Covid-19

Layla Moran Excerpts

Tuesday 12th May 2020 Commons Chamber

[Layla Moran (Oxford West and Abingdon) (LD) [V]]

I start by saying an enormous thank you to everyone in my constituency. The community spirit has been extraordinary. We were told to socially distance, but I always thought the phrase should be “physically distance”. In some ways, we are now closer than ever socially, and I do not want to lose that.

As we emerge, there will be elements that we do not want to lose—communities connecting more; less air pollution; the return of wildlife; the fact that every single person who is homeless has a bed for the night if they want it; more time to engage in creativity, and more time with family—but it has not been the same for everyone. Although some call covid the great leveller, I would argue that it has been more of a common backdrop, against which the stains in our social fabric have become even more obvious.

We are all in this together, yet the lifeboats have not been evenly spread. Someone is twice as likely to die from the virus if they live in a deprived area where housing is more overcrowded and it is harder to have any personal space. Deprived children struggle to access education because they do not have broadband or a device, and they are falling behind. That is secondary, of course, to whether they are eating or even safe. People from black, Asian and minority ethnic communities go to work knowing that they are more at risk than others.

This has been a time of reflection. As we look in the mirror, we must ask ourselves whether we are comfortable with what we see. Do we want to go back to how it was, or do we want to negotiate a new social contract that nurtures individuals and respects nature? The time is coming to make a decision, and I sincerely hope that we choose to seize the opportunity that we have been afforded.

Before that, however, we have the small matter of easing out of the current state of lockdown and the confusion of the Government’s most recent announcement— and it has been confusing.

My inbox was inundated last night by constituents asking questions about their jobs. Do they have to go in or not? Will it be safe? And schools are much of the focus. Given the age groups that the Government are allowing to go back—they include nursery age children, who cannot socially distance at all, but not secondary schools, where studies show that the disadvantage gap is likely to be widening—it is clear that the Government are prioritising the economy over learning. No doubt many parents will be pleased at the prospect of some peace and quiet to enable them to get on with work, but not all. Opinion is mixed.

After reading the Government’s guidance carefully last night, I remain very sceptical of how this will work in practice. The economy is one thing, but what about safety? I am especially concerned about the lack of scientific evidence presented alongside the plans to reassure us that it is safe for children to mix in this way. Are we sure that they will not spread the disease? How do we know? Some heads are saying that they will not open because they do not feel that it is safe. And what of the teachers? Chris Whitty has said that we need a “proper debate” about teachers’ safety as schools reopen. I believe that it is irresponsible to not have had that debate before Sunday’s announcement. I am therefore immensely grateful to the Speaker for granting us the opportunity to question the Secretary of State for Education tomorrow in an urgent question on this matter, and I will save the rest for then.

[Mr Deputy Speaker]

Order. I suspend the House until 4.20 pm.

Public Health

Layla Moran Excerpts

Monday 4th May 2020 Commons Chamber

[Layla Moran (Oxford West and Abingdon) (LD) [V]]

We are in a crisis, and parliamentary scrutiny is, as ever, the most important thing we can provide as a Parliament. I welcome the clarifications this statutory instrument makes, but there are reassurances and clarifications we have yet to receive from the Government on loopholes in these regulations, because not everyone is receiving fair and safe treatment under these regulations and there is one shocking example that I want to raise: the plight of call centre staff.

New research from Strathclyde university shows that thousands of call centre staff are still being asked to work in offices where social distancing is not practised. Hot-desking continues and colleagues have fallen ill from covid-19, with some being threatened that unless they go to work, they will lose their jobs. They have tried to whistleblow and been told there is nothing anyone can do, and there is nothing in these regulations that enforces social distancing in workplaces. That allows employers to exploit their employees, so they do not have to change how they work, and it is deeply worrying.

The Government classified call centre staff as key workers, but this is being applied to staff who have hitherto not provided essential services at all. Indeed, many who have, anonymously in some cases, given data to this study have said that they see no reason why they are essential. This is a loophole that the Government need to rectify in future regulations.

I can see why the blanket keyworker definition was used at first, but surely now is the time to tighten this. So can the Government reassure us in this debate that these regulations will be enforced, and clarified where needed to protect call centre staff, and indeed other staff, from exploitation?

I want to propose another solution: to give the automatic right to work from home, as is being considered by legislators in Germany. This of course builds on Liberal Democrat changes, that we led in coalition, to allow employees to ask for flexible working. However, as many watching at home might know, not many employers actually allowed that to happen; some did, but many said no. The crisis has, I hope, shown for many that this way of working can work well. However, those who are hiding behind the loopholes in this legislation remain resistant. If there was an automatic right to work from home unless there was a good reason why not—which is the opposite of how it is now—we could create a level playing field for all. Are the Government considering such an approach at all?

When our civil liberties are being curtailed, we also need to make sure that everyone is treated equally under the law, and this includes enforcement of the lockdown. The Government must work actively to ensure that the powers given to the police in these regulations are not used to disproportionately target BAME people, as stop-and-search powers are. We must be vigilant against wrongful convictions, as was highlighted in the case of 18-year-old Lewis Brown in Oxford. He was wrongfully prosecuted recently under, strangely, Welsh powers in the Coronavirus Act 2020. While the CPS has announced that every single case under the Act involving a child will be reviewed, we need reassurance from the Government that they are working with the police to prevent what happened to Lewis—which would be distressing to anyone, but especially someone of that age—from happening again.

I, of course, recognise that we are in uncharted territory, but where regulations are being exploited by some businesses, putting the lives of workers in danger, changes must be made. Where exceptional powers have been granted, they must not be allowed to become the new normal, and I hope the Minister will be able to reassure me and other Members that our concerns and the problems we have highlighted will be listened to and acted upon.

Lesbian, Bisexual and Trans Women’s Health Inequalities

Layla Moran Excerpts

Tuesday 10th March 2020 Commons Chamber

[Hannah Bardell]

I agree with everything the hon. Member said. I was proud to vote for equal marriage in Northern Ireland and for abortion reform. I will not lie: it was a strange position to be in. I abstained several times to give Stormont the opportunity to get back up and running, but I was always clear that if it did not, and that if people there wanted it to happen, there would be no other option, so I was very proud to support that legislation and to see that happen. I pay tribute, as he does, to the many people who fought hard to make it happen. The thought that funding would be pulled is hugely concerning, so I agree with everything he said on that front.

We know that legislative change does not in itself necessarily change culture or fix the problem, but it is an important step. We all remember section 28— section 2A in Scotland—and how hugely damaging those discriminatory pieces of legislation were to LGBT people, not just then but now. I saw someone online recently ask how, because one of my colleagues had not even been born when that legislation came into force, it could possibly have affected her. What an outrageous and ridiculous thing to suggest. I did not have to fight for the equality I now have, but I certainly felt the effects of the discrimination that the legislation left behind, as have and do many people.

We are only now getting the inclusive education we should have had when that legislation was repealed in Scotland and across the UK. In Scotland, we are working with TIE, the Equality Network, Stonewall, the Scottish Trans Alliance and other organisations. TIE has been at the forefront of making sure that our Government in Scotland roll out inclusive education. I started school the year that that legislation came into force, and it was hugely damaging. The UK Government have also said that they are rolling out inclusive education, and I hope they stay true to that commitment, because we have to be resolved and determined to make those changes happen.

Such inclusive education is not necessarily about the details of sex of LGBT people; it is just about teaching children and young people that LGBT people exist, that some people have two mums, some people have two dads, some people have one mum, some people have one dad, some people have a mum and a dad, some people are brought up by kinship carers or grandparents. Family makeup across the UK is, and has been for many years, very varied, and we should welcome and celebrate that.

I know from my own experience that healthcare appointments can throw up unexpected issues. For many people, a smear can be a difficult and distressing thing, but for most people it will be fairly straightforward. At this point, I wish to mention the My Body Back clinic, an LGBT-inclusive clinic that provides specialist services for survivors of rape, domestic abuse and sexual violence.

A number of years ago, I went to my local service for one of my first smears after coming out. The nurse, wrongly assuming that I was heterosexual, asked what contraception I used. When I explained, “Well, for a start I am a lesbian”, her eyebrows went up and she looked a bit awkward. She said, “Oh, well, you will not need any then”, and brushed over the matter. That, unfortunately, was a wrong assumption, because lesbian and bi people do need and should be considering protection during sex.

I am going to go into some detail, which I hope will not make anyone feel too awkward. If it does, perhaps that should prompt the question of why it makes people feel awkward, and perhaps it demonstrates how important it is to discuss these issues. They are really important issues, but they are not widely discussed. Safe sex for lesbians and bi and trans people, and indeed non-binary people, is very important, particularly when it involves oral sex and the sharing of sex toys, and if you or your partner have had, or have, or suspect you have, a sexually transmitted infection or disease.

It seems that, sadly, the nurse who saw me was not apprised of those matters, but it is important for us to remember that we still live in a very hetero-normative society, and that it is not just heterosexual couples who need to ensure that they use protection against pregnancy and sexually transmitted diseases. That includes washing and the sterilisation of sex toys, but also the use of items such as dental dams. For the benefit of those who may be less well educated and not know what a dental dam is, let me explain. It acts as a barrier to prevent sexually transmitted infections from passing from one person to another. It sounds like something that would be used when people are having their teeth polished, and it was originally made for dentistry purposes and used to protect the mouth when dental work was being done, so that is not too far from the truth. However, it is now used as protection during lesbian or bi sex. Thinner versions were apparently later produced specifically for promoting safe oral sex.

I do not know whether anyone has ever tried to buy a dental dam, but they are nowhere near as readily available as condoms. In fact, they often have to be ordered via the internet. I do not want to put anyone off, but they are also not particularly nice or attractive things to use. It is interesting to note the huge innovation and investment that has been put into the development of condoms over the years—for instance, to make them thinner for maximum pleasure. They can also be ribbed, dented or flavoured. Dental dams do not come in quite the same range, for, I would imagine, a variety of reasons. The manufacturers and the marketers have not even seen fit to rename them. I think that that is an important point, and one that is little discussed.

We know how much women’s bodies are affected by contraception and the toxins that many of us put into our bodies, be they from the implant, the pill or the coil. I have been discussing that with one of my colleagues. So much of our sexual health is centred on heterosexual male pleasure, with heterosexual or bi women bearing the brunt of the responsibility for contraception.

“There is a common misconception that oral sex is ‘safe’”,

explains Simone Taylor, the education and regional lead at Brook, a sexual health charity for young people,

“But while you can’t get pregnant from oral sex, you can still catch STIs.”

In 2008, Stonewall published the results of a study of the health of 6,000 lesbian and bisexual women, which revealed that half of those who had been screened had an STI, and a quarter of those with STIs had only had sex with women in the last five years. It is very important for us to take account of those issues.

I have only a few more points to make. I know that a number of other Members want to speak. The specific health needs of disabled people who are also LGBT are often overlooked by healthcare professionals. According to Stonewall, which has produced some compelling briefings on the subject, disabled people in the LGBT community can be left with a lack of trust in their healthcare providers. Multiple needs are often not taken into account, which affects some of the most vulnerable people. LGBT people are not necessarily open about their sexual orientation and/or gender identity when seeking medical help, because of a fear of unfair treatment and invasive questioning.

Stonewall goes on to talk specifically about issues around PIP assessments and it has said that one in five non-binary people and LGBT disabled people have experienced discrimination. Similarly, one in five black, Asian and minority ethnic LGBT people, including 24% of Asian LGBT people, have experienced it. One of the testimonies it offers is from someone who was going through the PIP assessment. They said:

“I held out my hand to shake and the nurse didn’t look at myself or my wife after I introduced who she was and no eye contact throughout the interview. We felt we wanted to leave.”

Someone else who shared a testimony said:

“An NHS nurse asked about my recent gender reassignment surgery and then went on to compare me to being a paedophile as if being trans is the same thing.”

That testimony, from somebody in the east of England, was taken from Stonewall’s website and I have to say that it is hugely concerning. This reinforces the point about LGBT education and why it is so incredibly important that the misinformation that is out there and being used against trans people should be busted.

[Layla Moran (Oxford West and Abingdon) (LD)]

The hon. Lady is giving an incredibly powerful and informative speech. I have certainly learned a lot up to this point and I thank her for that. The point about intersectionality is incredibly important, and the point she makes about how important it is that sex and relationships education is delivered in schools is well made. Does she agree that it is also time to remove the exemption that allows some families to remove their children, particularly in primary schools, from age-appropriate relationship education? Headteachers who have to deliver this tell me that this is a big barrier and puts them up against their parent bodies. We need to make that stop, and help people to help themselves.

Coronavirus

Layla Moran Excerpts

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

That is something we are absolutely willing to look at.

[Layla Moran (Oxford West and Abingdon) (LD)]

Last week I asked the Secretary of State about the preparedness of NHS 111. In answer to a written question, the Department said that it does not have the numbers for current staff. I understand that Dudley call centre alone is asking to recruit 150 new call handlers. How many call handlers are we looking for in addition to the current staffing levels for NHS 111, and when does he expect them to be fully trained and online?

[Matt Hancock]

We have increased the number by 500 already, and there are plans for more to come, as and when that becomes necessary.

Coronavirus

Layla Moran Excerpts

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

That is a very wise question and my hon. Friend is absolutely right to ask it. The NHS has a very important role to play in responding to this crisis, Public Health England is leading the public health response brilliantly, and Professor Chris Whitty, as chief medical officer, has done an amazing job over the past two months and is one of the finest epidemiologists in the world, but the truth is that everybody has a role to play, from the simple action of washing hands all the way through to responding in a sensible and proportionate way. It is important to dwell on that.

[Layla Moran (Oxford West and Abingdon) (LD)]

I join others in thanking NHS staff in advance for the work they will have to do to contain and deal with the coronavirus. Will the Secretary of State join me in commending the work of Professor Gilbert and others at the Jenner Institute, who are working tirelessly to develop a vaccine? As he said in his statement, the NHS 111 service is now in effect the frontline service. We may have received text messages from our GP surgeries telling us to contact them first. What are we doing to ensure they are properly staffed and trained? Finally—this is very important, Mr Speaker—will he join me in condemning those who are hurling racist abuse at British Asians, both in Oxford and elsewhere? There is a worry that we could racially profile those who may have this disease and that is not acceptable. We all need to calm down.

[Matt Hancock]

I abhor any racist attacks that people might say have resulted from this situation. The circumstances do not matter—racism does not help; it hinders any response. I can assure the hon. Lady that 111 staff have the support they need and we have back-up plans. That is all part of the plan and 111 is responding brilliantly. Thank goodness we have 111. It is only a couple of years old and it is absolutely delivering in these circumstances. Everybody in the country knows that if they are worried that they have coronavirus they should call 111.

Oral Answers to Questions

Layla Moran Excerpts

Tuesday 18th June 2019 Commons Chamber

[Seema Kennedy]

I thank my right hon. Friend for his question. I am looking forward to the meeting this afternoon. As I have said, I am assured that the decision will maintain services in Oxford and that there will be improved patient access, with new scanners in Milton Keynes and Swindon for people living there as well.

[Layla Moran (Oxford West and Abingdon) (LD)]

Surely the reason we have got to this point is that the clinical commissioning group was never actually consulted on what was right for the local population. How can the Minister ensure that, in future, centralised procurement services and local CCGs are always consulted as a matter of course?

[Seema Kennedy]

As I have said, there has been engagement with local people, Members of Parliament and the local health community. I think that the outcome that we are all looking for is good PET-CT scanners for the people in Oxfordshire and for the whole of Thames Valley.

Eurotunnel: Payment

Layla Moran Excerpts

Monday 4th March 2019 Commons Chamber

[Matt Hancock]

There is a notable difference in tone, is there not, between those who care about ensuring that people get the supply of medicines in future, and those who want to make political points out of it but do not oppose the decision we are discussing.

[Layla Moran (Oxford West and Abingdon) (LD)]

I find this utterly extraordinary, because in the Public Accounts Committee hearing on this matter, the permanent secretary said:

“I am confident that our process was lawful, and obviously the Department and I acted on legal advice in determining how to take that process forward”.

If we were so confident in that legal advice, why was this settlement reached at all? Actually, is this not an admission of a catastrophic failure in stakeholder management?

[Matt Hancock]

No. It is clear that we needed to ensure that there were no risks around the two contracts for the capacity that we need to bring in an unhindered supply of medicines, whatever the Brexit scenario. I do not know whether the hon. Lady thinks it would have been worth bearing the risk of a court case, which may well have struck down the capacity to make sure that people who have serious and life-threatening conditions can get the medicines that they want. She implied that she was against such assurances, and I think that would have been a mistake.

--- Later in debate ---

[Mr Speaker]

I am grateful to the shadow Secretary of State for his point of order. As he will know, the choice of Minister to respond to an urgent question is exclusively a matter for the Government. For example, it is commonplace for somebody other than the Secretary of State to appear. It is not altogether uncommon for a Department other than that at which the question was tabled to field a representative to respond. I recognise that it is relatively unusual for the Secretary of State in the Department questioned not to appear, and for someone who rejoices in the seniority of Secretary of State in another Department to appear instead, but we should never underestimate the enthusiasm, stoicism and commitment to regular performance in the Chamber of the Secretary of State for Health and Social Care, and he has demonstrated that again this afternoon. Colleagues will form their own assessment of how he has batted at the wicket of the governmental team.

As to what the Secretary of State said about the question not being about Seaborne Freight, I think I will say that he has placed his own interpretation on the matter, and colleagues will form their own assessment. I thought that most of the inquiries were about legal action flowing from the cancellation of the contract, but the Secretary of State does have a legitimate public policy interest in the matter, both as a member of the Government and because of his regard for the safe delivery of medicines. Some people will think that he was absolutely right, and others will think that his interpretation of matters was a tad quirky, but nevertheless he has offered us his own assessment and colleagues can now assess it at leisure, possibly over their tea.

[Layla Moran]

On a point of order, Mr Speaker. In reply to my question, the Secretary of State said:

“I do not know whether she thinks it would have been worth bearing the risk of a court case, which may well have struck down the capacity to make sure that people who have serious and life-threatening conditions can get the medicines that they want. She implied that she was against such assurances”.

I did no such thing, and you were here to hear it, Mr Speaker. I asked very specifically why we no longer have confidence in the legal advice that the permanent secretary herself told the Public Accounts Committee she did have confidence in. I do not take particularly kindly to men putting words in my mouth, so I wonder what recourse I have to get a retraction.

[Mr Speaker]

The hon. Lady has made her point with considerable force and alacrity, and I have no doubt whatever that she is totally sincere, because she came up to the Chair to register her displeasure. I think that the Secretary of State was mildly carried away with the theatricality of the occasion, and he is very accustomed to jousting from the Dispatch Box. Ordinarily I have found him a most good-natured individual, so I think it unlikely—very unlikely indeed—that he would willingly impugn the integrity of a very committed and conscientious Member of Parliament in the hon. Lady, because at heart he is a very gracious chap. He may well wish to proffer an apology to her—[Interruption.]

NHS 10-Year Plan

Layla Moran Excerpts

Tuesday 19th February 2019 Commons Chamber

[Stephen Hammond]

My hon. Friend will know that the plan has much on prevention in primary care and public health. I offer to meet him, and I will listen carefully. He tempts me down a line that I would rather not go down tonight.

The long-term plan marks a huge step towards parity of esteem between mental and physical health. In the next five years, the budget for mental health services will increase by at least £2.3 billion in real terms. This additional funding will be used to fund a major expansion of mental health services for both children and adults. In addition to piloting four-week waits for children and young people, we will test waiting times for adult and older adult community mental health teams, and clear standards will then be set. Specific waiting times for emergency mental health services will take effect for the first time from 2020 and will be set to align with the equivalent targets for emergency physical health services.

[Layla Moran (Oxford West and Abingdon) (LD)]

The mental health budget is 10.2% of the current NHS budget. If the overall budget increases, will there be an equivalent rise in the mental health budget? The mental health budget has risen because the overall budget has increased, but the proportion allocated to mental health has not risen. If we are serious about tackling mental health in this country, why is the proportion allocated to mental health not higher?

[Stephen Hammond]

The hon. Lady will know that, as I said a moment ago, the long-term plan, for the first time, sets a parity between mental health and physical health. The mental health budget will increase by £2.3 billion by 2023-24.

Of course, everything we have been talking about here needs to be supported by new innovations and new technology. Patients can expect a radical reshaping of how the NHS delivers its healthcare using technology, so that services and users can benefit from the opportunities of advances in digital technologies. That includes making care safer, enabling earlier diagnosis and giving more independence to those managing different health conditions.

Additionally, it is vital that we build a more innovative NHS, which will help patients to be among the first in the world to benefit from life-changing new technologies. Last year, the Secretary of State announced his ambition to sequence 5 million genomes in the next five years, making the NHS the first national healthcare system to offer whole genome sequencing as part of routine care.

Most importantly, none of that will be possible without dedicated staff who are properly trained and supported throughout their career. The long-term plan sets out a strategic framework to ensure that, over the next 10 years, the NHS will have the staff it needs to ensure that the detailed plan can be implemented. Baroness Harding is leading an inclusive programme of work to set out a detailed workforce implementation plan, which will be published in the spring, but the plan is not about numbers.

Social Care Funding

Layla Moran Excerpts

Wednesday 17th October 2018 Commons Chamber

[Barbara Keeley]

I very much agree. In recent months, I have met carers of people with MND and one becomes aware of how much time presses on them.

Our motion deals with social care funding, but this debate is really about people, such as the people my hon. Friend just referred to. It is about how society treats older and younger adults, how we should enable them to live independently and with dignity, and how this Government are badly letting them down. I will look today at the damage caused by Government inaction—damage to vulnerable people who rely on social care to live with dignity, damage to the lives of unpaid family carers who have had to step in to care for their friends and relatives, and damage to 1.4 million hard-working care staff, many of whom are so badly paid and so overworked that they cannot deliver the care that people need.

[Layla Moran (Oxford West and Abingdon) (LD)]

I am not sure whether the hon. Lady knows that in Oxford this is now starting to affect the local NHS. The John Radcliffe Hospital had to suspend non-urgent operations on two separate occasions in March because 170 beds were being bed-blocked. Does she not agree that it is time to see the promised Green Paper on social care, before this winter?

[Barbara Keeley]

Indeed. As I said, it is now coming up to a year since that was promised and it is about time that we started to see some plans. However, we have to bear in mind that a Green Paper is only the first stage of change—and a very early stage at that, really.

I want to pay tribute to the care staff I just mentioned. There has been a lot of talk recently about low-paid staff and how they will fare in terms of migration policies. Being low-paid does not mean that caring roles are low-skilled. Caring staff are highly skilled. They are a credit to this country, and without their dedication the problems facing social care would be immeasurably worse. Unfortunately, their efforts cannot paper over the cracks that have emerged because of this Government’s hammer blows to council budgets. I will come on to talk about the impacts that social care cuts have on people.

Oral Answers to Questions

Layla Moran Excerpts

Tuesday 19th June 2018 Commons Chamber

[Jackie Doyle-Price]

No, it is not. Labour Members like to draw attention to north-south divides and so on, but the issues about health inequalities are much more complex than how money is spent and where. Within my constituency, for example, there are differences of 10 years in life expectancy depending on the particular locality. We need a much more multi-layered approach to tackling inequality, and that is what this Government will have.

[Layla Moran (Oxford West and Abingdon) (LD)]

3. What discussions he has had with the Home Secretary on the effect of the tier 2 visa cap on recruitment in the NHS and social care sector.

[The Secretary of State for Health and Social Care (Mr Jeremy Hunt)]

Last week the Home Secretary removed doctors and nurses from the tier 2 visa cap.

[Layla Moran]

In Oxfordshire, the situation with social care workers is at least as bad a problem. Of course we all very much welcome the removal of doctors and nurses from the cap, but what about social care workers? Why are we focusing on only half the problem?

[Mr Hunt]

Perhaps I can help the hon. Lady by pointing out that tier 2 visa cap is specifically for higher-paid workers. We do need to think about social care workers, but a lot of them are lower paid. That is why we are putting together a 10-year workforce plan for the health and social care sectors, both of which are very important. We will make sure that that goes hand in glove with the NHS plan that we announced yesterday.