Browse content similar to 08/12/2016. Check below for episodes and series from the same categories and more!
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own priorities. I will refer his question to the controller and | :00:00. | :00:00. | |
auditor General, asking him to write to the gentleman with the | :00:00. | :00:08. | |
information he is seeking. There are various points of order. I will take | :00:09. | :00:13. | |
first those of which I have had notice. Point of order from Mr | :00:14. | :00:20. | |
Andrew Salter. On Tuesday, the Transport Secretary was asked five | :00:21. | :00:25. | |
times while he has not devolved real services to the Mayor of Manchester. | :00:26. | :00:31. | |
He he was told each time they were commercial and operational reasons | :00:32. | :00:35. | |
were not doing so. He later emerged that gave the actual reason, that he | :00:36. | :00:43. | |
would like, to keep suburban real services out of the clutches of any | :00:44. | :00:48. | |
future Labour mayor. Members should be able to rely on the answer is | :00:49. | :00:52. | |
that this dispatch box to be as accurate as possible. What steps can | :00:53. | :00:56. | |
I take to get the Minister to correct the record to reflect his | :00:57. | :01:07. | |
actual reason? I am that I am grateful for the advance notice. | :01:08. | :01:12. | |
First, every member of this house is responsible for the veracity of what | :01:13. | :01:16. | |
he or she says in it and it is incumbent upon a member on the | :01:17. | :01:21. | |
discovery of a mistake, to correct it. That applies to ministers and | :01:22. | :01:27. | |
everybody else. Secondly, he will understand why I don't wish to delve | :01:28. | :01:31. | |
into the detail of the matter, and I certainly don't seek to adjudicate | :01:32. | :01:38. | |
between him making an accusation and any minister who might seek to | :01:39. | :01:45. | |
defend him or herself against it. And all I would say is that perhaps | :01:46. | :01:52. | |
what he has said about a political motivation and what the Minister has | :01:53. | :01:56. | |
said, are not necessarily mutually exclusive. My point of order is not | :01:57. | :02:09. | |
too dissimilar to the previous point of order, in that mine relates to | :02:10. | :02:14. | |
the response that was given by the Department for Transport to the | :02:15. | :02:18. | |
urgent question put down by the member for Brighton Pavilion in | :02:19. | :02:23. | |
respect of Southern Rail on Monday. Myself and the honourable members | :02:24. | :02:29. | |
for Dulwich in West Norwood, we asked of the Minister whether the | :02:30. | :02:36. | |
government's intention was still to devolve rail commuter services to | :02:37. | :02:42. | |
Transport For London. We were not given any answer to that, however, | :02:43. | :02:49. | |
as he has just said, the Secretary of State for Transport has clearly | :02:50. | :02:54. | |
made his mind up on that, on the basis of party political reasons, | :02:55. | :02:59. | |
and secondly, having provided no answer, we then found it in the | :03:00. | :03:03. | |
Evening Standard the day after. Mr Speaker, I know you place a premium | :03:04. | :03:08. | |
on ministers coming and giving information to this house when | :03:09. | :03:11. | |
questions are asked, not providing it in the newspapers after. And I am | :03:12. | :03:17. | |
utterly exasperated at this, because my constituents will take great | :03:18. | :03:24. | |
exception to ministers playing party politics with the misery they are | :03:25. | :03:29. | |
facing day in, day out. I would be very grateful for your guidance on | :03:30. | :03:34. | |
how we can ensure that ministers did the right information to this house | :03:35. | :03:39. | |
and do not fail to give us the information that we require. I am | :03:40. | :03:44. | |
grateful to the honourable gentleman for that point of order. Of course, | :03:45. | :03:49. | |
I remember well the exchanges to which he referred having taken place | :03:50. | :03:53. | |
only three days ago. Buy off the cuff response to him is twofold. | :03:54. | :04:00. | |
First, the absence of comprehensive answers to questions posed under | :04:01. | :04:07. | |
governments of a variety of complexions, is not without | :04:08. | :04:11. | |
precedent. Secondly, it is very difficult to know, and it's not for | :04:12. | :04:20. | |
the speaker to judge at what point a government has decided on a policy | :04:21. | :04:25. | |
and then decided to communicate it, however, it does seem a bit strange | :04:26. | :04:33. | |
if something is not communicated in the house in response to a specific | :04:34. | :04:37. | |
question, that is then communicated to the media a very, very short time | :04:38. | :04:46. | |
afterwards. It is not for me to judge in each case, but I really do | :04:47. | :04:54. | |
think that if ministers wish to advert the potentially embarrassing | :04:55. | :04:58. | |
scenario of another urgent question on the same matter being tabled, | :04:59. | :05:02. | |
with the possibility that the minister might have to come to | :05:03. | :05:08. | |
answer a second time, it would be wise for ministers to factor that | :05:09. | :05:13. | |
consideration into their calculations of how to conduct | :05:14. | :05:18. | |
themselves. I think that that is the fairest way I can deal with that. | :05:19. | :05:24. | |
But the honourable gentleman was applicants for the question or a | :05:25. | :05:28. | |
core applicant the other day and his constituency is directly affected, | :05:29. | :05:32. | |
so of course, I will hear the right Honourable gentleman. He will be | :05:33. | :05:36. | |
aware of my constituents are suffering chaotic services on | :05:37. | :05:42. | |
Southern, and they were seeking the salvation in Transport For London | :05:43. | :05:46. | |
taking responsibility for those services. And they were seeking the | :05:47. | :05:48. | |
salvation in Transport For London take the responsibility for those | :05:49. | :05:51. | |
services. Can you advise me if there is any way in which I can secure a | :05:52. | :05:55. | |
transport outcome for my constituents that is based on the | :05:56. | :05:59. | |
best policy, as opposed to a political priority for the | :06:00. | :06:10. | |
government? I'm not sure, notwithstanding his investing me | :06:11. | :06:14. | |
with great powers in these matters, but I am best pleased to advise him, | :06:15. | :06:18. | |
but there is a former deputy leader of the house and he will be well | :06:19. | :06:23. | |
aware of the upcoming matters to be raised on the adjournments, to which | :06:24. | :06:27. | |
you may wish to contribute, although he may be perturbed by the absence | :06:28. | :06:32. | |
of the responsible departmental minister to give him a substantive | :06:33. | :06:38. | |
reply. If what he wants is to substantively raise the issue and | :06:39. | :06:43. | |
obtain a reply, his own adjournment debate might be his best salvation. | :06:44. | :06:47. | |
I have a hunch that the honourable gentleman will shortly be vetoing | :06:48. | :06:52. | |
across to the table office to make such an application, and he might | :06:53. | :06:57. | |
find that his application is successful. Point of order! The | :06:58. | :07:07. | |
honourable lady did give me advance notice, so let's leave it. Thank | :07:08. | :07:16. | |
you. You have ruled that it is courtesy of the house that members | :07:17. | :07:20. | |
should warn one another when visiting their constituencies. I was | :07:21. | :07:29. | |
warned that a minister was visiting my constituency, I discovered this | :07:30. | :07:33. | |
by reading an article local newspaper. I read that with his | :07:34. | :07:37. | |
office and they told me they did not have this obligation as applying to | :07:38. | :07:42. | |
ministers. This was particularly disappointing, given the serious | :07:43. | :07:45. | |
issues I have often raised within the specific area he was visiting | :07:46. | :07:49. | |
about and I would have welcomed the opportunity to discuss that with | :07:50. | :07:54. | |
them during his visit. I don't need to refer you to paragraph 10.9 of | :07:55. | :07:59. | |
the ministerial code, but could you clarify that this convention does | :08:00. | :08:05. | |
indeed apply to ministers and what advice he may offer the minister | :08:06. | :08:09. | |
when that code is broken, and whether any further training or | :08:10. | :08:12. | |
guidance might be given to ministers regarding obligations of this house? | :08:13. | :08:17. | |
I am grateful for the point of order and I think I can offer her some | :08:18. | :08:23. | |
comfort in the matter. The short answer is the obligation certainly | :08:24. | :08:27. | |
does apply to ministers and I am frankly staggered to heed it | :08:28. | :08:40. | |
suggested. I thought it was very well-known in the house. But let me | :08:41. | :08:44. | |
just give the substantive reply. It is a long-standing convention that | :08:45. | :08:48. | |
members should notify each other before visiting others | :08:49. | :08:54. | |
constituencies in a public capacity. Obviously, if one member is going to | :08:55. | :08:58. | |
another's for a private dinner party, the obligation doesn't apply, | :08:59. | :09:03. | |
we are talking about the conduct of public business. And the requirement | :09:04. | :09:08. | |
for ministers is enshrined in the ministerial code. Ministers really | :09:09. | :09:16. | |
ought to be familiar with and ready to adhere to the ministerial called. | :09:17. | :09:21. | |
I agree it is the most unsatisfactory situation when notice | :09:22. | :09:26. | |
is not given, and I would urge members on all sides are ministers | :09:27. | :09:29. | |
in particular to observe that courtesy. The point is being made | :09:30. | :09:34. | |
and I know the leader of the house, who is extremely assiduous and | :09:35. | :09:38. | |
highly respected in the space for his courtesy, and I can see this for | :09:39. | :09:43. | |
some knowledge, because he has been my constituency neighbour for | :09:44. | :09:46. | |
decades, he takes this very seriously and he will do all they | :09:47. | :09:50. | |
can to make sure other members will behave with the courtesy he | :09:51. | :09:51. | |
customarily exhibits. The overwhelming custom and practice | :09:52. | :10:07. | |
and precedent is that when bills passed second reading as the | :10:08. | :10:11. | |
boundary division Bill did, they should go to committee without undue | :10:12. | :10:18. | |
delay. The Leader of the House today expanded on his excuses for this not | :10:19. | :10:23. | |
happening, reasons he did not give two weeks ago, but every single one | :10:24. | :10:27. | |
of us knows this is nothing more than political chicanery. Yesterday | :10:28. | :10:33. | |
the Leader of the House which the House of the Prime Minister, today | :10:34. | :10:37. | |
he is reaching the depths of not fulfilling the proper | :10:38. | :10:40. | |
responsibilities of the Leader of the House. How can we persuade him | :10:41. | :10:46. | |
to mend his ways? The Leader of the House is entitled to respond if he | :10:47. | :10:50. | |
wishes. If he does not wish to do so, it is very much the norm that | :10:51. | :10:58. | |
the government should come forward with the appropriate resolution. It | :10:59. | :11:05. | |
is not strictly a matter for the chair if that does not happen, but | :11:06. | :11:12. | |
knowing the right honourable gentleman as I do, how familiar he | :11:13. | :11:16. | |
is with this long-standing requirement, knowing the tendency of | :11:17. | :11:20. | |
the Right honourable gentleman only to ask a question only when he knows | :11:21. | :11:25. | |
the answer to it, I think any member of the government is taking some | :11:26. | :11:33. | |
risk in persisting to do what, persisting in failing to do what is | :11:34. | :11:38. | |
expected, and I sense that the right honourable gentleman, to put it | :11:39. | :11:42. | |
bluntly, will keep banging on about the matter until he gets what he | :11:43. | :11:49. | |
wants. Mr Stuart Malcolm MacDonald. Two brief points. I think the Leader | :11:50. | :11:53. | |
of the House perhaps inadvertently misled the House in response to | :11:54. | :11:57. | |
questions from honourable friends regarding job centre closures in | :11:58. | :12:01. | |
Glasgow. He stated these plans would be subject to full consultation. | :12:02. | :12:05. | |
They will not be. The government only plans to consult on two of | :12:06. | :12:10. | |
eight closures across the city, which I cannot stress enough to the | :12:11. | :12:16. | |
House how devastating this news is. On the second point, I wonder if you | :12:17. | :12:20. | |
could advise what myself and other honourable friends who represent | :12:21. | :12:25. | |
Glasgow constituencies, what recourse is open to us to put right | :12:26. | :12:32. | |
the disco city, -- discourtesy, which was shown to us. We had to | :12:33. | :12:36. | |
read about these closures in the press and it took ministers over | :12:37. | :12:40. | |
seven hours to get in touch with us about this. We consider that to be | :12:41. | :12:44. | |
grossly disrespectful and I wonder if you could advise whether there is | :12:45. | :12:50. | |
any recourse open to us. To some extent, the honourable gentleman has | :12:51. | :12:54. | |
gained his own salvation in airing his discontent on the floor of the | :12:55. | :13:00. | |
House with the relevant Minister not in a position immediately to reply | :13:01. | :13:05. | |
so the honourable gentleman is able to establish some tracks on the | :13:06. | :13:09. | |
ground which are to his advantage. I was not familiar with that point of | :13:10. | :13:13. | |
detail which has just been highlighted for rest is about two | :13:14. | :13:17. | |
matters being the subject of consultation rather than the full | :13:18. | :13:20. | |
eight. That really is not a matter for me. But what I would say to the | :13:21. | :13:27. | |
honourable gentleman is that it is normal in matters of this kind that | :13:28. | :13:32. | |
affect constituencies for members affected to be given the courtesy of | :13:33. | :13:36. | |
advanced notification rather than having to read about the matters in | :13:37. | :13:42. | |
the newspapers. It may well be that some rather greater discipline | :13:43. | :13:50. | |
within ministerial offices is required to avoid a repetition of | :13:51. | :13:55. | |
that rather unfortunate occurrence. Further to that point of order. | :13:56. | :14:03. | |
Thank you. In relation to the decision about job centre closures | :14:04. | :14:07. | |
in Glasgow, my understanding is that there is ministerial criteria which | :14:08. | :14:10. | |
determines whether it goes to public consultation or not. It is the view | :14:11. | :14:19. | |
of me and my honourable friend that four of the aid should be going to | :14:20. | :14:23. | |
public consultation. Is there any recourse for rest to raise that with | :14:24. | :14:33. | |
ministers? I have to confess that I suffer from some ignorance on that | :14:34. | :14:37. | |
matter. It is an enormously important point but not one I have | :14:38. | :14:42. | |
any knowledge at all of. When you ask whether there is any recourse, | :14:43. | :14:49. | |
the answer is yes. You should table a written question, narrowly focused | :14:50. | :14:55. | |
on that matter, to try to set -- extract a substantive answer. Mr | :14:56. | :15:02. | |
Alan Brown. This is a point of order about answers I have received from | :15:03. | :15:06. | |
the Secretary of State for Scotland. I asked a question in the chamber. | :15:07. | :15:22. | |
asked him about heat he had done anything about a previous pledge. | :15:23. | :15:30. | |
The answer I got was, the honourable gentleman knows that I and the UK | :15:31. | :15:33. | |
Government have worked with the council to see if opencast can | :15:34. | :15:38. | |
continue in that area. Now, not because I am cynical but because I | :15:39. | :15:41. | |
wanted to give credit where credit is due, I submitted three questions | :15:42. | :15:47. | |
asking how much money the UK Government is spending on opencast | :15:48. | :15:52. | |
restoration, what action they have taken and how many meetings the | :15:53. | :15:55. | |
Secretary of State had had with the Chancellor. I had a simple group | :15:56. | :15:59. | |
answer which did not give any figures or information at all. It | :16:00. | :16:07. | |
says about informal meetings with colleagues, about agreeing a way | :16:08. | :16:21. | |
forward, and he also advises that the call authority provides advice. | :16:22. | :16:29. | |
I will try to be brief. I submitted a follow up question trying to pin | :16:30. | :16:32. | |
down answers about funding. What funding has been provided. I am | :16:33. | :16:43. | |
quite indescribably grateful to the honourable gentleman for raising | :16:44. | :16:47. | |
these matters. No one can accuse the honourable member for excluding from | :16:48. | :16:50. | |
his point of order any point which he thinks might be in any way, at | :16:51. | :16:57. | |
any time, anywhere, be judged to be material. There is a comprehensively | :16:58. | :17:01. | |
about his approach which is as impressive as it is infuriating. | :17:02. | :17:08. | |
What I want to say to the honourable gentleman is, first of all, I don't | :17:09. | :17:12. | |
think I have ever said this before but the sense in which I share the | :17:13. | :17:16. | |
honourable gentleman's pain but there are very few new precedents in | :17:17. | :17:22. | |
this place. He says with open eyed astonishment that he put down | :17:23. | :17:25. | |
several questions which were treated as a job lot by the Minister. I very | :17:26. | :17:30. | |
much doubt his experience is very much worse than mine, long before I | :17:31. | :17:34. | |
had the privilege to occupy the chair, I think I tabled 60 questions | :17:35. | :17:39. | |
to the Minister for Europe who had the extreme temerity to provide me a | :17:40. | :17:45. | |
dismissive one with the reply to all 60. I simply return to the drawing | :17:46. | :17:49. | |
board and came up with these further series of questions on the basis | :17:50. | :17:53. | |
that I could therefore occupy the Minister's attention in the way that | :17:54. | :17:56. | |
he would be doing less damage responding to me than he might be | :17:57. | :18:00. | |
doing in other ways. The content of ministerial answers is the | :18:01. | :18:04. | |
responsibility of the Minister concerned. If the minister felt with | :18:05. | :18:08. | |
hindsight that an answer had been inaccurate, it would be open to him | :18:09. | :18:12. | |
or her to correct the record. I realise he finds the answer is | :18:13. | :18:15. | |
unsatisfactory but I'm afraid that is not a point of order for the | :18:16. | :18:33. | |
chair. He asks how he can get decent answers out of ministers, that is a | :18:34. | :18:38. | |
question that has taxed many of us, myself included, over the years, but | :18:39. | :18:40. | |
the best approach is to use persistence and ingenuity, both of | :18:41. | :18:43. | |
which I think he has demonstrated he possesses in abundance. I would | :18:44. | :18:45. | |
suggest that he seeks the advice of the table office. One of the things | :18:46. | :18:48. | |
I learned early is that the staff of the table office are there to help | :18:49. | :18:51. | |
and if the honourable gentleman is told that his approach is not in | :18:52. | :18:57. | |
order ought not the best approach, he should then proceed to ask the | :18:58. | :19:01. | |
follow-up question, how can I best go about the matter? And the table | :19:02. | :19:10. | |
office are both public spirited and experience and they will be able to | :19:11. | :19:14. | |
help the honourable gentleman. His visit there will profit him. If | :19:15. | :19:20. | |
there are no further points of order, we can now proceed to the | :19:21. | :19:25. | |
next business, which is the backbench motion on the UN | :19:26. | :19:29. | |
International Day for the elimination of violence against | :19:30. | :19:34. | |
women. To move the motion, I call Seema Malhotra. | :19:35. | :19:43. | |
Thank you, Mr Speaker. I am delighted to be able to move the | :19:44. | :19:46. | |
motion today on the order paper that notes that this House notes the UN | :19:47. | :19:52. | |
International Day for the elimination of violence against | :19:53. | :19:57. | |
women and the 16 days of activism against gender-based violence. Also, | :19:58. | :20:03. | |
that violence against women is a human rights violation and that much | :20:04. | :20:06. | |
more needs to be done to address and prevent this scourge on our nation | :20:07. | :20:12. | |
and across the world. I want to thank all honourable members who | :20:13. | :20:16. | |
have supported this debate from all sides of this House, including the | :20:17. | :20:22. | |
honourable members for Stretford and Urmston, for Maidstone and The | :20:23. | :20:30. | |
Weald, Lanark and Hamilton East Brighton, Pavilion, Glasgow North, | :20:31. | :20:36. | |
Rotherham, Birmingham, Yardley, Basingstoke, and indeed other | :20:37. | :20:40. | |
members who I am sure will be speaking in the debate today. I also | :20:41. | :20:46. | |
want to particularly recognise and express my thanks to the Right | :20:47. | :20:49. | |
honourable member for Basingstoke, who is also chair of the woman | :20:50. | :20:55. | |
inequalities Select Committee and whose support is also being debated | :20:56. | :21:00. | |
today. I am proud that as a parliament we are debating this | :21:01. | :21:04. | |
motion because it is vital that Parliament play its part on the | :21:05. | :21:07. | |
world stage in combating violence against women in all its forms, at | :21:08. | :21:15. | |
home and abroad. The UN declaration on the elimination of violence | :21:16. | :21:20. | |
against women is describes it as any act of gender-based violence that | :21:21. | :21:24. | |
results in or is likely to result in physical, sexual or psychological | :21:25. | :21:29. | |
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 | :21:36. | :21:39. | |
events and campaigns across the country and the world and these 16 | :21:40. | :21:45. | |
days end on the 10th of December. Human rights Day. This year also | :21:46. | :21:50. | |
marks the 25th anniversary of the 16 days of action. Madam Deputy | :21:51. | :21:54. | |
Speaker, tackling violence against women has to be a cross-party issue | :21:55. | :21:59. | |
and the delivery of strategies has to be based on what works and go | :22:00. | :22:06. | |
across Parliament. In 2009, the Labour government published the | :22:07. | :22:10. | |
first violence against women and girls strategy, described as marking | :22:11. | :22:14. | |
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 | :22:18. | :22:22. | |
ensure a complete strategy and how we turned that strategy into | :22:23. | :22:28. | |
outcomes. May I also... I will give way. I just wonder whether she would | :22:29. | :22:34. | |
agree with me that perhaps one of the best examples of cross-party | :22:35. | :22:38. | |
approach is the support for the Istanbul convention and would she | :22:39. | :22:41. | |
hoped that the government are going to fully adopt this? I thank the | :22:42. | :22:49. | |
honourable member for his intervention and he leads me | :22:50. | :22:54. | |
directly onto my next point, where I was about to congratulate the member | :22:55. | :22:58. | |
for Bamford and Buchanan who today has also published the contents of | :22:59. | :23:06. | |
her preventing and combating violence against women and domestic | :23:07. | :23:12. | |
violence ratification of Convention Bill, which will have its second | :23:13. | :23:17. | |
reading next week. The UK signed the convention in June 2012 but has not | :23:18. | :23:23. | |
yet ratified it and this issue was the subject of a letter today to the | :23:24. | :23:28. | |
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 | :23:34. | :23:39. | |
on this issue and recognise the EDM signed by members across this has | :23:40. | :23:43. | |
put down by the member for Paisley and Renfrewshire North. Madam Deputy | :23:44. | :23:49. | |
Speaker, in opening this debate, I want to make three main points. The | :23:50. | :23:53. | |
first is on the growing scale of the challenge at home and abroad, the | :23:54. | :23:58. | |
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 | :24:03. | :24:07. | |
Istanbul convention, and thirdly, how we need a culture shift across | :24:08. | :24:13. | |
society to include all, including businesses and public services, to | :24:14. | :24:17. | |
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 | :24:20. | :24:36. | |
scale of the problem. Violence against women and girls is rising | :24:37. | :24:41. | |
worldwide. One in three women experience physical or sexual | :24:42. | :24:46. | |
violence. That is a staggering statistic. The world health | :24:47. | :24:50. | |
organisation argues that violence against women is a major public | :24:51. | :24:55. | |
health issue. With women who have experienced violence more likely to | :24:56. | :25:00. | |
have babies with low birth weights and experience depression. Each year | :25:01. | :25:05. | |
in the UK, up to 3 million women experience violence and on average, | :25:06. | :25:09. | |
one woman dies in Britain at the hands of a man every three days. We | :25:10. | :25:16. | |
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 | :25:22. | :25:27. | |
show the scale and gendered nature of domestic and sexual violence. The | :25:28. | :25:33. | |
cost to our economy is also estimated to be around ?25 billion. | :25:34. | :25:40. | |
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 | :25:51. | :25:55. | |
relatively recent examples from my constituency. A lady approached me | :25:56. | :26:00. | |
recently who had suffered domestic violence for many years. She | :26:01. | :26:02. | |
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 | :26:07. | :26:13. | |
abuse continued and she of her ex-husband and his family. She feels | :26:14. | :26:25. | |
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. |