:00:00. > :00:00.own priorities. I will refer his question to the controller and
:00:00. > :00:08.auditor General, asking him to write to the gentleman with the
:00:09. > :00:13.information he is seeking. There are various points of order. I will take
:00:14. > :00:20.first those of which I have had notice. Point of order from Mr
:00:21. > :00:25.Andrew Salter. On Tuesday, the Transport Secretary was asked five
:00:26. > :00:31.times while he has not devolved real services to the Mayor of Manchester.
:00:32. > :00:35.He he was told each time they were commercial and operational reasons
:00:36. > :00:43.were not doing so. He later emerged that gave the actual reason, that he
:00:44. > :00:48.would like, to keep suburban real services out of the clutches of any
:00:49. > :00:52.future Labour mayor. Members should be able to rely on the answer is
:00:53. > :00:56.that this dispatch box to be as accurate as possible. What steps can
:00:57. > :01:07.I take to get the Minister to correct the record to reflect his
:01:08. > :01:12.actual reason? I am that I am grateful for the advance notice.
:01:13. > :01:16.First, every member of this house is responsible for the veracity of what
:01:17. > :01:21.he or she says in it and it is incumbent upon a member on the
:01:22. > :01:27.discovery of a mistake, to correct it. That applies to ministers and
:01:28. > :01:31.everybody else. Secondly, he will understand why I don't wish to delve
:01:32. > :01:38.into the detail of the matter, and I certainly don't seek to adjudicate
:01:39. > :01:45.between him making an accusation and any minister who might seek to
:01:46. > :01:52.defend him or herself against it. And all I would say is that perhaps
:01:53. > :01:56.what he has said about a political motivation and what the Minister has
:01:57. > :02:09.said, are not necessarily mutually exclusive. My point of order is not
:02:10. > :02:14.too dissimilar to the previous point of order, in that mine relates to
:02:15. > :02:18.the response that was given by the Department for Transport to the
:02:19. > :02:23.urgent question put down by the member for Brighton Pavilion in
:02:24. > :02:29.respect of Southern Rail on Monday. Myself and the honourable members
:02:30. > :02:36.for Dulwich in West Norwood, we asked of the Minister whether the
:02:37. > :02:42.government's intention was still to devolve rail commuter services to
:02:43. > :02:49.Transport For London. We were not given any answer to that, however,
:02:50. > :02:54.as he has just said, the Secretary of State for Transport has clearly
:02:55. > :02:59.made his mind up on that, on the basis of party political reasons,
:03:00. > :03:03.and secondly, having provided no answer, we then found it in the
:03:04. > :03:08.Evening Standard the day after. Mr Speaker, I know you place a premium
:03:09. > :03:11.on ministers coming and giving information to this house when
:03:12. > :03:17.questions are asked, not providing it in the newspapers after. And I am
:03:18. > :03:24.utterly exasperated at this, because my constituents will take great
:03:25. > :03:29.exception to ministers playing party politics with the misery they are
:03:30. > :03:34.facing day in, day out. I would be very grateful for your guidance on
:03:35. > :03:39.how we can ensure that ministers did the right information to this house
:03:40. > :03:44.and do not fail to give us the information that we require. I am
:03:45. > :03:49.grateful to the honourable gentleman for that point of order. Of course,
:03:50. > :03:53.I remember well the exchanges to which he referred having taken place
:03:54. > :04:00.only three days ago. Buy off the cuff response to him is twofold.
:04:01. > :04:07.First, the absence of comprehensive answers to questions posed under
:04:08. > :04:11.governments of a variety of complexions, is not without
:04:12. > :04:20.precedent. Secondly, it is very difficult to know, and it's not for
:04:21. > :04:25.the speaker to judge at what point a government has decided on a policy
:04:26. > :04:33.and then decided to communicate it, however, it does seem a bit strange
:04:34. > :04:37.if something is not communicated in the house in response to a specific
:04:38. > :04:46.question, that is then communicated to the media a very, very short time
:04:47. > :04:54.afterwards. It is not for me to judge in each case, but I really do
:04:55. > :04:58.think that if ministers wish to advert the potentially embarrassing
:04:59. > :05:02.scenario of another urgent question on the same matter being tabled,
:05:03. > :05:08.with the possibility that the minister might have to come to
:05:09. > :05:13.answer a second time, it would be wise for ministers to factor that
:05:14. > :05:18.consideration into their calculations of how to conduct
:05:19. > :05:24.themselves. I think that that is the fairest way I can deal with that.
:05:25. > :05:28.But the honourable gentleman was applicants for the question or a
:05:29. > :05:32.core applicant the other day and his constituency is directly affected,
:05:33. > :05:36.so of course, I will hear the right Honourable gentleman. He will be
:05:37. > :05:42.aware of my constituents are suffering chaotic services on
:05:43. > :05:46.Southern, and they were seeking the salvation in Transport For London
:05:47. > :05:48.taking responsibility for those services. And they were seeking the
:05:49. > :05:51.salvation in Transport For London take the responsibility for those
:05:52. > :05:55.services. Can you advise me if there is any way in which I can secure a
:05:56. > :05:59.transport outcome for my constituents that is based on the
:06:00. > :06:10.best policy, as opposed to a political priority for the
:06:11. > :06:14.government? I'm not sure, notwithstanding his investing me
:06:15. > :06:18.with great powers in these matters, but I am best pleased to advise him,
:06:19. > :06:23.but there is a former deputy leader of the house and he will be well
:06:24. > :06:27.aware of the upcoming matters to be raised on the adjournments, to which
:06:28. > :06:32.you may wish to contribute, although he may be perturbed by the absence
:06:33. > :06:38.of the responsible departmental minister to give him a substantive
:06:39. > :06:43.reply. If what he wants is to substantively raise the issue and
:06:44. > :06:47.obtain a reply, his own adjournment debate might be his best salvation.
:06:48. > :06:52.I have a hunch that the honourable gentleman will shortly be vetoing
:06:53. > :06:57.across to the table office to make such an application, and he might
:06:58. > :07:07.find that his application is successful. Point of order! The
:07:08. > :07:16.honourable lady did give me advance notice, so let's leave it. Thank
:07:17. > :07:20.you. You have ruled that it is courtesy of the house that members
:07:21. > :07:29.should warn one another when visiting their constituencies. I was
:07:30. > :07:33.warned that a minister was visiting my constituency, I discovered this
:07:34. > :07:37.by reading an article local newspaper. I read that with his
:07:38. > :07:42.office and they told me they did not have this obligation as applying to
:07:43. > :07:45.ministers. This was particularly disappointing, given the serious
:07:46. > :07:49.issues I have often raised within the specific area he was visiting
:07:50. > :07:54.about and I would have welcomed the opportunity to discuss that with
:07:55. > :07:59.them during his visit. I don't need to refer you to paragraph 10.9 of
:08:00. > :08:05.the ministerial code, but could you clarify that this convention does
:08:06. > :08:09.indeed apply to ministers and what advice he may offer the minister
:08:10. > :08:12.when that code is broken, and whether any further training or
:08:13. > :08:17.guidance might be given to ministers regarding obligations of this house?
:08:18. > :08:23.I am grateful for the point of order and I think I can offer her some
:08:24. > :08:27.comfort in the matter. The short answer is the obligation certainly
:08:28. > :08:40.does apply to ministers and I am frankly staggered to heed it
:08:41. > :08:44.suggested. I thought it was very well-known in the house. But let me
:08:45. > :08:48.just give the substantive reply. It is a long-standing convention that
:08:49. > :08:54.members should notify each other before visiting others
:08:55. > :08:58.constituencies in a public capacity. Obviously, if one member is going to
:08:59. > :09:03.another's for a private dinner party, the obligation doesn't apply,
:09:04. > :09:08.we are talking about the conduct of public business. And the requirement
:09:09. > :09:16.for ministers is enshrined in the ministerial code. Ministers really
:09:17. > :09:21.ought to be familiar with and ready to adhere to the ministerial called.
:09:22. > :09:26.I agree it is the most unsatisfactory situation when notice
:09:27. > :09:29.is not given, and I would urge members on all sides are ministers
:09:30. > :09:34.in particular to observe that courtesy. The point is being made
:09:35. > :09:38.and I know the leader of the house, who is extremely assiduous and
:09:39. > :09:43.highly respected in the space for his courtesy, and I can see this for
:09:44. > :09:46.some knowledge, because he has been my constituency neighbour for
:09:47. > :09:50.decades, he takes this very seriously and he will do all they
:09:51. > :09:51.can to make sure other members will behave with the courtesy he
:09:52. > :10:07.customarily exhibits. The overwhelming custom and practice
:10:08. > :10:11.and precedent is that when bills passed second reading as the
:10:12. > :10:18.boundary division Bill did, they should go to committee without undue
:10:19. > :10:23.delay. The Leader of the House today expanded on his excuses for this not
:10:24. > :10:27.happening, reasons he did not give two weeks ago, but every single one
:10:28. > :10:33.of us knows this is nothing more than political chicanery. Yesterday
:10:34. > :10:37.the Leader of the House which the House of the Prime Minister, today
:10:38. > :10:40.he is reaching the depths of not fulfilling the proper
:10:41. > :10:46.responsibilities of the Leader of the House. How can we persuade him
:10:47. > :10:50.to mend his ways? The Leader of the House is entitled to respond if he
:10:51. > :10:58.wishes. If he does not wish to do so, it is very much the norm that
:10:59. > :11:05.the government should come forward with the appropriate resolution. It
:11:06. > :11:12.is not strictly a matter for the chair if that does not happen, but
:11:13. > :11:16.knowing the right honourable gentleman as I do, how familiar he
:11:17. > :11:20.is with this long-standing requirement, knowing the tendency of
:11:21. > :11:25.the Right honourable gentleman only to ask a question only when he knows
:11:26. > :11:33.the answer to it, I think any member of the government is taking some
:11:34. > :11:38.risk in persisting to do what, persisting in failing to do what is
:11:39. > :11:42.expected, and I sense that the right honourable gentleman, to put it
:11:43. > :11:49.bluntly, will keep banging on about the matter until he gets what he
:11:50. > :11:53.wants. Mr Stuart Malcolm MacDonald. Two brief points. I think the Leader
:11:54. > :11:57.of the House perhaps inadvertently misled the House in response to
:11:58. > :12:01.questions from honourable friends regarding job centre closures in
:12:02. > :12:05.Glasgow. He stated these plans would be subject to full consultation.
:12:06. > :12:10.They will not be. The government only plans to consult on two of
:12:11. > :12:16.eight closures across the city, which I cannot stress enough to the
:12:17. > :12:20.House how devastating this news is. On the second point, I wonder if you
:12:21. > :12:25.could advise what myself and other honourable friends who represent
:12:26. > :12:32.Glasgow constituencies, what recourse is open to us to put right
:12:33. > :12:36.the disco city, -- discourtesy, which was shown to us. We had to
:12:37. > :12:40.read about these closures in the press and it took ministers over
:12:41. > :12:44.seven hours to get in touch with us about this. We consider that to be
:12:45. > :12:50.grossly disrespectful and I wonder if you could advise whether there is
:12:51. > :12:54.any recourse open to us. To some extent, the honourable gentleman has
:12:55. > :13:00.gained his own salvation in airing his discontent on the floor of the
:13:01. > :13:05.House with the relevant Minister not in a position immediately to reply
:13:06. > :13:09.so the honourable gentleman is able to establish some tracks on the
:13:10. > :13:13.ground which are to his advantage. I was not familiar with that point of
:13:14. > :13:17.detail which has just been highlighted for rest is about two
:13:18. > :13:20.matters being the subject of consultation rather than the full
:13:21. > :13:27.eight. That really is not a matter for me. But what I would say to the
:13:28. > :13:32.honourable gentleman is that it is normal in matters of this kind that
:13:33. > :13:36.affect constituencies for members affected to be given the courtesy of
:13:37. > :13:42.advanced notification rather than having to read about the matters in
:13:43. > :13:50.the newspapers. It may well be that some rather greater discipline
:13:51. > :13:55.within ministerial offices is required to avoid a repetition of
:13:56. > :14:03.that rather unfortunate occurrence. Further to that point of order.
:14:04. > :14:07.Thank you. In relation to the decision about job centre closures
:14:08. > :14:10.in Glasgow, my understanding is that there is ministerial criteria which
:14:11. > :14:19.determines whether it goes to public consultation or not. It is the view
:14:20. > :14:23.of me and my honourable friend that four of the aid should be going to
:14:24. > :14:33.public consultation. Is there any recourse for rest to raise that with
:14:34. > :14:37.ministers? I have to confess that I suffer from some ignorance on that
:14:38. > :14:42.matter. It is an enormously important point but not one I have
:14:43. > :14:49.any knowledge at all of. When you ask whether there is any recourse,
:14:50. > :14:55.the answer is yes. You should table a written question, narrowly focused
:14:56. > :15:02.on that matter, to try to set -- extract a substantive answer. Mr
:15:03. > :15:06.Alan Brown. This is a point of order about answers I have received from
:15:07. > :15:22.the Secretary of State for Scotland. I asked a question in the chamber.
:15:23. > :15:30.asked him about heat he had done anything about a previous pledge.
:15:31. > :15:33.The answer I got was, the honourable gentleman knows that I and the UK
:15:34. > :15:38.Government have worked with the council to see if opencast can
:15:39. > :15:41.continue in that area. Now, not because I am cynical but because I
:15:42. > :15:47.wanted to give credit where credit is due, I submitted three questions
:15:48. > :15:52.asking how much money the UK Government is spending on opencast
:15:53. > :15:55.restoration, what action they have taken and how many meetings the
:15:56. > :15:59.Secretary of State had had with the Chancellor. I had a simple group
:16:00. > :16:07.answer which did not give any figures or information at all. It
:16:08. > :16:21.says about informal meetings with colleagues, about agreeing a way
:16:22. > :16:29.forward, and he also advises that the call authority provides advice.
:16:30. > :16:32.I will try to be brief. I submitted a follow up question trying to pin
:16:33. > :16:43.down answers about funding. What funding has been provided. I am
:16:44. > :16:47.quite indescribably grateful to the honourable gentleman for raising
:16:48. > :16:50.these matters. No one can accuse the honourable member for excluding from
:16:51. > :16:57.his point of order any point which he thinks might be in any way, at
:16:58. > :17:01.any time, anywhere, be judged to be material. There is a comprehensively
:17:02. > :17:08.about his approach which is as impressive as it is infuriating.
:17:09. > :17:12.What I want to say to the honourable gentleman is, first of all, I don't
:17:13. > :17:16.think I have ever said this before but the sense in which I share the
:17:17. > :17:22.honourable gentleman's pain but there are very few new precedents in
:17:23. > :17:25.this place. He says with open eyed astonishment that he put down
:17:26. > :17:30.several questions which were treated as a job lot by the Minister. I very
:17:31. > :17:34.much doubt his experience is very much worse than mine, long before I
:17:35. > :17:39.had the privilege to occupy the chair, I think I tabled 60 questions
:17:40. > :17:45.to the Minister for Europe who had the extreme temerity to provide me a
:17:46. > :17:49.dismissive one with the reply to all 60. I simply return to the drawing
:17:50. > :17:53.board and came up with these further series of questions on the basis
:17:54. > :17:56.that I could therefore occupy the Minister's attention in the way that
:17:57. > :18:00.he would be doing less damage responding to me than he might be
:18:01. > :18:04.doing in other ways. The content of ministerial answers is the
:18:05. > :18:08.responsibility of the Minister concerned. If the minister felt with
:18:09. > :18:12.hindsight that an answer had been inaccurate, it would be open to him
:18:13. > :18:15.or her to correct the record. I realise he finds the answer is
:18:16. > :18:33.unsatisfactory but I'm afraid that is not a point of order for the
:18:34. > :18:38.chair. He asks how he can get decent answers out of ministers, that is a
:18:39. > :18:40.question that has taxed many of us, myself included, over the years, but
:18:41. > :18:43.the best approach is to use persistence and ingenuity, both of
:18:44. > :18:45.which I think he has demonstrated he possesses in abundance. I would
:18:46. > :18:48.suggest that he seeks the advice of the table office. One of the things
:18:49. > :18:51.I learned early is that the staff of the table office are there to help
:18:52. > :18:57.and if the honourable gentleman is told that his approach is not in
:18:58. > :19:01.order ought not the best approach, he should then proceed to ask the
:19:02. > :19:10.follow-up question, how can I best go about the matter? And the table
:19:11. > :19:14.office are both public spirited and experience and they will be able to
:19:15. > :19:20.help the honourable gentleman. His visit there will profit him. If
:19:21. > :19:25.there are no further points of order, we can now proceed to the
:19:26. > :19:29.next business, which is the backbench motion on the UN
:19:30. > :19:34.International Day for the elimination of violence against
:19:35. > :19:43.women. To move the motion, I call Seema Malhotra.
:19:44. > :19:46.Thank you, Mr Speaker. I am delighted to be able to move the
:19:47. > :19:52.motion today on the order paper that notes that this House notes the UN
:19:53. > :19:57.International Day for the elimination of violence against
:19:58. > :20:03.women and the 16 days of activism against gender-based violence. Also,
:20:04. > :20:06.that violence against women is a human rights violation and that much
:20:07. > :20:12.more needs to be done to address and prevent this scourge on our nation
:20:13. > :20:16.and across the world. I want to thank all honourable members who
:20:17. > :20:22.have supported this debate from all sides of this House, including the
:20:23. > :20:30.honourable members for Stretford and Urmston, for Maidstone and The
:20:31. > :20:36.Weald, Lanark and Hamilton East Brighton, Pavilion, Glasgow North,
:20:37. > :20:40.Rotherham, Birmingham, Yardley, Basingstoke, and indeed other
:20:41. > :20:46.members who I am sure will be speaking in the debate today. I also
:20:47. > :20:49.want to particularly recognise and express my thanks to the Right
:20:50. > :20:55.honourable member for Basingstoke, who is also chair of the woman
:20:56. > :21:00.inequalities Select Committee and whose support is also being debated
:21:01. > :21:04.today. I am proud that as a parliament we are debating this
:21:05. > :21:07.motion because it is vital that Parliament play its part on the
:21:08. > :21:15.world stage in combating violence against women in all its forms, at
:21:16. > :21:20.home and abroad. The UN declaration on the elimination of violence
:21:21. > :21:24.against women is describes it as any act of gender-based violence that
:21:25. > :21:29.results in or is likely to result in physical, sexual or psychological
:21:30. > :21:35.harm or suffering to women, including threats of such acts,
:21:36. > :21:39.coercion or arbitrary deprivation. The 16 days of action have seen
:21:40. > :21:45.events and campaigns across the country and the world and these 16
:21:46. > :21:50.days end on the 10th of December. Human rights Day. This year also
:21:51. > :21:54.marks the 25th anniversary of the 16 days of action. Madam Deputy
:21:55. > :21:59.Speaker, tackling violence against women has to be a cross-party issue
:22:00. > :22:06.and the delivery of strategies has to be based on what works and go
:22:07. > :22:10.across Parliament. In 2009, the Labour government published the
:22:11. > :22:14.first violence against women and girls strategy, described as marking
:22:15. > :22:17.a major shift to joined up policy. The current government strategy
:22:18. > :22:22.continues that approach but the challenge we face now is how to
:22:23. > :22:28.ensure a complete strategy and how we turned that strategy into
:22:29. > :22:34.outcomes. May I also... I will give way. I just wonder whether she would
:22:35. > :22:38.agree with me that perhaps one of the best examples of cross-party
:22:39. > :22:41.approach is the support for the Istanbul convention and would she
:22:42. > :22:49.hoped that the government are going to fully adopt this? I thank the
:22:50. > :22:54.honourable member for his intervention and he leads me
:22:55. > :22:58.directly onto my next point, where I was about to congratulate the member
:22:59. > :23:06.for Bamford and Buchanan who today has also published the contents of
:23:07. > :23:12.her preventing and combating violence against women and domestic
:23:13. > :23:17.violence ratification of Convention Bill, which will have its second
:23:18. > :23:23.reading next week. The UK signed the convention in June 2012 but has not
:23:24. > :23:28.yet ratified it and this issue was the subject of a letter today to the
:23:29. > :23:33.Prime Minister, signed by over 75 Labour members of Parliament as
:23:34. > :23:39.well. If I could also take a moment to thank the campaign for their work
:23:40. > :23:43.on this issue and recognise the EDM signed by members across this has
:23:44. > :23:49.put down by the member for Paisley and Renfrewshire North. Madam Deputy
:23:50. > :23:53.Speaker, in opening this debate, I want to make three main points. The
:23:54. > :23:58.first is on the growing scale of the challenge at home and abroad, the
:23:59. > :24:02.second on our calls to the government to do more, particularly
:24:03. > :24:07.on prevention through relationship and sex education and ratifying the
:24:08. > :24:13.Istanbul convention, and thirdly, how we need a culture shift across
:24:14. > :24:17.society to include all, including businesses and public services, to
:24:18. > :24:19.lift the lid and engage all in the role they can play on eliminating
:24:20. > :24:36.violence against women and girls. Let me start with a comment on the
:24:37. > :24:41.scale of the problem. Violence against women and girls is rising
:24:42. > :24:46.worldwide. One in three women experience physical or sexual
:24:47. > :24:50.violence. That is a staggering statistic. The world health
:24:51. > :24:55.organisation argues that violence against women is a major public
:24:56. > :25:00.health issue. With women who have experienced violence more likely to
:25:01. > :25:05.have babies with low birth weights and experience depression. Each year
:25:06. > :25:09.in the UK, up to 3 million women experience violence and on average,
:25:10. > :25:16.one woman dies in Britain at the hands of a man every three days. We
:25:17. > :25:21.know also that around one in ten of domestic violence incidents have men
:25:22. > :25:27.as victims. Those numbers are significant, but still, the numbers
:25:28. > :25:33.show the scale and gendered nature of domestic and sexual violence. The
:25:34. > :25:40.cost to our economy is also estimated to be around ?25 billion.
:25:41. > :25:44.This scourge is present in every community across our nation.
:25:45. > :25:50.Domestic and sexual violence knows no boundaries, in terms of age,
:25:51. > :25:55.geography, ethnicity or social background. I want to share if you
:25:56. > :26:00.relatively recent examples from my constituency. A lady approached me
:26:01. > :26:02.recently who had suffered domestic violence for many years. She
:26:03. > :26:06.eventually found the courage to leave her husband, but was left
:26:07. > :26:13.unable to care for her children alone, who were then taken away. The
:26:14. > :26:25.abuse continued and she of her ex-husband and his family. She feels
:26:26. > :26:27.unsupported by the police and scrimped and saved to afford new
:26:28. > :26:30.door locks and security. Her future feels uncertain and she lives and
:26:31. > :26:33.nightmare every day. Another told me how it, six years after leaving her
:26:34. > :26:34.husband, who had an alcohol and drug addiction, he reappeared and
:26:35. > :26:40.threatened her and her elderly parents. The impact of domestic
:26:41. > :26:46.abuse is not just borne by female victims, but also by children. Save
:26:47. > :26:51.Lives estimates that 130,000 children live in homes where parents
:26:52. > :26:56.face serious harm or death at the hands of their partner or
:26:57. > :27:02.ex-partner. Those children can go on to replicate behaviour that they
:27:03. > :27:06.have seen. One mother recently told me of her expedience with her
:27:07. > :27:10.teenage son starting to behave as he had seen his father behaved. He was
:27:11. > :27:14.lucky enough to be able to respond to her challenging him, but she
:27:15. > :27:19.knows it isn't a story that is over for him, and is now seeking support
:27:20. > :27:24.for him as the trauma he experienced players out in his life as he
:27:25. > :27:28.reaches adult hood. The challenge we are facing in provision of child and
:27:29. > :28:04.adult mental health services are having an impact.
:28:05. > :28:12.It affects children's education. Not only does it affect their character,
:28:13. > :28:20.but if I was a child at school, I would be worrying about my mother
:28:21. > :28:29.and not my lessons. He has supported refugees and other services but have
:28:30. > :28:36.supported his constituents. I may just make reference now to the work
:28:37. > :28:40.by Refuge and Women's Aid in challenging the cuts to support for
:28:41. > :28:45.women and their families. And the horror of knowing as well but we
:28:46. > :28:50.have seen an increase over recent years in women being turned away
:28:51. > :28:57.from support because of lack of provision. He also has mentioned
:28:58. > :29:02.schools and education attainment. Certainly, I would extend that to
:29:03. > :29:06.the rules schools are playing in picking up the pieces. One school
:29:07. > :29:11.told me that they estimated at around five children in each class
:29:12. > :29:18.were experiencing or witnessing domestic abuse in some form at home.
:29:19. > :29:24.And indeed, I was told the very sad story of how a school had worked or
:29:25. > :29:27.was working with the mother. She had an emergency escape bag in a
:29:28. > :29:39.cupboard at school for when she felt she absolutely had to flee her home.
:29:40. > :29:43.These cases are far from unique, and indeed, Women's Aid highlight
:29:44. > :29:50.further staggering statistics. The crime survey of England and Wales
:29:51. > :29:56.found that 27.1% of women have experienced domestic abuse since the
:29:57. > :30:05.age of 16, but the rate of domestic violence crime against women has
:30:06. > :30:12.doubled each year since 2009. And indeed, there were over 100,000
:30:13. > :30:19.prosecutions for domestic abuse in 2015 - 16. The highest level ever
:30:20. > :30:23.recorded. It has also been a year since the new offence of coercive
:30:24. > :30:30.control came into force. Domestic abuse goes beyond physical violence
:30:31. > :30:35.and using the law will require greater understanding. One of the
:30:36. > :30:40.questions I would like to put to the Minister is if she could, in her
:30:41. > :30:44.closing remarks, I'd be grateful if she could outline the steps the
:30:45. > :30:50.government is taking to improve training for statutory agencies, so
:30:51. > :30:59.that some of these new fences can be put to greater use. I once to make
:31:00. > :31:04.mention of the issue of online abuse as well, because the scale and
:31:05. > :31:12.nature of both domestic and other abuse is changing. And indeed, in
:31:13. > :31:22.relation to online abuse and how that is combining with off-line
:31:23. > :31:26.abuse, in a survey by Women's Aid, for over 45% of survivors of
:31:27. > :31:31.domestic abuse had also experienced online abuse. There is a real need
:31:32. > :31:35.to look at the legal frameworks we have two ensure the law is
:31:36. > :31:39.up-to-date in all areas, to make sure that there can be protection
:31:40. > :31:46.against online abuse as well as off-line abuse. I will give way to
:31:47. > :31:51.my honourable friend. I thank her for giving way on that point in
:31:52. > :31:55.relation to Facebook and Twitter and other social media outlets. They
:31:56. > :32:00.need to take responsibility for some of the abuse, in that they don't
:32:01. > :32:06.regulate enough. It would be a very positive step for them to support
:32:07. > :32:12.women and girls, but also other groups that are abused by the social
:32:13. > :32:21.media network. He makes a very important point and later I will be
:32:22. > :32:29.mentioning the work of the Reclaim The Internet Campaign and the work
:32:30. > :32:32.they are doing. He highlights the need for a form of court of practice
:32:33. > :32:40.for technology companies and social media providers, both to ensure that
:32:41. > :32:44.survivors of domestic abuse and other forms of violence are
:32:45. > :32:48.protected online, but also other vulnerable users are not subject to
:32:49. > :32:57.abuse producer goes unchallenged or unaddressed. Indeed, I will give
:32:58. > :33:03.way. Does she agree with me that the codes of conduct are already there.
:33:04. > :33:08.There are rules of the road that social media platforms ostensibly
:33:09. > :33:14.trumpet as monitoring their conduct online, but they don't enforce them
:33:15. > :33:18.to the extent that they should. He makes an important point. I think
:33:19. > :33:23.there are good and emerging codes of practice, but I don't believe they
:33:24. > :33:28.go far enough and certainly are not enforced sufficiently. I do believe
:33:29. > :33:32.that there could be further work done, for example, the government
:33:33. > :33:37.could investigate the regulation of closing down of websites that
:33:38. > :33:43.promote or profit from sexual abuse images, but I think we can also look
:33:44. > :33:47.at the extent to which criminal and civil sanctions are used in the
:33:48. > :33:54.cases of domestic abuse, such as domestic violence protection orders
:33:55. > :33:57.and non-molestation orders, and apply to routinely restrain a
:33:58. > :34:02.perpetrator and for making digital contact with a survivor. I do hope I
:34:03. > :34:09.will be able to hear some response from the ministers on that issue. I
:34:10. > :34:13.will give way. Would she agree with me that in relation to online abuse
:34:14. > :34:17.and also physical abuse, that part of the problem is that sometimes
:34:18. > :34:22.these offences across international borders, that many of these websites
:34:23. > :34:28.are hosted outside of the UK. Will she join me in asking the Minister
:34:29. > :34:33.to offer us assurances that as we leave the European Union, the
:34:34. > :34:38.security arrangements we have in place, through European Security
:34:39. > :34:47.agencies, will be protected and will be resourced to be up to the task? I
:34:48. > :34:52.thank my honourable friend for her intervention. She is absolutely
:34:53. > :34:56.right and having worked for in the creative industries on some of the
:34:57. > :35:03.issues around the prevention and addressing of abuse online, I
:35:04. > :35:06.certainly experienced myself the complexity of reaching agreement.
:35:07. > :35:13.And the more we work together as governments, that will help in
:35:14. > :35:18.moving forward on this complex issue of policy and regulation. She
:35:19. > :35:25.highlights the potential risks to this cross- government work that
:35:26. > :35:30.could come from Brexit and I do hope the Minister will address this in
:35:31. > :35:35.her remarks and indeed, give confidence to this House that our
:35:36. > :35:48.implementation of the Istanbul convention will also not be affected
:35:49. > :35:53.by impending Brexit. I may also make mention of the famous I'd sentence.
:35:54. > :36:01.It is a horror that we're recording and told the detail of women killed
:36:02. > :36:08.by men. This was an initiative launched in partnership with Women's
:36:09. > :36:15.Aid, based on the information in a blog, Counting Dead Women in which
:36:16. > :36:22.details of women killed by men were collated. The MP for Birmingham
:36:23. > :36:33.Yardley has released is powerfully and previous occasions. A new report
:36:34. > :36:36.collates information on 936 men in England and Wales, killed by fatal
:36:37. > :36:42.male violence. There have been a number of recommendations to the
:36:43. > :36:47.government, and I'm confident we would hear some information from the
:36:48. > :36:51.government on their response. I also want to recognise the work by local
:36:52. > :37:00.authorities across the country as they grapple with cuts. My own local
:37:01. > :37:06.authority, data from my own local authority shows that in the year to
:37:07. > :37:11.September 2016, there were over 4400 more notifiable offences, compared
:37:12. > :37:15.to September 20 15. Domestic offences, sexual offences and rape
:37:16. > :37:23.offences have all seen a rise. I want to mention the work of our
:37:24. > :37:28.elite councillor on this portfolio, Sue Sampson. Sue's Sister Maureen
:37:29. > :37:35.Roberts aged 23 was shot dead in her place of work in 1976. West
:37:36. > :37:40.Middlesex Hospital, which still serves my constituency. She was shot
:37:41. > :37:44.dead by her estranged husband. Maureen had become a victim of
:37:45. > :37:50.domestic violence shortly after she married three years earlier.
:37:51. > :37:54.Straight after he shot her, he turned the gun on himself, killing
:37:55. > :38:00.himself. Sue still lives with that shock and the horror of what
:38:01. > :38:09.happens, like many others, who are the victims also of the attacks on
:38:10. > :38:12.women and the killings that we have seen now increasingly documented.
:38:13. > :38:16.They live with those stories for the rest of their lives. We have come
:38:17. > :38:20.far with the changes in the law, but as this week's femicide census
:38:21. > :38:29.shows, it is still happening all too often. She is making a very powerful
:38:30. > :38:34.speech on this incredibly important subject. She is right to mention
:38:35. > :38:37.local councils. Stafford borough council has worked together with
:38:38. > :38:42.Staffordshire Women's Aid to create a new women's refuge in Stafford.
:38:43. > :38:47.Would she not agree that this is a fine example of partnership working,
:38:48. > :38:51.which in this case is under the inspirational leadership of Dickie
:38:52. > :38:58.James? He has made his point extremely well and he's absolutely
:38:59. > :39:03.right. Indeed, his local authority, like Hounslow and other authorities,
:39:04. > :39:12.are at the front line for prevention, early and provision of
:39:13. > :39:20.support, but many will face huge challenges in cuts to funding. And
:39:21. > :39:27.the integration of services. The scale of the challenge is also
:39:28. > :39:31.increasing, as data shows. The pattern of violence seems to be
:39:32. > :39:36.beginning even earlier. The women and equality select committee's
:39:37. > :39:41.recent enquiry and report found that almost a third of 16-18 -year-olds
:39:42. > :39:50.say they have experienced unwanted sexual touching at school. 69% of
:39:51. > :39:54.girls and young women aged 13-21 C that they had faced some sort of
:39:55. > :40:02.sexual harassment at school or college.
:40:03. > :40:10.We also need to reflect that the nature of violence can change also.
:40:11. > :40:14.The revenge porn helpline last year received almost 4000 calls, with
:40:15. > :40:22.cases of children as young as 11 making those calls. The battle is
:40:23. > :40:28.being fought hard and with the organisations we are lucky to have
:40:29. > :40:31.individuals working tirelessly. There is cause for hope. I want to
:40:32. > :40:42.thank organisations including women's aid and Refuge. Women's aid
:40:43. > :40:51.also have an affected child first campaign to deal with the needs of
:40:52. > :41:07.victims, the Southall sisters, the FGF campaigners -- FGM campaigners.
:41:08. > :41:09.One woman was recognised by the star university with an honorary
:41:10. > :41:12.doctorate for the work she has done in driving forward an effective
:41:13. > :41:20.campaign -- she was recognised by Bristol university. A very powerful
:41:21. > :41:24.point is being made. The work of the women's refuges was mentioned, and I
:41:25. > :41:27.wanted to highlight that the government is giving ?20 million for
:41:28. > :41:32.women's refuges to help them with their valuable work. I would urge
:41:33. > :41:35.people to firstly applaud that and secondly take advantage of it. I
:41:36. > :41:46.wonder what my honourable friend would say about that. I thank the
:41:47. > :41:49.honourable member for her intervention. Having worked on these
:41:50. > :41:56.issues in Parliament for a number of years, I am sure she will understand
:41:57. > :42:01.our acknowledgement of that support, but also the question of whether it
:42:02. > :42:04.goes far enough or is funding that will be sustained so that
:42:05. > :42:08.organisations can sufficiently plan and work ahead and whether or not
:42:09. > :42:13.that funding has replaced cuts in other areas. There are complex
:42:14. > :42:19.issues around funding for refuges that she will be aware of. To
:42:20. > :42:23.support those services has to be a priority for any government in
:42:24. > :42:28.Britain so that we can provide that support for women at their most
:42:29. > :42:34.vulnerable moments. The everyday sexism campaign as well has shown
:42:35. > :42:41.effectively and has campaigned hard on how women face threats against
:42:42. > :42:45.them in every walk of life. I also want to repeat my mention of the
:42:46. > :42:49.reclaimed the internet campaign, which I believe, going into the
:42:50. > :42:53.future, as an important role to play as the scale of technology in our
:42:54. > :43:05.lives and the way in which that can be used both support victims, but
:43:06. > :43:15.also against victims. That must be tackled by lawmakers. I also want to
:43:16. > :43:19.put on record my appreciation of a campaign which reminds us that
:43:20. > :43:26.gender-based violence is not inevitable and that prevention is
:43:27. > :43:34.not only possible, but essential. To my points about why we need the
:43:35. > :43:40.government to do more... Before the honourable lady comes onto a large
:43:41. > :43:44.chunk of speech, I should point out to her that I appreciate that she
:43:45. > :43:50.has taken a lot of interventions during this speech and that we are
:43:51. > :43:56.not under tremendous time pressure, but she has taken very much longer
:43:57. > :44:01.than the time normally allocated for the opening speech in a debate like
:44:02. > :44:04.this. I am not suggesting that she should finish immediately, but
:44:05. > :44:07.perhaps she should just have a couple of minutes more. Seema
:44:08. > :44:18.Malhotra. Thank you, Madam Deputy Speaker. You will be pleased to hear
:44:19. > :44:25.that I am very close to concluding. I mentioned that we had written to
:44:26. > :44:28.the Prime Minister regarding the Istanbul convention and an update
:44:29. > :44:42.from the minister on that would be welcomed today. If I could also
:44:43. > :44:51.welcome the government's moves this week on the new measures to support
:44:52. > :44:55.victims of stalking, and also the announcement of new funding
:44:56. > :45:00.guidelines. Obviously, there is much work to do with the announcement of
:45:01. > :45:02.national expectations to see what has been announced actually makes a
:45:03. > :45:09.difference and is addressing the challenges we have heard raised from
:45:10. > :45:17.services across the country. We need to ensure that best practice that is
:45:18. > :45:21.highlighted is promoted and extended and that those providing services
:45:22. > :45:26.through local authorities also have some guarantees that they will have
:45:27. > :45:34.resources in the future. Maya also make a reference to the need for
:45:35. > :45:37.compulsory and urgent relationship and sex education and recognised the
:45:38. > :45:44.work of my honourable friend the member for Walthamstow in this. It
:45:45. > :45:54.is so urgent to focus on healthy consensual relationships. I met the
:45:55. > :46:00.family of 20-year-old Holly, who was killed in 2014 by an ex-partner.
:46:01. > :46:04.They highlighted how she did not speak out about the abuse, nor did
:46:05. > :46:08.she understand the signs of a controlling relationship. They
:46:09. > :46:13.believe that relationship and sex education in schools could have
:46:14. > :46:16.saved their daughter. It is a message they take throughout their
:46:17. > :46:20.organisation. There is an urgent need for this, and I fail to
:46:21. > :46:22.understand how after six years, the government has failed to implement
:46:23. > :46:29.what all the evidence shows is necessary. Where there is
:46:30. > :46:32.relationship and sex education in schools, it is clearly patchwork and
:46:33. > :46:36.not good enough. There is an urgent need to join up delivery not just on
:46:37. > :46:39.this, but also on the government strategy as a whole for violence
:46:40. > :46:46.against women and girls. If I could make my final point on the need for
:46:47. > :46:50.a shift in culture in our country, the public awareness about the role
:46:51. > :46:55.we can all play. I mentioned the excellent work of Croydon Council,
:46:56. > :46:58.where their work has taken the issue mainstream, engaging with businesses
:46:59. > :47:04.on how they can be the first line of support for their employees who are
:47:05. > :47:10.victims, as well as other organisations. It is not always
:47:11. > :47:15.about resources, it is a shift in culture, and it can save lives. If I
:47:16. > :47:18.could close with a quote, which I believe is very powerful and
:47:19. > :47:26.important for us to note, from Ban Ki-Moon. "Violence Against women and
:47:27. > :47:29.girls is a human rights violation, a public health pandemic and a
:47:30. > :47:33.obstacle to development. It imposes a large cost of families,
:47:34. > :47:39.communities and economies. The world cannot afford to pay this price".
:47:40. > :47:45.The question is as on the order paper. It is a great pleasure to
:47:46. > :47:48.follow the honourable lady for Feltham and Heston and congratulate
:47:49. > :47:53.her on needing this debate, and also to thank the backbench business
:47:54. > :47:55.committee for granting the debate in the first dose. Gender-based
:47:56. > :48:03.violence is a human rights violation. And it is something that
:48:04. > :48:08.women confront in every country. But whichever side of the House we sit
:48:09. > :48:14.on today, I think we can recognise and be proud of this government's
:48:15. > :48:19.record, particularly the commitment from the Prime Minister to these
:48:20. > :48:23.issues. My right honourable friend the Prime Minister has shown her
:48:24. > :48:28.commitment on a personal level to ending violence against women not
:48:29. > :48:35.just with warm words, but with clear action. Ever since I have been an MP
:48:36. > :48:38.in this place, and probably as long as you have, Madam Deputy Speaker,
:48:39. > :48:43.the Prime Minister has shown that commitment. We do need more
:48:44. > :48:48.countries to have that sort of leadership that we have in this
:48:49. > :48:54.country. I was reminded of this yesterday when I spoke to my
:48:55. > :48:57.counterpart, chair of the Parliamentary women's committee in
:48:58. > :49:04.Tunisia, who has been instrumental in pressing forward with a women's
:49:05. > :49:08.rights and gender violence Bill which would be ground-breaking in
:49:09. > :49:13.terms of legislation in the Arab world, and deserves our support. I
:49:14. > :49:17.would also like to echo the words of the honourable lady who has just
:49:18. > :49:22.spoken to pay tribute to the extraordinary work of organisations
:49:23. > :49:26.like Women's Aid, Refuge, ActionAid, the coalition to end violence
:49:27. > :49:30.against women and the Everyday Sexism campaign. The sort of civil
:49:31. > :49:34.society we take for granted which doesn't always exist in other
:49:35. > :49:38.countries. One of our challenges is, how do we take forward that sort of
:49:39. > :49:42.learning into other countries around the world? , honourable gentleman
:49:43. > :49:50.forgive me if I make some speed? Don't want to incur the wrath Madam
:49:51. > :49:57.Deputy Speaker! I know her well. The government's record at home should
:49:58. > :49:59.be recognised across the House. The government's violence against women
:50:00. > :50:05.strategy which was delivered in March means that in the UK, we have
:50:06. > :50:09.a clear practical strategy in place not only to support victims, but
:50:10. > :50:14.also to bring perpetrators to justice. New offences have gone in
:50:15. > :50:19.hand with work to change culture, and again, this Prime Minister has
:50:20. > :50:25.put in place the Modern Slavery Act to tackle a crime which affects so
:50:26. > :50:28.many women. But still, we have 1.3 million women in this country who
:50:29. > :50:35.have experienced domestic violence in the last year. 400,000 have been
:50:36. > :50:38.victims of sexual assault. The announcements that were made by my
:50:39. > :50:44.honourable friend who is sitting on the front bench today, yesterday,
:50:45. > :50:47.show that this government is in no way complacent. New stalking and
:50:48. > :50:52.civil protection orders, more funding for better support services,
:50:53. > :50:58.all shows is that this is under constant review. We should also
:50:59. > :51:04.recognise the work that has been done in other parts of government.
:51:05. > :51:07.The UK has advocated for a stand-alone go on gender equality as
:51:08. > :51:10.part of the sustainable development goals, something that my select
:51:11. > :51:14.committee will be looking at in detail. We need to make sure that
:51:15. > :51:20.those commitments are put into practice at home. It is DFID who has
:51:21. > :51:25.increased the support to tackle violence against women by increasing
:51:26. > :51:31.by 60% its funding for work in Africa, particularly around the
:51:32. > :51:42.issues of female genital mutilation. Hold on, boys!
:51:43. > :51:48.It is DFID who supported the work on freedom programme which means over
:51:49. > :51:53.200,000 people, particularly those in domestic households and also in
:51:54. > :51:57.the garment industry in South Asia and the Middle East who have been
:51:58. > :52:00.helped who would have before been facing slavery and exploitation. I
:52:01. > :52:05.will give way to the honourable gentleman for the Liberal Democrats.
:52:06. > :52:12.I thank her for giving way to one of the boys. Clearly, I welcome the
:52:13. > :52:17.measures the government reducing in relation to FGM and in particular
:52:18. > :52:21.the NHS now having to collate data sets on this. I wonder if she has
:52:22. > :52:28.any evidence that this is starting to feed through in terms of an
:52:29. > :52:33.increased level of prosecutions? Yes, I was going to speak about
:52:34. > :52:38.that. The honourable gentleman is slightly stealing my next lines.
:52:39. > :52:41.When you look at the crime survey statistics that have been brought
:52:42. > :52:44.out, the number of women experiencing domestic violence is
:52:45. > :52:47.actually the lowest since the survey began. And there is a downward trend
:52:48. > :52:54.in the prevalence of sexual assaults. There is still much more
:52:55. > :52:59.to do, but we are seeing the highest ever levels of convictions for
:53:00. > :53:02.violence against women crimes. I know the honourable gentleman would
:53:03. > :53:09.agree that there is more to do, but I think the direction of travel is
:53:10. > :53:12.something to be applauded. But we still have 1.3 million women who
:53:13. > :53:17.will be potentially listening to this debate today and thinking there
:53:18. > :53:22.is more we could be doing for them. Actually, I feel I should give way
:53:23. > :53:26.to the honourable gentleman whose constituency I can't remember. I
:53:27. > :53:31.thank the honourable lady for giving way and the contribution she is
:53:32. > :53:34.making. As she agree it is important that the government ratifies the
:53:35. > :53:39.Istanbul convention to show global leadership? We heard in the debate
:53:40. > :53:43.in Westminster Hall yesterday about the situation in South Sudan, where
:53:44. > :53:46.70% of women in the capital city have experienced sexual assault
:53:47. > :53:51.during the conflict in that country. It is horrific and we need to show
:53:52. > :53:54.global leadership by ratifying the convention. The honourable gentleman
:53:55. > :54:03.is right. We have signed that convention, though. We are waiting
:54:04. > :54:07.for the ratification. I know that ministerial colleagues will be
:54:08. > :54:10.looking at how we unpick the complexities of making sure that
:54:11. > :54:21.ratification is done in the right way. Mr Deputy Speaker... Sorry, Mr
:54:22. > :54:26.Speaker! I just want to focus on two Swift points, because I know there
:54:27. > :54:29.are many different honourable members who want to come in on this
:54:30. > :54:32.debate. I make no bones about it. I am going to focus on two issues that
:54:33. > :54:44.affect us in the UK. I think the biggest challenges in
:54:45. > :54:49.our lives on the way we tackle the online world. This is something Mr
:54:50. > :54:51.Speaker that we need to do more about. Children spend more time
:54:52. > :54:57.online than they do watching television. We have new and more
:54:58. > :55:03.inventive ways being put to us in terms of the weight perpetrators of
:55:04. > :55:07.against women and girls act will stop 45% of domestic violence
:55:08. > :55:11.survivors experience abuse online and that is abuse that is really
:55:12. > :55:16.difficult to escape. I welcome the legislation that this Government has
:55:17. > :55:19.brought in in terms of online prevention and I welcomed working
:55:20. > :55:27.with my right honourable friend who was then the in the Department of
:55:28. > :55:30.Justice, making sure that we have world leading legislation in this
:55:31. > :55:36.area are not only that, helping support victims through the revenge
:55:37. > :55:47.pornography helpline. The new guidance that has been issued to
:55:48. > :55:50.schools on sexting. It is putting in the laws we need to reckon I set the
:55:51. > :55:55.mind what is very different and that those are the laws around age
:55:56. > :55:58.verification, for accessing pornography online. We need to go
:55:59. > :56:02.further and I do hope that the Law Commission is able to take forward
:56:03. > :56:07.its review of the law in this area. I want to see four things. Firstly,
:56:08. > :56:12.to make sure that it is clear that if there is a legal liability or on
:56:13. > :56:15.my media platforms to make sure that women are not abused online, that
:56:16. > :56:20.there is a clear definition of the abuse and that there is a
:56:21. > :56:27.recognition of the drain on police resources that the current system
:56:28. > :56:33.at a system of fines that those who at a system of fines that those who
:56:34. > :56:39.are the worst offenders in this way. We should not be put off by the fact
:56:40. > :56:41.that this is an industry that transcends international builders,
:56:42. > :56:46.we need to make sure that it is working for us in our country in the
:56:47. > :56:50.way we want it to and finally to this and previous thoughts which was
:56:51. > :56:52.the importance of having a proper code of practice, not just lip
:56:53. > :56:57.service and am afraid at the moment that is what it is. The second area.
:56:58. > :57:04.I believe we need to focus on in debate debate, dumping the
:57:05. > :57:08.honourable lady brought up which I think is the select committee
:57:09. > :57:11.brought out on sexual harassment, excellent because of the wonderful
:57:12. > :57:17.work of the clerks, not because we like myself on the honourable lady,
:57:18. > :57:21.as much as we try very hard. I thank the honourable lady who led the
:57:22. > :57:26.debate today for allowing us to attach that report to this bill to
:57:27. > :57:30.give it more publicity. Because she knows from having read it that two
:57:31. > :57:32.out of three young women are experiencing sexual harassment and
:57:33. > :57:38.basis. She knows that than Justice basis. She knows that than Justice
:57:39. > :57:41.in the 21st Century on Innovative Approaches for the Criminal Justice
:57:42. > :57:49.System then goes on that 68% of students are experienced verbal and
:57:50. > :57:55.physical harassment. They go on the outside world to have 85% of women
:57:56. > :57:58.unwanted sexual attention. A document of problem that we need to
:57:59. > :58:02.make sure we are dealing with in this country. I believe that whilst
:58:03. > :58:05.there are many things that we can be doing, the one thing that we can be
:58:06. > :58:08.doing more than anything else is making sure that we give young
:58:09. > :58:14.people the sort of knowledge that they need to be able to navigate the
:58:15. > :58:21.world better, the sort of knowledge that they would get from having
:58:22. > :58:27.compulsory sex in -- and relationship information at school.
:58:28. > :58:33.We have to do tackle the root causes as well. The sort of behaviour that
:58:34. > :58:36.some of us had to experience in the workplace of 30 years ago is
:58:37. > :58:41.something we would not tolerate, yet we are insisting that young people
:58:42. > :58:45.keep quiet, do not speak out and do not get the support that they need
:58:46. > :58:51.when they experience that sort of behaviour at school. I know, Mr
:58:52. > :58:52.Speaker, that there is a great deal of support for change in this area.
:58:53. > :58:58.I have heard it from the dispatch I have heard it from the dispatch
:58:59. > :59:06.box, from my honourable friend, the education minister, the Secretary of
:59:07. > :59:11.State, the Minister for women, I hope to hear perhaps today from my
:59:12. > :59:17.contributes to this debate. There is contributes to this debate. There is
:59:18. > :59:20.widespread support from ministers across the board, across departments
:59:21. > :59:25.to update this guidance, to make sure that it is fit for purpose and
:59:26. > :59:28.to make sure that we listen to be 90% of parents who want compulsory
:59:29. > :59:36.sex and relationship education and they want it now.
:59:37. > :59:40.Thank you, Mr Speaker. Today, I am going to relate an event that
:59:41. > :59:43.happened to me many years ago and I wanted to give it a very personal
:59:44. > :59:48.perspective to help people in this place and outside to understand one
:59:49. > :59:55.element of sexual violence against women. When I was 14, I was raped.
:59:56. > :00:00.As is common, it was by somebody who was known to me. He had offered to
:00:01. > :00:04.walk me home from a youth event and in those days, everybody walked
:00:05. > :00:10.everywhere, it was quite common to do that. It was early evening, it
:00:11. > :00:14.was not dark, I was wearing jeans and a sweatshirt. I knew my wearable
:00:15. > :00:19.round, where I live, I was very confident and we went a slightly
:00:20. > :00:24.different way but I did not think anything of it. He told me he wanted
:00:25. > :00:30.to show me something in a wooded area and at that point, I must
:00:31. > :00:34.admit, I was alarmed. I did have a warning bell. But I overrode that
:00:35. > :00:40.warning about because I knew him and therefore there was a level of trust
:00:41. > :00:45.in place. And to be honest, looking back at that point, I do not think I
:00:46. > :00:48.knew what rape was. It was not something that was talked about. My
:00:49. > :00:53.mother never talk to me about it, I did not hear other girls or other
:00:54. > :00:58.women talking about it. It was mercifully quick and I remember
:00:59. > :01:10.first of all feeling surprised then beer and then horror as I realised I
:01:11. > :01:15.could not simply escape. -- fear. There was no sexual desire from him,
:01:16. > :01:22.I find odd. My senses were absolutely numbed and thinking about
:01:23. > :01:25.it now, 37 years later, I remember, I cannot remember hearing anything
:01:26. > :01:31.when I be played in my mind. Now, as when I be played in my mind. Now, as
:01:32. > :01:38.somebody who is an ex-professional musician who is very auditory, I
:01:39. > :01:41.find that quite telling. I now understand that your subconscious
:01:42. > :01:45.brain, not your conscious brain, makes a decision on your behalf as
:01:46. > :01:49.to hell you should respond, whether you take flight, whether you fight
:01:50. > :01:55.or whether you freeze. And I froze, I must be honest. Afterwards I
:01:56. > :01:58.walked home alone, I was crying, I was cold and shivering and I now
:01:59. > :02:05.realise that was the shock response. I did not tell my mother. I did not
:02:06. > :02:11.tell my father. I did not tell my friends. I did not tell the police.
:02:12. > :02:15.I bottled it all up inside me. I hope, briefly, an appallingly that I
:02:16. > :02:20.might be pregnant so that would force a situation to help me control
:02:21. > :02:25.it. Of course, without support, the capacity and resources I had with me
:02:26. > :02:29.to process it with very limited. I was very ashamed, I was ashamed that
:02:30. > :02:33.I had allowed this to happen to me and I had a whole range of internal
:02:34. > :02:39.conversations about I should have known, why did I go that way? Why
:02:40. > :02:43.did I walk home with them? Why did I not understand the danger? I
:02:44. > :02:48.deserved it because I was to this, I was to that. I thought that I was
:02:49. > :02:54.spoiled and impure. I really felt revulsion towards myself. I then
:02:55. > :03:00.detached from the child that I had been and although at the age of 14
:03:01. > :03:04.that was properly the start of my sexual awakening, at that time
:03:05. > :03:07.remembering back, sex was something that men did to women and perhaps
:03:08. > :03:11.this incident reinforced that early Billy. I briefly thought favour
:03:12. > :03:25.elsewhere. -- that early Billy. My oldest friends with whom I am
:03:26. > :03:30.still friends must have sensed change in me but because I had never
:03:31. > :03:34.told them, they did not know because. I allowed myself to drift
:03:35. > :03:39.away from them for quite a few years and indeed found myself taking time
:03:40. > :03:44.off school and staying at home on my own listening to music and reading
:03:45. > :03:47.and so on. I did have a boyfriend in later years of school and he was
:03:48. > :03:53.very supportive when I told about it but economic sense my response and
:03:54. > :03:59.it is my response that gives weight to the event. I carried that guilt,
:04:00. > :04:03.anger, and sadness for years. And when I got married, 12 years later,
:04:04. > :04:08.I felt I had a duty to tell my husband. I wanted him to understand
:04:09. > :04:13.why there was this waddled kernel of extreme emotion at the very heart of
:04:14. > :04:18.for many years, I simply could not for many years, I simply could not
:04:19. > :04:23.say the words without crying. I cannot say the words. And it was
:04:24. > :04:30.only my mid-40s I took some steps to go and get help. So it had a huge
:04:31. > :04:34.effect on me and it fundamentally and fatally undermined it my self
:04:35. > :04:39.esteem, my confidence and my sense of self-worth. Despite this, I am
:04:40. > :04:46.happily married for 25 years. But it happily married for 25 years. But it
:04:47. > :04:49.was the effect from a small significant event in my life stage,
:04:50. > :04:57.how must it be for these women who are carrying this in a day by day
:04:58. > :05:02.basis. And I thought should I speak about this today? And that almost
:05:03. > :05:07.intake of breath, what, you're going to go and talk about this was
:05:08. > :05:12.exactly the reason that me to go into it because there is still a
:05:13. > :05:16.taboo about sharing this kind of information and certainly the people
:05:17. > :05:22.of my generation, it is truly shocking to be talking in public
:05:23. > :05:25.about this sort of thing. And somebody remarked earlier, they does
:05:26. > :05:31.not affect women, infects the family as well and before my mother died,
:05:32. > :05:37.early of cancer, I really wanted to tell her. I could not bring myself
:05:38. > :05:39.to. I have a daughter and if something happened to my daughter
:05:40. > :05:45.and she could not shared with me, I would be appalled. It was perhaps
:05:46. > :05:46.cowardly but there was an act of love that meant I protected my
:05:47. > :05:52.mother. As an adult, of course I now mother. As an adult, of course I now
:05:53. > :05:56.know rape is not about sex at all, it is all about power and control
:05:57. > :06:00.and it is a crime of violence and I still pick up on where the myth of
:06:01. > :06:04.rape are perpetuated from a male perspective. Surely you could have
:06:05. > :06:08.fought him off, did you scream loudly enough? And the idea that
:06:09. > :06:11.some men would suggest that the women is giving subtle hints or is
:06:12. > :06:15.making it up is outrageous. These are but the women at the heart of
:06:16. > :06:21.cause when she should be at the heart of effect. A rate happens when
:06:22. > :06:25.a man makes a decision to hurt someone he feels he can control,
:06:26. > :06:31.rapes happen because of the rapist, not because the victim. And we women
:06:32. > :06:37.and society has to stand up for each other. We have to be courageous, we
:06:38. > :06:41.are wrong. We have to nurture are wrong. We have to nurture
:06:42. > :06:46.sisters as we do with our sons. Like many women of my age, I have, on
:06:47. > :06:50.occasion, encountered other aggressive actions towards people,
:06:51. > :06:58.both in business and in politics. But one thing I realise now is that
:06:59. > :07:09.I am not scared and he was. I am not scared. I am not a victim, I am a
:07:10. > :07:14.survivor. I thank the honourable lady for what she has said and the
:07:15. > :07:26.way in which she said it which is left an impression upon us all.
:07:27. > :07:32.Thank you, Mr Speaker. It's an unbelievable thing to follow on
:07:33. > :07:43.from, the member for Edinburgh West, after she has shared a have terrific
:07:44. > :07:55.event from 37 years of growth. -- horrific. The extension of the
:07:56. > :08:00.shameless... It is very hard to comprehend. Thank you for calling me
:08:01. > :08:07.at this really very important debate. I would like to congratulate
:08:08. > :08:12.the honourable lady for securing this important debate and it gives
:08:13. > :08:21.us an opportunity around this chamber to share our experiences and
:08:22. > :08:25.this House, when it speaks to the this House, when it speaks to the
:08:26. > :08:31.nation. It is incredibly concerning and depressing and deeply
:08:32. > :08:37.distressing to have this debate on violence against women when we have
:08:38. > :08:43.so many different themes to discuss and one of my first points was going
:08:44. > :08:50.to be about rape being used as a disgusting weapon of war. Or indeed
:08:51. > :08:54.the fear and as we had the actuality of it happening on streets to
:08:55. > :09:01.youngsters. Last night, I hosted an event with colleagues, an all-party
:09:02. > :09:05.Parliament group, women in Parliament group alongside the women
:09:06. > :09:08.in enterprise group to give help and support and inspire and trying to
:09:09. > :09:13.link in further with women in communities across the UK. These
:09:14. > :09:17.diverse women coming to Parliament, talking about their thriving
:09:18. > :09:22.networks, their growing backrooms but it is vital as we have heard, we
:09:23. > :09:28.must accept and that the knowledge that gender-based inequality can
:09:29. > :09:31.stop our women and children from the very basic life chances and the
:09:32. > :09:33.opportunities due to the threat of violence that people live with
:09:34. > :09:38.daily. From acts of institutional daily. From acts of institutional
:09:39. > :09:43.violence against women across the violence against women across the
:09:44. > :09:50.world to domestic abuse, so much needs to be done to protect women
:09:51. > :09:55.from gendered -based violence. It is astonishing and heartbreaking to
:09:56. > :09:59.report that one third of women have experienced physical or sexual
:10:00. > :10:05.that is the women who do feel able that is the women who do feel able
:10:06. > :10:13.to report it. More than two thirds of family related homicides of our
:10:14. > :10:18.women. Turning to my constituency work and the impact of what I have
:10:19. > :10:23.experienced weekly in my surgeries in hearing from people who when I
:10:24. > :10:28.sit there, I understand they are living with coercive control. It is
:10:29. > :10:32.something that we now have a law about and I have spoken to both the
:10:33. > :10:37.Home Secretary and the chief con all of Hampshire Police about
:10:38. > :10:40.understanding that law and the opportunity that we have to protect
:10:41. > :10:45.people who find themselves within it and even sitting in my office is
:10:46. > :10:47.going through what this law covers, people start to recognise this is
:10:48. > :10:58.actually happening. I encounter constituents coming in
:10:59. > :11:01.and reporting how they have had to deal with this, how they have
:11:02. > :11:05.interacted with the police and how they have felt under threat innit
:11:06. > :11:08.threat and fear and how they want me to feed in the actuality of their
:11:09. > :11:15.situation and the control and threat that people find around family. It
:11:16. > :11:19.still shocks and surprises me that people do not feel safe in a place
:11:20. > :11:22.where they are reporting what has happened to them so that they can go
:11:23. > :11:30.on to a better life, which they deserve. I welcome the work that
:11:31. > :11:37.this government is doing on a vital strategy to end violence against
:11:38. > :11:39.women, committing to a transformation of service delivery,
:11:40. > :11:47.achieving a long term reduction in these crimes. I have been proud to
:11:48. > :11:50.have contributed to the role women and equality select committee and
:11:51. > :11:54.congratulate the right honourable member for Basingstoke on the
:11:55. > :11:59.commitment, and it is pure commitment, and leadership she has
:12:00. > :12:05.shown to make this an effective and bold, vital committee to the work of
:12:06. > :12:09.this House. This strategy and the associated funding we have heard,
:12:10. > :12:15.the 80 million will go some way to fight violence against women. I am
:12:16. > :12:18.also especially pleased that as we have heard today, 20 million more
:12:19. > :12:25.will go towards supporting women's refuges and helping councils to
:12:26. > :12:32.provide further accommodation for women fleeing violent partners. I
:12:33. > :12:39.would like to touch on three of the key areas where I feel I can
:12:40. > :12:41.contribute to this debate today - human trafficking, stalking and the
:12:42. > :12:48.international effort to stop this violence. Human trafficking is
:12:49. > :12:53.widely accepted to be a form of violence directed against women.
:12:54. > :12:57.Police and other authorities have identified at least 3266 people last
:12:58. > :13:05.year who were thought to have been victims of modern slavery. We must
:13:06. > :13:11.all suspect that the real number, including those who go undetected,
:13:12. > :13:15.is higher. This government is doing excellent work to increase the rate
:13:16. > :13:21.of detection and liberate these modern slaves from their abusers.
:13:22. > :13:27.Often, victims of modern slavery are women who have been sold a lie, are
:13:28. > :13:29.forced with threats of violence into this country into degrading and
:13:30. > :13:36.dangerous servitude. While we debate this motion today in a palace by the
:13:37. > :13:41.river, we are in the same city where women are being beaten, enslaved and
:13:42. > :13:46.forced into prostitution. There can be no effort to great and no stone
:13:47. > :13:52.left unturned as we find the gangs responsible for this hideous crime
:13:53. > :13:55.and punish them. I welcome the work that the first independent
:13:56. > :13:58.anti-slavery commissioner, Kevin Hyland, is doing, and I hope his
:13:59. > :14:07.recent report will continue to shine a light on this despicable criminal
:14:08. > :14:10.gang action and we will make sure those gangs are brought to justice
:14:11. > :14:18.who continue to exploit our women. In addition to DFID's work on the
:14:19. > :14:22.freedom programme, which is reaching over 200,000 people so far, I am
:14:23. > :14:26.delighted to be in a government supporting our DFID aid budget. I
:14:27. > :14:30.would like to now turn to the issue of stalking. The government's
:14:31. > :14:35.introduction of section 111 and the protection of freedoms act of 2012,
:14:36. > :14:42.which created two new offences in terms of stalking. The more serious
:14:43. > :14:47.one of these is the aid for offence. It is defined as stalking involving
:14:48. > :14:55.fear of violence or serious alarm or distress. Once again, we see another
:14:56. > :14:58.theme in which women face the threat of violence. The number of
:14:59. > :15:07.prosecutions is rising every year, from 91 in the first six months to
:15:08. > :15:12.over 1100 prosecutions commencing in 2014-15. In the December 2015, the
:15:13. > :15:17.Home Office published this consultation to introduce whether a
:15:18. > :15:22.protection order for the cases of stranger stalking. I thank my
:15:23. > :15:29.honourable friend for Cheltenham for his work on this terrible crime. I
:15:30. > :15:34.have shared this experience of being stalked in my former career. It was
:15:35. > :15:38.a personal experience which I shared with my honourable friend from
:15:39. > :15:44.Cheltenham in regard to this issue. The confusion that affected me in
:15:45. > :15:49.regard to the Data Protection Act, that it was safer for me to not know
:15:50. > :15:55.the person who was stalking me because of the Data Protection Act
:15:56. > :15:59.was a terrible personal experience. The summary of the responses was
:16:00. > :16:06.published yesterday and within this publication, there is an astonishing
:16:07. > :16:08.figure. 20% of respondents stressed that there has been a lack of
:16:09. > :16:14.understanding of stalking amongst professionals, including the police
:16:15. > :16:18.and sadly, continued failure to take it seriously. Interestingly, it
:16:19. > :16:21.appears that the consultation responses are broadly in favour of
:16:22. > :16:27.increasing the strength of law in this area and I would agree. I am
:16:28. > :16:30.pleased that the government has announced that they will be
:16:31. > :16:38.introducing a new civil stalking protection order, which should go
:16:39. > :16:43.some way to strengthen the law. Finally, I would like to touch on
:16:44. > :16:46.the international effort. I would like to congratulate the Secretary
:16:47. > :16:49.of State for International Development for her work in this
:16:50. > :16:54.area. We are contributing ?8 million to the UN trust fund to end violence
:16:55. > :16:58.against women and 35 million to the programme to reduce FGM, and it is
:16:59. > :17:03.having an effect. I had the pleasure of going to the women of the year
:17:04. > :17:08.lunch earlier this year, and one attendee took me to one side and
:17:09. > :17:13.said she applauded my party and our government for tackling FGM. She
:17:14. > :17:19.said our PM has led the way in this matter. She then went on to say we
:17:20. > :17:24.were the only party that realised that we had nothing in it for us, so
:17:25. > :17:30.we were able to go where other people had not dared to tread. I
:17:31. > :17:36.want to say how much she is right about this FGM issue, which has
:17:37. > :17:41.slightly gone off the burner in the last few months. It must come back.
:17:42. > :17:44.It is vital that we get proper prosecutions, does she not agree,
:17:45. > :17:47.and also, the International development agenda equality Bill
:17:48. > :17:53.which is being implemented by the government. I was proud to sit at
:17:54. > :17:56.the women of the year lunch with some really diverse and fantastic
:17:57. > :18:03.ladies from around the country who have done so much positive work, to
:18:04. > :18:07.know that people felt we had gone into an area which had been ignored
:18:08. > :18:13.for so long, so I agree with the honourable member. The contribution
:18:14. > :18:17.of the UK to the women's rights organisation is critical to ensure
:18:18. > :18:21.that there is an international coordinated effort to deal with
:18:22. > :18:24.these crimes. This debate is part of this effort, and I am delighted to
:18:25. > :18:28.contribute to it. The UN International day for the
:18:29. > :18:34.elimination of violence is held on the 25th of November and then there
:18:35. > :18:38.are 16 days of vital activism which highlight these important issues. We
:18:39. > :18:41.have made the UK one of the leading voices in the world, and I am proud
:18:42. > :18:47.to support the government in doing this. Many statistics have been used
:18:48. > :18:52.today to describe the enormous amount of work that needs to be
:18:53. > :18:56.done, but these statistics are more than that. They are mothers,
:18:57. > :19:02.daughters, sisters, nieces, friends and colleagues. To truly end
:19:03. > :19:06.violence against women and girls, we need to make sure there is no part
:19:07. > :19:12.of the world, no part of society or state or lack of a law which allows
:19:13. > :19:20.abuse of women or that the laws are left unused and not being
:19:21. > :19:24.appropriate. We need to crush the human trafficking gangs. We need to
:19:25. > :19:30.strengthen our institutional resolve to fight violence in this country.
:19:31. > :19:33.Madam Deputy Speaker, more needs to be done so that no sister is left
:19:34. > :19:43.behind or even worse, feels that she is left so. Tracy Braeburn. Thank
:19:44. > :19:47.you. I was 20 and the worst thing I could ever imagine happening to me
:19:48. > :19:50.was about to take place. I was going to be one of those very rare
:19:51. > :19:55.statistics of a woman who is attacked by a stranger, not by
:19:56. > :19:58.someone she knows. I was in my second year at university. The man
:19:59. > :20:02.had seen me walk past his car and had waited ahead for me to turn the
:20:03. > :20:18.corner. As I came up against him, or those words of advice your mum
:20:19. > :20:21.gives you, medium where it hurts and then run like hell, they
:20:22. > :20:24.disappeared. I was frozen in fear. As he shoved me to the ground,
:20:25. > :20:27.trying to rape me, I fought back, but I was battered. It was only the
:20:28. > :20:29.community spirited Indian neighbour down the road that saved me from
:20:30. > :20:32.something much worse. I count myself as one of the lucky ones. I had
:20:33. > :20:35.managed to memorise his car number plate and he was caught an hour
:20:36. > :20:38.later. He went to court. Not many do. He pleaded guilty. I didn't have
:20:39. > :20:40.to go through the horrors of a trial. He was sentenced. I didn't
:20:41. > :20:43.have to look over my shoulder, checking if he was following me. He
:20:44. > :20:47.was a stranger. I didn't have to wake up in the same bed as him, go
:20:48. > :20:51.to work with him as my boss. He didn't use a broken bottle to hurt
:20:52. > :20:57.me. He was alone and not with a group of other men. It was only
:20:58. > :21:00.once, and not several times. The point to this story is that even
:21:01. > :21:04.though, on the scale of violence against women, I was lucky because
:21:05. > :21:08.justice was done, the following few years were hard. I got afraid
:21:09. > :21:13.walking alone, so I bought a bike. I got scared in the night. I slept
:21:14. > :21:19.with a knife. I was easily startled and cried at the drop of a hat. But
:21:20. > :21:23.again, I was lucky. I didn't have a job to keep down, children to care
:21:24. > :21:27.for, elderly relatives to see too. I could work my way through the impact
:21:28. > :21:34.of this violent assault at my own speed and in my own space. A new
:21:35. > :21:39.investigation recognises the violence against women is a global
:21:40. > :21:44.health emergency, an emergency that has impact on the GDP of a country.
:21:45. > :21:48.After a woman experiences violence like I did, the hours, days and
:21:49. > :21:52.weeks a community and family have to spend taking care of an affected
:21:53. > :21:59.woman has a quantifiable financial impact on her community through the
:22:00. > :22:04.loss of her unseen caring responsibilities and work
:22:05. > :22:07.contributions. Of course, as I said at the beginning, there are all
:22:08. > :22:12.sorts of versions of violence against women - domestic abuse,
:22:13. > :22:16.sexual assault, child abuse, actual bodily harm, murder. Every assault
:22:17. > :22:20.is different. Some are one-offs like mine. For others, violence is a
:22:21. > :22:26.regular and painful part of the fabric of their lives. At least one
:22:27. > :22:30.in four women experienced domestic violence in their lifetime. On
:22:31. > :22:36.average, a woman is assaulted 35 times before her first call to the
:22:37. > :22:43.police. The police receive one domestic violence call every minute
:22:44. > :22:48.in the UK. That is one woman every minute who has probably been hurt 35
:22:49. > :22:52.times before having the courage to ring the police. Sadly, domestic
:22:53. > :22:59.violence can often end in the death of that woman. As by honourable
:23:00. > :23:03.friend has pointed out, 936 women were killed by men in England and
:23:04. > :23:12.Wales over a six-year period. That is one every few days. -- one every
:23:13. > :23:15.three days. So statistically, we can see violence against women is
:23:16. > :23:20.happening in large numbers and in some instances, it can be predicted.
:23:21. > :23:24.The chief executive of Women's Aid said the killing of a woman,
:23:25. > :23:30.especially when the woman is killed by an abusive partner or ex-partner,
:23:31. > :23:33.is often reported as an isolated incident. But there is an abject
:23:34. > :23:37.failure to look at the patterns of behaviour. It is as if we accept
:23:38. > :23:43.fatal male violence has an inevitability, not a conscious
:23:44. > :23:48.choice that a man has made to end a woman's life, that these killings
:23:49. > :23:52.are not isolated incidents. Too many follow a similar pattern of violence
:23:53. > :23:57.that make them premeditated. Many are committed in similar settings.
:23:58. > :24:02.Similar weapons are used. Similar relationships exist between the
:24:03. > :24:07.perpetrators and victims. So we need joined up thinking on this issue. We
:24:08. > :24:12.need to educate young men on consent and respect for women, empower women
:24:13. > :24:18.who are suffering domestic abuse to leave, offering them a safe place to
:24:19. > :24:21.go, refuse to accept online abuse. I applaud the minister's work on
:24:22. > :24:25.making stalking a crime, either online or in person. We must support
:24:26. > :24:31.the organisations that work with women and girls who have experienced
:24:32. > :24:34.violence, giving them time and the resources they need, encourage women
:24:35. > :24:41.to speak out and get help. But of course, a victim of abuse does not
:24:42. > :24:48.fit any stereotype. In my previous industry, an industry famous for
:24:49. > :24:51.tales of the casting couch, 65%, nearly three quarters of women media
:24:52. > :24:56.workers have experienced intimidation, threats and abuse. In
:24:57. > :25:00.fact, the International Federation of journalists has said that
:25:01. > :25:05.violence against women remains one of the most widespread and tolerated
:25:06. > :25:10.violations of human rights, and its perpetrators continue to enjoy
:25:11. > :25:13.impunity while the victims face losing their job, having their
:25:14. > :25:18.careers ruined or worst all, being killed. And it doesn't matter how
:25:19. > :25:23.famous you are or how big your public profile. This week, Lady Gaga
:25:24. > :25:27.admitted she suffered from PTSD after being raped at 19. The actress
:25:28. > :25:31.in last Tango in Paris, Maria Schneider, said the intimacy with
:25:32. > :25:34.the butter was not consensual and that it was an assault, but because
:25:35. > :25:39.it was in front of cameras, she had to suck it up is all in a day's
:25:40. > :25:45.work. Oprah Winfrey has been open about having been raped at age nine.
:25:46. > :25:50.We know about these cases because the survivors are in the public eye
:25:51. > :25:56.but what about the millions who suffer in silence? Are the
:25:57. > :26:00.statistics in a newspaper, and awful inevitability or someone's daughter,
:26:01. > :26:02.some on's Mum? Something we should do everything to protect them. It
:26:03. > :26:07.in that spirit that I urge the party in that spirit that I urge the party
:26:08. > :26:12.opposite to stand up and take action, to ratify the Istanbul
:26:13. > :26:16.convention to prevent violence against women, protect its victims
:26:17. > :26:26.and prosecute the perpetrators. Thank you. Violence against women
:26:27. > :26:31.and girls is an abomination. That does not require a statement but I
:26:32. > :26:35.am enormously proud that it is this Parliament that is today noting the
:26:36. > :26:39.UN and its national day for the elimination against violence against
:26:40. > :26:44.women. I am hugely proud to be to witness the most powerful, eloquent
:26:45. > :26:49.and articulate contributions have been made this morning, particularly
:26:50. > :26:56.the representations from the honourable member for Edinburgh
:26:57. > :27:02.West. It is a matter of great pride that it is members in this House who
:27:03. > :27:09.speaks powerfully. I want to say I the words about stalking which is a
:27:10. > :27:12.matter that has been mentioned. Progress has been made in recent
:27:13. > :27:18.there is one piece of the jigsaw there is one piece of the jigsaw
:27:19. > :27:22.which does need to be inserted. A few words, it is a horrible,
:27:23. > :27:26.violating crime, it rips relationships apart, destroys
:27:27. > :27:28.careers, can create lasting mental harm and it is the gateway often too
:27:29. > :27:36.serious violence. In the Telegraph serious violence. In the Telegraph
:27:37. > :27:39.this week, victims can be commented for years, victims can be left to
:27:40. > :27:44.afraid to leave the home and the point about it is no respect of fame
:27:45. > :27:50.or fortune, so we hear the cases of Lily Allen, Keira Knightley but it
:27:51. > :27:54.is ordinary men and women are particularly women who can be
:27:55. > :27:57.targeted and the Home Secretary in her article referred to Doctor is
:27:58. > :28:04.being targeted by patients. She may have had my constituent when she
:28:05. > :28:08.said so. I will not go through the detail of the ordeal she is that
:28:09. > :28:12.otherwise to say this. He went over seven years, her patient turned up
:28:13. > :28:17.the surgery over 100 times, found items posted to the letter box,
:28:18. > :28:20.tyres, appeared that her children's tyres, appeared that her children's
:28:21. > :28:27.that her children's birthday party. The defendant in her case is served
:28:28. > :28:32.a short prison sentence. Having served his sentence, he restarted
:28:33. > :28:35.his campaign, so she'd started to receive packages at her surgery and
:28:36. > :28:42.that her home in Cheltenham. One of the packages simply red guess who
:28:43. > :28:46.was back? And when he was arrested again, a search on his computer
:28:47. > :28:50.revealed the inquiry how long does a person out they disappeared they are
:28:51. > :28:56.is assumed that? The effect was profound, depleted by the to change
:28:57. > :28:59.her name, and move address, change had name. She's the victim in of
:29:00. > :29:06.this and she developed post-traumatic stress disorder. I
:29:07. > :29:11.strongly welcomed the Government's response to recognise this as an
:29:12. > :29:16.offence in 2012, and secondly, very recently, to have this new
:29:17. > :29:19.with the stalking protection orders with the stalking protection orders
:29:20. > :29:23.which can carry a jail sentence of up to five years. Really positive,
:29:24. > :29:31.enables police to us cause to rinse both rejections, to restrict access
:29:32. > :29:36.to the Internet,. They have to be seen in the proper context. The
:29:37. > :29:39.truth is, all they are is orders full stop what is in order? It is a
:29:40. > :29:43.requirement from someone in authority that the person should
:29:44. > :29:47.alter their behaviour. Important as they are, the sad fact is that those
:29:48. > :29:48.who perpetrate this kind of activity show themselves unwilling or
:29:49. > :29:53.to observe Andries respect authority to observe Andries respect authority
:29:54. > :29:55.because they are people who don't baby quite word from
:29:56. > :30:01.neighbourhood PCSO. The letter from neighbourhood PCSO. The letter from
:30:02. > :30:04.the local station. The formal harassment warning, the civil
:30:05. > :30:09.injection and so on. Whilst these orders are welcome and they may
:30:10. > :30:18.serve to make some sessions in the bud, they are unlikely to... I would
:30:19. > :30:22.suggest that those most serious cases where the lives are made a
:30:23. > :30:26.living hell, where they live in constant fear, we need to give
:30:27. > :30:30.because the powers they need to protect victims. And that means
:30:31. > :30:35.treating stalking as a serious crime, not a minor offence. Because
:30:36. > :30:39.the reality is, that where a stalker pleads guilty for the most serious
:30:40. > :30:43.imaginable offence and that could be a repeat offence, the maximum he, it
:30:44. > :30:51.is usually a he, can end up serving is usually a he, can end up serving
:30:52. > :30:54.is just 20 months. I just take my constituent's is, the judge in that
:30:55. > :31:01.case said, he did not have the tools he needed, when he was passing
:31:02. > :31:04.sentence, his honour said to the defendant, I have no doubt at all
:31:05. > :31:09.that you are dangers in the sense that you pose a significant risk to
:31:10. > :31:13.her, the victim, in future in terms of causing her serious harm. When
:31:14. > :31:16.she stated that the maximum sentence is five years, I would if I could
:31:17. > :31:22.give you longer. There lies the problem. It is in the most serious
:31:23. > :31:27.cases, it is only when the stalker is in custody that the victim can
:31:28. > :31:33.feel free. Free to rebuild shattered lives, free to rebuild careers,
:31:34. > :31:37.health. No one is suggesting, least health. No one is suggesting, least
:31:38. > :31:40.of all me, that in all cases, we should be locking people up and
:31:41. > :31:42.throwing away the key. No one is suggesting that people should be
:31:43. > :31:45.denied mental health treatment, none denied mental health treatment, none
:31:46. > :31:49.of the above. But what we are saying, or what I am saying, is that
:31:50. > :31:53.in those most serious cases will be no stalking can be a gateway to
:31:54. > :31:56.serious violence is our absolute priority must be to protect victims
:31:57. > :32:02.and in the most serious cases, that must mean a sentence which is with
:32:03. > :32:05.the gravity of the offence. In due course, I will be inviting the
:32:06. > :32:08.Government to extend the sentencing. In because it is only by doing so
:32:09. > :32:15.that we can truly protect victims of this horrible crime.
:32:16. > :32:20.Thank you, Madam Deputy Speaker. Can I start by commending honourable
:32:21. > :32:25.friends and colleagues for their friends and colleagues for their
:32:26. > :32:33.incredibly powerful contributions and may I also congratulate the
:32:34. > :32:43.honourable members, there's quite a few of them? Brighton Pavilion and
:32:44. > :32:46.Basingstoke, etc, the supporting this backbench business debate. It
:32:47. > :32:49.is necessary that we have this debate on the floor of this House
:32:50. > :33:00.and it is not without the contributions of the honourable
:33:01. > :33:07.members that we are able to give a voice to these important matters.
:33:08. > :33:10.The UN initiative by the International Day of elimination
:33:11. > :33:18.against women serve to remind us of some of the worst human rights abuse
:33:19. > :33:28.imaginable. Violence against women business across the globe --
:33:29. > :33:34.persists. Women's rights are human rights. Though large strides have
:33:35. > :33:39.been made in recent years, as we are broadly heard today, there is still
:33:40. > :33:46.a long way to go. More than 20 years ago, after the UN General Assembly
:33:47. > :33:51.declaration on the elimination of violence against women, one in three
:33:52. > :33:54.women still express physical or sexual violence, mostly by an
:33:55. > :33:57.intimate partner. Violence against women encompasses a wide range of
:33:58. > :34:04.beers including domestic violence, sexual violence, honour killings,
:34:05. > :34:10.trafficking, female genital mutilation. These are abhorrent acts
:34:11. > :34:17.and we all have a part to play in eradication. In the words of the UN
:34:18. > :34:21.Secretary General, break the silence, when you witness violence
:34:22. > :34:27.against women and girls, do not sit back. Act. Today are amassing the
:34:28. > :34:35.Government to follow command and to act, we are in the middle of
:34:36. > :34:36.campaigns, 16 days of actors against gender-based violence which is
:34:37. > :34:40.taking place from the 25th of taking place from the 25th of
:34:41. > :34:48.November until the 10th of December. I will give way. The 16 days are
:34:49. > :34:52.marked by all kinds of activity across the country and indeed
:34:53. > :34:57.increasingly around the world and my constituency, the Maryhill women's
:34:58. > :35:00.centre, which does incredible work supporting women from all walks of
:35:01. > :35:09.light, especially those affected by gender-based violence, have a series
:35:10. > :35:14.of events. I welcome every single aspect across the UK to eradicate
:35:15. > :35:18.violence and to raise awareness of this important subject. This year's
:35:19. > :35:22.theme of Unite 16 days of action seeks to raise fun Justice in the
:35:23. > :35:30.21st Century on Innovative Approaches for the Criminal Justice
:35:31. > :35:35.System funds -- funds. In tightening budgets, they do or that they cant
:35:36. > :35:39.arrays this awareness. Frameworks such as the 23rd the agenda of the
:35:40. > :35:43.sustainable development which include specific targets on ending
:35:44. > :35:46.violence against women need adequate funding if they are to result in
:35:47. > :35:54.significant change. This new global development agenda and aims to
:35:55. > :35:58.achieve gender parity and empower achieve gender parity and empower
:35:59. > :36:05.all women and girls. The project are taking place worldwide working in
:36:06. > :36:11.Kenya and the dramatic Republic of Congo to work with doctors, nurses,
:36:12. > :36:13.police, lawyers and judges to enhance justice for survivors of
:36:14. > :36:20.sexual violence. UN women are sexual violence. UN women are
:36:21. > :36:24.working in Ethiopic, Jordan to develop essential help and legal
:36:25. > :36:30.services for women subjected to violence. However, funding and
:36:31. > :36:45.-- closer to home. Can I commend my -- closer to home. Can I commend my
:36:46. > :36:52.friend for their work? Her work over many years of the matter
:36:53. > :36:58.gender-based violence. And to support her bill next week and as
:36:59. > :37:01.the Government to ratify the Istanbul convention? And I seek to
:37:02. > :37:05.remind all honourable member that Article one states that the purpose
:37:06. > :37:10.of the Istanbul convention is to prevent prosecute and eliminate
:37:11. > :37:20.domestic violence against women and violence. In law and in practice.
:37:21. > :37:24.Can I also take this opportunity to commend the work of Doctor Marshall
:37:25. > :37:28.all these staff at my own Women's all these staff at my own Women's
:37:29. > :37:35.Aid for the work that they do each and every day. Turning to the
:37:36. > :37:42.domestic sphere, the child maintenance service, the UK
:37:43. > :37:45.Government could be argued placer survivors of violence at risk
:37:46. > :37:47.through the operation of the child maintenance service. The service
:37:48. > :37:51.operates on the basis whereby the operates on the basis whereby the
:37:52. > :37:56.parent caring for children is either charge a 4% collection fee for using
:37:57. > :37:57.the service. This amounts to an additional tax on the
:37:58. > :38:04.yourself the domestic violence will yourself the domestic violence will
:38:05. > :38:07.stop there as an alternative to this tax however the caring pants can
:38:08. > :38:10.avoid this child maintenance tax by giving their bank details to the
:38:11. > :38:14.other parent directly in what is known as a family -based
:38:15. > :38:17.arrangement. I have heard from constituents who are survivors of
:38:18. > :38:20.domestic violence and who are too frightened to establish a family
:38:21. > :38:24.-based arrangement due to the legitimate fear that their abuser
:38:25. > :38:29.will be able to access their personal details, where they have
:38:30. > :38:34.moved to a place as the sea, to relocate themselves for fear that
:38:35. > :38:39.their life is in danger. What must the Government do to resolve this
:38:40. > :38:44.matter and give consideration to those women who have fled situations
:38:45. > :38:47.of domestic violence in certain circumstances and are often pushed
:38:48. > :38:52.into poverty, having to flee their abuser? An additional 4% tax placed
:38:53. > :38:56.on them could be removed by the Government and could be issued with
:38:57. > :39:02.clear guidance on the ways in which women can access this removal of
:39:03. > :39:06.this tax and clarity on the order required to make sure they are
:39:07. > :39:09.eligible for this. You should not be an arduous process and ensure the
:39:10. > :39:12.Government would seek to amend this to ensure that this does not create
:39:13. > :39:17.issues. It is all very well for the Government to encourage friends who
:39:18. > :39:20.are separated amicably to set up their own arrangement for paying
:39:21. > :39:25.child support as a cost saving exercise. However, and maintenance
:39:26. > :39:28.is not a feasible option for is not a feasible option for
:39:29. > :39:33.domestic abuse survivors will stop child-support payments are often
:39:34. > :39:36.state an up into life there are state an up into life there are
:39:37. > :39:40.children. So to charge these children. So to charge these
:39:41. > :39:45.individuals put their lives at risk. And survivors and their children and
:39:46. > :39:49.I hope the Minister will seek to address this issue and make a real
:39:50. > :39:52.commitment to these women who are trying to put their lives back
:39:53. > :39:58.together and to give their children a safe and happy childhood. In
:39:59. > :40:02.Scotland, we are committed to tackling domestic violence and it is
:40:03. > :40:05.the priority of the Scottish Government. And while I recognise
:40:06. > :40:09.that the Scottish Government's commitment to doing so in
:40:10. > :40:13.legislation and the law is far ahead of the rest of the UK, I'm sure that
:40:14. > :40:18.the UK Government will commit to following in the steps of the
:40:19. > :40:21.Scottish Government. As indicated, the Scottish team at bringing
:40:22. > :40:29.forward a bill to greater specific offence of domestic abuse, this will
:40:30. > :40:33.not only cover physical abuse but so could -- psychological and coercive
:40:34. > :40:39.behaviour. This law will cover male and female perpetrators, however, as
:40:40. > :40:47.figures show, often more women are the victim of violence.
:40:48. > :40:51.This will not only act as a deterrent, but will make clear that
:40:52. > :40:59.these behaviours are socially unacceptable. Today, this government
:41:00. > :41:05.has a chance to make a statement and commit to ratify the Istanbul
:41:06. > :41:09.convention. Or indeed, next week, in response to my honourable friend.
:41:10. > :41:13.This government has taken an approach to child maintenance which
:41:14. > :41:18.is ethically dubious and practically dangerous and it must be addressed.
:41:19. > :41:24.The systematic violence that exists in relationships must be tackled
:41:25. > :41:28.appropriately, addressing the serious issue that exists with the
:41:29. > :41:33.child maintenance service places on survivors of domestic violence. Mr
:41:34. > :41:40.Deputy Speaker, every little girl deserves to grow up feeling safe,
:41:41. > :41:45.free from online abuse, stalking, violence, rape, sexual assault or
:41:46. > :41:56.fear of being killed. These are criminal offences. Every little girl
:41:57. > :42:01.deserves to grow up feeling safe. Thank you, Mr Deputy Speaker. I want
:42:02. > :42:08.to give massive credit to the members of this House who have told
:42:09. > :42:13.their own personal stories. It is really powerful to show the victims
:42:14. > :42:16.of domestic violence, sexual violence, for so many people, they
:42:17. > :42:21.look like somebody else. They look like other, when in fact, they are
:42:22. > :42:26.all of us. They are everybody. They are living on our streets. We sit
:42:27. > :42:30.next to them at work. We talk to them on the school run, they are
:42:31. > :42:36.everywhere. I pay huge tribute to those who have done that today, the
:42:37. > :42:40.memorable women in here were certainly resonate with people out
:42:41. > :42:44.there. Last week, I dealt with a very upset mother on the phone whose
:42:45. > :42:48.daughter had, while she was at school, had to deal with two boys in
:42:49. > :42:53.the De Laet Kuyt throwing insults at each other about how they had had
:42:54. > :42:57.sex with her -- two boys in the dinner queue. These children were
:42:58. > :43:03.nine years old. When she spoke to her daughter about the incident, she
:43:04. > :43:07.said the little girl said she felt ashamed. She thought she had done
:43:08. > :43:11.something wrong, and that was why the boys were saying this about her.
:43:12. > :43:16.And so begins the life of another young girl who thinks she is to
:43:17. > :43:20.blame for the misogyny she faces and will probably face for the rest of
:43:21. > :43:26.her life. This is the example I heard last week during the inquiry
:43:27. > :43:29.into sexual harassment in schools undertaken by the women and equality
:43:30. > :43:34.is select committee. We heard a huge amount of similar evidence, and it
:43:35. > :43:38.felt like lifting a huge rock up a problem that has existed for too
:43:39. > :43:42.long and is holding both young girls and young boys back. In my time
:43:43. > :43:46.working with local schools in partnership with Women's Aid, I
:43:47. > :43:51.heard hundreds of stories girls who were harassed, assaulted, raped and
:43:52. > :44:00.sexually exploited, all before they were 16. This debate has shown that
:44:01. > :44:06.every woman in this building has a tale to tell about being a teenager
:44:07. > :44:10.and having boys or men groping them, trying to lift up their skirts,
:44:11. > :44:16.talking about having sex with them and scaring them. When I told my
:44:17. > :44:19.11-year-old son, who has just started secondary school, about what
:44:20. > :44:25.happened to the little girl, he shrugged and said, I hear that stuff
:44:26. > :44:28.all the time, ma'am. When I look at the government's response to the
:44:29. > :44:33.government select committee's report, I am left exasperated. As a
:44:34. > :44:38.parent, I am worried. Shall I sit with my son and that little girl in
:44:39. > :44:41.question and say, don't worry, there is cross government support for
:44:42. > :44:50.prioritising work to make significant progress in this area?
:44:51. > :44:54.Just after I was elected, I went to speak at a conference in Birmingham
:44:55. > :44:59.on tackling violence against women and girls. The room was filled with
:45:00. > :45:03.police officers, children's social workers, housing managers, doctors,
:45:04. > :45:07.nurses, teachers and charities, all specialists in their field. I asked
:45:08. > :45:10.them to raise their hands if they thought the single biggest change in
:45:11. > :45:15.prevention of violence and abuse of young women was to make sex and
:45:16. > :45:21.relationship and consent education mandatory in our schools. Every
:45:22. > :45:28.single person raised their hand. Year after year, this house has been
:45:29. > :45:30.given a chance to pass this much-needed law. Obviously, the
:45:31. > :45:37.government was a little ahead of its time in refusing to listen to
:45:38. > :45:41.experts, as every time it has been before this House, this House has
:45:42. > :45:48.failed to pass it. I want to know why. I want the minister, who I know
:45:49. > :45:53.cares deeply about this, in front of me, to put down the red folders,
:45:54. > :45:57.throw away the notes, threw caution to the wind. I have made a career
:45:58. > :46:03.out of it! And tell me honestly why this is. We were always led to
:46:04. > :46:09.believe by whispers that somebody at Number Ten was stopping it in the
:46:10. > :46:10.days of David Cameron. We in the violence against women and girls
:46:11. > :46:14.sector were constantly assured by sector were constantly assured by
:46:15. > :46:23.people in the them Home Office that the then Home Secretary agreed with
:46:24. > :46:30.us. While she is in Number Ten now and still, some sort of conservatism
:46:31. > :46:34.with a small C stands in the way of what 90% of parents want for their
:46:35. > :46:37.children and 100% of experts know would make the difference. I don't
:46:38. > :46:41.want to hear that we are looking into this, that we support calls,
:46:42. > :46:44.that we are taking firm action. I don't want to be pointed to another
:46:45. > :46:47.strategy document that proves nothing more than our ability to
:46:48. > :46:52.write strategy documents. I have been hearing it for years, and now I
:46:53. > :46:58.want a real answer as to why this law has not passed. I know all
:46:59. > :47:01.across this House, in every party, there is support for this. We must
:47:02. > :47:04.act and start having open conversations with our children
:47:05. > :47:09.about gendered attitudes that lead to the harassment of girls and young
:47:10. > :47:16.women and the demonisation of boys and young men. Will my honourable
:47:17. > :47:19.friend give way? I thank her. She's making a powerful speech and I agree
:47:20. > :47:24.with every word. Like my honourable friend, I have spent my life for
:47:25. > :47:29.becoming an MP in the domestic violence and sexual violence world.
:47:30. > :47:34.Would she agree that we need to have proper, well integrated programmes
:47:35. > :47:37.of high quality as well as sex and relationships education? Wanders
:47:38. > :47:40.prevention, the other, when things don't work out, tries to make things
:47:41. > :47:45.better. But they must be of a high standard. Will she also join me in
:47:46. > :47:48.calling for the Istanbul Convention to be ratified by this country and
:47:49. > :47:55.for all members of this House to be in the House a week tomorrow to do
:47:56. > :47:59.that? I thank her for the intervention and of course, I agree
:48:00. > :48:00.with every word. It is important to stress that while the select
:48:01. > :48:06.committee was hearing evidence, we had some amazing evidence from some
:48:07. > :48:13.brilliant organisations who are working specifically with men and
:48:14. > :48:17.boys in this space, and they showed how much could be done. And if we do
:48:18. > :48:20.not focus on the attitudes of men who commit violence and boys who
:48:21. > :48:24.will become those men who commit violence, we will be letting the
:48:25. > :48:32.side down. But I would stress that I have seen bad practice in this space
:48:33. > :48:38.of perpetrator work, and local commissioning of this must be done
:48:39. > :48:42.by experts in the field. The organisation that my honourable
:48:43. > :48:45.friend worked for were exactly that. We are here to speak about the
:48:46. > :48:49.elimination of violence, not cleaning up afterwards. Prevention
:48:50. > :48:54.and culture change have got to be the thing that means when I stand
:48:55. > :48:59.and read the names of women murdered at the hands of violent men every
:49:00. > :49:03.year, that each and every year, that list will grow shorter. The
:49:04. > :49:09.ministers in front of me have the power to reduce that list, and I
:49:10. > :49:14.will sing their praises if they do. I am telling them now that talking
:49:15. > :49:21.to our children about consent, gendered attitudes and respect is
:49:22. > :49:26.the best place to start. If I am honoured to follow the honourable
:49:27. > :49:30.member for Birmingham Yardley, who makes a very powerful speech and
:49:31. > :49:33.clearly has much experience in this area. I would also like to thank the
:49:34. > :49:36.backbench business committee for backbench business committee for
:49:37. > :49:43.granting this debate, which everyone agrees is an important subject. It
:49:44. > :49:48.was once regarded as a taboo, as was referred to by the honourable member
:49:49. > :49:54.so powerfully from Edinburgh West. A deeply moving speech, that I think
:49:55. > :50:01.will help move this cause forward. So I really give applause for that.
:50:02. > :50:05.But the very fact that we are holding this debate does show how
:50:06. > :50:10.the taboo is changing. So isn't it great that we are able to discuss
:50:11. > :50:15.these things? I think with the lead of a Prime Minister who is utterly
:50:16. > :50:20.committed to change in this area and with the cross-party consensus,
:50:21. > :50:27.further progress can be made. Violence against women and girls can
:50:28. > :50:31.have devastating impacts, as we have heard, not only on the lives of the
:50:32. > :50:34.victims, but also on the families and those close to them. And has
:50:35. > :50:38.enormous effects for the criminal justice system, the health service.
:50:39. > :50:41.It puts a strain on local authorities and police services, who
:50:42. > :50:46.all have to deal with these issues on the ground. My own Avon and
:50:47. > :50:51.Somerset Police report that this is one of the biggest growing sectors
:50:52. > :50:55.that they now have to deal with. But often, it is the local charities and
:50:56. > :50:59.organisations who support women and girls who have been victims of
:51:00. > :51:03.violence who have done so much excellent work. I want to commend
:51:04. > :51:06.some of the charities in my own constituency of Taunton Deane.
:51:07. > :51:10.Taunton's Women's Aid does excellent work with the local community, not
:51:11. > :51:18.only offering practical support, with its drop-in sessions, and that
:51:19. > :51:25.is for women and men. They are also working with other charities to
:51:26. > :51:29.develop workshops for schools. Many colleagues have referred to the
:51:30. > :51:34.importance of education. They talk about domestic abuse and mental
:51:35. > :51:37.health issues. There is another fine Taunton -based charity that works in
:51:38. > :51:45.this area, called stand against violence. They go into schools to
:51:46. > :51:49.run these workshops, focusing on personal safety, anger and
:51:50. > :51:53.aggression, basic life support and the awareness of choices and
:51:54. > :51:59.consequences. I know the gentleman that runs this organisation set it
:52:00. > :52:03.up because his brother was tragically set upon by a group of
:52:04. > :52:13.young people. He was only a teenager, and he was murdered. And
:52:14. > :52:20.out of that, he spawned this charity which goes to schools to talk about
:52:21. > :52:24.how we can't operate and lead our lives in these ways. It is important
:52:25. > :52:27.to get across these messages, particularly to the opposite sex,
:52:28. > :52:35.about controlling abuse and aggression. In condiment in these,
:52:36. > :52:40.we do have Taunton Deane borough council and Somerset county counsel
:52:41. > :52:45.both offering services to support women who have been victims of
:52:46. > :52:53.violence. And there are some housing associations doing excellent work.
:52:54. > :52:56.An association that operates across the South West runs a demented abuse
:52:57. > :53:03.service which they started in 2015, and they offer a 24/7 helpline -- a
:53:04. > :53:10.domestic abuse service. They provide emergency accommodation, and it is a
:53:11. > :53:13.particularly good model. It operates in conjunction with the county
:53:14. > :53:17.council and is moving towards an integrated service as part of the
:53:18. > :53:23.ground-breaking Somerset integrated domestic abuse services. This is
:53:24. > :53:30.perhaps the kind of model that we should be encouraging others to
:53:31. > :53:36.follow. Whilst so much good work is being done locally, I am pleased
:53:37. > :53:40.that it is backed up by government commitment which is providing a
:53:41. > :53:47.sound framework upon which to stimulate this shift which so many
:53:48. > :53:51.colleagues have mentioned. A shift in attitudes is essential. Violence
:53:52. > :53:55.against women and girls, this whole subject area should be everybody's
:53:56. > :54:00.business, not just charities and worthy members of Parliament who
:54:01. > :54:04.stay on to join in the debate. It should be everybody's business. If
:54:05. > :54:11.we can make that clear, we can get it to infiltrate through to people
:54:12. > :54:17.and children we will make a difference. I wanted to mention the
:54:18. > :54:21.violence against women and girls strategy published in March 2000 and
:54:22. > :54:26.16. That has been allocated ?80 million of funding, and that is
:54:27. > :54:31.bringing together the significant advances in legislation which a
:54:32. > :54:36.number of colleagues have mentioned, including specific offences related
:54:37. > :54:43.to stalking. I welcome the new stalking civil protection order, the
:54:44. > :54:47.coercive and controlling behaviour legislation and I am a great archers
:54:48. > :54:48.fan, and I do think that the storyline in the archers really has
:54:49. > :55:02.helped raise awareness of this area. It was not something I was aware of
:55:03. > :55:16.and it was utterly shocking. Almost along the legislation, Elliott to
:55:17. > :55:27.protect against e-mail generally -- FGM. With 1.3 million women a year
:55:28. > :55:32.still expressing domestic abuse and 400,000 sexual assault in the last
:55:33. > :55:38.year, there really is still much to do. I also would like to welcome the
:55:39. > :55:43.Government's continued four bridge where they are bringing together
:55:44. > :55:45.prevention, of services and working and pursuing perpetrators. I think
:55:46. > :55:51.this is definitely the way forward. this is definitely the way forward.
:55:52. > :55:54.It has been in it is starting to work and actually although I have
:55:55. > :55:57.just giving some shocking statistics, the crime survey of
:55:58. > :56:01.England and Wales does show that the number of women who expressed
:56:02. > :56:04.domestic abuse in the last year was the lowest since the survey began
:56:05. > :56:09.which is is very welcome news indeed. And prosecuted and
:56:10. > :56:15.convictions are up so perhaps we are moving in the right direction. I
:56:16. > :56:17.just wanted to round up by giving a special mention of the ?15
:56:18. > :56:20.for the Government launch of the for the Government launch of the
:56:21. > :56:27.three-year violence against women and girls service transformation
:56:28. > :56:31.fund. This is to aid and facilitate best practice, perhaps the example I
:56:32. > :56:36.gave earlier my speech would be a good model. This is actually on top
:56:37. > :56:41.of the 20 million that is available for accommodation base services
:56:42. > :56:45.which was announced by the CLT. This new fund, the transformation fund is
:56:46. > :56:50.open by commissioners working in partnership, the with specialist
:56:51. > :56:55.groups, crime commissioners, local authorities, health groups, I would
:56:56. > :57:00.encourage all those groups to get together, perhaps members could get
:57:01. > :57:06.a bun round tables and get people together to formulate some ideas to
:57:07. > :57:10.get some bids to bid into this fund because it is therefore people to
:57:11. > :57:16.take advantage of an IQ it. As I said earlier, I welcome the lead the
:57:17. > :57:20.Government is taking on this, particularly our Prime Minister. It
:57:21. > :57:25.is serious issue, there's a lot more to do and it is essential that we do
:57:26. > :57:32.all work together to banish the prospect that any women should live
:57:33. > :57:36.in fear of violence and we need to allow every daughter, every girl, I
:57:37. > :57:43.up in the knowledge and the sense up in the knowledge and the sense
:57:44. > :57:48.that she's growing up safe. Thank you, it is a pleasure to
:57:49. > :57:53.follow the honourable member. I would also like to thank my
:57:54. > :57:56.honourable friend the members for bringing this debate to the House
:57:57. > :58:06.and for speaking so powerfully and we have heard the brilliant speeches
:58:07. > :58:11.and I do want to commend the member for Edinburgh West for sharing their
:58:12. > :58:13.personal experience and I think we have all listened and learned a lot
:58:14. > :58:18.from that and hopefully it will have from that and hopefully it will have
:58:19. > :58:22.a wider impact. In my speech, I just want to touch on some international
:58:23. > :58:29.issues, just a couple of months ago, I had the privilege of visiting
:58:30. > :58:34.Sierra Leone. It was quite humbling to see this country struggling,
:58:35. > :58:43.trying to recover from the effects of the bowler at epidemic that took
:58:44. > :58:56.11,000 lives. -- Ebola. Sierra Leone decided to ban the procedure as FGM.
:58:57. > :59:03.Sadly the ban on FGM has now been listed. Women in Sierra Leone are
:59:04. > :59:13.being oppressed by FGM. It has been a long and agent practice in the
:59:14. > :59:19.area Leone culture. It is reported by the World Health Organisation
:59:20. > :59:32.that 80% of girls there have been cut, to use the commonly used
:59:33. > :59:35.description of this practice. Culturally, the procedure is alleged
:59:36. > :59:39.to protect communities against wayward and he would very much evil
:59:40. > :59:43.spirits and should be seen as the final passage from adolescence to
:59:44. > :59:48.womanhood. But in reality, it is imposed upon girls by MH article
:59:49. > :59:52.society, forcing the younger members of the community to join their
:59:53. > :59:58.faction and structure of society which then internal controls women
:59:59. > :00:00.and becomes a vicious circle where the tradition, if I might refer to
:00:01. > :00:07.it as that of FGM, is passed onto it as that of FGM, is passed onto
:00:08. > :00:12.next generation. Whilst I was in Sierra Leone, we visited the
:00:13. > :00:14.parliament and spoke to MPs. Europe that time were considering a law to
:00:15. > :00:16.ban FGM below the age of 18. And ban FGM below the age of 18.
:00:17. > :00:22.introducing a requirement for introducing a requirement for
:00:23. > :00:25.consent to be given. In reality, it would be very difficult to prove
:00:26. > :00:33.that consent had been given, especially in the isolated villages
:00:34. > :00:35.and towns. However, it has to be welcomed as a very, very small step
:00:36. > :00:40.in the right direction but there is in the right direction but there is
:00:41. > :00:48.an enormously long way to go before this vile practice is banned
:00:49. > :00:52.outright and internationally. I thank you for way. Can I add to
:00:53. > :00:58.that, does she also accept that here in the UK, young girls during what
:00:59. > :01:01.is known as cutting season, are taking to the home countries to
:01:02. > :01:10.expect FGM and then returned to the UK and that practice must be stopped
:01:11. > :01:14.also? -- experienced FGM. Sadly, I am all too well aware of that
:01:15. > :01:18.practice. I am sure she has constituents that come to her with
:01:19. > :01:23.the issue and I have been contacted also by church groups, about
:01:24. > :01:26.families that they are trying to protect and I think are very much
:01:27. > :01:35.for that very important intervention. -- I thank her very
:01:36. > :01:38.much. When the legislation process does enshrine protection against
:01:39. > :01:42.violence towards women, the journey does not end there with legislation,
:01:43. > :01:48.the legislation is just the beginning and Afghanistan epitomises
:01:49. > :01:58.this struggle. In 2009, women's rights activists that sleep with
:01:59. > :02:02.Iraq -- successfully bought which put into the constitution this
:02:03. > :02:07.fundamental right to protect its e-mail citizens. But since then, the
:02:08. > :02:12.situation has systematically deteriorated. In 2013, the special
:02:13. > :02:20.representative of the UN Secretary General in Afghanistan to the UN
:02:21. > :02:26.Security Council that the majority of women killed Islington domestic
:02:27. > :02:31.violence, tradition, culture of the country that women activists have
:02:32. > :02:34.been deliberately targeted. But since the continued withdrawal of
:02:35. > :02:42.British and US troops, the situation has escalated. Amnesty International
:02:43. > :02:46.reported this year and again, I quite, it has been increasingly
:02:47. > :02:49.dangerous over recent years to be a woman in public life in Afghanistan.
:02:50. > :02:55.and helped of women who have been and helped of women who have been
:02:56. > :02:59.brave enough to ignore the risks with the withdrawal of international
:03:00. > :03:02.forces and the deterioration we are seeing in women's rights, there is
:03:03. > :03:08.every reason to fear that these dangers will become even worse in
:03:09. > :03:11.the year ahead. Nearly seven years on, Afghan women are still under
:03:12. > :03:18.serious threat than violence is on the rise. In the first eight months
:03:19. > :03:23.of 2016, the Afghan Attorney General's offers received 3700 cases
:03:24. > :03:30.of violence against women, with 5000 cases recorded in 2015. But rather
:03:31. > :03:35.than deep-rooted historical, religious diktats, newly formed
:03:36. > :03:39.technology leaders have had detrimental affect on women. Women
:03:40. > :03:46.can now not only be victimised in civil society that now has seeped
:03:47. > :03:49.into the virtual sphere and has many honourable members have mentioned,
:03:50. > :03:56.the Internet and in particular social media has fuelled gender
:03:57. > :03:59.violence. Even here in the European Union, one in ten women and teenage
:04:00. > :04:05.girls report having experienced cyber harassment and this includes
:04:06. > :04:07.threats of rape and unsolicited sexually explicit images. In
:04:08. > :04:15.Bangladesh, a group with targeted by Bangladesh, a group with targeted by
:04:16. > :04:19.a militant group due to their posts and the promotion of women's rights.
:04:20. > :04:25.All 80 foot of the group were put on the hit list. One prominent blogger
:04:26. > :04:29.had to leave the country and her family due to the threats on her
:04:30. > :04:33.life and the member of the militant organisation put a bounty on her
:04:34. > :04:39.head. She was granted asylum in Germany earlier this year. But even
:04:40. > :04:44.after escaping to Germany, she was still at risk. A political leader in
:04:45. > :04:47.Bangladesh began collecting money through a crown funding platform to
:04:48. > :04:53.pay for a ticket to Germany so that someone could be, and I quote, sent
:04:54. > :04:57.over to rape her. Now many of us in this House will have received
:04:58. > :05:01.threats online but that did not mean fleeing our country, our home and
:05:02. > :05:05.families. But the tone online in the UK is becoming more and more
:05:06. > :05:14.vigilant and threatening towards women. And only this week the right
:05:15. > :05:21.honourable member had direct online, leading to a man being arrested.
:05:22. > :05:24.Another member had had her house locks changed due to similar
:05:25. > :05:28.circumstances. And again, this week a man has been arrested at the
:05:29. > :05:33.threats were made online against the women who launched a legal challenge
:05:34. > :05:38.against the process of Brexit. And 24-year-old man was found guilty of
:05:39. > :05:43.racially aggravated harassment of the honourable member the Liverpool
:05:44. > :05:47.way to treat just this week. The statistics and stories we have heard
:05:48. > :05:50.this afternoon are struggling, disturbing and fundamentally unjust.
:05:51. > :05:55.As an elected female member of As an elected female member of
:05:56. > :05:58.Parliament, I am fortunate to have a platform where I can speak, not for
:05:59. > :06:02.myself, but that those without a voice. But those women and girls who
:06:03. > :06:08.are forced to live in silence and not being treated with dignity, nor
:06:09. > :06:11.have the right to equality. And this debate, I hope, will lead to further
:06:12. > :06:20.conversations and further progression on eliminating violence
:06:21. > :06:25.against women and against girls. It is always a pleasure to speak on
:06:26. > :06:26.this issue. Can I congratulate the members who put their names to this
:06:27. > :06:30.debate to bring it forward so we debate to bring it forward so we
:06:31. > :06:41.could all participate in it? Thank you. One in particular is busy bee
:06:42. > :06:44.honourable lady for Edinburgh West, I don't think anybody in this
:06:45. > :06:48.chamber who did not sit and listen to her story could not be moved by
:06:49. > :06:52.that and I would thank her very much for giving this House a chance to
:06:53. > :06:58.hear a very personal story and to do it so well. I recently attended the
:06:59. > :07:01.event of regarding this issue at Westminster and again was shocked by
:07:02. > :07:05.the research carried out for this debate. It seems beyond me in this
:07:06. > :07:10.day and age that there are still people out there who believe that it
:07:11. > :07:15.is permissible of the Google to physically harm anyone, never mind
:07:16. > :07:20.women and children. It is an issue that is close to my heart. I'm the
:07:21. > :07:24.party 's spokesman here for many issues and one of those issues is
:07:25. > :07:29.women and equalities and I'm happy to have a contribution to this
:07:30. > :07:39.debate and to support the centre thrust of what they debate is about
:07:40. > :07:45.-- inequalities. It is coincided with the 16 day campaign on social
:07:46. > :07:48.media with great effect. It's about on the 20th of November to the 10th
:07:49. > :07:53.of December and what better place for us to play our part in taking
:07:54. > :07:56.action against this domestic violence when this place where laws
:07:57. > :08:04.are made and this is the biggest seed of democracy in the world. In
:08:05. > :08:07.my own constituency, Women's Aid have done a wonderful job in
:08:08. > :08:12.highlighting this campaign that I am aware that it is aimed at businesses
:08:13. > :08:16.to support them to take action against domestic abuse and also
:08:17. > :08:20.violence. Employees have a legal obligation to assess dynamic risk
:08:21. > :08:24.and support to health and the safety of wellness of their employees and
:08:25. > :08:27.sometimes it is good for business to focus upon that and their
:08:28. > :08:31.responsibility that they have to their employees. Companies can do
:08:32. > :08:35.more to aid their employees who insure domestic violence, to train
:08:36. > :08:40.those who witnessed it and to protect staff as a whole with a goal
:08:41. > :08:44.of securing safety and mitigating financial loss. Most small
:08:45. > :08:48.businesses without a HR department will panic at the thought of this.
:08:49. > :08:51.This is a perfect opportunity to educate people on how to help those
:08:52. > :08:57.who caught in situations in which they cannot help themselves. I know
:08:58. > :09:02.it is not the minister's direct but perhaps the Minister could give us
:09:03. > :09:06.an indication of what can be done for the small and medium businesses
:09:07. > :09:08.to ensure that they have the capacity and perhaps the resources
:09:09. > :09:12.to ensure that these education to ensure that these education
:09:13. > :09:18.programmes are carried out in the workplace to a very effective level
:09:19. > :09:22.and manner? The idea of the campaign is that the different theme will be
:09:23. > :09:25.introduced every day to experience the various forms of domestic
:09:26. > :09:29.violence and the workplace will be better to acknowledge the signs that
:09:30. > :09:35.indicate it maybe go along. My mum always Tommy never a thought dirty
:09:36. > :09:39.laundry and she is absolutely right. We should not do it. We should not
:09:40. > :09:43.do it our families or parties, we should keep it at home. But at the
:09:44. > :09:47.same time, there is a mentality that prevents people from seeking the
:09:48. > :09:52.help that they need to stop the statistics make it clear that
:09:53. > :09:55.domestic violence is not simply that you secluded events, it is an
:09:56. > :09:58.academic and I believe it is that that level and it must be addressed
:09:59. > :10:01.and that is why this debate today is so important and why I'm so pleased
:10:02. > :10:14.to take part in it. We reel off the stats, but they are
:10:15. > :10:20.important because they indicate what is happening in society. I want to
:10:21. > :10:27.give a bit more detail. Two women are killed every week by a current
:10:28. > :10:33.or former partner. One in four women in England and Wales will experience
:10:34. > :10:37.the mystic violence in their lifetimes. 8% will suffer domestic
:10:38. > :10:44.violence in any given year. Globally, one in three women will
:10:45. > :10:48.experience violence at the hands of a male partner. Domestic violence
:10:49. > :10:55.has a higher rate of repeat victimisation than any other crime.
:10:56. > :11:03.So that gives a bit of perspective. Every minute, police received rave
:11:04. > :11:11.domestic assistance call, yet only 35% of domestic violence incidents
:11:12. > :11:15.are reported to the police. We need to make sure people get the response
:11:16. > :11:20.they need. In 2001, the British crime survey found that there was an
:11:21. > :11:24.estimated 635,000 incidents of domestic violence in England and
:11:25. > :11:32.Wales. 81% of the victims were women, 19% were men. Domestic
:11:33. > :11:41.violence is made up -- makes up 22% of all violent incidents reported.
:11:42. > :11:45.That is a massive amount. On average, a woman is assaulted 35
:11:46. > :11:51.times before her first call to the police. Only then does a lady have
:11:52. > :11:57.the courage to go to the police. We have to encourage them at an early
:11:58. > :12:02.stage to go to the police and not end up with the horrific stories we
:12:03. > :12:05.have. I am very conscious that the honourable ladies and other members
:12:06. > :12:20.have told stories here, but I understand the issues. Let's give
:12:21. > :12:26.credit where credit is due. Early action would address the issue of
:12:27. > :12:38.stalking. It must stop at the beginning.
:12:39. > :12:47.I am aware of the fear and threat but there is from those who have
:12:48. > :12:51.been stalked, almost as prey, by those who don't seem to care what
:12:52. > :12:57.happens to them. We need strong legislation in place. The 24 hour
:12:58. > :13:03.mystic sexual violence helpline -- domestic and sexual violence
:13:04. > :13:12.helpline gets thousands of calls. There were 611 sexual violence calls
:13:13. > :13:15.from 518 female callers. 58% of women callers disclosed mental
:13:16. > :13:21.health issues as a result of the violence that takes place. And it
:13:22. > :13:27.effect it has on their family really moves me. Others in this House feel
:13:28. > :13:34.the same. When you hear the stories of constituents, they are
:13:35. > :13:38.heart-rending stories. I thank the honourable gentleman for giving way.
:13:39. > :13:46.He's talking about the mental health effects of violence against women.
:13:47. > :13:49.One of the concerns I have is that women in my constituency who have
:13:50. > :13:52.been victims of rape can't get access to the counselling and
:13:53. > :13:56.support services that they require. There is nothing in Slough. They
:13:57. > :14:01.have to go to Wycombe or Reading, and there is up to a 20 month
:14:02. > :14:09.waiting list for women who have the devastation of this. I would urge
:14:10. > :14:17.the minister, when she responds, to promise that the investment will go
:14:18. > :14:25.into speed up this horrible delay. I thank the honourable lady. They are
:14:26. > :14:33.wise words that she has put to the floor of this House. We want
:14:34. > :14:39.government to respond to that in a positive way. 533 women and 226
:14:40. > :14:51.children were referred to Women's Aid refuges last year. Some of the
:14:52. > :14:58.stats are horrendous. Some 70% of women in certain locations in South
:14:59. > :15:03.Sudan have been subjected to sexual violence of either a minor or
:15:04. > :15:10.extensive form. There is almost an inherent abuse among some people. It
:15:11. > :15:14.takes International Women's Day to address violence. Let's speak not
:15:15. > :15:22.only for our women at home in the United Kingdom, but also women
:15:23. > :15:33.across the world. That is what I and others have tried to say. I have
:15:34. > :15:37.been working with a lady who is the CEO of an organisation and we have
:15:38. > :15:42.an event here on the 22nd of November where they bring in
:15:43. > :15:48.speakers and send an invitation to people. At that meeting, it was
:15:49. > :15:51.firstly to celebrate International children's day and the day for the
:15:52. > :15:58.elimination of violence against women. We had police present. We had
:15:59. > :16:02.family law people available on the panel. We also had solicitors. It
:16:03. > :16:09.was a good crowd. They ask questions to address the issue. We were asking
:16:10. > :16:15.questions about violence at home in this great City of London. That was
:16:16. > :16:20.where the people had come from. That gives us an idea of the magnitude of
:16:21. > :16:25.what took place. I hate the fact that 25% of women, one in four, will
:16:26. > :16:31.experience domestic violence in their lifetime. This should be in
:16:32. > :16:36.the history books and not in today or tomorrow's paper or on Sunday's
:16:37. > :16:43.paper. The question is, what are we doing in this House to play our
:16:44. > :16:48.part's not simply in the 16 days of action we are now in the middle of,
:16:49. > :16:52.but in the lifetime of this Parliament. What education are we
:16:53. > :17:00.putting in place to raise a generation to abort this violence?
:17:01. > :17:05.We want to encourage women to respond and have access in Slough
:17:06. > :17:11.and elsewhere across the whole of the UK, and be able to contact the
:17:12. > :17:14.police at the time you need them. They must know they are worth more
:17:15. > :17:19.than putting up with physical and emotional abuse. How are we training
:17:20. > :17:25.our young men to value women, and our young women to value themselves?
:17:26. > :17:29.These are the questions we must answer in this House through this
:17:30. > :17:34.debate. If we do not have the right answers, we have a duty to get it
:17:35. > :17:39.right and to do it now. I thank the right honourable and honourable
:17:40. > :17:43.members for bringing this forward. I challenge every person in this
:17:44. > :17:48.debate and those who have not been able to make the debate over how we
:17:49. > :17:51.can make changes that will affect the quality of lives of people in
:17:52. > :17:58.every age group and every colour and every creed and every class in every
:17:59. > :18:01.area of the United Kingdom of Great Britain and Northern Ireland. This
:18:02. > :18:08.is our challenge, and we must be determined to fulfil it. Today's
:18:09. > :18:12.debate marks the UN International day for the elimination of violence
:18:13. > :18:16.against women. Elimination is an ambitious word, but what we have
:18:17. > :18:24.heard today makes it clear that we need to be ambitious if we are to
:18:25. > :18:28.tackle the epidemic of violence against women that is biting so many
:18:29. > :18:32.lives. I congratulate the honourable member for Feltham and Heston for
:18:33. > :18:35.leading the debate so comprehensively. I also commend the
:18:36. > :18:39.right honourable member for Basingstoke for the ongoing work
:18:40. > :18:46.that her committee has been doing to promote and advance progress in this
:18:47. > :18:50.area. We have heard today from many speakers that the recognition of
:18:51. > :18:54.violence against women is a global human rights abuse, but but it is a
:18:55. > :18:59.pervasive and extensive human rights abuse and it affects women in all
:19:00. > :19:04.our communities and all over our world. It is rooted in gender
:19:05. > :19:08.inequality and compounded by it. Scottish Women's Aid are fond of
:19:09. > :19:11.saying that it is a cause and a consequence of violence against
:19:12. > :19:16.women, and we have heard today that one in three women will experience
:19:17. > :19:19.domestic abuse or sexual violence in her lifetime. Personally, I think
:19:20. > :19:24.that is probably quite a Conservative estimate. I would like
:19:25. > :19:31.to pay tribute to the enormous courage of my honourable friend from
:19:32. > :19:36.Edinburgh West for talking openly about things that have been so
:19:37. > :19:40.unspeakable for so long. I think breaking the silence, as she and
:19:41. > :19:43.other members today, including the honourable member for Batley and
:19:44. > :19:51.Spen, have done, is incredibly powerful. I hope their frankness and
:19:52. > :19:56.wisdom and strength will help other women, women who are recovering from
:19:57. > :19:58.sexual violence, women who at the moment don't know whether their
:19:59. > :20:05.lives will ever be back on track or ever be the same again. I hope what
:20:06. > :20:11.we have heard today helps women to go forward with strength and makes
:20:12. > :20:17.the future different for the next generation of women. Members have
:20:18. > :20:19.referred to the fact that this morning, I published my private
:20:20. > :20:24.member's bill that would require the government to set up a timetable to
:20:25. > :20:27.ratify the Council of Europe Convention on preventing and
:20:28. > :20:31.combating violence against women and domestic violence, better known as
:20:32. > :20:34.the Istanbul Convention. It would also strengthen reporting
:20:35. > :20:38.requirements so that MPs would have better opportunities to scrutinise
:20:39. > :20:42.the implementation of the Convention on an ongoing basis. I hope the
:20:43. > :20:47.government will support my bill, and I hope members will come to the
:20:48. > :20:53.debate a week on Friday and push something forward that I think we
:20:54. > :20:56.all want to see happen. The Istanbul Convention has local, national and
:20:57. > :21:01.transnational dimensions and its implementation has the potential to
:21:02. > :21:04.make real difference to women's lives. Scottish Women's Aid have
:21:05. > :21:09.described the Istanbul Convention as the best piece of international
:21:10. > :21:12.policy in practice for eliminating violence against women that exists,
:21:13. > :21:16.setting minimum standards for government responses to victims and
:21:17. > :21:20.survivors of gender-based violence. It is a blueprint for how we move
:21:21. > :21:24.from small change at the margins, services that are picking up too few
:21:25. > :21:30.people to let, to a system designed to end domestic abuse and violence
:21:31. > :21:35.against women. The Istanbul Convention offers a powerful vehicle
:21:36. > :21:40.for countries across Europe and beyond to prevent and combat
:21:41. > :21:44.violence. The UK has played a prominent role for many years,
:21:45. > :21:48.responding to these challenges, and was involved in the development of
:21:49. > :21:52.the convention and the negotiations surrounding it. But having signed
:21:53. > :21:56.the Istanbul Convention in June 2012, the UK has still to ratify the
:21:57. > :22:01.treaty. The government has said it wants to ratify it and intends to
:22:02. > :22:05.ratify it, but we have reached a hiatus. The process has stalled and
:22:06. > :22:09.the Istanbul Convention has now been languishing on the back burner for
:22:10. > :22:12.over four and a half years. My bill is simply an attempt to shift that
:22:13. > :22:17.logjam and give the government the impetus it needs to take the final
:22:18. > :22:25.steps needed to bring the UK into compliance. We know there are a
:22:26. > :22:26.number of areas in which the UK Government needs to legislate to
:22:27. > :22:30.bring domestic legislation into compliance with Article 44 of the
:22:31. > :22:35.treaty, and the need for legislative consent in Scotland and Northern
:22:36. > :22:38.Ireland. I hope the government will use the opportunity of my private
:22:39. > :22:46.member's bill to shift this logjam and ratify this convention while
:22:47. > :22:50.they have the opportunity. I also paid tribute to the work that has
:22:51. > :22:54.been mentioned earlier by members of the IC change campaign. I am also
:22:55. > :22:59.grateful for the support from members across this House on both
:23:00. > :23:06.sides of the house, but also from every part of the UK for that
:23:07. > :23:10.process. Given all the comments today from members, not least the
:23:11. > :23:17.honourable member for Birmingham Yardley, saying, let's just do this,
:23:18. > :23:22.we can do this. I hope we are now on a fast-track to making this a
:23:23. > :23:29.reality. I have been working with women's organisations across the UK.
:23:30. > :23:35.I was invited by a group in London to visit one of their refuges here,
:23:36. > :23:40.which I did yesterday. I met five women and eight children currently
:23:41. > :23:46.staying in a refuge. There are many things to reflect on from the visit,
:23:47. > :23:49.overwhelmingly, how vulnerable are these women are when they leave an
:23:50. > :23:53.abusive situation and how precarious their lives can be for some time
:23:54. > :23:58.afterwards. My visit brought home to me that the album is associated with
:23:59. > :24:03.a shortage of affordable housing are obviously acute in London, but it is
:24:04. > :24:08.a reality in all parts of the UK, and those problems are magnified for
:24:09. > :24:14.women trying to move on and make a fresh start. Those women have a hard
:24:15. > :24:18.road ahead. For their own safety, they often need to leave their own
:24:19. > :24:22.community and move away from any support networks they have. I met a
:24:23. > :24:25.boy in the refuge yesterday. He was nine years old and bears the
:24:26. > :24:29.physical scars of his father's violence. I don't dig it is possible
:24:30. > :24:34.to know what other invisible scars he may be carrying. But he wanted to
:24:35. > :24:38.show me his Lego. He had built an aeroplane, which he was pleased to
:24:39. > :24:41.tell me he designed himself, but his masterpiece which he was showing off
:24:42. > :24:45.with pride was a house, a house made out of Lego. At the moment, his
:24:46. > :24:57.family is all sleeping in one room in a refuge, but he is dreaming of a
:24:58. > :25:01.home one day. Yet his mum told me how hard it was to find a house for
:25:02. > :25:03.her and her children while she is still looking after a toddler and
:25:04. > :25:05.doesn't have a job. She also talks about experiencing racism in her
:25:06. > :25:08.search for housing and more generally, and it focused my mind on
:25:09. > :25:10.the fact that domestic violence is one of the causes of homelessness
:25:11. > :25:12.across the UK. In Scotland, domestic violence is the third most common
:25:13. > :25:16.reason for a homelessness application. 73% of applications are
:25:17. > :25:23.made by women and more than a third of those are women with children.
:25:24. > :25:31.It makes me wonder why women stay in violent situations and it is they
:25:32. > :25:32.have nowhere to go. Women who do leave their homes to escape violence
:25:33. > :25:36.find that they may have to do it find that they may have to do it
:25:37. > :25:40.repeatedly before finding a stable home with all the people that it
:25:41. > :25:47.entails and that prohibits women from seeking the deep for themselves
:25:48. > :25:59.and their children. -- safety? Gender-based violence affects women
:26:00. > :26:05.of of all economic backgrounds. In this respect, we do see gender
:26:06. > :26:10.inequality compounded by other forms of structural disadvantage and I saw
:26:11. > :26:18.that first-hand yesterday. Several members this afternoon have talked
:26:19. > :26:21.about the cultural and traditional aspects of violence against women.
:26:22. > :26:28.Clearly I've been talking a lot at about the Istanbul convention, it is
:26:29. > :26:31.a powerful legal instruments and that it's important to remember we
:26:32. > :26:36.have work to do to bring about changes in attitudes and beliefs and
:26:37. > :26:45.the honourable member touched on this and the honourable member or
:26:46. > :26:46.Hayward and Middleton, highlighted practices, FGM, both at home and
:26:47. > :26:56.abroad. Representatives of many of abroad. Representatives of many of
:26:57. > :27:01.the major religions represented in the UK attended the House of Lords
:27:02. > :27:05.and I think it is very important that we bring those dimensions into
:27:06. > :27:08.the debate because culture is so often held as a justification of
:27:09. > :27:14.violence. Cultures can and do change violence. Cultures can and do change
:27:15. > :27:18.and religious leaders do have a special responsibility and
:27:19. > :27:22.opportunity to influence deep-seated attitudes, values and beliefs that
:27:23. > :27:26.are very foundation of a people's identities and the lies that they go
:27:27. > :27:29.on to lead. I was very encouraged to meet with these people from several
:27:30. > :27:34.faith traditions who are taking these issues very seriously and
:27:35. > :27:41.working within their own faith communities to me things forward. Mr
:27:42. > :27:46.Deputy Speaker, one of the things, one of the women said in the refugee
:27:47. > :27:49.yesterday, said women need to help women and looking at the gender
:27:50. > :27:55.balance at the time but today, it is very clear that women in this place
:27:56. > :28:00.take these issues very seriously. Our bodies on the front line, our
:28:01. > :28:06.psychological health, are very selves are very on the front line in
:28:07. > :28:10.this battle. All of us are affected by gender-based violence. Some of us
:28:11. > :28:14.are affected in very personal ways as we have heard today. Far too many
:28:15. > :28:17.of us continued to experience one of us continued to experience one
:28:18. > :28:24.form or another of gender-based violence. Sexual violence is
:28:25. > :28:29.grounded in the abuse of power. Get each and every of us in this place
:28:30. > :28:33.is incredibly powerful, we are women with a voice, we are women with a
:28:34. > :28:40.platform, we are people interested to speak of the. Surely the greatest
:28:41. > :28:43.testament we can have two violence against women is to use that power
:28:44. > :28:48.to eradicate it, use that power to end it and I hope women right across
:28:49. > :28:51.this House and men also who want to stand in solidarity with us, will
:28:52. > :28:54.join us in the fight to make these not just words, that when we talk
:28:55. > :28:57.about the elimination of violence about the elimination of violence
:28:58. > :29:07.against women, we mean it and we end it was several. -- once and for all.
:29:08. > :29:11.the members who secured this the members who secured this
:29:12. > :29:16.backbench debate. It has been a phenomenal debate to be sat in. I
:29:17. > :29:25.want to start by echoing the message from the honourable member who said
:29:26. > :29:28.this is a crossbench issue, we can only eliminate violence against
:29:29. > :29:32.women if we do it in a collaborative way and I think what has been heard
:29:33. > :29:36.in this chamber has shown that that is indeed a possibility with the
:29:37. > :29:40.conviction that we all have. The honourable member also went on to
:29:41. > :29:50.contextualise why this debate is so important, with 3 million women in
:29:51. > :29:57.UK expressing violence, 27.1% of us. A third of us and they do echo, that
:29:58. > :29:59.there's probably an underestimate. there's probably an underestimate.
:30:00. > :30:05.She also rightly focused on the impact that violence has, the
:30:06. > :30:10.Beatles, the horror that goes on from that particularly, she focused
:30:11. > :30:14.on the impact of children, the lack of support for them. And politically
:30:15. > :30:18.on the lack of mental health or everybody that is affected by this,
:30:19. > :30:27.as was echoed by the honourable member from south. They spoke
:30:28. > :30:31.increase in online abuse and get increase in online abuse and get
:30:32. > :30:34.clear recommendations for what needs to be done. The honourable member
:30:35. > :30:38.four Basingstoke 's book about the sexual harassment of girls and I
:30:39. > :30:40.would like to say that the work that the women inequalities has done is
:30:41. > :30:41.fantastic and we hope we get an fantastic and we hope we get an
:30:42. > :30:45.equally strong response from the equally strong response from the
:30:46. > :30:51.Government from it. I important thing because I don't think anyone
:30:52. > :30:57.in the chamber will forget the speech by the honourable member from
:30:58. > :31:05.Edinburgh West. I quite, first I was surprised, then I was therefore,
:31:06. > :31:09.then I realised the horror. -- fearful. The words from a 14 euros
:31:10. > :31:16.goal. We all felt the horror and we are sorry to you and every other
:31:17. > :31:21.girl that expresses that horror. They spoke of the shame that we
:31:22. > :31:25.have, to allow this to happen and urge the Government, and so many
:31:26. > :31:27.have commented that improper mandatory sexual relationship
:31:28. > :31:36.education so that all children understand that means delaying -- no
:31:37. > :31:39.difference between right and wrong. difference between right and wrong.
:31:40. > :31:45.I would like to move on to the honourable member and pick up on one
:31:46. > :31:49.word that she used repeatedly which was the word lucky. Lucky because
:31:50. > :31:57.she was only violently assaulted by a man. I suppose when we look at the
:31:58. > :32:03.scale of the abuse and when we look at the number of murders that she
:32:04. > :32:07.also spoke of, the number of times a woman will insure domestic abuse
:32:08. > :32:12.before she reports it, then maybe you were lucky. I feel lucky that
:32:13. > :32:16.you are here in this chamber to share this story and two campaign,
:32:17. > :32:22.to prevent it happening to any other woman. I was pleased that the
:32:23. > :32:29.and Lanark and Hamilton picked up on and Lanark and Hamilton picked up on
:32:30. > :32:33.how victims are often the ones who have to change their lives, move
:32:34. > :32:37.it be for this crime and this crime it be for this crime and this crime
:32:38. > :32:43.alone that it is the victim that has this perpetuating assault on them,
:32:44. > :32:46.having to live in fear for potentially the rest of their lives?
:32:47. > :32:54.We have to do something to address this. I would also like to go to,
:32:55. > :32:57.like the speech that the honourable member from Hayward and Middleton
:32:58. > :33:02.made, she broadened it to an international speech and spoke very
:33:03. > :33:10.powerfully about the fact that 88% of women in Sierra Leone have been
:33:11. > :33:14.the points that she has said that to the points that she has said that to
:33:15. > :33:19.be honest, as long as this is viewed as a cultural practice, rather than
:33:20. > :33:23.child abuse, we will never eradicate child abuse, we will never eradicate
:33:24. > :33:29.it and we in this chamber need to do all that we can to stop using it as
:33:30. > :33:31.a cultural excuse that attack it as a child abuse. She also spoke how
:33:32. > :33:36.dangerous it is to be a women in dangerous it is to be a women in
:33:37. > :33:42.Afghanistan, particularly a women in public life. And when we look
:33:43. > :33:45.internationally, while the horrors going on in Afghanistan are
:33:46. > :33:48.unparalleled, we are seeing that rebel going across the world at the
:33:49. > :33:55.moment and that is something that we all need to be calling up very
:33:56. > :33:59.actively. -- ripples. She spoke interesting about working with
:34:00. > :34:02.companies say they recognise the signs of domestic violence and also
:34:03. > :34:05.how to intervene and prevent it and he also brought us into the
:34:06. > :34:10.international aspect of those that one in three women suffering
:34:11. > :34:15.violence and also that one in four women suffering domestic violence in
:34:16. > :34:21.duty to challenge an address that. duty to challenge an address that.
:34:22. > :34:28.The honourable member has tabled a bill on Friday, next Friday, which I
:34:29. > :34:31.hope that we will all support and it is demanding that the Government
:34:32. > :34:34.actually put forward a timetable for when they ratified the Istanbul
:34:35. > :34:39.convention. The Istanbul convention is a historic international treaty
:34:40. > :34:43.which set legally binding standards from preventing an attacking
:34:44. > :34:46.domestic abuse and crucially the Convention gives all survivors of
:34:47. > :34:48.domestic abuse the right to access specialist services which they need
:34:49. > :34:54.to leave and safety and rebuild their lives. I am sure I'm being
:34:55. > :34:57.uncharitable to hope that that is not the block that is preventing the
:34:58. > :35:00.Government from signing this and I hope that they will do the right
:35:01. > :35:05.thing next Friday and give a guaranteed timetable of when the
:35:06. > :35:10.bill will be ratified. The Government have, however, and should
:35:11. > :35:13.be commended for doing a lot of work to prevent pilots against women and
:35:14. > :35:20.girls. And I'm grateful for the honourable members the drawing that
:35:21. > :35:23.to the attention of the House, around modern slavery, the stalking
:35:24. > :35:28.bill that came in, the international work and national work on preventing
:35:29. > :35:34.violence against women and girls and FGM. However, however, we know that
:35:35. > :35:40.domestic violence and violence against women and girls does remain
:35:41. > :35:42.at pandemic levels the world a little. Domestic violence and
:35:43. > :35:47.violence against women in UK has increased rapidly between 2009 and
:35:48. > :35:52.2014, pushing up the overall levels of violent crime in the UK. Yes, a
:35:53. > :35:56.number of members did say that there is the contradictory official view
:35:57. > :35:59.that the crime stats say that violent crime in England and Wells
:36:00. > :36:04.is continuing to fall. However, we know that because of the research
:36:05. > :36:09.done that this is because they cap the number of crimes to an
:36:10. > :36:14.individual at five incidents per victim. Even if many more offences
:36:15. > :36:18.were accorded, when the cap is removed and the raw data actually
:36:19. > :36:23.examined, the number of violent crimes increases by 60%. This
:36:24. > :36:27.increase is predominately concentrated on violent crimes
:36:28. > :36:32.against women, perpetrated by their partners and acquaintances. As my
:36:33. > :36:37.friends have stated, domestic violence has a higher rate of repeat
:36:38. > :36:41.victimisation than any other crime, on average a women were larger 35
:36:42. > :36:48.attacks before calling the police. So looking at the date, 30 of those
:36:49. > :36:53.are going unrecorded. I'm grateful they have decided to stop that
:36:54. > :36:56.capping at five. I expect that the next crime stats will give a much
:36:57. > :37:01.more accurate picture of the scale of violence against women and girls.
:37:02. > :37:02.Unless we have reliable data, Government and local authorities
:37:03. > :37:10.cannot plan and resource is the cannot plan and resource is the
:37:11. > :37:14.correct response. It is impossible to provide the correct services if
:37:15. > :37:17.you do not know the need. How can the Government resorts and police
:37:18. > :37:21.correctly if they have no idea of the scale of support needed? Is
:37:22. > :37:29.liberally heard today, local authorities and refugees are
:37:30. > :37:31.struggling to cope. I asked the minister, when the Government have
:37:32. > :37:35.evidence of the true scale of need, what they look to provide more
:37:36. > :37:39.specialist resources to is local authorities and directly to
:37:40. > :37:41.specialist services? The Government National statement of expectations
:37:42. > :37:45.give guidance on what local authority should be provided for
:37:46. > :37:48.victims of domestic and sexual violence. The guidance alone does
:37:49. > :37:51.not ensure that everyone and in need can access services. The NSC says
:37:52. > :37:58.service Commissioners must have service Commissioners must have
:37:59. > :38:02.specialist in place, local authorities are facing unprecedented
:38:03. > :38:09.budget cuts. Forcing commissioners to value cost per bed over quality
:38:10. > :38:12.of service. Specialist services are closing as a result. Whether the
:38:13. > :38:16.woman and her children sleep on the night she leaves her violent partner
:38:17. > :38:20.if there is no refuge for her to go to? How can she rebuild her life and
:38:21. > :38:24.there are no specialist staff to cancel her and her children and to
:38:25. > :38:31.support her to find a new home? -- council. They cannot simply be
:38:32. > :38:35.referred to local authority in a haphazard way. Under the current
:38:36. > :38:38.system, the Government has no way of knowing if there's enough adequate
:38:39. > :38:42.provision for women and the right areas. Will the Minister today to
:38:43. > :38:46.commit to marking out the existing domestic violence and sexual
:38:47. > :38:50.violence provision in the country and correlate this with a needs
:38:51. > :38:52.assessment? Will they recognise the sheer scale domestic violence
:38:53. > :38:59.requires attitude it central Government response, not just a set
:39:00. > :39:00.of expectations on local authorities? Were available to the
:39:01. > :39:12.provisions in the Istanbul convention by them? Bowl will they
:39:13. > :39:16.sign up to? I remain at sea committed to champion the cause of
:39:17. > :39:22.prevention. Violence against women and girls will not be inevitable.
:39:23. > :39:25.Prevention is essential if we are to ensure women and girls can live free
:39:26. > :39:30.their own life. Yet we are seeing an their own life. Yet we are seeing an
:39:31. > :39:34.ever-increasing normalisation of violence in our society. Staring out
:39:35. > :39:38.screens, mobile phones of little screens, mobile phones of little
:39:39. > :39:42.girls and bulls, their expression to online pornography from a young age
:39:43. > :39:45.and messages conveyed in the media, children are growing up that
:39:46. > :39:48.believing that violence and nonconsensual sex in relationships
:39:49. > :39:52.is not just normal, it is to be accepted. At the same time, children
:39:53. > :39:56.are being pressured by adults and children to engage in harmful sexual
:39:57. > :40:02.behaviour, such as sharing indecent images. Children are entering
:40:03. > :40:05.adulthood and Noble to recognise exploitive, abusive and manipulate
:40:06. > :40:07.behaviours. Teenage girls tell me that they expect to recognise
:40:08. > :40:09.exploitive, abusive and manipulate behaviours. Teenage girls tell me
:40:10. > :40:11.that they expected the abuse by their boyfriends, that is what being
:40:12. > :40:15.a girlfriend is about. The Government can no longer stand by
:40:16. > :40:17.and allow this. Will the Government introduced that itchy
:40:18. > :40:22.age-appropriate sex and relationship education in schools to give
:40:23. > :40:27.children the knowledge and the confidence they need to reckless
:40:28. > :40:30.abuse of growth behaviour and to contextualise the messages about sex
:40:31. > :40:36.and relationships they are receiving in the media?
:40:37. > :40:41.Violence is perpetrated against women because they are women. Women
:40:42. > :40:44.are murdered by their boyfriends, husbands, sons, fathers and uncles
:40:45. > :40:48.in the UK and around the world because they believe women are to be
:40:49. > :40:53.controlled and owned. Girls' genitals mutilated because it is
:40:54. > :40:56.believed a woman's sexuality belongs to her husband. They are denied
:40:57. > :41:01.education and fought into marriage because girls' lads are valued less
:41:02. > :41:08.than boys'. They are afraid to leave their house, see their family and
:41:09. > :41:10.love their children because they exist to please men. Women are
:41:11. > :41:12.murdered, tortured and abused at the hands of men because this violence
:41:13. > :41:15.is used to maintain male power and control. Until we have acceptance of
:41:16. > :41:20.that across our societies, we will never truly eradicate it. Until
:41:21. > :41:23.violence against women and girls is accepted as structural violence,
:41:24. > :41:26.perpetrators will be allowed to cross examine their victims in
:41:27. > :41:30.courts. Little girls will continue to be told that he is groping her
:41:31. > :41:33.because he likes her. Girls will continue to grow up thinking
:41:34. > :41:38.violence and manipulation are part of being a woman. Ending violence
:41:39. > :41:42.against women and girls requires a radical societal shift in power and
:41:43. > :41:52.attitudes. It is the role of every member in this House to live up to
:41:53. > :41:56.that. If today is a really important day marking one of the UN's 16 days
:41:57. > :42:06.of action to eliminate violence against women and girls. It has been
:42:07. > :42:12.a vital debate, showing our united determination across this House to
:42:13. > :42:19.end these terrible crimes. I want to start by paying heartfelt thanks to
:42:20. > :42:24.the member from Edinburgh West. To hear her talking about her raped
:42:25. > :42:30.when she was 14 years old and breaking a taboo by talking about it
:42:31. > :42:36.in this place was remarkable. It is incredibly brave of her, in the
:42:37. > :42:40.eloquent way that she did, to talk about what happened to her. I am
:42:41. > :42:48.sure her mother would be incredibly proud of her. As a result, she will
:42:49. > :42:55.be helping so many women who are suffering in silence. And listening
:42:56. > :42:59.to her, if only one woman picks up the phone and get the support that
:43:00. > :43:03.is available, she will have saved someone's life and I am sure many
:43:04. > :43:09.women will have drawn that courage and inspiration from her today. I
:43:10. > :43:15.also want to thank the member for Batley and Spen, who also briefly
:43:16. > :43:25.talked about the serious sexual assault to her. She made a powerful
:43:26. > :43:28.speech and highlighted what she says are widespread attitudes in the
:43:29. > :43:34.abuse of women in the industry she serves in. Power to her elbow. I
:43:35. > :43:37.give her every encouragement to carry on talking about this and help
:43:38. > :43:43.women in that industry today to not have to suffer in the way she has
:43:44. > :43:48.suffered in the past. I also want to pay tribute to my colleague the
:43:49. > :43:56.member for Eastleigh, who gave a moving speech about her dreadful
:43:57. > :44:03.personal experiences as being a victim of stalking. I commend her
:44:04. > :44:09.for using this personal experience to have campaigned so strongly since
:44:10. > :44:12.she became a member. It played an important part in bringing in the
:44:13. > :44:17.stalking measures we saw yesterday. I also want to thank the member for
:44:18. > :44:24.Feltham and Heston for securing this debate today, and the approach she
:44:25. > :44:34.took. And also to the honourable friend opposite. This must be a
:44:35. > :44:39.cross-party, across the House. There is no room for any political
:44:40. > :44:45.politics in this area. We have to keep this issue top of the political
:44:46. > :44:50.agenda by working together to see the cultural changes that we all
:44:51. > :44:53.want to see. I also want to commend my colleague, the right honourable
:44:54. > :44:58.friend for Basingstoke, for reminding the House today of the
:44:59. > :45:04.strong leadership of the Prime Minister herself on keeping women
:45:05. > :45:09.and girls safe at home and around the world, and also her personal
:45:10. > :45:11.leadership in her committee and the valuable work they were doing that
:45:12. > :45:19.the government appreciates, not least of which was the report we
:45:20. > :45:23.have discussed today. Our goal remains simple. No woman should live
:45:24. > :45:31.in fear of abuse, and every girl should grow up knowing she is safe.
:45:32. > :45:35.Violence and abuse can affect everyone, and while we do think the
:45:36. > :45:40.prevalence of violence against women is going down and we are working to
:45:41. > :45:45.make sure we have the right data and just yesterday published more data
:45:46. > :45:49.to help us be sure about that, we know we have a long way to go to
:45:50. > :45:53.reach our goal. While it is encouraging that more women feel
:45:54. > :45:59.able to come forward and we are seeing more prosecutions and
:46:00. > :46:03.convictions, we are not complacent. Since 2010, we have done more than
:46:04. > :46:10.ever to tackle violence against women and girls. In March, we
:46:11. > :46:15.launched a strategy and pledged over ?80 million of funding to support
:46:16. > :46:19.this in the UK. We have strengthened the law and provide agencies with
:46:20. > :46:22.the tools they need to support victims, bring perpetrators to
:46:23. > :46:26.justice and prevent these crimes happening in the first place. We
:46:27. > :46:31.have introduced new offences for coercive and controlling behaviour,
:46:32. > :46:38.stalking, forced marriage and FGM and have banned revenge porn. On top
:46:39. > :46:41.of this, I was delighted yesterday that we were able to announce
:46:42. > :46:49.important new measures to tackle gender-based violence. As we have
:46:50. > :46:54.heard, stalking is a devastating crime and has serious consequences.
:46:55. > :46:58.So yesterday, we committed to introducing new civil stalking
:46:59. > :47:02.protection orders to protect victims and stop perpetrators at the
:47:03. > :47:10.earliest opportunity before their behaviour becomes entrenched.
:47:11. > :47:13.Yesterday, we also launched a ?15 million three-year transformation
:47:14. > :47:19.fund to aid, promote and embed the best local practice, as we have
:47:20. > :47:22.heard exists today, and to ensure that early intervention and
:47:23. > :47:26.prevention becomes the norm so we can stop some of the awful gaps in
:47:27. > :47:33.services that we have heard about today. Although we have a national
:47:34. > :47:39.strategy, it is vital that local areas take ownership and
:47:40. > :47:42.responsibility for the services in their areas, and they put the victim
:47:43. > :47:47.at the centre of their approach to providing services, incorporating
:47:48. > :47:53.the wide range of people that need to work together to support them. To
:47:54. > :47:57.help areas do this, we have published the national statement of
:47:58. > :48:00.expectations, which sets out clearly, and we have worked with a
:48:01. > :48:08.great deal of civil society organisations as well as the local
:48:09. > :48:12.Government Association to make sure the commissioning is the best it can
:48:13. > :48:16.be. Where there are good examples across the country, we want them to
:48:17. > :48:21.be available to every community and every woman. So we have published a
:48:22. > :48:26.lot more data yesterday, including the domestic homicide review. This
:48:27. > :48:32.looked for the first time at all the learning we have got from examples
:48:33. > :48:36.of where things have gone badly wrong, where individuals didn't get
:48:37. > :48:39.the services, where the statutory sector did not do everything it
:48:40. > :48:47.could have done to keep women safe, with the ultimately worst outcome
:48:48. > :48:50.that led to their death. By publishing this review and a series
:48:51. > :48:54.of recommendations, we will be able to make progress. Included alongside
:48:55. > :48:58.that was better training for the chairs of domestic homicide reviews
:48:59. > :49:09.and funding to enable this work to carry on. Our new ?15 million
:49:10. > :49:16.service transformation fund is just one part of the ?80 million package
:49:17. > :49:20.I talked about. This is the most any government has put any central
:49:21. > :49:24.funding into two combating these crimes. That includes provision for
:49:25. > :49:31.rape support centres, national helpline is and refuge position. I
:49:32. > :49:35.am sure our actions are backing up our strong words. If more resources
:49:36. > :49:39.are needed, we will keep that under review. The police transformation
:49:40. > :49:44.fund has also funded programmes that support our work, and there are
:49:45. > :49:53.other sources of funding across the country at local and national
:49:54. > :49:57.levels, including victims' services, the modern slavery programme as well
:49:58. > :50:04.as the ?15 million from the tampon tax fund. I am particularly pleased
:50:05. > :50:07.that this year, the fund recognised the important role that grassroots
:50:08. > :50:12.organisations play in addressing violence against women and girls,
:50:13. > :50:16.and they have a particular spot in the fund. I was asked some very
:50:17. > :50:23.direct questions which I want a answer. The red folder is on the
:50:24. > :50:28.bench! Firstly, it is the case that abusive behaviour off-line is
:50:29. > :50:34.treated the same way as online. The same prevention orders and the same
:50:35. > :50:39.tools are used to prosecute offenders. So please, members, go
:50:40. > :50:43.out into your communities and spread that word that we must get law
:50:44. > :50:53.enforcement agencies to use those new powers. Secondly, the member for
:50:54. > :50:59.Birmingham Yardley said, and I think we all agree, that we must do more
:51:00. > :51:04.to educate children about healthy relationships including sexual
:51:05. > :51:10.relationships, indeed, that no must mean no in every circumstance. There
:51:11. > :51:15.is a huge amount of determination and ongoing work to deliver this.
:51:16. > :51:20.She is right to say we all need to talk about it. As a mother of three
:51:21. > :51:23.children, I can say it can be a bit embarrassing, not least for my
:51:24. > :51:28.children, to have to talk about this. I think my son has just about
:51:29. > :51:36.recovered from having to talk to his mum about online porn. But it is
:51:37. > :51:43.essential that we do this, and there is a lot of very good material to
:51:44. > :51:47.support us as citizens, as parents, as teachers, as youth workers, to
:51:48. > :51:52.have those conversations. And we are determined to make sure we work with
:51:53. > :51:55.partners such as the national association of PHC, C ops, a range
:51:56. > :52:02.of excellent charities that do so much to make sure we have effective
:52:03. > :52:05.communication is to educate young boys and girls about good and
:52:06. > :52:11.healthy and safe relationships. I was also asked to respond to the
:52:12. > :52:14.semis and report. I will be writing to the members who raised that,
:52:15. > :52:18.because it was a detailed report and I want to do it justice by
:52:19. > :52:22.responding to all the recommendations, so I will. And also
:52:23. > :52:27.the issue of perpetrator programmes was raised. Clearly, these have an
:52:28. > :52:32.important role in trying to prevent harmful behaviour. But I am aware
:52:33. > :52:37.that not all of them are as good as we want them to be. So you are
:52:38. > :52:41.working with the charity Respect to revise the accreditation standards
:52:42. > :52:49.for these programmes. We have also heard harrowing stories about FGM
:52:50. > :52:55.and its continued prevalence. I want to confirm to everyone the
:52:56. > :52:58.determination of the Prime Minister, the Home Secretary, who has made
:52:59. > :53:03.this a personal challenge, that we do everything to stamp out this vile
:53:04. > :53:10.and unacceptable practice in our country and all around the world.
:53:11. > :53:16.Finally, there was much talk about the ratification of the Istanbul
:53:17. > :53:21.Convention today. I am proud that we signed that convention, and I know
:53:22. > :53:24.we will ratify it. I want to assure members that it is not stopping us
:53:25. > :53:30.doing anything for Lacko ratification. We are already
:53:31. > :53:35.complying with every aspect of that convention. In fact, we exceed most
:53:36. > :53:40.of the criteria of the convention except in the criterion of
:53:41. > :53:48.extraterritorial powers. There are ongoing discussions during the
:53:49. > :53:50.devolved administrations, particularly Northern Ireland, to
:53:51. > :53:55.get this right. We will not have time to go into all those details to
:53:56. > :54:02.be. Next Friday, we can talk about this at length and I look forward to
:54:03. > :54:06.that. In conclusion, I want to thank the members for Cheltenham, Lanark
:54:07. > :54:13.in Hamilton, Birmingham Yardley, Taunton Deane, Heywood and
:54:14. > :54:17.Middleton, Strangford and black and for really powerful and insightful
:54:18. > :54:19.speeches today. It is one of the finest debates I have had the
:54:20. > :54:27.pleasure of sitting through in this chamber. I also want to underline to
:54:28. > :54:32.especially the people outside the chamber today that I am sure that
:54:33. > :54:38.together, we will be redoubling our efforts across Parliament, across
:54:39. > :54:41.civil society, through business and in conjunction with international
:54:42. > :54:45.partners so that when we meet again next year, we will have many more
:54:46. > :54:51.victories to celebrate and fewer failures to talk about. Violence
:54:52. > :54:58.against women and girls simply has no place in the modern world. It
:54:59. > :55:01.harms individuals, families, communities, societies and the
:55:02. > :55:08.global economy. Through our determined effort, I am sure we can
:55:09. > :55:13.make this history. It is not only important that we do this. It is the
:55:14. > :55:15.right thing to do. It is vital for women and girls, but all humanity
:55:16. > :55:28.will reap the benefits. Thank you. Could I start by thanking
:55:29. > :55:30.the Minister and the Shadow Minister for their contributions at the end
:55:31. > :55:35.of this debate which I thought both were very, very helpful and
:55:36. > :55:43.valuable. I want to thank all members who've taken part today as
:55:44. > :55:47.well and particularly also make a mention to the member of ballet and
:55:48. > :55:54.spent, Eastleigh and the member for Edinburgh West, if I could echo the
:55:55. > :55:57.words of the Minister that your mum would have been incredibly proud and
:55:58. > :56:01.ensure that your family are. We all are and in the speech that you gave
:56:02. > :56:06.as indeed the others, you put others first ahead of yourself and I think
:56:07. > :56:10.if I can extend my thanks to you also doing that, I believe it make
:56:11. > :56:19.it big difference to members of my constituency also. If I could also
:56:20. > :56:23.thank Mr Deputy Speaker, the backbench business committees for
:56:24. > :56:26.their support and allowing us to have the debate today. We have heard
:56:27. > :56:33.a rage of contributions that highlight the progress in areas, the
:56:34. > :56:37.rolling back the clock in others, the description of the scenario in
:56:38. > :56:42.cereal own own is a true example of that. If I could thank the Minister
:56:43. > :56:45.for the comment he made on the questions that were raised, Edwin
:56:46. > :56:53.surprise her however that we were disappointed to not hear compulsory
:56:54. > :56:55.sex and relationship education in schools, particularly like the
:56:56. > :57:01.urgency of that. I'm sure that will not be the end of that debate. And
:57:02. > :57:06.also for the recognition, the need also for the recognition, the need
:57:07. > :57:10.to ratify the Istanbul convention, to lay out a timetable and one we
:57:11. > :57:15.believe and know will be stuck to. Thank you very much, Mr Deputy
:57:16. > :57:20.Speaker, for the chance to speak. The question is as on the order
:57:21. > :57:27.paper. As many are of the opinion, say I. To the country, no. The eyes
:57:28. > :57:36.have it. We welcome the backbench debate on the counter strategy, one
:57:37. > :57:40.year on. Green cancer. I want to recognise those in the catholic
:57:41. > :57:44.unity for the work they do day in and day out in fighting this
:57:45. > :57:49.disease. And the role in the member of huge number of members in this
:57:50. > :57:55.House do huge range of cancer related groups in this important
:57:56. > :58:00.area. My right honourable friend who is chairman of the all-party group
:58:01. > :58:03.on cancer is unable to be here today but wanted me to say how much she
:58:04. > :58:09.appreciates the backbench business committee granting this debate. As
:58:10. > :58:11.the House may know, his wife is currently undergoing treatment and
:58:12. > :58:15.I'm sure everyone in this House would want to send our best wishes
:58:16. > :58:20.to him and his family at this difficult time. It is estimated that
:58:21. > :58:25.there are over 2.4 million people living with cancer in the UK and
:58:26. > :58:29.this number continues to grow. Cancer is becoming more complex with
:58:30. > :58:36.many more treatments available, many patients living with the
:58:37. > :58:39.consequences of a cancer diagnosis, many years after treatment has
:58:40. > :58:42.finished. The all-party group on finished. The all-party group on
:58:43. > :58:48.cancer has a proud record of successfully campaigning on a number
:58:49. > :58:53.of issues, just two days ago, we held our annual Britain against
:58:54. > :58:56.cancer conference in Central Hall. One of the largest cancer confidence
:58:57. > :59:04.in the UK. On the heart of this group, I want to on my thanks to all
:59:05. > :59:07.the contributors, including the Minister and the Shadow Health
:59:08. > :59:11.Secretary of State for their contributions. Delegates very much
:59:12. > :59:16.appreciated everybody's input. The last two years have seen significant
:59:17. > :59:17.developments in cancer policy. In July 2015, the independent cancer
:59:18. > :59:22.task force published the England task force published the England
:59:23. > :59:26.cancer strategy. Since we last debated this issue in November last
:59:27. > :59:31.year, NHS England have published that England cancer strategy
:59:32. > :59:37.implementation plan. Setting out how they will roll out the 96
:59:38. > :59:40.recommendations of the strategy. More recently, we have seen the
:59:41. > :59:45.publication of the cancer transformation board's progress
:59:46. > :59:49.report outlining what steps NHS England has taken over the last year
:59:50. > :59:54.in implementing these recommendations across the country.
:59:55. > :59:57.Only last Friday, the office for National statistics published the
:59:58. > :00:01.latest one-year cancer survivor rate figures that those patients
:00:02. > :00:10.diagnosed in 2014 and followed up to 2015. As NHS England chief executive
:00:11. > :00:13.cancer conference this week, they cancer conference this week, they
:00:14. > :00:16.showed the dramatic improvement in patient outcomes that have been
:00:17. > :00:22.achieved over the last 20 years. This is something to be celebrated.
:00:23. > :00:26.But there is still much more to do. The all-party group has been active
:00:27. > :00:30.in monitoring progress on the England cancer strategy, holding a
:00:31. > :00:33.short inquiry early in the year to assess progress. We concluded that
:00:34. > :00:38.positive progress is being made but there is still much more to do to
:00:39. > :00:42.realise that the ambition of the England cancer strategy. Having
:00:43. > :00:46.taking evidence from a very wide range of people, we made a number of
:00:47. > :00:51.recommendations which I will do is to highlight some of the key themes
:00:52. > :00:55.that emerged from the inquiry. The first key recommendation of our
:00:56. > :01:00.inquiry report focus on the need for greater clarity on funding for all
:01:01. > :01:04.the 96 recommendations of the England cancer strategy. So it was
:01:05. > :01:08.positive to see more detail in the cancer transformation board's
:01:09. > :01:11.progress report. It set up the funding available per year for the
:01:12. > :01:16.next four years. I'd very much welcome the announcement by Simon
:01:17. > :01:26.Stephens this week that Britain against cancer conference, they will
:01:27. > :01:30.be able to bid for funding in early diagnosis, care for people living
:01:31. > :01:33.with cancer and cancer after treatment. This is very good news. I
:01:34. > :01:39.look forward to getting further clarity on how the old funding
:01:40. > :01:44.package set out in the progress report will be allocated across the
:01:45. > :01:48.cancer strategy's recommendations. This is particularly important given
:01:49. > :01:51.the lack of clarity around cancer funding to date. The estimates for
:01:52. > :01:59.the total amount spent on cancer care in the NHS per newly diagnosed
:02:00. > :02:03.patient had not been published beyond 2012, 20 13. And this has
:02:04. > :02:07.been described as a significant data gap when it comes to evaluating the
:02:08. > :02:12.cost and efficiency of cancer care. So will the Minister today commit to
:02:13. > :02:18.publishing an update on these figures in the House of Commons
:02:19. > :02:21.library at the earliest opportunity? Alongside funding, another
:02:22. > :02:26.recommendation and concern that was raised by stakeholders in our
:02:27. > :02:30.inquiry was around the need for further transparency on how the
:02:31. > :02:34.cancer strategy is being delivered, what the priorities are and who is
:02:35. > :02:37.responsible for delivering key recommendations. Again, the progress
:02:38. > :02:41.report from the cancer transformation board went some way
:02:42. > :02:44.to address this concern. However, that detail around how the strategy
:02:45. > :02:48.is being delivered, critically the membership, in terms of reference
:02:49. > :02:54.for the six oversight groups, tasked with overseeing delivery is vital to
:02:55. > :02:58.ensure the wider cancer community is properly engaged. We also heard from
:02:59. > :03:00.on how the delivery of on how the delivery of
:03:01. > :03:06.recommendations will be monitored at recommendations will be monitored at
:03:07. > :03:12.her local level. One of the things that I was shocked at in the debate
:03:13. > :03:19.in ovarian cancer is to find out part of the country where it is not
:03:20. > :03:23.routinely affordable for people who are suspected of ovarian cancer and
:03:24. > :03:28.I have also had letters from a number of constituents who say that
:03:29. > :03:35.they are unable to get access to drugs which help prevent breast
:03:36. > :03:41.cancer and I am wondering whether the all-party group came up with
:03:42. > :03:45.some recommendations about trying to ensure that where ever you live, you
:03:46. > :03:51.get the best possible cancer prevention and care? Because at the
:03:52. > :03:55.moment, there clearly is not a universal provision of these
:03:56. > :04:01.important diagnostic tests and drugs. My honourable friend bank
:04:02. > :04:05.support point about equal access across the country and that is
:04:06. > :04:09.something that we are all concerned about and focused on. It is positive
:04:10. > :04:13.to hear that the 16 cancer analyses have been established and the NHS
:04:14. > :04:17.England will be publishing further guidance for alliances to help them
:04:18. > :04:22.develop their plans to deliver the cancer strategy locally. But if they
:04:23. > :04:25.are to monitor the rate delivery of this strategy, it is vital they have
:04:26. > :04:30.the resources to do this effectively. An issue that was
:04:31. > :04:35.raised is around workforce, I believe most people agree with me
:04:36. > :04:38.when I say that our NHS workforce is under great strain. The council
:04:39. > :04:44.workforce is experiencing significant gaps in key areas
:04:45. > :04:48.including radiotherapy and clinical nurse specialist, for example,
:04:49. > :04:52.Anthony Nolan highlights the access to post transplant clinical nurse
:04:53. > :04:57.specialist is inconsistent across the country. At the same time,
:04:58. > :05:03.demand is growing and cancer is becoming more complex as patients
:05:04. > :05:07.often have multiple Kobe disease. If these source address, workforce
:05:08. > :05:11.pressures will have a severe effect on cancer services. Another area of
:05:12. > :05:15.growing need for cancer patients is access to timely and appropriate
:05:16. > :05:19.mental health support which, if achieved, can the pressures on other
:05:20. > :05:21.parts of the health service. The all-party group welcomed the
:05:22. > :05:25.recommendations of the strategy which said that health education
:05:26. > :05:29.England would deliver issues you to review at the council workforce by
:05:30. > :05:35.March 20 17. The all-party group are grateful to Professor Ian Cumming
:05:36. > :05:38.for meeting with earlier this year. However, we have strong concerns
:05:39. > :05:42.about progress on this crucial piece of work. Although we are aware that
:05:43. > :05:46.the baseline report of the current council workforce has been produced,
:05:47. > :05:51.has not yet been published and there is currently little detail on how
:05:52. > :05:55.health education England are planning to keep up the strategic
:05:56. > :05:59.review. We also not aware of any plans from health education England
:06:00. > :06:03.to engage with the sector on the strategic review and continue to be
:06:04. > :06:08.concerned by the lack of transparency and involvement of the
:06:09. > :06:11.wider sector. We were pleased to see reference to this strategic review
:06:12. > :06:21.of workforce in the Department of Health's maybe two AG, -- mandate to
:06:22. > :06:25.ADE. Will they hold to account on this recommendation? Diagnosing
:06:26. > :06:30.cancer earlier improves survival rates and the all-party group
:06:31. > :06:34.believes that focusing on, indicators such as the survival rate
:06:35. > :06:37.is crucial in driving progress in this area. Having the one year
:06:38. > :06:43.survival rate is crucial in driving progress in this area. Having the
:06:44. > :06:48.one-year assessment framework, it is very much welcomed by the all-party
:06:49. > :06:50.group who have long campaigned for this to happen. Since then, the
:06:51. > :06:54.all-party group of continue to all-party group of continue to
:06:55. > :06:56.champion the scores and earlier this year, we were the first to
:06:57. > :07:00.congratulate them recognise those clinical mission groups who had
:07:01. > :07:06.improved their one-year cancer survival figures at our annual,
:07:07. > :07:11.reception. It was music to our ears to hear Simon Stephens at this
:07:12. > :07:14.week's Britain cancer conference that the commit NHS England to
:07:15. > :07:19.increasing its efforts on diagnosing cancer earlier. The latest one-year
:07:20. > :07:22.cancer survival rates were published and we were pleased to see an
:07:23. > :07:29.improvement with the average one-year cancer survival rate in
:07:30. > :07:31.England standing at 17.4%. However, incremental improvements are not
:07:32. > :07:35.enough to match our neighbours in Europe and across the world. With
:07:36. > :07:40.figures below the standard asset in countries such as Sweden which has a
:07:41. > :07:56.one-year survival right at 82%. -- 70.4%. I am completely aware of the
:07:57. > :08:00.diagnosing cancer Valley. -- early. Difficulty in early diagnosis is one
:08:01. > :08:06.of the reasons why the outcome to pancreatic cancer have not improved
:08:07. > :08:11.over those 40 years. 74% of patients across the UK cannot name a single
:08:12. > :08:17.symptom of pancreatic cancer so there is a need for further cancer
:08:18. > :08:20.awareness campaigns to improve the outcomes for these. Cancers as well
:08:21. > :08:27.as further research into better diagnostic in these areas. Cancer
:08:28. > :08:31.campaigns have been very effective but as blood wise points out, we
:08:32. > :08:33.need further thought on how the NHS can work closely with cancer
:08:34. > :08:39.charities and patient organisations to increase awareness of cancers
:08:40. > :08:47.with nonspecific symptoms such as blood cancers. I charity were that
:08:48. > :08:51.early diagnosis of lung cancer dramatically improves patient
:08:52. > :08:55.outcomes, the biggest cancer killer. In some countries, screening for
:08:56. > :08:58.lung cancer is being interviews with positive outcomes, should we
:08:59. > :09:02.actively considered that here. It is worth pausing to recognise the
:09:03. > :09:05.excellent work that public health campaigns have played in fighting
:09:06. > :09:08.cancer. Since the smoking ban was introduced nearly ten years ago, the
:09:09. > :09:15.number of adult smokers in the UK has dropped by 1 million. Smoking
:09:16. > :09:21.cessation is still the most effective cancer strategy and when
:09:22. > :09:25.local, far under pressure, it does not lead to reductions in public
:09:26. > :09:29.game with long-term negative health game with long-term negative health
:09:30. > :09:34.consequence and associated costs. And as Cancer research have already
:09:35. > :09:35.made clear, the Government must publish the Tobacco control strategy
:09:36. > :09:46.without delay. You to recommendation is a theme of
:09:47. > :09:49.patient organisations within the current committee in implementation
:09:50. > :09:55.of the cancer strategy across England. This recommendation is
:09:56. > :09:58.supported by other groups, such as Cancer campaigning groups who noted
:09:59. > :10:05.in recent reports that both camps of transformation board and the
:10:06. > :10:09.National advisory group should combine expertise and involve
:10:10. > :10:14.patients in delivery. This is pertinent in relation to people with
:10:15. > :10:19.a rarer or less common cancers, many of which are childhood and teenage
:10:20. > :10:22.cancers. The all-party group were concerned when the cancer
:10:23. > :10:24.transformation board's implementation plan did not
:10:25. > :10:32.highlight rarer cancers specifically. We know that rarer
:10:33. > :10:38.cancers, particularly with vague symptoms, tend to be diagnosed
:10:39. > :10:43.later, with many going on to the emergency presentation, not only
:10:44. > :10:47.impacting survival but also poor patient experience. And many with
:10:48. > :10:51.rarer cancers, particularly blood cancers, can live with their
:10:52. > :10:54.condition for many years and it is vital that provision to support
:10:55. > :10:59.people living with and beyond cancer, such as the recovery
:11:00. > :11:03.package, take consideration of the needs of these patients. Whilst many
:11:04. > :11:07.recommendations in the cancer strategy will go some way to address
:11:08. > :11:14.this, it is vital that NHS England readings are strong focus on this
:11:15. > :11:18.group. What instructions has the Minister had with NHS England about
:11:19. > :11:23.ensuring organisations across the cancer community are involved in
:11:24. > :11:27.delivery of the cancer strategy? Currently, cancer medicines,
:11:28. > :11:35.including for rare cancers, Ira praised by NICE to allow for
:11:36. > :11:40.recommendation to be given at time of licence. But that current NICE
:11:41. > :11:43.methodology and process is not suitable for assessing treatments
:11:44. > :11:48.for rarer cancers and that the one size fits all model adopted by NICE
:11:49. > :11:52.could result in patients with rarer cancers losing out on access to
:11:53. > :11:56.treatments that patients in other developed countries are able to
:11:57. > :12:02.access. That is an ongoing joint consultation from NICE and NHS
:12:03. > :12:07.England incorporating changes to highly specialised technology
:12:08. > :12:10.appraisal, introducing affordability assessment and creating the fast
:12:11. > :12:14.track good for highly effective drugs. But consultation does not
:12:15. > :12:19.address or acknowledge any specific recommendations for the assessment
:12:20. > :12:23.or treatment for rarer cancers. This has been raised by the transaction
:12:24. > :12:28.unity as a concerned that make these available treatments vulnerable to
:12:29. > :12:36.always falling through the net. Can the Minister say what is the plan to
:12:37. > :12:40.ensure that NICE process and methodology incorporates the limited
:12:41. > :12:44.patient numbers for NI cancers, rather than applying the same
:12:45. > :12:49.process irrespective of the rarity of the cancer? And what additional
:12:50. > :12:55.flexible and he will be applied to NICE criteria when assessing rare
:12:56. > :12:59.cancers to account for inevitable uncertainties in clinical data? To
:13:00. > :13:04.summarise, it is important to recognise the progress being made in
:13:05. > :13:09.implementing the cancer strategy one year on but there is much more to do
:13:10. > :13:12.and, together, properly supported by government, the cancer community is
:13:13. > :13:16.willing and eager to deliver those better outcomes that would mean we
:13:17. > :13:18.are not just closing the gap on those better performing health
:13:19. > :13:24.nations but beginning to lead the way.
:13:25. > :13:29.The question is considering the cancer strategy one year on.
:13:30. > :13:37.Thank you very much for calling me early in this debate. May I express
:13:38. > :13:44.my sincere thanks to the honourable member, the gentleman from
:13:45. > :13:48.Scunthorpe, and also my honourable friend, the member for Basildon and
:13:49. > :13:55.Billericay, and I joined the whole House in sending best wishes to his
:13:56. > :14:02.wife at a very difficult time. Can I also paid tribute to the Backbench
:14:03. > :14:07.Business Committee for allowing time for what I think is a vital debate
:14:08. > :14:16.about the cancer strategy, now that it is almost 18 months since it was
:14:17. > :14:23.published in July last year. Mr Deputy Speaker, I am going to
:14:24. > :14:30.confine my remarks and hopefully be concise to address the issue of
:14:31. > :14:34.blood cancers in today's debate. There are 137 different types of
:14:35. > :14:42.blood cancer. Although many of them are not well understood by the
:14:43. > :14:49.general public and awareness is relatively low. Indeed blood cancers
:14:50. > :14:52.are the fifth most common type of cancer that people are diagnosed
:14:53. > :15:01.with in this country. And sadly, it is the third biggest killer and
:15:02. > :15:11.therefore I think it doesn't deserve much greater awareness and
:15:12. > :15:14.understanding and further efforts by the Department of Health and the
:15:15. > :15:21.National Health Service to ensure that patients who are diagnosed and
:15:22. > :15:25.their families are properly supported, and I thank the
:15:26. > :15:37.honourable member for Scunthorpe for raising that issue in his opening
:15:38. > :15:40.remarks. Mr Deputy Speaker, I was initially very unaware of the issue
:15:41. > :15:50.of blood cancer. My knowledge was relatively vague. That was until
:15:51. > :15:57.midway through 2012, when, after only a few weeks of being ill with
:15:58. > :16:05.flu-like symptoms, my mother was diagnosed with acute myeloid
:16:06. > :16:12.leukaemia, and within 24 hours of diagnosis, unfortunately, passed
:16:13. > :16:18.away. Sadly, this experience has been revisited on my office, with
:16:19. > :16:22.one of my employees, Tom, who also works with the honourable member for
:16:23. > :16:29.Walsham, find out just last month, just weeks ago, but his mother
:16:30. > :16:33.unfortunately has been diagnosed with leukaemia. I know the House
:16:34. > :16:43.will join me in sending our best wishes to her and to her family. It
:16:44. > :16:50.is often the fact that the issue of blood cancers comes thundering into
:16:51. > :16:56.people's lives unexpectedly. Because it doesn't perhaps have the same
:16:57. > :17:02.profile but solid tumour cancers do, and indeed, I mentioned my mother's
:17:03. > :17:09.experience of being ill for a short period of time and being diagnosed
:17:10. > :17:14.very late. Unfortunately, the National Cancer patient experience
:17:15. > :17:21.survey has shown that a third of those who are diagnosed with blood
:17:22. > :17:28.cancers have gone to see their GP twice before finally getting that
:17:29. > :17:35.diagnosis, because, again, of the lack of awareness. So I promised
:17:36. > :17:40.that I would be concise in my remarks and I just wanted to
:17:41. > :17:46.conclude by mentioning, as far as efforts here in Parliament, I'm
:17:47. > :17:54.pleased that, just for the summer recess -- just before, I was able to
:17:55. > :17:59.help with other members to establish the all-party parliamentary group on
:18:00. > :18:05.blood cancer and I'm delighted to see my honourable friend, the member
:18:06. > :18:09.for Strangford, in his place, who is very key member of that
:18:10. > :18:16.parliamentary group. We are seeking to raise awareness and I would like
:18:17. > :18:25.to put on the record mice and see a thanks to the speaker for a loving
:18:26. > :18:31.blood -- for a loving one cancer charity to hold an awareness event
:18:32. > :18:39.in the speaker's Apartments in September. -- for allowing. I know
:18:40. > :18:46.the Minister is very diligent and works very hard on these issues and
:18:47. > :18:50.has been kind and generous to me in responding to health concerns in the
:18:51. > :18:55.short time that he has held his well-deserved position. I would be
:18:56. > :18:59.grateful if the issue of blood cancers can be specifically
:19:00. > :19:03.addressed, so that the patient pathway and the patient experience
:19:04. > :19:09.can be improved, both in terms of general awareness, in terms of
:19:10. > :19:14.diagnosis and, of course, in terms of the sort of treatment and care
:19:15. > :19:21.with which those patients need in our national health Service. Thank
:19:22. > :19:27.you. Jim Fitzpatrick. It is an honour to follow the
:19:28. > :19:33.honourable gentleman for Crawley. He makes a strong case on blood
:19:34. > :19:38.cancers. I suspect his honourable friend will respond to his remarks
:19:39. > :19:42.later on. Can I give congratulations to my honourable friend from
:19:43. > :19:47.Scunthorpe for opening this debate and to him and his colleague from
:19:48. > :19:51.the all-party group from Basildon and Billericay and for securing the
:19:52. > :19:56.debate and I echo the honourable gentleman from Crawley's comments
:19:57. > :20:01.about wishing his honourable friend's wife and family well in the
:20:02. > :20:05.treatment that they are undertaking for that which they are suffering
:20:06. > :20:10.from the moment. I wasn't intending to speak in this debate, but I've
:20:11. > :20:20.got a couple of briefings from action on smoking and from Cancer
:20:21. > :20:24.Research UK and the British Lung Foundation. I thought there were
:20:25. > :20:30.some points that they were raising which would be appropriate to
:20:31. > :20:35.reinforce and to make. And checking that there was not massive pressure
:20:36. > :20:42.on time, the ability to make the points that would be possible were I
:20:43. > :20:52.to catch eye, and I am grateful for being called. Thank you to Deborah
:20:53. > :21:00.are not from Action on Smoking for their briefings. I have had cancer
:21:01. > :21:05.norm removed from my face. Biopsies on all of them were benign. --
:21:06. > :21:12.cancer melanoma is removed from my face. I was told to protect my
:21:13. > :21:18.Scottish features from the sun and ultraviolet which is even more
:21:19. > :21:22.worrying and, being married to a doctor, I always take careful notice
:21:23. > :21:26.of any clinical advice that I am given, at the risk of being
:21:27. > :21:32.criticised for not listening to those who are more intelligent and
:21:33. > :21:37.better qualified than me. I should say thanks to the good doctors from
:21:38. > :21:41.the Aberfeldy health centre and the dermatology department of the Royal
:21:42. > :21:48.London Hospital for their assistance in detecting me. First of all, if I
:21:49. > :21:55.refer to the briefing, I will start with the bad news, because of the
:21:56. > :22:02.briefings that I received had many positive things to say about the
:22:03. > :22:05.government strategy on cancer and the member for Scunthorpe in his
:22:06. > :22:10.opening remarks on the whole was very positive, but clearly questions
:22:11. > :22:15.to be asked and I will be asking some of the same questions, but more
:22:16. > :22:17.in support of that which the government and clinicians of NHS
:22:18. > :22:26.England are trying to achieve, rather than being criticisms. The
:22:27. > :22:32.briefing from Action on Smoking op games with the cancer Chatterjee
:22:33. > :22:41.from 2015-2020 recommends the Tobacco control plan. -- begins with
:22:42. > :22:45.the cancer strategy. If a target could have been met, and the target
:22:46. > :22:49.would have been published in July 2016, but six months on, and one
:22:50. > :22:54.year since the last Tobacco control plan expired that is still no plan,
:22:55. > :22:59.a major criticism that I have picked up in the briefings I have seen.
:23:00. > :23:08.Those go on to say that previous control plans achieved its ambitions
:23:09. > :23:15.to reduce smoking rates, it fell from 21.2% in adults to 18.5%. And
:23:16. > :23:20.months pregnant women from 12% to 11% or less. And asking the
:23:21. > :23:27.government must publish a new plan to build on this progress. I
:23:28. > :23:35.apologise if the plan has been published. But from the member of
:23:36. > :23:39.Scunthorpe's comments, it has not been published. So when will it be
:23:40. > :23:44.published? I would be grateful if the Minister can give encouragement
:23:45. > :23:47.that it is due sometime soon. The data shows how sex is for the
:23:48. > :23:54.previous plan was at cutting the numbers of smokers -- how successful
:23:55. > :24:01.the previous plan was. And also reducing nonsmokers, especially
:24:02. > :24:08.children, to second-hand smoke. I was a smoker, having started in my
:24:09. > :24:11.early teens, giving up on the 4th of November, 1980. In fact I remember
:24:12. > :24:17.the minutes, it does not indicate the fight that I missed it, but I
:24:18. > :24:24.remember the minute because the panorama programme highlighted the
:24:25. > :24:27.legs of each app that was in a wheelchair and it said the poor
:24:28. > :24:33.gentleman had suffered thrombosis in both legs and had amputations in
:24:34. > :24:37.both legs, and by the time it got to his face, he was still smoking
:24:38. > :24:44.cigarettes. My Ben wife was pregnant at the time and it seemed sensible,
:24:45. > :24:49.having tried 18 months previously and having given up for six months,
:24:50. > :24:54.but then burned my hand badly in a fire under first thing I asked for
:24:55. > :24:58.as I was taken to hospital after six of cigarettes was to be given a
:24:59. > :25:00.cigarette and it took me 18 months to get back off of them, but I
:25:01. > :25:10.managed to quit. When I joined the London Fire
:25:11. > :25:13.Brigade two thirds of the men smoke, and 20 years later two thirds of
:25:14. > :25:18.firefighters didn't smoke and that demonstrated the changing attitudes
:25:19. > :25:23.in the services but it reflected the same change in attitudes in society
:25:24. > :25:27.towards smoking, and of course all of the positive policies about no
:25:28. > :25:30.smoking in public buildings etc have demonstrated that we are a
:25:31. > :25:37.completely different society than we were 30 or 40 years ago. On a new
:25:38. > :25:41.plan for Tobacco control, which obviously we hope will be published
:25:42. > :25:45.shortly, I would be grateful if the minister even ahead of publication
:25:46. > :25:51.could share his thoughts on what targets for reducing adult smoking
:25:52. > :25:55.numbers we might be able to expect from 2020 onwards and what budget
:25:56. > :26:01.might be set aside for mass media campaigns and what support might be
:26:02. > :26:04.available for stop smoking services which reduce health inequalities,
:26:05. > :26:09.because most of the people who access the stop smoking services are
:26:10. > :26:13.from more deprived communities. And therefore that would help many of my
:26:14. > :26:19.constituents out, very appropriately. The last plan clearly
:26:20. > :26:25.work, Mr Deputy Speaker, and we need a new one. From Cancer UK's
:26:26. > :26:28.grieving, the key points from the briefing says that if the strategy
:26:29. > :26:35.is implemented in full it is estimated that 2000 more lives could
:26:36. > :26:39.be saved per year by 2020, at 11,000 of those lives would be saved
:26:40. > :26:41.through improvements to early diagnosis, one of the very strong
:26:42. > :26:47.points that my honourable friend from Scunthorpe was making. They can
:26:48. > :26:53.tell you that however they had not seen progress needed on the plan,
:26:54. > :26:58.they say that in prevention and four in ten cancers are preventable, they
:26:59. > :27:03.say that we need a radical upgrade in prevention to insure future
:27:04. > :27:09.sustainability in the NHS and reduce cancer incidence, and everyone --
:27:10. > :27:12.and they want the government to publish the Tobacco control the same
:27:13. > :27:18.as Ash does without further delay at the want the government to extend
:27:19. > :27:22.existing junk food and TV marketing restrictions to the 9pm watershed to
:27:23. > :27:27.reduce children's exposure to marketing by more than half. They
:27:28. > :27:30.say urgent action needs to be taken to ensure the NHS Cancer workforces
:27:31. > :27:35.adequately equipped to deal with rising demand and improving care and
:27:36. > :27:41.they welcome the commitment to increase the spent on diagnostics by
:27:42. > :27:44.up to an additional ?300 million by 2020 but seek clarity over how this
:27:45. > :27:51.is going to be allocated and used in local areas to improve diagnosis. In
:27:52. > :27:54.addition the National diagnostic capacity funding must also be
:27:55. > :28:01.continued, a point raised by my honourable friend. And they say,
:28:02. > :28:05.also, that cancer waiting time targets are being consistently
:28:06. > :28:11.missed, suggesting that there are still thousands of people not having
:28:12. > :28:14.the tests that they need in time. As I said earlier, there is also a lot
:28:15. > :28:21.of positive comments that have been made a Cancer Research UK, Mr Deputy
:28:22. > :28:25.Speaker, they say that in terms of the government progress in
:28:26. > :28:27.fermentation then the welcome the appointment of Calais parlour as
:28:28. > :28:32.National Cancer Director Chris Harrison as National clinical --
:28:33. > :28:36.national clinical director. They welcome the priorities that have
:28:37. > :28:41.been given to earlier diagnosis in the first year and commitment to
:28:42. > :28:47.invest more, and the welcome NHS England's reposed investment of 130
:28:48. > :28:52.million for over 100 new -- 100 replacements or upgrades of
:28:53. > :28:54.radiotherapy machines. They say that replacing the machines will mean
:28:55. > :28:59.that more patients can access the innovative radiotherapy which plays
:29:00. > :29:02.a vital role in curing cancer, slowing the growth of tumours and
:29:03. > :29:06.improving the quality of life in cancer patients.
:29:07. > :29:11.The final question from Cancer Research UK is the one about the
:29:12. > :29:17.government's commitment on the ?300 million raised by my honourable
:29:18. > :29:20.friend by 2020 to improve diagnostic capacity, they are asking for
:29:21. > :29:24.clarification of how this money is going to be allocated and used in
:29:25. > :29:32.local areas, and how it is going to be evaluated. So, in conclusion, Mr
:29:33. > :29:36.Deputy Speaker, as I said in the beginning, not only is not all of
:29:37. > :29:40.the comments from these respected organisations critical of government
:29:41. > :29:46.policy, it is actually confirmatory about government policy and its
:29:47. > :29:50.approach apart from the absence of the Tobacco control plan, which is a
:29:51. > :29:56.key absence which has been highlighted by all the charities and
:29:57. > :29:58.receptor organisations concerned, but there are lots of positive
:29:59. > :30:03.comments and I want to reinforce that to the minister because this is
:30:04. > :30:05.not about the opposition being critical of government, there are
:30:06. > :30:11.lots of great and positive stories in there. As my honourable friend
:30:12. > :30:16.from Scunthorpe raised and as I have raised on behalf of Cancer Research
:30:17. > :30:19.UK and Ash, there are a number of questions that we would like answers
:30:20. > :30:22.from, and if the minister is not in a position to do so today then
:30:23. > :30:25.obviously it would be very welcome if he could ask his officials to
:30:26. > :30:30.write to those involved in the debate with additional information
:30:31. > :30:33.in due course and I look forward to my honourable friend the Shadow
:30:34. > :30:40.minister and the Minister's comments in response to this debate. I am
:30:41. > :30:42.most grateful to be called in this important debate about was listening
:30:43. > :30:47.with great interest to the honourable gentleman from Poplar
:30:48. > :30:53.talking about his experiences of smoking and may I tell him that I
:30:54. > :30:55.know when I give up smoking, it was before a particular flight on a
:30:56. > :31:02.Parliament delegation back from Bahrain nearly 15 years ago, and I
:31:03. > :31:08.have never looked back. One of the drivers in making me give up smoking
:31:09. > :31:12.was a conversation I had with my honourable friend a member of the
:31:13. > :31:17.opposition, now Lord Bradley, who was a member for with an sure. And
:31:18. > :31:20.like the honourable gentleman from Poplar I remember smoking in this
:31:21. > :31:23.house, I remember smoking in committee rooms, I remember liking
:31:24. > :31:30.up in a standing committee and the reprimanded. The honourable
:31:31. > :31:35.gentleman Mr Deputy Speaker, I offered him a cigarette, we were in
:31:36. > :31:44.the tedium and you could smoke anywhere. He said, no thanks. I've
:31:45. > :31:48.got an emphysema hospital in my constituency, I've got an emphysema
:31:49. > :31:53.hospital in my constituency, and that really, really hit home. The
:31:54. > :32:00.honourable gentleman for Scunthorpe is nodding. I pay tribute to him. He
:32:01. > :32:05.was at the Cancer conference Britain against cancer on Tuesday, which I
:32:06. > :32:09.attended as an officer of the all-party Cancer group. He has
:32:10. > :32:12.served on that group much longer than I have and he chaired that
:32:13. > :32:16.meeting in the absence of our honourable friend the member from
:32:17. > :32:22.Billericay who are the members have paid tribute to and of course to his
:32:23. > :32:26.wife, who is undergoing treatment at the moment. I would like to see what
:32:27. > :32:28.a great job I think my honourable friend from Billericay has done on
:32:29. > :32:32.our side of the house in driving this agenda and it just shows that
:32:33. > :32:37.if you follow something you believe in here you can get dramatic
:32:38. > :32:43.results. And those two Matic results were clearly illustrated I thought
:32:44. > :32:47.-- and those dramatic results were clearly illustrated, and I always
:32:48. > :32:51.think you should be able to point something out that is better than
:32:52. > :32:59.just a word the phrasing report, Simon Stephens said in 1999, 60% of
:33:00. > :33:06.cancer patients survived, in 2014 it is 70%. And then we went over some
:33:07. > :33:12.of those figures. I thought those were truly remarkable figures.
:33:13. > :33:19.Really very, very encouraging. Mr Deputy Speaker, I want to focus on
:33:20. > :33:22.something else that Simon Stephens said, which the honourable member of
:33:23. > :33:26.the gentleman from Scunthorpe as alluded to. This is the ?200 million
:33:27. > :33:33.funding that he announced at that conference. He said, the ?200
:33:34. > :33:38.million fund has been set up to encourage full areas to find new and
:33:39. > :33:41.innovative ways to diagnose cancer earlier and improve the care for
:33:42. > :33:48.those living with cancer and ensure that each cancer patient gets the
:33:49. > :33:58.right care for them. And that includes after-care treatment, what
:33:59. > :34:01.do you do when a patient has had chemotherapy and there is nothing
:34:02. > :34:04.else there? They haven't been given any other options, they feel
:34:05. > :34:09.depressed, and unhappy. And that is really where my main experience in
:34:10. > :34:15.this house working in integrated health care, holistic medicine, I
:34:16. > :34:20.suppose as an officer of the all-party group for integrated
:34:21. > :34:27.health care, the confirmatory medicine group, I have been either
:34:28. > :34:35.group for nearly 30 years. It feels almost as if our time has come and
:34:36. > :34:41.that it is now being clearly recognise that part of the cancer
:34:42. > :34:47.package is a wide range of support and you can see this all over the
:34:48. > :34:57.country, I was at la Ross last Friday week which is the, or people
:34:58. > :35:00.who are very, very ill get, in Leicestershire, for the last two
:35:01. > :35:05.days. There were in individual therapies being offered there. Not
:35:06. > :35:10.just in my constituency but in many others. But going back to the
:35:11. > :35:15.conference, and the honourable gentle and now he has been promoted
:35:16. > :35:18.to the front bench,... That is the great thing about the opposition,
:35:19. > :35:22.the front bench changes so quickly you can never be sure about any
:35:23. > :35:30.honourable gentlemen are. I remember advice given to me was always to sit
:35:31. > :35:33.in the same place in the house. So the speaker knew where you are. It
:35:34. > :35:36.is a wonder in that case that any members of the other side get cold
:35:37. > :35:41.at all because they are always moving around the benches. The
:35:42. > :35:47.honourable gentleman has clearly been made up this afternoon and
:35:48. > :35:52.congratulations to that. Mr Deputy Speaker, one of the battles I have
:35:53. > :35:54.had over the years, and good afternoon Madam Deputy Speaker, has
:35:55. > :36:00.been with the medical establishment over what should be included in
:36:01. > :36:05.treatments in the health service. It has been an ongoing battle against
:36:06. > :36:08.vested interest in the medical establishment, which you don't want
:36:09. > :36:14.to see, money making from their own particular silos. This is all down
:36:15. > :36:23.to scarce resources. One of the most interesting stalls in the cancer,
:36:24. > :36:30.Britain against Cancer conference on Tuesday was this one. Cancer
:36:31. > :36:35.detection dogs. You rearm. Cancer detection dogs. Even I gasped when I
:36:36. > :36:38.saw it. -- here we are. The honourable lady who has also had
:36:39. > :36:43.experience with cancer has contributed so much in this house
:36:44. > :36:48.solely to cancer problems and she is nodding and smiling. The fact is
:36:49. > :36:53.Madam Deputy Speaker, the chances are we have dogs in this house, in
:36:54. > :36:57.one scene where and when they go to detect things that could and should
:36:58. > :37:01.have been -- could and should not have been placed here by people who
:37:02. > :37:05.do not agree with what we do. It is possible to use dogs to detect
:37:06. > :37:08.cancer. If it is possible to use dogs to detect cancer I suspect that
:37:09. > :37:12.the authorities in the health service have not run double-blind
:37:13. > :37:19.placebo-controlled trials to establish whether or not this
:37:20. > :37:22.procedure works. It works on the basis of experience, it works
:37:23. > :37:28.because the dogs are trained to detect by smell when people have
:37:29. > :37:36.developed cancer. And the great battle ground between orthodox
:37:37. > :37:41.medicine proponents, proponents of orthodox medicine, the battle line
:37:42. > :37:45.has been in recent years been drawn on something called evidence -based
:37:46. > :37:50.medicine. Where we are told that in the health service medicine should
:37:51. > :37:57.always be evidence -based and nothing should be used unless it
:37:58. > :38:04.meets the criteria. I had a look at this Mr Deputy Speaker, and it
:38:05. > :38:11.really goes back to something that Professor Sattar said, going back to
:38:12. > :38:21.1992, he made the statement and the other academics around with this,
:38:22. > :38:28.but what he also said, in saying how important evidence -based medicine
:38:29. > :38:31.was, he said, however, good doctors use both individual clinical
:38:32. > :38:39.expertise and the best available external evidence and neither alone
:38:40. > :38:44.is enough. Without clinical expertise, practice risks become
:38:45. > :38:52.tyrannised by evidence for even excellent external evidence may be
:38:53. > :38:58.inapplicable or inappropriate for an individual patient where with
:38:59. > :39:01.current best evidence practice risks becomes out of date and to the
:39:02. > :39:04.detriment of patients. Madam Deputy Speaker hit is hardly a secret that
:39:05. > :39:09.we were discussing Brexit in this house, yesterday, and that we have
:39:10. > :39:15.been very much involved in that debate since the summer. Many of us
:39:16. > :39:19.for a long time before that. But one of the problems that we have had in
:39:20. > :39:26.health care with the European Union has been the imposition of directors
:39:27. > :39:31.on the UK that have negatively impacted support services in health
:39:32. > :39:36.care. One of those measures Madam Deputy Speaker was the traditional
:39:37. > :39:39.herbal medicines directive which requires Chinese medical
:39:40. > :39:48.practitioners to show 30 years of usage in the UK or with a particular
:39:49. > :39:53.medicine or 15 years under other circumstances. And actually banned a
:39:54. > :39:58.whole range of complex preparations which are freely available in the
:39:59. > :40:00.People's Republic of China and produced to very high standards in
:40:01. > :40:10.modern factories in China. This chamber this, I was at a
:40:11. > :40:16.Chinese medical clinic, because I practice what I preach, getting
:40:17. > :40:19.acupuncture once a month, which I think has kept me away from
:40:20. > :40:28.antibiotics and steroids and a number of other drugs for a few
:40:29. > :40:32.years. I was talking to practitioners about what they were
:40:33. > :40:37.able to do about cancer patients. There was a long less of types of
:40:38. > :40:44.cancer that can be treated using traditional Chinese herbal
:40:45. > :40:52.medicines. One is cervical cancer, the second is non-Hodgkin's
:40:53. > :41:03.lymphoma, the third is HRV. The fourth is Colin cancer. Five is head
:41:04. > :41:09.and neck cancer. -- colon cancer. The list goes on. In my
:41:10. > :41:14.constituency, several constituents I believe are alive today because they
:41:15. > :41:19.have used Chinese medicine. And the reason for that is it strengthens
:41:20. > :41:28.your system. It strengthens the immune system. And it is very
:41:29. > :41:32.effective after cancer treatment. It deals with particular symptoms. I
:41:33. > :41:36.asked the practitioner this afternoon what conditions she would
:41:37. > :41:43.expect to be able to alleviate using Chinese herbal medicine. And
:41:44. > :41:47.acupuncture. She said tiredness, lack of energy, fevers, headaches,
:41:48. > :41:53.hypertension, dry skin, seizures and involuntary muscular twitching.
:41:54. > :41:58.Madame Deputy Speaker, we have got to broaden the scope of services
:41:59. > :42:07.that are available on the health service. To help meet patient
:42:08. > :42:14.demand, and I hope that we have this ?200 million fund that can mean a
:42:15. > :42:19.further widening of the scope of services available. My honourable
:42:20. > :42:23.friend on the front bench, who is new to his post, could do a lot
:42:24. > :42:33.worse than contact the head of the professional standards authority.
:42:34. > :42:41.That organisation oversees the regulation of 23 different health
:42:42. > :42:51.providers. I will not go down the list, but about 20,000 providers. If
:42:52. > :42:56.we go to the trouble of regulating, of having oversight of regulation,
:42:57. > :43:00.of different therapies, why don't we use them? What is the point of
:43:01. > :43:04.studies today regulations rejects the oversight and then we don't use
:43:05. > :43:11.the services? -- the point of statutory regulation. You could do
:43:12. > :43:18.worse than go around the country and look at some of the practices that
:43:19. > :43:28.are there, that help cancer patients who are in remission. One of the
:43:29. > :43:33.best is the South Wales Cancer centre, and each year it sees over
:43:34. > :43:40.5000 new referrals and around 50,000 outpatient appointments, employing
:43:41. > :43:49.over 670 staff on an annual budget of over ?49 million. That does not
:43:50. > :43:52.come from my honourable friend's department, but from charitable
:43:53. > :43:59.donations, but widely used by doctors. At that centre,
:44:00. > :44:05.reflexology, Reiki and healing, aromatherapy, breathing and
:44:06. > :44:08.relaxation techniques, all I used with spectacular results. And
:44:09. > :44:16.another wonderful clinic that my honourable friend could visit, it is
:44:17. > :44:23.a few stops on the district line, in full Long, it is called the breast
:44:24. > :44:28.Cancer Haven, using a whole range of therapies and I have attended the
:44:29. > :44:34.sessions. It is wonderful to see people suffering from breast cancer
:44:35. > :44:37.and other cancers given hope, and that chemotherapy is not the end of
:44:38. > :44:41.the road, that that is something out there to support them. Another
:44:42. > :44:49.wonderful organisation you should be aware of, who are at the cancer
:44:50. > :44:57.conference on Tuesday, is the living well with cancer organisation. They
:44:58. > :45:12.worked hard to produce a report on long-term impact on their LivingWell
:45:13. > :45:20.course. It shows a high approval rating for patients. 97% of patients
:45:21. > :45:26.reported making positive lifestyle changes after the LivingWell course.
:45:27. > :45:30.75% maintain positive changes made for four or five years, or still
:45:31. > :45:42.maintaining them. The LivingWell course had enabled them to self
:45:43. > :45:46.manage themselves. On the front bench, you will know that the
:45:47. > :45:49.patient choice, according to the Secretary of State, is at the centre
:45:50. > :45:54.of the health service. It is at the heart of it will stop if we are
:45:55. > :46:03.going to offer patients choice, we have to give them the provision out
:46:04. > :46:11.there to choose from. And speaking as a member on board the Health
:46:12. > :46:18.Committee at the science and to committee -- and the science
:46:19. > :46:26.committee, we looked at the complex problems in both those committees of
:46:27. > :46:30.polypharmacy and poly morbidity, which is jargon for too many drugs
:46:31. > :46:38.and not necessarily knowing what those do. We need to try to reduce
:46:39. > :46:47.that. One of the crises that we have in this country is the whole
:46:48. > :46:51.antibiotic resistance problem. We are just not getting antibiotics
:46:52. > :46:57.into the pipeline. Part of the problem of course is you are trying
:46:58. > :47:01.to create a new drug and then tried to reduce antibiotic use. That is
:47:02. > :47:07.part of the problem. But I there is a whole range of other therapies
:47:08. > :47:15.that can help patients. -- but out there. That can help patients stay
:47:16. > :47:19.away from antibiotics. I will not get caught on straying from this, I
:47:20. > :47:25.know this is a cancer debate, but there are a lot of alternative
:47:26. > :47:35.therapies. And I will get to the next one, homoeopathy, because they
:47:36. > :47:41.offer options because where running out of solutions in mainstream
:47:42. > :47:46.medicine. I have always championed homoeopathy in this House and I want
:47:47. > :47:49.to belated shtick lead to cancer. Wholemeal pasta not make claims to
:47:50. > :48:01.cure cancer but my goodness can help people. -- homoeopaths do not make
:48:02. > :48:06.claims. They can help with things like sleeplessness. One of the great
:48:07. > :48:10.tragedies at the moment in this country is that the tiny number of
:48:11. > :48:19.people who either guard at best as foolish and that worst as wicked are
:48:20. > :48:22.trying to erase the tiny sum of money, ?500 million, on homoeopathy
:48:23. > :48:27.in the health service, arguing it is a waste of money without looking at
:48:28. > :48:34.benefits. We are seeing pressure elsewhere on the institutions. What
:48:35. > :48:39.could be soldier put -- what could be so stupid to attack a medical
:48:40. > :48:43.system widely used in France, that voters fortified in Switzerland,
:48:44. > :48:50.used across the roles, in India, Brazil, all over the world, so what
:48:51. > :48:54.is the problem here? I was in Toulouse looking at petition if a
:48:55. > :49:02.space work recently, right in the middle of the main script is the
:49:03. > :49:07.homoeopathy chemists, many women using that service. We should not be
:49:08. > :49:13.bludgeoned by this tiny number of people who use legal threats and
:49:14. > :49:20.resist it. As now we have Simon Stevens coming up with new money for
:49:21. > :49:27.after cancer care. We need to look out of the box, look at new
:49:28. > :49:31.possibilities! Even the ones that are unorthodox! The cancer group,
:49:32. > :49:36.that I am officer of, I chaired a meeting the other day, healing
:49:37. > :49:44.anguished professors of medicine from this country -- I heard from
:49:45. > :49:47.anguished professors. There was talk of a mainstream treatment called
:49:48. > :49:57.target for breast cancer, about putting a small device that looks
:49:58. > :50:03.like a tangerine and the edge of a cricket stump into an incision in
:50:04. > :50:09.the chest and the chemotherapy treats the Juma and not the other
:50:10. > :50:15.organs in the chest. They see this as a great breakthrough that was
:50:16. > :50:19.invented in Britain. It is widely available in Europe. How could NICE
:50:20. > :50:24.have given this clearance? What is going on? Professors of medicine
:50:25. > :50:32.saying this is hugely important and we are not actually dealing with it.
:50:33. > :50:37.I would... I will give way. Thank you very much. On that
:50:38. > :50:42.particular point of targeted radiotherapy, I have spoken to those
:50:43. > :50:46.professors and understand where they are in the clearance process but I
:50:47. > :50:50.find it a little bit concerning when we have a lack of money in the
:50:51. > :50:56.system. Was he aware that is half a dozen machines that can deliver that
:50:57. > :51:00.targeted therapy around the country? Perhaps we need to look at what we
:51:01. > :51:06.do first, whether purchasing the machines or giving the clearance in
:51:07. > :51:11.full? She makes her point very well indeed. Simon Stevens, in his
:51:12. > :51:16.excellent presentation, talked about bringing new equipment onstream I
:51:17. > :51:20.think for radiography? The honourable lady was there. That is
:51:21. > :51:26.important but I agree with what you are saying. But we need to wake up
:51:27. > :51:35.to what is invented in Britain and being used across the world. I will
:51:36. > :51:39.wind up in the moment. But I want to finish off with a couple of other
:51:40. > :51:45.points. There are other treatments out there, which people turn to in
:51:46. > :51:50.desperation when reaching the end of their conventional treatment. One of
:51:51. > :51:53.them is oxygen therapy, broadly speaking getting more oxygen than
:51:54. > :51:58.normally and going into a container. It is not very expensive.
:51:59. > :52:02.Information I get is it produces spectacular results in terms of
:52:03. > :52:08.energising people and improving their sense of self-worth and
:52:09. > :52:16.well-being. The other point I want to make this afternoon, which I find
:52:17. > :52:19.frankly amazing, is that in the great cancer hospitals and clinics
:52:20. > :52:25.in this country diet is seen as a sideline. The diet is frankly
:52:26. > :52:29.appalling and some of these institutions and I'm not actually
:52:30. > :52:35.going to name any because I've got a big enough postbag and I don't want
:52:36. > :52:38.to hear the defence. But looking at the big clinics in America, such as
:52:39. > :52:52.the Mayo Clinic, you can say goodbye to Deary, sugar, hello to more
:52:53. > :52:57.juices, a whole range of ones using raw juices and vegetables. The diet
:52:58. > :53:00.is fundamental. I worked in the computer industry and be used to see
:53:01. > :53:07.garbage in, garbage out. The same applies here. The honourable
:53:08. > :53:14.gentleman does need the honour of laughing. It is true, and such a
:53:15. > :53:16.soft ball to hit. We are spending millions on these expensive
:53:17. > :53:22.treatments, what about telling people to cut back on sugar? But
:53:23. > :53:29.there we are. Madame Deputy Speaker, I have tried to address some of the
:53:30. > :53:35.issues following the landmark speech at the landmark conference on
:53:36. > :53:40.Tuesday. For the first time, we've seen a lot of money set aside for
:53:41. > :53:49.developing after-care inpatients and improving services around mainstream
:53:50. > :53:52.medicine. My honourable friend, the member, has a great opportunity to
:53:53. > :53:56.make his mark in this House. He is residing as the Minister in a
:53:57. > :54:02.department which is I think the fourth largest employer in the
:54:03. > :54:07.world, isn't it? I think the red Army comes top, McDonald's second, I
:54:08. > :54:10.think something like that, then another broker provider I expect his
:54:11. > :54:16.third, and the honourable gentleman precise over part of an organisation
:54:17. > :54:21.that is a vote. And he has enormous opportunities here, with his brief,
:54:22. > :54:26.to improve the quality of life of cancer patients in this country.
:54:27. > :54:35.By the time he has finished we should have gone not from 60% to 70%
:54:36. > :54:42.of cancer patients survival, his target should be 80%. Madam Deputy
:54:43. > :54:46.Speaker, I rest my case. Thank you Madam Deputy Speaker it is always a
:54:47. > :54:50.pleasure to speak on these issues and debates and first volcanic amend
:54:51. > :54:57.the honourable gentleman for Scunthorpe in his presentation. And
:54:58. > :55:03.we hope and pray that the wave of the honourable member from Dorothy
:55:04. > :55:08.gets much better. -- from Billericay. I dare say he will be
:55:09. > :55:13.watching this from afar but we hope that everything goes well for him.
:55:14. > :55:16.We also thank the back -- backbench committee, because of them we have
:55:17. > :55:21.this opportunity on a Thursday afternoon to be involved in this
:55:22. > :55:25.debate. As we are all aware, the latest figures provided by Macmillan
:55:26. > :55:28.indicates that by the end of this Parliament one out of two people
:55:29. > :55:33.will suffer from a form of cancer in their lives and it is a sobering
:55:34. > :55:37.thought that in this chamber, there are 12 in this chamber, that if you
:55:38. > :55:40.take 50% of those, technically speaking, according to the stats, we
:55:41. > :55:45.could be recipients of that in the next few years as well. That brings
:55:46. > :55:52.it into consideration. Could I also thank the honourable gentleman who
:55:53. > :55:59.is the chair of the APPG and -- on blood cancers chairs it very well.
:56:00. > :56:02.We thank him for setting up that APPG and we are all very grateful to
:56:03. > :56:06.work alongside him in his endeavour to help in this house.
:56:07. > :56:12.It is clear that in diagnosing and treating the disease we have more
:56:13. > :56:15.people surviving it and living for a longer with it, and consequently we
:56:16. > :56:20.have two and half million people living with beyond cancer in the UK.
:56:21. > :56:24.My dad was a survivor of cancer of the occasions. The honourable
:56:25. > :56:27.gentleman whose fault before we mentioned diet, and we have come to
:56:28. > :56:35.ignore diet because it is a factory can use. My dad had cancer is the
:56:36. > :56:41.died the year before last, and he survived its the Times and lived for
:56:42. > :56:45.some 30 years -- lived 38 years after he was diagnosed. He was very
:56:46. > :56:49.careful about his diet and I believe that was one of the factors, and the
:56:50. > :56:54.doctor told them to be careful with his diet but he survived for three
:56:55. > :56:58.things, for three reasons. First of all the skills of the surgeons at
:56:59. > :57:03.the operations, the care of the nurses and he's also a man of great
:57:04. > :57:07.faith so is the forgotten people was also very reported to him. The sheer
:57:08. > :57:14.scale of the problem of cancer demands are very coordinated the
:57:15. > :57:18.proactive, and ICT minister in this place and he knows that I hold them
:57:19. > :57:26.in the most respect. As the organ in this house. Everyone of us does. But
:57:27. > :57:34.we need to be able to cover everything. I am convinced that the
:57:35. > :57:38.Minister will come back with the response we hope to have. I say
:57:39. > :57:44.there is more that can and indeed must be done. We should perhaps, it
:57:45. > :57:49.would be remiss of us not to mention those charities we are all involved
:57:50. > :57:58.with. We all move on, my HUD, what work they do, action cancer,
:57:59. > :58:07.Macmillan, and we have also the chart groups as well. And the touch
:58:08. > :58:17.triggered my constituency has a cancer group that meets every
:58:18. > :58:22.Friday. -- and the church group. There is the issue of the NHS
:58:23. > :58:25.funding, this is an essential component in that Macmillan has said
:58:26. > :58:29.that around one in four people living with beyond cancer face
:58:30. > :58:32.disability or pro health following the treatment. This can remain the
:58:33. > :58:39.case for many years after treatment has ended and sometimes we should be
:58:40. > :58:45.looking at the care needs of those who have been survivors of cancer in
:58:46. > :58:48.the disability is that they then have to face at the lifestyle they
:58:49. > :58:52.have to face and head of families come to terms with that as well. It
:58:53. > :58:55.is vital that they are able to access the best care that is right
:58:56. > :58:59.for them, when they needed, and ensure that the NHS is set up to
:59:00. > :59:05.meet the changing needs of cancer patients. We need an NHS that
:59:06. > :59:09.evolves in response to the needs of patients. Not only would this
:59:10. > :59:13.increased the quality of survival but with ensure that the resources
:59:14. > :59:19.invested are done in the most efficient way. Perhaps we need to be
:59:20. > :59:22.in close cooperation with the cancer charities with patients to ensure
:59:23. > :59:28.the NHS can respond in the best way possible. Ensure that resources are
:59:29. > :59:33.invested in the most efficient way. This is the key for the five year
:59:34. > :59:37.for a few projections that say that cancer spending will have to grow by
:59:38. > :59:43.about 9% per year, which is 15 billion by 20 21. 13,000,000,020 21
:59:44. > :59:48.and an investment to the five-year forward view is what is required
:59:49. > :59:53.just to stand still. While the figures look good, I believe that
:59:54. > :59:56.the needs that are required would indicate that we have to look at
:59:57. > :00:01.those figures in the funding available. This level of spending is
:00:02. > :00:05.likely to be below average when compare with similar international
:00:06. > :00:08.health care systems. I know the honourable gentleman in his
:00:09. > :00:14.contribution referred to the international care and need for us
:00:15. > :00:17.to be batting above the position in the international stage and I think
:00:18. > :00:21.that is something that we should be doing. Therefore I believe that now
:00:22. > :00:25.is the time to ensure that money is spent as effectively as possible to
:00:26. > :00:29.give England and the United Kingdom including Northern Ireland a better
:00:30. > :00:31.chance to achieve world-class cancer outcomes and deliver the
:00:32. > :00:38.government's manifesto commitment. It is clear that we do need a
:00:39. > :00:43.greater funding of research, and well charities the wonderful job and
:00:44. > :00:46.we appreciate that very much, it is most certainly a government role
:00:47. > :00:50.that can be better fulfilled. I know that all members of this chamber
:00:51. > :00:56.have received the short-lived briefing which raised the issue and
:00:57. > :00:59.particularly its false to meet highly to the Minister that there
:01:00. > :01:04.are barriers to research and I want to make some comments if I can about
:01:05. > :01:08.the children's path of care. It is something that has caused all of our
:01:09. > :01:14.hearts, where we have children of our own and grandchildren, that was
:01:15. > :01:17.an important issues. Despite improving can -- survival rates,
:01:18. > :01:20.cancer is the leading cause of death in children teenagers and young
:01:21. > :01:27.adults. Survival is lower in teenagers and young adults than in
:01:28. > :01:31.children for several cancer types, including bone tumours and soft
:01:32. > :01:40.tissue sarcoma is. About 250 children lose their lives to cancer
:01:41. > :01:44.in the UK, so in teenagers and young adults cancer accounts for around
:01:45. > :01:50.300 deaths per year in the UK. I make a plea, Minister, for the path
:01:51. > :01:54.of children's palliative care and I'm sure the civil servants will be
:01:55. > :01:59.looking for some monster that a utility now what has been done and
:02:00. > :02:04.can I ask you what we doing in the future? I want to know that as well.
:02:05. > :02:07.The cancer strategy recommended that by September 20 16th in proposal
:02:08. > :02:14.should be developed ensuring that all children teenagers and adults
:02:15. > :02:17.diagnosed with cancer and asked for consent for the batter and deep
:02:18. > :02:21.tissue is ample to be used for future studies. It is imported data
:02:22. > :02:25.collection to happen as well so you can look to the future and study the
:02:26. > :02:27.information we have hopefully respond in such a way that we can
:02:28. > :02:34.get better help down the road. The strategy also for NHS -- also says
:02:35. > :02:40.that NHS England should try to make the best of these resources. Let's
:02:41. > :02:46.ask the question, what action the Minister will take to make sure that
:02:47. > :02:51.NHS England works to remove barriers to include children and young people
:02:52. > :02:55.with cancer in research and that is the question I would like to ask the
:02:56. > :03:01.Minister. There has been top bid of smoking and it reminds me very much
:03:02. > :03:05.of my introduction to my first cigarette five -- I think I was five
:03:06. > :03:08.years old. My grandfather who smoked calipers with no filter in by the
:03:09. > :03:14.way, they were the strongest cigarettes. He appear grandfather as
:03:15. > :03:19.a wee boy and you see my grandad is a big seller and he smokes
:03:20. > :03:24.cigarettes and I pestered my grandfather and he said take a
:03:25. > :03:28.breath. Take a deep one. I did and it would not be a mile to see Madam
:03:29. > :03:31.Deputy Speaker that I was the colour of these green benches, I was
:03:32. > :03:35.violently sick and I did not wish ever again to smoke a cigarette so
:03:36. > :03:40.that is how it is done to learn a lesson then I certainly learned a
:03:41. > :03:43.lesson. You will know that I have a deep interest in Queens University
:03:44. > :03:47.in Belfast that the great work that we do and I want to ask this
:03:48. > :03:51.question in relation to research, Queens University Belfast is
:03:52. > :03:54.world-renowned for medical research and especially for research carried
:03:55. > :04:01.out in cancer. They are innovative and looking at new drugs and
:04:02. > :04:08.medication to address cancers, and when we have 50% survival or longer
:04:09. > :04:13.live survival we are still looking for one that will cure all cancers
:04:14. > :04:18.and we're still doing that, but to do that we need research. In the
:04:19. > :04:23.Minister has a deep interest in that as I have and others in this chamber
:04:24. > :04:27.have as well, and the evidence enabled outcomes research to inform
:04:28. > :04:31.the decision on innovation adopted by the health system which was
:04:32. > :04:36.pioneered by Queens. Northern Ireland punches above its weight in
:04:37. > :04:40.this rapidly evolving area which is providing us with new approaches to
:04:41. > :04:44.prevent and treat this killer disease and preserve and improve the
:04:45. > :04:47.lives of cancer survivors. This success can and must be replicated
:04:48. > :04:50.with greater funding available to research facilities and grounds
:04:51. > :04:53.designate to changing the way that cancer is approached in Dallas. If
:04:54. > :05:01.we think just how far madder maybe the speaker we have come in the
:05:02. > :05:04.diagnosis of cancer in just 50 years, the honourable devilment in
:05:05. > :05:10.his introduction refer to that, how far we have come at how far we still
:05:11. > :05:14.have to go. The partnerships at Queens University, for example, have
:05:15. > :05:17.with local businesses and the foreign students that come in to do
:05:18. > :05:22.their degrees and contribute to that research, and the partnerships
:05:23. > :05:27.between Queens University in Belfast and University in mainland, there is
:05:28. > :05:31.a wonderful group of universities and people who come together to make
:05:32. > :05:36.that happen. The difference is because the research is done into
:05:37. > :05:39.cancer. That we have. If we are to successfully treat cancer Debbie can
:05:40. > :05:45.only do so with a continually updated approach and that is why
:05:46. > :05:48.this is so very, very important. We have the initiative and the desire
:05:49. > :05:54.to do so, but we must ensure that the funding is there to do so as
:05:55. > :05:59.well. Government's interest, positive interest financially,
:06:00. > :06:02.supports ensuring that everything is done to find the ultimate cure for
:06:03. > :06:07.cancer. Any strategy must make this clear and I believe that we must
:06:08. > :06:14.make sure that the funding is necessary and available when we go
:06:15. > :06:18.through with Brexit. It is a fact of life and we have moved on but we
:06:19. > :06:24.need to have assurances, I think it is coming up in the 19th, on
:06:25. > :06:27.universities and Brexit. We also need I believe to address the
:06:28. > :06:31.postcode lottery of where cancer drugs are available, again this is
:06:32. > :06:37.not a criticism of the Minister, but they do have places in the UK where
:06:38. > :06:40.you can get cancer drugs much more readily than you can in others. I
:06:41. > :06:45.know in the past that the government here certainly has supported the
:06:46. > :06:49.regional and devolved administration 's for some funding the watchdogs
:06:50. > :06:55.and again I would ask them, is that anywhere in the equation at this
:06:56. > :06:59.moment in time? And what discussions does he have with the regional and
:07:00. > :07:01.devolved ministrations, whether the Scottish parliament Welsh assembly
:07:02. > :07:11.on in my case the Northern Ireland assembly to agree cancer strategies
:07:12. > :07:14.and look for the way forward? Cancer strategy is difficult to negotiate,
:07:15. > :07:17.it seems like there could never be enough invested in it, the question
:07:18. > :07:24.we must ask ourselves is this, are reinvesting in the right thing,
:07:25. > :07:27.producing the best outcomes? Are we looking to future doing the best he
:07:28. > :07:32.can with what we have? It is up to us to raise questions from my part I
:07:33. > :07:36.think we must set aside and do more and achieve more for those one and
:07:37. > :07:44.two who are to be affected by cancer in their lives in the future. Thank
:07:45. > :07:48.you. I will also add my words of thanks to the honourable member from
:07:49. > :07:53.Basildon and ability for executing this debate, and IBC the
:07:54. > :08:00.circumstances under which he is not here now. It is unusual to have a
:08:01. > :08:08.debate ready person has a good it is not here. My best wishes to him. I
:08:09. > :08:12.very much welcome the new cancer strategy just over a year ago and
:08:13. > :08:14.this chamber, and I am delighted the opportunity to scrutinising again
:08:15. > :08:17.now and I would like to set out first and foremost that I absolutely
:08:18. > :08:25.congratulate the government on its focus, the direction of travel and
:08:26. > :08:28.the fact that the survival times are going up all the time, we are
:08:29. > :08:31.absolutely in the right direction. But of course I will like other
:08:32. > :08:34.honourable members here be wanting to still push the government further
:08:35. > :08:41.and in particular in relation to brain tumours, which is the group of
:08:42. > :08:44.cancers I particularly represent. We have heard earlier from my
:08:45. > :08:49.honourable friend the member from Crawley, but the difficulty of early
:08:50. > :08:52.diagnosis with blood cancers and for the honourable member from
:08:53. > :08:56.Scunthorpe about pancreatic cancers and it is the same problem we find
:08:57. > :08:59.time and again with brain tumours, early diagnosis is a real issue.
:09:00. > :09:05.People are often totally by doctors and it is often found at the last
:09:06. > :09:09.moment. The honourable member from Poplar spoke about prevention. And
:09:10. > :09:12.unfortunately for printer must rethink as far as we know only about
:09:13. > :09:17.1% may be preventable so it is not really an area for exploration
:09:18. > :09:20.follows. For brain tumours really the only hope of a cure is through
:09:21. > :09:24.research and innovation into the many different types of brain
:09:25. > :09:29.tumour. And while printer must represent just slightly under 3% of
:09:30. > :09:32.all cancers, they are actually the biggest killer of children and young
:09:33. > :09:40.people under the age of 40. Any cancer.
:09:41. > :09:56.To do and years of life, it is quite devastating. -- in terms of years of
:09:57. > :10:00.life lost. There is not enough research, and clearly an industrious
:10:01. > :10:03.for those suffering from brain tumour cancer, which is why survival
:10:04. > :10:13.times have not been improving. Brain tumour research remains perennially
:10:14. > :10:21.unfunded. One first report into brain tumour research funding, and
:10:22. > :10:25.the debate was held as a result, with a working group set up, which I
:10:26. > :10:29.am grateful to the government for and I look forward to the work that
:10:30. > :10:34.brings forward, but we are not there yet add more needs to be done.
:10:35. > :10:37.Having read through the NHS England's one year on progress
:10:38. > :10:42.report, it appears there has been much focus on meeting clinical
:10:43. > :10:47.recommendations set out in the original strategy, which is to be
:10:48. > :10:49.welcomed, but rather less on research and innovation
:10:50. > :10:54.recommendations. I recognise the importance of clinical services and
:10:55. > :10:58.the potential to improve outcomes through diagnosis and treatment and
:10:59. > :11:02.care for people affected by brain tumour, it is particularly required
:11:03. > :11:11.that it is equal if not more aborted to focus on research and innovation
:11:12. > :11:16.into potential cures. Several of the research points made in the progress
:11:17. > :11:22.report, and how those relate to brain tumour, the report focuses on
:11:23. > :11:26.modernising radiotherapy services and given the location of brain
:11:27. > :11:30.tumour, radiotherapy comes with complex side-effects, including
:11:31. > :11:37.increased cranial pressures for some, and more common side effects.
:11:38. > :11:41.More precise radiotherapy is welcomed, but for many brain tumour
:11:42. > :11:48.patients this does not represent a cure only an extension of life. The
:11:49. > :11:53.report states agreed 2020-21 metric to be an increase in five and ten
:11:54. > :12:00.year survival, with 57% surviving ten years or more, yet brain tumour
:12:01. > :12:04.research, the charity report on funding shows that in England five
:12:05. > :12:10.year survival for brain tumour patients as a mere 19.7%, lagging
:12:11. > :12:18.far behind other cancers. Along with one year survival of 46.5%, well
:12:19. > :12:22.below the NHS 2020 target of 75%. The NHS looks set not to meet their
:12:23. > :12:30.own key measure as far as brain tumour are concerned and letting
:12:31. > :12:35.down patients. One key Biograph states, although Clement is made,
:12:36. > :12:41.NHS England is yet to publish its 2016- putting plan, leaving the NHS
:12:42. > :12:45.without an updated strategy for research, after publication we hope
:12:46. > :12:49.the research plan is also delivered without delay. This appears to be an
:12:50. > :12:53.omission of prioritising other objectives over that of research.
:12:54. > :12:58.Clinical services are important in the here and now but without proper
:12:59. > :13:00.planning and investment, ongoing improvements into health care
:13:01. > :13:12.outcomes with many diseases will not be met, and treatment for brain
:13:13. > :13:15.tumour patients will not be met. We need greater analysis of patient
:13:16. > :13:19.outcomes and I would be grateful to know from the Minister if the second
:13:20. > :13:22.phase will include data on brain tumours, as they do not appear to
:13:23. > :13:29.have been slated in the original phase. With the be clear on cancer
:13:30. > :13:33.campaigns, hopefully leading to better diagnosis, brain tumours
:13:34. > :13:39.latest research report shows the government spend on brain tumour
:13:40. > :13:47.research, the government, not the complete national spend, is just
:13:48. > :13:49.0.52% of total spend on cancer. From the National Cancer research
:13:50. > :13:54.Institute, it is clear of brain tumour research continues to be
:13:55. > :13:58.drastically underfunded, even with the cancer strategy in place.
:13:59. > :14:02.Although that strategy is a major step in the right direction, it will
:14:03. > :14:08.need to make it work for all types of cancer including greater ones
:14:09. > :14:15.including brain tumours. Every week, the family loses a child to brain
:14:16. > :14:19.tumour. I very much hope this will be taken on board by the new
:14:20. > :14:21.Minister in this place and you will hear more from me in the future
:14:22. > :14:32.about increasing more brain tumour research. Thank you for calling me
:14:33. > :14:35.in this debate. One of the benefits about these types of debates is
:14:36. > :14:44.actually you learn something you haven't learned before as a result
:14:45. > :14:47.of having these types of debates. I had my congratulations to the member
:14:48. > :14:51.for Scunthorpe for introducing this debate, he has been a major
:14:52. > :14:56.campaign, particularly for pancreatic sufferers and I think the
:14:57. > :15:04.way he introduced the debate was fitting and appropriate. And also I
:15:05. > :15:11.want to congratulate the member for Basildon and the lyrically and his
:15:12. > :15:17.family at this difficult time. -- Basildon and Billericay. It is a
:15:18. > :15:21.shame not to see him at this time, but I understand the circumstances.
:15:22. > :15:26.I wish to start to pay tribute to Greg Lake, the rock star who very
:15:27. > :15:35.sadly died yesterday after a long battle with cancer. To me he was one
:15:36. > :15:39.of the icons, he founded King Crimson, makers of one of the first
:15:40. > :15:51.albums I ever bought, then he formed the
:15:52. > :15:59.supergroup Emerson, Lake and Palmer and also wrote that perennial
:16:00. > :16:07.Christmas hit. Many people are dying as a result of cancer. I do declare
:16:08. > :16:11.my interest as chairman of the all-party Parliamentary group for
:16:12. > :16:13.Action on Smoking and health and I know the honourable member for
:16:14. > :16:20.Poplar and Limehouse raises a number of issues in the briefing that has
:16:21. > :16:24.been circulated widely. I want to build on some of the aspects that
:16:25. > :16:27.have taken place because we are in a position whereby the UK cancer
:16:28. > :16:34.strategy, which of course was founded not one year on, as this
:16:35. > :16:45.debate is titled, but 18 months on, recommending that the replacement
:16:46. > :16:48.Tobacco Control Plan should be replaced within one year. The last
:16:49. > :16:56.Tobacco Control Plan expired one year ago. We were promised a
:16:57. > :17:00.replacement in the summer. I know the summer can stretch, but
:17:01. > :17:05.stretching it to Christmas is a bit of a long stretch. Recently, we had
:17:06. > :17:15.an excellent debate in Westminster Hall, we'll be briefed the new
:17:16. > :17:19.Minister on all the key issues in relation to tobacco control and she
:17:20. > :17:23.promised a new plan would be published soon. I then asked again
:17:24. > :17:28.and she said it would be published soon. You would not be surprised to
:17:29. > :17:35.hear that the one question I have to ask is, don't tell me soon, please
:17:36. > :17:39.give me a date by which we can see that control plan? And this is a
:17:40. > :17:45.significant fact, the Prime Minister, in her first major speech
:17:46. > :17:49.on the steps of Downing Street, said, fighting against the burning
:17:50. > :17:55.injustice that, if you are born poor, you will die on average nine
:17:56. > :17:58.years earlier than others. Smoking is responsible for half the
:17:59. > :18:03.difference in life expectancy between rich and poor in this
:18:04. > :18:07.country. If we can cut sporting greats, we will help deliver the
:18:08. > :18:13.Prime Minister's ambition. -- if we can cut the rates of smoking. I want
:18:14. > :18:19.to make sure we can get this Tobacco Control Plan as quickly as possible.
:18:20. > :18:25.We do know that smoking is the greatest preventable cause of cancer
:18:26. > :18:31.worldwide. It accounts for more than one in four cancer deaths in the UK,
:18:32. > :18:36.as well as effects of all cases of cancer. Smoking increases the risk
:18:37. > :18:41.of cancer in 14 cancers, and is responsible for more than 80% of
:18:42. > :18:51.cases of lung cancer. That is of course the biggest killer in this
:18:52. > :18:56.country involved cancer. It also has the worst five-year survival rate,
:18:57. > :19:01.so, from that perspective, if we can cut smoking, we can cut the causes
:19:02. > :19:07.of cancer. I declare an interest, as I have said in this place on more
:19:08. > :19:12.than one occasion, both of my parents died, in 1979, from
:19:13. > :19:18.smoking-related diseases, both dying of cancer because they smoked
:19:19. > :19:23.virtually every day of their lives. The honourable gentleman for popular
:19:24. > :19:33.Limehouse give up the 1980. I still remember those terrible days when my
:19:34. > :19:36.parents died of whose cancers as a result of smoking and I hope no one
:19:37. > :19:42.has to suffer what my family suffered. I will give way. With you
:19:43. > :19:46.agree that those members of Parliament which would not bring in
:19:47. > :19:51.a band in cars with children, maybe they could regret that question I
:19:52. > :19:58.asked children are policing that very well indeed. Thank you for
:19:59. > :20:01.that. I know that when we had the change in the law coming through
:20:02. > :20:06.there were people that objected to this and said it would not be
:20:07. > :20:09.enforceable, but I remember back to my childhood, when both of my
:20:10. > :20:14.parents were smoking in the car in front of me, it was difficult then
:20:15. > :20:18.as a child to say, please don't smoke, I don't like this. It was
:20:19. > :20:23.easier to open the window and hope. I don't want children to go through
:20:24. > :20:28.that. I think it is absolutely right that we change the law in this way,
:20:29. > :20:32.that hopefully will mean that we do know that second-hand smoke is the
:20:33. > :20:40.key killer, particularly of young lungs, and it is important we have
:20:41. > :20:43.introduced a change. And one of the things people didn't think would
:20:44. > :20:46.happen. I know when I was elected, people didn't think this would
:20:47. > :20:49.happen and we could introduce this change and get it through both
:20:50. > :20:54.chambers, but we've done it and I think it was the right thing to do.
:20:55. > :21:00.I am delighted. I will give way. Thank you, and I thank my honourable
:21:01. > :21:04.friend for his powerful case and I couldn't agree with him or to my way
:21:05. > :21:09.of thinking, banning smoking would do me, but we probably can't go that
:21:10. > :21:13.far. But with you agree that the broader point of health economics is
:21:14. > :21:20.also important? It is not only lung cancer but also emphysema, pulmonary
:21:21. > :21:27.disease and so on, that actually sorting out the tobacco issue we can
:21:28. > :21:33.have broader settings across the health service? There are aspects of
:21:34. > :21:40.this that I would agree with. The reality is that tobacco is the only
:21:41. > :21:44.product in the world where, if you use it in the way intended, it will
:21:45. > :21:52.kill you. And so therefore controlling this is absolutely
:21:53. > :21:57.vital. We know as well that those with complex medical needs have the
:21:58. > :22:04.highest smoking rates. People unemployed, those with mental health
:22:05. > :22:07.conditions, people are amongst the prison population and people I am
:22:08. > :22:11.championing now, the homeless, are more likely to spot than others.
:22:12. > :22:15.Therefore it is vital, and they are also likely to have the most health
:22:16. > :22:19.problems as a direct result. It is clear the most disadvantaged members
:22:20. > :22:24.of society are more likely to smoke and therefore suffer cancer and
:22:25. > :22:30.other health-related problems as a result. It is quite clear we do need
:22:31. > :22:37.to take action. And it is quite clear that quitting smoking reduces
:22:38. > :22:46.the likelihood of actually having cancer. It is also key that once to
:22:47. > :22:51.recover, if one gives up smoking. -- that your lungs can recover. If we
:22:52. > :22:57.encourage people to give up smoking, and more importantly than that even,
:22:58. > :23:00.to stop young people from ever starting, and I note the honourable
:23:01. > :23:05.gentleman for Strangford pointing out what happened to him is five,
:23:06. > :23:12.although I would not advocate that shock treatment, but it is quite
:23:13. > :23:17.clear that if you can stop people from starting to smoke, then that is
:23:18. > :23:23.the best way rather than trying to get them to give up later in life.
:23:24. > :23:29.And when we come on to the targets that we should be aiming for, the
:23:30. > :23:35.report that was published recently, that smoking still kills, which was
:23:36. > :23:39.indoors by no less than 129 organisations, had recommendations
:23:40. > :23:46.for targets on reducing smoking, adult smoking, to less than 13% by
:23:47. > :23:52.2020 and 5% by 2035. I take the point that I think that is not
:23:53. > :23:59.ambitious enough. We should be going for a Britain that is smoke free,
:24:00. > :24:05.that should be the target. I should say United can! I get that exactly.
:24:06. > :24:11.-- United Kingdom. I must get my phraseology correct. We need mass
:24:12. > :24:18.media campaigns which are, I'm afraid, the Department for health
:24:19. > :24:23.has stopped. We also need stop smoking services to be encouraged,
:24:24. > :24:28.promoted and funded right across the UK and for local authorities to
:24:29. > :24:34.enforce the necessary activities and to be able to do their jobs.
:24:35. > :24:39.We do know that mass media campaigns are very effective and
:24:40. > :24:42.cost-effective in prompting people to stop smoking and indeed to
:24:43. > :24:49.discourage young people from starting. In 2009 we had funding for
:24:50. > :24:56.anti-smoking campaigns of just under 25 million. But by 2015 last year
:24:57. > :25:01.that had been reduced to 5.3 million. I think this is a false
:25:02. > :25:05.economy. If we could have much better funding for mass media
:25:06. > :25:10.campaigns I am sure we could reduce the incidence of smoking far more.
:25:11. > :25:13.Equally, we know that stop smoking services across the UK have been
:25:14. > :25:19.highly effective in reducing smoking rates. Smokers are up to four times
:25:20. > :25:26.more likely to quit if they have support from specialist groups and
:25:27. > :25:29.smoking services competitive quitting cold. And the honourable
:25:30. > :25:33.member for Poplar and Limehouse referred to the time when he gave up
:25:34. > :25:37.smoking and he did remember the time and date when he did so. I think
:25:38. > :25:41.most people who have smoked in their adult lives have difficulty getting
:25:42. > :25:46.up and they need help and support. I think we should ensure that is
:25:47. > :25:51.available. However, the sad fact is that right across the UK right now
:25:52. > :25:55.the smoking cessation services are either being reduced in funding or
:25:56. > :26:00.being closed altogether and I think that is an extremely -- I think that
:26:01. > :26:05.is extremely regrettable. I did suggest to the Chancellor that
:26:06. > :26:11.actually just putting 5p on a packet of 20 cigarettes and then using that
:26:12. > :26:15.money to fund smoking cessation services would actually mean that we
:26:16. > :26:19.could provide all the money that is needed for public health to continue
:26:20. > :26:24.smoking cessation services across the United Kingdom and that to me
:26:25. > :26:34.would be a very sensible investment indeed. Equally, the issue of the
:26:35. > :26:40.funding for training standards has fallen from 213,000,020 ten to 124
:26:41. > :26:43.million today. So the teams that have been cut to the bone,
:26:44. > :26:47.literally, which means that the number of staff working in trading
:26:48. > :26:53.standards has reduced radically. What that means is that we are not
:26:54. > :26:58.having the implication of local controls to target illicit tobacco
:26:59. > :27:06.in the way that we need to. To prevent some very nasty things being
:27:07. > :27:09.used by people across the United Kingdom. I think that is a
:27:10. > :27:12.retrograde step and I think we need to invest in those services to make
:27:13. > :27:19.sure that we deliver better health outcomes. Madam Deputy Speaker, we
:27:20. > :27:27.desperately need this new tobacco control programme, a plan, so that
:27:28. > :27:31.we can see the radical targets that are needed, the investment that is
:27:32. > :27:38.needed across the United Kingdom and we should be setting out our stall.
:27:39. > :27:47.We want a smoke-free United Kingdom, not by 2035 or beyond, but by 2020
:27:48. > :27:50.or 2025. We can achieve it with having the right order programme.
:27:51. > :27:56.The key point about this is that if we achieve and deliver this plan,
:27:57. > :27:59.what will happen is we can cut the rate of cancer deaths in the number
:28:00. > :28:03.of people actually suffering from cancer in the first place it will
:28:04. > :28:08.reduce the burden on the National Health Service and allows them to
:28:09. > :28:10.take that money from the health service to use on these were
:28:11. > :28:15.difficult cancers that other colleagues have mentioned, where
:28:16. > :28:19.they are difficult to spot, difficult to treat and we need
:28:20. > :28:25.specialist drugs and treatments... Will my honourable friend give way?
:28:26. > :28:29.I am very grateful. I think he is making a very powerful point that if
:28:30. > :28:33.we reduce preventable cancers we can redirect resources to some of those
:28:34. > :28:39.different cancers. It is a fact that over 230,000 people in the United
:28:40. > :28:43.Kingdom suffer from blood cancers and similar to others such as
:28:44. > :28:46.pancreatic cancer that we have mentioned, if we could better
:28:47. > :28:51.address those with those resources than we could go so much further. I
:28:52. > :28:56.thank my honourable friend and quite clearly the priority has to be to
:28:57. > :28:59.eliminate what you can eliminate, where people through their own
:29:00. > :29:04.habits if they smoke, the cost themselves potential risk of cancer,
:29:05. > :29:12.14 different cancers will be affected by smoking. If people stop
:29:13. > :29:15.smoking that eliminates that risk. Equally by diet, people can
:29:16. > :29:20.eliminate some of those risks. But there are cancers, we know, that are
:29:21. > :29:24.not affected by smoking or by diet and therefore if we can reuse those
:29:25. > :29:27.resources that are currently being used to concentrate on these were
:29:28. > :29:34.difficult areas either on detection or treatment, then the health of the
:29:35. > :29:39.nation must be improved. So Madam Deputy Speaker, I bring my regards
:29:40. > :29:43.-- my remarks to a close by saying that I hope, I hope that in a few
:29:44. > :29:51.minutes we will get an answer to the question that we are all asking for,
:29:52. > :29:59.that is can we have a date with a day a date and a year when people
:30:00. > :30:02.get the tobacco control plan? Thank you Madam Deputy Speaker. I too
:30:03. > :30:08.would like to add my thanks to the backbench committee for allowing
:30:09. > :30:10.this debate and for the way that the honourable member for Scunthorpe
:30:11. > :30:15.introduced it so that we have been able to conduct it in the town that
:30:16. > :30:20.we have. Because for me coming to this place was after a journey with
:30:21. > :30:25.this disease. But since I have been here I have been amazed, the
:30:26. > :30:31.honourable member for Bristol West has fought the disease and now sits
:30:32. > :30:36.back in her place and very welcome that is. The honourable and for
:30:37. > :30:38.Blyth Valley was welcome. I have heard the honourable member from
:30:39. > :30:43.Lichfield talk about his journey with the disease and my best wishes
:30:44. > :30:48.go to the honourable member for Rafah monthly photos of the journey
:30:49. > :30:52.at the moment and also it is unusable not to see the honourable
:30:53. > :30:56.member for Basildon and Bill Ricky and my thoughts and prayers go out
:30:57. > :31:02.to him at his wife at this time as well. -- Bill Ricky. Cancer is
:31:03. > :31:07.interesting. You don't pick it, it picks you. We have heard from many
:31:08. > :31:16.members that there are some that are preventable but the over 200 and we
:31:17. > :31:21.often, this debate often becomes channels along rare diseases or a
:31:22. > :31:25.prolific disease like breast cancer or prostate cancer, lung cancer, one
:31:26. > :31:31.of the big four. And actually this is a very broad debate that we have
:31:32. > :31:34.had here today and I welcome it. The honourable member for Bosworth said
:31:35. > :31:39.we are doing better, which we are, but we could do even better and I
:31:40. > :31:41.would like to return to the issue of research brought up by the
:31:42. > :31:48.honourable member for Castleford in particular. I welcome the commitment
:31:49. > :31:54.to the strategy, implementing it could be transformational, which is
:31:55. > :31:59.why I hope that we hear of better presentation. The five-year forward
:32:00. > :32:07.a few issues that cancer services will go up by 9%, reaching 13
:32:08. > :32:12.billion by 2021. We have heard that by the end of this Parliament one in
:32:13. > :32:14.two of us will suffer from cancer and then actually have million
:32:15. > :32:20.people in this country living with the disease. This is a question that
:32:21. > :32:24.I don't think the strategy necessarily addresses properly, how
:32:25. > :32:29.we care for those people who live with the disease going forward.
:32:30. > :32:34.Whether that is as a survivor affected by it which some 625,000
:32:35. > :32:38.people will be, as was mentioned earlier in the debate, they will
:32:39. > :32:42.carry forward some form of disability or hardship from having
:32:43. > :32:47.the disease. How we will deal with that, how we will deal with
:32:48. > :32:51.palliative care, I would like to ask the Minister what examination of the
:32:52. > :32:57.sustainable and transformational plans have looked into palliative
:32:58. > :33:02.care going forward and how we can actually address the needs of people
:33:03. > :33:11.who are looking towards the end of their life. I would also like to
:33:12. > :33:16.highlight today teenage cancers. It is usually breast cancer that I talk
:33:17. > :33:21.about in this place but I have a young friend for whom I hear an mean
:33:22. > :33:25.something different. She wrote to me on Sunday when I said I was talking
:33:26. > :33:31.in this debate and I thought of her because last year on the 11th of
:33:32. > :33:36.December, young Emily was diagnosed with cancer. And she wrote, last
:33:37. > :33:42.year in December I was diagnosed with leukaemia. It was a very scary
:33:43. > :33:46.time for me and my family but something that makes going to
:33:47. > :33:52.hospital that little bit nicer is how lovely the nurses are. However,
:33:53. > :33:57.there were a lot of horrid things during the start of treatment such
:33:58. > :34:02.as hair loss and sickness. Otherwise still have two years of treatment to
:34:03. > :34:06.go, it is a lot less intense now and I am in maintenance. The majority of
:34:07. > :34:14.chemo is in a tablet format home, one hospital visits a month and the
:34:15. > :34:18.horrid, horrid steroids also one month for five days. I know that the
:34:19. > :34:20.steroids work as one of my making a therapy treatments but they make me
:34:21. > :34:27.put on weight, fewer emotional for no reason and sometimes cross and
:34:28. > :34:32.angry at my mum who is a rock and is always there for me so it makes me
:34:33. > :34:36.feel a bit sad. If I could change anything about the chemo it would
:34:37. > :34:43.definitely be to not feel sick and not to have to take those steroids.
:34:44. > :34:46.So Emily is one year on in her journey and I am sure I can sleep
:34:47. > :34:55.for everybody in wishing her lots of success for a great journey. But, we
:34:56. > :35:00.have head that for young people, one of the best things we can do is
:35:01. > :35:06.educate them and educate is a scene that has come out whether and I am
:35:07. > :35:09.not going to go over the smoking comments that the honourable member
:35:10. > :35:14.for both Harrow East and Poplar and Limehouse had discussed so well, but
:35:15. > :35:21.education there is important. I would go over education around food
:35:22. > :35:25.and nutrition, which the honourable member mentioned and has been
:35:26. > :35:29.mentioned as something that the Pentagon in works on, the Haven
:35:30. > :35:33.Institute works, the honourable member for culture and actually
:35:34. > :35:36.mentioned about diet. Every oncologist I have ever had to all
:35:37. > :35:40.three of my journeys are spoken about the need of good diet and
:35:41. > :35:46.looking after yourself and keeping fit and exercise and we do our young
:35:47. > :35:50.people a disservice if we don't help them we'd better and healthier
:35:51. > :35:56.lives. So I want to understand how the Minister is looking across
:35:57. > :36:00.departments in order to make sure that healthier lives is something
:36:01. > :36:04.that comes through policy and DC LG, it comes to policy and transport
:36:05. > :36:08.with cycle path and trim files and all the rest of it, and right across
:36:09. > :36:13.the piece in order that we can all lead healthier lives. I am pleased
:36:14. > :36:18.to see the industry responding with diminishing adverts for children and
:36:19. > :36:23.so on, I think that I would like to see this go further. However,
:36:24. > :36:28.parents have a huge part to play in their children's lives and we have a
:36:29. > :36:32.huge part to play in our lives as far as what we eat and how we make
:36:33. > :36:37.choices over whether we smoke or whether we just have that extra beer
:36:38. > :36:42.or whether we have that extra pie. And actually there is a bit of self
:36:43. > :36:47.responsibility here as well so if I could ask the Minister if he would
:36:48. > :36:52.do his bit by helping educate a little bit more in public health, we
:36:53. > :36:58.I am sure will step up to the mark and do our little bit as well. I
:36:59. > :37:02.welcome the setting up of Cancer alliances and the appointment of
:37:03. > :37:10.Calais Palmer who I think is excellent at the head of the cancer
:37:11. > :37:12.community. Early diagnosis as fundamental as the honourable member
:37:13. > :37:19.for Scunthorpe pointed out because it gives us better outcomes. But the
:37:20. > :37:24.government must set out with NHS England how funding will be
:37:25. > :37:28.strategically allocated. Will we be able to use mobile diagnostics for
:37:29. > :37:34.example? Will we be able to use molecular diagnostics? I would like
:37:35. > :37:42.to buy interest as the chair of the personal life medicine. And various
:37:43. > :37:46.other APPG is. If we could actually see who will benefit, for example,
:37:47. > :37:51.by the use of presets in which only 20% of women with breast cancer
:37:52. > :37:55.would benefit from, we would stop waste. So the use of the innovative
:37:56. > :37:59.technologies that was mentioned earlier by my honourable friend from
:38:00. > :38:04.Castleford is a point that I would also like to address -- also like
:38:05. > :38:09.addressed by the Minister if he would. I would like to how we could
:38:10. > :38:13.utilise the workforce and a more strategic approach. Nick Millen and
:38:14. > :38:18.20 others developed eight principles, we need a workforce fit
:38:19. > :38:23.for the future, we need people who understand the changing landscape
:38:24. > :38:29.that we're dealing with. I work with the -- I welcome the ?130 -- ?130
:38:30. > :38:33.million bid into radiotherapy machines but I would like to mention
:38:34. > :38:38.that we need to have the videographers that the work those
:38:39. > :38:42.machines and optimise the US. More people are living beyond cancer but
:38:43. > :38:49.metastatic cancer is one that we need to learn more about. Which
:38:50. > :38:54.brings me on to the use of data. The teenage Cancer trust would welcome
:38:55. > :38:56.clinical trials with young people. There is a lack of data on
:38:57. > :39:02.metastatic breast cancer, for example. Of course I would be
:39:03. > :39:07.delighted to give way. I thank my honourable friend. My mother-in-law
:39:08. > :39:13.passed away through secondary metastatic breast cancer, and
:39:14. > :39:16.opportunities to diagnose RMS that it has been brought to my attention
:39:17. > :39:21.that we don't keep very good records data on metastasise breast cancer,
:39:22. > :39:25.and nor do we have a specialist nurse for breast cancer. We do not
:39:26. > :39:26.seem to provide the specialist nurse either for people with metastasise
:39:27. > :39:41.breast cancer. A command at the issues with people
:39:42. > :39:45.with metastatic breast cancer -- thank you and I agree with the
:39:46. > :39:49.issues about people with metastatic breast cancer. It is an area for
:39:50. > :39:55.specialist workforce to make sure that we catch people on the journey,
:39:56. > :39:59.because this journey may well be iterative, people they feel fit and
:40:00. > :40:03.well then find themselves coming back into use of services, so we
:40:04. > :40:11.need to be flexible in approach. I would also like to pick up how
:40:12. > :40:22.important the ecosystem is between research and hospitals and patients.
:40:23. > :40:28.One charity that the honourable member for Crawley works hard with,
:40:29. > :40:30.they are truly representative of an imploding organisation that works
:40:31. > :40:36.with the patient, clinicians and research, that can help drive
:40:37. > :40:42.understanding and that is one huge way that we, as UK plc, will get a
:40:43. > :40:46.huge advantage. The honourable member for Strangford said we need
:40:47. > :40:52.to look at the ecosystem that isn't only cancer treatment at the end, it
:40:53. > :40:58.is research was, universities, brilliant students and staff we
:40:59. > :41:01.welcome from Europe, all those within the pharmaceutical
:41:02. > :41:05.industries, and charities, working collaboratively to give the best
:41:06. > :41:10.outcome we can get. That, Minister, is how we will start to rise up that
:41:11. > :41:15.table and be as good as Sweden and some others who have truly fantastic
:41:16. > :41:21.outcomes for their patients. One a final point, timely interventions
:41:22. > :41:27.can help the recovery. I would like to understand how recovery packages
:41:28. > :41:34.are being rolled out. Workforce is another critical issue here. We have
:41:35. > :41:39.heard from the honourable member about the use of alternative
:41:40. > :41:44.therapies. My comment on that is that they can be useful, but it's a
:41:45. > :41:51.very good space for charities to help people with. And only this
:41:52. > :41:55.week, the countryside Alliance foundation take women fly fishing
:41:56. > :41:59.after their treatment. And the fine just the speediness of being
:42:00. > :42:04.outside, doing something physical, enjoying nature, actually gives them
:42:05. > :42:09.a huge sense of well-being. I don't think personally it is either or, I
:42:10. > :42:13.think it is actually a way of joining these things together. My
:42:14. > :42:19.final point, and I know it isn't the Minister's area, but I would like
:42:20. > :42:24.him to take it back with him, is the cancer drug fund, I welcome it but
:42:25. > :42:29.worry about those who benefit from combined treatments. Melanoma focus
:42:30. > :42:34.has highlighted that people on combined treatment, where some
:42:35. > :42:38.people in the cancer drug fund and some are out, and could be
:42:39. > :42:46.disadvantaged, and I hope it will be a flexible fun and I hope we can
:42:47. > :42:51.address this matter. Thank you. Thank you and firstly, I would like
:42:52. > :42:55.to, along with all honourable members, welcome this very important
:42:56. > :43:01.debate today, which has been secured by the honourable member for
:43:02. > :43:06.Basildon and Billericay. As well as others. And I want to place on
:43:07. > :43:11.record at this juncture that although the honourable member has
:43:12. > :43:15.been said is uncharacteristically in his place, for very, very important
:43:16. > :43:20.reasons, as we have heard and we all send the honourable gentleman and
:43:21. > :43:27.his wife are very best wishes, and I wanted the court that that this
:43:28. > :43:32.House and indeed the whole country owe him at huge debt of gratitude
:43:33. > :43:38.for all his work and his leadership of the all-party group for cancer,
:43:39. > :43:43.in the fight against this terrible disease. I also want to thank the
:43:44. > :43:48.member for Scunthorpe, who so eloquently opened the debate today.
:43:49. > :43:52.Like myself and a number of others present, he is also the chair of
:43:53. > :43:59.cancer all-party group will stop that is on pancreatic cancer. He
:44:00. > :44:04.also works tirelessly on this issue and he chaired the Britain against
:44:05. > :44:07.Cancer conference, with aplomb, this week! He said the scene so well
:44:08. > :44:12.today and his knowledge and passion shone through. I would also like to
:44:13. > :44:18.rank all honourable members who have spoken in the debate today will stop
:44:19. > :44:27.the member for Crawley, for Poplar and Limehouse, for Bosworth, Forster
:44:28. > :44:34.inferred, Castle Point, -- for Strangford, and the honourable lady
:44:35. > :44:39.chair of the cancer all-party group, the honourable member for Harrow
:44:40. > :44:45.East, and for Bury St Edmunds, also vice-chair of the all-party group on
:44:46. > :44:48.breast cancer that I also chair. All have made excellent contributions in
:44:49. > :44:52.the debate today, each and every one of them making very, very important
:44:53. > :44:56.points about where we need to go next with the cancer strategy. Much
:44:57. > :45:01.of this debate has focused on the report published by the all-party
:45:02. > :45:06.group on cancer, looking at the progress in to implement in the
:45:07. > :45:09.cancer strategy one year on from its publication. The report makes many
:45:10. > :45:13.valid points and recommendations and I look forward to hearing from the
:45:14. > :45:19.Minister on the specifics mentioned in that report. This strategy can go
:45:20. > :45:23.a long way in helping some of the estimated 2.5 million people living
:45:24. > :45:28.with cancer and the number of people who are diagnosed each year with
:45:29. > :45:35.cancer. The strategy, if implemented in full, could save 30,000 mobilised
:45:36. > :45:38.by 2020. If you pair this with the deeply worrying news that broke at
:45:39. > :45:44.the beginning of November where over 130,000 patients per year were not
:45:45. > :45:48.receiving cancer treatment on time because of cancer patients not
:45:49. > :45:53.seeing a specialist within the required 14 days, and in some areas
:45:54. > :45:59.this was so severe that more than 6000 patients were forced to wait
:46:00. > :46:03.104 days or more. This also includes our own findings which of the
:46:04. > :46:09.government only met the 62 date target once in the past 20 months.
:46:10. > :46:13.-- 62 days target. This should drive the government to do more and it is
:46:14. > :46:17.clear we are seeing issues around transformations already and this
:46:18. > :46:21.should not be knocked, and I am not knocking it, but we should continue
:46:22. > :46:26.to hold the government to account where they can. That is why in my
:46:27. > :46:30.contribution I want to touch on two areas, improvement in preventative
:46:31. > :46:35.measures that can help reduce the occurrence of cancer, and the
:46:36. > :46:39.significant concerns recently raised regarding cancer workforce. So we
:46:40. > :46:44.can all agree that prevention is key to addressing many health
:46:45. > :46:51.conditions. Cancer is no different. As we have heard from a number of
:46:52. > :46:55.honourable members in this debate today, four in ten cancers are
:46:56. > :46:58.preventable and we should do more to prevent cancers from developing,
:46:59. > :47:02.especially those which could have been prevented by lifestyle changes.
:47:03. > :47:07.Prevention was a central pillar of the cancer strategy along with the
:47:08. > :47:11.five year forward view. The Minister should be prepared for what I will
:47:12. > :47:15.say next because I have said it to him often enough in my short time as
:47:16. > :47:20.the shadow men of Public health. But it still remains true, sadly. The
:47:21. > :47:24.false economy of cutting public health funding with no assessment
:47:25. > :47:31.made of the ramifications it will have on the various aspects of our
:47:32. > :47:34.lives, or other parts of the NHS and wider health service, that is
:47:35. > :47:39.seriously worrying. According to data collected by the Association of
:47:40. > :47:46.directors of public health, we are expecting to see smoking cessation
:47:47. > :47:49.services reduced by 61% in 2016-17, but 5% of services completely
:47:50. > :47:55.decommissioned and for weight management support, we will see a
:47:56. > :47:59.52% reduction, with 12% decommissioned. This is damning
:48:00. > :48:04.information when we know smoking and obesity are two of the biggest
:48:05. > :48:09.preventable causes of cancer. For smoking, we know that 100,000 people
:48:10. > :48:13.are dying each year from smoking-related diseases, including
:48:14. > :48:15.cancer. It is right that the cancer strategy strongly recommended the
:48:16. > :48:23.introduction of a new Tobacco control plan. And an ambitious plan
:48:24. > :48:27.for a smoke free society by 2035 was outlined. We still have not seen
:48:28. > :48:31.this plan, despite it being promised repeatedly over the last year. But I
:48:32. > :48:35.am sure the Minister will give further information on this in his
:48:36. > :48:39.response, and we all look forward to it. But one thing I want to say is
:48:40. > :48:45.that I hope we see it sooner rather than later. That was shared by a
:48:46. > :48:51.number of colleagues on both sides of the House today. Continued delay
:48:52. > :48:54.will never be beneficial to the shared vision of the smoke free
:48:55. > :49:01.society, from preventing cancer from happening. Another plan, which we
:49:02. > :49:06.have finally seen, although it was considerably watered down, is around
:49:07. > :49:10.childhood obesity. After smoking, it is understood obesity is the next
:49:11. > :49:15.biggest preventable cause of cancer and if we allow current trends to
:49:16. > :49:24.continue we could see more than 670,000 additional cases of cancer
:49:25. > :49:28.by 2025, sorry, 2035. This goes against the vision set out in the
:49:29. > :49:32.cancer strategy. We have seen sight of some deep jewel of the sugary
:49:33. > :49:38.drinks levy earlier this week and will be interesting to see how this
:49:39. > :49:41.develops. I hope the Minister can outlining his response a little bit
:49:42. > :49:47.about what he and his colleagues plan to do a round obesity and its
:49:48. > :49:50.links to cancer. As part of the cancer strategy, a review of the
:49:51. > :49:54.current workforce was called for, so we could understand fully the
:49:55. > :49:59.shortfalls, areas of investment needed, and the gaps in the training
:50:00. > :50:05.of new and existing NHS staff. That could meet the ambitious and noble
:50:06. > :50:12.goals set out in the strategy. This is something that in my capacity as
:50:13. > :50:19.chair of the varying cancer or party group -- all-party group, and other
:50:20. > :50:23.groups, alongside some members notably here today, including the
:50:24. > :50:27.honourable member for racing Edmonds, we raised this at the
:50:28. > :50:31.beginning of the year, with help Education England, who are
:50:32. > :50:37.conducting the review. In the letter we raised the need for need to fill
:50:38. > :50:40.specialist gaps within the cancer workforce but also the need for a
:50:41. > :50:46.strategic and longer term solution to be put in place. At the issue of
:50:47. > :50:49.the cancer workforce is an incredibly important one, especially
:50:50. > :50:54.when Cancer Research UK warmed over two weeks ago that pathology
:50:55. > :51:00.services in the UK were at a tipping point and earlier in the year the
:51:01. > :51:07.Royal College of radiologists warned that press Creek -- that the breast
:51:08. > :51:14.screening services were understaffed with posts left vacant. And this has
:51:15. > :51:20.doubled since 2010. Now this should spur of the Department on to work on
:51:21. > :51:25.workforce issues that have been raised so much with ministers. And I
:51:26. > :51:28.know that only in July of this year that organisations such as MacMillan
:51:29. > :51:33.Cancer Support and Cancer Research UK joined with other organisations
:51:34. > :51:38.calling for a set of principles to be taken up by government, including
:51:39. > :51:44.a review of the current and future workforce. And the Minister should
:51:45. > :51:49.take heed of the words of one doctor who, during and evidence session on
:51:50. > :51:55.to the progress of implementation of the review, said that issues around
:51:56. > :52:00.the workforce remained significant and severe. Having an ageing
:52:01. > :52:05.population, it means more and more people could be diagnosed with
:52:06. > :52:12.cancer and the much welcome to push to have earlier diagnosis of cancer,
:52:13. > :52:17.that means that pressures on the workforce will arise if the solution
:52:18. > :52:22.is not find especially if 500,000 Britons will be diagnosed with
:52:23. > :52:25.cancer by 2035, so this should remain at the forefront of the
:52:26. > :52:31.Minister's mind and his officials and those within agencies dealing
:52:32. > :52:35.with workforce capacity. It is clear that what we are seeing is
:52:36. > :52:39.investment failing to keep up with demand and this was something raised
:52:40. > :52:44.within the cancer strategy which called on NHS England to invest to
:52:45. > :52:48.unlock the extra capacity needed to meet the higher levels of cancer
:52:49. > :52:52.testing we are seeing. So we on this side of the House support the call
:52:53. > :52:58.is made only if you short months ago by the National Cancer advisory
:52:59. > :53:01.group for NHS England's Cancer Transformation Board to prioritise
:53:02. > :53:04.the focus on the cancer workforce in the coming months. I hope the
:53:05. > :53:09.Minister will ensure that this happens and that when we come back
:53:10. > :53:11.from Christmas recess that we can start to see the much-needed
:53:12. > :53:21.progress that has been called for starting to happen. In conclusion,
:53:22. > :53:25.the work started on this transformation is to be welcomed, it
:53:26. > :53:29.is a large cast to undertake, get the government will not be allowed
:53:30. > :53:33.to sit back, as I know they will not add the Minister will not, but it is
:53:34. > :53:38.after all of us this House, along with the many outside of this place,
:53:39. > :53:42.to continue to do all that we can to hold the Minister and government to
:53:43. > :53:46.account on such important and personal matters for all of us who
:53:47. > :53:50.have been affected by cancer, be it personally or through family or
:53:51. > :53:55.friends, so we must be critical, friends, in this drive to fight off
:53:56. > :53:59.cancer once and for all. We all agree that cancer should be at the
:54:00. > :54:05.top of health priorities, it is so destructive and it will affect us
:54:06. > :54:09.all in some way very sadly. We must ensure we get this right, because we
:54:10. > :54:14.cannot afford to get it wrong. Thank you.
:54:15. > :54:20.It is a pleasure to respond to this really important debate. Can I start
:54:21. > :54:23.also by paying tribute to the Melbourne from Basildon and
:54:24. > :54:29.Billericay and wishing him as we all have, him and his wife, the best in
:54:30. > :54:32.the journey that they are on. I have been in this job for a few months
:54:33. > :54:36.now and he has been extremely diligent in coming to see me,
:54:37. > :54:41.talking to me and making sure that cancer is right at the top of our
:54:42. > :54:45.radar screen as it should be. He also organised with the member for
:54:46. > :54:56.Scunthorpe and excellent meeting, 400 people on Tuesday, at a Britain
:54:57. > :54:59.beating cancer meeting and it was terrific and what happened to him at
:55:00. > :55:04.this family reinforces that we all love that cancer affects all of us,
:55:05. > :55:07.all of our constituents. One person is diagnosed with cancer in our
:55:08. > :55:12.country every two minutes. During the course of this debate 100 people
:55:13. > :55:16.will have received cancer diagnoses in England and that is just food for
:55:17. > :55:20.thought as to how important this is and how we need to make progress on
:55:21. > :55:26.it. A lot of members have spoken with a lot of experience, as many
:55:27. > :55:30.chairs of APPG is here, and indeed a lot of knowledge and personal
:55:31. > :55:37.experience and I haven't got time to respond in detail to every point
:55:38. > :55:40.that was made. I think I will start by making a generic point that this
:55:41. > :55:44.debate and debates like and remind us that our health service is not
:55:45. > :55:47.about bricks and mortar, not principally about bricks and mortar,
:55:48. > :55:52.it is about things that are far more important. Survival rates. I want to
:55:53. > :55:55.talk about the introduction that the member from Scunthorpe game which I
:55:56. > :56:00.thought was very fair and reasonable, in terms of what the
:56:01. > :56:03.priorities ought to be. But mad about the speaker I will make this
:56:04. > :56:07.point to all members because I'm guilty of it as well, that if I was
:56:08. > :56:11.to walk across on a typical day across from the chamber across the
:56:12. > :56:17.lobby I would probably speak to two members concerned about some aspect
:56:18. > :56:19.of hospital reconfiguration is and accident and emergency downgrades
:56:20. > :56:23.and something of that type of those after concerns, and certainly that
:56:24. > :56:29.is something that we all need to be concerned about in patches. But I
:56:30. > :56:34.would be accosted by a member saying that he is concerned she is
:56:35. > :56:38.concerned that her clinical commissioning group has got lower
:56:39. > :56:43.survival rates than the average and actually all time I think we need to
:56:44. > :56:45.lead to think about that as well and that is one important that one of
:56:46. > :56:50.the things that the government has done and we have not talked about in
:56:51. > :56:53.men -- in retail is that we have now published or have a clinical
:56:54. > :56:57.commissioning group in the country for indicators which rank them all
:56:58. > :57:01.and indeed the news was not believed when it came out but that
:57:02. > :57:05.transparency is very powerful and is something that we all ought to get
:57:06. > :57:09.used to using and thinking about that being as important to our
:57:10. > :57:12.constituents arguably more than some of the bricks and mortar concerns
:57:13. > :57:18.that sometimes tends to be what we spend time on. I mention that the
:57:19. > :57:24.member for Scunthorpe had started by being fair, I think the phrase that
:57:25. > :57:28.he used was a lot has been done but more needs to happen. I think
:57:29. > :57:33.probably everybody in the chamber would agree with that. A lot is
:57:34. > :57:41.being done, a lot of good things are being done, I will talk a little bit
:57:42. > :57:46.to that. Her five-year, one year, five-year, 10-year survival rates
:57:47. > :57:50.are all improving for cancer types. One of the things that I think we
:57:51. > :57:54.have learnt from this debate is that when we talk about survival rates
:57:55. > :57:59.across an aggregate measure of all cancers, there are very big
:58:00. > :58:03.variability is at the member for Castle Point made a good point
:58:04. > :58:08.regarding brain tumours having a 19% five-year survival rate against the
:58:09. > :58:12.target for all cancer types of 70% and it is absolutely true and one of
:58:13. > :58:17.the themes of today has been that we are making less progress on some
:58:18. > :58:21.rare cancer types and we are generally and we need to do better
:58:22. > :58:28.on that. We are making progress in terms of early diagnosis as well.
:58:29. > :58:33.The eight cancer targets in the meeting seven of them, but there was
:58:34. > :58:38.a pointed out and not least the member who speaks for the opposition
:58:39. > :58:44.on this that one of those, a very important cancer target is not being
:58:45. > :58:50.met, at 62 day target cancer, and one of the things that the strategy
:58:51. > :58:55.needs to drive and develop is that. We have also been reminded that in
:58:56. > :58:59.spite of the progress we have made we are not by any means the best of
:59:00. > :59:03.the world is, not even the best in Europe and indeed there is some
:59:04. > :59:07.evidence that we are below the average in Europe for most cancer
:59:08. > :59:14.types. I think it is fair to say that we're up in many cases, but not
:59:15. > :59:18.in all cases. In particular, long cancer which a number of members
:59:19. > :59:22.have talked about is a member -- is an area that we are not closing the
:59:23. > :59:30.gap with the rest of Europe that we need to be aware of that and focus
:59:31. > :59:32.on it. Now one of the things Madam Deputy Speaker that has struck me
:59:33. > :59:41.and I made this point on Tuesday at the conference when I came into this
:59:42. > :59:44.role, I have discovered that we have five cancer strategies in the last
:59:45. > :59:49.20 years and there are two things that we can reduce from this. One is
:59:50. > :59:55.that it is a cross-cultural, cross-party issue because all
:59:56. > :59:58.councils do strategies but the second and most important thing is
:59:59. > :00:04.that what we don't now need is another strategy. What we don't now
:00:05. > :00:09.need is more ideas about what we need to do. What we now need to do
:00:10. > :00:14.is actually deliver with a great deal of focus the 96.7 being set out
:00:15. > :00:18.in the cancer strategy and drive that flew over the next, it was a
:00:19. > :00:22.five-year strategy and we have fought to go, and we do need to make
:00:23. > :00:27.that happen. And the member that speaks for the opposition used a
:00:28. > :00:30.very good phrase I thought in her remarks, she said that he must be
:00:31. > :00:36.critical friends to this process and we must. Because every member in
:00:37. > :00:41.this house will have different perspectives but every member needs
:00:42. > :00:47.to support Kelly and her team in driving this strategy through. My
:00:48. > :00:52.role was to make sure that this could accountability in what is
:00:53. > :00:54.being done and when and by who end that we have milestones and targets
:00:55. > :01:03.that we have deliverables and I think we have some way to go before
:01:04. > :01:06.that its TV. At the point that the member from Basildon and Billericay
:01:07. > :01:10.has made on a number of occasions is that we must focus on outfit
:01:11. > :01:17.measures not a process and input measures and that is something that
:01:18. > :01:22.we can make work better. In the strategy, there are six programmes
:01:23. > :01:26.that work. One is prevention, one early diagnosis, one on
:01:27. > :01:32.commissioning and one on high-quality modern services, and
:01:33. > :01:35.importantly one on patient experience and living well beyond
:01:36. > :01:40.cancer. I thought of the member from Bosworth made a very good point in
:01:41. > :01:45.terms of the overall approach. This is not just a technical thing that
:01:46. > :01:50.we are doing here, we do need to get better in terms of patient
:01:51. > :01:57.experience and living beyond cancer. I will -- I attended the very
:01:58. > :02:01.encounter a PPG and I spoken that and I met a lady at that event he
:02:02. > :02:07.had been given a prognosis of six months to live and she told me that
:02:08. > :02:12.she had no support. No support whatsoever in terms of ongoing
:02:13. > :02:19.dialogue with the clinical nurse that was mentioned at Saint -- at
:02:20. > :02:21.police and Edmonds and that is a failure completely inadequate. The
:02:22. > :02:27.strategy in response to that is that we are trying to put into place
:02:28. > :02:30.cancer recovery packages which will be, everyone will have one of those
:02:31. > :02:34.is the diagnosed and that is a very important thing. I heard the point
:02:35. > :02:37.that it was well made, that the staffing implications are in doubt
:02:38. > :02:44.that we must address that as well and we will. In terms of the sort of
:02:45. > :02:49.scenes of what came out of the various points made by members on
:02:50. > :02:58.both sides of the house, I think I have covered the one about rarer
:02:59. > :03:01.cancers, in particular the brain cancers and blood cancers and the
:03:02. > :03:04.truth is that what we need to do with those is make more progress
:03:05. > :03:08.more quickly than we have done so far in terms of research because we
:03:09. > :03:12.don't know the answers to the same extent with those cancers that we do
:03:13. > :03:15.with others. And that is not just research by the government, that is
:03:16. > :03:19.Cancer Research UK and the charities. A number of colleagues
:03:20. > :03:23.have made the point that the voluntary sector is extremely ported
:03:24. > :03:29.to this and of course it is, Macmillan and marry cutie at Cancer
:03:30. > :03:32.Research UK plus hundreds of smaller charities we all have in our
:03:33. > :03:40.constituencies that make a big difference. We also know that
:03:41. > :03:43.workforce matters very much. This is a very consistent stream in the
:03:44. > :03:46.strategy and something that the strategy needs to get right. I was
:03:47. > :03:52.asked by the member for Scunthorpe in his opening comments how we are
:03:53. > :03:54.holding health education include accounting terms of some of the
:03:55. > :03:59.workforce requirements that are having to come up with and I need
:04:00. > :04:03.regularly with Professor Cummings, as the sea Secretary of State, not
:04:04. > :04:06.just on this aspect of the workforce, other things the
:04:07. > :04:11.responsible foreign terms of increasing the number of GP -- GPs
:04:12. > :04:14.and doctors working in primary practice but there are specific
:04:15. > :04:19.things that we need to make progress very quickly on. There is not enough
:04:20. > :04:22.radiographers, the point was made that there is no point in having
:04:23. > :04:25.linear accelerator is a the people to operate them and that is right
:04:26. > :04:28.but light of redone the people to operate them and that is right but B
:04:29. > :04:31.speak little for the fact that we are now rolling out the linear
:04:32. > :04:36.accelerator that Simon Stevenson is this week, at 15 locations up and
:04:37. > :04:44.down the country that are going to have that. In particular a real area
:04:45. > :04:47.of shortage has been endoscopy. And that is something that has been
:04:48. > :04:54.pulled out of the cancer strategy in terms of a specific work stream, in
:04:55. > :04:59.terms of the 96 and we will have 200 extra endoscopists trained by the
:05:00. > :05:07.end of 2040 and we will continue to build on that. The workforce is a
:05:08. > :05:10.massive importance. I haven't answered all the questions and all
:05:11. > :05:14.the points made, in particular I have not yet answered and I will
:05:15. > :05:18.talk about the Tobacco control plan, the several members on both sides of
:05:19. > :05:24.the house of mentioned this and I'm afraid all I can say is that it is
:05:25. > :05:27.soon is the answer. The Minister has informed me that she is determined
:05:28. > :05:34.to get this right and I guess you and all agree that it right is also
:05:35. > :05:37.important. I think I am is disappointed in terms of the process
:05:38. > :05:42.of the strategy that we have not got that out yet as some members have --
:05:43. > :05:46.as some members in as well but I will make the point that we are
:05:47. > :05:48.doing a lot in terms of smoking, in terms of exquisite images on
:05:49. > :05:51.packages and things of that type, more than many other countries and I
:05:52. > :05:58.think we should not forget about that. It is not all about strategy.
:05:59. > :06:05.I will finish no other than to say this, that I think we need to come
:06:06. > :06:08.back in a year and I hope the backbench business committee in the
:06:09. > :06:13.hope that the chairmen of all the cancer EPG seven-year will make sure
:06:14. > :06:17.that there is a debate in this place every year so the government is held
:06:18. > :06:22.to account is critical friends because we all need to make sure
:06:23. > :06:24.that we focus on getting the strategy delivered. We absolutely
:06:25. > :06:32.don't need another strategy made the massive potential steps
:06:33. > :06:38.forward that will be in place if this is achieved. My honourable
:06:39. > :06:47.friend tents me by saying that he is about to sit down with three minutes
:06:48. > :06:53.to go. I cannot see him to discuss the harassment of ?200 million for
:06:54. > :06:59.support services? I am happy to speak to him about that, he made the
:07:00. > :07:03.point that there was no investment going into a number of areas. I
:07:04. > :07:07.think I was pleased that we are giving 5 million to the two centres
:07:08. > :07:12.being put together, the Haven centres but I am happy to speak to
:07:13. > :07:15.him about 200 million. The light of the with every point that he made
:07:16. > :07:22.during the course of his remarks but I will sit down at that point. Nick
:07:23. > :07:25.taken to wind up. I thank the Minister for his response to what he
:07:26. > :07:32.is right in saying was a very good debate amongst critical friends, to
:07:33. > :07:35.steal the excellent points that my honourable friend made. Members of
:07:36. > :07:40.Poplar and Limehouse Bosworth and Harrow East all highlighted the
:07:41. > :07:43.importance of public health measures particularly smoking cessation
:07:44. > :07:49.campaigns in preventing cancer. We are reassured that we will have the
:07:50. > :07:52.plans soon. The member for Crawley who is the chair of the all-party
:07:53. > :07:58.group on blood cancers spoke movingly from personal experience
:07:59. > :08:01.about how blood cancers come into people's lives unexpectedly. The
:08:02. > :08:07.member for Castle Point's chair of the all-party group on brain tumours
:08:08. > :08:11.echoed this and much that she said of the need to do something about
:08:12. > :08:15.these cancers that are stuck and reminders that brain cancer is the
:08:16. > :08:19.biggest killer of young people. He was right to say that the cancer
:08:20. > :08:22.strategy is a strong step in the right direction but we need to do
:08:23. > :08:27.more. The point that the member for Stratford also echoed, that we need
:08:28. > :08:33.to do even better as the member for Bosworth said, as he -- if we move
:08:34. > :08:38.from 60% to 70%, why not move to 80%? The member for Bury St Edmunds,
:08:39. > :08:41.a cancer survivor herself, posed a series of very challenging
:08:42. > :08:45.questions. Exactly the sort of questions that should drive better
:08:46. > :08:51.performance as he move forward. We are at a pivotal moment for the
:08:52. > :08:55.cancer services, and I know that many people will be heartened by the
:08:56. > :09:01.comments of the Minister, both today and on Tuesday at the Britain
:09:02. > :09:05.against cancer is dead. He is right in saying that it is easy to write
:09:06. > :09:10.strategies, but now is the time to deliver. You'll like the question is
:09:11. > :09:13.that this house has considered the cancer strategy. As many that
:09:14. > :09:15.opinion say aye, on the contrary now.
:09:16. > :09:25.Subtitles will resume on Thursday in Parliament at 2300.