Compulsory Emergency First Aid Education (State-funded Secondary Schools) Bill

Tania Mathias Excerpts

Friday 20th November 2015 Commons Chamber

[Dr Tania Mathias (Twickenham) (Con)]

I congratulate the hon. Member for Erith and Thamesmead (Teresa Pearce) on the Bill. It is an important measure, and I support it, but I believe that it could go much further.

My interest in this subject stems from something that happened to me when I was a junior doctor working abroad. A gentleman was unconscious and not breathing, and was surrounded by hundreds of people. A great crowd had built around him, but it became apparent that nothing was being done. Despite my—at the time—limited knowledge of the language of the country, I managed to get through the crowd and start the resuscitation procedure. Members of the crowd acquired a pick-up truck, and the gentleman was transferred to some hospital. I still do not know where the hospital was, or the gentleman’s name. He did not survive, but I believe that he could be alive today if someone in the crowd who had been standing close to him when he collapsed had known how to perform basic CPR.

Like my hon. Friend the Member for South East Cornwall (Mrs Murray), I am focusing on CPR rather than on first aid in general. I believe that schools should have the freedom to decide what is on the curriculum, but I make an exception for CPR. I have been doing some basic research in my constituency, because it surprised me to learn that only one in four schools provided first aid or CPR education. I am heartened by the fact that most of the schools in Twickenham that have responded to my inquiries already provide CPR education for their students: that is terrific. Well done Waldegrave and Lady Eleanor Holles! I am bigging up the girls, because my hon. Friend the Member for Berwick-upon-Tweed (Mrs Trevelyan) was a girl guide—just saying. However, other schools such as Teddington school provide CPR education, and I applaud the sea and air cadets in Twickenham, who are also learning how to carry out the procedure. I am strongly in favour of the Duke of Edinburgh awards; the bronze award involves first aid including CPR, which is absolutely brilliant.

I am very fortunate in Twickenham. However, as I have said, I think that the Bill should go further, because I think that first aid education is needed in the community per se.

[Mrs Sheryll Murray]

I acknowledge that my hon. Friend is probably far more experienced and qualified to speak about this subject than I am—although I was a doctor’s receptionist for 21 years—but does she think that the quality of provision might be reduced if it were made compulsory? Rather than what people doing what they need and want to do, they might be thinking, “We have to learn this”, while not actually paying any attention.

[Dr Mathias]

My hon. Friend makes a good point. I share her concerns, but I was converted when the British Heart Foundation visited the Commons and I saw its kit, which I have told all my schools is offered free—I thank St Richard Reynolds school, because it is taking that up. I was very impressed that the kit includes a DVD; a specialist trainer is not needed. The BHF showed us the models, including Resusci Annie. In half an hour, I was convinced—the BHF let me test the kit—that in that time one can teach good CPR that will be useful for a good samaritan or a passer-by. I share my hon. Friend’s concern, but I am convinced by the BHF campaign.

I want this to go further, however. In Twickenham, I am concerned not so much about the children, but about our community. I have said before in the House that someone should have CPR training if they get a driving licence. Also, every business that has a health and safety expert should arrange for the 30-minute training that the BHF provides.

I will purchase one of those kits and offer it free to businesses in Twickenham to see whether we can roll this out. I also believe that the national citizen service could include first aid in its programmes, because it is a brilliant scheme. Everywhere there is a defibrillator—and there are a few in the community—every business and institution within 100 metres should be given the opportunity to learn how to use it. Wherever there is a defibrillator inside a sports hall, it should be available—behind protected glass or whatever—when the hall is closed.

My concern is for CPR to be rolled out in all our communities. Yes, make it compulsory in schools, but we have to go beyond that. I commend the Bill.

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[Rachael Maskell]

I thank the hon. Lady for her comments. I would just like to finish my story and then I will answer her point. I administered CPR and had to keep going for some time before an ambulance was able to get to the scene and its crew were able to step in and take over. We are talking about changing a nation by giving it the confidence to administer CPR, so other people will be able to assist in that process.

[Dr Mathias]

When I asked the British Heart Foundation at what age it felt CPR could be taught, its answer was from the age of 10, although it does depend on the strength of the child. It thinks that every 11-year-old could do it. Part of the training is about swapping round if there are other good samaritans who know CPR, in order to maintain that physicality. Does the hon. Lady agree?

[Rachael Maskell]

I thank the hon. Lady for her intervention —clearly we know what we are talking about, and I totally agree with what she has just highlighted.

The reality of that or any other situation is that if people have the skills, they can administer them. The Bill is not just about CPR; it is also about dealing with bleeding or choking, situations we may come across at any point. As one of those bystanders, you would feel totally helpless, knowing that you could have saved the neighbour, the friend or the relative—we might even be talking about someone saving you. That is why I urge hon. Members to allow this Bill to go forward.

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[Mrs Sheryll Murray]

rose—

[Dr Mathias]

rose—

[Peter Aldous]

I will give way to my hon. Friend the Member for South East Cornwall (Mrs Murray) first.

[Peter Aldous]

I thank my hon. Friend for that advice. I agree with her, but once a person acquires basic knowledge, it can stay with them for the remainder of their life.

[Dr Mathias]

rose—

[Peter Aldous]

I see that there is a doctor in the House; I look to her to take this forward.

[Dr Mathias]

Does my hon. Friend agree that one of the best tests of CPR training is that experiential feeling? Members who attended the British Heart Foundation showcase will know that, after training, a person knows the pressure required on Resusci Annie. The test is whether people use “Nellie the Elephant”, “Stayin’ Alive”— everybody listening will know what I am talking about—or have Vinnie Jones in their mind.

[Peter Aldous]

I agree wholeheartedly with my hon. Friend. The measures could save money. Funds for public services are, we hear, in short supply. The NHS faces significant pressures; why not relieve some of them? If, as a society, we all had a simple knowledge of first aid, it would provide some relief to accident and emergency units, and the people doing great work in them, and they could get on with the work they want to do.

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[Robert Jenrick]

That is certainly a concern. In the experience of those groups—I shall come to the experience of some of my local schools—a compulsory element has diminished the training. When young people are asked whether they want to do the training on a voluntary basis, more have come forward and done it in the spirit that it really deserves.

A huge number of groups offer first aid training on a voluntary basis: the scouts, the girl guides and the sea cadets, for example. Workers at our district council of Newark and Sherwood are mostly fully trained, while the University of the Third Age in Newark and Southwell has trained hundreds of people in large groups very effectively. Many rural parish councils are purchasing or being donated defibrillators, which are often placed in redundant telephone boxes and other rural locations and marketplaces. A Chinese restaurant that I am due to open with my right hon. and learned Friend the Member for Rushcliffe (Mr Clarke) in a couple of weeks’ time is the latest example. Many parish councils are training or providing in their village halls a community voluntary opportunity to learn how to do CPR when the defibrillator is installed. I have been to a couple of those voluntary community events, and they are great—people really enjoy them and the community gets behind them.

Workplace schemes are also taking off; we have seen them in a number of employers, large and small, in my constituency. Generally, again, they are voluntary rather than compulsory and are done during lunch hours—sometimes during working hours—or after work. They are popular and worth while. That work is ongoing, and I do not want to it to be diminished. I want it to be encouraged by the Government, and I hope, if nothing else, that this Bill, whether it succeeds or not, will push it forward.

However, we have to ask ourselves whether enacting this Bill is the right answer. In answering that question I have done something that I have not heard every Member say they have done, which is to ask for the views of the headteachers in my constituency. I am all in favour of opinion polls, and I do not dispute the veracity of those that have been mentioned, but nothing is better than a face-to-face conversation with one’s local headteacher. In my constituency, I have five highly respected and competent headteachers of secondary schools whose views I want to share with the House.

[Dr Mathias]

I think that lots of MPs present, including me, have contacted their schools. I did that research because this Bill was coming to the House, and the good thing in my constituency is that most of the schools are already doing CPR training.

[Robert Jenrick]

I appreciate that. I did say that not every Member had done it. I would be interested to hear the remarks of those who have spoken to their local headteachers about their views.

I have spoken to my local headteachers, or most of them. Four out of the five I spoke to support the principle of the Bill and want to see more first aid training, particularly CPR. Three out of the five already do quite a lot of this activity to differing degrees. However, none of them was in favour of its being compulsory. I do not say that with any pleasure, in speaking against this Bill, but those are the facts. The highly competent and respected headteachers with whom I work are not in favour of this Bill. That needs to be said, alongside the statistics that we have heard, which are clearly less precise than the conversations with our own headteachers.

One of my headteachers, from Southwell Minster school in Nottinghamshire, said that the school already has quite a significant first aid programme. It takes place as part of extra-curricular activities, and sometimes in PSHE and biology classes, and through some of its sports clubs. He does not think that a headteacher such as himself who is taking this issue seriously and working with valuable local community groups needs to be told that it is a compulsory element of the national curriculum. He and his teachers are behind the idea already, and he is doing what he thinks is appropriate for his local community. He is also concerned that while schools such as his might take the issue very seriously and do a good job, the national curriculum can sometimes lead to a tick-box exercise, whereby some will take the requirement seriously, but quality will vary dramatically across the country.

The Bill, in its effort to provide maximum flexibility, which is entirely understandable and logical, opens up the possibility that some schools, such as Toot Hill in my constituency, will have a superb programme that we would all be proud of, while others might provide 30 minutes of training every now and again, leaving quality in doubt. Toot Hill, an outstanding academy in Bingham outside Nottingham, provides a range of first aid training on a voluntary basis. It offers it to its prefects as part of the prefect programme, so it is a reward. It also offers it on a voluntary basis to all its year 8 and 9 students. The training is extremely popular but it is not made compulsory.