Educational Attainment of Boys
Debate between Munira Wilson and Judith Cummins(2 days ago)
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Munira Wilson (Twickenham) (LD)
Can I start by warmly congratulating the hon. Member for Bishop Auckland (Sam Rushworth) on securing this incredibly important debate and on his powerful and insightful opening speech? It behoves all of us to spend more time on this topic, so I am grateful that he has made me look into it more than I had previously. It goes without saying that our education system should enable every child to flourish, no matter their gender, needs or background, but as we have heard all too clearly already, for too long cohorts of boys have failed to thrive in our education system in the way that they should, with a widening attainment gap between boys and girls, particularly among white working-class boys.
We have heard the statistics already, and I note that many of them come from the excellent report by the Centre for Social Justice, but they bear repetition because they are so shocking. Where 75% of girls are school-ready, only 60% of boys are. In GCSE exams boys achieve on average half a grade lower than girls across every subject, and at A-level girls outperform boys by an average of over a grade and a half across their best three subjects. Too many boys are quite clearly failing to reach their potential at school, and this is having severe and long-lasting consequences for our society and the economy.
Since the pandemic alone, the number of young men aged 16 to 24 who are not in education, employment or training has increased by a staggering 40%. According to the Higher Education Policy Institute, men with no qualifications are nearly twice as likely as women with no qualifications to be unemployed, and if they are employed, they are more likely to work in hazardous, menial or stagnant roles. That makes men less likely to look after their mental and physical health, leading to higher rates of substance abuse, smoking and alcohol consumption, lower life expectancy, and much higher rates of imprisonment and death by suicide.
It is hardly surprising that so many boys feel hopeless. Some 41% of teenagers report that they have been taught that young men are a problem for society. Tim Page, service co-ordinator at Catch22, said:
“There is no trust or hope in the future, a young man from a disadvantaged background has no clear path towards making a future for themselves, the only options for hundreds of boys and young men I have worked with are crime or benefits.”
I think that should make us all stop and reflect.
Education is obviously vital in tackling this tragic and disturbing trend, not just to enable pupils to achieve good grades and a decent salary, but to inspire our children so that they grow up to do good and important things as part of a thriving community and society. I agree with the hon. Member for Bishop Auckland; I think it probably is time for a gender-specific strategy looking at boys in particular, but as the Chair of the Select Committee, the hon. Member for Dulwich and West Norwood (Helen Hayes), pointed out, some of the wider systemic challenges facing our education system have a particular impact on boys. As the Government are considering a number of these issues, I think it would be worth looking at them through a gender-specific lens.
We need good teachers to stay in our boys’ lives and to guide and encourage them, whether on career options for the future or just as good role models, yet over the past 12 years more than 40,000 state school teachers left within one year of qualifying, and just 24% of the overall teaching workforce are male and 30% of primary schools have no male teacher at all. I was thinking about this last night, actually. Both my children are at primary school. One of them will leave in the next few weeks, and by far and away the teacher that she has talked about the most in her seven years there has been a male teacher. He has only been teaching her for a day a week in year 6, but all the kids love him and look up to him. I have never heard them speak about any other teacher in such a way. It is largely a female-dominated school, and it is wonderful to see such affection for a male teacher and such a role model for all the children, both girls and boys.
Many attribute the shortage of teachers—both male and female—to the conditions that teachers face and a lack of career progression. I believe that the presence of more male teachers would normalise learning as a suitable activity for men and boys and may especially help children who do not have positive male role models at home. However, as the Minister knows, schools are facing the impossible task of trying to find more money in their already squeezed budgets to cover underfunded national insurance increases and teacher pay rises. While the Government have promised to recruit 6,500 more teachers, I have yet to see how they will be able to achieve that.
Some of the hopelessness that many boys are experiencing also stems from inadequate mental health support. We know that boys are twice as likely as girls to be excluded from school. Sadly, exclusion and criminal activity are too often intimately related. Those who are excluded multiple times from school are more likely to have a younger age of first conviction.
Mental health researchers have noted that boys in emotional mental distress tend to use coping strategies that externalise into violence and destruction, while girls are more likely to internalise into self-harm and depression. We Liberal Democrats have long called for a dedicated qualified mental health practitioner to be placed in every primary and secondary school to help tackle mental health and behavioural concerns early. While I am glad that the Government are continuing to roll out mental health support teams in schools, I fear that those teams are really overstretched, because they are often shared between several primary and secondary schools, with perhaps half a day or a day a week of mental health practitioner time in each, meaning that children do not have consistent access five days a week to a trusted person to support them with their mental health. I hope the Minister will say something about how the roll-out can be sped up and those teams grown so that there is more coverage for each of our schools.
Of course, there is a big overlap between mental health provision and special educational needs and disability provision. Boys make up over 60% of those receiving special educational needs support and over 70% of those on education, health and care plans. Those receiving SEND support are more than twice as likely to be excluded as the average boy, and more than five times as likely to be excluded as the average girl. Too many children are being forced out of school due to a failure to provide the required support for them to learn.
I have heard time and again from parents and kinship carers who feel that they have been let down by the SEND system in this country and that they are having to try to educate their children with no support. That has very much driven up the number of children being home-schooled, so I hope the Minister will use this opportunity to assure parents and carers of children with SEND across the country that their rights will not be rolled back when the Government look to reform our broken SEND system. Families must be at the heart of these changes, so that all children can access the support they deserve. I urge the Minister to look at the five principles for SEND reform that the Liberal Democrats published yesterday.
Finally, seriously tackling the feeling of hopelessness among young boys means looking at the online world. We have seen from research that algorithms are feeding increasingly violent and misogynistic content towards boys. With 60% of children aged eight to 10 having a social media account, it is wrong that companies can profit from addictive and harmful algorithms. We need to start taking a health approach to online safety, with tighter regulation of the tech giants and by empowering and educating young people and the adults who care for them about the online world. Crucially, we need to provide alternative spaces and activities for young people, so that they are not always glued to a screen when they have spare time.
The Liberal Democrats want the digital age of consent raised, to end addictive algorithms and to stop companies trading on our children’s attention. I very much hope that the Government will not kowtow to Donald Trump and remove the digital services tax, but instead treble it, so that that money can be invested in improving our children’s wellbeing and mental health. I once again thank the hon. Member for Bishop Auckland for securing this important debate, and I look forward to hearing what the Minister has to say.
Giving Every Child the Best Start in Life
Debate between Munira Wilson and Judith Cummins(5 days ago)
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Madam Deputy Speaker (Judith Cummins)
I call the Liberal Democrat spokesperson.
Munira Wilson (Twickenham) (LD)
Every child deserves to have the very best start in life possible, so I welcome any measures to tackle inequality and improve support for the early years and for families. I therefore welcome today’s announcements both on the hubs and around the early years workforce and helping to raise the professional status of those who work with children in the early years. That is something that Liberal Democrats have long been calling for, given the level of responsibility and expertise required in that profession.
With the hubs, as we have heard there is a great opportunity to identify special needs early and provide contact time with mental health practitioners and important advice for parents. However, these changes need to go hand in hand with addressing some of the deep problems facing charitable and private early years providers, and I hope the Government will start by reversing the national insurance hike for early years and nursery settings together with reviewing the rates they pay to providers to ensure that they actually cover the costs of delivering high-quality care and early years education, because we know that many nurseries across the country are struggling.
While I have the Secretary of State’s attention on early years, may I raise with her the tragic cases of Gigi Meehan in Cheadle and the children at the Twickenham Green nursery in my constituency, who were completely failed by their early years providers at the hands of extremely cruel, vicious, uncaring staff? The verdicts in both of those cases have been utterly shocking. I know the Minister sitting next to the Secretary of State, the hon. Member for Portsmouth South (Stephen Morgan), met my hon. Friend the Member for Cheadle (Mr Morrison) last week, and although the Secretary of State’s announcement did not include it, I have read in some news reports that the Government will be increasing Ofsted inspections for nurseries, something that Gigi’s parents, my hon. Friend and I are pressing for. However, over and above that, we do need to see a strengthening of the early years framework to include the use of CCTV.
May I, Madam Deputy Speaker, say one final sentence and press the Secretary of State once again to put the parents and carers of children with special needs across the country out of their misery—
Pharmacy Provision: Hampton
Debate between Munira Wilson and Judith Cummins(11 months, 2 weeks ago)
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Munira Wilson
I thank my hon. Friend for his intervention, and I congratulate him on his excellent maiden speech. I completely agree with him. We want doctors to use community pharmacy more to alleviate the pressure on other parts of the health service, but frankly, if the pharmacies are not there, the remaining ones will be overwhelmed. I talked to local GPs in the Hampton area following these closures, and they were desperate to see more provision. They thought about trying to set up their own community pharmacy provision, but they just could not make the numbers add up because of the funding shortfall.
The Company Chemists’ Association estimates an average funding shortfall of £67,000 per pharmacy. That is based on an analysis of data published by the Department of Health and Social Care in a written parliamentary answer at the beginning of last year. Many pharmacists are left out of pocket, as they are reimbursed less for a number of medications than the price they pay, and there are stories of some using credit cards and overdrafts to purchase medication.
These funding pressures are coupled with major workforce challenges. When I met Boots following the news that it is closing two branches in Hampton, it cited a lack of pharmacists as a major reason for closing some 300 pharmacies across the UK, although commercial pressures were clearly the main driver. Layered on top of these issues are regular medicine supply shortages, which add more work and create more stress for already overstretched pharmacists. Community Pharmacy England reported last year that 92% of pharmacies were having to manage supply issues daily.
It is a perfect storm for community pharmacy at a time when we need preventive healthcare and self-care more than ever. The potential of community pharmacies to improve patient health and reduce the pressure on NHS hospitals and GPs is immense, yet they are closing in their hundreds every year. We should be relying on pharmacies even more to keep the nation healthy. The previous Conservative Government’s announcement of the Pharmacy First initiative was very welcome in its ambition, but if pharmacies are not even funded for the basics right now, with big gaps in provision opening up all over the country, it is hard to see how Pharmacy First’s ambitions will be achieved.
The Liberal Democrats would like to see the Government building on the Pharmacy First principle and giving pharmacists more prescribing rights and public health responsibilities. As in so many areas of public health, the “invest to save” argument is compelling, and I look forward to hearing the Minister’s comments on what the new Labour Government will do on funding to enable community pharmacy to not just survive, but thrive and grow as an essential part of our primary care infrastructure.
Having addressed the causes of these closures, I will spend some time exploring the processes involved in local communities being informed of pharmacy closures, and their input, or lack thereof, in them, as well as discussing the complete lack of transparency or accountability in relation to applications for new pharmacy licences. For starters, only those organisations designated as “interested parties” in the regulations are informed of new applications, and only their feedback has to be taken into account. Anyone else who is interested, such as me as a local MP, needs to make a freedom of information request, unless someone in the local health community passes on the information. My views, and the views of other people in the community, can be ignored.
To describe the bureaucratic process that sits around new applications as byzantine would be generous. I hope the Minister, Madam Deputy Speaker and other hon. Members will bear with me while I try to explain what happened in Hampton. We are part of the South West London Integrated Care Board, but NHS England has delegated the pharmacy market entry function for the whole of London to the North East London ICB, which is on completely the opposite side of the city. Officials have no local knowledge of our area, no understanding of local transport links and no relationships with the local health system.
Let me start with the closures. The Minister will be aware of the statutory three-month notice period for pharmacy closures; last August, Boots would have had to give NHS England three months’ notice of its intentions in Hampton. That information was not passed by NHSE to the Richmond health and wellbeing board. I find that utterly staggering. The first that local councillors, the local health community in the area and I as the MP knew about the planned closures was when Boots placed signs in its windows to inform customers, and concerned constituents started to contact me about the likely impact of the closures.
At the end of August 2023, while this was going on and we were all in the dark, the local health and wellbeing board published a pharmaceutical needs assessment, but it was inaccurate and failed to identify an imminent future gap in need in the Hampton North area because it had not been notified of the closures. The Tangley Park Boots subsequently closed in late October. The Priory Road Boots, which was directly opposite a busy GP surgery, closed in early November.
In November, an application was received for a new independent pharmacy licence on the Tangley Park Boots site. Once again, the local health and wellbeing board was not notified of the application—this time, for two whole months. During this period of complete silence, the health and wellbeing board issued a supplementary statement to the local pharmaceutical needs assessment, which identified the gap in Hampton. However, because the application for a new pharmacy was made in November, and it referred to the original needs assessment that was made before the supplementary statement was published, it was rejected, even though the application itself identified the gap, which was officially made clear in the supplementary statement subsequently published in December. Not only that, but it took the North East London ICB a full eight months to issue the rejection; tht happened earlier this month, even though the decision used evidence received in December to justify the rejection.
Madam Deputy Speaker, if you and other hon. Members are still managing to follow this sorry story, I hope you will agree that this decision is utterly perverse. It is also utterly unreasonable that timely applications to open pharmacies in response to multiple closures should be inherently prevented in this way. The delays in sharing information with the local health and wellbeing board and the delays in decision making are unforgivable. During the lengthy delay, the local authority received a planning application to change the Tangley Park pharmacy site into a fast food outlet. Thankfully, that was rejected earlier this month after representations from the public health team and councillors, but I am sure the public health Minister will agree that it would be unfortunate, to put it mildly, if a pharmacy were replaced with a fast food outlet.
One local official told me yesterday that the systems architecture is too complicated, and that there is a need for clearer responsibilities and accountability. Amen to that, I say. Healthwatch Richmond has demanded answers from the North East London ICB, but it has received a frankly woeful response that does not address the substantive question of why the application was so badly handled. The response passes the buck and blames regulations. To be clear, Healthwatch and I are not qualified to comment on the merits of an application; what we are doing is challenging the unfathomable process.
I say to the Minister that the huge funding challenges facing community pharmacy are pressing. I appreciate that they may be extremely difficult for him to address, given that the Chancellor has an iron fist as far as any additional public spending is concerned, but the Minister must wage a campaign to improve the funding situation. It makes financial sense. We will not grow the economy without improving the nation’s health. In that campaign, he will have cross-party support from Members on the Opposition Benches.
Revisiting the regulations and how NHS England is implementing them will cost next to nothing. There should be proper consultation with and involvement from the local community on closure notices, and changes in the process for new licences could ensure that we can quickly plug pharmacy gaps when they open up in areas such as Hampton. Crucially, those powers need to be delegated to the local ICB, with full involvement from the local health and wellbeing board. They know their communities and their geography best—trust them.
Finally, if the Minister could step in on the specific issues in my constituency—the application that has been rejected and is going NHS Resolution on appeal—simply to ensure a common-sense approach, the residents of Hampton North and I would be very grateful. We desperately need a new pharmacy for our community. I look forward to his response.