say. I want to talk about the fact that we all know which sex we are and what sex our children are. We know that the two sexes—male and female—are fundamental to our very existence.

So much has changed for women and girls from the time of Edward Coke 400 years ago, and from even 50 years ago, when sex discrimination was first made unlawful in the United Kingdom. I ask the Minister to ensure that the law does not try and do the impossible. It is up to us. Let us not go backwards. I urge the Government to act now to protect the lives of women and girls.

Oral Answers to Questions

Layla Moran Excerpts
Thursday 18th May 2023

(11 months, 2 weeks ago)

Commons Chamber
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Kevin Hollinrake Portrait Kevin Hollinrake
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Well, £90 billion is the amount of Labour’s uncosted spending plans, but let us talk about the £20 billion for now. The hon. Member is absolutely right to raise the issue of late payments. I attended a roundtable yesterday as part of our payment and cash flow review consultation, which is hugely important. We have significant engagement with businesses across the piece. We are determined and ambitious to reform the rules on late payments to ensure that businesses get paid on time. We have made significant progress in recent years in our international performance, so we are not an outlier. Nevertheless, we can and shall do more. The results of the consultation will be made available shortly.

Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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2. If she will make an assessment of the implications for her policies of trends in the level of use of non-disclosure agreements by businesses in cases relating to sexual assault, harassment and misconduct.

Kemi Badenoch Portrait The Secretary of State for Business and Trade (Kemi Badenoch)
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Non-disclosure agreements can be used legitimately by employers—for example, to protect commercially sensitive information. The Government understand concerns about the use of NDAs to silence victims of sexual misconduct. We have legislated to prevent higher education providers using NDAs in cases of sexual abuse, harassment or misconduct and other forms of bullying or harassment.

Layla Moran Portrait Layla Moran
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Imagine, Mr Speaker, that you are a victim of bullying, misconduct or sexual harassment at work, and your employer pushes you to sign a gagging clause preventing you from publicly disclosing what happened to you; this sits over you in perpetuity, reminding you of the trauma you experienced. The campaign group Can’t Buy My Silence will soon be launching a business pledge to commit to ending this practice in businesses for good. Will the Secretary of State consider meeting me to discuss this forthcoming pledge, and does she back a ban on the use of NDAs in these specific cases?

Kemi Badenoch Portrait Kemi Badenoch
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I am aware that the hon. Member had a private Member’s Bill on this very issue. The Government are supportive of preventing harassment in the workplace, and we supported the Worker Protection (Amendment of Equality Act 2010) Bill. We believe that NDAs have a place, but she has raised specific circumstances where they are inappropriate, so I am happy to discuss with her what we can do to stop this problem from continuing.

CPTPP: Conclusion of Negotiations

Layla Moran Excerpts
Monday 17th April 2023

(1 year ago)

Commons Chamber
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Kemi Badenoch Portrait Kemi Badenoch
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I thank my hon. Friend for all his hard work as Trade Minister and on continued strong bilateral relations with Indonesia. I may have misspoken—I think I might have meant Thailand when I said Indonesia in relation to the long list of countries that we are accessing—but he will be pleased to know that a lot of work is being done to continue strengthening economic ties and relations. These are all countries in the Indo-Pacific; they have huge populations and love the UK, not just because he has been visiting and touting all our good works—although that has played a large part in it—but because of the soft power and good diplomatic and global outreach of our civil servants, whom he mentioned, and our diplomats worldwide.

Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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I was worried by the Secretary of State’s answer to the right hon. Member for Leeds Central (Hilary Benn) on what we would do if China asked to join. Given the work that has been done in this House, particularly on the Uyghur genocide and on the abuses of human rights and democracy in Hong Kong, I hope that she will join those of us who want to hold China to account. The idea of giving China preferential tariffs right now, or at any point in the near future, is unconscionable. Does she perhaps have warmer words for Taiwan, which has tentatively expressed an interest in joining the trade group, and will she consider having a positive thing to say for Taiwan if it wished to do so?

Kemi Badenoch Portrait Kemi Badenoch
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I thank the hon. Lady for her question. I know what she is trying to do, and I appreciate the effort, but it is not my job, as Trade Secretary, to make foreign policy at the Dispatch Box on an agreement that China is not in. These are hypothetical, speculative questions. They are serious ones, but I am not the Foreign Secretary and it is not for me to answer them. We have had multiple debates in the House about the economic challenge that China presents, as well as on many other issues relating to China, but it has not even joined the bloc. Throwing our weight about and saying who we would or would not block is not the right way to go about things. However, I am very happy to extend warm words about Taiwan. She will know that Government Members have done and said a lot to ensure that it continues to do well economically. It is not for me to go into specifics; it is best for me to be appropriate in the remarks that I make at the Dispatch Box on international diplomacy and foreign policy.

Oral Answers to Questions

Layla Moran Excerpts
Tuesday 7th March 2023

(1 year, 1 month ago)

Commons Chamber
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Kieran Mullan Portrait Dr Kieran Mullan (Crewe and Nantwich) (Con)
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16. What progress his Department has made on increasing the number of primary care staff.

Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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19. What steps is he taking to increase the number of GPs.

Robert Courts Portrait Robert Courts (Witney) (Con)
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20. What progress his Department has made on increasing the number of primary care staff.

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Steve Barclay Portrait Steve Barclay
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My hon. Friend is absolutely right, which is why I commissioned through NHS England a review of 111. It was initially designed for a different purpose. That allows the GP service to be the front door it has become in the NHS. Through the chief executive of Milton Keynes University Hospital, we have done significant work on the NHS app, so it can better enable patients to get to the right place for the care they need.

Layla Moran Portrait Layla Moran
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In January, over 45,000 people in Oxfordshire waited more than two weeks to see their GP and 12,000 waited over a month. The top reason given when I visited surgeries was that they simply cannot recruit the doctors they need. For example, Kennington health centre has been forced to close part time because it cannot find a replacement for a retiring partner. That is clearly unsustainable. Will the Secretary of State consider introducing a weighting for GPs in areas of high cost of living outside London? Will he meet me to discuss the specific issues in Oxfordshire?

Steve Barclay Portrait Steve Barclay
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The hon. Member is right to highlight the pressure on primary care, which is why, in the answer I gave a moment ago, I said it is also about looking at the wider skills mix within primary care. She mentions doctors specifically. We have 2,200 more doctors in general practice than before the pandemic. It is about having the right skills mix alongside the doctors to meet the significant increased demand since the pandemic.