08/12/2016 House of Commons


08/12/2016

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own priorities. I will refer his question to the controller and

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auditor General, asking him to write to the gentleman with the

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information he is seeking. There are various points of order. I will take

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first those of which I have had notice. Point of order from Mr

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Andrew Salter. On Tuesday, the Transport Secretary was asked five

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times while he has not devolved real services to the Mayor of Manchester.

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He he was told each time they were commercial and operational reasons

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were not doing so. He later emerged that gave the actual reason, that he

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would like, to keep suburban real services out of the clutches of any

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future Labour mayor. Members should be able to rely on the answer is

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that this dispatch box to be as accurate as possible. What steps can

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I take to get the Minister to correct the record to reflect his

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actual reason? I am that I am grateful for the advance notice.

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First, every member of this house is responsible for the veracity of what

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he or she says in it and it is incumbent upon a member on the

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discovery of a mistake, to correct it. That applies to ministers and

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everybody else. Secondly, he will understand why I don't wish to delve

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into the detail of the matter, and I certainly don't seek to adjudicate

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between him making an accusation and any minister who might seek to

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defend him or herself against it. And all I would say is that perhaps

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what he has said about a political motivation and what the Minister has

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said, are not necessarily mutually exclusive. My point of order is not

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too dissimilar to the previous point of order, in that mine relates to

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the response that was given by the Department for Transport to the

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urgent question put down by the member for Brighton Pavilion in

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respect of Southern Rail on Monday. Myself and the honourable members

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for Dulwich in West Norwood, we asked of the Minister whether the

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government's intention was still to devolve rail commuter services to

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Transport For London. We were not given any answer to that, however,

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as he has just said, the Secretary of State for Transport has clearly

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made his mind up on that, on the basis of party political reasons,

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and secondly, having provided no answer, we then found it in the

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Evening Standard the day after. Mr Speaker, I know you place a premium

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on ministers coming and giving information to this house when

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questions are asked, not providing it in the newspapers after. And I am

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utterly exasperated at this, because my constituents will take great

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exception to ministers playing party politics with the misery they are

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facing day in, day out. I would be very grateful for your guidance on

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how we can ensure that ministers did the right information to this house

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and do not fail to give us the information that we require. I am

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grateful to the honourable gentleman for that point of order. Of course,

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I remember well the exchanges to which he referred having taken place

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only three days ago. Buy off the cuff response to him is twofold.

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First, the absence of comprehensive answers to questions posed under

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governments of a variety of complexions, is not without

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precedent. Secondly, it is very difficult to know, and it's not for

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the speaker to judge at what point a government has decided on a policy

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and then decided to communicate it, however, it does seem a bit strange

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if something is not communicated in the house in response to a specific

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question, that is then communicated to the media a very, very short time

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afterwards. It is not for me to judge in each case, but I really do

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think that if ministers wish to advert the potentially embarrassing

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scenario of another urgent question on the same matter being tabled,

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with the possibility that the minister might have to come to

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answer a second time, it would be wise for ministers to factor that

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consideration into their calculations of how to conduct

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themselves. I think that that is the fairest way I can deal with that.

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But the honourable gentleman was applicants for the question or a

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core applicant the other day and his constituency is directly affected,

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so of course, I will hear the right Honourable gentleman. He will be

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aware of my constituents are suffering chaotic services on

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Southern, and they were seeking the salvation in Transport For London

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taking responsibility for those services. And they were seeking the

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salvation in Transport For London take the responsibility for those

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services. Can you advise me if there is any way in which I can secure a

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transport outcome for my constituents that is based on the

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best policy, as opposed to a political priority for the

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government? I'm not sure, notwithstanding his investing me

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with great powers in these matters, but I am best pleased to advise him,

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but there is a former deputy leader of the house and he will be well

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aware of the upcoming matters to be raised on the adjournments, to which

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you may wish to contribute, although he may be perturbed by the absence

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of the responsible departmental minister to give him a substantive

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reply. If what he wants is to substantively raise the issue and

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obtain a reply, his own adjournment debate might be his best salvation.

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I have a hunch that the honourable gentleman will shortly be vetoing

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across to the table office to make such an application, and he might

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find that his application is successful. Point of order! The

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honourable lady did give me advance notice, so let's leave it. Thank

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you. You have ruled that it is courtesy of the house that members

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should warn one another when visiting their constituencies. I was

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warned that a minister was visiting my constituency, I discovered this

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by reading an article local newspaper. I read that with his

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office and they told me they did not have this obligation as applying to

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ministers. This was particularly disappointing, given the serious

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issues I have often raised within the specific area he was visiting

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about and I would have welcomed the opportunity to discuss that with

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them during his visit. I don't need to refer you to paragraph 10.9 of

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the ministerial code, but could you clarify that this convention does

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indeed apply to ministers and what advice he may offer the minister

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when that code is broken, and whether any further training or

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guidance might be given to ministers regarding obligations of this house?

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I am grateful for the point of order and I think I can offer her some

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comfort in the matter. The short answer is the obligation certainly

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does apply to ministers and I am frankly staggered to heed it

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suggested. I thought it was very well-known in the house. But let me

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just give the substantive reply. It is a long-standing convention that

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members should notify each other before visiting others

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constituencies in a public capacity. Obviously, if one member is going to

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another's for a private dinner party, the obligation doesn't apply,

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we are talking about the conduct of public business. And the requirement

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for ministers is enshrined in the ministerial code. Ministers really

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ought to be familiar with and ready to adhere to the ministerial called.

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I agree it is the most unsatisfactory situation when notice

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is not given, and I would urge members on all sides are ministers

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in particular to observe that courtesy. The point is being made

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and I know the leader of the house, who is extremely assiduous and

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highly respected in the space for his courtesy, and I can see this for

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some knowledge, because he has been my constituency neighbour for

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decades, he takes this very seriously and he will do all they

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can to make sure other members will behave with the courtesy he

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customarily exhibits. The overwhelming custom and practice

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and precedent is that when bills passed second reading as the

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boundary division Bill did, they should go to committee without undue

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delay. The Leader of the House today expanded on his excuses for this not

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happening, reasons he did not give two weeks ago, but every single one

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of us knows this is nothing more than political chicanery. Yesterday

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the Leader of the House which the House of the Prime Minister, today

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he is reaching the depths of not fulfilling the proper

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responsibilities of the Leader of the House. How can we persuade him

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to mend his ways? The Leader of the House is entitled to respond if he

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wishes. If he does not wish to do so, it is very much the norm that

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the government should come forward with the appropriate resolution. It

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is not strictly a matter for the chair if that does not happen, but

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knowing the right honourable gentleman as I do, how familiar he

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is with this long-standing requirement, knowing the tendency of

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the Right honourable gentleman only to ask a question only when he knows

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the answer to it, I think any member of the government is taking some

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risk in persisting to do what, persisting in failing to do what is

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expected, and I sense that the right honourable gentleman, to put it

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bluntly, will keep banging on about the matter until he gets what he

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wants. Mr Stuart Malcolm MacDonald. Two brief points. I think the Leader

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of the House perhaps inadvertently misled the House in response to

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questions from honourable friends regarding job centre closures in

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Glasgow. He stated these plans would be subject to full consultation.

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They will not be. The government only plans to consult on two of

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eight closures across the city, which I cannot stress enough to the

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House how devastating this news is. On the second point, I wonder if you

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could advise what myself and other honourable friends who represent

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Glasgow constituencies, what recourse is open to us to put right

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the disco city, -- discourtesy, which was shown to us. We had to

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read about these closures in the press and it took ministers over

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seven hours to get in touch with us about this. We consider that to be

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grossly disrespectful and I wonder if you could advise whether there is

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any recourse open to us. To some extent, the honourable gentleman has

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gained his own salvation in airing his discontent on the floor of the

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House with the relevant Minister not in a position immediately to reply

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so the honourable gentleman is able to establish some tracks on the

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ground which are to his advantage. I was not familiar with that point of

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detail which has just been highlighted for rest is about two

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matters being the subject of consultation rather than the full

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eight. That really is not a matter for me. But what I would say to the

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honourable gentleman is that it is normal in matters of this kind that

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affect constituencies for members affected to be given the courtesy of

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advanced notification rather than having to read about the matters in

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the newspapers. It may well be that some rather greater discipline

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within ministerial offices is required to avoid a repetition of

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that rather unfortunate occurrence. Further to that point of order.

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Thank you. In relation to the decision about job centre closures

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in Glasgow, my understanding is that there is ministerial criteria which

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determines whether it goes to public consultation or not. It is the view

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of me and my honourable friend that four of the aid should be going to

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public consultation. Is there any recourse for rest to raise that with

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ministers? I have to confess that I suffer from some ignorance on that

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matter. It is an enormously important point but not one I have

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any knowledge at all of. When you ask whether there is any recourse,

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the answer is yes. You should table a written question, narrowly focused

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on that matter, to try to set -- extract a substantive answer. Mr

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Alan Brown. This is a point of order about answers I have received from

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the Secretary of State for Scotland. I asked a question in the chamber.

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asked him about heat he had done anything about a previous pledge.

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The answer I got was, the honourable gentleman knows that I and the UK

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Government have worked with the council to see if opencast can

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continue in that area. Now, not because I am cynical but because I

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wanted to give credit where credit is due, I submitted three questions

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asking how much money the UK Government is spending on opencast

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restoration, what action they have taken and how many meetings the

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Secretary of State had had with the Chancellor. I had a simple group

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answer which did not give any figures or information at all. It

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says about informal meetings with colleagues, about agreeing a way

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forward, and he also advises that the call authority provides advice.

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I will try to be brief. I submitted a follow up question trying to pin

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down answers about funding. What funding has been provided. I am

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quite indescribably grateful to the honourable gentleman for raising

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these matters. No one can accuse the honourable member for excluding from

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his point of order any point which he thinks might be in any way, at

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any time, anywhere, be judged to be material. There is a comprehensively

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about his approach which is as impressive as it is infuriating.

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What I want to say to the honourable gentleman is, first of all, I don't

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think I have ever said this before but the sense in which I share the

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honourable gentleman's pain but there are very few new precedents in

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this place. He says with open eyed astonishment that he put down

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several questions which were treated as a job lot by the Minister. I very

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much doubt his experience is very much worse than mine, long before I

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had the privilege to occupy the chair, I think I tabled 60 questions

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to the Minister for Europe who had the extreme temerity to provide me a

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dismissive one with the reply to all 60. I simply return to the drawing

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board and came up with these further series of questions on the basis

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that I could therefore occupy the Minister's attention in the way that

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he would be doing less damage responding to me than he might be

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doing in other ways. The content of ministerial answers is the

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responsibility of the Minister concerned. If the minister felt with

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hindsight that an answer had been inaccurate, it would be open to him

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or her to correct the record. I realise he finds the answer is

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unsatisfactory but I'm afraid that is not a point of order for the

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chair. He asks how he can get decent answers out of ministers, that is a

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question that has taxed many of us, myself included, over the years, but

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the best approach is to use persistence and ingenuity, both of

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which I think he has demonstrated he possesses in abundance. I would

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suggest that he seeks the advice of the table office. One of the things

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I learned early is that the staff of the table office are there to help

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and if the honourable gentleman is told that his approach is not in

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order ought not the best approach, he should then proceed to ask the

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follow-up question, how can I best go about the matter? And the table

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office are both public spirited and experience and they will be able to

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help the honourable gentleman. His visit there will profit him. If

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there are no further points of order, we can now proceed to the

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next business, which is the backbench motion on the UN

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International Day for the elimination of violence against

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women. To move the motion, I call Seema Malhotra.

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Thank you, Mr Speaker. I am delighted to be able to move the

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motion today on the order paper that notes that this House notes the UN

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International Day for the elimination of violence against

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women and the 16 days of activism against gender-based violence. Also,

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that violence against women is a human rights violation and that much

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more needs to be done to address and prevent this scourge on our nation

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and across the world. I want to thank all honourable members who

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have supported this debate from all sides of this House, including the

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honourable members for Stretford and Urmston, for Maidstone and The

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Weald, Lanark and Hamilton East Brighton, Pavilion, Glasgow North,

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Rotherham, Birmingham, Yardley, Basingstoke, and indeed other

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members who I am sure will be speaking in the debate today. I also

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want to particularly recognise and express my thanks to the Right

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honourable member for Basingstoke, who is also chair of the woman

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inequalities Select Committee and whose support is also being debated

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today. I am proud that as a parliament we are debating this

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motion because it is vital that Parliament play its part on the

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world stage in combating violence against women in all its forms, at

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home and abroad. The UN declaration on the elimination of violence

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against women is describes it as any act of gender-based violence that

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results in or is likely to result in physical, sexual or psychological

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harm or suffering to women, including threats of such acts,

:21:30.:21:35.

coercion or arbitrary deprivation. The 16 days of action have seen

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events and campaigns across the country and the world and these 16

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days end on the 10th of December. Human rights Day. This year also

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marks the 25th anniversary of the 16 days of action. Madam Deputy

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Speaker, tackling violence against women has to be a cross-party issue

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and the delivery of strategies has to be based on what works and go

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across Parliament. In 2009, the Labour government published the

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first violence against women and girls strategy, described as marking

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a major shift to joined up policy. The current government strategy

:22:15.:22:17.

continues that approach but the challenge we face now is how to

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ensure a complete strategy and how we turned that strategy into

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outcomes. May I also... I will give way. I just wonder whether she would

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agree with me that perhaps one of the best examples of cross-party

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approach is the support for the Istanbul convention and would she

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hoped that the government are going to fully adopt this? I thank the

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honourable member for his intervention and he leads me

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directly onto my next point, where I was about to congratulate the member

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for Bamford and Buchanan who today has also published the contents of

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her preventing and combating violence against women and domestic

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violence ratification of Convention Bill, which will have its second

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reading next week. The UK signed the convention in June 2012 but has not

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yet ratified it and this issue was the subject of a letter today to the

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Prime Minister, signed by over 75 Labour members of Parliament as

:23:29.:23:33.

well. If I could also take a moment to thank the campaign for their work

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on this issue and recognise the EDM signed by members across this has

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put down by the member for Paisley and Renfrewshire North. Madam Deputy

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Speaker, in opening this debate, I want to make three main points. The

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first is on the growing scale of the challenge at home and abroad, the

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second on our calls to the government to do more, particularly

:23:59.:24:02.

on prevention through relationship and sex education and ratifying the

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Istanbul convention, and thirdly, how we need a culture shift across

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society to include all, including businesses and public services, to

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lift the lid and engage all in the role they can play on eliminating

:24:18.:24:19.

violence against women and girls. Let me start with a comment on the

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scale of the problem. Violence against women and girls is rising

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worldwide. One in three women experience physical or sexual

:24:42.:24:46.

violence. That is a staggering statistic. The world health

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organisation argues that violence against women is a major public

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health issue. With women who have experienced violence more likely to

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have babies with low birth weights and experience depression. Each year

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in the UK, up to 3 million women experience violence and on average,

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one woman dies in Britain at the hands of a man every three days. We

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know also that around one in ten of domestic violence incidents have men

:25:17.:25:21.

as victims. Those numbers are significant, but still, the numbers

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show the scale and gendered nature of domestic and sexual violence. The

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cost to our economy is also estimated to be around ?25 billion.

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This scourge is present in every community across our nation.

:25:41.:25:44.

Domestic and sexual violence knows no boundaries, in terms of age,

:25:45.:25:50.

geography, ethnicity or social background. I want to share if you

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relatively recent examples from my constituency. A lady approached me

:25:56.:26:00.

recently who had suffered domestic violence for many years. She

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eventually found the courage to leave her husband, but was left

:26:03.:26:06.

unable to care for her children alone, who were then taken away. The

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abuse continued and she of her ex-husband and his family. She feels

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unsupported by the police and scrimped and saved to afford new

:26:26.:26:27.

door locks and security. Her future feels uncertain and she lives and

:26:28.:26:30.

nightmare every day. Another told me how it, six years after leaving her

:26:31.:26:33.

husband, who had an alcohol and drug addiction, he reappeared and

:26:34.:26:34.

threatened her and her elderly parents. The impact of domestic

:26:35.:26:40.

abuse is not just borne by female victims, but also by children. Save

:26:41.:26:46.

Lives estimates that 130,000 children live in homes where parents

:26:47.:26:51.

face serious harm or death at the hands of their partner or

:26:52.:26:56.

ex-partner. Those children can go on to replicate behaviour that they

:26:57.:27:02.

have seen. One mother recently told me of her expedience with her

:27:03.:27:06.

teenage son starting to behave as he had seen his father behaved. He was

:27:07.:27:10.

lucky enough to be able to respond to her challenging him, but she

:27:11.:27:14.

knows it isn't a story that is over for him, and is now seeking support

:27:15.:27:19.

for him as the trauma he experienced players out in his life as he

:27:20.:27:24.

reaches adult hood. The challenge we are facing in provision of child and

:27:25.:27:28.

adult mental health services are having an impact.

:27:29.:28:04.

It affects children's education. Not only does it affect their character,

:28:05.:28:12.

but if I was a child at school, I would be worrying about my mother

:28:13.:28:20.

and not my lessons. He has supported refugees and other services but have

:28:21.:28:29.

supported his constituents. I may just make reference now to the work

:28:30.:28:36.

by Refuge and Women's Aid in challenging the cuts to support for

:28:37.:28:40.

women and their families. And the horror of knowing as well but we

:28:41.:28:45.

have seen an increase over recent years in women being turned away

:28:46.:28:50.

from support because of lack of provision. He also has mentioned

:28:51.:28:57.

schools and education attainment. Certainly, I would extend that to

:28:58.:29:02.

the rules schools are playing in picking up the pieces. One school

:29:03.:29:06.

told me that they estimated at around five children in each class

:29:07.:29:11.

were experiencing or witnessing domestic abuse in some form at home.

:29:12.:29:18.

And indeed, I was told the very sad story of how a school had worked or

:29:19.:29:24.

was working with the mother. She had an emergency escape bag in a

:29:25.:29:27.

cupboard at school for when she felt she absolutely had to flee her home.

:29:28.:29:39.

These cases are far from unique, and indeed, Women's Aid highlight

:29:40.:29:43.

further staggering statistics. The crime survey of England and Wales

:29:44.:29:50.

found that 27.1% of women have experienced domestic abuse since the

:29:51.:29:56.

age of 16, but the rate of domestic violence crime against women has

:29:57.:30:05.

doubled each year since 2009. And indeed, there were over 100,000

:30:06.:30:12.

prosecutions for domestic abuse in 2015 - 16. The highest level ever

:30:13.:30:19.

recorded. It has also been a year since the new offence of coercive

:30:20.:30:23.

control came into force. Domestic abuse goes beyond physical violence

:30:24.:30:30.

and using the law will require greater understanding. One of the

:30:31.:30:35.

questions I would like to put to the Minister is if she could, in her

:30:36.:30:40.

closing remarks, I'd be grateful if she could outline the steps the

:30:41.:30:44.

government is taking to improve training for statutory agencies, so

:30:45.:30:50.

that some of these new fences can be put to greater use. I once to make

:30:51.:30:59.

mention of the issue of online abuse as well, because the scale and

:31:00.:31:04.

nature of both domestic and other abuse is changing. And indeed, in

:31:05.:31:12.

relation to online abuse and how that is combining with off-line

:31:13.:31:22.

abuse, in a survey by Women's Aid, for over 45% of survivors of

:31:23.:31:26.

domestic abuse had also experienced online abuse. There is a real need

:31:27.:31:31.

to look at the legal frameworks we have two ensure the law is

:31:32.:31:35.

up-to-date in all areas, to make sure that there can be protection

:31:36.:31:39.

against online abuse as well as off-line abuse. I will give way to

:31:40.:31:46.

my honourable friend. I thank her for giving way on that point in

:31:47.:31:51.

relation to Facebook and Twitter and other social media outlets. They

:31:52.:31:55.

need to take responsibility for some of the abuse, in that they don't

:31:56.:32:00.

regulate enough. It would be a very positive step for them to support

:32:01.:32:06.

women and girls, but also other groups that are abused by the social

:32:07.:32:12.

media network. He makes a very important point and later I will be

:32:13.:32:21.

mentioning the work of the Reclaim The Internet Campaign and the work

:32:22.:32:29.

they are doing. He highlights the need for a form of court of practice

:32:30.:32:32.

for technology companies and social media providers, both to ensure that

:32:33.:32:40.

survivors of domestic abuse and other forms of violence are

:32:41.:32:44.

protected online, but also other vulnerable users are not subject to

:32:45.:32:48.

abuse producer goes unchallenged or unaddressed. Indeed, I will give

:32:49.:32:57.

way. Does she agree with me that the codes of conduct are already there.

:32:58.:33:03.

There are rules of the road that social media platforms ostensibly

:33:04.:33:08.

trumpet as monitoring their conduct online, but they don't enforce them

:33:09.:33:14.

to the extent that they should. He makes an important point. I think

:33:15.:33:18.

there are good and emerging codes of practice, but I don't believe they

:33:19.:33:23.

go far enough and certainly are not enforced sufficiently. I do believe

:33:24.:33:28.

that there could be further work done, for example, the government

:33:29.:33:32.

could investigate the regulation of closing down of websites that

:33:33.:33:37.

promote or profit from sexual abuse images, but I think we can also look

:33:38.:33:43.

at the extent to which criminal and civil sanctions are used in the

:33:44.:33:47.

cases of domestic abuse, such as domestic violence protection orders

:33:48.:33:54.

and non-molestation orders, and apply to routinely restrain a

:33:55.:33:57.

perpetrator and for making digital contact with a survivor. I do hope I

:33:58.:34:02.

will be able to hear some response from the ministers on that issue. I

:34:03.:34:09.

will give way. Would she agree with me that in relation to online abuse

:34:10.:34:13.

and also physical abuse, that part of the problem is that sometimes

:34:14.:34:17.

these offences across international borders, that many of these websites

:34:18.:34:22.

are hosted outside of the UK. Will she join me in asking the Minister

:34:23.:34:28.

to offer us assurances that as we leave the European Union, the

:34:29.:34:33.

security arrangements we have in place, through European Security

:34:34.:34:38.

agencies, will be protected and will be resourced to be up to the task? I

:34:39.:34:47.

thank my honourable friend for her intervention. She is absolutely

:34:48.:34:52.

right and having worked for in the creative industries on some of the

:34:53.:34:56.

issues around the prevention and addressing of abuse online, I

:34:57.:35:03.

certainly experienced myself the complexity of reaching agreement.

:35:04.:35:06.

And the more we work together as governments, that will help in

:35:07.:35:13.

moving forward on this complex issue of policy and regulation. She

:35:14.:35:18.

highlights the potential risks to this cross- government work that

:35:19.:35:25.

could come from Brexit and I do hope the Minister will address this in

:35:26.:35:30.

her remarks and indeed, give confidence to this House that our

:35:31.:35:35.

implementation of the Istanbul convention will also not be affected

:35:36.:35:48.

by impending Brexit. I may also make mention of the famous I'd sentence.

:35:49.:35:53.

It is a horror that we're recording and told the detail of women killed

:35:54.:36:01.

by men. This was an initiative launched in partnership with Women's

:36:02.:36:08.

Aid, based on the information in a blog, Counting Dead Women in which

:36:09.:36:15.

details of women killed by men were collated. The MP for Birmingham

:36:16.:36:22.

Yardley has released is powerfully and previous occasions. A new report

:36:23.:36:33.

collates information on 936 men in England and Wales, killed by fatal

:36:34.:36:36.

male violence. There have been a number of recommendations to the

:36:37.:36:42.

government, and I'm confident we would hear some information from the

:36:43.:36:47.

government on their response. I also want to recognise the work by local

:36:48.:36:51.

authorities across the country as they grapple with cuts. My own local

:36:52.:37:00.

authority, data from my own local authority shows that in the year to

:37:01.:37:06.

September 2016, there were over 4400 more notifiable offences, compared

:37:07.:37:11.

to September 20 15. Domestic offences, sexual offences and rape

:37:12.:37:15.

offences have all seen a rise. I want to mention the work of our

:37:16.:37:23.

elite councillor on this portfolio, Sue Sampson. Sue's Sister Maureen

:37:24.:37:28.

Roberts aged 23 was shot dead in her place of work in 1976. West

:37:29.:37:35.

Middlesex Hospital, which still serves my constituency. She was shot

:37:36.:37:40.

dead by her estranged husband. Maureen had become a victim of

:37:41.:37:44.

domestic violence shortly after she married three years earlier.

:37:45.:37:50.

Straight after he shot her, he turned the gun on himself, killing

:37:51.:37:54.

himself. Sue still lives with that shock and the horror of what

:37:55.:38:00.

happens, like many others, who are the victims also of the attacks on

:38:01.:38:09.

women and the killings that we have seen now increasingly documented.

:38:10.:38:12.

They live with those stories for the rest of their lives. We have come

:38:13.:38:16.

far with the changes in the law, but as this week's femicide census

:38:17.:38:20.

shows, it is still happening all too often. She is making a very powerful

:38:21.:38:29.

speech on this incredibly important subject. She is right to mention

:38:30.:38:34.

local councils. Stafford borough council has worked together with

:38:35.:38:37.

Staffordshire Women's Aid to create a new women's refuge in Stafford.

:38:38.:38:42.

Would she not agree that this is a fine example of partnership working,

:38:43.:38:47.

which in this case is under the inspirational leadership of Dickie

:38:48.:38:51.

James? He has made his point extremely well and he's absolutely

:38:52.:38:58.

right. Indeed, his local authority, like Hounslow and other authorities,

:38:59.:39:03.

are at the front line for prevention, early and provision of

:39:04.:39:12.

support, but many will face huge challenges in cuts to funding. And

:39:13.:39:20.

the integration of services. The scale of the challenge is also

:39:21.:39:27.

increasing, as data shows. The pattern of violence seems to be

:39:28.:39:31.

beginning even earlier. The women and equality select committee's

:39:32.:39:36.

recent enquiry and report found that almost a third of 16-18 -year-olds

:39:37.:39:41.

say they have experienced unwanted sexual touching at school. 69% of

:39:42.:39:50.

girls and young women aged 13-21 C that they had faced some sort of

:39:51.:39:54.

sexual harassment at school or college.

:39:55.:40:02.

We also need to reflect that the nature of violence can change also.

:40:03.:40:10.

The revenge porn helpline last year received almost 4000 calls, with

:40:11.:40:14.

cases of children as young as 11 making those calls. The battle is

:40:15.:40:22.

being fought hard and with the organisations we are lucky to have

:40:23.:40:28.

individuals working tirelessly. There is cause for hope. I want to

:40:29.:40:31.

thank organisations including women's aid and Refuge. Women's aid

:40:32.:40:42.

also have an affected child first campaign to deal with the needs of

:40:43.:40:51.

victims, the Southall sisters, the FGF campaigners -- FGM campaigners.

:40:52.:41:07.

One woman was recognised by the star university with an honorary

:41:08.:41:09.

doctorate for the work she has done in driving forward an effective

:41:10.:41:12.

campaign -- she was recognised by Bristol university. A very powerful

:41:13.:41:20.

point is being made. The work of the women's refuges was mentioned, and I

:41:21.:41:24.

wanted to highlight that the government is giving ?20 million for

:41:25.:41:27.

women's refuges to help them with their valuable work. I would urge

:41:28.:41:32.

people to firstly applaud that and secondly take advantage of it. I

:41:33.:41:35.

wonder what my honourable friend would say about that. I thank the

:41:36.:41:46.

honourable member for her intervention. Having worked on these

:41:47.:41:49.

issues in Parliament for a number of years, I am sure she will understand

:41:50.:41:56.

our acknowledgement of that support, but also the question of whether it

:41:57.:42:01.

goes far enough or is funding that will be sustained so that

:42:02.:42:04.

organisations can sufficiently plan and work ahead and whether or not

:42:05.:42:08.

that funding has replaced cuts in other areas. There are complex

:42:09.:42:13.

issues around funding for refuges that she will be aware of. To

:42:14.:42:19.

support those services has to be a priority for any government in

:42:20.:42:23.

Britain so that we can provide that support for women at their most

:42:24.:42:28.

vulnerable moments. The everyday sexism campaign as well has shown

:42:29.:42:34.

effectively and has campaigned hard on how women face threats against

:42:35.:42:41.

them in every walk of life. I also want to repeat my mention of the

:42:42.:42:45.

reclaimed the internet campaign, which I believe, going into the

:42:46.:42:49.

future, as an important role to play as the scale of technology in our

:42:50.:42:53.

lives and the way in which that can be used both support victims, but

:42:54.:43:05.

also against victims. That must be tackled by lawmakers. I also want to

:43:06.:43:15.

put on record my appreciation of a campaign which reminds us that

:43:16.:43:19.

gender-based violence is not inevitable and that prevention is

:43:20.:43:26.

not only possible, but essential. To my points about why we need the

:43:27.:43:34.

government to do more... Before the honourable lady comes onto a large

:43:35.:43:40.

chunk of speech, I should point out to her that I appreciate that she

:43:41.:43:44.

has taken a lot of interventions during this speech and that we are

:43:45.:43:50.

not under tremendous time pressure, but she has taken very much longer

:43:51.:43:56.

than the time normally allocated for the opening speech in a debate like

:43:57.:44:01.

this. I am not suggesting that she should finish immediately, but

:44:02.:44:04.

perhaps she should just have a couple of minutes more. Seema

:44:05.:44:07.

Malhotra. Thank you, Madam Deputy Speaker. You will be pleased to hear

:44:08.:44:18.

that I am very close to concluding. I mentioned that we had written to

:44:19.:44:25.

the Prime Minister regarding the Istanbul convention and an update

:44:26.:44:28.

from the minister on that would be welcomed today. If I could also

:44:29.:44:42.

welcome the government's moves this week on the new measures to support

:44:43.:44:51.

victims of stalking, and also the announcement of new funding

:44:52.:44:55.

guidelines. Obviously, there is much work to do with the announcement of

:44:56.:45:00.

national expectations to see what has been announced actually makes a

:45:01.:45:02.

difference and is addressing the challenges we have heard raised from

:45:03.:45:09.

services across the country. We need to ensure that best practice that is

:45:10.:45:17.

highlighted is promoted and extended and that those providing services

:45:18.:45:21.

through local authorities also have some guarantees that they will have

:45:22.:45:26.

resources in the future. Maya also make a reference to the need for

:45:27.:45:34.

compulsory and urgent relationship and sex education and recognised the

:45:35.:45:37.

work of my honourable friend the member for Walthamstow in this. It

:45:38.:45:44.

is so urgent to focus on healthy consensual relationships. I met the

:45:45.:45:54.

family of 20-year-old Holly, who was killed in 2014 by an ex-partner.

:45:55.:46:00.

They highlighted how she did not speak out about the abuse, nor did

:46:01.:46:04.

she understand the signs of a controlling relationship. They

:46:05.:46:08.

believe that relationship and sex education in schools could have

:46:09.:46:13.

saved their daughter. It is a message they take throughout their

:46:14.:46:16.

organisation. There is an urgent need for this, and I fail to

:46:17.:46:20.

understand how after six years, the government has failed to implement

:46:21.:46:22.

what all the evidence shows is necessary. Where there is

:46:23.:46:29.

relationship and sex education in schools, it is clearly patchwork and

:46:30.:46:32.

not good enough. There is an urgent need to join up delivery not just on

:46:33.:46:36.

this, but also on the government strategy as a whole for violence

:46:37.:46:39.

against women and girls. If I could make my final point on the need for

:46:40.:46:46.

a shift in culture in our country, the public awareness about the role

:46:47.:46:50.

we can all play. I mentioned the excellent work of Croydon Council,

:46:51.:46:55.

where their work has taken the issue mainstream, engaging with businesses

:46:56.:46:58.

on how they can be the first line of support for their employees who are

:46:59.:47:04.

victims, as well as other organisations. It is not always

:47:05.:47:10.

about resources, it is a shift in culture, and it can save lives. If I

:47:11.:47:15.

could close with a quote, which I believe is very powerful and

:47:16.:47:18.

important for us to note, from Ban Ki-Moon. "Violence Against women and

:47:19.:47:26.

girls is a human rights violation, a public health pandemic and a

:47:27.:47:29.

obstacle to development. It imposes a large cost of families,

:47:30.:47:33.

communities and economies. The world cannot afford to pay this price".

:47:34.:47:39.

The question is as on the order paper. It is a great pleasure to

:47:40.:47:45.

follow the honourable lady for Feltham and Heston and congratulate

:47:46.:47:48.

her on needing this debate, and also to thank the backbench business

:47:49.:47:53.

committee for granting the debate in the first dose. Gender-based

:47:54.:47:55.

violence is a human rights violation. And it is something that

:47:56.:48:03.

women confront in every country. But whichever side of the House we sit

:48:04.:48:08.

on today, I think we can recognise and be proud of this government's

:48:09.:48:14.

record, particularly the commitment from the Prime Minister to these

:48:15.:48:19.

issues. My right honourable friend the Prime Minister has shown her

:48:20.:48:23.

commitment on a personal level to ending violence against women not

:48:24.:48:28.

just with warm words, but with clear action. Ever since I have been an MP

:48:29.:48:35.

in this place, and probably as long as you have, Madam Deputy Speaker,

:48:36.:48:38.

the Prime Minister has shown that commitment. We do need more

:48:39.:48:43.

countries to have that sort of leadership that we have in this

:48:44.:48:48.

country. I was reminded of this yesterday when I spoke to my

:48:49.:48:54.

counterpart, chair of the Parliamentary women's committee in

:48:55.:48:57.

Tunisia, who has been instrumental in pressing forward with a women's

:48:58.:49:04.

rights and gender violence Bill which would be ground-breaking in

:49:05.:49:08.

terms of legislation in the Arab world, and deserves our support. I

:49:09.:49:13.

would also like to echo the words of the honourable lady who has just

:49:14.:49:17.

spoken to pay tribute to the extraordinary work of organisations

:49:18.:49:22.

like Women's Aid, Refuge, ActionAid, the coalition to end violence

:49:23.:49:26.

against women and the Everyday Sexism campaign. The sort of civil

:49:27.:49:30.

society we take for granted which doesn't always exist in other

:49:31.:49:34.

countries. One of our challenges is, how do we take forward that sort of

:49:35.:49:38.

learning into other countries around the world? , honourable gentleman

:49:39.:49:42.

forgive me if I make some speed? Don't want to incur the wrath Madam

:49:43.:49:50.

Deputy Speaker! I know her well. The government's record at home should

:49:51.:49:57.

be recognised across the House. The government's violence against women

:49:58.:49:59.

strategy which was delivered in March means that in the UK, we have

:50:00.:50:05.

a clear practical strategy in place not only to support victims, but

:50:06.:50:09.

also to bring perpetrators to justice. New offences have gone in

:50:10.:50:14.

hand with work to change culture, and again, this Prime Minister has

:50:15.:50:19.

put in place the Modern Slavery Act to tackle a crime which affects so

:50:20.:50:25.

many women. But still, we have 1.3 million women in this country who

:50:26.:50:28.

have experienced domestic violence in the last year. 400,000 have been

:50:29.:50:35.

victims of sexual assault. The announcements that were made by my

:50:36.:50:38.

honourable friend who is sitting on the front bench today, yesterday,

:50:39.:50:44.

show that this government is in no way complacent. New stalking and

:50:45.:50:47.

civil protection orders, more funding for better support services,

:50:48.:50:52.

all shows is that this is under constant review. We should also

:50:53.:50:58.

recognise the work that has been done in other parts of government.

:50:59.:51:04.

The UK has advocated for a stand-alone go on gender equality as

:51:05.:51:07.

part of the sustainable development goals, something that my select

:51:08.:51:10.

committee will be looking at in detail. We need to make sure that

:51:11.:51:14.

those commitments are put into practice at home. It is DFID who has

:51:15.:51:20.

increased the support to tackle violence against women by increasing

:51:21.:51:25.

by 60% its funding for work in Africa, particularly around the

:51:26.:51:31.

issues of female genital mutilation. Hold on, boys!

:51:32.:51:42.

It is DFID who supported the work on freedom programme which means over

:51:43.:51:48.

200,000 people, particularly those in domestic households and also in

:51:49.:51:53.

the garment industry in South Asia and the Middle East who have been

:51:54.:51:57.

helped who would have before been facing slavery and exploitation. I

:51:58.:52:00.

will give way to the honourable gentleman for the Liberal Democrats.

:52:01.:52:05.

I thank her for giving way to one of the boys. Clearly, I welcome the

:52:06.:52:12.

measures the government reducing in relation to FGM and in particular

:52:13.:52:17.

the NHS now having to collate data sets on this. I wonder if she has

:52:18.:52:21.

any evidence that this is starting to feed through in terms of an

:52:22.:52:28.

increased level of prosecutions? Yes, I was going to speak about

:52:29.:52:33.

that. The honourable gentleman is slightly stealing my next lines.

:52:34.:52:38.

When you look at the crime survey statistics that have been brought

:52:39.:52:41.

out, the number of women experiencing domestic violence is

:52:42.:52:44.

actually the lowest since the survey began. And there is a downward trend

:52:45.:52:47.

in the prevalence of sexual assaults. There is still much more

:52:48.:52:54.

to do, but we are seeing the highest ever levels of convictions for

:52:55.:52:59.

violence against women crimes. I know the honourable gentleman would

:53:00.:53:02.

agree that there is more to do, but I think the direction of travel is

:53:03.:53:09.

something to be applauded. But we still have 1.3 million women who

:53:10.:53:12.

will be potentially listening to this debate today and thinking there

:53:13.:53:17.

is more we could be doing for them. Actually, I feel I should give way

:53:18.:53:22.

to the honourable gentleman whose constituency I can't remember. I

:53:23.:53:26.

thank the honourable lady for giving way and the contribution she is

:53:27.:53:31.

making. As she agree it is important that the government ratifies the

:53:32.:53:34.

Istanbul convention to show global leadership? We heard in the debate

:53:35.:53:39.

in Westminster Hall yesterday about the situation in South Sudan, where

:53:40.:53:43.

70% of women in the capital city have experienced sexual assault

:53:44.:53:46.

during the conflict in that country. It is horrific and we need to show

:53:47.:53:51.

global leadership by ratifying the convention. The honourable gentleman

:53:52.:53:54.

is right. We have signed that convention, though. We are waiting

:53:55.:54:03.

for the ratification. I know that ministerial colleagues will be

:54:04.:54:07.

looking at how we unpick the complexities of making sure that

:54:08.:54:10.

ratification is done in the right way. Mr Deputy Speaker... Sorry, Mr

:54:11.:54:21.

Speaker! I just want to focus on two Swift points, because I know there

:54:22.:54:26.

are many different honourable members who want to come in on this

:54:27.:54:29.

debate. I make no bones about it. I am going to focus on two issues that

:54:30.:54:32.

affect us in the UK. I think the biggest challenges in

:54:33.:54:44.

our lives on the way we tackle the online world. This is something Mr

:54:45.:54:49.

Speaker that we need to do more about. Children spend more time

:54:50.:54:51.

online than they do watching television. We have new and more

:54:52.:54:57.

inventive ways being put to us in terms of the weight perpetrators of

:54:58.:55:03.

against women and girls act will stop 45% of domestic violence

:55:04.:55:07.

survivors experience abuse online and that is abuse that is really

:55:08.:55:11.

difficult to escape. I welcome the legislation that this Government has

:55:12.:55:16.

brought in in terms of online prevention and I welcomed working

:55:17.:55:19.

with my right honourable friend who was then the in the Department of

:55:20.:55:27.

Justice, making sure that we have world leading legislation in this

:55:28.:55:30.

area are not only that, helping support victims through the revenge

:55:31.:55:36.

pornography helpline. The new guidance that has been issued to

:55:37.:55:47.

schools on sexting. It is putting in the laws we need to reckon I set the

:55:48.:55:50.

mind what is very different and that those are the laws around age

:55:51.:55:55.

verification, for accessing pornography online. We need to go

:55:56.:55:58.

further and I do hope that the Law Commission is able to take forward

:55:59.:56:02.

its review of the law in this area. I want to see four things. Firstly,

:56:03.:56:07.

to make sure that it is clear that if there is a legal liability or on

:56:08.:56:12.

my media platforms to make sure that women are not abused online, that

:56:13.:56:15.

there is a clear definition of the abuse and that there is a

:56:16.:56:20.

recognition of the drain on police resources that the current system

:56:21.:56:27.

at a system of fines that those who at a system of fines that those who

:56:28.:56:33.

are the worst offenders in this way. We should not be put off by the fact

:56:34.:56:39.

that this is an industry that transcends international builders,

:56:40.:56:41.

we need to make sure that it is working for us in our country in the

:56:42.:56:46.

way we want it to and finally to this and previous thoughts which was

:56:47.:56:50.

the importance of having a proper code of practice, not just lip

:56:51.:56:52.

service and am afraid at the moment that is what it is. The second area.

:56:53.:56:57.

I believe we need to focus on in debate debate, dumping the

:56:58.:57:04.

honourable lady brought up which I think is the select committee

:57:05.:57:08.

brought out on sexual harassment, excellent because of the wonderful

:57:09.:57:11.

work of the clerks, not because we like myself on the honourable lady,

:57:12.:57:17.

as much as we try very hard. I thank the honourable lady who led the

:57:18.:57:21.

debate today for allowing us to attach that report to this bill to

:57:22.:57:26.

give it more publicity. Because she knows from having read it that two

:57:27.:57:30.

out of three young women are experiencing sexual harassment and

:57:31.:57:32.

basis. She knows that than Justice basis. She knows that than Justice

:57:33.:57:38.

in the 21st Century on Innovative Approaches for the Criminal Justice

:57:39.:57:41.

System then goes on that 68% of students are experienced verbal and

:57:42.:57:49.

physical harassment. They go on the outside world to have 85% of women

:57:50.:57:55.

unwanted sexual attention. A document of problem that we need to

:57:56.:57:58.

make sure we are dealing with in this country. I believe that whilst

:57:59.:58:02.

there are many things that we can be doing, the one thing that we can be

:58:03.:58:05.

doing more than anything else is making sure that we give young

:58:06.:58:08.

people the sort of knowledge that they need to be able to navigate the

:58:09.:58:14.

world better, the sort of knowledge that they would get from having

:58:15.:58:21.

compulsory sex in -- and relationship information at school.

:58:22.:58:27.

We have to do tackle the root causes as well. The sort of behaviour that

:58:28.:58:33.

some of us had to experience in the workplace of 30 years ago is

:58:34.:58:36.

something we would not tolerate, yet we are insisting that young people

:58:37.:58:41.

keep quiet, do not speak out and do not get the support that they need

:58:42.:58:45.

when they experience that sort of behaviour at school. I know, Mr

:58:46.:58:51.

Speaker, that there is a great deal of support for change in this area.

:58:52.:58:52.

I have heard it from the dispatch I have heard it from the dispatch

:58:53.:58:58.

box, from my honourable friend, the education minister, the Secretary of

:58:59.:59:06.

State, the Minister for women, I hope to hear perhaps today from my

:59:07.:59:11.

contributes to this debate. There is contributes to this debate. There is

:59:12.:59:17.

widespread support from ministers across the board, across departments

:59:18.:59:20.

to update this guidance, to make sure that it is fit for purpose and

:59:21.:59:25.

to make sure that we listen to be 90% of parents who want compulsory

:59:26.:59:28.

sex and relationship education and they want it now.

:59:29.:59:36.

Thank you, Mr Speaker. Today, I am going to relate an event that

:59:37.:59:40.

happened to me many years ago and I wanted to give it a very personal

:59:41.:59:43.

perspective to help people in this place and outside to understand one

:59:44.:59:48.

element of sexual violence against women. When I was 14, I was raped.

:59:49.:59:55.

As is common, it was by somebody who was known to me. He had offered to

:59:56.:00:00.

walk me home from a youth event and in those days, everybody walked

:00:01.:00:04.

everywhere, it was quite common to do that. It was early evening, it

:00:05.:00:10.

was not dark, I was wearing jeans and a sweatshirt. I knew my wearable

:00:11.:00:14.

round, where I live, I was very confident and we went a slightly

:00:15.:00:19.

different way but I did not think anything of it. He told me he wanted

:00:20.:00:24.

to show me something in a wooded area and at that point, I must

:00:25.:00:30.

admit, I was alarmed. I did have a warning bell. But I overrode that

:00:31.:00:34.

warning about because I knew him and therefore there was a level of trust

:00:35.:00:40.

in place. And to be honest, looking back at that point, I do not think I

:00:41.:00:45.

knew what rape was. It was not something that was talked about. My

:00:46.:00:48.

mother never talk to me about it, I did not hear other girls or other

:00:49.:00:53.

women talking about it. It was mercifully quick and I remember

:00:54.:00:58.

first of all feeling surprised then beer and then horror as I realised I

:00:59.:01:10.

could not simply escape. -- fear. There was no sexual desire from him,

:01:11.:01:15.

I find odd. My senses were absolutely numbed and thinking about

:01:16.:01:22.

it now, 37 years later, I remember, I cannot remember hearing anything

:01:23.:01:25.

when I be played in my mind. Now, as when I be played in my mind. Now, as

:01:26.:01:31.

somebody who is an ex-professional musician who is very auditory, I

:01:32.:01:38.

find that quite telling. I now understand that your subconscious

:01:39.:01:41.

brain, not your conscious brain, makes a decision on your behalf as

:01:42.:01:45.

to hell you should respond, whether you take flight, whether you fight

:01:46.:01:49.

or whether you freeze. And I froze, I must be honest. Afterwards I

:01:50.:01:55.

walked home alone, I was crying, I was cold and shivering and I now

:01:56.:01:58.

realise that was the shock response. I did not tell my mother. I did not

:01:59.:02:05.

tell my father. I did not tell my friends. I did not tell the police.

:02:06.:02:11.

I bottled it all up inside me. I hope, briefly, an appallingly that I

:02:12.:02:15.

might be pregnant so that would force a situation to help me control

:02:16.:02:20.

it. Of course, without support, the capacity and resources I had with me

:02:21.:02:25.

to process it with very limited. I was very ashamed, I was ashamed that

:02:26.:02:29.

I had allowed this to happen to me and I had a whole range of internal

:02:30.:02:33.

conversations about I should have known, why did I go that way? Why

:02:34.:02:39.

did I walk home with them? Why did I not understand the danger? I

:02:40.:02:43.

deserved it because I was to this, I was to that. I thought that I was

:02:44.:02:48.

spoiled and impure. I really felt revulsion towards myself. I then

:02:49.:02:54.

detached from the child that I had been and although at the age of 14

:02:55.:03:00.

that was properly the start of my sexual awakening, at that time

:03:01.:03:04.

remembering back, sex was something that men did to women and perhaps

:03:05.:03:07.

this incident reinforced that early Billy. I briefly thought favour

:03:08.:03:11.

elsewhere. -- that early Billy. My oldest friends with whom I am

:03:12.:03:25.

still friends must have sensed change in me but because I had never

:03:26.:03:30.

told them, they did not know because. I allowed myself to drift

:03:31.:03:34.

away from them for quite a few years and indeed found myself taking time

:03:35.:03:39.

off school and staying at home on my own listening to music and reading

:03:40.:03:44.

and so on. I did have a boyfriend in later years of school and he was

:03:45.:03:47.

very supportive when I told about it but economic sense my response and

:03:48.:03:53.

it is my response that gives weight to the event. I carried that guilt,

:03:54.:03:59.

anger, and sadness for years. And when I got married, 12 years later,

:04:00.:04:03.

I felt I had a duty to tell my husband. I wanted him to understand

:04:04.:04:08.

why there was this waddled kernel of extreme emotion at the very heart of

:04:09.:04:13.

for many years, I simply could not for many years, I simply could not

:04:14.:04:18.

say the words without crying. I cannot say the words. And it was

:04:19.:04:23.

only my mid-40s I took some steps to go and get help. So it had a huge

:04:24.:04:30.

effect on me and it fundamentally and fatally undermined it my self

:04:31.:04:34.

esteem, my confidence and my sense of self-worth. Despite this, I am

:04:35.:04:39.

happily married for 25 years. But it happily married for 25 years. But it

:04:40.:04:46.

was the effect from a small significant event in my life stage,

:04:47.:04:49.

how must it be for these women who are carrying this in a day by day

:04:50.:04:57.

basis. And I thought should I speak about this today? And that almost

:04:58.:05:02.

intake of breath, what, you're going to go and talk about this was

:05:03.:05:07.

exactly the reason that me to go into it because there is still a

:05:08.:05:12.

taboo about sharing this kind of information and certainly the people

:05:13.:05:16.

of my generation, it is truly shocking to be talking in public

:05:17.:05:22.

about this sort of thing. And somebody remarked earlier, they does

:05:23.:05:25.

not affect women, infects the family as well and before my mother died,

:05:26.:05:31.

early of cancer, I really wanted to tell her. I could not bring myself

:05:32.:05:37.

to. I have a daughter and if something happened to my daughter

:05:38.:05:39.

and she could not shared with me, I would be appalled. It was perhaps

:05:40.:05:45.

cowardly but there was an act of love that meant I protected my

:05:46.:05:46.

mother. As an adult, of course I now mother. As an adult, of course I now

:05:47.:05:52.

know rape is not about sex at all, it is all about power and control

:05:53.:05:56.

and it is a crime of violence and I still pick up on where the myth of

:05:57.:06:00.

rape are perpetuated from a male perspective. Surely you could have

:06:01.:06:04.

fought him off, did you scream loudly enough? And the idea that

:06:05.:06:08.

some men would suggest that the women is giving subtle hints or is

:06:09.:06:11.

making it up is outrageous. These are but the women at the heart of

:06:12.:06:15.

cause when she should be at the heart of effect. A rate happens when

:06:16.:06:21.

a man makes a decision to hurt someone he feels he can control,

:06:22.:06:25.

rapes happen because of the rapist, not because the victim. And we women

:06:26.:06:31.

and society has to stand up for each other. We have to be courageous, we

:06:32.:06:37.

are wrong. We have to nurture are wrong. We have to nurture

:06:38.:06:41.

sisters as we do with our sons. Like many women of my age, I have, on

:06:42.:06:46.

occasion, encountered other aggressive actions towards people,

:06:47.:06:50.

both in business and in politics. But one thing I realise now is that

:06:51.:06:58.

I am not scared and he was. I am not scared. I am not a victim, I am a

:06:59.:07:09.

survivor. I thank the honourable lady for what she has said and the

:07:10.:07:14.

way in which she said it which is left an impression upon us all.

:07:15.:07:26.

Thank you, Mr Speaker. It's an unbelievable thing to follow on

:07:27.:07:32.

from, the member for Edinburgh West, after she has shared a have terrific

:07:33.:07:43.

event from 37 years of growth. -- horrific. The extension of the

:07:44.:07:55.

shameless... It is very hard to comprehend. Thank you for calling me

:07:56.:08:00.

at this really very important debate. I would like to congratulate

:08:01.:08:07.

the honourable lady for securing this important debate and it gives

:08:08.:08:12.

us an opportunity around this chamber to share our experiences and

:08:13.:08:21.

this House, when it speaks to the this House, when it speaks to the

:08:22.:08:25.

nation. It is incredibly concerning and depressing and deeply

:08:26.:08:31.

distressing to have this debate on violence against women when we have

:08:32.:08:37.

so many different themes to discuss and one of my first points was going

:08:38.:08:43.

to be about rape being used as a disgusting weapon of war. Or indeed

:08:44.:08:50.

the fear and as we had the actuality of it happening on streets to

:08:51.:08:54.

youngsters. Last night, I hosted an event with colleagues, an all-party

:08:55.:09:01.

Parliament group, women in Parliament group alongside the women

:09:02.:09:05.

in enterprise group to give help and support and inspire and trying to

:09:06.:09:08.

link in further with women in communities across the UK. These

:09:09.:09:13.

diverse women coming to Parliament, talking about their thriving

:09:14.:09:17.

networks, their growing backrooms but it is vital as we have heard, we

:09:18.:09:22.

must accept and that the knowledge that gender-based inequality can

:09:23.:09:28.

stop our women and children from the very basic life chances and the

:09:29.:09:31.

opportunities due to the threat of violence that people live with

:09:32.:09:33.

daily. From acts of institutional daily. From acts of institutional

:09:34.:09:38.

violence against women across the violence against women across the

:09:39.:09:43.

world to domestic abuse, so much needs to be done to protect women

:09:44.:09:50.

from gendered -based violence. It is astonishing and heartbreaking to

:09:51.:09:55.

report that one third of women have experienced physical or sexual

:09:56.:09:59.

that is the women who do feel able that is the women who do feel able

:10:00.:10:05.

to report it. More than two thirds of family related homicides of our

:10:06.:10:13.

women. Turning to my constituency work and the impact of what I have

:10:14.:10:18.

experienced weekly in my surgeries in hearing from people who when I

:10:19.:10:23.

sit there, I understand they are living with coercive control. It is

:10:24.:10:28.

something that we now have a law about and I have spoken to both the

:10:29.:10:32.

Home Secretary and the chief con all of Hampshire Police about

:10:33.:10:37.

understanding that law and the opportunity that we have to protect

:10:38.:10:40.

people who find themselves within it and even sitting in my office is

:10:41.:10:45.

going through what this law covers, people start to recognise this is

:10:46.:10:47.

actually happening. I encounter constituents coming in

:10:48.:10:58.

and reporting how they have had to deal with this, how they have

:10:59.:11:01.

interacted with the police and how they have felt under threat innit

:11:02.:11:05.

threat and fear and how they want me to feed in the actuality of their

:11:06.:11:08.

situation and the control and threat that people find around family. It

:11:09.:11:15.

still shocks and surprises me that people do not feel safe in a place

:11:16.:11:19.

where they are reporting what has happened to them so that they can go

:11:20.:11:22.

on to a better life, which they deserve. I welcome the work that

:11:23.:11:30.

this government is doing on a vital strategy to end violence against

:11:31.:11:37.

women, committing to a transformation of service delivery,

:11:38.:11:39.

achieving a long term reduction in these crimes. I have been proud to

:11:40.:11:47.

have contributed to the role women and equality select committee and

:11:48.:11:50.

congratulate the right honourable member for Basingstoke on the

:11:51.:11:54.

commitment, and it is pure commitment, and leadership she has

:11:55.:11:59.

shown to make this an effective and bold, vital committee to the work of

:12:00.:12:05.

this House. This strategy and the associated funding we have heard,

:12:06.:12:09.

the 80 million will go some way to fight violence against women. I am

:12:10.:12:15.

also especially pleased that as we have heard today, 20 million more

:12:16.:12:18.

will go towards supporting women's refuges and helping councils to

:12:19.:12:25.

provide further accommodation for women fleeing violent partners. I

:12:26.:12:32.

would like to touch on three of the key areas where I feel I can

:12:33.:12:39.

contribute to this debate today - human trafficking, stalking and the

:12:40.:12:41.

international effort to stop this violence. Human trafficking is

:12:42.:12:48.

widely accepted to be a form of violence directed against women.

:12:49.:12:53.

Police and other authorities have identified at least 3266 people last

:12:54.:12:57.

year who were thought to have been victims of modern slavery. We must

:12:58.:13:05.

all suspect that the real number, including those who go undetected,

:13:06.:13:11.

is higher. This government is doing excellent work to increase the rate

:13:12.:13:15.

of detection and liberate these modern slaves from their abusers.

:13:16.:13:21.

Often, victims of modern slavery are women who have been sold a lie, are

:13:22.:13:27.

forced with threats of violence into this country into degrading and

:13:28.:13:29.

dangerous servitude. While we debate this motion today in a palace by the

:13:30.:13:36.

river, we are in the same city where women are being beaten, enslaved and

:13:37.:13:41.

forced into prostitution. There can be no effort to great and no stone

:13:42.:13:46.

left unturned as we find the gangs responsible for this hideous crime

:13:47.:13:52.

and punish them. I welcome the work that the first independent

:13:53.:13:55.

anti-slavery commissioner, Kevin Hyland, is doing, and I hope his

:13:56.:13:58.

recent report will continue to shine a light on this despicable criminal

:13:59.:14:07.

gang action and we will make sure those gangs are brought to justice

:14:08.:14:10.

who continue to exploit our women. In addition to DFID's work on the

:14:11.:14:18.

freedom programme, which is reaching over 200,000 people so far, I am

:14:19.:14:22.

delighted to be in a government supporting our DFID aid budget. I

:14:23.:14:26.

would like to now turn to the issue of stalking. The government's

:14:27.:14:30.

introduction of section 111 and the protection of freedoms act of 2012,

:14:31.:14:35.

which created two new offences in terms of stalking. The more serious

:14:36.:14:42.

one of these is the aid for offence. It is defined as stalking involving

:14:43.:14:47.

fear of violence or serious alarm or distress. Once again, we see another

:14:48.:14:55.

theme in which women face the threat of violence. The number of

:14:56.:14:58.

prosecutions is rising every year, from 91 in the first six months to

:14:59.:15:07.

over 1100 prosecutions commencing in 2014-15. In the December 2015, the

:15:08.:15:12.

Home Office published this consultation to introduce whether a

:15:13.:15:17.

protection order for the cases of stranger stalking. I thank my

:15:18.:15:22.

honourable friend for Cheltenham for his work on this terrible crime. I

:15:23.:15:29.

have shared this experience of being stalked in my former career. It was

:15:30.:15:34.

a personal experience which I shared with my honourable friend from

:15:35.:15:38.

Cheltenham in regard to this issue. The confusion that affected me in

:15:39.:15:44.

regard to the Data Protection Act, that it was safer for me to not know

:15:45.:15:49.

the person who was stalking me because of the Data Protection Act

:15:50.:15:55.

was a terrible personal experience. The summary of the responses was

:15:56.:15:59.

published yesterday and within this publication, there is an astonishing

:16:00.:16:06.

figure. 20% of respondents stressed that there has been a lack of

:16:07.:16:08.

understanding of stalking amongst professionals, including the police

:16:09.:16:14.

and sadly, continued failure to take it seriously. Interestingly, it

:16:15.:16:18.

appears that the consultation responses are broadly in favour of

:16:19.:16:21.

increasing the strength of law in this area and I would agree. I am

:16:22.:16:27.

pleased that the government has announced that they will be

:16:28.:16:30.

introducing a new civil stalking protection order, which should go

:16:31.:16:38.

some way to strengthen the law. Finally, I would like to touch on

:16:39.:16:43.

the international effort. I would like to congratulate the Secretary

:16:44.:16:46.

of State for International Development for her work in this

:16:47.:16:49.

area. We are contributing ?8 million to the UN trust fund to end violence

:16:50.:16:54.

against women and 35 million to the programme to reduce FGM, and it is

:16:55.:16:58.

having an effect. I had the pleasure of going to the women of the year

:16:59.:17:03.

lunch earlier this year, and one attendee took me to one side and

:17:04.:17:08.

said she applauded my party and our government for tackling FGM. She

:17:09.:17:13.

said our PM has led the way in this matter. She then went on to say we

:17:14.:17:19.

were the only party that realised that we had nothing in it for us, so

:17:20.:17:24.

we were able to go where other people had not dared to tread. I

:17:25.:17:30.

want to say how much she is right about this FGM issue, which has

:17:31.:17:36.

slightly gone off the burner in the last few months. It must come back.

:17:37.:17:41.

It is vital that we get proper prosecutions, does she not agree,

:17:42.:17:44.

and also, the International development agenda equality Bill

:17:45.:17:47.

which is being implemented by the government. I was proud to sit at

:17:48.:17:53.

the women of the year lunch with some really diverse and fantastic

:17:54.:17:56.

ladies from around the country who have done so much positive work, to

:17:57.:18:03.

know that people felt we had gone into an area which had been ignored

:18:04.:18:07.

for so long, so I agree with the honourable member. The contribution

:18:08.:18:13.

of the UK to the women's rights organisation is critical to ensure

:18:14.:18:17.

that there is an international coordinated effort to deal with

:18:18.:18:21.

these crimes. This debate is part of this effort, and I am delighted to

:18:22.:18:24.

contribute to it. The UN International day for the

:18:25.:18:28.

elimination of violence is held on the 25th of November and then there

:18:29.:18:34.

are 16 days of vital activism which highlight these important issues. We

:18:35.:18:38.

have made the UK one of the leading voices in the world, and I am proud

:18:39.:18:41.

to support the government in doing this. Many statistics have been used

:18:42.:18:47.

today to describe the enormous amount of work that needs to be

:18:48.:18:52.

done, but these statistics are more than that. They are mothers,

:18:53.:18:56.

daughters, sisters, nieces, friends and colleagues. To truly end

:18:57.:19:02.

violence against women and girls, we need to make sure there is no part

:19:03.:19:06.

of the world, no part of society or state or lack of a law which allows

:19:07.:19:12.

abuse of women or that the laws are left unused and not being

:19:13.:19:20.

appropriate. We need to crush the human trafficking gangs. We need to

:19:21.:19:24.

strengthen our institutional resolve to fight violence in this country.

:19:25.:19:30.

Madam Deputy Speaker, more needs to be done so that no sister is left

:19:31.:19:33.

behind or even worse, feels that she is left so. Tracy Braeburn. Thank

:19:34.:19:43.

you. I was 20 and the worst thing I could ever imagine happening to me

:19:44.:19:47.

was about to take place. I was going to be one of those very rare

:19:48.:19:50.

statistics of a woman who is attacked by a stranger, not by

:19:51.:19:55.

someone she knows. I was in my second year at university. The man

:19:56.:19:58.

had seen me walk past his car and had waited ahead for me to turn the

:19:59.:20:02.

corner. As I came up against him, or those words of advice your mum

:20:03.:20:18.

gives you, medium where it hurts and then run like hell, they

:20:19.:20:21.

disappeared. I was frozen in fear. As he shoved me to the ground,

:20:22.:20:24.

trying to rape me, I fought back, but I was battered. It was only the

:20:25.:20:27.

community spirited Indian neighbour down the road that saved me from

:20:28.:20:29.

something much worse. I count myself as one of the lucky ones. I had

:20:30.:20:32.

managed to memorise his car number plate and he was caught an hour

:20:33.:20:35.

later. He went to court. Not many do. He pleaded guilty. I didn't have

:20:36.:20:38.

to go through the horrors of a trial. He was sentenced. I didn't

:20:39.:20:40.

have to look over my shoulder, checking if he was following me. He

:20:41.:20:43.

was a stranger. I didn't have to wake up in the same bed as him, go

:20:44.:20:47.

to work with him as my boss. He didn't use a broken bottle to hurt

:20:48.:20:51.

me. He was alone and not with a group of other men. It was only

:20:52.:20:57.

once, and not several times. The point to this story is that even

:20:58.:21:00.

though, on the scale of violence against women, I was lucky because

:21:01.:21:04.

justice was done, the following few years were hard. I got afraid

:21:05.:21:08.

walking alone, so I bought a bike. I got scared in the night. I slept

:21:09.:21:13.

with a knife. I was easily startled and cried at the drop of a hat. But

:21:14.:21:19.

again, I was lucky. I didn't have a job to keep down, children to care

:21:20.:21:23.

for, elderly relatives to see too. I could work my way through the impact

:21:24.:21:27.

of this violent assault at my own speed and in my own space. A new

:21:28.:21:34.

investigation recognises the violence against women is a global

:21:35.:21:39.

health emergency, an emergency that has impact on the GDP of a country.

:21:40.:21:44.

After a woman experiences violence like I did, the hours, days and

:21:45.:21:48.

weeks a community and family have to spend taking care of an affected

:21:49.:21:52.

woman has a quantifiable financial impact on her community through the

:21:53.:21:59.

loss of her unseen caring responsibilities and work

:22:00.:22:04.

contributions. Of course, as I said at the beginning, there are all

:22:05.:22:07.

sorts of versions of violence against women - domestic abuse,

:22:08.:22:12.

sexual assault, child abuse, actual bodily harm, murder. Every assault

:22:13.:22:16.

is different. Some are one-offs like mine. For others, violence is a

:22:17.:22:20.

regular and painful part of the fabric of their lives. At least one

:22:21.:22:26.

in four women experienced domestic violence in their lifetime. On

:22:27.:22:30.

average, a woman is assaulted 35 times before her first call to the

:22:31.:22:36.

police. The police receive one domestic violence call every minute

:22:37.:22:43.

in the UK. That is one woman every minute who has probably been hurt 35

:22:44.:22:48.

times before having the courage to ring the police. Sadly, domestic

:22:49.:22:52.

violence can often end in the death of that woman. As by honourable

:22:53.:22:59.

friend has pointed out, 936 women were killed by men in England and

:23:00.:23:03.

Wales over a six-year period. That is one every few days. -- one every

:23:04.:23:12.

three days. So statistically, we can see violence against women is

:23:13.:23:15.

happening in large numbers and in some instances, it can be predicted.

:23:16.:23:20.

The chief executive of Women's Aid said the killing of a woman,

:23:21.:23:24.

especially when the woman is killed by an abusive partner or ex-partner,

:23:25.:23:30.

is often reported as an isolated incident. But there is an abject

:23:31.:23:33.

failure to look at the patterns of behaviour. It is as if we accept

:23:34.:23:37.

fatal male violence has an inevitability, not a conscious

:23:38.:23:43.

choice that a man has made to end a woman's life, that these killings

:23:44.:23:48.

are not isolated incidents. Too many follow a similar pattern of violence

:23:49.:23:52.

that make them premeditated. Many are committed in similar settings.

:23:53.:23:57.

Similar weapons are used. Similar relationships exist between the

:23:58.:24:02.

perpetrators and victims. So we need joined up thinking on this issue. We

:24:03.:24:07.

need to educate young men on consent and respect for women, empower women

:24:08.:24:12.

who are suffering domestic abuse to leave, offering them a safe place to

:24:13.:24:18.

go, refuse to accept online abuse. I applaud the minister's work on

:24:19.:24:21.

making stalking a crime, either online or in person. We must support

:24:22.:24:25.

the organisations that work with women and girls who have experienced

:24:26.:24:31.

violence, giving them time and the resources they need, encourage women

:24:32.:24:34.

to speak out and get help. But of course, a victim of abuse does not

:24:35.:24:41.

fit any stereotype. In my previous industry, an industry famous for

:24:42.:24:48.

tales of the casting couch, 65%, nearly three quarters of women media

:24:49.:24:51.

workers have experienced intimidation, threats and abuse. In

:24:52.:24:56.

fact, the International Federation of journalists has said that

:24:57.:25:00.

violence against women remains one of the most widespread and tolerated

:25:01.:25:05.

violations of human rights, and its perpetrators continue to enjoy

:25:06.:25:10.

impunity while the victims face losing their job, having their

:25:11.:25:13.

careers ruined or worst all, being killed. And it doesn't matter how

:25:14.:25:18.

famous you are or how big your public profile. This week, Lady Gaga

:25:19.:25:23.

admitted she suffered from PTSD after being raped at 19. The actress

:25:24.:25:27.

in last Tango in Paris, Maria Schneider, said the intimacy with

:25:28.:25:31.

the butter was not consensual and that it was an assault, but because

:25:32.:25:34.

it was in front of cameras, she had to suck it up is all in a day's

:25:35.:25:39.

work. Oprah Winfrey has been open about having been raped at age nine.

:25:40.:25:45.

We know about these cases because the survivors are in the public eye

:25:46.:25:50.

but what about the millions who suffer in silence? Are the

:25:51.:25:56.

statistics in a newspaper, and awful inevitability or someone's daughter,

:25:57.:26:00.

some on's Mum? Something we should do everything to protect them. It

:26:01.:26:02.

in that spirit that I urge the party in that spirit that I urge the party

:26:03.:26:07.

opposite to stand up and take action, to ratify the Istanbul

:26:08.:26:12.

convention to prevent violence against women, protect its victims

:26:13.:26:16.

and prosecute the perpetrators. Thank you. Violence against women

:26:17.:26:26.

and girls is an abomination. That does not require a statement but I

:26:27.:26:31.

am enormously proud that it is this Parliament that is today noting the

:26:32.:26:35.

UN and its national day for the elimination against violence against

:26:36.:26:39.

women. I am hugely proud to be to witness the most powerful, eloquent

:26:40.:26:44.

and articulate contributions have been made this morning, particularly

:26:45.:26:49.

the representations from the honourable member for Edinburgh

:26:50.:26:56.

West. It is a matter of great pride that it is members in this House who

:26:57.:27:02.

speaks powerfully. I want to say I the words about stalking which is a

:27:03.:27:09.

matter that has been mentioned. Progress has been made in recent

:27:10.:27:12.

there is one piece of the jigsaw there is one piece of the jigsaw

:27:13.:27:18.

which does need to be inserted. A few words, it is a horrible,

:27:19.:27:22.

violating crime, it rips relationships apart, destroys

:27:23.:27:26.

careers, can create lasting mental harm and it is the gateway often too

:27:27.:27:28.

serious violence. In the Telegraph serious violence. In the Telegraph

:27:29.:27:36.

this week, victims can be commented for years, victims can be left to

:27:37.:27:39.

afraid to leave the home and the point about it is no respect of fame

:27:40.:27:44.

or fortune, so we hear the cases of Lily Allen, Keira Knightley but it

:27:45.:27:50.

is ordinary men and women are particularly women who can be

:27:51.:27:54.

targeted and the Home Secretary in her article referred to Doctor is

:27:55.:27:57.

being targeted by patients. She may have had my constituent when she

:27:58.:28:04.

said so. I will not go through the detail of the ordeal she is that

:28:05.:28:08.

otherwise to say this. He went over seven years, her patient turned up

:28:09.:28:12.

the surgery over 100 times, found items posted to the letter box,

:28:13.:28:17.

tyres, appeared that her children's tyres, appeared that her children's

:28:18.:28:20.

that her children's birthday party. The defendant in her case is served

:28:21.:28:27.

a short prison sentence. Having served his sentence, he restarted

:28:28.:28:32.

his campaign, so she'd started to receive packages at her surgery and

:28:33.:28:35.

that her home in Cheltenham. One of the packages simply red guess who

:28:36.:28:42.

was back? And when he was arrested again, a search on his computer

:28:43.:28:46.

revealed the inquiry how long does a person out they disappeared they are

:28:47.:28:50.

is assumed that? The effect was profound, depleted by the to change

:28:51.:28:56.

her name, and move address, change had name. She's the victim in of

:28:57.:28:59.

this and she developed post-traumatic stress disorder. I

:29:00.:29:06.

strongly welcomed the Government's response to recognise this as an

:29:07.:29:11.

offence in 2012, and secondly, very recently, to have this new

:29:12.:29:16.

with the stalking protection orders with the stalking protection orders

:29:17.:29:19.

which can carry a jail sentence of up to five years. Really positive,

:29:20.:29:23.

enables police to us cause to rinse both rejections, to restrict access

:29:24.:29:31.

to the Internet,. They have to be seen in the proper context. The

:29:32.:29:36.

truth is, all they are is orders full stop what is in order? It is a

:29:37.:29:39.

requirement from someone in authority that the person should

:29:40.:29:43.

alter their behaviour. Important as they are, the sad fact is that those

:29:44.:29:47.

who perpetrate this kind of activity show themselves unwilling or

:29:48.:29:48.

to observe Andries respect authority to observe Andries respect authority

:29:49.:29:53.

because they are people who don't baby quite word from

:29:54.:29:55.

neighbourhood PCSO. The letter from neighbourhood PCSO. The letter from

:29:56.:30:01.

the local station. The formal harassment warning, the civil

:30:02.:30:04.

injection and so on. Whilst these orders are welcome and they may

:30:05.:30:09.

serve to make some sessions in the bud, they are unlikely to... I would

:30:10.:30:18.

suggest that those most serious cases where the lives are made a

:30:19.:30:22.

living hell, where they live in constant fear, we need to give

:30:23.:30:26.

because the powers they need to protect victims. And that means

:30:27.:30:30.

treating stalking as a serious crime, not a minor offence. Because

:30:31.:30:35.

the reality is, that where a stalker pleads guilty for the most serious

:30:36.:30:39.

imaginable offence and that could be a repeat offence, the maximum he, it

:30:40.:30:43.

is usually a he, can end up serving is usually a he, can end up serving

:30:44.:30:51.

is just 20 months. I just take my constituent's is, the judge in that

:30:52.:30:54.

case said, he did not have the tools he needed, when he was passing

:30:55.:31:01.

sentence, his honour said to the defendant, I have no doubt at all

:31:02.:31:04.

that you are dangers in the sense that you pose a significant risk to

:31:05.:31:09.

her, the victim, in future in terms of causing her serious harm. When

:31:10.:31:13.

she stated that the maximum sentence is five years, I would if I could

:31:14.:31:16.

give you longer. There lies the problem. It is in the most serious

:31:17.:31:22.

cases, it is only when the stalker is in custody that the victim can

:31:23.:31:27.

feel free. Free to rebuild shattered lives, free to rebuild careers,

:31:28.:31:33.

health. No one is suggesting, least health. No one is suggesting, least

:31:34.:31:37.

of all me, that in all cases, we should be locking people up and

:31:38.:31:40.

throwing away the key. No one is suggesting that people should be

:31:41.:31:42.

denied mental health treatment, none denied mental health treatment, none

:31:43.:31:45.

of the above. But what we are saying, or what I am saying, is that

:31:46.:31:49.

in those most serious cases will be no stalking can be a gateway to

:31:50.:31:53.

serious violence is our absolute priority must be to protect victims

:31:54.:31:56.

and in the most serious cases, that must mean a sentence which is with

:31:57.:32:02.

the gravity of the offence. In due course, I will be inviting the

:32:03.:32:05.

Government to extend the sentencing. In because it is only by doing so

:32:06.:32:08.

that we can truly protect victims of this horrible crime.

:32:09.:32:15.

Thank you, Madam Deputy Speaker. Can I start by commending honourable

:32:16.:32:20.

friends and colleagues for their friends and colleagues for their

:32:21.:32:25.

incredibly powerful contributions and may I also congratulate the

:32:26.:32:33.

honourable members, there's quite a few of them? Brighton Pavilion and

:32:34.:32:43.

Basingstoke, etc, the supporting this backbench business debate. It

:32:44.:32:46.

is necessary that we have this debate on the floor of this House

:32:47.:32:49.

and it is not without the contributions of the honourable

:32:50.:33:00.

members that we are able to give a voice to these important matters.

:33:01.:33:07.

The UN initiative by the International Day of elimination

:33:08.:33:10.

against women serve to remind us of some of the worst human rights abuse

:33:11.:33:18.

imaginable. Violence against women business across the globe --

:33:19.:33:28.

persists. Women's rights are human rights. Though large strides have

:33:29.:33:34.

been made in recent years, as we are broadly heard today, there is still

:33:35.:33:39.

a long way to go. More than 20 years ago, after the UN General Assembly

:33:40.:33:46.

declaration on the elimination of violence against women, one in three

:33:47.:33:51.

women still express physical or sexual violence, mostly by an

:33:52.:33:54.

intimate partner. Violence against women encompasses a wide range of

:33:55.:33:57.

beers including domestic violence, sexual violence, honour killings,

:33:58.:34:04.

trafficking, female genital mutilation. These are abhorrent acts

:34:05.:34:10.

and we all have a part to play in eradication. In the words of the UN

:34:11.:34:17.

Secretary General, break the silence, when you witness violence

:34:18.:34:21.

against women and girls, do not sit back. Act. Today are amassing the

:34:22.:34:27.

Government to follow command and to act, we are in the middle of

:34:28.:34:35.

campaigns, 16 days of actors against gender-based violence which is

:34:36.:34:36.

taking place from the 25th of taking place from the 25th of

:34:37.:34:40.

November until the 10th of December. I will give way. The 16 days are

:34:41.:34:48.

marked by all kinds of activity across the country and indeed

:34:49.:34:52.

increasingly around the world and my constituency, the Maryhill women's

:34:53.:34:57.

centre, which does incredible work supporting women from all walks of

:34:58.:35:00.

light, especially those affected by gender-based violence, have a series

:35:01.:35:09.

of events. I welcome every single aspect across the UK to eradicate

:35:10.:35:14.

violence and to raise awareness of this important subject. This year's

:35:15.:35:18.

theme of Unite 16 days of action seeks to raise fun Justice in the

:35:19.:35:22.

21st Century on Innovative Approaches for the Criminal Justice

:35:23.:35:30.

System funds -- funds. In tightening budgets, they do or that they cant

:35:31.:35:35.

arrays this awareness. Frameworks such as the 23rd the agenda of the

:35:36.:35:39.

sustainable development which include specific targets on ending

:35:40.:35:43.

violence against women need adequate funding if they are to result in

:35:44.:35:46.

significant change. This new global development agenda and aims to

:35:47.:35:54.

achieve gender parity and empower achieve gender parity and empower

:35:55.:35:58.

all women and girls. The project are taking place worldwide working in

:35:59.:36:05.

Kenya and the dramatic Republic of Congo to work with doctors, nurses,

:36:06.:36:11.

police, lawyers and judges to enhance justice for survivors of

:36:12.:36:13.

sexual violence. UN women are sexual violence. UN women are

:36:14.:36:20.

working in Ethiopic, Jordan to develop essential help and legal

:36:21.:36:24.

services for women subjected to violence. However, funding and

:36:25.:36:30.

-- closer to home. Can I commend my -- closer to home. Can I commend my

:36:31.:36:45.

friend for their work? Her work over many years of the matter

:36:46.:36:52.

gender-based violence. And to support her bill next week and as

:36:53.:36:58.

the Government to ratify the Istanbul convention? And I seek to

:36:59.:37:01.

remind all honourable member that Article one states that the purpose

:37:02.:37:05.

of the Istanbul convention is to prevent prosecute and eliminate

:37:06.:37:10.

domestic violence against women and violence. In law and in practice.

:37:11.:37:20.

Can I also take this opportunity to commend the work of Doctor Marshall

:37:21.:37:24.

all these staff at my own Women's all these staff at my own Women's

:37:25.:37:28.

Aid for the work that they do each and every day. Turning to the

:37:29.:37:35.

domestic sphere, the child maintenance service, the UK

:37:36.:37:42.

Government could be argued placer survivors of violence at risk

:37:43.:37:45.

through the operation of the child maintenance service. The service

:37:46.:37:47.

operates on the basis whereby the operates on the basis whereby the

:37:48.:37:51.

parent caring for children is either charge a 4% collection fee for using

:37:52.:37:56.

the service. This amounts to an additional tax on the

:37:57.:37:57.

yourself the domestic violence will yourself the domestic violence will

:37:58.:38:04.

stop there as an alternative to this tax however the caring pants can

:38:05.:38:07.

avoid this child maintenance tax by giving their bank details to the

:38:08.:38:10.

other parent directly in what is known as a family -based

:38:11.:38:14.

arrangement. I have heard from constituents who are survivors of

:38:15.:38:17.

domestic violence and who are too frightened to establish a family

:38:18.:38:20.

-based arrangement due to the legitimate fear that their abuser

:38:21.:38:24.

will be able to access their personal details, where they have

:38:25.:38:29.

moved to a place as the sea, to relocate themselves for fear that

:38:30.:38:34.

their life is in danger. What must the Government do to resolve this

:38:35.:38:39.

matter and give consideration to those women who have fled situations

:38:40.:38:44.

of domestic violence in certain circumstances and are often pushed

:38:45.:38:47.

into poverty, having to flee their abuser? An additional 4% tax placed

:38:48.:38:52.

on them could be removed by the Government and could be issued with

:38:53.:38:56.

clear guidance on the ways in which women can access this removal of

:38:57.:39:02.

this tax and clarity on the order required to make sure they are

:39:03.:39:06.

eligible for this. You should not be an arduous process and ensure the

:39:07.:39:09.

Government would seek to amend this to ensure that this does not create

:39:10.:39:12.

issues. It is all very well for the Government to encourage friends who

:39:13.:39:17.

are separated amicably to set up their own arrangement for paying

:39:18.:39:20.

child support as a cost saving exercise. However, and maintenance

:39:21.:39:25.

is not a feasible option for is not a feasible option for

:39:26.:39:28.

domestic abuse survivors will stop child-support payments are often

:39:29.:39:33.

state an up into life there are state an up into life there are

:39:34.:39:36.

children. So to charge these children. So to charge these

:39:37.:39:40.

individuals put their lives at risk. And survivors and their children and

:39:41.:39:45.

I hope the Minister will seek to address this issue and make a real

:39:46.:39:49.

commitment to these women who are trying to put their lives back

:39:50.:39:52.

together and to give their children a safe and happy childhood. In

:39:53.:39:58.

Scotland, we are committed to tackling domestic violence and it is

:39:59.:40:02.

the priority of the Scottish Government. And while I recognise

:40:03.:40:05.

that the Scottish Government's commitment to doing so in

:40:06.:40:09.

legislation and the law is far ahead of the rest of the UK, I'm sure that

:40:10.:40:13.

the UK Government will commit to following in the steps of the

:40:14.:40:18.

Scottish Government. As indicated, the Scottish team at bringing

:40:19.:40:21.

forward a bill to greater specific offence of domestic abuse, this will

:40:22.:40:29.

not only cover physical abuse but so could -- psychological and coercive

:40:30.:40:33.

behaviour. This law will cover male and female perpetrators, however, as

:40:34.:40:39.

figures show, often more women are the victim of violence.

:40:40.:40:47.

This will not only act as a deterrent, but will make clear that

:40:48.:40:51.

these behaviours are socially unacceptable. Today, this government

:40:52.:40:59.

has a chance to make a statement and commit to ratify the Istanbul

:41:00.:41:05.

convention. Or indeed, next week, in response to my honourable friend.

:41:06.:41:09.

This government has taken an approach to child maintenance which

:41:10.:41:13.

is ethically dubious and practically dangerous and it must be addressed.

:41:14.:41:18.

The systematic violence that exists in relationships must be tackled

:41:19.:41:24.

appropriately, addressing the serious issue that exists with the

:41:25.:41:28.

child maintenance service places on survivors of domestic violence. Mr

:41:29.:41:33.

Deputy Speaker, every little girl deserves to grow up feeling safe,

:41:34.:41:40.

free from online abuse, stalking, violence, rape, sexual assault or

:41:41.:41:45.

fear of being killed. These are criminal offences. Every little girl

:41:46.:41:56.

deserves to grow up feeling safe. Thank you, Mr Deputy Speaker. I want

:41:57.:42:01.

to give massive credit to the members of this House who have told

:42:02.:42:08.

their own personal stories. It is really powerful to show the victims

:42:09.:42:13.

of domestic violence, sexual violence, for so many people, they

:42:14.:42:16.

look like somebody else. They look like other, when in fact, they are

:42:17.:42:21.

all of us. They are everybody. They are living on our streets. We sit

:42:22.:42:26.

next to them at work. We talk to them on the school run, they are

:42:27.:42:30.

everywhere. I pay huge tribute to those who have done that today, the

:42:31.:42:36.

memorable women in here were certainly resonate with people out

:42:37.:42:40.

there. Last week, I dealt with a very upset mother on the phone whose

:42:41.:42:44.

daughter had, while she was at school, had to deal with two boys in

:42:45.:42:48.

the De Laet Kuyt throwing insults at each other about how they had had

:42:49.:42:53.

sex with her -- two boys in the dinner queue. These children were

:42:54.:42:57.

nine years old. When she spoke to her daughter about the incident, she

:42:58.:43:03.

said the little girl said she felt ashamed. She thought she had done

:43:04.:43:07.

something wrong, and that was why the boys were saying this about her.

:43:08.:43:11.

And so begins the life of another young girl who thinks she is to

:43:12.:43:16.

blame for the misogyny she faces and will probably face for the rest of

:43:17.:43:20.

her life. This is the example I heard last week during the inquiry

:43:21.:43:26.

into sexual harassment in schools undertaken by the women and equality

:43:27.:43:29.

is select committee. We heard a huge amount of similar evidence, and it

:43:30.:43:34.

felt like lifting a huge rock up a problem that has existed for too

:43:35.:43:38.

long and is holding both young girls and young boys back. In my time

:43:39.:43:42.

working with local schools in partnership with Women's Aid, I

:43:43.:43:46.

heard hundreds of stories girls who were harassed, assaulted, raped and

:43:47.:43:51.

sexually exploited, all before they were 16. This debate has shown that

:43:52.:44:00.

every woman in this building has a tale to tell about being a teenager

:44:01.:44:06.

and having boys or men groping them, trying to lift up their skirts,

:44:07.:44:10.

talking about having sex with them and scaring them. When I told my

:44:11.:44:16.

11-year-old son, who has just started secondary school, about what

:44:17.:44:19.

happened to the little girl, he shrugged and said, I hear that stuff

:44:20.:44:25.

all the time, ma'am. When I look at the government's response to the

:44:26.:44:28.

government select committee's report, I am left exasperated. As a

:44:29.:44:33.

parent, I am worried. Shall I sit with my son and that little girl in

:44:34.:44:38.

question and say, don't worry, there is cross government support for

:44:39.:44:41.

prioritising work to make significant progress in this area?

:44:42.:44:50.

Just after I was elected, I went to speak at a conference in Birmingham

:44:51.:44:54.

on tackling violence against women and girls. The room was filled with

:44:55.:44:59.

police officers, children's social workers, housing managers, doctors,

:45:00.:45:03.

nurses, teachers and charities, all specialists in their field. I asked

:45:04.:45:07.

them to raise their hands if they thought the single biggest change in

:45:08.:45:10.

prevention of violence and abuse of young women was to make sex and

:45:11.:45:15.

relationship and consent education mandatory in our schools. Every

:45:16.:45:21.

single person raised their hand. Year after year, this house has been

:45:22.:45:28.

given a chance to pass this much-needed law. Obviously, the

:45:29.:45:30.

government was a little ahead of its time in refusing to listen to

:45:31.:45:37.

experts, as every time it has been before this House, this House has

:45:38.:45:41.

failed to pass it. I want to know why. I want the minister, who I know

:45:42.:45:48.

cares deeply about this, in front of me, to put down the red folders,

:45:49.:45:53.

throw away the notes, threw caution to the wind. I have made a career

:45:54.:45:57.

out of it! And tell me honestly why this is. We were always led to

:45:58.:46:03.

believe by whispers that somebody at Number Ten was stopping it in the

:46:04.:46:09.

days of David Cameron. We in the violence against women and girls

:46:10.:46:10.

sector were constantly assured by sector were constantly assured by

:46:11.:46:14.

people in the them Home Office that the then Home Secretary agreed with

:46:15.:46:23.

us. While she is in Number Ten now and still, some sort of conservatism

:46:24.:46:30.

with a small C stands in the way of what 90% of parents want for their

:46:31.:46:34.

children and 100% of experts know would make the difference. I don't

:46:35.:46:37.

want to hear that we are looking into this, that we support calls,

:46:38.:46:41.

that we are taking firm action. I don't want to be pointed to another

:46:42.:46:44.

strategy document that proves nothing more than our ability to

:46:45.:46:47.

write strategy documents. I have been hearing it for years, and now I

:46:48.:46:52.

want a real answer as to why this law has not passed. I know all

:46:53.:46:58.

across this House, in every party, there is support for this. We must

:46:59.:47:01.

act and start having open conversations with our children

:47:02.:47:04.

about gendered attitudes that lead to the harassment of girls and young

:47:05.:47:09.

women and the demonisation of boys and young men. Will my honourable

:47:10.:47:16.

friend give way? I thank her. She's making a powerful speech and I agree

:47:17.:47:19.

with every word. Like my honourable friend, I have spent my life for

:47:20.:47:24.

becoming an MP in the domestic violence and sexual violence world.

:47:25.:47:29.

Would she agree that we need to have proper, well integrated programmes

:47:30.:47:34.

of high quality as well as sex and relationships education? Wanders

:47:35.:47:37.

prevention, the other, when things don't work out, tries to make things

:47:38.:47:40.

better. But they must be of a high standard. Will she also join me in

:47:41.:47:45.

calling for the Istanbul Convention to be ratified by this country and

:47:46.:47:48.

for all members of this House to be in the House a week tomorrow to do

:47:49.:47:55.

that? I thank her for the intervention and of course, I agree

:47:56.:47:59.

with every word. It is important to stress that while the select

:48:00.:48:00.

committee was hearing evidence, we had some amazing evidence from some

:48:01.:48:06.

brilliant organisations who are working specifically with men and

:48:07.:48:13.

boys in this space, and they showed how much could be done. And if we do

:48:14.:48:17.

not focus on the attitudes of men who commit violence and boys who

:48:18.:48:20.

will become those men who commit violence, we will be letting the

:48:21.:48:24.

side down. But I would stress that I have seen bad practice in this space

:48:25.:48:32.

of perpetrator work, and local commissioning of this must be done

:48:33.:48:38.

by experts in the field. The organisation that my honourable

:48:39.:48:42.

friend worked for were exactly that. We are here to speak about the

:48:43.:48:45.

elimination of violence, not cleaning up afterwards. Prevention

:48:46.:48:49.

and culture change have got to be the thing that means when I stand

:48:50.:48:54.

and read the names of women murdered at the hands of violent men every

:48:55.:48:59.

year, that each and every year, that list will grow shorter. The

:49:00.:49:03.

ministers in front of me have the power to reduce that list, and I

:49:04.:49:09.

will sing their praises if they do. I am telling them now that talking

:49:10.:49:14.

to our children about consent, gendered attitudes and respect is

:49:15.:49:21.

the best place to start. If I am honoured to follow the honourable

:49:22.:49:26.

member for Birmingham Yardley, who makes a very powerful speech and

:49:27.:49:30.

clearly has much experience in this area. I would also like to thank the

:49:31.:49:33.

backbench business committee for backbench business committee for

:49:34.:49:36.

granting this debate, which everyone agrees is an important subject. It

:49:37.:49:43.

was once regarded as a taboo, as was referred to by the honourable member

:49:44.:49:48.

so powerfully from Edinburgh West. A deeply moving speech, that I think

:49:49.:49:54.

will help move this cause forward. So I really give applause for that.

:49:55.:50:01.

But the very fact that we are holding this debate does show how

:50:02.:50:05.

the taboo is changing. So isn't it great that we are able to discuss

:50:06.:50:10.

these things? I think with the lead of a Prime Minister who is utterly

:50:11.:50:15.

committed to change in this area and with the cross-party consensus,

:50:16.:50:20.

further progress can be made. Violence against women and girls can

:50:21.:50:27.

have devastating impacts, as we have heard, not only on the lives of the

:50:28.:50:31.

victims, but also on the families and those close to them. And has

:50:32.:50:34.

enormous effects for the criminal justice system, the health service.

:50:35.:50:38.

It puts a strain on local authorities and police services, who

:50:39.:50:41.

all have to deal with these issues on the ground. My own Avon and

:50:42.:50:46.

Somerset Police report that this is one of the biggest growing sectors

:50:47.:50:51.

that they now have to deal with. But often, it is the local charities and

:50:52.:50:55.

organisations who support women and girls who have been victims of

:50:56.:50:59.

violence who have done so much excellent work. I want to commend

:51:00.:51:03.

some of the charities in my own constituency of Taunton Deane.

:51:04.:51:06.

Taunton's Women's Aid does excellent work with the local community, not

:51:07.:51:10.

only offering practical support, with its drop-in sessions, and that

:51:11.:51:18.

is for women and men. They are also working with other charities to

:51:19.:51:25.

develop workshops for schools. Many colleagues have referred to the

:51:26.:51:29.

importance of education. They talk about domestic abuse and mental

:51:30.:51:34.

health issues. There is another fine Taunton -based charity that works in

:51:35.:51:37.

this area, called stand against violence. They go into schools to

:51:38.:51:45.

run these workshops, focusing on personal safety, anger and

:51:46.:51:49.

aggression, basic life support and the awareness of choices and

:51:50.:51:53.

consequences. I know the gentleman that runs this organisation set it

:51:54.:51:59.

up because his brother was tragically set upon by a group of

:52:00.:52:03.

young people. He was only a teenager, and he was murdered. And

:52:04.:52:13.

out of that, he spawned this charity which goes to schools to talk about

:52:14.:52:20.

how we can't operate and lead our lives in these ways. It is important

:52:21.:52:24.

to get across these messages, particularly to the opposite sex,

:52:25.:52:27.

about controlling abuse and aggression. In condiment in these,

:52:28.:52:35.

we do have Taunton Deane borough council and Somerset county counsel

:52:36.:52:40.

both offering services to support women who have been victims of

:52:41.:52:45.

violence. And there are some housing associations doing excellent work.

:52:46.:52:53.

An association that operates across the South West runs a demented abuse

:52:54.:52:56.

service which they started in 2015, and they offer a 24/7 helpline -- a

:52:57.:53:03.

domestic abuse service. They provide emergency accommodation, and it is a

:53:04.:53:10.

particularly good model. It operates in conjunction with the county

:53:11.:53:13.

council and is moving towards an integrated service as part of the

:53:14.:53:17.

ground-breaking Somerset integrated domestic abuse services. This is

:53:18.:53:23.

perhaps the kind of model that we should be encouraging others to

:53:24.:53:30.

follow. Whilst so much good work is being done locally, I am pleased

:53:31.:53:36.

that it is backed up by government commitment which is providing a

:53:37.:53:40.

sound framework upon which to stimulate this shift which so many

:53:41.:53:47.

colleagues have mentioned. A shift in attitudes is essential. Violence

:53:48.:53:51.

against women and girls, this whole subject area should be everybody's

:53:52.:53:55.

business, not just charities and worthy members of Parliament who

:53:56.:54:00.

stay on to join in the debate. It should be everybody's business. If

:54:01.:54:04.

we can make that clear, we can get it to infiltrate through to people

:54:05.:54:11.

and children we will make a difference. I wanted to mention the

:54:12.:54:17.

violence against women and girls strategy published in March 2000 and

:54:18.:54:21.

16. That has been allocated ?80 million of funding, and that is

:54:22.:54:26.

bringing together the significant advances in legislation which a

:54:27.:54:31.

number of colleagues have mentioned, including specific offences related

:54:32.:54:36.

to stalking. I welcome the new stalking civil protection order, the

:54:37.:54:43.

coercive and controlling behaviour legislation and I am a great archers

:54:44.:54:47.

fan, and I do think that the storyline in the archers really has

:54:48.:54:48.

helped raise awareness of this area. It was not something I was aware of

:54:49.:55:02.

and it was utterly shocking. Almost along the legislation, Elliott to

:55:03.:55:16.

protect against e-mail generally -- FGM. With 1.3 million women a year

:55:17.:55:27.

still expressing domestic abuse and 400,000 sexual assault in the last

:55:28.:55:32.

year, there really is still much to do. I also would like to welcome the

:55:33.:55:38.

Government's continued four bridge where they are bringing together

:55:39.:55:43.

prevention, of services and working and pursuing perpetrators. I think

:55:44.:55:45.

this is definitely the way forward. this is definitely the way forward.

:55:46.:55:51.

It has been in it is starting to work and actually although I have

:55:52.:55:54.

just giving some shocking statistics, the crime survey of

:55:55.:55:57.

England and Wales does show that the number of women who expressed

:55:58.:56:01.

domestic abuse in the last year was the lowest since the survey began

:56:02.:56:04.

which is is very welcome news indeed. And prosecuted and

:56:05.:56:09.

convictions are up so perhaps we are moving in the right direction. I

:56:10.:56:15.

just wanted to round up by giving a special mention of the ?15

:56:16.:56:17.

for the Government launch of the for the Government launch of the

:56:18.:56:20.

three-year violence against women and girls service transformation

:56:21.:56:27.

fund. This is to aid and facilitate best practice, perhaps the example I

:56:28.:56:31.

gave earlier my speech would be a good model. This is actually on top

:56:32.:56:36.

of the 20 million that is available for accommodation base services

:56:37.:56:41.

which was announced by the CLT. This new fund, the transformation fund is

:56:42.:56:45.

open by commissioners working in partnership, the with specialist

:56:46.:56:50.

groups, crime commissioners, local authorities, health groups, I would

:56:51.:56:55.

encourage all those groups to get together, perhaps members could get

:56:56.:57:00.

a bun round tables and get people together to formulate some ideas to

:57:01.:57:06.

get some bids to bid into this fund because it is therefore people to

:57:07.:57:10.

take advantage of an IQ it. As I said earlier, I welcome the lead the

:57:11.:57:16.

Government is taking on this, particularly our Prime Minister. It

:57:17.:57:20.

is serious issue, there's a lot more to do and it is essential that we do

:57:21.:57:25.

all work together to banish the prospect that any women should live

:57:26.:57:32.

in fear of violence and we need to allow every daughter, every girl, I

:57:33.:57:36.

up in the knowledge and the sense up in the knowledge and the sense

:57:37.:57:43.

that she's growing up safe. Thank you, it is a pleasure to

:57:44.:57:48.

follow the honourable member. I would also like to thank my

:57:49.:57:53.

honourable friend the members for bringing this debate to the House

:57:54.:57:56.

and for speaking so powerfully and we have heard the brilliant speeches

:57:57.:58:06.

and I do want to commend the member for Edinburgh West for sharing their

:58:07.:58:11.

personal experience and I think we have all listened and learned a lot

:58:12.:58:13.

from that and hopefully it will have from that and hopefully it will have

:58:14.:58:18.

a wider impact. In my speech, I just want to touch on some international

:58:19.:58:22.

issues, just a couple of months ago, I had the privilege of visiting

:58:23.:58:29.

Sierra Leone. It was quite humbling to see this country struggling,

:58:30.:58:34.

trying to recover from the effects of the bowler at epidemic that took

:58:35.:58:43.

11,000 lives. -- Ebola. Sierra Leone decided to ban the procedure as FGM.

:58:44.:58:56.

Sadly the ban on FGM has now been listed. Women in Sierra Leone are

:58:57.:59:03.

being oppressed by FGM. It has been a long and agent practice in the

:59:04.:59:13.

area Leone culture. It is reported by the World Health Organisation

:59:14.:59:19.

that 80% of girls there have been cut, to use the commonly used

:59:20.:59:32.

description of this practice. Culturally, the procedure is alleged

:59:33.:59:35.

to protect communities against wayward and he would very much evil

:59:36.:59:39.

spirits and should be seen as the final passage from adolescence to

:59:40.:59:43.

womanhood. But in reality, it is imposed upon girls by MH article

:59:44.:59:48.

society, forcing the younger members of the community to join their

:59:49.:59:52.

faction and structure of society which then internal controls women

:59:53.:59:58.

and becomes a vicious circle where the tradition, if I might refer to

:59:59.:00:00.

it as that of FGM, is passed onto it as that of FGM, is passed onto

:00:01.:00:07.

next generation. Whilst I was in Sierra Leone, we visited the

:00:08.:00:12.

parliament and spoke to MPs. Europe that time were considering a law to

:00:13.:00:14.

ban FGM below the age of 18. And ban FGM below the age of 18.

:00:15.:00:16.

introducing a requirement for introducing a requirement for

:00:17.:00:22.

consent to be given. In reality, it would be very difficult to prove

:00:23.:00:25.

that consent had been given, especially in the isolated villages

:00:26.:00:33.

and towns. However, it has to be welcomed as a very, very small step

:00:34.:00:35.

in the right direction but there is in the right direction but there is

:00:36.:00:40.

an enormously long way to go before this vile practice is banned

:00:41.:00:48.

outright and internationally. I thank you for way. Can I add to

:00:49.:00:52.

that, does she also accept that here in the UK, young girls during what

:00:53.:00:58.

is known as cutting season, are taking to the home countries to

:00:59.:01:01.

expect FGM and then returned to the UK and that practice must be stopped

:01:02.:01:10.

also? -- experienced FGM. Sadly, I am all too well aware of that

:01:11.:01:14.

practice. I am sure she has constituents that come to her with

:01:15.:01:18.

the issue and I have been contacted also by church groups, about

:01:19.:01:23.

families that they are trying to protect and I think are very much

:01:24.:01:26.

for that very important intervention. -- I thank her very

:01:27.:01:35.

much. When the legislation process does enshrine protection against

:01:36.:01:38.

violence towards women, the journey does not end there with legislation,

:01:39.:01:42.

the legislation is just the beginning and Afghanistan epitomises

:01:43.:01:48.

this struggle. In 2009, women's rights activists that sleep with

:01:49.:01:58.

Iraq -- successfully bought which put into the constitution this

:01:59.:02:02.

fundamental right to protect its e-mail citizens. But since then, the

:02:03.:02:07.

situation has systematically deteriorated. In 2013, the special

:02:08.:02:12.

representative of the UN Secretary General in Afghanistan to the UN

:02:13.:02:20.

Security Council that the majority of women killed Islington domestic

:02:21.:02:26.

violence, tradition, culture of the country that women activists have

:02:27.:02:31.

been deliberately targeted. But since the continued withdrawal of

:02:32.:02:34.

British and US troops, the situation has escalated. Amnesty International

:02:35.:02:42.

reported this year and again, I quite, it has been increasingly

:02:43.:02:46.

dangerous over recent years to be a woman in public life in Afghanistan.

:02:47.:02:49.

and helped of women who have been and helped of women who have been

:02:50.:02:55.

brave enough to ignore the risks with the withdrawal of international

:02:56.:02:59.

forces and the deterioration we are seeing in women's rights, there is

:03:00.:03:02.

every reason to fear that these dangers will become even worse in

:03:03.:03:08.

the year ahead. Nearly seven years on, Afghan women are still under

:03:09.:03:11.

serious threat than violence is on the rise. In the first eight months

:03:12.:03:18.

of 2016, the Afghan Attorney General's offers received 3700 cases

:03:19.:03:23.

of violence against women, with 5000 cases recorded in 2015. But rather

:03:24.:03:30.

than deep-rooted historical, religious diktats, newly formed

:03:31.:03:35.

technology leaders have had detrimental affect on women. Women

:03:36.:03:39.

can now not only be victimised in civil society that now has seeped

:03:40.:03:46.

into the virtual sphere and has many honourable members have mentioned,

:03:47.:03:49.

the Internet and in particular social media has fuelled gender

:03:50.:03:56.

violence. Even here in the European Union, one in ten women and teenage

:03:57.:03:59.

girls report having experienced cyber harassment and this includes

:04:00.:04:05.

threats of rape and unsolicited sexually explicit images. In

:04:06.:04:07.

Bangladesh, a group with targeted by Bangladesh, a group with targeted by

:04:08.:04:15.

a militant group due to their posts and the promotion of women's rights.

:04:16.:04:19.

All 80 foot of the group were put on the hit list. One prominent blogger

:04:20.:04:25.

had to leave the country and her family due to the threats on her

:04:26.:04:29.

life and the member of the militant organisation put a bounty on her

:04:30.:04:33.

head. She was granted asylum in Germany earlier this year. But even

:04:34.:04:39.

after escaping to Germany, she was still at risk. A political leader in

:04:40.:04:44.

Bangladesh began collecting money through a crown funding platform to

:04:45.:04:47.

pay for a ticket to Germany so that someone could be, and I quote, sent

:04:48.:04:53.

over to rape her. Now many of us in this House will have received

:04:54.:04:57.

threats online but that did not mean fleeing our country, our home and

:04:58.:05:01.

families. But the tone online in the UK is becoming more and more

:05:02.:05:05.

vigilant and threatening towards women. And only this week the right

:05:06.:05:14.

honourable member had direct online, leading to a man being arrested.

:05:15.:05:21.

Another member had had her house locks changed due to similar

:05:22.:05:24.

circumstances. And again, this week a man has been arrested at the

:05:25.:05:28.

threats were made online against the women who launched a legal challenge

:05:29.:05:33.

against the process of Brexit. And 24-year-old man was found guilty of

:05:34.:05:38.

racially aggravated harassment of the honourable member the Liverpool

:05:39.:05:43.

way to treat just this week. The statistics and stories we have heard

:05:44.:05:47.

this afternoon are struggling, disturbing and fundamentally unjust.

:05:48.:05:50.

As an elected female member of As an elected female member of

:05:51.:05:55.

Parliament, I am fortunate to have a platform where I can speak, not for

:05:56.:05:58.

myself, but that those without a voice. But those women and girls who

:05:59.:06:02.

are forced to live in silence and not being treated with dignity, nor

:06:03.:06:08.

have the right to equality. And this debate, I hope, will lead to further

:06:09.:06:11.

conversations and further progression on eliminating violence

:06:12.:06:20.

against women and against girls. It is always a pleasure to speak on

:06:21.:06:25.

this issue. Can I congratulate the members who put their names to this

:06:26.:06:26.

debate to bring it forward so we debate to bring it forward so we

:06:27.:06:30.

could all participate in it? Thank you. One in particular is busy bee

:06:31.:06:41.

honourable lady for Edinburgh West, I don't think anybody in this

:06:42.:06:44.

chamber who did not sit and listen to her story could not be moved by

:06:45.:06:48.

that and I would thank her very much for giving this House a chance to

:06:49.:06:52.

hear a very personal story and to do it so well. I recently attended the

:06:53.:06:58.

event of regarding this issue at Westminster and again was shocked by

:06:59.:07:01.

the research carried out for this debate. It seems beyond me in this

:07:02.:07:05.

day and age that there are still people out there who believe that it

:07:06.:07:10.

is permissible of the Google to physically harm anyone, never mind

:07:11.:07:15.

women and children. It is an issue that is close to my heart. I'm the

:07:16.:07:20.

party 's spokesman here for many issues and one of those issues is

:07:21.:07:24.

women and equalities and I'm happy to have a contribution to this

:07:25.:07:29.

debate and to support the centre thrust of what they debate is about

:07:30.:07:39.

-- inequalities. It is coincided with the 16 day campaign on social

:07:40.:07:45.

media with great effect. It's about on the 20th of November to the 10th

:07:46.:07:48.

of December and what better place for us to play our part in taking

:07:49.:07:53.

action against this domestic violence when this place where laws

:07:54.:07:56.

are made and this is the biggest seed of democracy in the world. In

:07:57.:08:04.

my own constituency, Women's Aid have done a wonderful job in

:08:05.:08:07.

highlighting this campaign that I am aware that it is aimed at businesses

:08:08.:08:12.

to support them to take action against domestic abuse and also

:08:13.:08:16.

violence. Employees have a legal obligation to assess dynamic risk

:08:17.:08:20.

and support to health and the safety of wellness of their employees and

:08:21.:08:24.

sometimes it is good for business to focus upon that and their

:08:25.:08:27.

responsibility that they have to their employees. Companies can do

:08:28.:08:31.

more to aid their employees who insure domestic violence, to train

:08:32.:08:35.

those who witnessed it and to protect staff as a whole with a goal

:08:36.:08:40.

of securing safety and mitigating financial loss. Most small

:08:41.:08:44.

businesses without a HR department will panic at the thought of this.

:08:45.:08:48.

This is a perfect opportunity to educate people on how to help those

:08:49.:08:51.

who caught in situations in which they cannot help themselves. I know

:08:52.:08:57.

it is not the minister's direct but perhaps the Minister could give us

:08:58.:09:02.

an indication of what can be done for the small and medium businesses

:09:03.:09:06.

to ensure that they have the capacity and perhaps the resources

:09:07.:09:08.

to ensure that these education to ensure that these education

:09:09.:09:12.

programmes are carried out in the workplace to a very effective level

:09:13.:09:18.

and manner? The idea of the campaign is that the different theme will be

:09:19.:09:22.

introduced every day to experience the various forms of domestic

:09:23.:09:25.

violence and the workplace will be better to acknowledge the signs that

:09:26.:09:29.

indicate it maybe go along. My mum always Tommy never a thought dirty

:09:30.:09:35.

laundry and she is absolutely right. We should not do it. We should not

:09:36.:09:39.

do it our families or parties, we should keep it at home. But at the

:09:40.:09:43.

same time, there is a mentality that prevents people from seeking the

:09:44.:09:47.

help that they need to stop the statistics make it clear that

:09:48.:09:52.

domestic violence is not simply that you secluded events, it is an

:09:53.:09:55.

academic and I believe it is that that level and it must be addressed

:09:56.:09:58.

and that is why this debate today is so important and why I'm so pleased

:09:59.:10:01.

to take part in it. We reel off the stats, but they are

:10:02.:10:14.

important because they indicate what is happening in society. I want to

:10:15.:10:20.

give a bit more detail. Two women are killed every week by a current

:10:21.:10:27.

or former partner. One in four women in England and Wales will experience

:10:28.:10:33.

the mystic violence in their lifetimes. 8% will suffer domestic

:10:34.:10:37.

violence in any given year. Globally, one in three women will

:10:38.:10:44.

experience violence at the hands of a male partner. Domestic violence

:10:45.:10:48.

has a higher rate of repeat victimisation than any other crime.

:10:49.:10:55.

So that gives a bit of perspective. Every minute, police received rave

:10:56.:11:03.

domestic assistance call, yet only 35% of domestic violence incidents

:11:04.:11:11.

are reported to the police. We need to make sure people get the response

:11:12.:11:15.

they need. In 2001, the British crime survey found that there was an

:11:16.:11:20.

estimated 635,000 incidents of domestic violence in England and

:11:21.:11:24.

Wales. 81% of the victims were women, 19% were men. Domestic

:11:25.:11:32.

violence is made up -- makes up 22% of all violent incidents reported.

:11:33.:11:41.

That is a massive amount. On average, a woman is assaulted 35

:11:42.:11:45.

times before her first call to the police. Only then does a lady have

:11:46.:11:51.

the courage to go to the police. We have to encourage them at an early

:11:52.:11:57.

stage to go to the police and not end up with the horrific stories we

:11:58.:12:02.

have. I am very conscious that the honourable ladies and other members

:12:03.:12:05.

have told stories here, but I understand the issues. Let's give

:12:06.:12:20.

credit where credit is due. Early action would address the issue of

:12:21.:12:26.

stalking. It must stop at the beginning.

:12:27.:12:38.

I am aware of the fear and threat but there is from those who have

:12:39.:12:47.

been stalked, almost as prey, by those who don't seem to care what

:12:48.:12:51.

happens to them. We need strong legislation in place. The 24 hour

:12:52.:12:57.

mystic sexual violence helpline -- domestic and sexual violence

:12:58.:13:03.

helpline gets thousands of calls. There were 611 sexual violence calls

:13:04.:13:12.

from 518 female callers. 58% of women callers disclosed mental

:13:13.:13:15.

health issues as a result of the violence that takes place. And it

:13:16.:13:21.

effect it has on their family really moves me. Others in this House feel

:13:22.:13:27.

the same. When you hear the stories of constituents, they are

:13:28.:13:34.

heart-rending stories. I thank the honourable gentleman for giving way.

:13:35.:13:38.

He's talking about the mental health effects of violence against women.

:13:39.:13:46.

One of the concerns I have is that women in my constituency who have

:13:47.:13:49.

been victims of rape can't get access to the counselling and

:13:50.:13:52.

support services that they require. There is nothing in Slough. They

:13:53.:13:56.

have to go to Wycombe or Reading, and there is up to a 20 month

:13:57.:14:01.

waiting list for women who have the devastation of this. I would urge

:14:02.:14:09.

the minister, when she responds, to promise that the investment will go

:14:10.:14:17.

into speed up this horrible delay. I thank the honourable lady. They are

:14:18.:14:25.

wise words that she has put to the floor of this House. We want

:14:26.:14:33.

government to respond to that in a positive way. 533 women and 226

:14:34.:14:39.

children were referred to Women's Aid refuges last year. Some of the

:14:40.:14:51.

stats are horrendous. Some 70% of women in certain locations in South

:14:52.:14:58.

Sudan have been subjected to sexual violence of either a minor or

:14:59.:15:03.

extensive form. There is almost an inherent abuse among some people. It

:15:04.:15:10.

takes International Women's Day to address violence. Let's speak not

:15:11.:15:14.

only for our women at home in the United Kingdom, but also women

:15:15.:15:22.

across the world. That is what I and others have tried to say. I have

:15:23.:15:33.

been working with a lady who is the CEO of an organisation and we have

:15:34.:15:37.

an event here on the 22nd of November where they bring in

:15:38.:15:42.

speakers and send an invitation to people. At that meeting, it was

:15:43.:15:48.

firstly to celebrate International children's day and the day for the

:15:49.:15:51.

elimination of violence against women. We had police present. We had

:15:52.:15:58.

family law people available on the panel. We also had solicitors. It

:15:59.:16:02.

was a good crowd. They ask questions to address the issue. We were asking

:16:03.:16:09.

questions about violence at home in this great City of London. That was

:16:10.:16:15.

where the people had come from. That gives us an idea of the magnitude of

:16:16.:16:20.

what took place. I hate the fact that 25% of women, one in four, will

:16:21.:16:25.

experience domestic violence in their lifetime. This should be in

:16:26.:16:31.

the history books and not in today or tomorrow's paper or on Sunday's

:16:32.:16:36.

paper. The question is, what are we doing in this House to play our

:16:37.:16:43.

part's not simply in the 16 days of action we are now in the middle of,

:16:44.:16:48.

but in the lifetime of this Parliament. What education are we

:16:49.:16:52.

putting in place to raise a generation to abort this violence?

:16:53.:17:00.

We want to encourage women to respond and have access in Slough

:17:01.:17:05.

and elsewhere across the whole of the UK, and be able to contact the

:17:06.:17:11.

police at the time you need them. They must know they are worth more

:17:12.:17:14.

than putting up with physical and emotional abuse. How are we training

:17:15.:17:19.

our young men to value women, and our young women to value themselves?

:17:20.:17:25.

These are the questions we must answer in this House through this

:17:26.:17:29.

debate. If we do not have the right answers, we have a duty to get it

:17:30.:17:34.

right and to do it now. I thank the right honourable and honourable

:17:35.:17:39.

members for bringing this forward. I challenge every person in this

:17:40.:17:43.

debate and those who have not been able to make the debate over how we

:17:44.:17:48.

can make changes that will affect the quality of lives of people in

:17:49.:17:51.

every age group and every colour and every creed and every class in every

:17:52.:17:58.

area of the United Kingdom of Great Britain and Northern Ireland. This

:17:59.:18:01.

is our challenge, and we must be determined to fulfil it. Today's

:18:02.:18:08.

debate marks the UN International day for the elimination of violence

:18:09.:18:12.

against women. Elimination is an ambitious word, but what we have

:18:13.:18:16.

heard today makes it clear that we need to be ambitious if we are to

:18:17.:18:24.

tackle the epidemic of violence against women that is biting so many

:18:25.:18:28.

lives. I congratulate the honourable member for Feltham and Heston for

:18:29.:18:32.

leading the debate so comprehensively. I also commend the

:18:33.:18:35.

right honourable member for Basingstoke for the ongoing work

:18:36.:18:39.

that her committee has been doing to promote and advance progress in this

:18:40.:18:46.

area. We have heard today from many speakers that the recognition of

:18:47.:18:50.

violence against women is a global human rights abuse, but but it is a

:18:51.:18:54.

pervasive and extensive human rights abuse and it affects women in all

:18:55.:18:59.

our communities and all over our world. It is rooted in gender

:19:00.:19:04.

inequality and compounded by it. Scottish Women's Aid are fond of

:19:05.:19:08.

saying that it is a cause and a consequence of violence against

:19:09.:19:11.

women, and we have heard today that one in three women will experience

:19:12.:19:16.

domestic abuse or sexual violence in her lifetime. Personally, I think

:19:17.:19:19.

that is probably quite a Conservative estimate. I would like

:19:20.:19:24.

to pay tribute to the enormous courage of my honourable friend from

:19:25.:19:31.

Edinburgh West for talking openly about things that have been so

:19:32.:19:36.

unspeakable for so long. I think breaking the silence, as she and

:19:37.:19:40.

other members today, including the honourable member for Batley and

:19:41.:19:43.

Spen, have done, is incredibly powerful. I hope their frankness and

:19:44.:19:51.

wisdom and strength will help other women, women who are recovering from

:19:52.:19:56.

sexual violence, women who at the moment don't know whether their

:19:57.:19:58.

lives will ever be back on track or ever be the same again. I hope what

:19:59.:20:05.

we have heard today helps women to go forward with strength and makes

:20:06.:20:11.

the future different for the next generation of women. Members have

:20:12.:20:17.

referred to the fact that this morning, I published my private

:20:18.:20:19.

member's bill that would require the government to set up a timetable to

:20:20.:20:24.

ratify the Council of Europe Convention on preventing and

:20:25.:20:27.

combating violence against women and domestic violence, better known as

:20:28.:20:31.

the Istanbul Convention. It would also strengthen reporting

:20:32.:20:34.

requirements so that MPs would have better opportunities to scrutinise

:20:35.:20:38.

the implementation of the Convention on an ongoing basis. I hope the

:20:39.:20:42.

government will support my bill, and I hope members will come to the

:20:43.:20:47.

debate a week on Friday and push something forward that I think we

:20:48.:20:53.

all want to see happen. The Istanbul Convention has local, national and

:20:54.:20:56.

transnational dimensions and its implementation has the potential to

:20:57.:21:01.

make real difference to women's lives. Scottish Women's Aid have

:21:02.:21:04.

described the Istanbul Convention as the best piece of international

:21:05.:21:09.

policy in practice for eliminating violence against women that exists,

:21:10.:21:12.

setting minimum standards for government responses to victims and

:21:13.:21:16.

survivors of gender-based violence. It is a blueprint for how we move

:21:17.:21:20.

from small change at the margins, services that are picking up too few

:21:21.:21:24.

people to let, to a system designed to end domestic abuse and violence

:21:25.:21:30.

against women. The Istanbul Convention offers a powerful vehicle

:21:31.:21:35.

for countries across Europe and beyond to prevent and combat

:21:36.:21:40.

violence. The UK has played a prominent role for many years,

:21:41.:21:44.

responding to these challenges, and was involved in the development of

:21:45.:21:48.

the convention and the negotiations surrounding it. But having signed

:21:49.:21:52.

the Istanbul Convention in June 2012, the UK has still to ratify the

:21:53.:21:56.

treaty. The government has said it wants to ratify it and intends to

:21:57.:22:01.

ratify it, but we have reached a hiatus. The process has stalled and

:22:02.:22:05.

the Istanbul Convention has now been languishing on the back burner for

:22:06.:22:09.

over four and a half years. My bill is simply an attempt to shift that

:22:10.:22:12.

logjam and give the government the impetus it needs to take the final

:22:13.:22:17.

steps needed to bring the UK into compliance. We know there are a

:22:18.:22:25.

number of areas in which the UK Government needs to legislate to

:22:26.:22:26.

bring domestic legislation into compliance with Article 44 of the

:22:27.:22:30.

treaty, and the need for legislative consent in Scotland and Northern

:22:31.:22:35.

Ireland. I hope the government will use the opportunity of my private

:22:36.:22:38.

member's bill to shift this logjam and ratify this convention while

:22:39.:22:46.

they have the opportunity. I also paid tribute to the work that has

:22:47.:22:50.

been mentioned earlier by members of the IC change campaign. I am also

:22:51.:22:54.

grateful for the support from members across this House on both

:22:55.:22:59.

sides of the house, but also from every part of the UK for that

:23:00.:23:06.

process. Given all the comments today from members, not least the

:23:07.:23:10.

honourable member for Birmingham Yardley, saying, let's just do this,

:23:11.:23:17.

we can do this. I hope we are now on a fast-track to making this a

:23:18.:23:22.

reality. I have been working with women's organisations across the UK.

:23:23.:23:29.

I was invited by a group in London to visit one of their refuges here,

:23:30.:23:35.

which I did yesterday. I met five women and eight children currently

:23:36.:23:40.

staying in a refuge. There are many things to reflect on from the visit,

:23:41.:23:46.

overwhelmingly, how vulnerable are these women are when they leave an

:23:47.:23:49.

abusive situation and how precarious their lives can be for some time

:23:50.:23:53.

afterwards. My visit brought home to me that the album is associated with

:23:54.:23:58.

a shortage of affordable housing are obviously acute in London, but it is

:23:59.:24:03.

a reality in all parts of the UK, and those problems are magnified for

:24:04.:24:08.

women trying to move on and make a fresh start. Those women have a hard

:24:09.:24:14.

road ahead. For their own safety, they often need to leave their own

:24:15.:24:18.

community and move away from any support networks they have. I met a

:24:19.:24:22.

boy in the refuge yesterday. He was nine years old and bears the

:24:23.:24:25.

physical scars of his father's violence. I don't dig it is possible

:24:26.:24:29.

to know what other invisible scars he may be carrying. But he wanted to

:24:30.:24:34.

show me his Lego. He had built an aeroplane, which he was pleased to

:24:35.:24:38.

tell me he designed himself, but his masterpiece which he was showing off

:24:39.:24:41.

with pride was a house, a house made out of Lego. At the moment, his

:24:42.:24:45.

family is all sleeping in one room in a refuge, but he is dreaming of a

:24:46.:24:57.

home one day. Yet his mum told me how hard it was to find a house for

:24:58.:25:01.

her and her children while she is still looking after a toddler and

:25:02.:25:03.

doesn't have a job. She also talks about experiencing racism in her

:25:04.:25:05.

search for housing and more generally, and it focused my mind on

:25:06.:25:08.

the fact that domestic violence is one of the causes of homelessness

:25:09.:25:10.

across the UK. In Scotland, domestic violence is the third most common

:25:11.:25:12.

reason for a homelessness application. 73% of applications are

:25:13.:25:16.

made by women and more than a third of those are women with children.

:25:17.:25:23.

It makes me wonder why women stay in violent situations and it is they

:25:24.:25:31.

have nowhere to go. Women who do leave their homes to escape violence

:25:32.:25:32.

find that they may have to do it find that they may have to do it

:25:33.:25:36.

repeatedly before finding a stable home with all the people that it

:25:37.:25:40.

entails and that prohibits women from seeking the deep for themselves

:25:41.:25:47.

and their children. -- safety? Gender-based violence affects women

:25:48.:25:59.

of of all economic backgrounds. In this respect, we do see gender

:26:00.:26:05.

inequality compounded by other forms of structural disadvantage and I saw

:26:06.:26:10.

that first-hand yesterday. Several members this afternoon have talked

:26:11.:26:18.

about the cultural and traditional aspects of violence against women.

:26:19.:26:21.

Clearly I've been talking a lot at about the Istanbul convention, it is

:26:22.:26:28.

a powerful legal instruments and that it's important to remember we

:26:29.:26:31.

have work to do to bring about changes in attitudes and beliefs and

:26:32.:26:36.

the honourable member touched on this and the honourable member or

:26:37.:26:45.

Hayward and Middleton, highlighted practices, FGM, both at home and

:26:46.:26:46.

abroad. Representatives of many of abroad. Representatives of many of

:26:47.:26:56.

the major religions represented in the UK attended the House of Lords

:26:57.:27:01.

and I think it is very important that we bring those dimensions into

:27:02.:27:05.

the debate because culture is so often held as a justification of

:27:06.:27:08.

violence. Cultures can and do change violence. Cultures can and do change

:27:09.:27:14.

and religious leaders do have a special responsibility and

:27:15.:27:18.

opportunity to influence deep-seated attitudes, values and beliefs that

:27:19.:27:22.

are very foundation of a people's identities and the lies that they go

:27:23.:27:26.

on to lead. I was very encouraged to meet with these people from several

:27:27.:27:29.

faith traditions who are taking these issues very seriously and

:27:30.:27:34.

working within their own faith communities to me things forward. Mr

:27:35.:27:41.

Deputy Speaker, one of the things, one of the women said in the refugee

:27:42.:27:46.

yesterday, said women need to help women and looking at the gender

:27:47.:27:49.

balance at the time but today, it is very clear that women in this place

:27:50.:27:55.

take these issues very seriously. Our bodies on the front line, our

:27:56.:28:00.

psychological health, are very selves are very on the front line in

:28:01.:28:06.

this battle. All of us are affected by gender-based violence. Some of us

:28:07.:28:10.

are affected in very personal ways as we have heard today. Far too many

:28:11.:28:14.

of us continued to experience one of us continued to experience one

:28:15.:28:17.

form or another of gender-based violence. Sexual violence is

:28:18.:28:24.

grounded in the abuse of power. Get each and every of us in this place

:28:25.:28:29.

is incredibly powerful, we are women with a voice, we are women with a

:28:30.:28:33.

platform, we are people interested to speak of the. Surely the greatest

:28:34.:28:40.

testament we can have two violence against women is to use that power

:28:41.:28:43.

to eradicate it, use that power to end it and I hope women right across

:28:44.:28:48.

this House and men also who want to stand in solidarity with us, will

:28:49.:28:51.

join us in the fight to make these not just words, that when we talk

:28:52.:28:54.

about the elimination of violence about the elimination of violence

:28:55.:28:57.

against women, we mean it and we end it was several. -- once and for all.

:28:58.:29:07.

the members who secured this the members who secured this

:29:08.:29:11.

backbench debate. It has been a phenomenal debate to be sat in. I

:29:12.:29:16.

want to start by echoing the message from the honourable member who said

:29:17.:29:25.

this is a crossbench issue, we can only eliminate violence against

:29:26.:29:28.

women if we do it in a collaborative way and I think what has been heard

:29:29.:29:32.

in this chamber has shown that that is indeed a possibility with the

:29:33.:29:36.

conviction that we all have. The honourable member also went on to

:29:37.:29:40.

contextualise why this debate is so important, with 3 million women in

:29:41.:29:50.

UK expressing violence, 27.1% of us. A third of us and they do echo, that

:29:51.:29:57.

there's probably an underestimate. there's probably an underestimate.

:29:58.:29:59.

She also rightly focused on the impact that violence has, the

:30:00.:30:05.

Beatles, the horror that goes on from that particularly, she focused

:30:06.:30:10.

on the impact of children, the lack of support for them. And politically

:30:11.:30:14.

on the lack of mental health or everybody that is affected by this,

:30:15.:30:18.

as was echoed by the honourable member from south. They spoke

:30:19.:30:27.

increase in online abuse and get increase in online abuse and get

:30:28.:30:31.

clear recommendations for what needs to be done. The honourable member

:30:32.:30:34.

four Basingstoke 's book about the sexual harassment of girls and I

:30:35.:30:38.

would like to say that the work that the women inequalities has done is

:30:39.:30:40.

fantastic and we hope we get an fantastic and we hope we get an

:30:41.:30:41.

equally strong response from the equally strong response from the

:30:42.:30:45.

Government from it. I important thing because I don't think anyone

:30:46.:30:51.

in the chamber will forget the speech by the honourable member from

:30:52.:30:57.

Edinburgh West. I quite, first I was surprised, then I was therefore,

:30:58.:31:05.

then I realised the horror. -- fearful. The words from a 14 euros

:31:06.:31:09.

goal. We all felt the horror and we are sorry to you and every other

:31:10.:31:16.

girl that expresses that horror. They spoke of the shame that we

:31:17.:31:21.

have, to allow this to happen and urge the Government, and so many

:31:22.:31:25.

have commented that improper mandatory sexual relationship

:31:26.:31:27.

education so that all children understand that means delaying -- no

:31:28.:31:36.

difference between right and wrong. difference between right and wrong.

:31:37.:31:39.

I would like to move on to the honourable member and pick up on one

:31:40.:31:45.

word that she used repeatedly which was the word lucky. Lucky because

:31:46.:31:49.

she was only violently assaulted by a man. I suppose when we look at the

:31:50.:31:57.

scale of the abuse and when we look at the number of murders that she

:31:58.:32:03.

also spoke of, the number of times a woman will insure domestic abuse

:32:04.:32:07.

before she reports it, then maybe you were lucky. I feel lucky that

:32:08.:32:12.

you are here in this chamber to share this story and two campaign,

:32:13.:32:16.

to prevent it happening to any other woman. I was pleased that the

:32:17.:32:22.

and Lanark and Hamilton picked up on and Lanark and Hamilton picked up on

:32:23.:32:29.

how victims are often the ones who have to change their lives, move

:32:30.:32:33.

it be for this crime and this crime it be for this crime and this crime

:32:34.:32:37.

alone that it is the victim that has this perpetuating assault on them,

:32:38.:32:43.

having to live in fear for potentially the rest of their lives?

:32:44.:32:46.

We have to do something to address this. I would also like to go to,

:32:47.:32:54.

like the speech that the honourable member from Hayward and Middleton

:32:55.:32:57.

made, she broadened it to an international speech and spoke very

:32:58.:33:02.

powerfully about the fact that 88% of women in Sierra Leone have been

:33:03.:33:10.

the points that she has said that to the points that she has said that to

:33:11.:33:14.

be honest, as long as this is viewed as a cultural practice, rather than

:33:15.:33:19.

child abuse, we will never eradicate child abuse, we will never eradicate

:33:20.:33:23.

it and we in this chamber need to do all that we can to stop using it as

:33:24.:33:29.

a cultural excuse that attack it as a child abuse. She also spoke how

:33:30.:33:31.

dangerous it is to be a women in dangerous it is to be a women in

:33:32.:33:36.

Afghanistan, particularly a women in public life. And when we look

:33:37.:33:42.

internationally, while the horrors going on in Afghanistan are

:33:43.:33:45.

unparalleled, we are seeing that rebel going across the world at the

:33:46.:33:48.

moment and that is something that we all need to be calling up very

:33:49.:33:55.

actively. -- ripples. She spoke interesting about working with

:33:56.:33:59.

companies say they recognise the signs of domestic violence and also

:34:00.:34:02.

how to intervene and prevent it and he also brought us into the

:34:03.:34:05.

international aspect of those that one in three women suffering

:34:06.:34:10.

violence and also that one in four women suffering domestic violence in

:34:11.:34:15.

duty to challenge an address that. duty to challenge an address that.

:34:16.:34:21.

The honourable member has tabled a bill on Friday, next Friday, which I

:34:22.:34:28.

hope that we will all support and it is demanding that the Government

:34:29.:34:31.

actually put forward a timetable for when they ratified the Istanbul

:34:32.:34:34.

convention. The Istanbul convention is a historic international treaty

:34:35.:34:39.

which set legally binding standards from preventing an attacking

:34:40.:34:43.

domestic abuse and crucially the Convention gives all survivors of

:34:44.:34:46.

domestic abuse the right to access specialist services which they need

:34:47.:34:48.

to leave and safety and rebuild their lives. I am sure I'm being

:34:49.:34:54.

uncharitable to hope that that is not the block that is preventing the

:34:55.:34:57.

Government from signing this and I hope that they will do the right

:34:58.:35:00.

thing next Friday and give a guaranteed timetable of when the

:35:01.:35:05.

bill will be ratified. The Government have, however, and should

:35:06.:35:10.

be commended for doing a lot of work to prevent pilots against women and

:35:11.:35:13.

girls. And I'm grateful for the honourable members the drawing that

:35:14.:35:20.

to the attention of the House, around modern slavery, the stalking

:35:21.:35:23.

bill that came in, the international work and national work on preventing

:35:24.:35:28.

violence against women and girls and FGM. However, however, we know that

:35:29.:35:34.

domestic violence and violence against women and girls does remain

:35:35.:35:40.

at pandemic levels the world a little. Domestic violence and

:35:41.:35:42.

violence against women in UK has increased rapidly between 2009 and

:35:43.:35:47.

2014, pushing up the overall levels of violent crime in the UK. Yes, a

:35:48.:35:52.

number of members did say that there is the contradictory official view

:35:53.:35:56.

that the crime stats say that violent crime in England and Wells

:35:57.:35:59.

is continuing to fall. However, we know that because of the research

:36:00.:36:04.

done that this is because they cap the number of crimes to an

:36:05.:36:09.

individual at five incidents per victim. Even if many more offences

:36:10.:36:14.

were accorded, when the cap is removed and the raw data actually

:36:15.:36:18.

examined, the number of violent crimes increases by 60%. This

:36:19.:36:23.

increase is predominately concentrated on violent crimes

:36:24.:36:27.

against women, perpetrated by their partners and acquaintances. As my

:36:28.:36:32.

friends have stated, domestic violence has a higher rate of repeat

:36:33.:36:37.

victimisation than any other crime, on average a women were larger 35

:36:38.:36:41.

attacks before calling the police. So looking at the date, 30 of those

:36:42.:36:48.

are going unrecorded. I'm grateful they have decided to stop that

:36:49.:36:53.

capping at five. I expect that the next crime stats will give a much

:36:54.:36:56.

more accurate picture of the scale of violence against women and girls.

:36:57.:37:01.

Unless we have reliable data, Government and local authorities

:37:02.:37:02.

cannot plan and resource is the cannot plan and resource is the

:37:03.:37:10.

correct response. It is impossible to provide the correct services if

:37:11.:37:14.

you do not know the need. How can the Government resorts and police

:37:15.:37:17.

correctly if they have no idea of the scale of support needed? Is

:37:18.:37:21.

liberally heard today, local authorities and refugees are

:37:22.:37:29.

struggling to cope. I asked the minister, when the Government have

:37:30.:37:31.

evidence of the true scale of need, what they look to provide more

:37:32.:37:35.

specialist resources to is local authorities and directly to

:37:36.:37:39.

specialist services? The Government National statement of expectations

:37:40.:37:41.

give guidance on what local authority should be provided for

:37:42.:37:45.

victims of domestic and sexual violence. The guidance alone does

:37:46.:37:48.

not ensure that everyone and in need can access services. The NSC says

:37:49.:37:51.

service Commissioners must have service Commissioners must have

:37:52.:37:58.

specialist in place, local authorities are facing unprecedented

:37:59.:38:02.

budget cuts. Forcing commissioners to value cost per bed over quality

:38:03.:38:09.

of service. Specialist services are closing as a result. Whether the

:38:10.:38:12.

woman and her children sleep on the night she leaves her violent partner

:38:13.:38:16.

if there is no refuge for her to go to? How can she rebuild her life and

:38:17.:38:20.

there are no specialist staff to cancel her and her children and to

:38:21.:38:24.

support her to find a new home? -- council. They cannot simply be

:38:25.:38:31.

referred to local authority in a haphazard way. Under the current

:38:32.:38:35.

system, the Government has no way of knowing if there's enough adequate

:38:36.:38:38.

provision for women and the right areas. Will the Minister today to

:38:39.:38:42.

commit to marking out the existing domestic violence and sexual

:38:43.:38:46.

violence provision in the country and correlate this with a needs

:38:47.:38:50.

assessment? Will they recognise the sheer scale domestic violence

:38:51.:38:52.

requires attitude it central Government response, not just a set

:38:53.:38:59.

of expectations on local authorities? Were available to the

:39:00.:39:00.

provisions in the Istanbul convention by them? Bowl will they

:39:01.:39:12.

sign up to? I remain at sea committed to champion the cause of

:39:13.:39:16.

prevention. Violence against women and girls will not be inevitable.

:39:17.:39:22.

Prevention is essential if we are to ensure women and girls can live free

:39:23.:39:25.

their own life. Yet we are seeing an their own life. Yet we are seeing an

:39:26.:39:30.

ever-increasing normalisation of violence in our society. Staring out

:39:31.:39:34.

screens, mobile phones of little screens, mobile phones of little

:39:35.:39:38.

girls and bulls, their expression to online pornography from a young age

:39:39.:39:42.

and messages conveyed in the media, children are growing up that

:39:43.:39:45.

believing that violence and nonconsensual sex in relationships

:39:46.:39:48.

is not just normal, it is to be accepted. At the same time, children

:39:49.:39:52.

are being pressured by adults and children to engage in harmful sexual

:39:53.:39:56.

behaviour, such as sharing indecent images. Children are entering

:39:57.:40:02.

adulthood and Noble to recognise exploitive, abusive and manipulate

:40:03.:40:05.

behaviours. Teenage girls tell me that they expect to recognise

:40:06.:40:07.

exploitive, abusive and manipulate behaviours. Teenage girls tell me

:40:08.:40:09.

that they expected the abuse by their boyfriends, that is what being

:40:10.:40:11.

a girlfriend is about. The Government can no longer stand by

:40:12.:40:15.

and allow this. Will the Government introduced that itchy

:40:16.:40:17.

age-appropriate sex and relationship education in schools to give

:40:18.:40:22.

children the knowledge and the confidence they need to reckless

:40:23.:40:27.

abuse of growth behaviour and to contextualise the messages about sex

:40:28.:40:30.

and relationships they are receiving in the media?

:40:31.:40:36.

Violence is perpetrated against women because they are women. Women

:40:37.:40:41.

are murdered by their boyfriends, husbands, sons, fathers and uncles

:40:42.:40:44.

in the UK and around the world because they believe women are to be

:40:45.:40:48.

controlled and owned. Girls' genitals mutilated because it is

:40:49.:40:53.

believed a woman's sexuality belongs to her husband. They are denied

:40:54.:40:56.

education and fought into marriage because girls' lads are valued less

:40:57.:41:01.

than boys'. They are afraid to leave their house, see their family and

:41:02.:41:08.

love their children because they exist to please men. Women are

:41:09.:41:10.

murdered, tortured and abused at the hands of men because this violence

:41:11.:41:12.

is used to maintain male power and control. Until we have acceptance of

:41:13.:41:15.

that across our societies, we will never truly eradicate it. Until

:41:16.:41:20.

violence against women and girls is accepted as structural violence,

:41:21.:41:23.

perpetrators will be allowed to cross examine their victims in

:41:24.:41:26.

courts. Little girls will continue to be told that he is groping her

:41:27.:41:30.

because he likes her. Girls will continue to grow up thinking

:41:31.:41:33.

violence and manipulation are part of being a woman. Ending violence

:41:34.:41:38.

against women and girls requires a radical societal shift in power and

:41:39.:41:42.

attitudes. It is the role of every member in this House to live up to

:41:43.:41:52.

that. If today is a really important day marking one of the UN's 16 days

:41:53.:41:56.

of action to eliminate violence against women and girls. It has been

:41:57.:42:06.

a vital debate, showing our united determination across this House to

:42:07.:42:12.

end these terrible crimes. I want to start by paying heartfelt thanks to

:42:13.:42:19.

the member from Edinburgh West. To hear her talking about her raped

:42:20.:42:24.

when she was 14 years old and breaking a taboo by talking about it

:42:25.:42:30.

in this place was remarkable. It is incredibly brave of her, in the

:42:31.:42:36.

eloquent way that she did, to talk about what happened to her. I am

:42:37.:42:40.

sure her mother would be incredibly proud of her. As a result, she will

:42:41.:42:48.

be helping so many women who are suffering in silence. And listening

:42:49.:42:55.

to her, if only one woman picks up the phone and get the support that

:42:56.:42:59.

is available, she will have saved someone's life and I am sure many

:43:00.:43:03.

women will have drawn that courage and inspiration from her today. I

:43:04.:43:09.

also want to thank the member for Batley and Spen, who also briefly

:43:10.:43:15.

talked about the serious sexual assault to her. She made a powerful

:43:16.:43:25.

speech and highlighted what she says are widespread attitudes in the

:43:26.:43:28.

abuse of women in the industry she serves in. Power to her elbow. I

:43:29.:43:34.

give her every encouragement to carry on talking about this and help

:43:35.:43:37.

women in that industry today to not have to suffer in the way she has

:43:38.:43:43.

suffered in the past. I also want to pay tribute to my colleague the

:43:44.:43:48.

member for Eastleigh, who gave a moving speech about her dreadful

:43:49.:43:56.

personal experiences as being a victim of stalking. I commend her

:43:57.:44:03.

for using this personal experience to have campaigned so strongly since

:44:04.:44:09.

she became a member. It played an important part in bringing in the

:44:10.:44:12.

stalking measures we saw yesterday. I also want to thank the member for

:44:13.:44:17.

Feltham and Heston for securing this debate today, and the approach she

:44:18.:44:24.

took. And also to the honourable friend opposite. This must be a

:44:25.:44:34.

cross-party, across the House. There is no room for any political

:44:35.:44:39.

politics in this area. We have to keep this issue top of the political

:44:40.:44:45.

agenda by working together to see the cultural changes that we all

:44:46.:44:50.

want to see. I also want to commend my colleague, the right honourable

:44:51.:44:53.

friend for Basingstoke, for reminding the House today of the

:44:54.:44:58.

strong leadership of the Prime Minister herself on keeping women

:44:59.:45:04.

and girls safe at home and around the world, and also her personal

:45:05.:45:09.

leadership in her committee and the valuable work they were doing that

:45:10.:45:11.

the government appreciates, not least of which was the report we

:45:12.:45:19.

have discussed today. Our goal remains simple. No woman should live

:45:20.:45:23.

in fear of abuse, and every girl should grow up knowing she is safe.

:45:24.:45:31.

Violence and abuse can affect everyone, and while we do think the

:45:32.:45:35.

prevalence of violence against women is going down and we are working to

:45:36.:45:40.

make sure we have the right data and just yesterday published more data

:45:41.:45:45.

to help us be sure about that, we know we have a long way to go to

:45:46.:45:49.

reach our goal. While it is encouraging that more women feel

:45:50.:45:53.

able to come forward and we are seeing more prosecutions and

:45:54.:45:59.

convictions, we are not complacent. Since 2010, we have done more than

:46:00.:46:03.

ever to tackle violence against women and girls. In March, we

:46:04.:46:10.

launched a strategy and pledged over ?80 million of funding to support

:46:11.:46:15.

this in the UK. We have strengthened the law and provide agencies with

:46:16.:46:19.

the tools they need to support victims, bring perpetrators to

:46:20.:46:22.

justice and prevent these crimes happening in the first place. We

:46:23.:46:26.

have introduced new offences for coercive and controlling behaviour,

:46:27.:46:31.

stalking, forced marriage and FGM and have banned revenge porn. On top

:46:32.:46:38.

of this, I was delighted yesterday that we were able to announce

:46:39.:46:41.

important new measures to tackle gender-based violence. As we have

:46:42.:46:49.

heard, stalking is a devastating crime and has serious consequences.

:46:50.:46:54.

So yesterday, we committed to introducing new civil stalking

:46:55.:46:58.

protection orders to protect victims and stop perpetrators at the

:46:59.:47:02.

earliest opportunity before their behaviour becomes entrenched.

:47:03.:47:10.

Yesterday, we also launched a ?15 million three-year transformation

:47:11.:47:13.

fund to aid, promote and embed the best local practice, as we have

:47:14.:47:19.

heard exists today, and to ensure that early intervention and

:47:20.:47:22.

prevention becomes the norm so we can stop some of the awful gaps in

:47:23.:47:26.

services that we have heard about today. Although we have a national

:47:27.:47:33.

strategy, it is vital that local areas take ownership and

:47:34.:47:39.

responsibility for the services in their areas, and they put the victim

:47:40.:47:42.

at the centre of their approach to providing services, incorporating

:47:43.:47:47.

the wide range of people that need to work together to support them. To

:47:48.:47:53.

help areas do this, we have published the national statement of

:47:54.:47:57.

expectations, which sets out clearly, and we have worked with a

:47:58.:48:00.

great deal of civil society organisations as well as the local

:48:01.:48:08.

Government Association to make sure the commissioning is the best it can

:48:09.:48:12.

be. Where there are good examples across the country, we want them to

:48:13.:48:16.

be available to every community and every woman. So we have published a

:48:17.:48:21.

lot more data yesterday, including the domestic homicide review. This

:48:22.:48:26.

looked for the first time at all the learning we have got from examples

:48:27.:48:32.

of where things have gone badly wrong, where individuals didn't get

:48:33.:48:36.

the services, where the statutory sector did not do everything it

:48:37.:48:39.

could have done to keep women safe, with the ultimately worst outcome

:48:40.:48:47.

that led to their death. By publishing this review and a series

:48:48.:48:50.

of recommendations, we will be able to make progress. Included alongside

:48:51.:48:54.

that was better training for the chairs of domestic homicide reviews

:48:55.:48:58.

and funding to enable this work to carry on. Our new ?15 million

:48:59.:49:09.

service transformation fund is just one part of the ?80 million package

:49:10.:49:16.

I talked about. This is the most any government has put any central

:49:17.:49:20.

funding into two combating these crimes. That includes provision for

:49:21.:49:24.

rape support centres, national helpline is and refuge position. I

:49:25.:49:31.

am sure our actions are backing up our strong words. If more resources

:49:32.:49:35.

are needed, we will keep that under review. The police transformation

:49:36.:49:39.

fund has also funded programmes that support our work, and there are

:49:40.:49:44.

other sources of funding across the country at local and national

:49:45.:49:53.

levels, including victims' services, the modern slavery programme as well

:49:54.:49:57.

as the ?15 million from the tampon tax fund. I am particularly pleased

:49:58.:50:04.

that this year, the fund recognised the important role that grassroots

:50:05.:50:07.

organisations play in addressing violence against women and girls,

:50:08.:50:12.

and they have a particular spot in the fund. I was asked some very

:50:13.:50:16.

direct questions which I want a answer. The red folder is on the

:50:17.:50:23.

bench! Firstly, it is the case that abusive behaviour off-line is

:50:24.:50:28.

treated the same way as online. The same prevention orders and the same

:50:29.:50:34.

tools are used to prosecute offenders. So please, members, go

:50:35.:50:39.

out into your communities and spread that word that we must get law

:50:40.:50:43.

enforcement agencies to use those new powers. Secondly, the member for

:50:44.:50:53.

Birmingham Yardley said, and I think we all agree, that we must do more

:50:54.:50:59.

to educate children about healthy relationships including sexual

:51:00.:51:04.

relationships, indeed, that no must mean no in every circumstance. There

:51:05.:51:10.

is a huge amount of determination and ongoing work to deliver this.

:51:11.:51:15.

She is right to say we all need to talk about it. As a mother of three

:51:16.:51:20.

children, I can say it can be a bit embarrassing, not least for my

:51:21.:51:23.

children, to have to talk about this. I think my son has just about

:51:24.:51:28.

recovered from having to talk to his mum about online porn. But it is

:51:29.:51:36.

essential that we do this, and there is a lot of very good material to

:51:37.:51:43.

support us as citizens, as parents, as teachers, as youth workers, to

:51:44.:51:47.

have those conversations. And we are determined to make sure we work with

:51:48.:51:52.

partners such as the national association of PHC, C ops, a range

:51:53.:51:55.

of excellent charities that do so much to make sure we have effective

:51:56.:52:02.

communication is to educate young boys and girls about good and

:52:03.:52:05.

healthy and safe relationships. I was also asked to respond to the

:52:06.:52:11.

semis and report. I will be writing to the members who raised that,

:52:12.:52:14.

because it was a detailed report and I want to do it justice by

:52:15.:52:18.

responding to all the recommendations, so I will. And also

:52:19.:52:22.

the issue of perpetrator programmes was raised. Clearly, these have an

:52:23.:52:27.

important role in trying to prevent harmful behaviour. But I am aware

:52:28.:52:32.

that not all of them are as good as we want them to be. So you are

:52:33.:52:37.

working with the charity Respect to revise the accreditation standards

:52:38.:52:41.

for these programmes. We have also heard harrowing stories about FGM

:52:42.:52:49.

and its continued prevalence. I want to confirm to everyone the

:52:50.:52:55.

determination of the Prime Minister, the Home Secretary, who has made

:52:56.:52:58.

this a personal challenge, that we do everything to stamp out this vile

:52:59.:53:03.

and unacceptable practice in our country and all around the world.

:53:04.:53:10.

Finally, there was much talk about the ratification of the Istanbul

:53:11.:53:16.

Convention today. I am proud that we signed that convention, and I know

:53:17.:53:21.

we will ratify it. I want to assure members that it is not stopping us

:53:22.:53:24.

doing anything for Lacko ratification. We are already

:53:25.:53:30.

complying with every aspect of that convention. In fact, we exceed most

:53:31.:53:35.

of the criteria of the convention except in the criterion of

:53:36.:53:40.

extraterritorial powers. There are ongoing discussions during the

:53:41.:53:48.

devolved administrations, particularly Northern Ireland, to

:53:49.:53:50.

get this right. We will not have time to go into all those details to

:53:51.:53:55.

be. Next Friday, we can talk about this at length and I look forward to

:53:56.:54:02.

that. In conclusion, I want to thank the members for Cheltenham, Lanark

:54:03.:54:06.

in Hamilton, Birmingham Yardley, Taunton Deane, Heywood and

:54:07.:54:13.

Middleton, Strangford and black and for really powerful and insightful

:54:14.:54:17.

speeches today. It is one of the finest debates I have had the

:54:18.:54:19.

pleasure of sitting through in this chamber. I also want to underline to

:54:20.:54:27.

especially the people outside the chamber today that I am sure that

:54:28.:54:32.

together, we will be redoubling our efforts across Parliament, across

:54:33.:54:38.

civil society, through business and in conjunction with international

:54:39.:54:41.

partners so that when we meet again next year, we will have many more

:54:42.:54:45.

victories to celebrate and fewer failures to talk about. Violence

:54:46.:54:51.

against women and girls simply has no place in the modern world. It

:54:52.:54:58.

harms individuals, families, communities, societies and the

:54:59.:55:01.

global economy. Through our determined effort, I am sure we can

:55:02.:55:08.

make this history. It is not only important that we do this. It is the

:55:09.:55:13.

right thing to do. It is vital for women and girls, but all humanity

:55:14.:55:15.

will reap the benefits. Thank you. Could I start by thanking

:55:16.:55:28.

the Minister and the Shadow Minister for their contributions at the end

:55:29.:55:30.

of this debate which I thought both were very, very helpful and

:55:31.:55:35.

valuable. I want to thank all members who've taken part today as

:55:36.:55:43.

well and particularly also make a mention to the member of ballet and

:55:44.:55:47.

spent, Eastleigh and the member for Edinburgh West, if I could echo the

:55:48.:55:54.

words of the Minister that your mum would have been incredibly proud and

:55:55.:55:57.

ensure that your family are. We all are and in the speech that you gave

:55:58.:56:01.

as indeed the others, you put others first ahead of yourself and I think

:56:02.:56:06.

if I can extend my thanks to you also doing that, I believe it make

:56:07.:56:10.

it big difference to members of my constituency also. If I could also

:56:11.:56:19.

thank Mr Deputy Speaker, the backbench business committees for

:56:20.:56:23.

their support and allowing us to have the debate today. We have heard

:56:24.:56:26.

a rage of contributions that highlight the progress in areas, the

:56:27.:56:33.

rolling back the clock in others, the description of the scenario in

:56:34.:56:37.

cereal own own is a true example of that. If I could thank the Minister

:56:38.:56:42.

for the comment he made on the questions that were raised, Edwin

:56:43.:56:45.

surprise her however that we were disappointed to not hear compulsory

:56:46.:56:53.

sex and relationship education in schools, particularly like the

:56:54.:56:55.

urgency of that. I'm sure that will not be the end of that debate. And

:56:56.:57:01.

also for the recognition, the need also for the recognition, the need

:57:02.:57:06.

to ratify the Istanbul convention, to lay out a timetable and one we

:57:07.:57:10.

believe and know will be stuck to. Thank you very much, Mr Deputy

:57:11.:57:15.

Speaker, for the chance to speak. The question is as on the order

:57:16.:57:20.

paper. As many are of the opinion, say I. To the country, no. The eyes

:57:21.:57:27.

have it. We welcome the backbench debate on the counter strategy, one

:57:28.:57:36.

year on. Green cancer. I want to recognise those in the catholic

:57:37.:57:40.

unity for the work they do day in and day out in fighting this

:57:41.:57:44.

disease. And the role in the member of huge number of members in this

:57:45.:57:49.

House do huge range of cancer related groups in this important

:57:50.:57:55.

area. My right honourable friend who is chairman of the all-party group

:57:56.:58:00.

on cancer is unable to be here today but wanted me to say how much she

:58:01.:58:03.

appreciates the backbench business committee granting this debate. As

:58:04.:58:09.

the House may know, his wife is currently undergoing treatment and

:58:10.:58:11.

I'm sure everyone in this House would want to send our best wishes

:58:12.:58:15.

to him and his family at this difficult time. It is estimated that

:58:16.:58:20.

there are over 2.4 million people living with cancer in the UK and

:58:21.:58:25.

this number continues to grow. Cancer is becoming more complex with

:58:26.:58:29.

many more treatments available, many patients living with the

:58:30.:58:36.

consequences of a cancer diagnosis, many years after treatment has

:58:37.:58:39.

finished. The all-party group on finished. The all-party group on

:58:40.:58:42.

cancer has a proud record of successfully campaigning on a number

:58:43.:58:48.

of issues, just two days ago, we held our annual Britain against

:58:49.:58:53.

cancer conference in Central Hall. One of the largest cancer confidence

:58:54.:58:56.

in the UK. On the heart of this group, I want to on my thanks to all

:58:57.:59:04.

the contributors, including the Minister and the Shadow Health

:59:05.:59:07.

Secretary of State for their contributions. Delegates very much

:59:08.:59:11.

appreciated everybody's input. The last two years have seen significant

:59:12.:59:16.

developments in cancer policy. In July 2015, the independent cancer

:59:17.:59:17.

task force published the England task force published the England

:59:18.:59:22.

cancer strategy. Since we last debated this issue in November last

:59:23.:59:26.

year, NHS England have published that England cancer strategy

:59:27.:59:31.

implementation plan. Setting out how they will roll out the 96

:59:32.:59:37.

recommendations of the strategy. More recently, we have seen the

:59:38.:59:40.

publication of the cancer transformation board's progress

:59:41.:59:45.

report outlining what steps NHS England has taken over the last year

:59:46.:59:49.

in implementing these recommendations across the country.

:59:50.:59:54.

Only last Friday, the office for National statistics published the

:59:55.:59:57.

latest one-year cancer survivor rate figures that those patients

:59:58.:00:01.

diagnosed in 2014 and followed up to 2015. As NHS England chief executive

:00:02.:00:10.

cancer conference this week, they cancer conference this week, they

:00:11.:00:13.

showed the dramatic improvement in patient outcomes that have been

:00:14.:00:16.

achieved over the last 20 years. This is something to be celebrated.

:00:17.:00:22.

But there is still much more to do. The all-party group has been active

:00:23.:00:26.

in monitoring progress on the England cancer strategy, holding a

:00:27.:00:30.

short inquiry early in the year to assess progress. We concluded that

:00:31.:00:33.

positive progress is being made but there is still much more to do to

:00:34.:00:38.

realise that the ambition of the England cancer strategy. Having

:00:39.:00:42.

taking evidence from a very wide range of people, we made a number of

:00:43.:00:46.

recommendations which I will do is to highlight some of the key themes

:00:47.:00:51.

that emerged from the inquiry. The first key recommendation of our

:00:52.:00:55.

inquiry report focus on the need for greater clarity on funding for all

:00:56.:01:00.

the 96 recommendations of the England cancer strategy. So it was

:01:01.:01:04.

positive to see more detail in the cancer transformation board's

:01:05.:01:08.

progress report. It set up the funding available per year for the

:01:09.:01:11.

next four years. I'd very much welcome the announcement by Simon

:01:12.:01:16.

Stephens this week that Britain against cancer conference, they will

:01:17.:01:26.

be able to bid for funding in early diagnosis, care for people living

:01:27.:01:30.

with cancer and cancer after treatment. This is very good news. I

:01:31.:01:33.

look forward to getting further clarity on how the old funding

:01:34.:01:39.

package set out in the progress report will be allocated across the

:01:40.:01:44.

cancer strategy's recommendations. This is particularly important given

:01:45.:01:48.

the lack of clarity around cancer funding to date. The estimates for

:01:49.:01:51.

the total amount spent on cancer care in the NHS per newly diagnosed

:01:52.:01:59.

patient had not been published beyond 2012, 20 13. And this has

:02:00.:02:03.

been described as a significant data gap when it comes to evaluating the

:02:04.:02:07.

cost and efficiency of cancer care. So will the Minister today commit to

:02:08.:02:12.

publishing an update on these figures in the House of Commons

:02:13.:02:18.

library at the earliest opportunity? Alongside funding, another

:02:19.:02:21.

recommendation and concern that was raised by stakeholders in our

:02:22.:02:26.

inquiry was around the need for further transparency on how the

:02:27.:02:30.

cancer strategy is being delivered, what the priorities are and who is

:02:31.:02:34.

responsible for delivering key recommendations. Again, the progress

:02:35.:02:37.

report from the cancer transformation board went some way

:02:38.:02:41.

to address this concern. However, that detail around how the strategy

:02:42.:02:44.

is being delivered, critically the membership, in terms of reference

:02:45.:02:48.

for the six oversight groups, tasked with overseeing delivery is vital to

:02:49.:02:54.

ensure the wider cancer community is properly engaged. We also heard from

:02:55.:02:58.

on how the delivery of on how the delivery of

:02:59.:03:00.

recommendations will be monitored at recommendations will be monitored at

:03:01.:03:06.

her local level. One of the things that I was shocked at in the debate

:03:07.:03:12.

in ovarian cancer is to find out part of the country where it is not

:03:13.:03:19.

routinely affordable for people who are suspected of ovarian cancer and

:03:20.:03:23.

I have also had letters from a number of constituents who say that

:03:24.:03:28.

they are unable to get access to drugs which help prevent breast

:03:29.:03:35.

cancer and I am wondering whether the all-party group came up with

:03:36.:03:41.

some recommendations about trying to ensure that where ever you live, you

:03:42.:03:45.

get the best possible cancer prevention and care? Because at the

:03:46.:03:51.

moment, there clearly is not a universal provision of these

:03:52.:03:55.

important diagnostic tests and drugs. My honourable friend bank

:03:56.:04:01.

support point about equal access across the country and that is

:04:02.:04:05.

something that we are all concerned about and focused on. It is positive

:04:06.:04:09.

to hear that the 16 cancer analyses have been established and the NHS

:04:10.:04:13.

England will be publishing further guidance for alliances to help them

:04:14.:04:17.

develop their plans to deliver the cancer strategy locally. But if they

:04:18.:04:22.

are to monitor the rate delivery of this strategy, it is vital they have

:04:23.:04:25.

the resources to do this effectively. An issue that was

:04:26.:04:30.

raised is around workforce, I believe most people agree with me

:04:31.:04:35.

when I say that our NHS workforce is under great strain. The council

:04:36.:04:38.

workforce is experiencing significant gaps in key areas

:04:39.:04:44.

including radiotherapy and clinical nurse specialist, for example,

:04:45.:04:48.

Anthony Nolan highlights the access to post transplant clinical nurse

:04:49.:04:52.

specialist is inconsistent across the country. At the same time,

:04:53.:04:57.

demand is growing and cancer is becoming more complex as patients

:04:58.:05:03.

often have multiple Kobe disease. If these source address, workforce

:05:04.:05:07.

pressures will have a severe effect on cancer services. Another area of

:05:08.:05:11.

growing need for cancer patients is access to timely and appropriate

:05:12.:05:15.

mental health support which, if achieved, can the pressures on other

:05:16.:05:19.

parts of the health service. The all-party group welcomed the

:05:20.:05:21.

recommendations of the strategy which said that health education

:05:22.:05:25.

England would deliver issues you to review at the council workforce by

:05:26.:05:29.

March 20 17. The all-party group are grateful to Professor Ian Cumming

:05:30.:05:35.

for meeting with earlier this year. However, we have strong concerns

:05:36.:05:38.

about progress on this crucial piece of work. Although we are aware that

:05:39.:05:42.

the baseline report of the current council workforce has been produced,

:05:43.:05:46.

has not yet been published and there is currently little detail on how

:05:47.:05:51.

health education England are planning to keep up the strategic

:05:52.:05:55.

review. We also not aware of any plans from health education England

:05:56.:05:59.

to engage with the sector on the strategic review and continue to be

:06:00.:06:03.

concerned by the lack of transparency and involvement of the

:06:04.:06:08.

wider sector. We were pleased to see reference to this strategic review

:06:09.:06:11.

of workforce in the Department of Health's maybe two AG, -- mandate to

:06:12.:06:21.

ADE. Will they hold to account on this recommendation? Diagnosing

:06:22.:06:25.

cancer earlier improves survival rates and the all-party group

:06:26.:06:30.

believes that focusing on, indicators such as the survival rate

:06:31.:06:34.

is crucial in driving progress in this area. Having the one year

:06:35.:06:37.

survival rate is crucial in driving progress in this area. Having the

:06:38.:06:43.

one-year assessment framework, it is very much welcomed by the all-party

:06:44.:06:48.

group who have long campaigned for this to happen. Since then, the

:06:49.:06:50.

all-party group of continue to all-party group of continue to

:06:51.:06:54.

champion the scores and earlier this year, we were the first to

:06:55.:06:56.

congratulate them recognise those clinical mission groups who had

:06:57.:07:00.

improved their one-year cancer survival figures at our annual,

:07:01.:07:06.

reception. It was music to our ears to hear Simon Stephens at this

:07:07.:07:11.

week's Britain cancer conference that the commit NHS England to

:07:12.:07:14.

increasing its efforts on diagnosing cancer earlier. The latest one-year

:07:15.:07:19.

cancer survival rates were published and we were pleased to see an

:07:20.:07:22.

improvement with the average one-year cancer survival rate in

:07:23.:07:29.

England standing at 17.4%. However, incremental improvements are not

:07:30.:07:31.

enough to match our neighbours in Europe and across the world. With

:07:32.:07:35.

figures below the standard asset in countries such as Sweden which has a

:07:36.:07:40.

one-year survival right at 82%. -- 70.4%. I am completely aware of the

:07:41.:07:56.

diagnosing cancer Valley. -- early. Difficulty in early diagnosis is one

:07:57.:08:00.

of the reasons why the outcome to pancreatic cancer have not improved

:08:01.:08:06.

over those 40 years. 74% of patients across the UK cannot name a single

:08:07.:08:11.

symptom of pancreatic cancer so there is a need for further cancer

:08:12.:08:17.

awareness campaigns to improve the outcomes for these. Cancers as well

:08:18.:08:20.

as further research into better diagnostic in these areas. Cancer

:08:21.:08:27.

campaigns have been very effective but as blood wise points out, we

:08:28.:08:31.

need further thought on how the NHS can work closely with cancer

:08:32.:08:33.

charities and patient organisations to increase awareness of cancers

:08:34.:08:39.

with nonspecific symptoms such as blood cancers. I charity were that

:08:40.:08:47.

early diagnosis of lung cancer dramatically improves patient

:08:48.:08:51.

outcomes, the biggest cancer killer. In some countries, screening for

:08:52.:08:55.

lung cancer is being interviews with positive outcomes, should we

:08:56.:08:58.

actively considered that here. It is worth pausing to recognise the

:08:59.:09:02.

excellent work that public health campaigns have played in fighting

:09:03.:09:05.

cancer. Since the smoking ban was introduced nearly ten years ago, the

:09:06.:09:08.

number of adult smokers in the UK has dropped by 1 million. Smoking

:09:09.:09:15.

cessation is still the most effective cancer strategy and when

:09:16.:09:21.

local, far under pressure, it does not lead to reductions in public

:09:22.:09:25.

game with long-term negative health game with long-term negative health

:09:26.:09:29.

consequence and associated costs. And as Cancer research have already

:09:30.:09:34.

made clear, the Government must publish the Tobacco control strategy

:09:35.:09:35.

without delay. You to recommendation is a theme of

:09:36.:09:46.

patient organisations within the current committee in implementation

:09:47.:09:49.

of the cancer strategy across England. This recommendation is

:09:50.:09:55.

supported by other groups, such as Cancer campaigning groups who noted

:09:56.:09:58.

in recent reports that both camps of transformation board and the

:09:59.:10:05.

National advisory group should combine expertise and involve

:10:06.:10:09.

patients in delivery. This is pertinent in relation to people with

:10:10.:10:14.

a rarer or less common cancers, many of which are childhood and teenage

:10:15.:10:19.

cancers. The all-party group were concerned when the cancer

:10:20.:10:22.

transformation board's implementation plan did not

:10:23.:10:24.

highlight rarer cancers specifically. We know that rarer

:10:25.:10:32.

cancers, particularly with vague symptoms, tend to be diagnosed

:10:33.:10:38.

later, with many going on to the emergency presentation, not only

:10:39.:10:43.

impacting survival but also poor patient experience. And many with

:10:44.:10:47.

rarer cancers, particularly blood cancers, can live with their

:10:48.:10:51.

condition for many years and it is vital that provision to support

:10:52.:10:54.

people living with and beyond cancer, such as the recovery

:10:55.:10:59.

package, take consideration of the needs of these patients. Whilst many

:11:00.:11:03.

recommendations in the cancer strategy will go some way to address

:11:04.:11:07.

this, it is vital that NHS England readings are strong focus on this

:11:08.:11:14.

group. What instructions has the Minister had with NHS England about

:11:15.:11:18.

ensuring organisations across the cancer community are involved in

:11:19.:11:23.

delivery of the cancer strategy? Currently, cancer medicines,

:11:24.:11:27.

including for rare cancers, Ira praised by NICE to allow for

:11:28.:11:35.

recommendation to be given at time of licence. But that current NICE

:11:36.:11:40.

methodology and process is not suitable for assessing treatments

:11:41.:11:43.

for rarer cancers and that the one size fits all model adopted by NICE

:11:44.:11:48.

could result in patients with rarer cancers losing out on access to

:11:49.:11:52.

treatments that patients in other developed countries are able to

:11:53.:11:56.

access. That is an ongoing joint consultation from NICE and NHS

:11:57.:12:02.

England incorporating changes to highly specialised technology

:12:03.:12:07.

appraisal, introducing affordability assessment and creating the fast

:12:08.:12:10.

track good for highly effective drugs. But consultation does not

:12:11.:12:14.

address or acknowledge any specific recommendations for the assessment

:12:15.:12:19.

or treatment for rarer cancers. This has been raised by the transaction

:12:20.:12:23.

unity as a concerned that make these available treatments vulnerable to

:12:24.:12:28.

always falling through the net. Can the Minister say what is the plan to

:12:29.:12:36.

ensure that NICE process and methodology incorporates the limited

:12:37.:12:40.

patient numbers for NI cancers, rather than applying the same

:12:41.:12:44.

process irrespective of the rarity of the cancer? And what additional

:12:45.:12:49.

flexible and he will be applied to NICE criteria when assessing rare

:12:50.:12:55.

cancers to account for inevitable uncertainties in clinical data? To

:12:56.:12:59.

summarise, it is important to recognise the progress being made in

:13:00.:13:04.

implementing the cancer strategy one year on but there is much more to do

:13:05.:13:09.

and, together, properly supported by government, the cancer community is

:13:10.:13:12.

willing and eager to deliver those better outcomes that would mean we

:13:13.:13:16.

are not just closing the gap on those better performing health

:13:17.:13:18.

nations but beginning to lead the way.

:13:19.:13:24.

The question is considering the cancer strategy one year on.

:13:25.:13:29.

Thank you very much for calling me early in this debate. May I express

:13:30.:13:37.

my sincere thanks to the honourable member, the gentleman from

:13:38.:13:44.

Scunthorpe, and also my honourable friend, the member for Basildon and

:13:45.:13:48.

Billericay, and I joined the whole House in sending best wishes to his

:13:49.:13:55.

wife at a very difficult time. Can I also paid tribute to the Backbench

:13:56.:14:02.

Business Committee for allowing time for what I think is a vital debate

:14:03.:14:07.

about the cancer strategy, now that it is almost 18 months since it was

:14:08.:14:16.

published in July last year. Mr Deputy Speaker, I am going to

:14:17.:14:23.

confine my remarks and hopefully be concise to address the issue of

:14:24.:14:30.

blood cancers in today's debate. There are 137 different types of

:14:31.:14:34.

blood cancer. Although many of them are not well understood by the

:14:35.:14:42.

general public and awareness is relatively low. Indeed blood cancers

:14:43.:14:49.

are the fifth most common type of cancer that people are diagnosed

:14:50.:14:52.

with in this country. And sadly, it is the third biggest killer and

:14:53.:15:01.

therefore I think it doesn't deserve much greater awareness and

:15:02.:15:11.

understanding and further efforts by the Department of Health and the

:15:12.:15:14.

National Health Service to ensure that patients who are diagnosed and

:15:15.:15:21.

their families are properly supported, and I thank the

:15:22.:15:25.

honourable member for Scunthorpe for raising that issue in his opening

:15:26.:15:37.

remarks. Mr Deputy Speaker, I was initially very unaware of the issue

:15:38.:15:40.

of blood cancer. My knowledge was relatively vague. That was until

:15:41.:15:50.

midway through 2012, when, after only a few weeks of being ill with

:15:51.:15:57.

flu-like symptoms, my mother was diagnosed with acute myeloid

:15:58.:16:05.

leukaemia, and within 24 hours of diagnosis, unfortunately, passed

:16:06.:16:12.

away. Sadly, this experience has been revisited on my office, with

:16:13.:16:18.

one of my employees, Tom, who also works with the honourable member for

:16:19.:16:22.

Walsham, find out just last month, just weeks ago, but his mother

:16:23.:16:29.

unfortunately has been diagnosed with leukaemia. I know the House

:16:30.:16:33.

will join me in sending our best wishes to her and to her family. It

:16:34.:16:43.

is often the fact that the issue of blood cancers comes thundering into

:16:44.:16:50.

people's lives unexpectedly. Because it doesn't perhaps have the same

:16:51.:16:56.

profile but solid tumour cancers do, and indeed, I mentioned my mother's

:16:57.:17:02.

experience of being ill for a short period of time and being diagnosed

:17:03.:17:09.

very late. Unfortunately, the National Cancer patient experience

:17:10.:17:14.

survey has shown that a third of those who are diagnosed with blood

:17:15.:17:21.

cancers have gone to see their GP twice before finally getting that

:17:22.:17:28.

diagnosis, because, again, of the lack of awareness. So I promised

:17:29.:17:35.

that I would be concise in my remarks and I just wanted to

:17:36.:17:40.

conclude by mentioning, as far as efforts here in Parliament, I'm

:17:41.:17:46.

pleased that, just for the summer recess -- just before, I was able to

:17:47.:17:54.

help with other members to establish the all-party parliamentary group on

:17:55.:17:59.

blood cancer and I'm delighted to see my honourable friend, the member

:18:00.:18:05.

for Strangford, in his place, who is very key member of that

:18:06.:18:09.

parliamentary group. We are seeking to raise awareness and I would like

:18:10.:18:16.

to put on the record mice and see a thanks to the speaker for a loving

:18:17.:18:25.

blood -- for a loving one cancer charity to hold an awareness event

:18:26.:18:31.

in the speaker's Apartments in September. -- for allowing. I know

:18:32.:18:39.

the Minister is very diligent and works very hard on these issues and

:18:40.:18:46.

has been kind and generous to me in responding to health concerns in the

:18:47.:18:50.

short time that he has held his well-deserved position. I would be

:18:51.:18:55.

grateful if the issue of blood cancers can be specifically

:18:56.:18:59.

addressed, so that the patient pathway and the patient experience

:19:00.:19:03.

can be improved, both in terms of general awareness, in terms of

:19:04.:19:09.

diagnosis and, of course, in terms of the sort of treatment and care

:19:10.:19:14.

with which those patients need in our national health Service. Thank

:19:15.:19:21.

you. Jim Fitzpatrick. It is an honour to follow the

:19:22.:19:27.

honourable gentleman for Crawley. He makes a strong case on blood

:19:28.:19:33.

cancers. I suspect his honourable friend will respond to his remarks

:19:34.:19:38.

later on. Can I give congratulations to my honourable friend from

:19:39.:19:42.

Scunthorpe for opening this debate and to him and his colleague from

:19:43.:19:47.

the all-party group from Basildon and Billericay and for securing the

:19:48.:19:51.

debate and I echo the honourable gentleman from Crawley's comments

:19:52.:19:56.

about wishing his honourable friend's wife and family well in the

:19:57.:20:01.

treatment that they are undertaking for that which they are suffering

:20:02.:20:05.

from the moment. I wasn't intending to speak in this debate, but I've

:20:06.:20:10.

got a couple of briefings from action on smoking and from Cancer

:20:11.:20:20.

Research UK and the British Lung Foundation. I thought there were

:20:21.:20:24.

some points that they were raising which would be appropriate to

:20:25.:20:30.

reinforce and to make. And checking that there was not massive pressure

:20:31.:20:35.

on time, the ability to make the points that would be possible were I

:20:36.:20:42.

to catch eye, and I am grateful for being called. Thank you to Deborah

:20:43.:20:52.

are not from Action on Smoking for their briefings. I have had cancer

:20:53.:21:00.

norm removed from my face. Biopsies on all of them were benign. --

:21:01.:21:05.

cancer melanoma is removed from my face. I was told to protect my

:21:06.:21:12.

Scottish features from the sun and ultraviolet which is even more

:21:13.:21:18.

worrying and, being married to a doctor, I always take careful notice

:21:19.:21:22.

of any clinical advice that I am given, at the risk of being

:21:23.:21:26.

criticised for not listening to those who are more intelligent and

:21:27.:21:32.

better qualified than me. I should say thanks to the good doctors from

:21:33.:21:37.

the Aberfeldy health centre and the dermatology department of the Royal

:21:38.:21:41.

London Hospital for their assistance in detecting me. First of all, if I

:21:42.:21:48.

refer to the briefing, I will start with the bad news, because of the

:21:49.:21:55.

briefings that I received had many positive things to say about the

:21:56.:22:02.

government strategy on cancer and the member for Scunthorpe in his

:22:03.:22:05.

opening remarks on the whole was very positive, but clearly questions

:22:06.:22:10.

to be asked and I will be asking some of the same questions, but more

:22:11.:22:15.

in support of that which the government and clinicians of NHS

:22:16.:22:17.

England are trying to achieve, rather than being criticisms. The

:22:18.:22:26.

briefing from Action on Smoking op games with the cancer Chatterjee

:22:27.:22:32.

from 2015-2020 recommends the Tobacco control plan. -- begins with

:22:33.:22:41.

the cancer strategy. If a target could have been met, and the target

:22:42.:22:45.

would have been published in July 2016, but six months on, and one

:22:46.:22:49.

year since the last Tobacco control plan expired that is still no plan,

:22:50.:22:54.

a major criticism that I have picked up in the briefings I have seen.

:22:55.:22:59.

Those go on to say that previous control plans achieved its ambitions

:23:00.:23:08.

to reduce smoking rates, it fell from 21.2% in adults to 18.5%. And

:23:09.:23:15.

months pregnant women from 12% to 11% or less. And asking the

:23:16.:23:20.

government must publish a new plan to build on this progress. I

:23:21.:23:27.

apologise if the plan has been published. But from the member of

:23:28.:23:35.

Scunthorpe's comments, it has not been published. So when will it be

:23:36.:23:39.

published? I would be grateful if the Minister can give encouragement

:23:40.:23:44.

that it is due sometime soon. The data shows how sex is for the

:23:45.:23:47.

previous plan was at cutting the numbers of smokers -- how successful

:23:48.:23:54.

the previous plan was. And also reducing nonsmokers, especially

:23:55.:24:01.

children, to second-hand smoke. I was a smoker, having started in my

:24:02.:24:08.

early teens, giving up on the 4th of November, 1980. In fact I remember

:24:09.:24:11.

the minutes, it does not indicate the fight that I missed it, but I

:24:12.:24:17.

remember the minute because the panorama programme highlighted the

:24:18.:24:24.

legs of each app that was in a wheelchair and it said the poor

:24:25.:24:27.

gentleman had suffered thrombosis in both legs and had amputations in

:24:28.:24:33.

both legs, and by the time it got to his face, he was still smoking

:24:34.:24:37.

cigarettes. My Ben wife was pregnant at the time and it seemed sensible,

:24:38.:24:44.

having tried 18 months previously and having given up for six months,

:24:45.:24:49.

but then burned my hand badly in a fire under first thing I asked for

:24:50.:24:54.

as I was taken to hospital after six of cigarettes was to be given a

:24:55.:24:58.

cigarette and it took me 18 months to get back off of them, but I

:24:59.:25:00.

managed to quit. When I joined the London Fire

:25:01.:25:10.

Brigade two thirds of the men smoke, and 20 years later two thirds of

:25:11.:25:13.

firefighters didn't smoke and that demonstrated the changing attitudes

:25:14.:25:18.

in the services but it reflected the same change in attitudes in society

:25:19.:25:23.

towards smoking, and of course all of the positive policies about no

:25:24.:25:27.

smoking in public buildings etc have demonstrated that we are a

:25:28.:25:30.

completely different society than we were 30 or 40 years ago. On a new

:25:31.:25:37.

plan for Tobacco control, which obviously we hope will be published

:25:38.:25:41.

shortly, I would be grateful if the minister even ahead of publication

:25:42.:25:45.

could share his thoughts on what targets for reducing adult smoking

:25:46.:25:51.

numbers we might be able to expect from 2020 onwards and what budget

:25:52.:25:55.

might be set aside for mass media campaigns and what support might be

:25:56.:26:01.

available for stop smoking services which reduce health inequalities,

:26:02.:26:04.

because most of the people who access the stop smoking services are

:26:05.:26:09.

from more deprived communities. And therefore that would help many of my

:26:10.:26:13.

constituents out, very appropriately. The last plan clearly

:26:14.:26:19.

work, Mr Deputy Speaker, and we need a new one. From Cancer UK's

:26:20.:26:25.

grieving, the key points from the briefing says that if the strategy

:26:26.:26:28.

is implemented in full it is estimated that 2000 more lives could

:26:29.:26:35.

be saved per year by 2020, at 11,000 of those lives would be saved

:26:36.:26:39.

through improvements to early diagnosis, one of the very strong

:26:40.:26:41.

points that my honourable friend from Scunthorpe was making. They can

:26:42.:26:47.

tell you that however they had not seen progress needed on the plan,

:26:48.:26:53.

they say that in prevention and four in ten cancers are preventable, they

:26:54.:26:58.

say that we need a radical upgrade in prevention to insure future

:26:59.:27:03.

sustainability in the NHS and reduce cancer incidence, and everyone --

:27:04.:27:09.

and they want the government to publish the Tobacco control the same

:27:10.:27:12.

as Ash does without further delay at the want the government to extend

:27:13.:27:18.

existing junk food and TV marketing restrictions to the 9pm watershed to

:27:19.:27:22.

reduce children's exposure to marketing by more than half. They

:27:23.:27:27.

say urgent action needs to be taken to ensure the NHS Cancer workforces

:27:28.:27:30.

adequately equipped to deal with rising demand and improving care and

:27:31.:27:35.

they welcome the commitment to increase the spent on diagnostics by

:27:36.:27:41.

up to an additional ?300 million by 2020 but seek clarity over how this

:27:42.:27:44.

is going to be allocated and used in local areas to improve diagnosis. In

:27:45.:27:51.

addition the National diagnostic capacity funding must also be

:27:52.:27:54.

continued, a point raised by my honourable friend. And they say,

:27:55.:28:01.

also, that cancer waiting time targets are being consistently

:28:02.:28:05.

missed, suggesting that there are still thousands of people not having

:28:06.:28:11.

the tests that they need in time. As I said earlier, there is also a lot

:28:12.:28:14.

of positive comments that have been made a Cancer Research UK, Mr Deputy

:28:15.:28:21.

Speaker, they say that in terms of the government progress in

:28:22.:28:25.

fermentation then the welcome the appointment of Calais parlour as

:28:26.:28:27.

National Cancer Director Chris Harrison as National clinical --

:28:28.:28:32.

national clinical director. They welcome the priorities that have

:28:33.:28:36.

been given to earlier diagnosis in the first year and commitment to

:28:37.:28:41.

invest more, and the welcome NHS England's reposed investment of 130

:28:42.:28:47.

million for over 100 new -- 100 replacements or upgrades of

:28:48.:28:52.

radiotherapy machines. They say that replacing the machines will mean

:28:53.:28:54.

that more patients can access the innovative radiotherapy which plays

:28:55.:28:59.

a vital role in curing cancer, slowing the growth of tumours and

:29:00.:29:02.

improving the quality of life in cancer patients.

:29:03.:29:06.

The final question from Cancer Research UK is the one about the

:29:07.:29:11.

government's commitment on the ?300 million raised by my honourable

:29:12.:29:17.

friend by 2020 to improve diagnostic capacity, they are asking for

:29:18.:29:20.

clarification of how this money is going to be allocated and used in

:29:21.:29:24.

local areas, and how it is going to be evaluated. So, in conclusion, Mr

:29:25.:29:32.

Deputy Speaker, as I said in the beginning, not only is not all of

:29:33.:29:36.

the comments from these respected organisations critical of government

:29:37.:29:40.

policy, it is actually confirmatory about government policy and its

:29:41.:29:46.

approach apart from the absence of the Tobacco control plan, which is a

:29:47.:29:50.

key absence which has been highlighted by all the charities and

:29:51.:29:56.

receptor organisations concerned, but there are lots of positive

:29:57.:29:58.

comments and I want to reinforce that to the minister because this is

:29:59.:30:03.

not about the opposition being critical of government, there are

:30:04.:30:05.

lots of great and positive stories in there. As my honourable friend

:30:06.:30:11.

from Scunthorpe raised and as I have raised on behalf of Cancer Research

:30:12.:30:16.

UK and Ash, there are a number of questions that we would like answers

:30:17.:30:19.

from, and if the minister is not in a position to do so today then

:30:20.:30:22.

obviously it would be very welcome if he could ask his officials to

:30:23.:30:25.

write to those involved in the debate with additional information

:30:26.:30:30.

in due course and I look forward to my honourable friend the Shadow

:30:31.:30:33.

minister and the Minister's comments in response to this debate. I am

:30:34.:30:40.

most grateful to be called in this important debate about was listening

:30:41.:30:42.

with great interest to the honourable gentleman from Poplar

:30:43.:30:47.

talking about his experiences of smoking and may I tell him that I

:30:48.:30:53.

know when I give up smoking, it was before a particular flight on a

:30:54.:30:55.

Parliament delegation back from Bahrain nearly 15 years ago, and I

:30:56.:31:02.

have never looked back. One of the drivers in making me give up smoking

:31:03.:31:08.

was a conversation I had with my honourable friend a member of the

:31:09.:31:12.

opposition, now Lord Bradley, who was a member for with an sure. And

:31:13.:31:17.

like the honourable gentleman from Poplar I remember smoking in this

:31:18.:31:20.

house, I remember smoking in committee rooms, I remember liking

:31:21.:31:23.

up in a standing committee and the reprimanded. The honourable

:31:24.:31:30.

gentleman Mr Deputy Speaker, I offered him a cigarette, we were in

:31:31.:31:35.

the tedium and you could smoke anywhere. He said, no thanks. I've

:31:36.:31:44.

got an emphysema hospital in my constituency, I've got an emphysema

:31:45.:31:48.

hospital in my constituency, and that really, really hit home. The

:31:49.:31:53.

honourable gentleman for Scunthorpe is nodding. I pay tribute to him. He

:31:54.:32:00.

was at the Cancer conference Britain against cancer on Tuesday, which I

:32:01.:32:05.

attended as an officer of the all-party Cancer group. He has

:32:06.:32:09.

served on that group much longer than I have and he chaired that

:32:10.:32:12.

meeting in the absence of our honourable friend the member from

:32:13.:32:16.

Billericay who are the members have paid tribute to and of course to his

:32:17.:32:22.

wife, who is undergoing treatment at the moment. I would like to see what

:32:23.:32:26.

a great job I think my honourable friend from Billericay has done on

:32:27.:32:28.

our side of the house in driving this agenda and it just shows that

:32:29.:32:32.

if you follow something you believe in here you can get dramatic

:32:33.:32:37.

results. And those two Matic results were clearly illustrated I thought

:32:38.:32:43.

-- and those dramatic results were clearly illustrated, and I always

:32:44.:32:47.

think you should be able to point something out that is better than

:32:48.:32:51.

just a word the phrasing report, Simon Stephens said in 1999, 60% of

:32:52.:32:59.

cancer patients survived, in 2014 it is 70%. And then we went over some

:33:00.:33:06.

of those figures. I thought those were truly remarkable figures.

:33:07.:33:12.

Really very, very encouraging. Mr Deputy Speaker, I want to focus on

:33:13.:33:19.

something else that Simon Stephens said, which the honourable member of

:33:20.:33:22.

the gentleman from Scunthorpe as alluded to. This is the ?200 million

:33:23.:33:26.

funding that he announced at that conference. He said, the ?200

:33:27.:33:33.

million fund has been set up to encourage full areas to find new and

:33:34.:33:38.

innovative ways to diagnose cancer earlier and improve the care for

:33:39.:33:41.

those living with cancer and ensure that each cancer patient gets the

:33:42.:33:48.

right care for them. And that includes after-care treatment, what

:33:49.:33:58.

do you do when a patient has had chemotherapy and there is nothing

:33:59.:34:01.

else there? They haven't been given any other options, they feel

:34:02.:34:04.

depressed, and unhappy. And that is really where my main experience in

:34:05.:34:09.

this house working in integrated health care, holistic medicine, I

:34:10.:34:15.

suppose as an officer of the all-party group for integrated

:34:16.:34:20.

health care, the confirmatory medicine group, I have been either

:34:21.:34:27.

group for nearly 30 years. It feels almost as if our time has come and

:34:28.:34:35.

that it is now being clearly recognise that part of the cancer

:34:36.:34:41.

package is a wide range of support and you can see this all over the

:34:42.:34:47.

country, I was at la Ross last Friday week which is the, or people

:34:48.:34:57.

who are very, very ill get, in Leicestershire, for the last two

:34:58.:35:00.

days. There were in individual therapies being offered there. Not

:35:01.:35:05.

just in my constituency but in many others. But going back to the

:35:06.:35:10.

conference, and the honourable gentle and now he has been promoted

:35:11.:35:15.

to the front bench,... That is the great thing about the opposition,

:35:16.:35:18.

the front bench changes so quickly you can never be sure about any

:35:19.:35:22.

honourable gentlemen are. I remember advice given to me was always to sit

:35:23.:35:30.

in the same place in the house. So the speaker knew where you are. It

:35:31.:35:33.

is a wonder in that case that any members of the other side get cold

:35:34.:35:36.

at all because they are always moving around the benches. The

:35:37.:35:41.

honourable gentleman has clearly been made up this afternoon and

:35:42.:35:47.

congratulations to that. Mr Deputy Speaker, one of the battles I have

:35:48.:35:52.

had over the years, and good afternoon Madam Deputy Speaker, has

:35:53.:35:54.

been with the medical establishment over what should be included in

:35:55.:36:00.

treatments in the health service. It has been an ongoing battle against

:36:01.:36:05.

vested interest in the medical establishment, which you don't want

:36:06.:36:08.

to see, money making from their own particular silos. This is all down

:36:09.:36:14.

to scarce resources. One of the most interesting stalls in the cancer,

:36:15.:36:23.

Britain against Cancer conference on Tuesday was this one. Cancer

:36:24.:36:30.

detection dogs. You rearm. Cancer detection dogs. Even I gasped when I

:36:31.:36:35.

saw it. -- here we are. The honourable lady who has also had

:36:36.:36:38.

experience with cancer has contributed so much in this house

:36:39.:36:43.

solely to cancer problems and she is nodding and smiling. The fact is

:36:44.:36:48.

Madam Deputy Speaker, the chances are we have dogs in this house, in

:36:49.:36:53.

one scene where and when they go to detect things that could and should

:36:54.:36:57.

have been -- could and should not have been placed here by people who

:36:58.:37:01.

do not agree with what we do. It is possible to use dogs to detect

:37:02.:37:05.

cancer. If it is possible to use dogs to detect cancer I suspect that

:37:06.:37:08.

the authorities in the health service have not run double-blind

:37:09.:37:12.

placebo-controlled trials to establish whether or not this

:37:13.:37:19.

procedure works. It works on the basis of experience, it works

:37:20.:37:22.

because the dogs are trained to detect by smell when people have

:37:23.:37:28.

developed cancer. And the great battle ground between orthodox

:37:29.:37:36.

medicine proponents, proponents of orthodox medicine, the battle line

:37:37.:37:41.

has been in recent years been drawn on something called evidence -based

:37:42.:37:45.

medicine. Where we are told that in the health service medicine should

:37:46.:37:50.

always be evidence -based and nothing should be used unless it

:37:51.:37:57.

meets the criteria. I had a look at this Mr Deputy Speaker, and it

:37:58.:38:04.

really goes back to something that Professor Sattar said, going back to

:38:05.:38:11.

1992, he made the statement and the other academics around with this,

:38:12.:38:21.

but what he also said, in saying how important evidence -based medicine

:38:22.:38:28.

was, he said, however, good doctors use both individual clinical

:38:29.:38:31.

expertise and the best available external evidence and neither alone

:38:32.:38:39.

is enough. Without clinical expertise, practice risks become

:38:40.:38:44.

tyrannised by evidence for even excellent external evidence may be

:38:45.:38:52.

inapplicable or inappropriate for an individual patient where with

:38:53.:38:58.

current best evidence practice risks becomes out of date and to the

:38:59.:39:01.

detriment of patients. Madam Deputy Speaker hit is hardly a secret that

:39:02.:39:04.

we were discussing Brexit in this house, yesterday, and that we have

:39:05.:39:09.

been very much involved in that debate since the summer. Many of us

:39:10.:39:15.

for a long time before that. But one of the problems that we have had in

:39:16.:39:19.

health care with the European Union has been the imposition of directors

:39:20.:39:26.

on the UK that have negatively impacted support services in health

:39:27.:39:31.

care. One of those measures Madam Deputy Speaker was the traditional

:39:32.:39:36.

herbal medicines directive which requires Chinese medical

:39:37.:39:39.

practitioners to show 30 years of usage in the UK or with a particular

:39:40.:39:48.

medicine or 15 years under other circumstances. And actually banned a

:39:49.:39:53.

whole range of complex preparations which are freely available in the

:39:54.:39:58.

People's Republic of China and produced to very high standards in

:39:59.:40:00.

modern factories in China. This chamber this, I was at a

:40:01.:40:10.

Chinese medical clinic, because I practice what I preach, getting

:40:11.:40:16.

acupuncture once a month, which I think has kept me away from

:40:17.:40:19.

antibiotics and steroids and a number of other drugs for a few

:40:20.:40:28.

years. I was talking to practitioners about what they were

:40:29.:40:32.

able to do about cancer patients. There was a long less of types of

:40:33.:40:37.

cancer that can be treated using traditional Chinese herbal

:40:38.:40:44.

medicines. One is cervical cancer, the second is non-Hodgkin's

:40:45.:40:52.

lymphoma, the third is HRV. The fourth is Colin cancer. Five is head

:40:53.:41:03.

and neck cancer. -- colon cancer. The list goes on. In my

:41:04.:41:09.

constituency, several constituents I believe are alive today because they

:41:10.:41:14.

have used Chinese medicine. And the reason for that is it strengthens

:41:15.:41:19.

your system. It strengthens the immune system. And it is very

:41:20.:41:28.

effective after cancer treatment. It deals with particular symptoms. I

:41:29.:41:32.

asked the practitioner this afternoon what conditions she would

:41:33.:41:36.

expect to be able to alleviate using Chinese herbal medicine. And

:41:37.:41:43.

acupuncture. She said tiredness, lack of energy, fevers, headaches,

:41:44.:41:47.

hypertension, dry skin, seizures and involuntary muscular twitching.

:41:48.:41:53.

Madame Deputy Speaker, we have got to broaden the scope of services

:41:54.:41:58.

that are available on the health service. To help meet patient

:41:59.:42:07.

demand, and I hope that we have this ?200 million fund that can mean a

:42:08.:42:14.

further widening of the scope of services available. My honourable

:42:15.:42:19.

friend on the front bench, who is new to his post, could do a lot

:42:20.:42:23.

worse than contact the head of the professional standards authority.

:42:24.:42:33.

That organisation oversees the regulation of 23 different health

:42:34.:42:41.

providers. I will not go down the list, but about 20,000 providers. If

:42:42.:42:51.

we go to the trouble of regulating, of having oversight of regulation,

:42:52.:42:56.

of different therapies, why don't we use them? What is the point of

:42:57.:43:00.

studies today regulations rejects the oversight and then we don't use

:43:01.:43:04.

the services? -- the point of statutory regulation. You could do

:43:05.:43:11.

worse than go around the country and look at some of the practices that

:43:12.:43:18.

are there, that help cancer patients who are in remission. One of the

:43:19.:43:28.

best is the South Wales Cancer centre, and each year it sees over

:43:29.:43:33.

5000 new referrals and around 50,000 outpatient appointments, employing

:43:34.:43:40.

over 670 staff on an annual budget of over ?49 million. That does not

:43:41.:43:49.

come from my honourable friend's department, but from charitable

:43:50.:43:52.

donations, but widely used by doctors. At that centre,

:43:53.:43:59.

reflexology, Reiki and healing, aromatherapy, breathing and

:44:00.:44:05.

relaxation techniques, all I used with spectacular results. And

:44:06.:44:08.

another wonderful clinic that my honourable friend could visit, it is

:44:09.:44:16.

a few stops on the district line, in full Long, it is called the breast

:44:17.:44:23.

Cancer Haven, using a whole range of therapies and I have attended the

:44:24.:44:28.

sessions. It is wonderful to see people suffering from breast cancer

:44:29.:44:34.

and other cancers given hope, and that chemotherapy is not the end of

:44:35.:44:37.

the road, that that is something out there to support them. Another

:44:38.:44:41.

wonderful organisation you should be aware of, who are at the cancer

:44:42.:44:49.

conference on Tuesday, is the living well with cancer organisation. They

:44:50.:44:57.

worked hard to produce a report on long-term impact on their LivingWell

:44:58.:45:12.

course. It shows a high approval rating for patients. 97% of patients

:45:13.:45:20.

reported making positive lifestyle changes after the LivingWell course.

:45:21.:45:26.

75% maintain positive changes made for four or five years, or still

:45:27.:45:30.

maintaining them. The LivingWell course had enabled them to self

:45:31.:45:42.

manage themselves. On the front bench, you will know that the

:45:43.:45:46.

patient choice, according to the Secretary of State, is at the centre

:45:47.:45:49.

of the health service. It is at the heart of it will stop if we are

:45:50.:45:54.

going to offer patients choice, we have to give them the provision out

:45:55.:46:03.

there to choose from. And speaking as a member on board the Health

:46:04.:46:11.

Committee at the science and to committee -- and the science

:46:12.:46:18.

committee, we looked at the complex problems in both those committees of

:46:19.:46:26.

polypharmacy and poly morbidity, which is jargon for too many drugs

:46:27.:46:30.

and not necessarily knowing what those do. We need to try to reduce

:46:31.:46:38.

that. One of the crises that we have in this country is the whole

:46:39.:46:47.

antibiotic resistance problem. We are just not getting antibiotics

:46:48.:46:51.

into the pipeline. Part of the problem of course is you are trying

:46:52.:46:57.

to create a new drug and then tried to reduce antibiotic use. That is

:46:58.:47:01.

part of the problem. But I there is a whole range of other therapies

:47:02.:47:07.

that can help patients. -- but out there. That can help patients stay

:47:08.:47:15.

away from antibiotics. I will not get caught on straying from this, I

:47:16.:47:19.

know this is a cancer debate, but there are a lot of alternative

:47:20.:47:25.

therapies. And I will get to the next one, homoeopathy, because they

:47:26.:47:35.

offer options because where running out of solutions in mainstream

:47:36.:47:41.

medicine. I have always championed homoeopathy in this House and I want

:47:42.:47:46.

to belated shtick lead to cancer. Wholemeal pasta not make claims to

:47:47.:47:49.

cure cancer but my goodness can help people. -- homoeopaths do not make

:47:50.:48:01.

claims. They can help with things like sleeplessness. One of the great

:48:02.:48:06.

tragedies at the moment in this country is that the tiny number of

:48:07.:48:10.

people who either guard at best as foolish and that worst as wicked are

:48:11.:48:19.

trying to erase the tiny sum of money, ?500 million, on homoeopathy

:48:20.:48:22.

in the health service, arguing it is a waste of money without looking at

:48:23.:48:27.

benefits. We are seeing pressure elsewhere on the institutions. What

:48:28.:48:34.

could be soldier put -- what could be so stupid to attack a medical

:48:35.:48:39.

system widely used in France, that voters fortified in Switzerland,

:48:40.:48:43.

used across the roles, in India, Brazil, all over the world, so what

:48:44.:48:50.

is the problem here? I was in Toulouse looking at petition if a

:48:51.:48:54.

space work recently, right in the middle of the main script is the

:48:55.:49:02.

homoeopathy chemists, many women using that service. We should not be

:49:03.:49:07.

bludgeoned by this tiny number of people who use legal threats and

:49:08.:49:13.

resist it. As now we have Simon Stevens coming up with new money for

:49:14.:49:20.

after cancer care. We need to look out of the box, look at new

:49:21.:49:27.

possibilities! Even the ones that are unorthodox! The cancer group,

:49:28.:49:31.

that I am officer of, I chaired a meeting the other day, healing

:49:32.:49:36.

anguished professors of medicine from this country -- I heard from

:49:37.:49:44.

anguished professors. There was talk of a mainstream treatment called

:49:45.:49:47.

target for breast cancer, about putting a small device that looks

:49:48.:49:57.

like a tangerine and the edge of a cricket stump into an incision in

:49:58.:50:03.

the chest and the chemotherapy treats the Juma and not the other

:50:04.:50:09.

organs in the chest. They see this as a great breakthrough that was

:50:10.:50:15.

invented in Britain. It is widely available in Europe. How could NICE

:50:16.:50:19.

have given this clearance? What is going on? Professors of medicine

:50:20.:50:24.

saying this is hugely important and we are not actually dealing with it.

:50:25.:50:32.

I would... I will give way. Thank you very much. On that

:50:33.:50:37.

particular point of targeted radiotherapy, I have spoken to those

:50:38.:50:42.

professors and understand where they are in the clearance process but I

:50:43.:50:46.

find it a little bit concerning when we have a lack of money in the

:50:47.:50:50.

system. Was he aware that is half a dozen machines that can deliver that

:50:51.:50:56.

targeted therapy around the country? Perhaps we need to look at what we

:50:57.:51:00.

do first, whether purchasing the machines or giving the clearance in

:51:01.:51:06.

full? She makes her point very well indeed. Simon Stevens, in his

:51:07.:51:11.

excellent presentation, talked about bringing new equipment onstream I

:51:12.:51:16.

think for radiography? The honourable lady was there. That is

:51:17.:51:20.

important but I agree with what you are saying. But we need to wake up

:51:21.:51:26.

to what is invented in Britain and being used across the world. I will

:51:27.:51:35.

wind up in the moment. But I want to finish off with a couple of other

:51:36.:51:39.

points. There are other treatments out there, which people turn to in

:51:40.:51:45.

desperation when reaching the end of their conventional treatment. One of

:51:46.:51:50.

them is oxygen therapy, broadly speaking getting more oxygen than

:51:51.:51:53.

normally and going into a container. It is not very expensive.

:51:54.:51:58.

Information I get is it produces spectacular results in terms of

:51:59.:52:02.

energising people and improving their sense of self-worth and

:52:03.:52:08.

well-being. The other point I want to make this afternoon, which I find

:52:09.:52:16.

frankly amazing, is that in the great cancer hospitals and clinics

:52:17.:52:19.

in this country diet is seen as a sideline. The diet is frankly

:52:20.:52:25.

appalling and some of these institutions and I'm not actually

:52:26.:52:29.

going to name any because I've got a big enough postbag and I don't want

:52:30.:52:35.

to hear the defence. But looking at the big clinics in America, such as

:52:36.:52:38.

the Mayo Clinic, you can say goodbye to Deary, sugar, hello to more

:52:39.:52:52.

juices, a whole range of ones using raw juices and vegetables. The diet

:52:53.:52:57.

is fundamental. I worked in the computer industry and be used to see

:52:58.:53:00.

garbage in, garbage out. The same applies here. The honourable

:53:01.:53:07.

gentleman does need the honour of laughing. It is true, and such a

:53:08.:53:14.

soft ball to hit. We are spending millions on these expensive

:53:15.:53:16.

treatments, what about telling people to cut back on sugar? But

:53:17.:53:22.

there we are. Madame Deputy Speaker, I have tried to address some of the

:53:23.:53:29.

issues following the landmark speech at the landmark conference on

:53:30.:53:35.

Tuesday. For the first time, we've seen a lot of money set aside for

:53:36.:53:40.

developing after-care inpatients and improving services around mainstream

:53:41.:53:49.

medicine. My honourable friend, the member, has a great opportunity to

:53:50.:53:52.

make his mark in this House. He is residing as the Minister in a

:53:53.:53:56.

department which is I think the fourth largest employer in the

:53:57.:54:02.

world, isn't it? I think the red Army comes top, McDonald's second, I

:54:03.:54:07.

think something like that, then another broker provider I expect his

:54:08.:54:10.

third, and the honourable gentleman precise over part of an organisation

:54:11.:54:16.

that is a vote. And he has enormous opportunities here, with his brief,

:54:17.:54:21.

to improve the quality of life of cancer patients in this country.

:54:22.:54:26.

By the time he has finished we should have gone not from 60% to 70%

:54:27.:54:35.

of cancer patients survival, his target should be 80%. Madam Deputy

:54:36.:54:42.

Speaker, I rest my case. Thank you Madam Deputy Speaker it is always a

:54:43.:54:46.

pleasure to speak on these issues and debates and first volcanic amend

:54:47.:54:50.

the honourable gentleman for Scunthorpe in his presentation. And

:54:51.:54:57.

we hope and pray that the wave of the honourable member from Dorothy

:54:58.:55:03.

gets much better. -- from Billericay. I dare say he will be

:55:04.:55:08.

watching this from afar but we hope that everything goes well for him.

:55:09.:55:13.

We also thank the back -- backbench committee, because of them we have

:55:14.:55:16.

this opportunity on a Thursday afternoon to be involved in this

:55:17.:55:21.

debate. As we are all aware, the latest figures provided by Macmillan

:55:22.:55:25.

indicates that by the end of this Parliament one out of two people

:55:26.:55:28.

will suffer from a form of cancer in their lives and it is a sobering

:55:29.:55:33.

thought that in this chamber, there are 12 in this chamber, that if you

:55:34.:55:37.

take 50% of those, technically speaking, according to the stats, we

:55:38.:55:40.

could be recipients of that in the next few years as well. That brings

:55:41.:55:45.

it into consideration. Could I also thank the honourable gentleman who

:55:46.:55:52.

is the chair of the APPG and -- on blood cancers chairs it very well.

:55:53.:55:59.

We thank him for setting up that APPG and we are all very grateful to

:56:00.:56:02.

work alongside him in his endeavour to help in this house.

:56:03.:56:06.

It is clear that in diagnosing and treating the disease we have more

:56:07.:56:12.

people surviving it and living for a longer with it, and consequently we

:56:13.:56:15.

have two and half million people living with beyond cancer in the UK.

:56:16.:56:20.

My dad was a survivor of cancer of the occasions. The honourable

:56:21.:56:24.

gentleman whose fault before we mentioned diet, and we have come to

:56:25.:56:27.

ignore diet because it is a factory can use. My dad had cancer is the

:56:28.:56:35.

died the year before last, and he survived its the Times and lived for

:56:36.:56:41.

some 30 years -- lived 38 years after he was diagnosed. He was very

:56:42.:56:45.

careful about his diet and I believe that was one of the factors, and the

:56:46.:56:49.

doctor told them to be careful with his diet but he survived for three

:56:50.:56:54.

things, for three reasons. First of all the skills of the surgeons at

:56:55.:56:58.

the operations, the care of the nurses and he's also a man of great

:56:59.:57:03.

faith so is the forgotten people was also very reported to him. The sheer

:57:04.:57:07.

scale of the problem of cancer demands are very coordinated the

:57:08.:57:14.

proactive, and ICT minister in this place and he knows that I hold them

:57:15.:57:18.

in the most respect. As the organ in this house. Everyone of us does. But

:57:19.:57:26.

we need to be able to cover everything. I am convinced that the

:57:27.:57:34.

Minister will come back with the response we hope to have. I say

:57:35.:57:38.

there is more that can and indeed must be done. We should perhaps, it

:57:39.:57:44.

would be remiss of us not to mention those charities we are all involved

:57:45.:57:49.

with. We all move on, my HUD, what work they do, action cancer,

:57:50.:57:58.

Macmillan, and we have also the chart groups as well. And the touch

:57:59.:58:07.

triggered my constituency has a cancer group that meets every

:58:08.:58:17.

Friday. -- and the church group. There is the issue of the NHS

:58:18.:58:22.

funding, this is an essential component in that Macmillan has said

:58:23.:58:25.

that around one in four people living with beyond cancer face

:58:26.:58:29.

disability or pro health following the treatment. This can remain the

:58:30.:58:32.

case for many years after treatment has ended and sometimes we should be

:58:33.:58:39.

looking at the care needs of those who have been survivors of cancer in

:58:40.:58:45.

the disability is that they then have to face at the lifestyle they

:58:46.:58:48.

have to face and head of families come to terms with that as well. It

:58:49.:58:52.

is vital that they are able to access the best care that is right

:58:53.:58:55.

for them, when they needed, and ensure that the NHS is set up to

:58:56.:58:59.

meet the changing needs of cancer patients. We need an NHS that

:59:00.:59:05.

evolves in response to the needs of patients. Not only would this

:59:06.:59:09.

increased the quality of survival but with ensure that the resources

:59:10.:59:13.

invested are done in the most efficient way. Perhaps we need to be

:59:14.:59:19.

in close cooperation with the cancer charities with patients to ensure

:59:20.:59:22.

the NHS can respond in the best way possible. Ensure that resources are

:59:23.:59:28.

invested in the most efficient way. This is the key for the five year

:59:29.:59:33.

for a few projections that say that cancer spending will have to grow by

:59:34.:59:37.

about 9% per year, which is 15 billion by 20 21. 13,000,000,020 21

:59:38.:59:43.

and an investment to the five-year forward view is what is required

:59:44.:59:48.

just to stand still. While the figures look good, I believe that

:59:49.:59:53.

the needs that are required would indicate that we have to look at

:59:54.:59:56.

those figures in the funding available. This level of spending is

:59:57.:00:01.

likely to be below average when compare with similar international

:00:02.:00:05.

health care systems. I know the honourable gentleman in his

:00:06.:00:08.

contribution referred to the international care and need for us

:00:09.:00:14.

to be batting above the position in the international stage and I think

:00:15.:00:17.

that is something that we should be doing. Therefore I believe that now

:00:18.:00:21.

is the time to ensure that money is spent as effectively as possible to

:00:22.:00:25.

give England and the United Kingdom including Northern Ireland a better

:00:26.:00:29.

chance to achieve world-class cancer outcomes and deliver the

:00:30.:00:31.

government's manifesto commitment. It is clear that we do need a

:00:32.:00:38.

greater funding of research, and well charities the wonderful job and

:00:39.:00:43.

we appreciate that very much, it is most certainly a government role

:00:44.:00:46.

that can be better fulfilled. I know that all members of this chamber

:00:47.:00:50.

have received the short-lived briefing which raised the issue and

:00:51.:00:56.

particularly its false to meet highly to the Minister that there

:00:57.:00:59.

are barriers to research and I want to make some comments if I can about

:01:00.:01:04.

the children's path of care. It is something that has caused all of our

:01:05.:01:08.

hearts, where we have children of our own and grandchildren, that was

:01:09.:01:14.

an important issues. Despite improving can -- survival rates,

:01:15.:01:17.

cancer is the leading cause of death in children teenagers and young

:01:18.:01:20.

adults. Survival is lower in teenagers and young adults than in

:01:21.:01:27.

children for several cancer types, including bone tumours and soft

:01:28.:01:31.

tissue sarcoma is. About 250 children lose their lives to cancer

:01:32.:01:40.

in the UK, so in teenagers and young adults cancer accounts for around

:01:41.:01:44.

300 deaths per year in the UK. I make a plea, Minister, for the path

:01:45.:01:50.

of children's palliative care and I'm sure the civil servants will be

:01:51.:01:54.

looking for some monster that a utility now what has been done and

:01:55.:01:59.

can I ask you what we doing in the future? I want to know that as well.

:02:00.:02:04.

The cancer strategy recommended that by September 20 16th in proposal

:02:05.:02:07.

should be developed ensuring that all children teenagers and adults

:02:08.:02:14.

diagnosed with cancer and asked for consent for the batter and deep

:02:15.:02:17.

tissue is ample to be used for future studies. It is imported data

:02:18.:02:21.

collection to happen as well so you can look to the future and study the

:02:22.:02:25.

information we have hopefully respond in such a way that we can

:02:26.:02:27.

get better help down the road. The strategy also for NHS -- also says

:02:28.:02:34.

that NHS England should try to make the best of these resources. Let's

:02:35.:02:40.

ask the question, what action the Minister will take to make sure that

:02:41.:02:46.

NHS England works to remove barriers to include children and young people

:02:47.:02:51.

with cancer in research and that is the question I would like to ask the

:02:52.:02:55.

Minister. There has been top bid of smoking and it reminds me very much

:02:56.:03:01.

of my introduction to my first cigarette five -- I think I was five

:03:02.:03:05.

years old. My grandfather who smoked calipers with no filter in by the

:03:06.:03:08.

way, they were the strongest cigarettes. He appear grandfather as

:03:09.:03:14.

a wee boy and you see my grandad is a big seller and he smokes

:03:15.:03:19.

cigarettes and I pestered my grandfather and he said take a

:03:20.:03:24.

breath. Take a deep one. I did and it would not be a mile to see Madam

:03:25.:03:28.

Deputy Speaker that I was the colour of these green benches, I was

:03:29.:03:31.

violently sick and I did not wish ever again to smoke a cigarette so

:03:32.:03:35.

that is how it is done to learn a lesson then I certainly learned a

:03:36.:03:40.

lesson. You will know that I have a deep interest in Queens University

:03:41.:03:43.

in Belfast that the great work that we do and I want to ask this

:03:44.:03:47.

question in relation to research, Queens University Belfast is

:03:48.:03:51.

world-renowned for medical research and especially for research carried

:03:52.:03:54.

out in cancer. They are innovative and looking at new drugs and

:03:55.:04:01.

medication to address cancers, and when we have 50% survival or longer

:04:02.:04:08.

live survival we are still looking for one that will cure all cancers

:04:09.:04:13.

and we're still doing that, but to do that we need research. In the

:04:14.:04:18.

Minister has a deep interest in that as I have and others in this chamber

:04:19.:04:23.

have as well, and the evidence enabled outcomes research to inform

:04:24.:04:27.

the decision on innovation adopted by the health system which was

:04:28.:04:31.

pioneered by Queens. Northern Ireland punches above its weight in

:04:32.:04:36.

this rapidly evolving area which is providing us with new approaches to

:04:37.:04:40.

prevent and treat this killer disease and preserve and improve the

:04:41.:04:44.

lives of cancer survivors. This success can and must be replicated

:04:45.:04:47.

with greater funding available to research facilities and grounds

:04:48.:04:50.

designate to changing the way that cancer is approached in Dallas. If

:04:51.:04:53.

we think just how far madder maybe the speaker we have come in the

:04:54.:05:01.

diagnosis of cancer in just 50 years, the honourable devilment in

:05:02.:05:04.

his introduction refer to that, how far we have come at how far we still

:05:05.:05:10.

have to go. The partnerships at Queens University, for example, have

:05:11.:05:14.

with local businesses and the foreign students that come in to do

:05:15.:05:17.

their degrees and contribute to that research, and the partnerships

:05:18.:05:22.

between Queens University in Belfast and University in mainland, there is

:05:23.:05:27.

a wonderful group of universities and people who come together to make

:05:28.:05:31.

that happen. The difference is because the research is done into

:05:32.:05:36.

cancer. That we have. If we are to successfully treat cancer Debbie can

:05:37.:05:39.

only do so with a continually updated approach and that is why

:05:40.:05:45.

this is so very, very important. We have the initiative and the desire

:05:46.:05:48.

to do so, but we must ensure that the funding is there to do so as

:05:49.:05:54.

well. Government's interest, positive interest financially,

:05:55.:05:59.

supports ensuring that everything is done to find the ultimate cure for

:06:00.:06:02.

cancer. Any strategy must make this clear and I believe that we must

:06:03.:06:07.

make sure that the funding is necessary and available when we go

:06:08.:06:14.

through with Brexit. It is a fact of life and we have moved on but we

:06:15.:06:18.

need to have assurances, I think it is coming up in the 19th, on

:06:19.:06:24.

universities and Brexit. We also need I believe to address the

:06:25.:06:27.

postcode lottery of where cancer drugs are available, again this is

:06:28.:06:31.

not a criticism of the Minister, but they do have places in the UK where

:06:32.:06:37.

you can get cancer drugs much more readily than you can in others. I

:06:38.:06:40.

know in the past that the government here certainly has supported the

:06:41.:06:45.

regional and devolved administration 's for some funding the watchdogs

:06:46.:06:49.

and again I would ask them, is that anywhere in the equation at this

:06:50.:06:55.

moment in time? And what discussions does he have with the regional and

:06:56.:06:59.

devolved ministrations, whether the Scottish parliament Welsh assembly

:07:00.:07:01.

on in my case the Northern Ireland assembly to agree cancer strategies

:07:02.:07:11.

and look for the way forward? Cancer strategy is difficult to negotiate,

:07:12.:07:14.

it seems like there could never be enough invested in it, the question

:07:15.:07:17.

we must ask ourselves is this, are reinvesting in the right thing,

:07:18.:07:24.

producing the best outcomes? Are we looking to future doing the best he

:07:25.:07:27.

can with what we have? It is up to us to raise questions from my part I

:07:28.:07:32.

think we must set aside and do more and achieve more for those one and

:07:33.:07:36.

two who are to be affected by cancer in their lives in the future. Thank

:07:37.:07:44.

you. I will also add my words of thanks to the honourable member from

:07:45.:07:48.

Basildon and ability for executing this debate, and IBC the

:07:49.:07:53.

circumstances under which he is not here now. It is unusual to have a

:07:54.:08:00.

debate ready person has a good it is not here. My best wishes to him. I

:08:01.:08:08.

very much welcome the new cancer strategy just over a year ago and

:08:09.:08:12.

this chamber, and I am delighted the opportunity to scrutinising again

:08:13.:08:14.

now and I would like to set out first and foremost that I absolutely

:08:15.:08:17.

congratulate the government on its focus, the direction of travel and

:08:18.:08:25.

the fact that the survival times are going up all the time, we are

:08:26.:08:28.

absolutely in the right direction. But of course I will like other

:08:29.:08:31.

honourable members here be wanting to still push the government further

:08:32.:08:34.

and in particular in relation to brain tumours, which is the group of

:08:35.:08:41.

cancers I particularly represent. We have heard earlier from my

:08:42.:08:44.

honourable friend the member from Crawley, but the difficulty of early

:08:45.:08:49.

diagnosis with blood cancers and for the honourable member from

:08:50.:08:52.

Scunthorpe about pancreatic cancers and it is the same problem we find

:08:53.:08:56.

time and again with brain tumours, early diagnosis is a real issue.

:08:57.:08:59.

People are often totally by doctors and it is often found at the last

:09:00.:09:05.

moment. The honourable member from Poplar spoke about prevention. And

:09:06.:09:09.

unfortunately for printer must rethink as far as we know only about

:09:10.:09:12.

1% may be preventable so it is not really an area for exploration

:09:13.:09:17.

follows. For brain tumours really the only hope of a cure is through

:09:18.:09:20.

research and innovation into the many different types of brain

:09:21.:09:24.

tumour. And while printer must represent just slightly under 3% of

:09:25.:09:29.

all cancers, they are actually the biggest killer of children and young

:09:30.:09:32.

people under the age of 40. Any cancer.

:09:33.:09:40.

To do and years of life, it is quite devastating. -- in terms of years of

:09:41.:09:56.

life lost. There is not enough research, and clearly an industrious

:09:57.:10:00.

for those suffering from brain tumour cancer, which is why survival

:10:01.:10:03.

times have not been improving. Brain tumour research remains perennially

:10:04.:10:13.

unfunded. One first report into brain tumour research funding, and

:10:14.:10:21.

the debate was held as a result, with a working group set up, which I

:10:22.:10:25.

am grateful to the government for and I look forward to the work that

:10:26.:10:29.

brings forward, but we are not there yet add more needs to be done.

:10:30.:10:34.

Having read through the NHS England's one year on progress

:10:35.:10:37.

report, it appears there has been much focus on meeting clinical

:10:38.:10:42.

recommendations set out in the original strategy, which is to be

:10:43.:10:47.

welcomed, but rather less on research and innovation

:10:48.:10:49.

recommendations. I recognise the importance of clinical services and

:10:50.:10:54.

the potential to improve outcomes through diagnosis and treatment and

:10:55.:10:58.

care for people affected by brain tumour, it is particularly required

:10:59.:11:02.

that it is equal if not more aborted to focus on research and innovation

:11:03.:11:11.

into potential cures. Several of the research points made in the progress

:11:12.:11:16.

report, and how those relate to brain tumour, the report focuses on

:11:17.:11:22.

modernising radiotherapy services and given the location of brain

:11:23.:11:26.

tumour, radiotherapy comes with complex side-effects, including

:11:27.:11:30.

increased cranial pressures for some, and more common side effects.

:11:31.:11:37.

More precise radiotherapy is welcomed, but for many brain tumour

:11:38.:11:41.

patients this does not represent a cure only an extension of life. The

:11:42.:11:48.

report states agreed 2020-21 metric to be an increase in five and ten

:11:49.:11:53.

year survival, with 57% surviving ten years or more, yet brain tumour

:11:54.:12:00.

research, the charity report on funding shows that in England five

:12:01.:12:04.

year survival for brain tumour patients as a mere 19.7%, lagging

:12:05.:12:10.

far behind other cancers. Along with one year survival of 46.5%, well

:12:11.:12:18.

below the NHS 2020 target of 75%. The NHS looks set not to meet their

:12:19.:12:22.

own key measure as far as brain tumour are concerned and letting

:12:23.:12:30.

down patients. One key Biograph states, although Clement is made,

:12:31.:12:35.

NHS England is yet to publish its 2016- putting plan, leaving the NHS

:12:36.:12:41.

without an updated strategy for research, after publication we hope

:12:42.:12:45.

the research plan is also delivered without delay. This appears to be an

:12:46.:12:49.

omission of prioritising other objectives over that of research.

:12:50.:12:53.

Clinical services are important in the here and now but without proper

:12:54.:12:58.

planning and investment, ongoing improvements into health care

:12:59.:13:00.

outcomes with many diseases will not be met, and treatment for brain

:13:01.:13:12.

tumour patients will not be met. We need greater analysis of patient

:13:13.:13:15.

outcomes and I would be grateful to know from the Minister if the second

:13:16.:13:19.

phase will include data on brain tumours, as they do not appear to

:13:20.:13:22.

have been slated in the original phase. With the be clear on cancer

:13:23.:13:29.

campaigns, hopefully leading to better diagnosis, brain tumours

:13:30.:13:33.

latest research report shows the government spend on brain tumour

:13:34.:13:39.

research, the government, not the complete national spend, is just

:13:40.:13:47.

0.52% of total spend on cancer. From the National Cancer research

:13:48.:13:49.

Institute, it is clear of brain tumour research continues to be

:13:50.:13:54.

drastically underfunded, even with the cancer strategy in place.

:13:55.:13:58.

Although that strategy is a major step in the right direction, it will

:13:59.:14:02.

need to make it work for all types of cancer including greater ones

:14:03.:14:08.

including brain tumours. Every week, the family loses a child to brain

:14:09.:14:15.

tumour. I very much hope this will be taken on board by the new

:14:16.:14:19.

Minister in this place and you will hear more from me in the future

:14:20.:14:21.

about increasing more brain tumour research. Thank you for calling me

:14:22.:14:32.

in this debate. One of the benefits about these types of debates is

:14:33.:14:35.

actually you learn something you haven't learned before as a result

:14:36.:14:44.

of having these types of debates. I had my congratulations to the member

:14:45.:14:47.

for Scunthorpe for introducing this debate, he has been a major

:14:48.:14:51.

campaign, particularly for pancreatic sufferers and I think the

:14:52.:14:56.

way he introduced the debate was fitting and appropriate. And also I

:14:57.:15:04.

want to congratulate the member for Basildon and the lyrically and his

:15:05.:15:11.

family at this difficult time. -- Basildon and Billericay. It is a

:15:12.:15:17.

shame not to see him at this time, but I understand the circumstances.

:15:18.:15:21.

I wish to start to pay tribute to Greg Lake, the rock star who very

:15:22.:15:26.

sadly died yesterday after a long battle with cancer. To me he was one

:15:27.:15:35.

of the icons, he founded King Crimson, makers of one of the first

:15:36.:15:39.

albums I ever bought, then he formed the

:15:40.:15:51.

supergroup Emerson, Lake and Palmer and also wrote that perennial

:15:52.:15:59.

Christmas hit. Many people are dying as a result of cancer. I do declare

:16:00.:16:07.

my interest as chairman of the all-party Parliamentary group for

:16:08.:16:11.

Action on Smoking and health and I know the honourable member for

:16:12.:16:13.

Poplar and Limehouse raises a number of issues in the briefing that has

:16:14.:16:20.

been circulated widely. I want to build on some of the aspects that

:16:21.:16:24.

have taken place because we are in a position whereby the UK cancer

:16:25.:16:27.

strategy, which of course was founded not one year on, as this

:16:28.:16:34.

debate is titled, but 18 months on, recommending that the replacement

:16:35.:16:45.

Tobacco Control Plan should be replaced within one year. The last

:16:46.:16:48.

Tobacco Control Plan expired one year ago. We were promised a

:16:49.:16:56.

replacement in the summer. I know the summer can stretch, but

:16:57.:17:00.

stretching it to Christmas is a bit of a long stretch. Recently, we had

:17:01.:17:05.

an excellent debate in Westminster Hall, we'll be briefed the new

:17:06.:17:15.

Minister on all the key issues in relation to tobacco control and she

:17:16.:17:19.

promised a new plan would be published soon. I then asked again

:17:20.:17:23.

and she said it would be published soon. You would not be surprised to

:17:24.:17:28.

hear that the one question I have to ask is, don't tell me soon, please

:17:29.:17:35.

give me a date by which we can see that control plan? And this is a

:17:36.:17:39.

significant fact, the Prime Minister, in her first major speech

:17:40.:17:45.

on the steps of Downing Street, said, fighting against the burning

:17:46.:17:49.

injustice that, if you are born poor, you will die on average nine

:17:50.:17:55.

years earlier than others. Smoking is responsible for half the

:17:56.:17:58.

difference in life expectancy between rich and poor in this

:17:59.:18:03.

country. If we can cut sporting greats, we will help deliver the

:18:04.:18:07.

Prime Minister's ambition. -- if we can cut the rates of smoking. I want

:18:08.:18:13.

to make sure we can get this Tobacco Control Plan as quickly as possible.

:18:14.:18:19.

We do know that smoking is the greatest preventable cause of cancer

:18:20.:18:25.

worldwide. It accounts for more than one in four cancer deaths in the UK,

:18:26.:18:31.

as well as effects of all cases of cancer. Smoking increases the risk

:18:32.:18:36.

of cancer in 14 cancers, and is responsible for more than 80% of

:18:37.:18:41.

cases of lung cancer. That is of course the biggest killer in this

:18:42.:18:51.

country involved cancer. It also has the worst five-year survival rate,

:18:52.:18:56.

so, from that perspective, if we can cut smoking, we can cut the causes

:18:57.:19:01.

of cancer. I declare an interest, as I have said in this place on more

:19:02.:19:07.

than one occasion, both of my parents died, in 1979, from

:19:08.:19:12.

smoking-related diseases, both dying of cancer because they smoked

:19:13.:19:18.

virtually every day of their lives. The honourable gentleman for popular

:19:19.:19:23.

Limehouse give up the 1980. I still remember those terrible days when my

:19:24.:19:33.

parents died of whose cancers as a result of smoking and I hope no one

:19:34.:19:36.

has to suffer what my family suffered. I will give way. With you

:19:37.:19:42.

agree that those members of Parliament which would not bring in

:19:43.:19:46.

a band in cars with children, maybe they could regret that question I

:19:47.:19:51.

asked children are policing that very well indeed. Thank you for

:19:52.:19:58.

that. I know that when we had the change in the law coming through

:19:59.:20:01.

there were people that objected to this and said it would not be

:20:02.:20:06.

enforceable, but I remember back to my childhood, when both of my

:20:07.:20:09.

parents were smoking in the car in front of me, it was difficult then

:20:10.:20:14.

as a child to say, please don't smoke, I don't like this. It was

:20:15.:20:18.

easier to open the window and hope. I don't want children to go through

:20:19.:20:23.

that. I think it is absolutely right that we change the law in this way,

:20:24.:20:28.

that hopefully will mean that we do know that second-hand smoke is the

:20:29.:20:32.

key killer, particularly of young lungs, and it is important we have

:20:33.:20:40.

introduced a change. And one of the things people didn't think would

:20:41.:20:43.

happen. I know when I was elected, people didn't think this would

:20:44.:20:46.

happen and we could introduce this change and get it through both

:20:47.:20:49.

chambers, but we've done it and I think it was the right thing to do.

:20:50.:20:54.

I am delighted. I will give way. Thank you, and I thank my honourable

:20:55.:21:00.

friend for his powerful case and I couldn't agree with him or to my way

:21:01.:21:04.

of thinking, banning smoking would do me, but we probably can't go that

:21:05.:21:09.

far. But with you agree that the broader point of health economics is

:21:10.:21:13.

also important? It is not only lung cancer but also emphysema, pulmonary

:21:14.:21:20.

disease and so on, that actually sorting out the tobacco issue we can

:21:21.:21:27.

have broader settings across the health service? There are aspects of

:21:28.:21:33.

this that I would agree with. The reality is that tobacco is the only

:21:34.:21:40.

product in the world where, if you use it in the way intended, it will

:21:41.:21:44.

kill you. And so therefore controlling this is absolutely

:21:45.:21:52.

vital. We know as well that those with complex medical needs have the

:21:53.:21:57.

highest smoking rates. People unemployed, those with mental health

:21:58.:22:04.

conditions, people are amongst the prison population and people I am

:22:05.:22:07.

championing now, the homeless, are more likely to spot than others.

:22:08.:22:11.

Therefore it is vital, and they are also likely to have the most health

:22:12.:22:15.

problems as a direct result. It is clear the most disadvantaged members

:22:16.:22:19.

of society are more likely to smoke and therefore suffer cancer and

:22:20.:22:24.

other health-related problems as a result. It is quite clear we do need

:22:25.:22:30.

to take action. And it is quite clear that quitting smoking reduces

:22:31.:22:37.

the likelihood of actually having cancer. It is also key that once to

:22:38.:22:46.

recover, if one gives up smoking. -- that your lungs can recover. If we

:22:47.:22:51.

encourage people to give up smoking, and more importantly than that even,

:22:52.:22:57.

to stop young people from ever starting, and I note the honourable

:22:58.:23:00.

gentleman for Strangford pointing out what happened to him is five,

:23:01.:23:05.

although I would not advocate that shock treatment, but it is quite

:23:06.:23:12.

clear that if you can stop people from starting to smoke, then that is

:23:13.:23:17.

the best way rather than trying to get them to give up later in life.

:23:18.:23:23.

And when we come on to the targets that we should be aiming for, the

:23:24.:23:29.

report that was published recently, that smoking still kills, which was

:23:30.:23:35.

indoors by no less than 129 organisations, had recommendations

:23:36.:23:39.

for targets on reducing smoking, adult smoking, to less than 13% by

:23:40.:23:46.

2020 and 5% by 2035. I take the point that I think that is not

:23:47.:23:52.

ambitious enough. We should be going for a Britain that is smoke free,

:23:53.:23:59.

that should be the target. I should say United can! I get that exactly.

:24:00.:24:05.

-- United Kingdom. I must get my phraseology correct. We need mass

:24:06.:24:11.

media campaigns which are, I'm afraid, the Department for health

:24:12.:24:18.

has stopped. We also need stop smoking services to be encouraged,

:24:19.:24:23.

promoted and funded right across the UK and for local authorities to

:24:24.:24:28.

enforce the necessary activities and to be able to do their jobs.

:24:29.:24:34.

We do know that mass media campaigns are very effective and

:24:35.:24:39.

cost-effective in prompting people to stop smoking and indeed to

:24:40.:24:42.

discourage young people from starting. In 2009 we had funding for

:24:43.:24:49.

anti-smoking campaigns of just under 25 million. But by 2015 last year

:24:50.:24:56.

that had been reduced to 5.3 million. I think this is a false

:24:57.:25:01.

economy. If we could have much better funding for mass media

:25:02.:25:05.

campaigns I am sure we could reduce the incidence of smoking far more.

:25:06.:25:10.

Equally, we know that stop smoking services across the UK have been

:25:11.:25:13.

highly effective in reducing smoking rates. Smokers are up to four times

:25:14.:25:19.

more likely to quit if they have support from specialist groups and

:25:20.:25:26.

smoking services competitive quitting cold. And the honourable

:25:27.:25:29.

member for Poplar and Limehouse referred to the time when he gave up

:25:30.:25:33.

smoking and he did remember the time and date when he did so. I think

:25:34.:25:37.

most people who have smoked in their adult lives have difficulty getting

:25:38.:25:41.

up and they need help and support. I think we should ensure that is

:25:42.:25:46.

available. However, the sad fact is that right across the UK right now

:25:47.:25:51.

the smoking cessation services are either being reduced in funding or

:25:52.:25:55.

being closed altogether and I think that is an extremely -- I think that

:25:56.:26:00.

is extremely regrettable. I did suggest to the Chancellor that

:26:01.:26:05.

actually just putting 5p on a packet of 20 cigarettes and then using that

:26:06.:26:11.

money to fund smoking cessation services would actually mean that we

:26:12.:26:15.

could provide all the money that is needed for public health to continue

:26:16.:26:19.

smoking cessation services across the United Kingdom and that to me

:26:20.:26:24.

would be a very sensible investment indeed. Equally, the issue of the

:26:25.:26:34.

funding for training standards has fallen from 213,000,020 ten to 124

:26:35.:26:40.

million today. So the teams that have been cut to the bone,

:26:41.:26:43.

literally, which means that the number of staff working in trading

:26:44.:26:47.

standards has reduced radically. What that means is that we are not

:26:48.:26:53.

having the implication of local controls to target illicit tobacco

:26:54.:26:58.

in the way that we need to. To prevent some very nasty things being

:26:59.:27:06.

used by people across the United Kingdom. I think that is a

:27:07.:27:09.

retrograde step and I think we need to invest in those services to make

:27:10.:27:12.

sure that we deliver better health outcomes. Madam Deputy Speaker, we

:27:13.:27:19.

desperately need this new tobacco control programme, a plan, so that

:27:20.:27:27.

we can see the radical targets that are needed, the investment that is

:27:28.:27:31.

needed across the United Kingdom and we should be setting out our stall.

:27:32.:27:38.

We want a smoke-free United Kingdom, not by 2035 or beyond, but by 2020

:27:39.:27:47.

or 2025. We can achieve it with having the right order programme.

:27:48.:27:50.

The key point about this is that if we achieve and deliver this plan,

:27:51.:27:56.

what will happen is we can cut the rate of cancer deaths in the number

:27:57.:27:59.

of people actually suffering from cancer in the first place it will

:28:00.:28:03.

reduce the burden on the National Health Service and allows them to

:28:04.:28:08.

take that money from the health service to use on these were

:28:09.:28:10.

difficult cancers that other colleagues have mentioned, where

:28:11.:28:15.

they are difficult to spot, difficult to treat and we need

:28:16.:28:19.

specialist drugs and treatments... Will my honourable friend give way?

:28:20.:28:25.

I am very grateful. I think he is making a very powerful point that if

:28:26.:28:29.

we reduce preventable cancers we can redirect resources to some of those

:28:30.:28:33.

different cancers. It is a fact that over 230,000 people in the United

:28:34.:28:39.

Kingdom suffer from blood cancers and similar to others such as

:28:40.:28:43.

pancreatic cancer that we have mentioned, if we could better

:28:44.:28:46.

address those with those resources than we could go so much further. I

:28:47.:28:51.

thank my honourable friend and quite clearly the priority has to be to

:28:52.:28:56.

eliminate what you can eliminate, where people through their own

:28:57.:28:59.

habits if they smoke, the cost themselves potential risk of cancer,

:29:00.:29:04.

14 different cancers will be affected by smoking. If people stop

:29:05.:29:12.

smoking that eliminates that risk. Equally by diet, people can

:29:13.:29:15.

eliminate some of those risks. But there are cancers, we know, that are

:29:16.:29:20.

not affected by smoking or by diet and therefore if we can reuse those

:29:21.:29:24.

resources that are currently being used to concentrate on these were

:29:25.:29:27.

difficult areas either on detection or treatment, then the health of the

:29:28.:29:34.

nation must be improved. So Madam Deputy Speaker, I bring my regards

:29:35.:29:39.

-- my remarks to a close by saying that I hope, I hope that in a few

:29:40.:29:43.

minutes we will get an answer to the question that we are all asking for,

:29:44.:29:51.

that is can we have a date with a day a date and a year when people

:29:52.:29:59.

get the tobacco control plan? Thank you Madam Deputy Speaker. I too

:30:00.:30:02.

would like to add my thanks to the backbench committee for allowing

:30:03.:30:08.

this debate and for the way that the honourable member for Scunthorpe

:30:09.:30:10.

introduced it so that we have been able to conduct it in the town that

:30:11.:30:15.

we have. Because for me coming to this place was after a journey with

:30:16.:30:20.

this disease. But since I have been here I have been amazed, the

:30:21.:30:25.

honourable member for Bristol West has fought the disease and now sits

:30:26.:30:31.

back in her place and very welcome that is. The honourable and for

:30:32.:30:36.

Blyth Valley was welcome. I have heard the honourable member from

:30:37.:30:38.

Lichfield talk about his journey with the disease and my best wishes

:30:39.:30:43.

go to the honourable member for Rafah monthly photos of the journey

:30:44.:30:48.

at the moment and also it is unusable not to see the honourable

:30:49.:30:52.

member for Basildon and Bill Ricky and my thoughts and prayers go out

:30:53.:30:56.

to him at his wife at this time as well. -- Bill Ricky. Cancer is

:30:57.:31:02.

interesting. You don't pick it, it picks you. We have heard from many

:31:03.:31:07.

members that there are some that are preventable but the over 200 and we

:31:08.:31:16.

often, this debate often becomes channels along rare diseases or a

:31:17.:31:21.

prolific disease like breast cancer or prostate cancer, lung cancer, one

:31:22.:31:25.

of the big four. And actually this is a very broad debate that we have

:31:26.:31:31.

had here today and I welcome it. The honourable member for Bosworth said

:31:32.:31:34.

we are doing better, which we are, but we could do even better and I

:31:35.:31:39.

would like to return to the issue of research brought up by the

:31:40.:31:41.

honourable member for Castleford in particular. I welcome the commitment

:31:42.:31:48.

to the strategy, implementing it could be transformational, which is

:31:49.:31:54.

why I hope that we hear of better presentation. The five-year forward

:31:55.:31:59.

a few issues that cancer services will go up by 9%, reaching 13

:32:00.:32:07.

billion by 2021. We have heard that by the end of this Parliament one in

:32:08.:32:12.

two of us will suffer from cancer and then actually have million

:32:13.:32:14.

people in this country living with the disease. This is a question that

:32:15.:32:20.

I don't think the strategy necessarily addresses properly, how

:32:21.:32:24.

we care for those people who live with the disease going forward.

:32:25.:32:29.

Whether that is as a survivor affected by it which some 625,000

:32:30.:32:34.

people will be, as was mentioned earlier in the debate, they will

:32:35.:32:38.

carry forward some form of disability or hardship from having

:32:39.:32:42.

the disease. How we will deal with that, how we will deal with

:32:43.:32:47.

palliative care, I would like to ask the Minister what examination of the

:32:48.:32:51.

sustainable and transformational plans have looked into palliative

:32:52.:32:57.

care going forward and how we can actually address the needs of people

:32:58.:33:02.

who are looking towards the end of their life. I would also like to

:33:03.:33:11.

highlight today teenage cancers. It is usually breast cancer that I talk

:33:12.:33:16.

about in this place but I have a young friend for whom I hear an mean

:33:17.:33:21.

something different. She wrote to me on Sunday when I said I was talking

:33:22.:33:25.

in this debate and I thought of her because last year on the 11th of

:33:26.:33:31.

December, young Emily was diagnosed with cancer. And she wrote, last

:33:32.:33:36.

year in December I was diagnosed with leukaemia. It was a very scary

:33:37.:33:42.

time for me and my family but something that makes going to

:33:43.:33:46.

hospital that little bit nicer is how lovely the nurses are. However,

:33:47.:33:52.

there were a lot of horrid things during the start of treatment such

:33:53.:33:57.

as hair loss and sickness. Otherwise still have two years of treatment to

:33:58.:34:02.

go, it is a lot less intense now and I am in maintenance. The majority of

:34:03.:34:06.

chemo is in a tablet format home, one hospital visits a month and the

:34:07.:34:14.

horrid, horrid steroids also one month for five days. I know that the

:34:15.:34:18.

steroids work as one of my making a therapy treatments but they make me

:34:19.:34:20.

put on weight, fewer emotional for no reason and sometimes cross and

:34:21.:34:27.

angry at my mum who is a rock and is always there for me so it makes me

:34:28.:34:32.

feel a bit sad. If I could change anything about the chemo it would

:34:33.:34:36.

definitely be to not feel sick and not to have to take those steroids.

:34:37.:34:43.

So Emily is one year on in her journey and I am sure I can sleep

:34:44.:34:46.

for everybody in wishing her lots of success for a great journey. But, we

:34:47.:34:55.

have head that for young people, one of the best things we can do is

:34:56.:35:00.

educate them and educate is a scene that has come out whether and I am

:35:01.:35:06.

not going to go over the smoking comments that the honourable member

:35:07.:35:09.

for both Harrow East and Poplar and Limehouse had discussed so well, but

:35:10.:35:14.

education there is important. I would go over education around food

:35:15.:35:21.

and nutrition, which the honourable member mentioned and has been

:35:22.:35:25.

mentioned as something that the Pentagon in works on, the Haven

:35:26.:35:29.

Institute works, the honourable member for culture and actually

:35:30.:35:33.

mentioned about diet. Every oncologist I have ever had to all

:35:34.:35:36.

three of my journeys are spoken about the need of good diet and

:35:37.:35:40.

looking after yourself and keeping fit and exercise and we do our young

:35:41.:35:46.

people a disservice if we don't help them we'd better and healthier

:35:47.:35:50.

lives. So I want to understand how the Minister is looking across

:35:51.:35:56.

departments in order to make sure that healthier lives is something

:35:57.:36:00.

that comes through policy and DC LG, it comes to policy and transport

:36:01.:36:04.

with cycle path and trim files and all the rest of it, and right across

:36:05.:36:08.

the piece in order that we can all lead healthier lives. I am pleased

:36:09.:36:13.

to see the industry responding with diminishing adverts for children and

:36:14.:36:18.

so on, I think that I would like to see this go further. However,

:36:19.:36:23.

parents have a huge part to play in their children's lives and we have a

:36:24.:36:28.

huge part to play in our lives as far as what we eat and how we make

:36:29.:36:32.

choices over whether we smoke or whether we just have that extra beer

:36:33.:36:37.

or whether we have that extra pie. And actually there is a bit of self

:36:38.:36:42.

responsibility here as well so if I could ask the Minister if he would

:36:43.:36:47.

do his bit by helping educate a little bit more in public health, we

:36:48.:36:52.

I am sure will step up to the mark and do our little bit as well. I

:36:53.:36:58.

welcome the setting up of Cancer alliances and the appointment of

:36:59.:37:02.

Calais Palmer who I think is excellent at the head of the cancer

:37:03.:37:10.

community. Early diagnosis as fundamental as the honourable member

:37:11.:37:12.

for Scunthorpe pointed out because it gives us better outcomes. But the

:37:13.:37:19.

government must set out with NHS England how funding will be

:37:20.:37:24.

strategically allocated. Will we be able to use mobile diagnostics for

:37:25.:37:28.

example? Will we be able to use molecular diagnostics? I would like

:37:29.:37:34.

to buy interest as the chair of the personal life medicine. And various

:37:35.:37:42.

other APPG is. If we could actually see who will benefit, for example,

:37:43.:37:46.

by the use of presets in which only 20% of women with breast cancer

:37:47.:37:51.

would benefit from, we would stop waste. So the use of the innovative

:37:52.:37:55.

technologies that was mentioned earlier by my honourable friend from

:37:56.:37:59.

Castleford is a point that I would also like to address -- also like

:38:00.:38:04.

addressed by the Minister if he would. I would like to how we could

:38:05.:38:09.

utilise the workforce and a more strategic approach. Nick Millen and

:38:10.:38:13.

20 others developed eight principles, we need a workforce fit

:38:14.:38:18.

for the future, we need people who understand the changing landscape

:38:19.:38:23.

that we're dealing with. I work with the -- I welcome the ?130 -- ?130

:38:24.:38:29.

million bid into radiotherapy machines but I would like to mention

:38:30.:38:33.

that we need to have the videographers that the work those

:38:34.:38:38.

machines and optimise the US. More people are living beyond cancer but

:38:39.:38:42.

metastatic cancer is one that we need to learn more about. Which

:38:43.:38:49.

brings me on to the use of data. The teenage Cancer trust would welcome

:38:50.:38:54.

clinical trials with young people. There is a lack of data on

:38:55.:38:56.

metastatic breast cancer, for example. Of course I would be

:38:57.:39:02.

delighted to give way. I thank my honourable friend. My mother-in-law

:39:03.:39:07.

passed away through secondary metastatic breast cancer, and

:39:08.:39:13.

opportunities to diagnose RMS that it has been brought to my attention

:39:14.:39:16.

that we don't keep very good records data on metastasise breast cancer,

:39:17.:39:21.

and nor do we have a specialist nurse for breast cancer. We do not

:39:22.:39:25.

seem to provide the specialist nurse either for people with metastasise

:39:26.:39:26.

breast cancer. A command at the issues with people

:39:27.:39:41.

with metastatic breast cancer -- thank you and I agree with the

:39:42.:39:45.

issues about people with metastatic breast cancer. It is an area for

:39:46.:39:49.

specialist workforce to make sure that we catch people on the journey,

:39:50.:39:55.

because this journey may well be iterative, people they feel fit and

:39:56.:39:59.

well then find themselves coming back into use of services, so we

:40:00.:40:03.

need to be flexible in approach. I would also like to pick up how

:40:04.:40:11.

important the ecosystem is between research and hospitals and patients.

:40:12.:40:22.

One charity that the honourable member for Crawley works hard with,

:40:23.:40:28.

they are truly representative of an imploding organisation that works

:40:29.:40:30.

with the patient, clinicians and research, that can help drive

:40:31.:40:36.

understanding and that is one huge way that we, as UK plc, will get a

:40:37.:40:42.

huge advantage. The honourable member for Strangford said we need

:40:43.:40:46.

to look at the ecosystem that isn't only cancer treatment at the end, it

:40:47.:40:52.

is research was, universities, brilliant students and staff we

:40:53.:40:58.

welcome from Europe, all those within the pharmaceutical

:40:59.:41:01.

industries, and charities, working collaboratively to give the best

:41:02.:41:05.

outcome we can get. That, Minister, is how we will start to rise up that

:41:06.:41:10.

table and be as good as Sweden and some others who have truly fantastic

:41:11.:41:15.

outcomes for their patients. One a final point, timely interventions

:41:16.:41:21.

can help the recovery. I would like to understand how recovery packages

:41:22.:41:27.

are being rolled out. Workforce is another critical issue here. We have

:41:28.:41:34.

heard from the honourable member about the use of alternative

:41:35.:41:39.

therapies. My comment on that is that they can be useful, but it's a

:41:40.:41:44.

very good space for charities to help people with. And only this

:41:45.:41:51.

week, the countryside Alliance foundation take women fly fishing

:41:52.:41:55.

after their treatment. And the fine just the speediness of being

:41:56.:41:59.

outside, doing something physical, enjoying nature, actually gives them

:42:00.:42:04.

a huge sense of well-being. I don't think personally it is either or, I

:42:05.:42:09.

think it is actually a way of joining these things together. My

:42:10.:42:13.

final point, and I know it isn't the Minister's area, but I would like

:42:14.:42:19.

him to take it back with him, is the cancer drug fund, I welcome it but

:42:20.:42:24.

worry about those who benefit from combined treatments. Melanoma focus

:42:25.:42:29.

has highlighted that people on combined treatment, where some

:42:30.:42:34.

people in the cancer drug fund and some are out, and could be

:42:35.:42:38.

disadvantaged, and I hope it will be a flexible fun and I hope we can

:42:39.:42:46.

address this matter. Thank you. Thank you and firstly, I would like

:42:47.:42:51.

to, along with all honourable members, welcome this very important

:42:52.:42:55.

debate today, which has been secured by the honourable member for

:42:56.:43:01.

Basildon and Billericay. As well as others. And I want to place on

:43:02.:43:06.

record at this juncture that although the honourable member has

:43:07.:43:11.

been said is uncharacteristically in his place, for very, very important

:43:12.:43:15.

reasons, as we have heard and we all send the honourable gentleman and

:43:16.:43:20.

his wife are very best wishes, and I wanted the court that that this

:43:21.:43:27.

House and indeed the whole country owe him at huge debt of gratitude

:43:28.:43:32.

for all his work and his leadership of the all-party group for cancer,

:43:33.:43:38.

in the fight against this terrible disease. I also want to thank the

:43:39.:43:43.

member for Scunthorpe, who so eloquently opened the debate today.

:43:44.:43:48.

Like myself and a number of others present, he is also the chair of

:43:49.:43:52.

cancer all-party group will stop that is on pancreatic cancer. He

:43:53.:43:59.

also works tirelessly on this issue and he chaired the Britain against

:44:00.:44:04.

Cancer conference, with aplomb, this week! He said the scene so well

:44:05.:44:07.

today and his knowledge and passion shone through. I would also like to

:44:08.:44:12.

rank all honourable members who have spoken in the debate today will stop

:44:13.:44:18.

the member for Crawley, for Poplar and Limehouse, for Bosworth, Forster

:44:19.:44:27.

inferred, Castle Point, -- for Strangford, and the honourable lady

:44:28.:44:34.

chair of the cancer all-party group, the honourable member for Harrow

:44:35.:44:39.

East, and for Bury St Edmunds, also vice-chair of the all-party group on

:44:40.:44:45.

breast cancer that I also chair. All have made excellent contributions in

:44:46.:44:48.

the debate today, each and every one of them making very, very important

:44:49.:44:52.

points about where we need to go next with the cancer strategy. Much

:44:53.:44:56.

of this debate has focused on the report published by the all-party

:44:57.:45:01.

group on cancer, looking at the progress in to implement in the

:45:02.:45:06.

cancer strategy one year on from its publication. The report makes many

:45:07.:45:09.

valid points and recommendations and I look forward to hearing from the

:45:10.:45:13.

Minister on the specifics mentioned in that report. This strategy can go

:45:14.:45:19.

a long way in helping some of the estimated 2.5 million people living

:45:20.:45:23.

with cancer and the number of people who are diagnosed each year with

:45:24.:45:28.

cancer. The strategy, if implemented in full, could save 30,000 mobilised

:45:29.:45:35.

by 2020. If you pair this with the deeply worrying news that broke at

:45:36.:45:38.

the beginning of November where over 130,000 patients per year were not

:45:39.:45:44.

receiving cancer treatment on time because of cancer patients not

:45:45.:45:48.

seeing a specialist within the required 14 days, and in some areas

:45:49.:45:53.

this was so severe that more than 6000 patients were forced to wait

:45:54.:45:59.

104 days or more. This also includes our own findings which of the

:46:00.:46:03.

government only met the 62 date target once in the past 20 months.

:46:04.:46:09.

-- 62 days target. This should drive the government to do more and it is

:46:10.:46:13.

clear we are seeing issues around transformations already and this

:46:14.:46:17.

should not be knocked, and I am not knocking it, but we should continue

:46:18.:46:21.

to hold the government to account where they can. That is why in my

:46:22.:46:26.

contribution I want to touch on two areas, improvement in preventative

:46:27.:46:30.

measures that can help reduce the occurrence of cancer, and the

:46:31.:46:35.

significant concerns recently raised regarding cancer workforce. So we

:46:36.:46:39.

can all agree that prevention is key to addressing many health

:46:40.:46:44.

conditions. Cancer is no different. As we have heard from a number of

:46:45.:46:51.

honourable members in this debate today, four in ten cancers are

:46:52.:46:55.

preventable and we should do more to prevent cancers from developing,

:46:56.:46:58.

especially those which could have been prevented by lifestyle changes.

:46:59.:47:02.

Prevention was a central pillar of the cancer strategy along with the

:47:03.:47:07.

five year forward view. The Minister should be prepared for what I will

:47:08.:47:11.

say next because I have said it to him often enough in my short time as

:47:12.:47:15.

the shadow men of Public health. But it still remains true, sadly. The

:47:16.:47:20.

false economy of cutting public health funding with no assessment

:47:21.:47:24.

made of the ramifications it will have on the various aspects of our

:47:25.:47:31.

lives, or other parts of the NHS and wider health service, that is

:47:32.:47:34.

seriously worrying. According to data collected by the Association of

:47:35.:47:39.

directors of public health, we are expecting to see smoking cessation

:47:40.:47:46.

services reduced by 61% in 2016-17, but 5% of services completely

:47:47.:47:49.

decommissioned and for weight management support, we will see a

:47:50.:47:55.

52% reduction, with 12% decommissioned. This is damning

:47:56.:47:59.

information when we know smoking and obesity are two of the biggest

:48:00.:48:04.

preventable causes of cancer. For smoking, we know that 100,000 people

:48:05.:48:09.

are dying each year from smoking-related diseases, including

:48:10.:48:13.

cancer. It is right that the cancer strategy strongly recommended the

:48:14.:48:15.

introduction of a new Tobacco control plan. And an ambitious plan

:48:16.:48:23.

for a smoke free society by 2035 was outlined. We still have not seen

:48:24.:48:27.

this plan, despite it being promised repeatedly over the last year. But I

:48:28.:48:31.

am sure the Minister will give further information on this in his

:48:32.:48:35.

response, and we all look forward to it. But one thing I want to say is

:48:36.:48:39.

that I hope we see it sooner rather than later. That was shared by a

:48:40.:48:45.

number of colleagues on both sides of the House today. Continued delay

:48:46.:48:51.

will never be beneficial to the shared vision of the smoke free

:48:52.:48:54.

society, from preventing cancer from happening. Another plan, which we

:48:55.:49:01.

have finally seen, although it was considerably watered down, is around

:49:02.:49:06.

childhood obesity. After smoking, it is understood obesity is the next

:49:07.:49:10.

biggest preventable cause of cancer and if we allow current trends to

:49:11.:49:15.

continue we could see more than 670,000 additional cases of cancer

:49:16.:49:24.

by 2025, sorry, 2035. This goes against the vision set out in the

:49:25.:49:28.

cancer strategy. We have seen sight of some deep jewel of the sugary

:49:29.:49:32.

drinks levy earlier this week and will be interesting to see how this

:49:33.:49:38.

develops. I hope the Minister can outlining his response a little bit

:49:39.:49:41.

about what he and his colleagues plan to do a round obesity and its

:49:42.:49:47.

links to cancer. As part of the cancer strategy, a review of the

:49:48.:49:50.

current workforce was called for, so we could understand fully the

:49:51.:49:54.

shortfalls, areas of investment needed, and the gaps in the training

:49:55.:49:59.

of new and existing NHS staff. That could meet the ambitious and noble

:50:00.:50:05.

goals set out in the strategy. This is something that in my capacity as

:50:06.:50:12.

chair of the varying cancer or party group -- all-party group, and other

:50:13.:50:19.

groups, alongside some members notably here today, including the

:50:20.:50:23.

honourable member for racing Edmonds, we raised this at the

:50:24.:50:27.

beginning of the year, with help Education England, who are

:50:28.:50:31.

conducting the review. In the letter we raised the need for need to fill

:50:32.:50:37.

specialist gaps within the cancer workforce but also the need for a

:50:38.:50:40.

strategic and longer term solution to be put in place. At the issue of

:50:41.:50:46.

the cancer workforce is an incredibly important one, especially

:50:47.:50:49.

when Cancer Research UK warmed over two weeks ago that pathology

:50:50.:50:54.

services in the UK were at a tipping point and earlier in the year the

:50:55.:51:00.

Royal College of radiologists warned that press Creek -- that the breast

:51:01.:51:07.

screening services were understaffed with posts left vacant. And this has

:51:08.:51:14.

doubled since 2010. Now this should spur of the Department on to work on

:51:15.:51:20.

workforce issues that have been raised so much with ministers. And I

:51:21.:51:25.

know that only in July of this year that organisations such as MacMillan

:51:26.:51:28.

Cancer Support and Cancer Research UK joined with other organisations

:51:29.:51:33.

calling for a set of principles to be taken up by government, including

:51:34.:51:38.

a review of the current and future workforce. And the Minister should

:51:39.:51:44.

take heed of the words of one doctor who, during and evidence session on

:51:45.:51:49.

to the progress of implementation of the review, said that issues around

:51:50.:51:55.

the workforce remained significant and severe. Having an ageing

:51:56.:52:00.

population, it means more and more people could be diagnosed with

:52:01.:52:05.

cancer and the much welcome to push to have earlier diagnosis of cancer,

:52:06.:52:12.

that means that pressures on the workforce will arise if the solution

:52:13.:52:17.

is not find especially if 500,000 Britons will be diagnosed with

:52:18.:52:22.

cancer by 2035, so this should remain at the forefront of the

:52:23.:52:25.

Minister's mind and his officials and those within agencies dealing

:52:26.:52:31.

with workforce capacity. It is clear that what we are seeing is

:52:32.:52:35.

investment failing to keep up with demand and this was something raised

:52:36.:52:39.

within the cancer strategy which called on NHS England to invest to

:52:40.:52:44.

unlock the extra capacity needed to meet the higher levels of cancer

:52:45.:52:48.

testing we are seeing. So we on this side of the House support the call

:52:49.:52:52.

is made only if you short months ago by the National Cancer advisory

:52:53.:52:58.

group for NHS England's Cancer Transformation Board to prioritise

:52:59.:53:01.

the focus on the cancer workforce in the coming months. I hope the

:53:02.:53:04.

Minister will ensure that this happens and that when we come back

:53:05.:53:09.

from Christmas recess that we can start to see the much-needed

:53:10.:53:11.

progress that has been called for starting to happen. In conclusion,

:53:12.:53:21.

the work started on this transformation is to be welcomed, it

:53:22.:53:25.

is a large cast to undertake, get the government will not be allowed

:53:26.:53:29.

to sit back, as I know they will not add the Minister will not, but it is

:53:30.:53:33.

after all of us this House, along with the many outside of this place,

:53:34.:53:38.

to continue to do all that we can to hold the Minister and government to

:53:39.:53:42.

account on such important and personal matters for all of us who

:53:43.:53:46.

have been affected by cancer, be it personally or through family or

:53:47.:53:50.

friends, so we must be critical, friends, in this drive to fight off

:53:51.:53:55.

cancer once and for all. We all agree that cancer should be at the

:53:56.:53:59.

top of health priorities, it is so destructive and it will affect us

:54:00.:54:05.

all in some way very sadly. We must ensure we get this right, because we

:54:06.:54:09.

cannot afford to get it wrong. Thank you.

:54:10.:54:14.

It is a pleasure to respond to this really important debate. Can I start

:54:15.:54:20.

also by paying tribute to the Melbourne from Basildon and

:54:21.:54:23.

Billericay and wishing him as we all have, him and his wife, the best in

:54:24.:54:29.

the journey that they are on. I have been in this job for a few months

:54:30.:54:32.

now and he has been extremely diligent in coming to see me,

:54:33.:54:36.

talking to me and making sure that cancer is right at the top of our

:54:37.:54:41.

radar screen as it should be. He also organised with the member for

:54:42.:54:45.

Scunthorpe and excellent meeting, 400 people on Tuesday, at a Britain

:54:46.:54:56.

beating cancer meeting and it was terrific and what happened to him at

:54:57.:54:59.

this family reinforces that we all love that cancer affects all of us,

:55:00.:55:04.

all of our constituents. One person is diagnosed with cancer in our

:55:05.:55:07.

country every two minutes. During the course of this debate 100 people

:55:08.:55:12.

will have received cancer diagnoses in England and that is just food for

:55:13.:55:16.

thought as to how important this is and how we need to make progress on

:55:17.:55:20.

it. A lot of members have spoken with a lot of experience, as many

:55:21.:55:26.

chairs of APPG is here, and indeed a lot of knowledge and personal

:55:27.:55:30.

experience and I haven't got time to respond in detail to every point

:55:31.:55:37.

that was made. I think I will start by making a generic point that this

:55:38.:55:40.

debate and debates like and remind us that our health service is not

:55:41.:55:44.

about bricks and mortar, not principally about bricks and mortar,

:55:45.:55:47.

it is about things that are far more important. Survival rates. I want to

:55:48.:55:52.

talk about the introduction that the member from Scunthorpe game which I

:55:53.:55:55.

thought was very fair and reasonable, in terms of what the

:55:56.:56:00.

priorities ought to be. But mad about the speaker I will make this

:56:01.:56:03.

point to all members because I'm guilty of it as well, that if I was

:56:04.:56:07.

to walk across on a typical day across from the chamber across the

:56:08.:56:11.

lobby I would probably speak to two members concerned about some aspect

:56:12.:56:17.

of hospital reconfiguration is and accident and emergency downgrades

:56:18.:56:19.

and something of that type of those after concerns, and certainly that

:56:20.:56:23.

is something that we all need to be concerned about in patches. But I

:56:24.:56:29.

would be accosted by a member saying that he is concerned she is

:56:30.:56:34.

concerned that her clinical commissioning group has got lower

:56:35.:56:38.

survival rates than the average and actually all time I think we need to

:56:39.:56:43.

lead to think about that as well and that is one important that one of

:56:44.:56:45.

the things that the government has done and we have not talked about in

:56:46.:56:50.

men -- in retail is that we have now published or have a clinical

:56:51.:56:53.

commissioning group in the country for indicators which rank them all

:56:54.:56:57.

and indeed the news was not believed when it came out but that

:56:58.:57:01.

transparency is very powerful and is something that we all ought to get

:57:02.:57:05.

used to using and thinking about that being as important to our

:57:06.:57:09.

constituents arguably more than some of the bricks and mortar concerns

:57:10.:57:12.

that sometimes tends to be what we spend time on. I mention that the

:57:13.:57:18.

member for Scunthorpe had started by being fair, I think the phrase that

:57:19.:57:24.

he used was a lot has been done but more needs to happen. I think

:57:25.:57:28.

probably everybody in the chamber would agree with that. A lot is

:57:29.:57:33.

being done, a lot of good things are being done, I will talk a little bit

:57:34.:57:41.

to that. Her five-year, one year, five-year, 10-year survival rates

:57:42.:57:46.

are all improving for cancer types. One of the things that I think we

:57:47.:57:50.

have learnt from this debate is that when we talk about survival rates

:57:51.:57:54.

across an aggregate measure of all cancers, there are very big

:57:55.:57:59.

variability is at the member for Castle Point made a good point

:58:00.:58:03.

regarding brain tumours having a 19% five-year survival rate against the

:58:04.:58:08.

target for all cancer types of 70% and it is absolutely true and one of

:58:09.:58:12.

the themes of today has been that we are making less progress on some

:58:13.:58:17.

rare cancer types and we are generally and we need to do better

:58:18.:58:21.

on that. We are making progress in terms of early diagnosis as well.

:58:22.:58:28.

The eight cancer targets in the meeting seven of them, but there was

:58:29.:58:33.

a pointed out and not least the member who speaks for the opposition

:58:34.:58:38.

on this that one of those, a very important cancer target is not being

:58:39.:58:44.

met, at 62 day target cancer, and one of the things that the strategy

:58:45.:58:50.

needs to drive and develop is that. We have also been reminded that in

:58:51.:58:55.

spite of the progress we have made we are not by any means the best of

:58:56.:58:59.

the world is, not even the best in Europe and indeed there is some

:59:00.:59:03.

evidence that we are below the average in Europe for most cancer

:59:04.:59:07.

types. I think it is fair to say that we're up in many cases, but not

:59:08.:59:14.

in all cases. In particular, long cancer which a number of members

:59:15.:59:18.

have talked about is a member -- is an area that we are not closing the

:59:19.:59:22.

gap with the rest of Europe that we need to be aware of that and focus

:59:23.:59:30.

on it. Now one of the things Madam Deputy Speaker that has struck me

:59:31.:59:32.

and I made this point on Tuesday at the conference when I came into this

:59:33.:59:41.

role, I have discovered that we have five cancer strategies in the last

:59:42.:59:44.

20 years and there are two things that we can reduce from this. One is

:59:45.:59:49.

that it is a cross-cultural, cross-party issue because all

:59:50.:59:55.

councils do strategies but the second and most important thing is

:59:56.:59:58.

that what we don't now need is another strategy. What we don't now

:59:59.:00:04.

need is more ideas about what we need to do. What we now need to do

:00:05.:00:09.

is actually deliver with a great deal of focus the 96.7 being set out

:00:10.:00:14.

in the cancer strategy and drive that flew over the next, it was a

:00:15.:00:18.

five-year strategy and we have fought to go, and we do need to make

:00:19.:00:22.

that happen. And the member that speaks for the opposition used a

:00:23.:00:27.

very good phrase I thought in her remarks, she said that he must be

:00:28.:00:30.

critical friends to this process and we must. Because every member in

:00:31.:00:36.

this house will have different perspectives but every member needs

:00:37.:00:41.

to support Kelly and her team in driving this strategy through. My

:00:42.:00:47.

role was to make sure that this could accountability in what is

:00:48.:00:52.

being done and when and by who end that we have milestones and targets

:00:53.:00:54.

that we have deliverables and I think we have some way to go before

:00:55.:01:03.

that its TV. At the point that the member from Basildon and Billericay

:01:04.:01:06.

has made on a number of occasions is that we must focus on outfit

:01:07.:01:10.

measures not a process and input measures and that is something that

:01:11.:01:17.

we can make work better. In the strategy, there are six programmes

:01:18.:01:22.

that work. One is prevention, one early diagnosis, one on

:01:23.:01:26.

commissioning and one on high-quality modern services, and

:01:27.:01:32.

importantly one on patient experience and living well beyond

:01:33.:01:35.

cancer. I thought of the member from Bosworth made a very good point in

:01:36.:01:40.

terms of the overall approach. This is not just a technical thing that

:01:41.:01:45.

we are doing here, we do need to get better in terms of patient

:01:46.:01:50.

experience and living beyond cancer. I will -- I attended the very

:01:51.:01:57.

encounter a PPG and I spoken that and I met a lady at that event he

:01:58.:02:01.

had been given a prognosis of six months to live and she told me that

:02:02.:02:07.

she had no support. No support whatsoever in terms of ongoing

:02:08.:02:12.

dialogue with the clinical nurse that was mentioned at Saint -- at

:02:13.:02:19.

police and Edmonds and that is a failure completely inadequate. The

:02:20.:02:21.

strategy in response to that is that we are trying to put into place

:02:22.:02:27.

cancer recovery packages which will be, everyone will have one of those

:02:28.:02:30.

is the diagnosed and that is a very important thing. I heard the point

:02:31.:02:34.

that it was well made, that the staffing implications are in doubt

:02:35.:02:37.

that we must address that as well and we will. In terms of the sort of

:02:38.:02:44.

scenes of what came out of the various points made by members on

:02:45.:02:49.

both sides of the house, I think I have covered the one about rarer

:02:50.:02:58.

cancers, in particular the brain cancers and blood cancers and the

:02:59.:03:01.

truth is that what we need to do with those is make more progress

:03:02.:03:04.

more quickly than we have done so far in terms of research because we

:03:05.:03:08.

don't know the answers to the same extent with those cancers that we do

:03:09.:03:12.

with others. And that is not just research by the government, that is

:03:13.:03:15.

Cancer Research UK and the charities. A number of colleagues

:03:16.:03:19.

have made the point that the voluntary sector is extremely ported

:03:20.:03:23.

to this and of course it is, Macmillan and marry cutie at Cancer

:03:24.:03:29.

Research UK plus hundreds of smaller charities we all have in our

:03:30.:03:32.

constituencies that make a big difference. We also know that

:03:33.:03:40.

workforce matters very much. This is a very consistent stream in the

:03:41.:03:43.

strategy and something that the strategy needs to get right. I was

:03:44.:03:46.

asked by the member for Scunthorpe in his opening comments how we are

:03:47.:03:52.

holding health education include accounting terms of some of the

:03:53.:03:54.

workforce requirements that are having to come up with and I need

:03:55.:03:59.

regularly with Professor Cummings, as the sea Secretary of State, not

:04:00.:04:03.

just on this aspect of the workforce, other things the

:04:04.:04:06.

responsible foreign terms of increasing the number of GP -- GPs

:04:07.:04:11.

and doctors working in primary practice but there are specific

:04:12.:04:14.

things that we need to make progress very quickly on. There is not enough

:04:15.:04:19.

radiographers, the point was made that there is no point in having

:04:20.:04:22.

linear accelerator is a the people to operate them and that is right

:04:23.:04:25.

but light of redone the people to operate them and that is right but B

:04:26.:04:28.

speak little for the fact that we are now rolling out the linear

:04:29.:04:31.

accelerator that Simon Stevenson is this week, at 15 locations up and

:04:32.:04:36.

down the country that are going to have that. In particular a real area

:04:37.:04:44.

of shortage has been endoscopy. And that is something that has been

:04:45.:04:47.

pulled out of the cancer strategy in terms of a specific work stream, in

:04:48.:04:54.

terms of the 96 and we will have 200 extra endoscopists trained by the

:04:55.:04:59.

end of 2040 and we will continue to build on that. The workforce is a

:05:00.:05:07.

massive importance. I haven't answered all the questions and all

:05:08.:05:10.

the points made, in particular I have not yet answered and I will

:05:11.:05:14.

talk about the Tobacco control plan, the several members on both sides of

:05:15.:05:18.

the house of mentioned this and I'm afraid all I can say is that it is

:05:19.:05:24.

soon is the answer. The Minister has informed me that she is determined

:05:25.:05:27.

to get this right and I guess you and all agree that it right is also

:05:28.:05:34.

important. I think I am is disappointed in terms of the process

:05:35.:05:37.

of the strategy that we have not got that out yet as some members have --

:05:38.:05:42.

as some members in as well but I will make the point that we are

:05:43.:05:46.

doing a lot in terms of smoking, in terms of exquisite images on

:05:47.:05:48.

packages and things of that type, more than many other countries and I

:05:49.:05:51.

think we should not forget about that. It is not all about strategy.

:05:52.:05:58.

I will finish no other than to say this, that I think we need to come

:05:59.:06:05.

back in a year and I hope the backbench business committee in the

:06:06.:06:08.

hope that the chairmen of all the cancer EPG seven-year will make sure

:06:09.:06:13.

that there is a debate in this place every year so the government is held

:06:14.:06:17.

to account is critical friends because we all need to make sure

:06:18.:06:22.

that we focus on getting the strategy delivered. We absolutely

:06:23.:06:24.

don't need another strategy made the massive potential steps

:06:25.:06:32.

forward that will be in place if this is achieved. My honourable

:06:33.:06:38.

friend tents me by saying that he is about to sit down with three minutes

:06:39.:06:47.

to go. I cannot see him to discuss the harassment of ?200 million for

:06:48.:06:53.

support services? I am happy to speak to him about that, he made the

:06:54.:06:59.

point that there was no investment going into a number of areas. I

:07:00.:07:03.

think I was pleased that we are giving 5 million to the two centres

:07:04.:07:07.

being put together, the Haven centres but I am happy to speak to

:07:08.:07:12.

him about 200 million. The light of the with every point that he made

:07:13.:07:15.

during the course of his remarks but I will sit down at that point. Nick

:07:16.:07:22.

taken to wind up. I thank the Minister for his response to what he

:07:23.:07:25.

is right in saying was a very good debate amongst critical friends, to

:07:26.:07:32.

steal the excellent points that my honourable friend made. Members of

:07:33.:07:35.

Poplar and Limehouse Bosworth and Harrow East all highlighted the

:07:36.:07:40.

importance of public health measures particularly smoking cessation

:07:41.:07:43.

campaigns in preventing cancer. We are reassured that we will have the

:07:44.:07:49.

plans soon. The member for Crawley who is the chair of the all-party

:07:50.:07:52.

group on blood cancers spoke movingly from personal experience

:07:53.:07:58.

about how blood cancers come into people's lives unexpectedly. The

:07:59.:08:01.

member for Castle Point's chair of the all-party group on brain tumours

:08:02.:08:07.

echoed this and much that she said of the need to do something about

:08:08.:08:11.

these cancers that are stuck and reminders that brain cancer is the

:08:12.:08:15.

biggest killer of young people. He was right to say that the cancer

:08:16.:08:19.

strategy is a strong step in the right direction but we need to do

:08:20.:08:22.

more. The point that the member for Stratford also echoed, that we need

:08:23.:08:27.

to do even better as the member for Bosworth said, as he -- if we move

:08:28.:08:33.

from 60% to 70%, why not move to 80%? The member for Bury St Edmunds,

:08:34.:08:38.

a cancer survivor herself, posed a series of very challenging

:08:39.:08:41.

questions. Exactly the sort of questions that should drive better

:08:42.:08:45.

performance as he move forward. We are at a pivotal moment for the

:08:46.:08:51.

cancer services, and I know that many people will be heartened by the

:08:52.:08:55.

comments of the Minister, both today and on Tuesday at the Britain

:08:56.:09:01.

against cancer is dead. He is right in saying that it is easy to write

:09:02.:09:05.

strategies, but now is the time to deliver. You'll like the question is

:09:06.:09:10.

that this house has considered the cancer strategy. As many that

:09:11.:09:13.

opinion say aye, on the contrary now.

:09:14.:09:15.

Subtitles will resume on Thursday in Parliament at 2300.

:09:16.:09:25.

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