O’Neill Review

Debate between Sharon Hodgson and Philip Hollobone

Tuesday 7th March 2017 Westminster Hall

[Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Thirsk and Malton (Kevin Hollinrake) on bringing this important debate to the House. He gave an eloquent and knowledgeable speech clearly setting out the issue and the matters to be discussed following the O’Neill review. I thank him for that.

An estimated 50,000 deaths occur every year due to untreatable infections, rising to 700,000 globally. That is why it is only right that we do all we can to address antibiotic resistance. It is believed that the number of deaths will rise to 10 million a year by 2050 if no significant action is taken. As we have heard from a number of Members, deaths from drug-resistant infections could exceed deaths from cancer.

This is an incredibly timely debate. Only a couple of weeks ago, the World Health Organisation published a list of 12 bacteria for which new antibiotics are now needed. Some strains of bacteria have built-in abilities to find new ways to fight off treatments that can then be passed on to other bacteria via genetic material to make them drug-resistant too. I find it a bit scary to consider what we are up against. This is a battle that we have to win.

I also thank other hon. Members who have spoken in this debate. My hon. Friend the Member for Bristol East (Kerry McCarthy) gave a very knowledgeable speech about the use of antibiotics in farming; other hon. Members touched on the subject as well. I really think we need to get a firm grip on it internationally, with the UK leading the way. Ten other Members spoke in this very active debate: my right hon. Friend the Member for Rother Valley (Sir Kevin Barron), my hon. Friend the Member for Ealing, Southall (Mr Sharma), the hon. Members for Erewash (Maggie Throup), for Bosworth (David Tredinnick), for Glasgow North (Patrick Grady), for Sleaford and North Hykeham (Dr Johnson), for Mole Valley (Sir Paul Beresford), for Strangford (Jim Shannon) and for Stafford (Jeremy Lefroy), and the hon. Member for Linlithgow and East Falkirk (Martyn Day), who speaks for the Scottish National party. Their speeches were all thoughtful and knowledgeable, albeit brief because of time constraints.

I will touch on two key points: raising public awareness, and supporting research and innovation to combat antibiotic resistance. It is generally accepted that antibiotic resistance is a natural process—bacteria naturally evolve to become resistant to certain drugs used to fight them off—but it has been exacerbated by humans. As Dr Hsu of the Singapore Infectious Diseases Initiative has said, the causes come down to

“a single axiom—abuse and overuse of antimicrobial drugs.”

Concerns have also been raised that the development of new antibiotic drugs has dried up, contributing to the situation. According to the World Health Organisation, we are left in a precarious position. The WHO’s director general, Dr Margaret Chan, describes antimicrobial resistance as

“a crisis that must be managed with the utmost urgency.”

That urgency applies here in the UK, too. In 2014, the chief medical officer, Dame Sally Davies, said that

“we could be taken back to a 19th century environment where everyday infections kill us as a result of routine operations.”

We could be taken even further back: as the hon. Member for Thirsk and Malton said, this could be the new black death. That is not as melodramatic a statement as people may first think. Antimicrobial resistance is a really serious problem that we need to address here and now, so that those predictions do not come true.

I do not always do this, as I am sure you have noticed, Mr Hollobone, but I must give credit to David Cameron’s coalition Government, who were global leaders when they announced Lord O’Neill’s review into antimicrobial resistance. The review’s 10 recommendations show just how complex and multifaceted the issue is and how wide-scale the actions needed to address it are. The review’s final report was published in May 2016 and the Government responded at the end of last year, so now is a good time to ask the Government for an update.

One of the review’s key recommendations was to introduce a large-scale global awareness campaign to reduce the demand from patients to be prescribed antibiotics when they are diagnosed with an illness. I am a firm believer in public awareness campaigns relating to health issues, especially cancer. My hon. Friends and I fully support such a campaign for antimicrobial resistance and we want to see the Government working hard to achieve it. The review’s recommendation was for an international awareness campaign, but what does the Minister plan to do here in the UK to complement that international work? That is a pertinent question because a 2015 Wellcome Trust study found that people in the UK did not fully understand antibiotic resistance and how it affects their health. They did not understand that antibiotic resistance is to do with the bacteria in people’s bodies, rather than a lack of antibiotics or the cost of them; it is not just a case of doctors being awkward. I would therefore be grateful if the Minister told us what relatable public awareness campaigns she is planning to ensure that people understand more about the problem and about what they can do personally.

I have already mentioned the problems with combating antibiotic resistance caused by the drying up of innovative developments in drug technologies. The O’Neill review identifies that the low commercial return on research and development for antibiotics makes them less attractive to pharmaceutical companies and reduces the chance of new drugs being developed. To reverse that situation, it recommends considering market entry rewards to encourage companies to develop new or improved drugs, especially in areas of urgent need. I hope the Minister will explore that issue further in her reply.

Public and private funding is being made available to help to combat these issues. On 20 December, the Minister referred to

“international programmes to tackle AMR, including the Fleming fund and the Global AMR innovation fund, which represent more than £300 million of investment over the next five years.”—[Official Report, 20 December 2016; Vol. 618, c. 1294.]

There is also the incredible work of the Longitude Prize, which is in the middle of its competition to develop

“a cheap, accurate, rapid and easy-to-use point of care test kit for bacterial infections”

to help to address antibiotic resistance. That is important work and we support it.

In summary, we cannot afford to get antimicrobial resistance wrong. Millions of lives depend on our tackling it. It is not far away; it is happening right here, right now, and it affects us all, so it is important that we do all we can to address this growing problem, both in the UK and internationally.

[Mr Philip Hollobone (in the Chair)]

If the Minister will be kind enough to finish just after 4.30 pm, that will give Mr Hollinrake time to sum up the debate.

Gypsies and Travellers (Local Communities)

Debate between Sharon Hodgson and Philip Hollobone

Wednesday 10th June 2015 Westminster Hall

[Mr Hollobone]

The name of my hon. Friend the Member for York Outer (Julian Sturdy) is well known in my constituency, because he is a hero to the horse-owning community as a result of his pioneering legislation to combat fly-grazing. That legislation has been widely welcomed in Kettering and throughout the land. Am I surprised by what he tells us from his own constituency? I am not surprised. Am I disappointed? Yes, I am, because the law is working against the settled community and in favour of Gypsies and Travellers.

Many of my hon. Friend’s constituents and many of mine who do not come from a Gypsy or Traveller background actually do far more travelling than the supposed Travellers themselves. Many of my constituents travel down to London and back every day for work. They do far more travelling than the supposed Travellers in the illegal encampments, but the law is biased in this respect, and this is something that the Minister could deal with as his second initiative in the Department. The guidance that his Department gives local authorities means that they need to make provision for a 3% annual increase in Gypsy and Traveller household numbers. That growth rate is far too big, yet by law local authorities are required to draw up assessments to provide pitches for that rate of growth. So not only is the number of Gypsies and Travellers as a baseline too high; the annual growth rate that the Department requires local authorities to respond to is also too great.

[Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)]

I was going to let this go, but I just cannot; I refer to the hon. Gentleman’s earlier point about whether Travellers travel as much as people from his constituency. He surely realises that Gypsies and Travellers are a known ethnic group and whether or not they travel does not take away from the fact that they are an ethnic group. Whether or not they are actually travelling does not matter in order for them to be recognised as a Gypsy or a Traveller.

[Mr Hollobone]

The romantic notion of Gypsies wandering through the countryside, entertaining people as they go, is a myth from long ago, because many of these supposed Travellers are self-declared Travellers; they are not from any kind of Gypsy heritage at all. However, they are using, on a self-declared basis, their nomenclature as Travellers to get special privileges in the planning system. When they then use those privileges not to travel but to get planning permissions for permanent sites so that they can settle down, it is an absolute abuse. Now that we have got the first Conservative Government elected for 23 years, it is time that Her Majesty’s Government acted to stamp out that abuse in the countryside. The current system is also forcing local authorities such as mine to identify sites where pitches can be provided for that supposed growth rate in Travellers.

For example, Kettering Borough Council has to find 25 pitches by 2022. It has identified 17 so far and has another eight to find. Local constituents have been brought to tears because sites near their own homes have been identified as potential pitches. Only when there are determined local councillors, acting on behalf of their local constituents in their wards, who stand up and say, “No, we don’t want Traveller sites in our communities,” can these things be stopped. In Kettering, there was a proposal for a Traveller site near the Scott Road garages in the town itself, and it caused uproar among the local community, who knew that if permission were granted for Traveller pitches on that site, local crime levels would go through the roof. The idea that these provisions in the planning system are helping community cohesion is completely wrong; they are stirring up resentment and hatred between one community and another, and it is time that the new Government did something about it.

Let me give the House further evidence. This is a typical response I have had from a settled dweller in the countryside:

“Since moving to our current address in Braybrooke we have endured fly tipping, theft, many instances of intimidation, and fly grazing.

Since having”—

Travellers’—

“horses removed from our land we have encountered almost daily instances of defecating in our gateway, known to be carried out by this family”.

I am talking about human defecation. That is as disgusting as it gets. The response continues:

“I caught one of them in the act one day. We dare not do anything about it for fear of reprisals.

We cannot leave anything lying around outside as approximately once a week a van with travellers in drives into our yard and out again without stopping, presumably to intimidate or for opportunist theft…My wife and her family can relate…many, many more instances over the last 30 years including hare coursing, theft of equipment, intimidation, fly grazing, dumping of caravans etc. They have given up reporting instances long ago as nothing has ever been done about it and it just seems futile.”

I hope you can see, Mr Davies, the despair and frustration of my constituents, who are really beginning to resent the Gypsy and Traveller community in Northamptonshire, because they are bending the rules of the planning system, which are skewed in their favour, to allow them to get permissions to set up encampments in the countryside. When the local authority refuses those applications, they go to appeal, and all too often the pathetic planning inspectorate allows permission—sometimes temporary permission. When the temporary permission expires after two years, five years or whatever, the local authority is unable to enforce the removal of those encampments, because they cite the Human Rights Act and the provisions therein to protect so-called family life. Also, the Department for Communities and Local Government has issued guidelines to local authorities that they cannot pursue such enforcement if the cost is excessive or disproportionate. It ends up with my village of Braybrooke, in a beautiful part of Northamptonshire and with 145 dwellings, surrounded by 67 inappropriate pitches and a further 27 legal pitches within a further three miles. The whole thing has got completely out of control. In Braybrooke, the primary school has closed, but when it existed, it was made up 100% of children from the Traveller community, because the Traveller children moved into the area and moved into the school, and parents from the settled community moved their children out of the school to go to other schools. Now, the school has closed down, yet in the Department’s own guidelines it says that the scale of such Gypsy and Traveller sites should not dominate the nearest settled community. That might be the wording in the guidance, but it is not having the appropriate impact to save villages such as Braybrooke.

It is only thanks to the good work of residents such as Karen Stanley and the North Northamptonshire Residents Against Inappropriate Development group, who are fearlessly championing the cause of the settled community against threats of intimidation from Gypsies and Travellers, that local residents feel they have any say in this matter at all. Yet it lies in the gift of the Minister to listen to those concerns from the heart of middle England, because he has the power to do something about them. I suggest that section 225 of the Housing Act 2004 should be at the top of his priority list. If he can abolish it, there is every chance that relative peace could return to the countryside, and we could start to rebuild relationships between the settled community and Gypsies and Travellers.