22/02/2018

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0:00:00 > 0:00:00supporting the autonomy of the Kurdish region is important. But so

0:00:00 > 0:00:08is supporting the right of the Iraqi government to territorial integrity.

0:00:08 > 0:00:14We now come to the second select committee statement. He will speak

0:00:14 > 0:00:17on this subject on this subject during which are no interventions

0:00:17 > 0:00:21will be taken. I will then call members to ask questions in the

0:00:21 > 0:00:26usual way. I called the chair of the Justice committee.Thank you very

0:00:26 > 0:00:33much, Deputy Speaker. This report results from what was described by

0:00:33 > 0:00:36Her Majesty 's Chief Inspector of prisons as one of the worst

0:00:36 > 0:00:41inspection reports of a prison he had ever seen. It is to meet the

0:00:41 > 0:00:45worst inspection report that our committee had ever seen, and it is

0:00:45 > 0:00:50because of the gravity of that situation that we took the unique

0:00:50 > 0:00:52step of holding a specific evidence session into that individual

0:00:52 > 0:00:58inquiry. Not only do it highlight conditions which the Chief inspector

0:00:58 > 0:01:04describes as squalid as Liverpool prison, and a history of

0:01:04 > 0:01:11deterioration over a two-year period, and a history of failure of

0:01:11 > 0:01:14management at a local national and regional level over a period of

0:01:14 > 0:01:20time, but also we believe it highlights a number of systemic

0:01:20 > 0:01:25problems which need to be addressed by the Ministry and Her Majesty 's

0:01:25 > 0:01:29prison and probation service. And also, highlights the need for

0:01:29 > 0:01:35approaching a fresh way in which we deal with Her Majesty 's of prisons

0:01:35 > 0:01:42is self. May I pay tribute to my colleagues on the select committee,

0:01:42 > 0:01:48a number of whom are present today, for their work on this report? And I

0:01:48 > 0:01:53may also welcome to his place my Hons friend the Minister, and I

0:01:53 > 0:01:57appreciate that he came and gave evidence to our inquiry so early on

0:01:57 > 0:02:04in his appointment to the posting which he now serves. Can I briefly

0:02:04 > 0:02:08outline the report against that grave background? This was a

0:02:08 > 0:02:15situation where Liverpool prison was inspected in 2015. It was failing

0:02:15 > 0:02:22them, it was a re-inspected again in 2017, it had got worse. Some of the

0:02:22 > 0:02:26conditions, a man with a mental health problems in a cell that was

0:02:26 > 0:02:30not fit the habitation, and that there was a serious maintenance

0:02:30 > 0:02:37backlog, were in fact the maintenance backlog had doubled from

0:02:37 > 0:02:411000 - 2000 over that period where its marking the guess the various

0:02:41 > 0:02:45tests have gone backwards indicate not only was there a gross failure

0:02:45 > 0:02:50of management locally and of oversight at a regional and national

0:02:50 > 0:02:54level, but also that the detailed recommendations of Her Majesty 's

0:02:54 > 0:02:58Inspectorate made in 2015 had not properly been addressed, the first

0:02:58 > 0:03:03systemic matter that we addressed. It's pretty clear that the national

0:03:03 > 0:03:06leadership was not the lurch to the situation as to what was happening

0:03:06 > 0:03:12on the ground. -- was not alert. The head of the prison service told us

0:03:12 > 0:03:18he had been informed by the local management that some 60% of the

0:03:18 > 0:03:23recommendations in 2015 were on track to be met. That was wrong. In

0:03:23 > 0:03:28fact, only 25% were met, 60% were not met. The leadership nationally

0:03:28 > 0:03:35was out of touch. When asked what was the role for the deputy Minister

0:03:35 > 0:03:38for corrections, who is supposed to have oversight for 12 prisons in

0:03:38 > 0:03:42that region, clearly there was failure in communication but a

0:03:42 > 0:03:45breakdown in the way the system operates there. Secondly this is not

0:03:45 > 0:03:52unique. The chief Inspectorate indicated to us this is a regular

0:03:52 > 0:03:56occurrence, that recommendations by the Inspectorate are not acted upon.

0:03:56 > 0:04:02The Minister rightly says to us that much greater use should be made of

0:04:02 > 0:04:05the Inspectorate's recommendations to drive changes in behaviour, he is

0:04:05 > 0:04:10right. We therefore recommend two specific matters to make greater use

0:04:10 > 0:04:14of that. Firstly at the moment, the prison service marks its own

0:04:14 > 0:04:18homework, that is not satisfactory and can breed complacency. We

0:04:18 > 0:04:23recommend the Inspectorate of prisons can be given an additional

0:04:23 > 0:04:26resource to follow up on the implementation of their

0:04:26 > 0:04:30recommendations and hold the prisons to account. This is not a large sum

0:04:30 > 0:04:34in the overall scheme of things, perhaps one inspection team should

0:04:34 > 0:04:40be sufficient to do that task and the overall saving will be offset.

0:04:40 > 0:04:42Secondly, ministers should take personal responsibility for seeing

0:04:42 > 0:04:47the inspection reports should be acted upon and accounts to the House

0:04:47 > 0:04:52for that perhaps through a letter to the Justice select committee. The

0:04:52 > 0:04:53first of our practical recommendations which we believe

0:04:53 > 0:04:59will offer a way forward. Secondly, there is the whole question of the

0:04:59 > 0:05:07oversight itself. Given that were these failings, we believe that

0:05:07 > 0:05:10greater work should be done on ensuring transparency and

0:05:10 > 0:05:13accountability of the above establishment teams within the

0:05:13 > 0:05:19Department. Thirdly, there was a clear problem with the facilities

0:05:19 > 0:05:24management contract. Not only had the backlog got worse, it's pretty

0:05:24 > 0:05:27clear that the basic issues which should be picked up in the contract

0:05:27 > 0:05:32were not done so. The fact we had rats and cockroaches infest it

0:05:32 > 0:05:36indicates the level of the problem. We are not satisfied with the

0:05:36 > 0:05:39explanations given for the failures in that contract and we believe

0:05:39 > 0:05:43there is need for greater transparency. So, we recommend that

0:05:43 > 0:05:50a major contracts, a national contract, will be subject to a

0:05:50 > 0:05:51public framework outlining the expectations, performance of

0:05:51 > 0:05:55penalties levies against the providers of failure and if there

0:05:55 > 0:06:00are penalties, they should frankly be a system of naming and shaming

0:06:00 > 0:06:04and a public notification of were failures occur and how much penalty

0:06:04 > 0:06:08is levied as a percentage of the contract against the provider.

0:06:08 > 0:06:11That's the point of outsourcing, to drive changes in behaviour but we

0:06:11 > 0:06:17need transparency and openness to do that. We also noted that part of the

0:06:17 > 0:06:21problem derives from persistent overcrowding. Liverpool prison was

0:06:21 > 0:06:25not understaffed, it was up to establishment but it was nonetheless

0:06:25 > 0:06:30pressed for numbers. So we recommend the ministry and prison service

0:06:30 > 0:06:35published a plan to resolve the problem of persistent overcrowding

0:06:35 > 0:06:42of the estate. The new governess for Liverpool was clearly doing a

0:06:42 > 0:06:45difficult job under difficult circumstances but we need an overall

0:06:45 > 0:06:49plan to deliver on overcrowding and must aim to reduce the prison

0:06:49 > 0:06:55population and or increase safe capacity. Can't have it both ways.

0:06:55 > 0:06:59We were also concerned with the poor situation with health care

0:06:59 > 0:07:04discovered at that stage. We were glad to see commitments from the

0:07:04 > 0:07:07prison services and NHS England publish a partnership agreement as

0:07:07 > 0:07:13to how they work together. The last partnership however it expired in

0:07:13 > 0:07:19April 2017 and a new one will not be in place until 2018. A one-year gap

0:07:19 > 0:07:22is not satisfactory and we need to have steps taken to ensure that does

0:07:22 > 0:07:28not happen again. And finally, we need to have a commitment there to

0:07:28 > 0:07:32make sure there is decent health care. It was explained to us because

0:07:32 > 0:07:35of the overcrowding and the nature of the regime, frequently prisoners

0:07:35 > 0:07:40could not be brought to health care appointments from their cells. We

0:07:40 > 0:07:44need a better approach to that. Those are the principal

0:07:44 > 0:07:49recommendations of our report which I commence to the House. At the end

0:07:49 > 0:07:53of the day, the decency of a society is judged by the way in which it

0:07:53 > 0:07:58treats those who offend against it as much as the way it treats those

0:07:58 > 0:08:03who do well by it. Liverpool failed in that regard. We did not House

0:08:03 > 0:08:09prisoners in the decent conditions that boasts, humanity and our

0:08:09 > 0:08:14international and domestic legal obligations order that we should.

0:08:14 > 0:08:18That failure cannot be allowed to happen again. Making greater use of

0:08:18 > 0:08:21the Inspectorate and its tools and adopting our recommendations will I

0:08:21 > 0:08:27hope be a constructive way forward to assist the ministry in what I

0:08:27 > 0:08:32entirely believe is his intention, to get the basics right and

0:08:32 > 0:08:35improving the prison service. In that spirit, we put the report

0:08:35 > 0:08:40before the House and commend it to him.Thank you, Mr Speaker. Can I

0:08:40 > 0:08:44welcome the committee report and thank the chair of the select

0:08:44 > 0:08:51committee for his quick decision to hold an evident session on HM

0:08:51 > 0:08:59peelable? I -- HMP Liverpool. I commend his statements to hold this

0:08:59 > 0:09:04to a camp in prisons fail. We lost another life in prison this week,

0:09:04 > 0:09:07Anthony Payne suffered with mental health problems and died in his cell

0:09:07 > 0:09:14on Monday. The report does not mention in detail the failure to

0:09:14 > 0:09:17invest in infrastructure, renovate wings or loss and replacement of

0:09:17 > 0:09:22prison officer numbers. And critically, resources. Having seen

0:09:22 > 0:09:25the prison with my own eyes, there is no doubt these are basic but

0:09:25 > 0:09:30expensive requirements. In a written answer to me, the Minister says

0:09:30 > 0:09:34there is no plan to publish the cost or programme of urgent works at HMP

0:09:34 > 0:09:39Liverpool. Will he agree with me that is a vital we now have

0:09:39 > 0:09:43transparency across our prison network and the improvements that

0:09:43 > 0:09:49are necessary, if we are to see a real change?I'm grateful to the

0:09:49 > 0:09:53Gentleman, I know he knows Liverpool Wharton Jail, as often called

0:09:53 > 0:09:58locally, very well. I entirely understand the point of his remarks

0:09:58 > 0:10:02and I hope the ministry will reflect upon that. The whole thrust of our

0:10:02 > 0:10:05report is to say we need to shine the light on transparency and

0:10:05 > 0:10:10publicity on these matters. We've also in a separate piece of work

0:10:10 > 0:10:14have in hand and enquiry into the shape of the prison population by

0:10:14 > 0:10:202020 and part of that is again dealing with overcrowding. Our

0:10:20 > 0:10:24recommendation is part of that, getting the fabric right is

0:10:24 > 0:10:28necessary, Wharton Jail, Liverpool prison is one of the old Victorian

0:10:28 > 0:10:33prisons and there is a real need for work done there. If we are

0:10:33 > 0:10:35publishing the public framework arena on facilities maintenance, I

0:10:35 > 0:10:39don't see why we should be able to have similar publicity about the

0:10:39 > 0:10:45capital works.Thank you, deputy Speaker. This is also a historic

0:10:45 > 0:10:52opportunity. It's almost the first time in more than 200 years of our

0:10:52 > 0:10:57prison service in which we have had an individual prison to base it on

0:10:57 > 0:11:02the floor of the House. I'd like to pay to reach to the Justice select

0:11:02 > 0:11:05committee to bring this forward, the situation in Liverpool prison was

0:11:05 > 0:11:10genuinely shocking. It is very disturbing and it's unbelievably

0:11:10 > 0:11:14important that select committees, inspectors, members of Parliament

0:11:14 > 0:11:18hold us accountable for prisons. These are closed communities, often

0:11:18 > 0:11:25hidden away from the public. Often in many areas, they can be forgotten

0:11:25 > 0:11:28and without this scrutiny, standards can drop and standards dropped very

0:11:28 > 0:11:32seriously in the Liverpool prison. The condition in itself is

0:11:32 > 0:11:36unacceptable, the conditions with which prisoners were treated was

0:11:36 > 0:11:41unacceptable, the lack of purposeful activity was unacceptable. We are

0:11:41 > 0:11:45now addressing this very hard and quickly, but there is still huge

0:11:45 > 0:11:48lessons to be learned through the system. I'd like to pay tribute to

0:11:48 > 0:11:53the new governor. So, the new governor has come in, she has taken

0:11:53 > 0:11:58ourselves out of commission and is very clear both that she has cleaned

0:11:58 > 0:12:02the prison but also that her objective over the next six months

0:12:02 > 0:12:07is to get those cells into a smart, good condition. We now have the

0:12:07 > 0:12:09money in place to put new windows in place and she is very focused on

0:12:09 > 0:12:15making sure that the education and employment activity is good. But

0:12:15 > 0:12:18more generally, there are lessons here right the way through the

0:12:18 > 0:12:23prison system. We need to get the basics right, there is no point

0:12:23 > 0:12:28talking about rehabilitation or dealing with reoffending and less we

0:12:28 > 0:12:33have clean, decent safe spaces for all prisoners. So, we want our

0:12:33 > 0:12:37prisons to be smart and well functioning. We're bringing in over

0:12:37 > 0:12:422000 more prison officers and that will relieve some of the prison

0:12:42 > 0:12:48estate pressures. But these are new prison officers, they are going to

0:12:48 > 0:12:52need training, the support until they have the prison craft to be

0:12:52 > 0:12:57able to deliver what we require. More generally, we also need to

0:12:57 > 0:13:02invest I believe a lot more in training. Because prisons are

0:13:02 > 0:13:05unbelievably complex environments, the governor needs to have the

0:13:05 > 0:13:08support, the training and I think this could be months of training, to

0:13:08 > 0:13:13make sure the governor is in position to turn around the prison.

0:13:13 > 0:13:18Training needs to apply to uniform staff and finally the role of the

0:13:18 > 0:13:20inspector in the select committee will be vital in improving

0:13:20 > 0:13:27performance. And he very much, Mr Deputy Speaker.

0:13:27 > 0:13:30I am grateful to the Minister for that response. He was very much on

0:13:30 > 0:13:36the case in recognising that we must get basic things, basic willingness,

0:13:36 > 0:13:40basic decency come a basic maintenance, the ability to run a

0:13:40 > 0:13:46regime where people can actually get out to appointment is for health

0:13:46 > 0:13:50care. All of that is critical. Unless we turn those things around,

0:13:50 > 0:13:54we face a crisis in our prisons. I look forward to working with him on

0:13:54 > 0:13:58those matters, especially if he will take up our recommendations with

0:13:58 > 0:14:06regards to the Inspectorate. I can say that this is a case of a small

0:14:06 > 0:14:10investment paying off in the long-term.I rise to speak in my

0:14:10 > 0:14:18role as co-chair of a Parliamentary group. While I welcomed the report,

0:14:18 > 0:14:25it is is that the Justice committee did not take evidence from union

0:14:25 > 0:14:31representatives. I understand that maintenance contractors refused to

0:14:31 > 0:14:36undertake pest control at HMP Liverpool. The previous governor,

0:14:36 > 0:14:40who is also not called to give evidence, had to use is already hard

0:14:40 > 0:14:52pushed Budget. The autonomy is a convenient cover for the prison's

0:14:52 > 0:14:58state.The select committee engaged with the POA on a number of

0:14:58 > 0:15:04occasions, and on an ongoing basis will stop secondly, the issues in

0:15:04 > 0:15:07relation to facilities maintenance were examined in some detail as far

0:15:07 > 0:15:13as that matter is concerned. We indicate a report that we are not

0:15:13 > 0:15:16satisfied with the outcome is and intends to return to that. Thirdly,

0:15:16 > 0:15:22it was specifically not the role to examined the position of the

0:15:22 > 0:15:33previous governor going forward. We had evidence from the current

0:15:33 > 0:15:36governor as to what is happening now. We did not think that going

0:15:36 > 0:15:42back into the history would be constructive. We are trying to make

0:15:42 > 0:15:46sure that this state of affairs does not occur again.One of the most

0:15:46 > 0:15:51distressing aspects of this report is its relationship to health care.

0:15:51 > 0:15:58My honourable friend has spoken about health care. Does he, like me,

0:15:58 > 0:16:03share the view that we have no confidence in the partnership

0:16:03 > 0:16:06agreement that is going to be brought forward, because one thing

0:16:06 > 0:16:10it will not do is to get prisoners out of their cells to attend

0:16:10 > 0:16:17appointments?He is right. I am grateful to him for his work on the

0:16:17 > 0:16:19select committee on this and many other reports. That is why we are

0:16:19 > 0:16:25calling for the partnership agreement to be published, so we can

0:16:25 > 0:16:28actually examine it. At the moment, we cannot be satisfied it is fit for

0:16:28 > 0:16:33purpose. Previous partnership agreements have broken down, so we

0:16:33 > 0:16:39need to know how this will be different both in its structure and

0:16:39 > 0:16:41how it will operate, to have the reassurance we will not have a

0:16:41 > 0:16:48repetition of what happened in the past.Let me congratulate the chair

0:16:48 > 0:16:52and the members of the committee for what is an excellent and timely and

0:16:52 > 0:16:57important report. If we are to move out prison estate from being simply

0:16:57 > 0:17:07places of detention in whatever apparatus condition, to where

0:17:07 > 0:17:12rehabilitation is key, which is what prisons have to be. While this moves

0:17:12 > 0:17:17us forward, we have a lot of journey to travel. There does need to be

0:17:17 > 0:17:22something that can reconcile whether we are delivering the policy of

0:17:22 > 0:17:26health care and education and all the other things that are necessary

0:17:26 > 0:17:30inside a prison to allow how young men to come out and be acceptable

0:17:30 > 0:17:35citizens. He is absolutely right. I know how

0:17:35 > 0:17:41closely he has followed this as a police and crime Commissioner in his

0:17:41 > 0:17:47part of the world. This is a useful step forward, but I don't pretend it

0:17:47 > 0:17:53can be more than that. It has to be part of a system exchange, and I

0:17:53 > 0:17:59hope it drives that. We have to look at a long-term strategy of what the

0:17:59 > 0:18:04purpose of our prisons is.I thank him and his committee for their

0:18:04 > 0:18:07report. When the Care Quality Commission goes into investigate

0:18:07 > 0:18:10local hospitals, it makes a recommendation, and goes back at a

0:18:10 > 0:18:14later date to see whether those recommendations have been

0:18:14 > 0:18:20implemented. I can't see why that cannot take place with prisons. It

0:18:20 > 0:18:26is alarming that the information from the prison to the head of the

0:18:26 > 0:18:29prison service was so inaccurate. Given the speed of the report, witty

0:18:29 > 0:18:34encourage the Minister to be equally quick in responding to the findings

0:18:34 > 0:18:40is committee has delivered?The quick answers are yes, yes, yes and

0:18:40 > 0:18:59yes. I'm sure the Minister will be quick in doing that. I'm sure it

0:19:01 > 0:19:06will be similar to an Ofsted report or a CQC report where they will not

0:19:06 > 0:19:13be ignored for very long.I thank the committee for their quick action

0:19:13 > 0:19:15and their quick reports. We must not forget how we arrived at this

0:19:15 > 0:19:21situation. Pleased about the announcement sometime ago about

0:19:21 > 0:19:26recruiting an extra 2500 prison officers, but we must not forget we

0:19:26 > 0:19:42lost 7000. there is a 4500 gap. The nature of the inmates changed. We

0:19:42 > 0:19:44have had all of the historical sexual abuse cases, with different

0:19:44 > 0:19:55health needs than and prisoners that were already in prison. There have

0:19:55 > 0:20:03been drains on the resources. At the same time, the loss of those 7000

0:20:03 > 0:20:11meant there were spikes in drugs. Morale went down with the loss of

0:20:11 > 0:20:16those prison officers. When we started to recruit, a baggage

0:20:16 > 0:20:22handler could be paid more than a new recruit. It is important that

0:20:22 > 0:20:27when we do recruit, and we are recruiting now, when we do recruit

0:20:27 > 0:20:32that they are trained properly. Not a week or something like that, but

0:20:32 > 0:20:40months. It is resources that are needed. Money is important, but it

0:20:40 > 0:20:45is also how that money is used. Contract management, there has been

0:20:45 > 0:20:51absolutely no contract management from what I can see. I called for a

0:20:51 > 0:20:57debate on mental health in prisons, and it didn't appear that there was

0:20:57 > 0:21:01any communication between the prisons and the Health Service. The

0:21:01 > 0:21:05contract was awarded, money given, no monitoring of the contracts. As

0:21:05 > 0:21:11the chair of the Justice select committee said, it is about systems,

0:21:11 > 0:21:16about getting them right. It is also about resources, getting the right

0:21:16 > 0:21:25people in, training them.Excellent. I very much welcome the honourable

0:21:25 > 0:21:30lady back to the committee, where she has served before. I am glad

0:21:30 > 0:21:35she's back with us once more. It is quite right that we have to look at

0:21:35 > 0:21:40all of these issues, there is no silver bullet to address that. We

0:21:40 > 0:21:46need a comrade 's plan. I urge the Government -- we need a

0:21:46 > 0:21:55comprehensive plan. I look forward to working to achieve that.

0:21:55 > 0:22:00Staffing, resources, training, morale, management and proper

0:22:00 > 0:22:02contract management are all part of the mix that we will need to

0:22:02 > 0:22:15address.Motion number one on estimates. Minister to move. Thank

0:22:15 > 0:22:27you. The question is as the order paper. There is a lot of enthusiasm

0:22:27 > 0:22:31here! I'm not sure we need this estimate. I think we will say the

0:22:31 > 0:22:40ayes have it. We now come to the backbench. A backbench motion on the

0:22:40 > 0:22:45role of disabled people in economic growth. Up to 15 minutes speaking.

0:22:45 > 0:22:52Many thanks. I would like to pay to be to give the backbench Business

0:22:52 > 0:22:54Committee for enabling this extremely important debate to take

0:22:54 > 0:23:00place today. Mr Deputy Speaker, before I begin, I want to pay

0:23:00 > 0:23:06tribute to the many organisations that continuously championed the

0:23:06 > 0:23:10rights of people with disabilities across the UK. Without their

0:23:10 > 0:23:14injuring commitment, we would not be debating this important issue today.

0:23:14 > 0:23:21-- enduring commitment. I want to pay to beach to Leonard Cheshire and

0:23:21 > 0:23:31disability rights UK

0:23:31 > 0:23:35pay to beach to Leonard Cheshire and disability rights UK. There are

0:23:35 > 0:23:41dedicated medics that contributed to the all-party parliamentary groups

0:23:41 > 0:23:48ahead of the enquiry report. Since commissioning the report, the

0:23:48 > 0:23:51disability all-party Parliamentary group has been pressing the

0:23:51 > 0:23:55Government to address the disability employment gap as a matter of

0:23:55 > 0:24:00urgency. I know the minister today is open and willing to listen to the

0:24:00 > 0:24:06report's suggestions. Mr Deputy Speaker, the backbench debate is a

0:24:06 > 0:24:11significant step forward in the fight for equal rights for disabled

0:24:11 > 0:24:15people. To my knowledge, this is the first time that people with

0:24:15 > 0:24:23disabilities will be debated in the main chamber with a focus on their

0:24:23 > 0:24:27abilities and as contributors to our economy, not as employees but also

0:24:27 > 0:24:35as entrepreneurs and business leaders.Would she agree with me

0:24:35 > 0:24:43that many employers need education, particularly those with mental

0:24:43 > 0:24:53health issues, as many employers are scared or reluctant to take on such

0:24:53 > 0:25:00issues.I thank him for his contribution. I think it is an

0:25:00 > 0:25:04extremely important contribution. Just prior to this debate, only

0:25:04 > 0:25:08yesterday, I was contacted by a number of people and organisations

0:25:08 > 0:25:12reminding me to highlight that very issue. People with mental health

0:25:12 > 0:25:23difficulties and people with not apparent disabilities find it

0:25:23 > 0:25:25difficult to raise awareness of their disabilities and the

0:25:25 > 0:25:31adjustments they require. We need heightened awareness amongst

0:25:31 > 0:25:38employers and Parliament, I may suggest, to make sure that we can

0:25:38 > 0:25:42harness the skills and potential of everyone for our economy. I thank

0:25:42 > 0:25:48the honourable gentleman. All too often, people with disabilities are

0:25:48 > 0:25:52portrayed as passive and and willing to work. However, this could never

0:25:52 > 0:25:56be further from the truth. I want to use this debate to change the

0:25:56 > 0:26:04narrative. I want to see meaningful action rather than research and

0:26:04 > 0:26:08rhetoric. I want to see a welfare system that treats people with

0:26:08 > 0:26:12disabilities as a willing and able workforce. I want to see

0:26:12 > 0:26:18improvements in current access routes, the development of work

0:26:18 > 0:26:22those cultures that reflect a genuine appreciation on the part of

0:26:22 > 0:26:26employers to the positive contributions that people with

0:26:26 > 0:26:30disabilities make. I want to see accredited business schemes that no

0:26:30 > 0:26:35further than ticking boxes. While I might not be able to cover all of

0:26:35 > 0:26:38these points in my speech today, I know colleagues cross-party around

0:26:38 > 0:26:46the benches will be passionately advocating similar policy changes

0:26:46 > 0:26:49and attitude changes which are much needed. I hope the Minister will

0:26:49 > 0:26:54take on board everyone's suggestions here the date, and they will make

0:26:54 > 0:27:00progress going forward. I want to start my speech on a positive,

0:27:00 > 0:27:03uplifting note. I have been absolutely heartened hearing

0:27:03 > 0:27:08accounts of disabled entrepreneurs, employees and businesses that are

0:27:08 > 0:27:14champions of their fields in the past few weeks was dubbed I would

0:27:14 > 0:27:21like to share some examples today. A tech entrepreneur recently run an

0:27:21 > 0:27:25award for disabled entrepreneurs, run in conjunction with Leonard

0:27:25 > 0:27:30Cheshire disability. After creating a video diary app that supports

0:27:30 > 0:27:38people to manage their mental health, called Mental Snap. They can

0:27:38 > 0:27:45rate their mood and named their feelings. It is innovation at its

0:27:45 > 0:27:50finest, I applaud her for creating the app which will help so many

0:27:50 > 0:28:01people moving forward. A business leader that owns his own sock

0:28:01 > 0:28:05company that made several million pounds in its first year. Its owner

0:28:05 > 0:28:18has Down's syndrome. He runs the company in conjunction with his

0:28:18 > 0:28:22father and is the face of the brand. He is a business leader and manager.

0:28:22 > 0:28:31Nearly a third of his staff have disabilities. He is a businessman,

0:28:31 > 0:28:35and therefore is looking for good

0:28:35 > 0:28:36disabilities. He is a businessman, and therefore is looking for good,

0:28:36 > 0:28:39reliable workers, and he believes the disabled community have a vast

0:28:39 > 0:28:46and untapped pool of workers. There are also benefits to a diverse

0:28:46 > 0:28:51workforce. Channel 4 and Sainsbury is a good examples of inclusive

0:28:51 > 0:28:57employers. Sainsbury's and Channel 4's workplace adjustment guide is

0:28:57 > 0:29:02second to none top both companies choose to focus on positive aspects

0:29:02 > 0:29:07of making adjustments, rather than their legal duty and minimal

0:29:07 > 0:29:10requirements to do so. Most importantly, these policies are

0:29:10 > 0:29:16dissed to be did to all line managers so everyone is aware of the

0:29:16 > 0:29:21adjustments they are entitled to creating, and inclusive implement

0:29:21 > 0:29:26and environment workforce so that employees and the companies output

0:29:26 > 0:29:30can thrive.

0:29:30 > 0:29:34Channel 4 goes further by issuing passports for employees after

0:29:34 > 0:29:39receiving a workplace adjustment, so when they move into a new roller or

0:29:39 > 0:29:44perhaps their line manager changes, the passport can be referred to and

0:29:44 > 0:29:48used in all future discussions with the new line managers. Whilst there

0:29:48 > 0:29:53are many other great examples of disabled business owners and

0:29:53 > 0:29:57entrepreneurs and also inclusive employers, I wanted to highlight

0:29:57 > 0:30:03these particular three. Each example shows that in every corner of our

0:30:03 > 0:30:07economy, in every type and size of business, inclusivity should be

0:30:07 > 0:30:12championed. Not just for ethical reasons, but also because it makes

0:30:12 > 0:30:21good business and economic sense to do so.I thank her for securing this

0:30:21 > 0:30:25debate and also for the examples is given about the good practices in

0:30:25 > 0:30:31certain organisations, but is she aware that only 16% of people with

0:30:31 > 0:30:36autism are in full-time employment and only 30% of autistic adults are

0:30:36 > 0:30:38any kind of employment at all and will she agreed with me much more

0:30:38 > 0:30:45needs to be done to close the employment gap in autism?I thank my

0:30:45 > 0:30:51colleagues for that extremely important intervention. And for

0:30:51 > 0:30:54highlighting the autism employment gap, which is far too large, much

0:30:54 > 0:31:00larger even than the disability employment gap. We much make extra

0:31:00 > 0:31:02strides to support people with autism into work because they have

0:31:02 > 0:31:09great skills and abilities. And they will be fantastic tribute to our

0:31:09 > 0:31:14economy given appropriate opportunities to do so.I'm grateful

0:31:14 > 0:31:18for giving way and for securing this important debate. I would like to

0:31:18 > 0:31:26salute the work she does on disability. I sit on the Work and

0:31:26 > 0:31:29Pensions select committee and one of the things we are looking at the

0:31:29 > 0:31:37moment is how employers, work coaches, and people with disability

0:31:37 > 0:31:41can better understand the assistive technology emerging. Does she think

0:31:41 > 0:31:47that we could do more to bring those three interested parties together to

0:31:47 > 0:31:52help people to enter and stay in the workforce?I thank him for a very

0:31:52 > 0:31:57important intervention. I am not a technical buff myself, but I'm

0:31:57 > 0:32:03always heartened when we can see technology assisting people to

0:32:03 > 0:32:05achieve their potential into work and I think it is extremely

0:32:05 > 0:32:09important example he is giving. We need collaboration to dig those

0:32:09 > 0:32:16issues forward. Thank you. Mr Deputy Speaker, examples of best practice

0:32:16 > 0:32:20are exactly that, examples to aspire to, and as uplifting as they are,

0:32:20 > 0:32:25they are not a true reflection of the experience of many disabled

0:32:25 > 0:32:29people. They do not reflect the systemic problems and barriers faced

0:32:29 > 0:32:33by people with disability looking for work or trying to retain it, and

0:32:33 > 0:32:36it is time for Parliament to question why these practices in

0:32:36 > 0:32:40moving forward and in developing inclusivity are not more

0:32:40 > 0:32:48commonplace. In 2017, a report was published which found that one in

0:32:48 > 0:32:51two people with disabilities had experienced bullying and harassment

0:32:51 > 0:32:57in work and felt that they could no longer take place in work

0:32:57 > 0:33:02comfortably, and over half, 58%, felt the risk of losing their jobs,

0:33:02 > 0:33:06so not only is it about getting people into work, but ensuring an

0:33:06 > 0:33:10environment which maintains people in work and helps them to achieve

0:33:10 > 0:33:16their potential throughout. Disabled people also have to apply for more

0:33:16 > 0:33:22jobs than non-disabled people before finding one. Research has indicated

0:33:22 > 0:33:29almost up to 60% more jobs have to be applied for. Lauren Pitt, in

0:33:29 > 0:33:342017, reported to the Independent she had to apply for over 250 jobs

0:33:34 > 0:33:38before securing one, so something is obviously not working correctly and

0:33:38 > 0:33:43we must ensure that employers are open to employing people with

0:33:43 > 0:33:46disabilities. Seeing their skills. Seeing their ability and value to

0:33:46 > 0:33:51the workplace and the economy. The disability employment gap is large

0:33:51 > 0:33:58and enduring for the most recent figures from 2017 showed the gap

0:33:58 > 0:34:04currently stands at 31.4%. 80% of non-disabled people of working age

0:34:04 > 0:34:09are in work, but the figure for people with disabilities is just

0:34:09 > 0:34:1449%. This has routinely been recognised by the Government and, in

0:34:14 > 0:34:18the 2015 manifesto, they committed to having this disability employment

0:34:18 > 0:34:23gap, but research from the all-party Parliamentary group shows, on the

0:34:23 > 0:34:28basis of progress to September 2016, this would have taken 49 years to

0:34:28 > 0:34:35achieve. The 2017 manifesto replaced this commitment with a new

0:34:35 > 0:34:37commitment to get 1 million more disabled people into work in the

0:34:37 > 0:34:43next ten years. Analysis shows this new target is weaker and likely to

0:34:43 > 0:34:48be met perhaps because of the number of disabled people within the

0:34:48 > 0:34:51working age population itself increasing. This means that even

0:34:51 > 0:34:55though local Government could meet their new target, the size of the

0:34:55 > 0:34:59disability employment gap may not actually fall and this is something

0:34:59 > 0:35:06that we must take account of. Most of the Government's proposals for

0:35:06 > 0:35:08reaching the more attainable commitment are published within the

0:35:08 > 0:35:13command paper improving lives, and brief look at this paper shows

0:35:13 > 0:35:17almost all of these policies are dependent on further research and

0:35:17 > 0:35:21pilot schemes and cost of very little to run. So I would ask that

0:35:21 > 0:35:25we have adequate resourcing and prioritisation. We cannot afford to

0:35:25 > 0:35:32sit and wait. Unemployed people with disabilities are entitled to the

0:35:32 > 0:35:36same opportunities now as everyone else. Our economy cannot afford to

0:35:36 > 0:35:43sit and wait either. Scope estimated using the employment gap for

0:35:43 > 0:35:48disability by just 10% and generate a further £12 billion to the

0:35:48 > 0:35:53exchequer by 2030, so this makes absolute economic sense. Finding a

0:35:53 > 0:35:57solution to the problem goes significantly beyond the

0:35:57 > 0:36:02Government's current focus on welfare and benefits. Instead, we

0:36:02 > 0:36:05will not see significant increases in the number of disabled people in

0:36:05 > 0:36:09employment unless employers can be in courage to increase their game

0:36:09 > 0:36:12and acknowledge the positive contribution that people with

0:36:12 > 0:36:15disabilities make in the workplace and develop new workplace cultures

0:36:15 > 0:36:19and practices that are accommodating. Reasonable

0:36:19 > 0:36:28adjustments are key. I will very briefly...Very briefly, just to

0:36:28 > 0:36:33support what she is saying about the businesses, does she think that

0:36:33 > 0:36:40there may be a case for having larger employers report on the

0:36:40 > 0:36:43proportion of their workforce that has a disability, so that we can see

0:36:43 > 0:36:47those larger employers that are not pulling their weight and taking

0:36:47 > 0:36:53advantage of the high quality disabled employees in the market?

0:36:53 > 0:37:00Yes, I agree entirely with the honourable gentleman on that point,

0:37:00 > 0:37:03and it is particularly concerning that the Office for National

0:37:03 > 0:37:06Statistics has suspended publication of disability statistics from the

0:37:06 > 0:37:09labour Force survey, so I think that's something we should be

0:37:09 > 0:37:16ensuring is taken forward. It is in an employer's self-interest to make

0:37:16 > 0:37:21a difference in this area, not least because it gives a solution to the

0:37:21 > 0:37:25labour market problems likely to face the country in tighter controls

0:37:25 > 0:37:29on the free movement of people. The UK currently has a skills shortage

0:37:29 > 0:37:35that will become more profound once we leave the European Union. Indeed,

0:37:35 > 0:37:39KPMG recently published figures indicating almost 1 million EU

0:37:39 > 0:37:45citizens, many highly qualified, planning to leave following Brexit.

0:37:45 > 0:37:50We already have a willing workforce of people with disabilities whose

0:37:50 > 0:37:53skills are undervalued, who should be trained in sectors that are

0:37:53 > 0:37:59developing and which are much needed for the future. Health and tech

0:37:59 > 0:38:03sectors are extremely important. It is fundamentally a labour supply

0:38:03 > 0:38:08issue full for the Government will not be able to deliver on its

0:38:08 > 0:38:11industrial strategy if it does not have the capacity to do so. So we

0:38:11 > 0:38:18need to train our working workforces across the UK and see more

0:38:18 > 0:38:21investment in apprenticeships and targeted widespread advertising and

0:38:21 > 0:38:26of current access to work schemes to encourage the business community to

0:38:26 > 0:38:30utilise their workforce. The new commitment in the industrial

0:38:30 > 0:38:32strategy is to increase the proportion of apprenticeships

0:38:32 > 0:38:38starting by people with disabilities by 20% and I commend the Minister,

0:38:38 > 0:38:44but it is not enough, it is part of the solution. The Government

0:38:44 > 0:38:46acknowledges this critical role for employers but its main policy with

0:38:46 > 0:38:51regards to this is to encourage or employers to sign up to confidence

0:38:51 > 0:38:55schemes forth as I've argued previously in Parliament, the

0:38:55 > 0:39:00evidence from disability confidence is variable, it shows the scheme

0:39:00 > 0:39:04does not refer enough and result in enough people being employed and it

0:39:04 > 0:39:07is particularly worrying therefore that improving lives command paper

0:39:07 > 0:39:10uses this scheme is one of its central policies for achieving

0:39:10 > 0:39:16targets. The all-party Parliamentary group points out a number of

0:39:16 > 0:39:19alternative bold new policy initiatives the Government should

0:39:19 > 0:39:24pursue. These include using public film and contracts as leveraged by

0:39:24 > 0:39:28stipulating that such contracts will only go to firms which monitor

0:39:28 > 0:39:34disabled people's employment and commit to adopting an inclusive

0:39:34 > 0:39:37approach to employment and retention policies and to that end, Government

0:39:37 > 0:39:41initiatives should think of people with disabilities not just as

0:39:41 > 0:39:45employees but entrepreneurs and business leaders also. The

0:39:45 > 0:39:47Government must ensure disabled entrepreneurs receive the support

0:39:47 > 0:39:52they need from business advisory networks such as the Federation of

0:39:52 > 0:39:55businesses and local chambers of commerce. And the financial support

0:39:55 > 0:40:00that they need from bodies such as innovate UK and the British business

0:40:00 > 0:40:06bank. Mr Deputy Speaker, I refer to two examples of entrepreneurs with

0:40:06 > 0:40:09disabilities Ilia and the notion disabled people can be business

0:40:09 > 0:40:13owners and entrepreneurs as one as employees was completely missed by

0:40:13 > 0:40:18the improving lives paper. We must ensure disabled people are not

0:40:18 > 0:40:22pigeonholed into one sector and have the opportunity to choose their own

0:40:22 > 0:40:26future and be masters of their lives, and that is why the access to

0:40:26 > 0:40:30work scheme should also apply to start-ups, to accommodate the talent

0:40:30 > 0:40:35and innovation of people with disabilities. The Government must go

0:40:35 > 0:40:39further and find a specialist advice services about taxation and benefits

0:40:39 > 0:40:43for people with disabilities who want to explore the opportunities of

0:40:43 > 0:40:48self-employment. As I have laid out today, the solutions are there and

0:40:48 > 0:40:54every corner of the economy, if action is taken the benefits could

0:40:54 > 0:40:57be felt by all in society immediately but for this to happen

0:40:57 > 0:41:03we need to change the current narrative so that good policy is put

0:41:03 > 0:41:06into practice. So my constituents and those of other honourable

0:41:06 > 0:41:11members throughout the land recognise that we do need to tap

0:41:11 > 0:41:14into the underutilised and important human resource of people with

0:41:14 > 0:41:18disabilities who are willing and able to work. The workforce is there

0:41:18 > 0:41:25and ready and it will only grow when we leave the European Union. It in

0:41:25 > 0:41:29the self-interest of employers, Government, of everyone to engage

0:41:29 > 0:41:37with this agenda and to accommodate a diverse and inclusive workforce.

0:41:37 > 0:41:40There are far too many disabled people who are facing no real

0:41:40 > 0:41:48prospect in today's job market. This is simply unsustainable and, quite

0:41:48 > 0:41:50frankly, bad economics. So I am pleased to have been able to bring

0:41:50 > 0:41:56this debate to the chamber today and I look forward to hearing from other

0:41:56 > 0:42:01colleagues's experiences and I look forward to working together as part

0:42:01 > 0:42:04of the Parliamentary group for disability across the House in

0:42:04 > 0:42:09taking this extremely important issue forward.The question is as on

0:42:09 > 0:42:14the order paper.Thank you, Mr Deputy Speaker Fulston I shall try

0:42:14 > 0:42:18to be better behaved today. I'm truly grateful to the honourable

0:42:18 > 0:42:21lady for East Kilbride for leading this afternoon 's debate and for the

0:42:21 > 0:42:24tone she strikes and her constructive ideas. This follows a

0:42:24 > 0:42:29valuable Westminster board debate tabled by the Member for South

0:42:29 > 0:42:31Perthshire on the government's disability confidence scheme which

0:42:31 > 0:42:34she also made a thoughtful contribution to. During that debate,

0:42:34 > 0:42:38members highlighted some of the economic opportunities before us if

0:42:38 > 0:42:41we increased participation of disabled people in the workplace. We

0:42:41 > 0:42:44also focused on barriers to employment, the disability

0:42:44 > 0:42:48employment gap, and the access to work scheme and as such, I shan't go

0:42:48 > 0:42:51into the subject again be on suggesting that the disability

0:42:51 > 0:42:55employment gap is an issue every business and other workforce diverse

0:42:55 > 0:43:01have as a challenge. That a lack of employment awareness of the support

0:43:01 > 0:43:04available and we ought to lead in publicising the Government

0:43:04 > 0:43:07assistance and in this vein I have now signed up as a disability

0:43:07 > 0:43:11employer and have discussed at my local job centre the possibility of

0:43:11 > 0:43:13offering a work placement for local disabled job-seekers with an

0:43:13 > 0:43:18interest in politics. This afternoon however I wish to focus on economic

0:43:18 > 0:43:22costs if we fail to unlock the potential of disabled people of all

0:43:22 > 0:43:25ages as well as economic power of disabled people as both an active

0:43:25 > 0:43:29consumer group and as a motivation to develop new assisted technologies

0:43:29 > 0:43:33with broader application to a growing elderly population. I have

0:43:33 > 0:43:36previously highlighted the case love two artistic constituents who

0:43:36 > 0:43:39desperately want to work but struggle with the initial stage of

0:43:39 > 0:43:43any new job. But in the past few weeks I've met families of autistic

0:43:43 > 0:43:55children who believe that early

0:43:56 > 0:43:58support intervention as Woody must be focusing our attention. I

0:43:58 > 0:44:00recently visited first step, local charity which provide intensive

0:44:00 > 0:44:02development full support to preschool children. It can be a huge

0:44:02 > 0:44:04shock to parents to discover their child has a disability. It they

0:44:04 > 0:44:07assess and not just the development of a child of supporting parents

0:44:07 > 0:44:09themselves in a very non-judgemental environment. Caring for a child

0:44:09 > 0:44:11disabilities conveys a huge financial strain on a family

0:44:11 > 0:44:13particular parents need to take time off work and do not have the right

0:44:13 > 0:44:16support network in place. However, in the words of one local parent, a

0:44:16 > 0:44:20failure to develop a child is not only a moral mistake, but also an

0:44:20 > 0:44:27expensive financial one.

0:44:27 > 0:44:31With no support, they will be left in adult daycare centres or worse.

0:44:31 > 0:44:36Too often, local authority support is either entirely absent or limited

0:44:36 > 0:44:47and patchy. It increases the chance of economic participation when that

0:44:47 > 0:44:51child reaches adult hood and reduces the need for adult services later in

0:44:51 > 0:44:56life. We also need steady improvements to the transport

0:44:56 > 0:45:00system. The less daunting it is to leave home, the more disabled people

0:45:00 > 0:45:06will be able to participate in the economy by working and spending. I

0:45:06 > 0:45:13support several campaigns. I would be appreciative if the Minister

0:45:13 > 0:45:30could apply pressure on the Mayor of London to improve facilities.

0:45:30 > 0:45:34Finally, with the advent of new assistive technologies, there is

0:45:34 > 0:45:39greater scope than ever before for disabled people to contribute to

0:45:39 > 0:45:46growth. As the financial Times suggested in a recent article, 1

0:45:46 > 0:45:49billion people across the world have some form of disability. As people

0:45:49 > 0:45:54live longer, often with conditions that reduce their ability to use

0:45:54 > 0:45:58their hands or coordinate, the market will grow sharply, meaning

0:45:58 > 0:46:09that accessibility is important.

0:46:12 > 0:46:14Technology will be vital not just in terms of quality-of-life but in

0:46:14 > 0:46:17making it easier for disabled people to participate fully in the

0:46:17 > 0:46:25workforce. Disability sport has in recent years been critical of

0:46:25 > 0:46:29changing perceptions of people with disabilities. I hope that

0:46:29 > 0:46:45technological advances could help but Judge -- help that trajectory.

0:46:45 > 0:46:48I should be most grateful to the Minister if she could update the

0:46:48 > 0:46:54House on how the Government is promoting accessibility, and would

0:46:54 > 0:47:04also appreciate her views on early investment and transport.I would

0:47:04 > 0:47:18like to pay tribute to my honourable friend, the chair. It is an issue on

0:47:18 > 0:47:23and off that I've been working in for over 20 years. So it's quite

0:47:23 > 0:47:28interesting to see that, despite all the efforts that many people have

0:47:28 > 0:47:33made over the years, we have just under 4 million people with

0:47:33 > 0:47:38disabilities that are called economically inactive, which means

0:47:38 > 0:47:44they are of a working age to be implied but are not. -- to be

0:47:44 > 0:47:52employed. I have been working with people to support John Major in

0:47:52 > 0:48:01getting the DDA, which is a game changer. This meant there was a

0:48:01 > 0:48:05regulatory framework, meaning you could not discriminate against

0:48:05 > 0:48:09disabled people in goods and services educate not discriminate

0:48:09 > 0:48:18against people in employment. The reason that was a game changer as

0:48:18 > 0:48:26often discrimination is tacit and nuanced. It could be the poor you

0:48:26 > 0:48:36model, you poor, brave disabled person. We don't mean to do that, it

0:48:36 > 0:48:41is part of human nature, a lack of understanding. It can be difficult

0:48:41 > 0:48:45to break through. It still can be, sadly, although I do believe there

0:48:45 > 0:48:51has been some progress over the years. One area of the DDA that

0:48:51 > 0:48:56worked well this on goods and services. The reason for that is if

0:48:56 > 0:49:04I'm in arrest and and I don't put a ramp outside -- if I own a

0:49:04 > 0:49:08restaurant, and I don't put a wrap outside and someone with a

0:49:08 > 0:49:19wheelchair cannot get in, they can sue me. Often when you make

0:49:19 > 0:49:21something accessible, you make more than enough money to pay for the

0:49:21 > 0:49:29cost of the access ability. It is harder with employment. Particularly

0:49:29 > 0:49:33if you are disabled and you are applying for a job. If you are

0:49:33 > 0:49:39someone who works for a company and acquire a disability, the DDA and

0:49:39 > 0:49:46also the broader knowledge now, I think, means that businesses, either

0:49:46 > 0:49:49in the public or private sector, are likely to make the necessary effort

0:49:49 > 0:49:58to keep you in the job. What is harder is if you have a disability

0:49:58 > 0:50:03is to get over the threshold to get that job. That is a difficult one.

0:50:03 > 0:50:07It is something that I struggled with many years ago, with some very

0:50:07 > 0:50:23good disability consultants who have done so much over the years. The

0:50:23 > 0:50:29four of us work for many years in this area with the employers Forum

0:50:29 > 0:50:35on disability and others to try to break through. It was difficult. It

0:50:35 > 0:50:40is interesting since I've lost the election, been away at a comeback,

0:50:40 > 0:50:55and again the committee is going great guns. To be honest, Mr Deputy

0:50:55 > 0:50:59Speaker, I still feel a little bit downhearted. It is not my nature.

0:50:59 > 0:51:03Anyone who is liberal and downhearted is in the wrong party,

0:51:03 > 0:51:15they are in the wrong party. You have to be an optimist was. It can

0:51:15 > 0:51:23be a game changer. One of the utility companies, one of the big

0:51:23 > 0:51:32ones, had a call centre in north London. I'm sure the members of the

0:51:32 > 0:51:37House no that they turn over you have in call centres is very high

0:51:37 > 0:51:42because it is a difficult job. With a number of others, I worked with

0:51:42 > 0:51:48this utility to persuade them to take on 15 people with disabilities

0:51:48 > 0:52:03as call centre agents. It was hard work, but to give them that you

0:52:04 > 0:52:10, they did their best. People often just left the carpet and sweep

0:52:10 > 0:52:16people with disabilities under the carpet. That is something that I

0:52:16 > 0:52:23found very frustrating and it made me very angry. With this call

0:52:23 > 0:52:28centre, they did finally agree, and we found the right number of

0:52:28 > 0:52:37disabled staff to be interviewed, 15 or so were hired. What I can tell

0:52:37 > 0:52:43you is that, a year later, 14 of them were still there. Two years

0:52:43 > 0:52:48later, there were still 14 of them. One of the fundamental advantages of

0:52:48 > 0:52:53hiring disabled staff, in my view, is that they will actually offer me

0:52:53 > 0:53:01more reliable work than non-disabled people. It makes the business case

0:53:01 > 0:53:06for hiring disabled people very strong. They will need some

0:53:06 > 0:53:13guidance, some support, not least because their disability, take my

0:53:13 > 0:53:20own disability of hearing loss, I need a hearing loop. It is a matter

0:53:20 > 0:53:28of providing the right facilities for that disabled person so they can

0:53:28 > 0:53:37shine. The bigger issue is the quiet discrimination of either they're not

0:53:37 > 0:53:45being capable or, you don't have to deal the situation, and those things

0:53:45 > 0:53:52are difficult to change. So where are we at? The report on improving

0:53:52 > 0:53:57lives is important because it highlighted some of the figures. 3.7

0:53:57 > 0:54:00million economically inactive, as I mentioned. Another figure was that

0:54:00 > 0:54:08if you take out 1% of ESA, of disabled people not receiving ESA

0:54:08 > 0:54:14because they have gained employment, it would save the Exchequer 250

0:54:14 > 0:54:20million and boost the economy by a further 260 million. So half £8

0:54:20 > 0:54:28billion. That seems important for making that bit of extra help to get

0:54:28 > 0:54:35people into jobs. -- half a billion pounds. I have already mentioned the

0:54:35 > 0:54:38disability challenges, but if you have been out of work for many years

0:54:38 > 0:54:43it is hard to get back into work. With the right levels of support, it

0:54:43 > 0:54:48is transformational for those individuals and their families. A

0:54:48 > 0:54:54recent report by Joseph Rowntree found that half of households in

0:54:54 > 0:54:58poverty have at least one disabled member of the House. It is one of

0:54:58 > 0:55:06the reasons why we know that getting people into jobs and out of the

0:55:06 > 0:55:19cycle of poverty is the key reason we're here. Is not just enough to

0:55:19 > 0:55:23say we need things. I have been here four years. Well-meaning isn't

0:55:23 > 0:55:33enough. It needs regulation. The DDA, the of conservative Prime

0:55:33 > 0:55:43Minister John Major introduced ... I'm tremendously grateful for what

0:55:43 > 0:55:51he did. It allowed for change. When you have emotional attitudes, you

0:55:51 > 0:55:54often don't realise that you could be wrong or you could be

0:55:54 > 0:56:01discriminating. That is why there are certain times, even as a

0:56:01 > 0:56:10liberal, you need to bring in legislation. DDA is one, seat belt

0:56:10 > 0:56:14is another. I have been here long enough to remember the uproar around

0:56:14 > 0:56:17seat belts. You had to wear a seat belt, if not you got busted by the

0:56:17 > 0:56:24law was up since then, the number of people dying from car accidents has

0:56:24 > 0:56:33plummeted. It is the same with disability. What we need more with

0:56:33 > 0:56:47the DDA, I believe is the need to be greater incentives for people to

0:56:47 > 0:56:50recruit disabled people. You need to be as perceptive as this to break

0:56:50 > 0:56:55this logjam. I think the need for it is more than ever because, with

0:56:55 > 0:56:59Brexit, whatever side of the divide we sit on, we know that there will

0:56:59 > 0:57:07be substantial people's shortages in employment in the coming years. A

0:57:07 > 0:57:14recent report identified that Tier two occupations, there would be 32

0:57:14 > 0:57:28areas of Shoreditch of staff. -- of of shortage staff.

0:57:31 > 0:57:39I think this government's decision to change the work-related component

0:57:39 > 0:57:43of ESA to mean that they would receive a lot less money than they

0:57:43 > 0:57:48had earlier is a really foolish and short-sighted decision. There are

0:57:48 > 0:57:52three areas of ESA, the support group which means you have a

0:57:52 > 0:57:58disability that is such that you cannot work, and then their risk

0:57:58 > 0:58:06basic ESA at the front end and in the middle there was something which

0:58:06 > 0:58:10recognised a disability that Pete extra money above and beyond the

0:58:10 > 0:58:13normal jobseeker's allowance because it saw that your disability meant

0:58:13 > 0:58:19that you faced further costs. It also recognised you are ready to

0:58:19 > 0:58:26work with support. You got people into that frame of mind where they

0:58:26 > 0:58:36were ready to take a risk, to leave the structure of support ESA. Then,

0:58:36 > 0:58:41after the coalition and the Liberals were given a straight edge, George

0:58:41 > 0:58:59Osborne quickly cut it. It was cut by 30%. -- the Liberals were given a

0:59:03 > 0:59:11defenestrated. If I did go for a job, never underestimate how strong

0:59:11 > 0:59:15fear is in those situations. With edible encouragement, I will step

0:59:15 > 0:59:22into the component, and a properly tell me I am having my salary cut by

0:59:22 > 0:59:2630%. I will do whatever it takes to stay in the support group because

0:59:26 > 0:59:33that is human nature. It is not rocket science, it is what you would

0:59:33 > 0:59:37do. It is what I would do, even someone as intrepid as you would do

0:59:37 > 0:59:44that, Mr Speaker. Because you can be sure you have the money for the roof

0:59:44 > 0:59:50over your head and your children. It was a foolish idea, and I'm bitterly

0:59:50 > 0:59:54disappointed the Government did it. Clearly, not surprisingly, and I

0:59:54 > 1:00:03know from my own constituency mailbag, I have people try to get

1:00:03 > 1:00:09back into the support group. I support them.

1:00:09 > 1:00:13I would like the disabilities minister to address that and perhaps

1:00:13 > 1:00:18take that to the Chancellor that it was a bad idea and we can change it.

1:00:18 > 1:00:26Finally, where are we act? Again, I'm very grateful for the honourable

1:00:26 > 1:00:33member for East Kilbride bring this debate. It's important. It affects

1:00:33 > 1:00:36hundreds and hundreds of thousands of people across the country.

1:00:36 > 1:00:40There's not an MP in this House who will not have hundreds if not

1:00:40 > 1:00:45thousands of disabled people in their constituency. It is so

1:00:45 > 1:00:49important. We know in this room, in this chamber from our own casework

1:00:49 > 1:00:52levels just how many people with disabilities come and for help and

1:00:52 > 1:01:01support. I would just love to see this Government or a Government step

1:01:01 > 1:01:09up and just do a DDA part to around employment that absolutely said

1:01:09 > 1:01:11businesses, private and public sector, organisations, charities

1:01:11 > 1:01:22have to do so and employ ex-member of disabled people, to at least show

1:01:22 > 1:01:27because I don't want it to be tokenistic, people are disabilities

1:01:27 > 1:01:30have tremendous skills about opportunity, so maybe it would be

1:01:30 > 1:01:37pleased to show you have systems and processes that you have interviewed

1:01:37 > 1:01:42a record number of people for every job with disabilities. I know if

1:01:42 > 1:01:49that happens, it will transform I think the employment opportunities

1:01:49 > 1:01:53for disabled people, it will transform many, many millions of

1:01:53 > 1:02:01families because of the poverty are a lot of people live in, where one

1:02:01 > 1:02:05or both parents are disabled, it be a game changer that this nation

1:02:05 > 1:02:09deserves and with Brexit coming up, it could be possibly something

1:02:09 > 1:02:14positive to come out from Brexit. Many thanks, Mr Deputy Speaker.

1:02:14 > 1:02:21Thank you very much.I thank the honourable lady for East Kilbride

1:02:21 > 1:02:27for bringing this backbench debate to the size. I'd also like to pay

1:02:27 > 1:02:31tribute to my honourable friend the Member for Hornchurch and Upminster

1:02:31 > 1:02:40who was an actual friend as well, and she made a very powerful speech

1:02:40 > 1:02:45and she definitely still at least half of the things I was going to

1:02:45 > 1:02:53say. People often ask why do to go into politics? I'm sure we all get

1:02:53 > 1:02:58asked that and we all have many reasons for going into politics, not

1:02:58 > 1:03:03just one, but, for me, the most important reason why I am in

1:03:03 > 1:03:10politics is to enable everybody to use their God-given talents whatever

1:03:10 > 1:03:16they are in as best they way as they can and contribute both for

1:03:16 > 1:03:19themselves, their family, society and the country and that is why I am

1:03:19 > 1:03:22in politics and people with disabilities are fully included

1:03:22 > 1:03:28within that and that is why I think this debate and this subject is of

1:03:28 > 1:03:36critical importance. Now, there will be those who say that many

1:03:36 > 1:03:40disability benefits should be more generous and in some ways they

1:03:40 > 1:03:47probably should be. And I'm sure that the Minister, because I know

1:03:47 > 1:03:51her to strongly believe in this brief, and the Treasury ministers

1:03:51 > 1:03:54will always do what they can to make up sure appropriate resources are

1:03:54 > 1:04:02there to help those who need them. But let's not kid ourselves. What is

1:04:02 > 1:04:08really important, and the subject of this debate is economic growth but

1:04:08 > 1:04:12it's actually important for people's well-being, for their lives, is the

1:04:12 > 1:04:15opportunity to make the most of themselves in a professional work

1:04:15 > 1:04:21career capacity, that is critically important, and so, yes, benefits are

1:04:21 > 1:04:24critically important but we all silly to do everything we can to get

1:04:24 > 1:04:31everybody who has a disability into appropriate work where possible. --

1:04:31 > 1:04:34absolutely everything. That is what I regard to be the heart of social

1:04:34 > 1:04:40mobility. Now we often talk about social mobility in this House, in

1:04:40 > 1:04:46many different ways, in education debates, higher education, in the

1:04:46 > 1:04:50Treasury, business departments, all over the place, and usually the way

1:04:50 > 1:04:55we talk about social mobility as we say there's an individual who has

1:04:55 > 1:04:59usually come from a very poor background and they've overcome the

1:04:59 > 1:05:02odds, achieved something fantastic and got to the top of a profession

1:05:02 > 1:05:06and we should celebrate that. It is what Britain is about but actually,

1:05:06 > 1:05:10in my view, social mobility is really more fundamental. It is about

1:05:10 > 1:05:17ensuring that society uses the skills and innate talents of those

1:05:17 > 1:05:24who both, with and without disabilities, to their fullest, that

1:05:24 > 1:05:29is true social mobility, so that everybody has the ability to use

1:05:29 > 1:05:36their God-given talents and make the most of their lives. So where are we

1:05:36 > 1:05:39now for policy perspective, governmental perspective? The

1:05:39 > 1:05:43Conservative Party manifesto 2017, I did read it, and that's a good thing

1:05:43 > 1:05:49as a new candidate, I read a very, very carefully, it stated, "One

1:05:49 > 1:05:52million more people with disabilities should be into

1:05:52 > 1:05:58employment in the next ten years." Now, by my calculation is, we need

1:05:58 > 1:06:05to grow numbers, because people are disabilities have fallen to 4.5

1:06:05 > 1:06:10million people, over the next ten years, in order to achieve that

1:06:10 > 1:06:14target, it would mean a growth of almost 30% on current levels, and I

1:06:14 > 1:06:19think we would all agree on this has that is a big task and something

1:06:19 > 1:06:24that the Government and this party is very focused on and in fact I

1:06:24 > 1:06:29suspect from across the House we will find agreement on that. What

1:06:29 > 1:06:34does the Government aimed to do? In November 2017, the Government set

1:06:34 > 1:06:37out a 10-year plan to improve the situation and to deliver on this

1:06:37 > 1:06:41manifesto pledge and I'm sure the Minister will elucidate on this plan

1:06:41 > 1:06:47further and whether Government is with it, but, in essence, it is, on

1:06:47 > 1:06:53reading it, it appeared that the main thrust of it appeared to be

1:06:53 > 1:06:58linking up the welfare system, the workplace and health care and in

1:06:58 > 1:07:01particular, and this has already been alluded to in this debate,

1:07:01 > 1:07:04bringing in new technologies, especially assistive technologies to

1:07:04 > 1:07:12really help turbo-charge this growth that we have been gradually seeing

1:07:12 > 1:07:18so people with disabilities can enter the workplace. Now, a 5% rise

1:07:18 > 1:07:23in employment among people with disabilities would bring an increase

1:07:23 > 1:07:26in GDP of £23 billion with tax revenues up somewhere in the region

1:07:26 > 1:07:33of 5-6 billion pounds, a considerable number. Research by

1:07:33 > 1:07:37Scope, the disabled charity, is found 58% of disabled people however

1:07:37 > 1:07:41have felt at risk of losing their job because of their impairment or

1:07:41 > 1:07:47condition. And it is quite clear to me and clear to most if not all

1:07:47 > 1:07:51members of this House that we need to work much more closely and

1:07:51 > 1:07:58intensively with employers in order to drive change. Now several decades

1:07:58 > 1:08:02ago, there were many employers who did not like to employ women. And

1:08:02 > 1:08:09what happened, over time, this House, working with employers and

1:08:09 > 1:08:13through legislation, helped drive change. A few decades ago, there

1:08:13 > 1:08:20were several employers who didn't like taking on, a time where people

1:08:20 > 1:08:25did not look like me in this place all the other place, or the lady

1:08:25 > 1:08:30opposite, and they did not like to employ people of ethnic minorities,

1:08:30 > 1:08:33and what happened, this House with the legislation and working closely

1:08:33 > 1:08:39with employers, helped drive change. Now the time has come for those with

1:08:39 > 1:08:43disabilities to get much better access to employment opportunities.

1:08:43 > 1:08:47And the Government needs to work with employers, along with a

1:08:47 > 1:08:52legislation already in place, to help drive change. No disability

1:08:52 > 1:09:00confident as a good scheme and I think that it is welcome across the

1:09:00 > 1:09:04business community and Government and civil society, but I believe we

1:09:04 > 1:09:10can go further and the Government should bear in mind the huge gains,

1:09:10 > 1:09:14not just economic gains, but the huge games and life chances and

1:09:14 > 1:09:20economic potential of this huge group of people. In my view, there

1:09:20 > 1:09:26are two main things that we need to go further to do, in order to help

1:09:26 > 1:09:32drive this change, drive this turbo-charge. The first is to

1:09:32 > 1:09:38financially incentivise perhaps through the tax system or in another

1:09:38 > 1:09:42way employers to take on more people with disabilities, especially in

1:09:42 > 1:09:46industries where typically today they may not be found. But, in

1:09:46 > 1:09:50conjunction with that, and this is the critical bit, the way that that

1:09:50 > 1:09:53will happen appropriately and this is what businesses tell me when I

1:09:53 > 1:09:59have this discussion with them, is that we need to be able to have a

1:09:59 > 1:10:01much better understanding of the different capabilities of different

1:10:01 > 1:10:06people with disabilities, so that we can make sure you match the right

1:10:06 > 1:10:10employment opportunities with the right people and if we do that

1:10:10 > 1:10:13properly, combined with proper incentives for business, I think we

1:10:13 > 1:10:19can really see a huge increase in this area. Wants more people with

1:10:19 > 1:10:24disabilities I believe getting to the workplace, and not just get into

1:10:24 > 1:10:27it, but progress within their workplace, get promoted, get to the

1:10:27 > 1:10:32top of their businesses, they will show what they can do. They will

1:10:32 > 1:10:35show you what they can contribute and this will send a powerful

1:10:35 > 1:10:41message not just to them or Society or this House, but to the country as

1:10:41 > 1:10:56a whole, but...Jayme Stone.Thank you very much for them, I

1:10:56 > 1:10:58congratulate the honourable member for East Kilbride in placing this

1:10:58 > 1:11:02debate before us? It an extraordinarily important subject

1:11:02 > 1:11:08and it is perhaps a shame this not more members here today but we have

1:11:08 > 1:11:13some of the best groups in the chamber. As Miss Jean Brodie

1:11:13 > 1:11:17would've said, we can consider ourselves the creme de la creme. I

1:11:17 > 1:11:21have a personal interest in this matter, which I will make note of

1:11:21 > 1:11:29the House, because my wife is disabled. She has been disabled

1:11:29 > 1:11:32since 1999 and therefore has featured largely in our lives and as

1:11:32 > 1:11:44a members may be aware, I was a member in Scotland. I quickly

1:11:44 > 1:11:49realised the temporary Scottish Parliament, it was completed

1:11:49 > 1:11:55unsuitable for anyone who was disabled and I volunteered to go on

1:11:55 > 1:11:59the small committees and was given the responsibility building the new

1:11:59 > 1:12:04building and we put in place complete disabled access including

1:12:04 > 1:12:08in the chamber of Holyrood itself. I might say that that job at that time

1:12:08 > 1:12:14very nearly cost me my seat such as the controversy attached to the

1:12:14 > 1:12:17Scottish Parliament. That was then and this is now on I must say for

1:12:17 > 1:12:20the record I'm proud to be involved in building such a disabled friendly

1:12:20 > 1:12:27place. The Member for East Kilbride talked about examples and that seems

1:12:27 > 1:12:33to me to be ultra important. Just two points, the first being that in

1:12:33 > 1:12:41the summer of this year, one of the northernmost Highland games, the

1:12:41 > 1:12:47Prince of Wales who will attend in the summer, and for the first time,

1:12:47 > 1:12:50disabled servicemen are going to take part in the event at the May

1:12:50 > 1:12:55games, a historic first for the Highland games, in Scotland, and

1:12:55 > 1:13:00certainly for the far North. And the other example that will stay with me

1:13:00 > 1:13:09to my dying day was a former member of this place, Dame Anne Begg, who

1:13:09 > 1:13:13graced the Labour benches for number of years here. I knew her because

1:13:13 > 1:13:18she was involved in a cross-party group of oil and gas and I was in

1:13:18 > 1:13:21the Scottish Parliament and she was here in Westminster, and I will

1:13:21 > 1:13:28never ever forget going to visit an oil installation in a field in

1:13:28 > 1:13:33Norway, and we were in a semi open boat with a noisy diesel engine and

1:13:33 > 1:13:41there was an in their wheelchair. The weather can change in the

1:13:41 > 1:13:44Atlantic, and a storm came. The boat was going backwards and forwards and

1:13:44 > 1:13:52we had to attach her wheelchair to prevent it going overboard but such

1:13:52 > 1:13:56was their courage and good humour that she never blinked once and I

1:13:56 > 1:14:00think that was example of someone with disability facing adversity in

1:14:00 > 1:14:04life and she got on with it and I will never forget that as an example

1:14:04 > 1:14:11of somebody I thought was very, very, very brave indeed.

1:14:11 > 1:14:15The ambition based on these examples is there. Particularly I pay tribute

1:14:15 > 1:14:20to the honourable member for Hitchin and Hutton for bringing that point

1:14:20 > 1:14:28up. It is hugely important. Today, my wife volunteers for the local

1:14:28 > 1:14:32museum in my hometown, and she is up in raising money for Marie Curie.

1:14:32 > 1:14:39The point of this is that these underpaid involvements enrich her

1:14:39 > 1:14:45life. It makes everything much more worthwhile. If you can broaden that

1:14:45 > 1:14:52out into employment, you can see the great gift it would give. The points

1:14:52 > 1:14:57that have been made about taxation at benefits are absolutely right. I

1:14:57 > 1:15:09was intrigued yesterday. I have an Irish son-in-law who came by

1:15:09 > 1:15:14Westminster in search of a smaller freshman, and he asked me what I

1:15:14 > 1:15:19would be talking about today. I said it would be about this particular

1:15:19 > 1:15:24issue, about disability and using resources. He struck thing by saying

1:15:24 > 1:15:28that he is involved in the textile business in the Republic of Ireland.

1:15:28 > 1:15:35There is a government incentive scheme to encourage the implement of

1:15:35 > 1:15:39people in this situation. We could learn something from the Republic on

1:15:39 > 1:15:53that. The point has been made that we are mugs if we don't utilise the

1:15:53 > 1:15:58skills and abilities and ambition and enthusiasm that is out there.

1:15:58 > 1:16:01Goodness knows, during the next few years, we will have to mobilise

1:16:01 > 1:16:05everything we have got in the UK because it is an ever more difficult

1:16:05 > 1:16:11and competitive world. That is the reality is we have to use every

1:16:11 > 1:16:17single person we have got, and they will relish the opportunity. I have

1:16:17 > 1:16:21absolutely no doubt whatsoever. I look forward with great interest to

1:16:21 > 1:16:27see what the Minister has to say. We are as one in this chamber. I guess

1:16:27 > 1:16:38as a not so new member, 7.5 months, I'm sure this is one thing that

1:16:38 > 1:16:43Westminster does best, to get on to issues like this. I'm astonished it

1:16:43 > 1:16:53hasn't been debated before. Never mind, here we are today. I believe

1:16:53 > 1:16:57it is as simple as this. There is a bargain to be struck here. I think

1:16:57 > 1:17:02that disabled people are offering their half of the bargain, and I

1:17:02 > 1:17:09think it is up to the Government and all of us in society in the UK to

1:17:09 > 1:17:15grasp the hand and on how half of the bargain and make their lives

1:17:15 > 1:17:22better. Thank you.I would like to start by bringing my congratulations

1:17:22 > 1:17:27to the member for East Kilbride on this important debate today. I'm

1:17:27 > 1:17:30delighted to speak in today's debate on the role of disabled people in

1:17:30 > 1:17:39economic growth. Economic growth is built on development and progress.

1:17:39 > 1:17:43But also on people, the essential building block. People who are

1:17:43 > 1:17:51manual workers, managers, entrepreneurs, females and males,

1:17:51 > 1:18:00all ethnicities and able-bodied and disabled people. Disabled people

1:18:00 > 1:18:07play an important role in economic growth. The wording is a little too

1:18:07 > 1:18:13crude. It is not enough for disabled people to be in jobs to boost

1:18:13 > 1:18:16growth, but they deserve the same career opportunities. It is not a

1:18:16 > 1:18:23question of economics but also one of equality. Only half of working

1:18:23 > 1:18:25age people in the UK who are disabled or have a health condition

1:18:25 > 1:18:33or in work. The work rate for people without disabilities is 80.6%. We

1:18:33 > 1:18:42must rectified this inequality. We must hire those who have overcome

1:18:42 > 1:18:45obstacles. We must empower and assist the disabled so they have the

1:18:45 > 1:18:51confidence and the tools to work in an even playing field. That is why I

1:18:51 > 1:18:57fully back the commitment and strategy to getting 1 million more

1:18:57 > 1:19:00disabled people into employment by 2027. I'm delighted that 100,000

1:19:00 > 1:19:06more people disabilities were in work last year compared to 2016.

1:19:06 > 1:19:11Working with employers is key to reaching this target, which is why

1:19:11 > 1:19:20the Government has pledged to work with industry. Disabled people have

1:19:20 > 1:19:28overcome adversity and can offer workplaces skills such as

1:19:28 > 1:19:32determination, they generally stay in workplaces for longer and have

1:19:32 > 1:19:35lower rates of absenteeism. But only one half of employers have reported

1:19:35 > 1:19:41that they recognise the benefits of employing someone with a disability

1:19:41 > 1:19:46or health condition for their organisation. It's about changing

1:19:46 > 1:19:48attitudes and cultures, especially in certain sectors. For example, the

1:19:48 > 1:19:54rate of disabled people in engineering and science and

1:19:54 > 1:20:01technology is very low. The problem is twofold, you have to encourage

1:20:01 > 1:20:06disabled people to believe that they can do these roles, and also

1:20:06 > 1:20:11ensuring that the jobs exist. The disability confidence scheme has

1:20:11 > 1:20:14done great work in this area. Helping organisations to improve how

1:20:14 > 1:20:20they attract, recruit and retain disabled workers. As of the 16th of

1:20:20 > 1:20:26November last year, there were 5359 employers signed up to the scheme.

1:20:26 > 1:20:37We need to do work to make sure more take part. One of the biggest

1:20:37 > 1:20:46hurdles is the adaptations that are needed to the employer's offices.

1:20:46 > 1:20:52There is also a lack of awareness that the 2010 equalities act mean

1:20:52 > 1:20:55that employers are based attitude duty to make reasonable adjustments.

1:20:55 > 1:21:02I'm keen to hear from the minister about how he plans to challenge this

1:21:02 > 1:21:08lack of awareness. Adapting workplaces is also important when a

1:21:08 > 1:21:22staff member becomes disabled. The disability employment gap is partly

1:21:22 > 1:21:26driven by disabled people who have fallen out of employment. One in ten

1:21:26 > 1:21:30disabled people falling out of work each year, convert to one in 20 in

1:21:30 > 1:21:36the non-disabled work population. Retention is key. That is why I

1:21:36 > 1:21:40welcome the proposed sophistication of the scheme to enable employers to

1:21:40 > 1:21:45better understand and support their employees' needs. It is important to

1:21:45 > 1:21:48note that their access for work grants that can pay for special

1:21:48 > 1:21:55equipment adaptations or support worker services. I'm delighted that

1:21:55 > 1:21:58it is being rolled out to the self-employed. We need to raise

1:21:58 > 1:22:03awareness of these. Out of work grants have been taken up by 25,000

1:22:03 > 1:22:09people on average per year. These figures have stagnated for the last

1:22:09 > 1:22:11three gears, indicating we really need to promote awareness. In

1:22:11 > 1:22:23addition, we really need to reach a younger age group. I have spoken a

1:22:23 > 1:22:30lot about employers but it is also important to encourage individuals

1:22:30 > 1:22:37to apply for jobs. Physically disabled people are also in need of

1:22:37 > 1:22:42emotional and mental health support when re-entering the workplace, and

1:22:42 > 1:22:44it is important not to forget the physical this abilities and mental

1:22:44 > 1:22:51health challenges are not mutually exclusive.

1:22:51 > 1:22:57Ritchie agree with me that way you have a disabled person who is in

1:22:57 > 1:23:00rewarding employment, that that person could perhaps take some time

1:23:00 > 1:23:13be encouraged to act as a mental

1:23:13 > 1:23:19-- encouraged to act as a mentor. Being role models for other people

1:23:19 > 1:23:24and acting as mentors is a wonderful initiative we should be doing to

1:23:24 > 1:23:28encourage more people to have the self belief and determination to

1:23:28 > 1:23:34progress their dreams and explore opportunities. We should not just

1:23:34 > 1:23:42treat physical this abilities and mental disabilities in silos, we

1:23:42 > 1:23:45need to treat them together for the best outcomes. I'm delighted that

1:23:45 > 1:23:52the key outcomes for the white paper includes this area. The roll-out of

1:23:52 > 1:23:58personal support packages includes the recruitment of 200 community

1:23:58 > 1:24:01partners, 300 disability employment advisers, 100 small employers

1:24:01 > 1:24:08advisers and an extra 1000 mental health and support bases. In

1:24:08 > 1:24:12conclusion, over the last two gears, the disability employment gap has

1:24:12 > 1:24:24reduced by 1.9%, so we are on the right track was top we could save

1:24:24 > 1:24:27240 million and provide a boost to the economy is 206 the million.

1:24:27 > 1:24:33Getting more disability into jobs is essential. It would be of great

1:24:33 > 1:24:37financial benefit to our country, but I actually think the main

1:24:37 > 1:24:41benefit will be to the disabled people themselves. In turn, making

1:24:41 > 1:24:45our society more equal. I shall end what I began and stressed that it is

1:24:45 > 1:24:52not just an issue of economics but also one of equality.

1:24:52 > 1:24:59First of all, it is always a pleasure to follow the honourable

1:24:59 > 1:25:16lady and I thank her for her aunt ablution. -- for her contribution.

1:25:16 > 1:25:20She is clearly a champion for those with disabilities, and I'm pleased

1:25:20 > 1:25:28to be a part of the group that she chairs. Yesterday, I was able to

1:25:28 > 1:25:31participate in some of those things that the honourable lady put forward

1:25:31 > 1:25:35and give a Northern Ireland perspective to it. I will probably

1:25:35 > 1:25:45do that today as well. Also nice to see the Minister in her place. As an

1:25:45 > 1:25:51expression of her interest in this subject, we had the disability

1:25:51 > 1:25:56confident event that the Minister organise. It was good to go along

1:25:56 > 1:26:00and support what she is doing, but also to have a greater knowledge.

1:26:00 > 1:26:07One thing about being an MP is you learn every day if you want to. I

1:26:07 > 1:26:13want to extend my knowledge of those things. It was an opportunity to do

1:26:13 > 1:26:22that yesterday. I could expect to them what we were doing. A number of

1:26:22 > 1:26:28things in my constituency in relation to what we are doing, what

1:26:28 > 1:26:35private businesses are doing. The Shadow Minister and her

1:26:35 > 1:26:43contribution. I look forward to her contribution. I stand in the shape

1:26:43 > 1:26:50to speak out for many people in our communities stop the get that

1:26:50 > 1:26:57knowledge from our everyday interactions in our communities.

1:26:57 > 1:27:15Over 7 million people of working age are disabled or ... I would hope

1:27:15 > 1:27:18that they would have an opportunity to see how they can achieve that

1:27:18 > 1:27:29goal. Some disabled cannot work, that is a fact of life which has to

1:27:29 > 1:27:34be accepted. Those who want to work, which we are trying to make happen

1:27:34 > 1:27:47through this debate. The employment rate for people with disabilities

1:27:47 > 1:27:58was higher in 2017 than 2016. There is quite clearly a strategy that is

1:27:58 > 1:28:01trying to address the issue, because there are more people with

1:28:01 > 1:28:07disabilities in employment and were a year ago. That has got to be a

1:28:07 > 1:28:24good news. When you see the chart at the library provided, they provide

1:28:24 > 1:28:27some excellent information for us when it comes to preparing for these

1:28:27 > 1:28:33debates, and gives us his chance to do things well. I read the action

1:28:33 > 1:28:37report hard at work, which was interesting reading, as opposed to

1:28:37 > 1:28:40just citing their work 33% of disabled people in work in Northern

1:28:40 > 1:28:45Ireland, but asked the question why. I will ask that today. I am

1:28:45 > 1:28:51conscious that the Minister as there was possible to four Northern

1:28:51 > 1:28:57Ireland, and I respect that. To give the detail to the debate and the

1:28:57 > 1:29:02Northern Ireland perspective of it. Some of the things that are done in

1:29:02 > 1:29:10Northern Ireland can be done here on the mainland as well. The overall

1:29:10 > 1:29:19employment rate is 5% lower and for some groups it is much wider. 33% of

1:29:19 > 1:29:24disabled people are in employment, less than half the rate of

1:29:24 > 1:29:37non-disabled people. Many applicants did not feel Constable about

1:29:37 > 1:29:41disclosing their disability. I think that is something we have do

1:29:41 > 1:29:50address.

1:29:50 > 1:29:53We are well aware of the story in the press yesterday, slightly

1:29:53 > 1:29:55different from what we are doing today, but when people are to

1:29:55 > 1:30:01disclose, are you pregnant or having a child, I think it's the wrong

1:30:01 > 1:30:05question to ask anybody when they go for employment. The same thing could

1:30:05 > 1:30:09apply for those with disability. By not telling them you are disabled

1:30:09 > 1:30:13you have a better chance of getting a job but if you do tell them you

1:30:13 > 1:30:17are disabled, is they can be a box marked that they are not the right

1:30:17 > 1:30:24people? Employers often did not feel confident about being open with

1:30:24 > 1:30:28their disability. Even when they do get employment, if there's a

1:30:28 > 1:30:38problem, they tend to keep it to themselves. 50% of people feel they

1:30:38 > 1:30:41face discolouration in employment and less than half of the

1:30:41 > 1:30:46respondents to eight survey said this. If people feel disseminated

1:30:46 > 1:30:51against, or they are afraid to ask for reasonable adjustments, I think

1:30:51 > 1:30:55maybe there is a big role for business to carry out. The reasons

1:30:55 > 1:31:01for not asking where not wanting to draw attention to their disability

1:31:01 > 1:31:05or because it would be embarrassing to do so. Nearly a third said they

1:31:05 > 1:31:10received little or no help following their request. Perhaps it underlines

1:31:10 > 1:31:15the other issue, when you ask for it, you're not sure it will be done.

1:31:15 > 1:31:20They need to look about as and maybe sometimes you have to enforce it

1:31:20 > 1:31:24through legislation and through Government intervention. Little

1:31:24 > 1:31:27wonder many people with so much to offer feel like they are a burden in

1:31:27 > 1:31:36the workplace and that is a concern people have referred to so far.

1:31:36 > 1:31:40Concerns among employers in relation to employing disabled people could

1:31:40 > 1:31:49be a risk to productivity, financial indications, confusion and negative

1:31:49 > 1:31:53perceptions and maybe the blade beware of what legislation means for

1:31:53 > 1:32:00them in business as well. Despite the sea financial indications, a

1:32:00 > 1:32:05survey of over 1000 employers said the majority provided adjustments.

1:32:05 > 1:32:10The majority tried to the right things to flexible working patterns.

1:32:10 > 1:32:23I'm not sure but is there financial incentives available for businesses

1:32:23 > 1:32:27to do those changes, because I think sometimes, because of the cost, his

1:32:27 > 1:32:31Mrs are concerned about that and if there was any help to make those

1:32:31 > 1:32:37adjustments happen, I think that would be helpful. The recent survey

1:32:37 > 1:32:41said the option of modified hours with part-time working would be an

1:32:41 > 1:32:48important factor in enabling them to stay in work. Over the years, I've

1:32:48 > 1:33:00had the opportunity to the DLA, those people who have therapeutic

1:33:00 > 1:33:07work, sometimes people are not fully able to carry out the duties because

1:33:07 > 1:33:10of their disablement, but therapeutically, it's good for them

1:33:10 > 1:33:16to have some type of work for a certain period of time. Maybe we

1:33:16 > 1:33:27could have some thoughts upon where that features? The problems may be

1:33:27 > 1:33:35the civil service has and what we need to do as an example, but

1:33:35 > 1:33:37disabled people in the public sector reported being passed over for

1:33:37 > 1:33:41development and promotion opportunities and being unfairly

1:33:41 > 1:33:43assessed in terms of their performance, suggesting talent is

1:33:43 > 1:33:48being wasted and there's a culture of discontent fostered. So every

1:33:48 > 1:33:53have not got our own House in order, Madam Deputy 's big, as a

1:33:53 > 1:34:01Government, at all levels, -- Madam Deputy Speaker, and so one, we must

1:34:01 > 1:34:10address in this place it. When it comes to Government, they must set

1:34:10 > 1:34:20the example. There was a DDA form filled in and this woman's employer,

1:34:20 > 1:34:27the civil service, was aware she had colitis. She applied for a transfer

1:34:27 > 1:34:32to a department closer to home, and she was not accommodated full

1:34:32 > 1:34:36subduing to the occupational health service meetings and was told, yes,

1:34:36 > 1:34:43she would be off work sick and should not be returning to work

1:34:43 > 1:34:46until it settle down and engine was medically retired because it was

1:34:46 > 1:34:55felt she was not fit for work. She applied for benefits but was not

1:34:55 > 1:34:59allowed to get it and she was advised to go for employment. You

1:34:59 > 1:35:07expect someone to hire according to the PSA, so when we look the civil

1:35:07 > 1:35:13service process, at the age of 28, she was classified as not fit by the

1:35:13 > 1:35:18civil service had made to feel like a scrounger for feeling at the civil

1:35:18 > 1:35:21service with their hundreds of offices could not facilitate an

1:35:21 > 1:35:25illness she would have no chance in the private sector. Thankfully, we

1:35:25 > 1:35:28were able to help her when it comes to the issue of getting her

1:35:28 > 1:35:37benefits. Both took reviews but ultimately she won. Nobody believed

1:35:37 > 1:35:41she could not work. The fact she couldn't, because they paid her off,

1:35:41 > 1:35:45because she was medically unfit, it made no sense and that's why we must

1:35:45 > 1:35:49lead by example and put into place initiatives that help disabled

1:35:49 > 1:35:53people be confident in their abilities. Instead of feeling only

1:35:53 > 1:35:56their disabilities are important. It's hard to expect small businesses

1:35:56 > 1:36:00to understand a disability does not mean an inability to be a vital

1:36:00 > 1:36:10player in a team whenever we, as civil servants, are not able to do

1:36:10 > 1:36:14this, putting schemes to rent this happening, and this House is one

1:36:14 > 1:36:20place where I'm advocating we get our House in order quickly. I look

1:36:20 > 1:36:23to my constituency and I'm very conscious of time, and I see the

1:36:23 > 1:36:28potential of young people, in Long Stone, behave real school where

1:36:28 > 1:36:36people with disabilities who need educational challenges, are trained

1:36:36 > 1:36:42to work and sometimes for them, it's a big bad world, but it's a world of

1:36:42 > 1:36:46opportunity and we should try to move it towards that, and we have so

1:36:46 > 1:36:50much more to offer. Should reconsider apprenticeships with

1:36:50 > 1:36:59financial support to those with learning disabilities? We respect

1:36:59 > 1:37:04greatly this. I'm certain many partnerships would turn into

1:37:04 > 1:37:09employment. What can we do to help those who want to work, who have

1:37:09 > 1:37:12skills to offer, and yet feel there is no place for them in the modern

1:37:12 > 1:37:17workplace? To me, that is what this debate is about, giving hope,

1:37:17 > 1:37:20vision, opportunity and if we could do that I believe we are moving in

1:37:20 > 1:37:25the right direction. I don't have the answers, not to everything in

1:37:25 > 1:37:31the world, but I do try to at least seek out the answers and I see the

1:37:31 > 1:37:36great advantage of this debate today, but I'm asking the Minister

1:37:36 > 1:37:42and her department to really seriously consider this issue. I'm

1:37:42 > 1:37:49sure she would come back to the floor with amazing plan to make this

1:37:49 > 1:37:53happen and we can start with the civil service. I commend the

1:37:53 > 1:37:56honourable lady for her compassion and one of the members who today

1:37:56 > 1:38:01came on the third afternoon, to participate in a debate which is

1:38:01 > 1:38:14really, really important.Thank you. Can I also, as a member who has a

1:38:14 > 1:38:21constituency, congratulate my honourable friend from East Kilbride

1:38:21 > 1:38:26and commend the honourable member for attempting that earlier. You did

1:38:26 > 1:38:30very well indeed. I think we heard from my honourable friend earlier

1:38:30 > 1:38:36speech which was rich in detail, in understanding and empathy, someone

1:38:36 > 1:38:43who really truly understands the subject, and I fully commend her for

1:38:43 > 1:38:46bringing this very positively titled debate about the role of disabled

1:38:46 > 1:38:52people in economic growth to the chamber today. It is somewhat

1:38:52 > 1:38:54scandalous that we haven't had the opportunity to debate this before,

1:38:54 > 1:39:02but that is a wrong which has been invited today. We in the SNP no

1:39:02 > 1:39:05disabled people continue to make a fantastic contribution to the

1:39:05 > 1:39:11economy and I've got to say, with all the words we have heard here

1:39:11 > 1:39:18today, the empathy, the joint approach taken for these issues in

1:39:18 > 1:39:23the chamber, comments that actually come from the Government themselves

1:39:23 > 1:39:29can do a lot of harm. I think our approach to disabled people, the

1:39:29 > 1:39:34approach we have heard here today is in stark contrast to the UK

1:39:34 > 1:39:36Government's Chancellor who said recently he thinks disabled people

1:39:36 > 1:39:42are reducing productivity and I would like to quote from my

1:39:42 > 1:39:45honourable friend, not from her speech today, but from an excellent

1:39:45 > 1:39:48article she wrote recently, saying the answer is simple, invest in

1:39:48 > 1:39:54improving the Pathways to work, invest in the disabled

1:39:54 > 1:39:57entrepreneurs, improve reasonable adjustment guidelines and encourage

1:39:57 > 1:40:00businesses to diversify the workforce. Create incentives rather

1:40:00 > 1:40:05than enforce sanctions. If the £108 million spent by the Government to

1:40:05 > 1:40:09deny disabled people the benefits they are entitled to was redirected

1:40:09 > 1:40:14into creating an apprenticeship scheme, entrepreneurship, and

1:40:14 > 1:40:17training opportunities for example, perhaps the narrative of people with

1:40:17 > 1:40:24disabilities could change. I think those are very wise words. I'm also

1:40:24 > 1:40:27grateful Madam Deputy Speaker to scope for the briefing they have

1:40:27 > 1:40:31sent along for this debate and before I move on I want to get onto

1:40:31 > 1:40:37that comment made by the Chancellor. Scope said we found the Chancellor's

1:40:37 > 1:40:39statement before the Treasury Select Committee on the naked

1:40:39 > 1:40:40Committee

1:40:40 > 1:40:47negative impact to be entirely untrue and unacceptable and they

1:40:47 > 1:40:53underline the fact brought out by my honourable friend, who said a ten

1:40:53 > 1:40:57percentage point rise in the employment rate amongst disabled

1:40:57 > 1:41:03people would increase GDP by £45 billion by 2030 and result in a £12

1:41:03 > 1:41:07billion gain to the Exchequer, so I do hope that the Minister, who is

1:41:07 > 1:41:11known to be a thoughtful person, will reflect on those comments from

1:41:11 > 1:41:22the Chancellor and will distance herself from those remarks. There is

1:41:22 > 1:41:26a real opportunity for a positive impact of tackling the disability

1:41:26 > 1:41:29employment gap in the economy. Delivering the reforms needed to

1:41:29 > 1:41:34support more people to enter, remain and progress in work but progress up

1:41:34 > 1:41:38until now has been slow. Government and employers need to do more to

1:41:38 > 1:41:45harness economic benefits and increase the disability employment

1:41:45 > 1:41:49rate. Tackling the disability employment gap would mean, as I have

1:41:49 > 1:41:54said, economic growth and productivity would increase.

1:41:54 > 1:41:58Employing disabled people is an opportunity for employers,

1:41:58 > 1:42:01delivering significant benefits to business and the economy, so it's

1:42:01 > 1:42:08important to underline the Parliamentary group on disability,

1:42:08 > 1:42:13all of those are relevant, but especially the tailored and targeted

1:42:13 > 1:42:16support for the self-employed disabled people from the business

1:42:16 > 1:42:18bank, the funding for reasonable adjustments for disabled recipients

1:42:18 > 1:42:23of tech start-up support from innovate UK, and bringing forward

1:42:23 > 1:42:28working requirements the plan for recruitment, but it's also vital to

1:42:28 > 1:42:33recognise the additional challenges that faced by disabled people. My

1:42:33 > 1:42:36honourable friend earlier talked about the bullying and high numbers

1:42:36 > 1:42:43of applications required simply to get a job interview, let alone get

1:42:43 > 1:42:49to a job and she said earlier we cannot afford to sit and wait.

1:42:49 > 1:42:52Throughout this debate today we've heard many people agreeing on the

1:42:52 > 1:42:55need for action. I think what disabled people want to see now is

1:42:55 > 1:43:04action. I'm happy to give away.He quite rightly mentions the

1:43:04 > 1:43:11challenges disabled people have. One is that, depending on the form of

1:43:11 > 1:43:13disability, the fatigue element as the day progresses can be quite

1:43:13 > 1:43:18critical to that person, so I do believe employment opportunities

1:43:18 > 1:43:24could be tailored with specific reference to how this fatigue can

1:43:24 > 1:43:31kick in after two or three hours of concentrated work.Thank you. I

1:43:31 > 1:43:36think it's important to look at the whole size and scale of this, the

1:43:36 > 1:43:39challenges people have and to take all of them into account to make

1:43:39 > 1:43:43sure that we are able to take full advantage of this. Now, as my

1:43:43 > 1:43:46honourable friend also said earlier, the UK has already skills shortage

1:43:46 > 1:43:51and the Brexit exodus of skilled labour means the opportunity of

1:43:51 > 1:43:54training and pensions must be embraced falls as we said, the

1:43:54 > 1:43:58Government at the moment is not going far enough, specialist advice

1:43:58 > 1:44:02services for self-employment are required and we need to start to

1:44:02 > 1:44:11avoid stereotypes in these debates.

1:44:11 > 1:44:14The additional challenges also come down to hard cash and the extra

1:44:14 > 1:44:19costs they have to cope with. New research from Scope shows that an

1:44:19 > 1:44:24average disabled people have do find an extra £750 per month related to

1:44:24 > 1:44:28their condition on top of any Social Security payments designed to meet

1:44:28 > 1:44:33these costs. The financial penalty box disabled people out of being

1:44:33 > 1:44:38able to make a positive contribution to the economy. They need practical

1:44:38 > 1:44:43help, and the Government can help now with reversing the trend of

1:44:43 > 1:44:49removing, for example, another issue that my honourable friend is keen to

1:44:49 > 1:45:00bring up, the ability of most ability when people are having their

1:45:00 > 1:45:11ability to move around restricted. I was interested to hear that more

1:45:11 > 1:45:16money should be spent on disability payments. There should be more from

1:45:16 > 1:45:21this Social Security to support disabled people, particularly given

1:45:21 > 1:45:30the disadvantage they have. In terms of the recent work of the pensions

1:45:30 > 1:45:32committee, it presented real evidence that the assessments are

1:45:32 > 1:45:37failing a substantial minority of claimants, with claimants stories

1:45:37 > 1:45:44highlighting clear errors being made, and the SS is lacking

1:45:44 > 1:45:47knowledge and expertise. It is not just about putting more money into

1:45:47 > 1:45:51the system, but about making the system work for more disabled

1:45:51 > 1:46:03people. I will give way.We can meet with some of the officials in

1:46:03 > 1:46:10Northern Ireland, and I was just that if it is possible to have a

1:46:10 > 1:46:13meeting that we would then get the hotline for people who can make the

1:46:13 > 1:46:21changes. Those people who are doing the assessment would be up to speed.

1:46:21 > 1:46:28Capita nisi changed some of the things they are doing. Can I suggest

1:46:28 > 1:46:30that others do the same in their own regions ration

1:46:30 > 1:46:35that others do the same in their own regions ration?Having listened to

1:46:35 > 1:46:47me on issues of Universal Credit for many occasions, he can be a I

1:46:47 > 1:46:53reassured. I believe that it is a good thing to do. It does not I

1:46:53 > 1:47:02nabbed the difficulties. -- remove the difficulties. Between April 2016

1:47:02 > 1:47:14and March 2017, the Scope helpline saw eight 542% rise in calls related

1:47:14 > 1:47:25to PIP payments. There is much more that the Government can do to help

1:47:25 > 1:47:33on this. I want to finish with some criticisms, but also given the fact

1:47:33 > 1:47:36that the Minister will be listening carefully and looking for ways to

1:47:36 > 1:47:46take action today, and that we are looking at things back in our own

1:47:46 > 1:47:49constituencies. I hope that the Minister will listen carefully and

1:47:49 > 1:47:54take on board some of the opportunities to perhaps learn or

1:47:54 > 1:48:02think about how things might be done differently. We have seen the impact

1:48:02 > 1:48:08that the UK government's system has had on people in Scotland. In

1:48:08 > 1:48:11October, between 7000 and 10,000 disabled people per year were being

1:48:11 > 1:48:16affected by the removal of the work activity component of employment and

1:48:16 > 1:48:20support allowance. That is completely appalling and simply

1:48:20 > 1:48:25unacceptable. It also found that 40,000 disabled people claiming

1:48:25 > 1:48:28implement and support allowance had been affected by the bedroom tax.

1:48:28 > 1:48:33TSA is supposed to support disabled people into employment, but the

1:48:33 > 1:48:37Government has said that the £30 a week cut was to remove incentives to

1:48:37 > 1:48:42be out of work. That is an outrageous thing to do. It is

1:48:42 > 1:48:46pushing people into poverty and crisis. The PIP assessment process

1:48:46 > 1:48:54is failing disabled people. According to the DWP figures, one in

1:48:54 > 1:48:58five claimants who went through mandatory reconsideration had their

1:48:58 > 1:49:06reward changed, meaning there is a 20% of those decisions that were

1:49:06 > 1:49:13wrong. With the limited powers that have been transferred to Scotland,

1:49:13 > 1:49:18there are changes where disabled people should have equality to

1:49:18 > 1:49:23access the work. The Scottish government is committed to reducing

1:49:23 > 1:49:34the gap by half. With financial support available to businesses, it

1:49:34 > 1:49:38would make sense that they would recruit from the widest pool of

1:49:38 > 1:49:46talent possible. While disabled people make up 20% of the

1:49:46 > 1:49:56population, they represent a lower proportion in the public and private

1:49:56 > 1:50:06sector. The Scottish government introduced employer ability

1:50:06 > 1:50:11programmes. In July last year, a campaign was launched to boost the

1:50:11 > 1:50:14awareness amongst businesses of the benefits of employing people with

1:50:14 > 1:50:19disabilities, specifically targeting small and medium-sized enterprises.

1:50:19 > 1:50:25From April 2018, a new programme will take a new approach to make

1:50:25 > 1:50:29sure that disabled people are offered support which is

1:50:29 > 1:50:36appropriate. Disabled people engaging with the programme will

1:50:36 > 1:50:39receive support which identifies and develops their strengths and assets

1:50:39 > 1:50:44while focusing on sustainable employment outcomes. Only today, the

1:50:44 > 1:50:47Scottish Dummett and as that people will no longer see a reduction in

1:50:47 > 1:50:52their payments during the appeal process for benefits. That is

1:50:52 > 1:50:57something the Minister, given her response, can say that the UK

1:50:57 > 1:51:03government will consider taking action. The message from the chamber

1:51:03 > 1:51:06today, from all sides of the chamber, has been crystal clear.

1:51:06 > 1:51:12Let's do all that can be done to realise and release the potential of

1:51:12 > 1:51:22disabled people for economic growth.

1:51:23 > 1:51:26Thank you, Madam Deputy Speaker. Let me firstly begin by congratulating

1:51:26 > 1:51:32the member for East Kilbride for securing this important and also

1:51:32 > 1:51:37timely debate. I also want to commend her for all the work that

1:51:37 > 1:51:44she has led on the disability all party Parliamentary group. I would

1:51:44 > 1:51:50also like to extend a thank you to a number of different disability

1:51:50 > 1:51:56organisations, including the disability rights UK, the RNIB,

1:51:56 > 1:52:02Scope, Leonard Cheshire and also action on hearing loss for all of

1:52:02 > 1:52:06their work that they have done around improving the employment

1:52:06 > 1:52:10opportunities for disabled people and also for the important briefings

1:52:10 > 1:52:17that they have provided for today's very important debate. Madam Deputy

1:52:17 > 1:52:23Speaker, there are currently around 11.6 million disabled people in this

1:52:23 > 1:52:27country, people like me who have factors that could act as a barrier

1:52:27 > 1:52:32to engaging in a wide range of valued activity, not just economic

1:52:32 > 1:52:39activity. That is obviously the focus of our debates today. Disabled

1:52:39 > 1:52:44people make up around 16% of the working age population, yet we face

1:52:44 > 1:52:49barriers in all aspects of life, including in education, in

1:52:49 > 1:52:56transport, access to justice, access to voting, housing, health and most

1:52:56 > 1:53:04importantly employment. Almost eight years of Tory austerity has had a

1:53:04 > 1:53:07disproportionate impact on disabled people. We know that half of those

1:53:07 > 1:53:15who live in poverty are disabled or live with somebody who is. In part

1:53:15 > 1:53:22because of the additional cost of their disability, but also because

1:53:22 > 1:53:25the labour market does not work well for disabled people who were able to

1:53:25 > 1:53:30work. The duty to make reasonable adjustments to support disabled

1:53:30 > 1:53:37people to access education, employment, housing and goods and

1:53:37 > 1:53:42services is a key feature of the equality act of 2010, but we know

1:53:42 > 1:53:47that from the House of Lords report in 2000 15/16 or the equality act

1:53:47 > 1:53:54and disabled people that legislation needs strong government action to

1:53:54 > 1:53:58ensure it is strongly upheld and to remove the barriers in society that

1:53:58 > 1:54:10disabled people who have a condition. It is of concern that we

1:54:10 > 1:54:16have a government who speak of removing barriers but then create

1:54:16 > 1:54:28others through Social Security cuts. They made a commitment that they

1:54:28 > 1:54:34were found to be behind on. They have replaced the pledge and reduced

1:54:34 > 1:54:37it to committing to getting 1 million more disabled people into

1:54:37 > 1:54:44work. As we have heard today, the rate for disabled people being

1:54:44 > 1:54:56employed stands at 49 when -- 49.2%. In the most recent period where

1:54:56 > 1:55:03these figures were available. The disability employment gap lies at

1:55:03 > 1:55:10around 31.3%, which is even wider among specific disability groups. If

1:55:10 > 1:55:15you take the registered blind individuals, only one in four of

1:55:15 > 1:55:20working age people are in work. My honourable friend from Enfield

1:55:20 > 1:55:23Southgate also made reference to the employment gap among those living

1:55:23 > 1:55:31with autism. The Office for National Statistics recently announced that

1:55:31 > 1:55:33it was suspending publication of the disability employment rate in

1:55:33 > 1:55:41definitely. The motion today's refers to the fact that there will

1:55:41 > 1:55:46be an implement gap after Brexit, at the current gap is above the

1:55:46 > 1:55:56European union level of around 20%. It highlights the failure to take

1:55:56 > 1:56:01action. In light of this, why has the Government weakened its

1:56:01 > 1:56:04commitment to reducing the disability employment gap? It would

1:56:04 > 1:56:08also be helpful if the Minister could set out what measures she is

1:56:08 > 1:56:13taking to improve disabled people's ability to enter work, but also to

1:56:13 > 1:56:21actually stay in work. So around retention. Many barriers faced by

1:56:21 > 1:56:24disabled people are shaped by false perceptions about the role that

1:56:24 > 1:56:31disabled people face in the work place. Research by the Scope charity

1:56:31 > 1:56:35found that almost half of disabled people have worried about making

1:56:35 > 1:56:41employers aware of their impairment or condition. One of the key

1:56:41 > 1:56:46barriers highlighted is how we shape employer attitudes around employing

1:56:46 > 1:56:54people with a disability. I would like two ask the Minister, what with

1:56:54 > 1:56:57the Government do to support employees and especially small

1:56:57 > 1:57:04businesses given they make up almost half the workforce. How cancel

1:57:04 > 1:57:09businesses access timely health support, and how can best practice

1:57:09 > 1:57:17be shared? I was surprised that, in the Budget, disability or disabled

1:57:17 > 1:57:24people were not mention, given a negative message to disabled people

1:57:24 > 1:57:31about their role in the economy, and the regrettable impression that

1:57:31 > 1:57:33there could be she was not being championed or prioritised by this

1:57:33 > 1:57:39government. We on this site of the House will build an economy that

1:57:39 > 1:57:44includes everybody because that is how you can develop an economy that

1:57:44 > 1:57:49works for everybody and not just for a few. Madam Deputy Speaker, I

1:57:49 > 1:57:55cannot stand here speaking on the subject without mentioning the

1:57:55 > 1:58:01comments made in December last year by the right honourable member for

1:58:01 > 1:58:05Runnymede during a select committee questioning. The Chancellor linked

1:58:05 > 1:58:08low productivity growth to the employment of disabled people.

1:58:08 > 1:58:13Unfortunately, there has been no apology for the comments and his

1:58:13 > 1:58:20lack of a Morse after the scapegoating of disabled people

1:58:20 > 1:58:27after the failed economic policy speaks volumes. Does the Minister

1:58:27 > 1:58:30agree that there is a need for a clear and coherent message from the

1:58:30 > 1:58:35Government that employing disabled people can enhance productivity and

1:58:35 > 1:58:38make a real contribution to organisations and businesses across

1:58:38 > 1:58:44the UK? Despite this, the Government did manage to finally publish its

1:58:44 > 1:58:51long-awaited improving lives paper late last year. 90% of disability

1:58:51 > 1:58:57and long-term health conditions are acquired, so it is right to examine

1:58:57 > 1:59:00how employers can make reasonable adjustments to support android to

1:59:00 > 1:59:11stay in work if they become disabled. -- to support an employee.

1:59:11 > 1:59:15They do not set out how they would achieve this aim. Today, the

1:59:15 > 1:59:21disability confident campaign launched in 2014 has been a dismal

1:59:21 > 1:59:27failure, making a negligible impact on the disability employment gap.

1:59:27 > 1:59:32The campaign has yet to produce any concrete evidence or results, so can

1:59:32 > 1:59:37the Minister confirm how many additional disabled people have

1:59:37 > 1:59:52found work as a direct result of the disability confident campaign?

1:59:52 > 1:59:55Access to work when it works well provides invaluable support that too

1:59:55 > 2:00:00often I hear about the problems in administration and the timeliness of

2:00:00 > 2:00:07payments as well as the cap on individual awards. Miss French is a

2:00:07 > 2:00:09visually impaired person, her experience found that when the

2:00:09 > 2:00:14subject of access to work came up, recruiters would say the employer is

2:00:14 > 2:00:19into much of a hurry and will not be able to wait for an access to work

2:00:19 > 2:00:26assessments to be completed. Access to work as we all know is probably

2:00:26 > 2:00:31the best kept secret, but a also the scheme also helps far too few people

2:00:31 > 2:00:33and will need significantly more resources if the government is to

2:00:33 > 2:00:41get anywhere near the aim of getting 1 million more disabled people into

2:00:41 > 2:00:53work by 2017. In the case of a deaf person, Mr Will, they were a job by

2:00:53 > 2:00:59a different ability -- disability confident employer, however once the

2:00:59 > 2:01:05employer realised they would have to meet the rest of the costs after the

2:01:05 > 2:01:08cap, that job offer was withdrawn. So, will the minister set out what

2:01:08 > 2:01:12substantive action the government is taking to support people in work,

2:01:12 > 2:01:14what work have they done with disabled people to ensure this

2:01:14 > 2:01:19support is flexible and responsive to need, and more importantly, what

2:01:19 > 2:01:24additional funding is the government going to make available, especially

2:01:24 > 2:01:31to access to work? We also have concerns around the language used in

2:01:31 > 2:01:36the government's Improving Lives paper, which centres around the idea

2:01:36 > 2:01:42that employment can promote recovery. It's a familiar sounding

2:01:42 > 2:01:47phrase, disabled people and people with chronic conditions would

2:01:47 > 2:01:51recover if only they tried a bit harder, or were subject to an ever

2:01:51 > 2:01:58tougher system. Again, can the minister reassure people with

2:01:58 > 2:02:00disabilities that have limitations to work, and those that are actually

2:02:00 > 2:02:08unable to work, that this is not the intended message that her government

2:02:08 > 2:02:16is trying to convey, or in fact that the government believes in? Over

2:02:16 > 2:02:21nearly eight years, disabled people have become the brunt of cuts

2:02:21 > 2:02:23inflicted on them by this government and the coalition government for

2:02:23 > 2:02:36them. The cuts have had a detrimental impact on the lives of

2:02:36 > 2:02:37disabled people, cutting living standards and undermining their

2:02:37 > 2:02:42access to education, to social care and also to justice. And in a 2016

2:02:42 > 2:02:44United Nations convened committee, state violations were investigated

2:02:44 > 2:03:00of the UN Convention on the rights of and persons with a disability,

2:03:00 > 2:03:06and the report concluded that the government had committed grave,

2:03:06 > 2:03:17systematic violations of the rights of

2:03:19 > 2:03:30Persons with a disability. And this is a damning indictment of the

2:03:30 > 2:03:39treatment of disabled people by this government, one which shames us as a

2:03:39 > 2:03:42country, yet the government has failed to act and we believe in a

2:03:42 > 2:03:44social model of disability, a society which removes the barriers

2:03:44 > 2:03:46restricting opportunities and choices for disabled people. We will

2:03:46 > 2:03:48incorporate the UN Convention and the rights of Persons with

2:03:48 > 2:03:52disabilities into law, and I would ask the minister why does the

2:03:52 > 2:03:54government refuse to do the same? Currently there are 4.2 million

2:03:54 > 2:03:57disabled people who live in poverty, and new evidence indicates that this

2:03:57 > 2:04:03number is increasing as a result of cuts and support. Again, according

2:04:03 > 2:04:13to Scope, the 2012 welfare reform act has cut nearly 28 billion in

2:04:13 > 2:04:21social security support from a 3.7 million disabled people. The 2016

2:04:21 > 2:04:23welfare reform act cuts are adding to the real suffering many disabled

2:04:23 > 2:04:25people are experiencing and, of course, this doesn't include the

2:04:25 > 2:04:28cuts in social care, the NHS, education and transport. All of

2:04:28 > 2:04:30which have had a direct effect on disabled people. Research by Scope

2:04:30 > 2:04:32that was published this week revealed that on average, disabled

2:04:32 > 2:04:35people face an extra cost of £570 a week, I'm sorry, a month, related to

2:04:35 > 2:04:38their impairment or condition, and this is on top of the social

2:04:38 > 2:04:40security payments designed to help meet those costs. Extra costs mean

2:04:40 > 2:04:45that disabled people's money simply doesn't go far. £100 for a

2:04:45 > 2:04:47non-disabled person is the equivalent of just £67 for a

2:04:47 > 2:04:57disabled person. In addition to the four-year freeze in social security

2:04:57 > 2:05:00support affecting disabled people, the 9016 welfare reform act at

2:05:00 > 2:05:08financial support I £1500 a year to half a million disabled people who

2:05:08 > 2:05:14had been found not fit for work but who maybe in future on the activity

2:05:14 > 2:05:18group. Can the minister provide the House with an assessment of the

2:05:18 > 2:05:21impact of this social security disabled people and their ability to

2:05:21 > 2:05:27actually stay in work and the current social security system is

2:05:27 > 2:05:31not working for disabled people, and new analysis this week of the

2:05:31 > 2:05:35treatment of unemployed disabled claimants has revealed that there

2:05:35 > 2:05:44are up to 53% -- snap up to 53% more likely to be docked money than

2:05:44 > 2:05:48claimants who are not disabled. Disabled people hit with a million

2:05:48 > 2:05:52sanctions since 2010. Under this government we have seen the social

2:05:52 > 2:05:55security system penalising people with disabilities, cutting

2:05:55 > 2:05:58much-needed support and making it harder for them to access the

2:05:58 > 2:06:07support that is available. The assessment process for both ESA and

2:06:07 > 2:06:15PIP are not fits for purpose. The widespread distrust of the

2:06:15 > 2:06:19assessment process by sick and disabled people is, with a record

2:06:19 > 2:06:2268% of PIP decisions taken to tribunal being overturned by those

2:06:22 > 2:06:28tribunal judges. Under private contractors, the assessment process

2:06:28 > 2:06:34is getting worse and not better. So, I ask, wire won't be government act

2:06:34 > 2:06:39to end privatisation and replace the current system with a more holistic

2:06:39 > 2:06:45process? I do welcome the opportunity to have this important

2:06:45 > 2:06:46debate in this Chamber today

2:06:46 > 2:06:49opportunity to have this important debate in this Chamber today, and

2:06:49 > 2:06:51also thanking members across the House for their contributions.

2:06:51 > 2:06:57However I believe that until the government take into account the

2:06:57 > 2:07:02reality that far too many disabled people in the social security system

2:07:02 > 2:07:06that punishes them, rather than support them, and a labour market

2:07:06 > 2:07:11that shuts them out rather than one which opens up their potential and

2:07:11 > 2:07:15opens up to their skills. It is incumbent on the government to

2:07:15 > 2:07:22harness the potential of everyone and create a truly inclusive society

2:07:22 > 2:07:32that works for the many and not just a few. Thank you.Thank you very

2:07:32 > 2:07:38much, Madam Deputy Speaker. I would like to add my personal

2:07:38 > 2:07:43congratulations to those offered by everyone else this afternoon to the

2:07:43 > 2:07:49member for East Kilbride. I am not going to throw everybody's named

2:07:49 > 2:07:54constituencies because I have got so little time left, but I think she

2:07:54 > 2:07:59did a magnificent job introducing this debate. I would echo the words

2:07:59 > 2:08:04that people have said on all sides of the House about her commitment to

2:08:04 > 2:08:07this really important issue, her sincerity and the way in which she

2:08:07 > 2:08:13presented her debate in such a positive weighbridge has been in

2:08:13 > 2:08:16marked contrast to some of the later contributions in this debate, quite

2:08:16 > 2:08:23sadly. The work of the AP Gigi and voluntary sector organisations that

2:08:23 > 2:08:27do sue so much to support their work and in the myriad of ways that we

2:08:27 > 2:08:32have heard this afternoon. It is really important to hear all the

2:08:32 > 2:08:44voices across the House today, and we have heard some very powerful

2:08:44 > 2:08:55personal testimony from the members of Eastbourne and Battersea and

2:08:55 > 2:08:58others about their lived experience of disability, and they have all

2:08:58 > 2:09:00made significant contributions in improving disabled people's

2:09:00 > 2:09:10opportunities in playing their full part in society. The member for

2:09:10 > 2:09:14Battersea raised to some individual cases, and I would appreciate her

2:09:14 > 2:09:27providing me with the specific details so that I can resolve those

2:09:27 > 2:09:36matters. I would like to congratulate the member for

2:09:36 > 2:09:49Hornchurch and Upminster on becoming a disabled, confident employer.

2:09:49 > 2:09:55Yesterday she joined some 78 mamas of Parliament who have done this,

2:09:55 > 2:09:57and there will be further opportunities for those that have

2:09:57 > 2:09:59taken up this scheme. I would really like to praise her and encourage her

2:09:59 > 2:10:02for the work that she's going to be doing her constituency with her

2:10:02 > 2:10:04Jobcentre plus. That personal work that we can do in our

2:10:04 > 2:10:06constituencies, advocating amongst local employers, to take seriously

2:10:06 > 2:10:08all of our desire to see more disabled people in employment, is

2:10:08 > 2:10:10really important and really powerful. She raised a really

2:10:10 > 2:10:12important point about enabling disabled children to develop their

2:10:12 > 2:10:14employment skills, and to have the same opportunities as all other

2:10:14 > 2:10:16young people to gain work experience. So, she will be pleased

2:10:16 > 2:10:18to know that the Department for Education completely agrees with her

2:10:18 > 2:10:21and is increasing its commitment and funding to enable young people to

2:10:21 > 2:10:23have supported internships. We've also heard from the member for

2:10:23 > 2:10:25hitching and Harper didn't and Chippenham, who have both made

2:10:25 > 2:10:27powerful speeches about the level of ambition we all share in closing the

2:10:27 > 2:10:29discipline disability employment gap. They both stress the importance

2:10:29 > 2:10:31of working closely with employers on culture change, and I completely

2:10:31 > 2:10:34agree. We are considering the issues that they raised about improving the

2:10:34 > 2:10:35disability confidence scheme, although I absolutely refute what

2:10:35 > 2:10:38the member for Battersea set, this is not a failing skin, it is a

2:10:38 > 2:10:44growing scheme. We are looking at what more we can do to incentivise

2:10:44 > 2:10:45businesses, publishing the levels of disability employment, especially

2:10:45 > 2:10:50from large employers, and looking at what more we can do to communicate

2:10:50 > 2:10:54the wide range of help that is available to support businesses and

2:10:54 > 2:10:59public sector organisations to employ disabled people. Now, I'd

2:10:59 > 2:11:04like to congratulate the member for Strangford unbecoming at a

2:11:04 > 2:11:06disability confident employer yesterday. And he raised a very

2:11:06 > 2:11:14important point about how important it is that people feel confident to

2:11:14 > 2:11:16disclose their disability, and how important it is for employers to

2:11:16 > 2:11:20feel confident about hearing that news, and how we can work together

2:11:20 > 2:11:25to make sure that happens. Because there is financial support

2:11:25 > 2:11:28available, both to the disabled person through access to work but

2:11:28 > 2:11:35also to employers who will be employing a disabled person. And I

2:11:35 > 2:11:41can absolutely assure the member for Inverness that each and every year,

2:11:41 > 2:11:46we are increasing our investment in benefits for disabled people, and

2:11:46 > 2:11:49those with health conditions. This year alone we're spending more than

2:11:49 > 2:11:55£50 billion more than the defence budget, and I'm proud to be part of

2:11:55 > 2:11:58a government that prioritises supporting disabled people. That is

2:11:58 > 2:12:03an increase of £7 billion since 2010. And we are determined to

2:12:03 > 2:12:08continuously improve the processes of the operation of the system which

2:12:08 > 2:12:11administers our disability benefits. I will give way. I am grateful to

2:12:11 > 2:12:17the minister for giving way.I feel that in addition to this point that

2:12:17 > 2:12:20she is due to address the comments made by the Chancellor and distance

2:12:20 > 2:12:24herself from that, but on that specific point, what does she say to

2:12:24 > 2:12:35those people who have lost the severe disability allowance, then,

2:12:35 > 2:12:38from disability payments?As he has so intervened on me, I will not

2:12:38 > 2:12:42leave that without commenting on it. It is absolutely irresponsible of

2:12:42 > 2:12:48the gentlemen to so deliberately misrepresent what the Chancellor has

2:12:48 > 2:12:55said at the select committee. We all owe a huge, we all have a huge

2:12:55 > 2:12:58responsibility in this House, to be very careful of what we say so that

2:12:58 > 2:13:04we honour the truth, and we don't make comments which will scare among

2:13:04 > 2:13:08and frighten some of the most vulnerable people... No, I'm not

2:13:08 > 2:13:12going to give way, I've been very generous in giving way and I will

2:13:12 > 2:13:16not indulge the honourable gentleman any more in pursuing things which he

2:13:16 > 2:13:22has met was misrepresented and quoted out of context. Madam Deputy

2:13:22 > 2:13:28Speaker, returning to the spirit of the debate, which his colleague, the

2:13:28 > 2:13:33honourable lady, so well-set for this House, of cross-party, all this

2:13:33 > 2:13:36House coming together to speak to disabled people outside this

2:13:36 > 2:13:42Chamber, to show how much we value them, how much more we want to do to

2:13:42 > 2:13:46enable them to play their support in society, how much we all want to do

2:13:46 > 2:13:50to enable employers to take able on, I'm going to return to the tone

2:13:50 > 2:13:55which was ably set by the honourable gentleman's colleague and I hope he

2:13:55 > 2:14:02can respect his own colleague and the tone she set for us. Madam

2:14:02 > 2:14:05Deputy Speaker, last week I visited North Devon district Hospital with

2:14:05 > 2:14:09the excellent member of Parliament, and we met some young people who are

2:14:09 > 2:14:14doing really valued jobs in hospital on wards with patients and in

2:14:14 > 2:14:17vitally important support services such as in the engineering

2:14:17 > 2:14:20department. All these excellent young people had been supported by

2:14:20 > 2:14:24their local college and plus through a government funded scheme. They

2:14:24 > 2:14:29were really supported through work experience and placements in the

2:14:29 > 2:14:34hospital, and this programme has been working for five years. All of

2:14:34 > 2:14:41these young people have learning disabilities.

2:14:41 > 2:14:44They were being employed not as an act of charity but because of who

2:14:44 > 2:14:49they were. I have the privilege as the Minister for disabled people to

2:14:49 > 2:14:54meet disabled people doing extraordinarily good work in every

2:14:54 > 2:15:01sort of work right across this country. Just this morning, I was at

2:15:01 > 2:15:06Channel 4, who kindly hosted the first year anniversary of our sector

2:15:06 > 2:15:12champions. Each sector champion is a leader in their industry. They are

2:15:12 > 2:15:17working to improve access for disabled people to their industry,

2:15:17 > 2:15:22from financial services to retail, tourism, media and transport. Each

2:15:22 > 2:15:27sector leader is an inspirational leader in their field, driving real

2:15:27 > 2:15:32change in access for disabled people. They are doing this not just

2:15:32 > 2:15:36because it is the right thing to do but because it makes good business

2:15:36 > 2:15:41sense for them as well. There are an estimated 13 million disabled people

2:15:41 > 2:15:50in our country. Each year, they spend an estimated £250 billion. If

2:15:50 > 2:15:52businesses are not accessible, they are missing out on a great deal of

2:15:52 > 2:15:58business. Access ability, as members have said, does not need to be

2:15:58 > 2:16:02expensive. What our champions are doing is sharing best practice and

2:16:02 > 2:16:05information so more people are confident about employing disabled

2:16:05 > 2:16:12people. Disabled people are not

2:16:12 > 2:16:13Mickey huge contributions as consumers at, as we have heard

2:16:13 > 2:16:19today, in all aspects of our society. That does include

2:16:19 > 2:16:22employment. As the Government is building a bridge and which is fit

2:16:22 > 2:16:28for the future, when no one is left behind, we have been clear that we

2:16:28 > 2:16:33want our economy to harness the skills, talents and contributions of

2:16:33 > 2:16:39every person in society. We have made significant progress. There are

2:16:39 > 2:16:43now 6000 more disabled people in work than there were four years ago

2:16:43 > 2:16:52for the -- there are now 600,000 more disabled people in work.

2:16:52 > 2:16:58Implement rates are at record highs. But we know that only half of the

2:16:58 > 2:17:02disabled people who would like to work or in work. New analysis also

2:17:02 > 2:17:06shows that over the course of the year disabled people are twice as

2:17:06 > 2:17:10likely to fall out of work, and almost three times less likely to

2:17:10 > 2:17:14move into work when compared to non-disabled people. That is simply

2:17:14 > 2:17:21not acceptable. I will give way.I thank the Minister for giving way.

2:17:21 > 2:17:26Apropos of what the Minister has just said, which she agree with me

2:17:26 > 2:17:31that if you are disabled and living in a very remote area, such as my

2:17:31 > 2:17:37constituency, getting to work, the physical travel poses very special

2:17:37 > 2:17:41and difficult challenges for these people, and that is something the

2:17:41 > 2:17:43Government will have to think about very carefully so that my

2:17:43 > 2:17:49constituents in this situation are not disadvantaged.He makes a good

2:17:49 > 2:17:56point. Representing a constituency in Cornwall, I completely sympathise

2:17:56 > 2:18:02with the issues he raises. Access to work funding is available, which

2:18:02 > 2:18:03includes transport, enabling people to get to their places of

2:18:03 > 2:18:11employment. It is also important that we look at what more can be

2:18:11 > 2:18:15doing, joining up community transport with public transport. In

2:18:15 > 2:18:21areas like the one to represent, public transport isn't as good a

2:18:21 > 2:18:25service as it is in urban areas. There is more work to be done there.

2:18:25 > 2:18:31With more than one in six people of working age reporting a disability,

2:18:31 > 2:18:35it is important that we do everything we can to make sure their

2:18:35 > 2:18:40talents do not go to waste. That is why we do have an urgent and copper

2:18:40 > 2:18:50of plans in action. We have the personal support package, £330

2:18:50 > 2:18:54million of funding for a range of new initiatives for those in the

2:18:54 > 2:18:57right group, so they can have tailor-made personal support to

2:18:57 > 2:19:04enable them to take the steps to work. We have already recruited over

2:19:04 > 2:19:07300 additional disability employment advisers, bringing special advice

2:19:07 > 2:19:13and support into the job centre. We have begun introducing 200 new

2:19:13 > 2:19:17community partners you are able to share their lived experience of

2:19:17 > 2:19:22disability across our job centre network. I will not take any more

2:19:22 > 2:19:27interventions because I am seeing a slight impatience because there is a

2:19:27 > 2:19:29second debate this afternoon and there are some point I need to

2:19:29 > 2:19:35address that have been raised this afternoon. Our work and health has

2:19:35 > 2:19:39lodged, which has contracted value of over £500 million to give

2:19:39 > 2:19:43specialist support, including two disabled people. An important point

2:19:43 > 2:19:49was raised this afternoon about the entrepreneurial spirit of disabled

2:19:49 > 2:19:57people. Our new enterprise allowance has allowed daily 20,000 people --

2:19:57 > 2:20:07nearly 20,000 disabled people to set up businesses. We also have our

2:20:07 > 2:20:11small employer offer them again to help more disabled people into

2:20:11 > 2:20:18employment. Bearing in mind the time, I would really encourage

2:20:18 > 2:20:25members to read the improving lives, which sets out an ambitious plan of

2:20:25 > 2:20:29detailed actions and investments that the Government is taking,

2:20:29 > 2:20:34including in assistive technology. It is absolutely not what the mother

2:20:34 > 2:20:39for Battersea said it was. We are not saying those things, which I

2:20:39 > 2:20:41will not repeat in this House because they are so fundamentally

2:20:41 > 2:20:46wrong. What we are about is recognising the talents of disabled

2:20:46 > 2:20:55people and making sure that there are no barriers all its so those --

2:20:55 > 2:20:58no barriers or limits so those talents can take them as far as they

2:20:58 > 2:21:01can. I'm delighted to say that in the devolved administrations, they

2:21:01 > 2:21:06are taking all sorts of different actions. We are working closely with

2:21:06 > 2:21:12the Scottish government, and we are jointly funding the single gateway

2:21:12 > 2:21:15project in Dundee and five, which is a good, innovative programme which

2:21:15 > 2:21:18I'm looking forward to looking closely with to see the lessons we

2:21:18 > 2:21:23can learn to roll it out. It is a single point of contact between the

2:21:23 > 2:21:27job centre and employers and disabled people themselves. Of

2:21:27 > 2:21:30course we will continue to work closely with devolved

2:21:30 > 2:21:37administrations to see what more we can do. To finally summarise, I want

2:21:37 > 2:21:42to congratulate the member for East Kilbride on bringing this issue to

2:21:42 > 2:21:48the House, achieving our ambition of seeing at least 1 million more sabre

2:21:48 > 2:21:54people in work requires all of us to work together. Of course, the

2:21:54 > 2:22:03Government has got a role to play but so do businesses, the health

2:22:03 > 2:22:12sector and the voluntary sector. We all have vital roles to play. I hope

2:22:12 > 2:22:17they will support me and the Government in delivering our

2:22:17 > 2:22:20ambitious vision for a society in which disabled people can play their

2:22:20 > 2:22:30full part and go as far as the talents will take them.

2:22:30 > 2:22:32Thank you, Madam Deputy Speaker. I would like to thank everyone from

2:22:32 > 2:22:41across the House. It is an important debate and we have done it justice.

2:22:41 > 2:22:47This is the starting point for the work that we take together. I am

2:22:47 > 2:22:52keen that people become disability confident employers, so I would

2:22:52 > 2:22:58encourage MPs to do that and hold events in your constituency, to

2:22:58 > 2:23:05encourage employers locally. I would also like to pay tribute to our

2:23:05 > 2:23:10speaker in this Parliament, who has now created internship schemes over

2:23:10 > 2:23:14the next five years for people to come with disabilities to work in

2:23:14 > 2:23:19Parliament with MPs. I think it is important that Parliament is a role

2:23:19 > 2:23:25model and leads the way, that we don't just talk the talk but also

2:23:25 > 2:23:29walk the walk. He is a shiny example in that light. We are in politics to

2:23:29 > 2:23:37make a difference to enable, and we can create the inclusive society

2:23:37 > 2:23:41that everyone deserves stop so thank you.Thank you. The question is has

2:23:41 > 2:23:49the order paper. As many of that opinion, say I. I thought some more

2:23:49 > 2:24:04enthusiasm! The ayes have it. We now come to the backbench debate on

2:24:04 > 2:24:12cancer strategy. Before we begin this debate, I would like to remind

2:24:12 > 2:24:15honourable members, and some of the offenders have just left the

2:24:15 > 2:24:22chamber, that there is not unlimited time in this place, and that I

2:24:22 > 2:24:25didn't impose a time-limit on the last debate because I thought it

2:24:25 > 2:24:31would run naturally to finish about 15 minutes ago. It didn't, it

2:24:31 > 2:24:35overran, and I would like to point out to the House the following. The

2:24:35 > 2:24:43proposer of the motion, all three front and two other members

2:24:43 > 2:24:48significantly exceeded the amount of time they ought to have taken. I was

2:24:48 > 2:24:56hoping that in a good-natured debate, we might have some self

2:24:56 > 2:25:01regulation. It didn't happen. In the next debate, I will have to impose

2:25:01 > 2:25:06time limits. I should also point out to those members taking part in the

2:25:06 > 2:25:10next debate that the reason they have less time to speak in this

2:25:10 > 2:25:14debate is because their colleagues in the last debate took longer than

2:25:14 > 2:25:21they ought to have. I will leave it to honourable members, although some

2:25:21 > 2:25:33of the offenders have left the chamber. I will find them later. Act

2:25:33 > 2:25:36in an honourable way. As I call Doctor Lisa Cameron, who is working

2:25:36 > 2:25:41very hard this afternoon, to propose this next debate, I hope that she

2:25:41 > 2:25:50will do so in 15 minutes or less. Doctor Lisa Cameron.Thank you so

2:25:50 > 2:25:56much, Madam Deputy Speaker. I will indeed tried to behave myself much

2:25:56 > 2:25:59better in this debate, timewise. It is an honour and privilege to

2:25:59 > 2:26:06introduce this debate, and I want to pay tribute to the backbench

2:26:06 > 2:26:12Business Committee, and also for the all-party Parliamentary group for

2:26:12 > 2:26:16cancer for the timely and extremely important report, and particularly

2:26:16 > 2:26:24to the member for a sudden, who could not be with us today but who

2:26:24 > 2:26:30has done an awful lot of work on this subject and deserves our thanks

2:26:30 > 2:26:36in that regard. We are an essay on site against cancer in this House,

2:26:36 > 2:26:40and we are all on the same side in achieving world-class cancer

2:26:40 > 2:26:52outcomes. This speech will address, very briefly as I have been

2:26:52 > 2:26:56instructor, the issues raised in a recent report. The report had over

2:26:56 > 2:27:0180 contributions from charities and bodies, and truly reflects the

2:27:01 > 2:27:06passion from this sector. But it is also a cry for help and progress,

2:27:06 > 2:27:12and a positive way forward. The speech will address the report's

2:27:12 > 2:27:16four main areas of concern, workforce strategy, data

2:27:16 > 2:27:26transparency and funding. The debate is open for contributors to raise

2:27:26 > 2:27:34all issues. I will stick to the group's recent report

2:27:34 > 2:27:37recommendations. It considered progress as we reached the halfway

2:27:37 > 2:27:45point of the NHS cancer strategy 2015 to 2020. It was the result of

2:27:45 > 2:27:50an all-party enquiry from last year. It was formally launched at the

2:27:50 > 2:27:59summer reception last July, and the written submissions were larger than

2:27:59 > 2:28:01anticipated, showing the dedication of those working in the field. Many

2:28:01 > 2:28:07submissions came from cancer alliances, those at the front line

2:28:07 > 2:28:10of the services that are being provided, who identify many

2:28:10 > 2:28:14pressures and challenges in the way forward. The evidence from front

2:28:14 > 2:28:20line services in particular seemed to amount to a call for help and in

2:28:20 > 2:28:26the report the Parliamentary group indicated that while progress has

2:28:26 > 2:28:30been made since its launch, the NHS. Or to achieve the objectives set out

2:28:30 > 2:28:34in the cancer strategy and less corrective action is immediately

2:28:34 > 2:28:40taken. To this end, the all-party Parliamentary group has listed

2:28:40 > 2:28:45recommendations, a copy of which will be sent to all MPs. The lack of

2:28:45 > 2:28:52workforce planning a merged as a key concern. The cancer workforce is

2:28:52 > 2:28:54constantly recognised as the biggest barrier to implement in cash

2:28:54 > 2:29:08strategy. -- implement in our strategy. The strategy was

2:29:08 > 2:29:15originally promised for 2016. Written evidence suggests that the

2:29:15 > 2:29:21workforce is the greatest barrier to the strategy. The group also heard

2:29:21 > 2:29:25that transformation funding is being withheld from cancer alliances

2:29:25 > 2:29:32because of the performance against the 62 data waiting time targets. A

2:29:32 > 2:29:35new conditioner funding which only at a merged after the bidding

2:29:35 > 2:29:43process emerged.

2:29:43 > 2:29:46I thank her for giving way and I appreciate the fact that she

2:29:46 > 2:29:50acknowledged organisations like Macmillan nurses for example, who

2:29:50 > 2:29:56very often rely on subscription.And they should be encouraged to give

2:29:56 > 2:30:00more subscriptions where possible. Absolutely. The honourable gentleman

2:30:00 > 2:30:06makes an excellent point. These agencies are working at the front,

2:30:06 > 2:30:12with people who are just at their most vulnerable point, and their

2:30:12 > 2:30:15families, and they deserve all of our encouragement and praise and, of

2:30:15 > 2:30:25course, funding. In addition to setting out how cancer alliances are

2:30:25 > 2:30:28going to be funded and supported both for the duration of the

2:30:28 > 2:30:30strategy in the future, the all-party Parliamentary group

2:30:30 > 2:30:37strongly wreck ends -- strongly recommends that the 62 day waiting

2:30:37 > 2:30:41time target is decoupled. The previously mentioned issues prevent

2:30:41 > 2:30:45progress in improving cancer care and treatment which is not our

2:30:45 > 2:30:48collective vision. The all-party Parliamentary group also heard that

2:30:48 > 2:30:54improving transparency as regards to priorities and accountability would

2:30:54 > 2:30:59help support the delivery of the strategy. At the moment, a lack of

2:30:59 > 2:31:02clarity and lines of communication are delaying its ink limitation.

2:31:02 > 2:31:10Publishing a detailed progress update on each of the strategies' 96

2:31:10 > 2:31:14recommendations would indeed be a positive step forward. In addition,

2:31:14 > 2:31:18following on from the previous point, it is generally accepted that

2:31:18 > 2:31:23the 62 day waiting target has been treated as a high priority amongst

2:31:23 > 2:31:30CCG and cancer alliances leaders than survival or stage diagnosis as

2:31:30 > 2:31:33shown by the linkage between funding and performance against this

2:31:33 > 2:31:37measure. So, decoupling funding and process target performance in favour

2:31:37 > 2:31:41of a greater focus on outcomes would strongly be in the interest of

2:31:41 > 2:31:47patients, not least because if outcomes are good, survival rates

2:31:47 > 2:31:49increasing, processes will also be functioning efficiently and

2:31:49 > 2:31:57correctly.Will my honourable friend give way? I will indeed. That 62 day

2:31:57 > 2:32:01target has not been met since 2014, and as such, that is an issue that

2:32:01 > 2:32:05has been around for quite a while. Wilshere agree with me that more

2:32:05 > 2:32:10funding needs to be put in to make sure that that target is met and is

2:32:10 > 2:32:13met as soon as possible?I absolutely agree with the honourable

2:32:13 > 2:32:16gentleman. It is absolutely essential that that target is met

2:32:16 > 2:32:21and that resources are put in to ensure that it is. The all-party

2:32:21 > 2:32:25Parliamentary group also found access to detailed and timely data

2:32:25 > 2:32:28is critically important for the success of the strategy,

2:32:28 > 2:32:33particularly in relation to data for the rare and less common cancers.

2:32:33 > 2:32:39Strong concerns were also raised as to how future protection regulations

2:32:39 > 2:32:41on data might affect surveys such as the cancer patient experience

2:32:41 > 2:32:47survey. The value of the cancer patient experience survey should be

2:32:47 > 2:32:53emphasised, along with outcomes from... We must hear from those who

2:32:53 > 2:32:58are experiencing services. They are the ones who know how to improve

2:32:58 > 2:33:04things for the better. In addition, the ageing UK population cannot be

2:33:04 > 2:33:10left out of the conversation. The cancer patient is experience survey

2:33:10 > 2:33:15suggests that older people are less likely to have access to a clinical

2:33:15 > 2:33:18nurse specialist. Additionally, older patients are less likely to

2:33:18 > 2:33:21know the full extent of their illness. Age discrimination must

2:33:21 > 2:33:27come to an end, especially in terms of cancer care. The all-party

2:33:27 > 2:33:33Parliamentary group recommends the NHS and Public Health England's data

2:33:33 > 2:33:39teamwork to produce more timely cancer data and to make it publicly

2:33:39 > 2:33:41available. The all-party Parliamentary group advocates that

2:33:41 > 2:33:47the government ensures that the cancer agent experience survey and

2:33:47 > 2:33:50other such surveys are able to continue in a way which allows

2:33:50 > 2:33:54patient experience to be considered on a par with clinical

2:33:54 > 2:33:58effectiveness, rather than leaving patients without sufficient

2:33:58 > 2:34:02information regarding their cancer and care. Furthermore, in terms of

2:34:02 > 2:34:05specific cancers like breast-cancer, there are key priorities for

2:34:05 > 2:34:11delivery in the cancer strategy. It must ensure data is collected for

2:34:11 > 2:34:16people living with incurable secondary cancer. Everyone with

2:34:16 > 2:34:20secondary breast-cancer has a specialist nurse with the right

2:34:20 > 2:34:25skills and expertise and everyone has access to the right support

2:34:25 > 2:34:28after finishing treatment for primary cancer, so they are able to

2:34:28 > 2:34:33live well after breast-cancer. We should not ignore the fact that the

2:34:33 > 2:34:40strategy has had positive effects. In the last year, 60 cancer

2:34:40 > 2:34:43alliances and three vanguards have been established, and £200 million

2:34:43 > 2:34:48has been made available to them for earlier diagnosis and post-diagnosis

2:34:48 > 2:34:55of support. In addition, 23 NHS trusts have now received new and

2:34:55 > 2:34:58upgraded radiotherapy machines. However, as the report makes clear,

2:34:58 > 2:35:05there is much more work still to be done. I want to just reflate in the

2:35:05 > 2:35:08few minutes that I have left to speak a bit more about less

2:35:08 > 2:35:14survivable cancers. The less survivable cancers task force has

2:35:14 > 2:35:18been in touch with me prior to today's debate, made up of

2:35:18 > 2:35:21pancreatic cancer UK, the British liver trust, the brain tumour

2:35:21 > 2:35:27charity and axing against heart bonus offer go cancer and call or

2:35:27 > 2:35:34digestive diseases. There is a staggering 55% gap in morbidity, and

2:35:34 > 2:35:40that a shock is absolutely unacceptable. Much, much more must

2:35:40 > 2:35:49be done. I recently myself lost a very dear uncle to pancreatic

2:35:49 > 2:35:55cancer, and as a family going through that experience, and knowing

2:35:55 > 2:36:01that we need much more research, we need much more specialist

2:36:01 > 2:36:04understanding, we need to have the investment in those areas, it's

2:36:04 > 2:36:08absolutely crucial. I want to ensure that other families have a better

2:36:08 > 2:36:14chance of a longer survival rate, and I would also pay tribute to my

2:36:14 > 2:36:19own uncle for his courage in terms of coping with that condition right

2:36:19 > 2:36:25till the end. Hospice care I would say is also absolutely essential.

2:36:25 > 2:36:30And we must ensure that families and patients have dignity at the end of

2:36:30 > 2:36:39life. It's just absolutely imperative. I have watched far too

2:36:39 > 2:36:44many family members die in hospital beds, surrounded by other patients,

2:36:44 > 2:36:49with the curtain screen drawn, to know that that is not dignified, and

2:36:49 > 2:36:56that where possible, we must improve services and access to Hospice care.

2:36:56 > 2:37:02Very quickly, I want to also pay tribute to Teenage Cancer Trust,

2:37:02 > 2:37:04because often we think of cancer as an illness which affects older

2:37:04 > 2:37:13people, but also, young people are diagnosed with cancer, they do

2:37:13 > 2:37:17fantastic work, Vanessa Todd in my own constituency is an absolute

2:37:17 > 2:37:22advocate for Teenage Cancer Trust, and we must ensure that whilst it

2:37:22 > 2:37:27may not be something that GPs expect, when a young person comes

2:37:27 > 2:37:31with symptoms that are perhaps not easily identifiable, but it is

2:37:31 > 2:37:35something that we increase awareness of to make sure that the gnosis is

2:37:35 > 2:37:39very quick and timely for young people to improve their prognosis. I

2:37:39 > 2:37:42want to thank everybody, thanks once again the all-party Parliamentary

2:37:42 > 2:37:48group, and as I say, it has been a privilege to date to open the debate

2:37:48 > 2:37:53for the honourable member who is Chair of that group, and who leads

2:37:53 > 2:38:02that group in these issues so well. The question is, this House has

2:38:02 > 2:38:09considered the cancer strategy. And before I call the next Speaker, I

2:38:09 > 2:38:13will try to continue my experiment of seeing if people will self at the

2:38:13 > 2:38:18and behave in a decent and honourable fashion. That means

2:38:18 > 2:38:29taking 8-9 minutes, not 13 or 14 or 15 minutes, and I trust the well

2:38:29 > 2:38:34experienced Mr David Tredinnick to do so first.Thank you, Madam Deputy

2:38:34 > 2:38:37Speaker, it is an honour to be called first on this side of the

2:38:37 > 2:38:40House and I have heard what you said and intend to respect what you said.

2:38:40 > 2:38:46Madam Deputy Speaker, on the 25th of January in the Other Place, in the

2:38:46 > 2:38:50House of Lords, as we tend to call it now, a very distinguished former

2:38:50 > 2:38:54Secretary of State for Culture, Media and Sport in this House,

2:38:54 > 2:38:58former minister of the Olympics, someone who did much to bring the

2:38:58 > 2:39:01Olympics to London, Tessa Jowell, now Baroness Jowell, made an

2:39:01 > 2:39:09impassioned speech about the brain tumour which she has suffered. And

2:39:09 > 2:39:13this is something that I can identify with, I don't normally talk

2:39:13 > 2:39:16about family matters, but I will share with the House that my sister

2:39:16 > 2:39:24died of a brain tumour. What a Baroness Jowell said in her speech

2:39:24 > 2:39:28is something that I think the Parliamentary undersecretary, the

2:39:28 > 2:39:31member for Winchester, should mark. I know he has a strong interest in

2:39:31 > 2:39:40cancer. She said... For what would every cancer patient want? First to

2:39:40 > 2:39:42know that the latest science was being used and available for them.

2:39:42 > 2:39:47What else would they want? They need to know that they have a community

2:39:47 > 2:39:54around them, supporting and caring, being practical and kind, while

2:39:54 > 2:39:59doctors look at the big picture. We can all be part of the human sized

2:39:59 > 2:40:08picture. Now, Madam Deputy Speaker, yesterday at the all-party cancer

2:40:08 > 2:40:12group, of which I am a deputy chairman, one of the things we

2:40:12 > 2:40:15looked at was recovery packages. And this is something which is very dear

2:40:15 > 2:40:22to my heart, as the member who has chaired for much of the 30 years

2:40:22 > 2:40:24that I've been in this House, the all-party group for integrated

2:40:24 > 2:40:33health care, and my researcher has told me that I have chaired over 120

2:40:33 > 2:40:39meetings in this House of that group. What we have try to do over

2:40:39 > 2:40:46the years is to look at how to support cancer patients in a broader

2:40:46 > 2:40:51way. And if I can share a figure with the House straightaway, in the

2:40:51 > 2:40:58United Kingdom, according to Cancer Research UK, 33% of those who have

2:40:58 > 2:41:02cancer use some sort of additional support the repeat, often

2:41:02 > 2:41:08compliments with therapy. For sometimes of cancer, such as breast

2:41:08 > 2:41:14cancer, this number is even higher, at almost 50%. -- some types of

2:41:14 > 2:41:19cancer. Why people use it is because when used alongside conventional

2:41:19 > 2:41:22cancer treatments such as radiotherapy and chemotherapy, it

2:41:22 > 2:41:26makes it easier for them to cope with the cancer and it makes them

2:41:26 > 2:41:31feel that they play a part in how they coped. It helps them relax,

2:41:31 > 2:41:38reduces stress, it enables them to take more active roles in their

2:41:38 > 2:41:41treatment and recovery in partnership with their therapist. It

2:41:41 > 2:41:45enables them to feel more in control of their feelings and emotions. And

2:41:45 > 2:41:49there is very strong evidence that these therapies work effectively,

2:41:49 > 2:41:54although more research is always welcome. The use of acupuncture now

2:41:54 > 2:41:59to relieve sickness caused by some in the therapy drugs is

2:41:59 > 2:42:05well-established. And also for relieving a sore mouth after having

2:42:05 > 2:42:11treatment for head and neck cancer. Not far away from here, there are

2:42:11 > 2:42:17three good examples of how these additional therapies have helped at

2:42:17 > 2:42:21guys Thomases NHS Trust. They're offering in the outbreak clinic

2:42:21 > 2:42:30aromatherapy massage, reflexology and quantitative data analysis shows

2:42:30 > 2:42:33that the statistics show a statistically significant

2:42:33 > 2:42:39improvement. At the Royal Marsden the global world-renowned hospital

2:42:39 > 2:42:45not far away from here, they're using aromatherapy, mass arch and

2:42:45 > 2:42:53have treated 1000 patients to date at the full circle therapies unit at

2:42:53 > 2:42:58St George is NHS Foundation Trust, they're using reflexology, massage

2:42:58 > 2:43:06therapy and relaxation training. Professor Smith, the professor of

2:43:06 > 2:43:09haematology there, said the therapy team has made a fantastic difference

2:43:09 > 2:43:13to the well-being of our patients. And there are other citations here.

2:43:13 > 2:43:20I give way.I am grateful to my honourable friend for giving way,

2:43:20 > 2:43:23and I know having been a minister of his assiduous commitment to this

2:43:23 > 2:43:28cause. He mentioned the Noble Baroness Jowell, would he agree with

2:43:28 > 2:43:31me that the sight of her and the Prime Minister together, embracing,

2:43:31 > 2:43:35and the Prime Minister's announcement of £40 million for

2:43:35 > 2:43:39brain cancer, is good news and it is done in the spirit of cross-party

2:43:39 > 2:43:42commitment to tackling disease and will give a lot of hope to that

2:43:42 > 2:43:46community. On the point about alternative therapies, does he agree

2:43:46 > 2:43:50with me that it is very important that the medical community and the

2:43:50 > 2:43:53national institute of health research does the research to look

2:43:53 > 2:43:57at the extent to which these therapies, even if they may not be

2:43:57 > 2:44:00rooted in the tradition of empirical science, if there is data to show

2:44:00 > 2:44:04that they help patients' recovery time, then that is worthwhile and

2:44:04 > 2:44:12should be looked at?

2:44:12 > 2:44:19If you look at the trials that have taken place, we have randomised

2:44:19 > 2:44:21control trials, controlled studies, the person who came up with the

2:44:21 > 2:44:28notion of evidence -based medicine has said that the practice of

2:44:28 > 2:44:31evidence -based medicine means integrating individual clinical

2:44:31 > 2:44:36expertise with the best available external evidence, which means you

2:44:36 > 2:44:42have to look at the patient and see what they think and what the

2:44:42 > 2:44:50patient's experience is. Deputy Speaker, we're often told by the

2:44:50 > 2:44:54front bench, Treasury bench and others that we need more evidence,

2:44:54 > 2:44:58there must be evidence. When you produce evidence and proper trials,

2:44:58 > 2:45:04it is often ignored. I have chosen this particular subject, healing,

2:45:04 > 2:45:10therapeutic touch, call it what you like, because it appears that with a

2:45:10 > 2:45:13very good evidence people who are able to use their hands to transfer

2:45:13 > 2:45:24some kind of energy, and I have studied Reiki myself, once ended up

2:45:24 > 2:45:28speaking to 5000 therapists in Japan at a conference many years ago, but

2:45:28 > 2:45:36a study in 2007, according to Cancer Research UK, found that up to 40% of

2:45:36 > 2:45:42people in America uses some kind of spiritual healing. In this country,

2:45:42 > 2:45:47there is very good evidence to suggest that seeing a healer helps

2:45:47 > 2:45:53people. In the UK, long-term hormone therapy for women with breast cancer

2:45:53 > 2:46:03can be enhanced and patients can be helped if he really is given to them

2:46:03 > 2:46:07for the side-effects of the treatment. -- healing is to them.

2:46:07 > 2:46:14There is a study that said that over a period of ten weeks they had fewer

2:46:14 > 2:46:23side-effects. In the National Health Service, there was a two year trial

2:46:23 > 2:46:28involving 200 hospital patients with long-standing illness is, the

2:46:28 > 2:46:32largest of its kind funded by the lottery and supervised by the

2:46:32 > 2:46:39University of Birmingham. The methodology looks at the

2:46:39 > 2:46:45effectiveness of refuelling in dealing with irritable bowel

2:46:45 > 2:46:55syndrome, 200 patients were seen. After these patients were assessed,

2:46:55 > 2:46:59the measure yourself medical outcome profile showed a very significant

2:46:59 > 2:47:04improvement after six, 12 and 24 weeks. This was a trial on irritable

2:47:04 > 2:47:14bowel syndrome and IBD, but it was a scientifically carried out trial and

2:47:14 > 2:47:18it worked, so it would almost certainly work for cancer. We need

2:47:18 > 2:47:24to do more research to look at this. I say to my honourable friend, the

2:47:24 > 2:47:30drug showed the same results, especially at minimal cost, it would

2:47:30 > 2:47:36be recommended by NICE. More trials are needed. Part of the Government's

2:47:36 > 2:47:40efforts to get more rigorous assessment has been conducted by the

2:47:40 > 2:47:45professional standards authority, which was set up to oversee the UK's

2:47:45 > 2:47:54nine health and care professional bodies, previously named as the

2:47:54 > 2:47:58Council for health care regulatory excellence. In February 2013, it

2:47:58 > 2:48:04lost its accredited registered scheme, a Government backed scheme,

2:48:04 > 2:48:12and now has 24 accredited registered covering 31 occupations and 80,000

2:48:12 > 2:48:18practitioners. Among the registers it has the Association of child

2:48:18 > 2:48:20psychotherapist, the British acupuncture Council, the British

2:48:20 > 2:48:24Association of sport rebuild teachers and trainers, the

2:48:24 > 2:48:30Federation of holistic therapists, the national hypnotherapist society

2:48:30 > 2:48:47and many others. Madam Deputy Speaker, in its summary, the Chief

2:48:47 > 2:48:53Executive of the professional standards authorities said, a key

2:48:53 > 2:49:01recommendation is for practitioners to have the authority to make a

2:49:01 > 2:49:05direct NHS referrals. That is the practitioners that they are

2:49:05 > 2:49:12regulatory. Inappropriate places, thereby reducing the administrative

2:49:12 > 2:49:18burden on GP surgeries. Please mark what I've said here. They are saying

2:49:18 > 2:49:23that practitioners on that register should have the authority to make

2:49:23 > 2:49:32direct NHS referrals. If this was possible, you bring into the service

2:49:32 > 2:49:3930,000 additional practitioners. I'm trying to figure out, perhaps you

2:49:39 > 2:49:45can guide me.I can guide to the honourable gentleman. Around 11

2:49:45 > 2:49:49minutes to date, but he has taken the few interventions, therefore I

2:49:49 > 2:49:53am not compelling him to sit down. But I'm sure he is going to conclude

2:49:53 > 2:50:03quite soon.I'm very encouraged to see that Leicester's hospitals have

2:50:03 > 2:50:08entered into a memorandum of understanding with university

2:50:08 > 2:50:16affiliated hospital in China. It attempts to have cooperation between

2:50:16 > 2:50:22the two middle. I have used Chinese medicine for 20 years and the use of

2:50:22 > 2:50:29acupuncture and herbal medicine, in my belief, looking through the

2:50:29 > 2:50:33testimonials, dramatically increases the sense of well-being for those

2:50:33 > 2:50:38whose software cancer and frequently extend the life span. I absolutely

2:50:38 > 2:50:42come into the hospitals of Leicester sure when they are discussing this

2:50:42 > 2:50:47with the authorities in China to look at the possibility of training

2:50:47 > 2:50:59therapists in Chinese therapy. Thank you, I rest my case.Thank you,

2:50:59 > 2:51:04Madam Deputy Speaker, and it is a pleasure to follow the honourable

2:51:04 > 2:51:12member who made a very interesting speech. I also want to think thank

2:51:12 > 2:51:16the honourable member for a school pride for securing this very

2:51:16 > 2:51:22important debate. We all know someone who has had or has been

2:51:22 > 2:51:28affected by cancer. My family is no exception, both my parents had

2:51:28 > 2:51:33cancer and my husband lives with cancer every day of his life. I

2:51:33 > 2:51:40could talk about cancer for ever not I'll try to limit myself to the

2:51:40 > 2:51:46recommended time. We know that the cancer strategy sets out such eejit

2:51:46 > 2:51:52priorities and recommendations which aim to radically improve the

2:51:52 > 2:51:55outcomes for people affected by cancer but we also know that the

2:51:55 > 2:52:01specific needs of a lot cancer patients are not being fully met by

2:52:01 > 2:52:11this cancer strategy. -- blood cancer patients. This is because

2:52:11 > 2:52:16their experience is different to solid tumour patients so it is not

2:52:16 > 2:52:21all that effective in meeting their needs. These unmet needs occur any

2:52:21 > 2:52:27number of priority areas identified in the cancer strategy, including

2:52:27 > 2:52:32awareness and early diagnosis, patient experience, living with and

2:52:32 > 2:52:36beyond cancer, access to new treatments and researching NHS

2:52:36 > 2:52:42commissioning. Today I want to focus on one particular issue, the need

2:52:42 > 2:52:54for post stem cell transplant care for patients. This is for patient

2:52:54 > 2:52:59experience, living beyond cancer and NHS commissioning. It is estimated

2:52:59 > 2:53:04by 2020, they will be more than 16,000 people in the UK living post

2:53:04 > 2:53:08transplant, many of whom will be experiencing both physical and

2:53:08 > 2:53:12psychological side-effects from the treatment. That can last for months

2:53:12 > 2:53:20and even years. The side effects can include second cancers, infertility,

2:53:20 > 2:53:24depression, isolation and post-traumatic stress disorder.

2:53:24 > 2:53:27Unfortunately, we know that there are worrying gaps in their care and

2:53:27 > 2:53:33support available to stem cell transplant patients after treatment.

2:53:33 > 2:53:36It is particularly concerning that only half of those who need

2:53:36 > 2:53:41psychological support actually receive it. The same is true for

2:53:41 > 2:53:50practical support. One and five are not offered any specialist care to

2:53:50 > 2:53:53help with physical recovery. These are reflected in the expenses of

2:53:53 > 2:53:58many blood cancer patients who feel after their transplant, when they

2:53:58 > 2:54:03are sent home, the level of support and the level of support available

2:54:03 > 2:54:07to them actually falls away. They feel they have no one to talk to

2:54:07 > 2:54:12about the effects and being challenged by its complications.

2:54:12 > 2:54:17Also about the psychological burden of living with and beyond cancer and

2:54:17 > 2:54:22its treatment, their dietary needs or infertility problems and even

2:54:22 > 2:54:26practical issues such as when they can start to resume everyday

2:54:26 > 2:54:29activities. The ones they had enjoyed before the treatment

2:54:29 > 2:54:35started. This is because the commissioning of post transplant

2:54:35 > 2:54:40services is simply not working for every patient. After 100 days,

2:54:40 > 2:54:47responsibility transfers from NHS England to CCGs, but this arbitrary

2:54:47 > 2:54:54cut-off leaps to fragmentation and gaps in the support. There must be a

2:54:54 > 2:54:57review of that 100 day cut-off as well as the care currently provided

2:54:57 > 2:55:01to patients after a stem cell transplant to ensure that all

2:55:01 > 2:55:06patients can access the support they need. This includes ensuring that

2:55:06 > 2:55:12all patients have access to appropriate emotional and

2:55:12 > 2:55:15psychological support services and access to clinical specialist or

2:55:15 > 2:55:18equivalent model of support. Both of which are pledges in the cancer

2:55:18 > 2:55:24strategy. This issue very much ties into what the cancer strategy says

2:55:24 > 2:55:30about the commissioning of cancer services being highly fragmented. It

2:55:30 > 2:55:35recommended setting clear expectations by the end of 2015 for

2:55:35 > 2:55:41how cancer services should be commissioned. As we had rapidly

2:55:41 > 2:55:45towards 2020, it is important that we continue working hard to resolve

2:55:45 > 2:55:52the confusion that still exists. I hope the Minister when winding up

2:55:52 > 2:55:57can update us on how work in this area is progressing. I have outlined

2:55:57 > 2:56:01to do just a few of the priority areas were much more needs to be

2:56:01 > 2:56:08done to ensure that blood cancers and the needs of the patients are

2:56:08 > 2:56:12appropriately addressed by the cancer strategy. I believe that

2:56:12 > 2:56:19thorough and robust action in these and a number of other key areas will

2:56:19 > 2:56:23have an impact for blood cancer patients, Inc approving care on

2:56:23 > 2:56:27their journey from diagnosis to treatment and through to recovery.

2:56:27 > 2:56:36Thank you.I'm delighted to be taking part in today's debates,

2:56:36 > 2:56:41which I know is such an important area the Government. Can I

2:56:41 > 2:56:48congratulate the members for securing time today to speak on it?

2:56:48 > 2:56:52Since 2010, the Government has recognised the need to improve

2:56:52 > 2:56:57cancer services offered by the NHS and make the UK a world leader in

2:56:57 > 2:57:01cancer research, diagnosis, treatment and care. Many innovations

2:57:01 > 2:57:05are being introduced, such as the Cancer Drugs Fund and the

2:57:05 > 2:57:09implementation of the independent cancer task force strategy. Cancer

2:57:09 > 2:57:15survival rates are a record high and access to the world's leading cancer

2:57:15 > 2:57:21continues to improve, so it is clear great work is already being done. I

2:57:21 > 2:57:27want to focus on the area of breast cancer. It has been a honour to be

2:57:27 > 2:57:32co-chair of the breast cancer group for three years, and I have worked

2:57:32 > 2:57:37with a range of really inspirational people of patients through to

2:57:37 > 2:57:43clinicians. It is great to see two former chairs representing both

2:57:43 > 2:57:49frontbenchers here today. I know the minister did some really good work

2:57:49 > 2:57:53during his time on aid related risk and it is good to see that he is

2:57:53 > 2:57:58carrying that one. I believe we may be able to tempt him to talk about

2:57:58 > 2:58:03some of the work he is doing in his remarks later. As we know, breast

2:58:03 > 2:58:09cancer is the UK's most common, with 11,500 women and easy men dying from

2:58:09 > 2:58:14the disease every year. But great strides are being made in diagnosis

2:58:14 > 2:58:18and treatment, leading to survival rates doubling over the last 40

2:58:18 > 2:58:21years. One of the key recommendations in the cancer

2:58:21 > 2:58:26strategy is and early diagnosis were the targets by 2020 that 95% of

2:58:26 > 2:58:33patients will be diagnosed and receive results within four weeks. I

2:58:33 > 2:58:37want to concentrate on an area that is critical in achieving that

2:58:37 > 2:58:40ambition and is often preferred to as the biggest breast cancer risk

2:58:40 > 2:58:48women are not aware of, breast density. During my work, the issues

2:58:48 > 2:58:52surrounding breast density has become clear, particularly the

2:58:52 > 2:58:57increased risk and masking of cancers in mammography. This is the

2:58:57 > 2:59:01main method of national screening and well considered the gold

2:59:01 > 2:59:05standard, evidence shows it is not as effective for women with a dense

2:59:05 > 2:59:10breast'. It is important to understand what its implications

2:59:10 > 2:59:16are. I would point out it is not an uncommon situation, with 40% of

2:59:16 > 2:59:22women aged over 40 having dense breast tissue. Although it is

2:59:22 > 2:59:25completely normal, as is also a well-established predictor of

2:59:25 > 2:59:30developing breast cancer, with women having the highest density between

2:59:30 > 2:59:34four and six times more likely to develop the disease than those with

2:59:34 > 2:59:35less dense breasts.

2:59:38 > 2:59:44The challenge is that on a mammogram in more than 50% of cases the cancer

2:59:44 > 2:59:48is missed. To illustrate the significance of this it is useful to

2:59:48 > 2:59:51recount a couple of examples given to me by patients which highlight

2:59:51 > 2:59:56the importance of the issue and the differences in approach by country.

2:59:56 > 3:00:03One lady living in the UK underwent mammogram screening from 2004-2012

3:00:03 > 3:00:11receiving a clean bill of health each time. Shortly after her fourth

3:00:11 > 3:00:14mammogram she found a lump which was found to be seven centimetres in

3:00:14 > 3:00:19size and had been missed over ten years due to her breast tissue being

3:00:19 > 3:00:2375% dense. She underwent a mastectomy and as a result of her

3:00:23 > 3:00:27illness was forced to give up her business. Six years later she

3:00:27 > 3:00:33continues to undergo breast construction surgery. Compare this

3:00:33 > 3:00:38to another patient I met who lives in France. In 2016 her first ever

3:00:38 > 3:00:42mammogram was clear but as she was also diagnosed as having dense

3:00:42 > 3:00:46tissue she was immediately referred for an ultrasound scan which

3:00:46 > 3:00:51revealed an 8mm invasive tumour. As a result of the early detection she

3:00:51 > 3:00:57received minimal treatment and an extremely positive outcome. Sadly

3:00:57 > 3:01:00the first experience is not unusual with three and a half thousand

3:01:00 > 3:01:06breast cancer is going undetected each year in the UK alone. I'm aware

3:01:06 > 3:01:09there is a global movement to educate not only women but also

3:01:09 > 3:01:13health professionals about the implications of density with a view

3:01:13 > 3:01:17to ultimately saving lives by promoting earlier diagnosis so that

3:01:17 > 3:01:22tumours can be found when they are small. Currently in the USA 30

3:01:22 > 3:01:24states have passed legislation to provide women with some level of

3:01:24 > 3:01:29information on breast density detailing the increased risk they

3:01:29 > 3:01:33face and how effective mammograms are likely to be for them. I know

3:01:33 > 3:01:36this is an area that the Minister has a great deal of interest in as

3:01:36 > 3:01:39it is something I have raised previously and it is pleasing to see

3:01:39 > 3:01:44that in the UK some action is already being taken. But the

3:01:44 > 3:01:48government commissioning research by Warwick University on the subject.

3:01:48 > 3:01:52There is also clear evidence showing high breast density eclipses family

3:01:52 > 3:01:57history as a risk factor for developing breast cancer. So what

3:01:57 > 3:02:01are the solutions? In an ideal world the answer is to change screening

3:02:01 > 3:02:04guidelines and offer further screening to those women at risk.

3:02:04 > 3:02:10But I appreciate the changes on the skill needs we wait on the outcome

3:02:10 > 3:02:16of the research so long-term decisions can be reached. But there

3:02:16 > 3:02:24is a straightforward solution which can be found right now, there is a

3:02:24 > 3:02:28definite need to promote awareness not only to women but also health

3:02:28 > 3:02:32professionals including GPs who are the usual first port of call for

3:02:32 > 3:02:38women concerned about their health. This simple task of educating about

3:02:38 > 3:02:42breast density can potentially promote more positive health

3:02:42 > 3:02:47outcomes, lead to less harsh treatments, reduce mastectomies,

3:02:47 > 3:02:51avoid secondary cancer and ultimately save lives. To conclude

3:02:51 > 3:02:54Madam Deputy Speaker over the past two years I have learned an awful

3:02:54 > 3:02:58lot about breast density and I would like to think that as a result of

3:02:58 > 3:03:02today's debate more people will be informed about the impact it can

3:03:02 > 3:03:07have. But questions remain, do the women in your family or friends know

3:03:07 > 3:03:11the risk that is posed to them from breast density? Does your wife,

3:03:11 > 3:03:16mother, sister or daughter now that a clear mammogram may not actually

3:03:16 > 3:03:20be clear? And shouldn't these potentially life-saving pieces of

3:03:20 > 3:03:24information be available to every single woman to ensure that the

3:03:24 > 3:03:29government 's excellent ambition of an even better cancer survival rate

3:03:29 > 3:03:35and delivering a world-class cancer outcome can be achieved?Thank you

3:03:35 > 3:03:40Madam Deputy Speaker, it's a real pleasure to follow the member who

3:03:40 > 3:03:43reminds us of the importance of using the expertise and knowledge we

3:03:43 > 3:03:47have got in the system to improve and accelerate improvements of

3:03:47 > 3:03:52outcomes now. I would like to thank the honourable member for Basildon

3:03:52 > 3:03:55and Billericay who I know is disappointed not to be here for

3:03:55 > 3:04:02securing the debate and for his time and education in chairing the

3:04:02 > 3:04:05all-party group so well and impressively over the last nine

3:04:05 > 3:04:09years. This debate is focused on the cancer strategy and the current

3:04:09 > 3:04:14challenges it faces. It is important as well to reflect on the positives.

3:04:14 > 3:04:19In the space of my lifetime the progress made in understanding,

3:04:19 > 3:04:23diagnosing and treating cancer has been remarkable Madam Deputy

3:04:23 > 3:04:29Speaker. In the 1950s there was a limited knowledge of cancers and the

3:04:29 > 3:04:33risk factors associated, the NHS had only recently emerged and there was

3:04:33 > 3:04:39no coordinated plan to treat cancer. We've come a long way since then.

3:04:39 > 3:04:42Since the 1970s cancer survival rates in the UK have doubled, this

3:04:42 > 3:04:47is a real credit to the countless health Provisionals, researchers,

3:04:47 > 3:04:51volunteers charities and of course patients who have pioneered progress

3:04:51 > 3:04:55and continue to do so every day. It is because of them we are where we

3:04:55 > 3:05:00are, where a person in the UK is more likely to survive cancer than

3:05:00 > 3:05:05to die from it. However the remain massive challenges. My constituent

3:05:05 > 3:05:11came to see me after losing her husband to pancreatic cancer in

3:05:11 > 3:05:142009, it is her fault I have ended up as the chair of the all-party

3:05:14 > 3:05:21group of pancreatic cancer. Kevin's own mother died of the same thing 40

3:05:21 > 3:05:26years earlier and the shocking thing about that story is that the chances

3:05:26 > 3:05:30of survival were no better than his mothers and in most parts of life

3:05:30 > 3:05:33the world has moved on rapidly in 40 years but in this part it has not.

3:05:33 > 3:05:40In fact less than 7% in the UK, pancreatic cancer has the worst

3:05:40 > 3:05:43five-year survival rates of the 20 most common cancers with the new

3:05:43 > 3:05:50Cray ranked 26th out of the 27 EU countries

3:05:50 > 3:05:52Cray ranked 26th out of the 27 EU countries. Sadly pancreatic cancer

3:05:52 > 3:05:57is on course to become the fourth biggest cancer killer by 2026 so

3:05:57 > 3:06:05action is needed now.I am grateful to the honourable gentleman for

3:06:05 > 3:06:10giving way, would he agree that it is vital, if we are to attack those

3:06:10 > 3:06:13outliers that as well as the great research we do here we make sure the

3:06:13 > 3:06:18NHS is better at adopting and taking up innovative medicines? That is a

3:06:18 > 3:06:23large part of what the exhilarated access review, the Informatics

3:06:23 > 3:06:27programme is about, making sure the NHS is capable of not just doing the

3:06:27 > 3:06:32research but of enlightened procurement to take up more quickly

3:06:32 > 3:06:35drugs that work?Absolutely and I will come to that in my speech. As

3:06:35 > 3:06:41the honourable member moving the debate pointed out so well we are

3:06:41 > 3:06:44almost halfway into the five-year implementation plan of the

3:06:44 > 3:06:48governments cancer strategy for England. At this point there are

3:06:48 > 3:06:52concerns about the rate of progress being made. The workforce plan is

3:06:52 > 3:07:00not yet as effective as we would like. As the royal college of

3:07:00 > 3:07:05pathologists point out while it can take up to 15 years to train a

3:07:05 > 3:07:09pathologist pathology services are unable to recruit two vacant posts

3:07:09 > 3:07:12today and it's anticipated that a third of consultants will retire in

3:07:12 > 3:07:18the next five years. This is just one example of the we face.

3:07:18 > 3:07:26Workforce capacity must be addressed to change survival outcomes. It

3:07:26 > 3:07:31would be good if the Minister could update us on what is being done to

3:07:31 > 3:07:34provide the funding needed based upon England's cancer workforce

3:07:34 > 3:07:39plan. Fast access to quick and accurate diagnosis test is crucial

3:07:39 > 3:07:44for pancreatic cancer patients many are diagnosed too late. When surgery

3:07:44 > 3:07:49is no longer available. In the all-party pancreatic group early

3:07:49 > 3:07:54diagnosis enquiry time to change the story there was anecdotal evidence

3:07:54 > 3:07:59from a health care professional that a CT scan can be done quite quickly

3:07:59 > 3:08:04but the report can sometimes take ten weeks. It would be helpful if

3:08:04 > 3:08:08the Minister's department were able to respond to the recommendations in

3:08:08 > 3:08:13the report and the progress being made in that area. Not only

3:08:13 > 3:08:17pancreatic cancer but other cancers like blood cancers diagnosis can be

3:08:17 > 3:08:24confiscated because symptoms can be misunderstood or misdiagnosed.

3:08:24 > 3:08:27Delays can have a major impact on a patient's quality of life and

3:08:27 > 3:08:31overall outcome and last elder diagnosis would make a difference

3:08:31 > 3:08:36for many not all blood cancers. To change this recommendations for

3:08:36 > 3:08:41early diagnosis should be reviewed to ensure that all people with blood

3:08:41 > 3:08:45cancer are benefiting from early, accurate diagnosis. GPs could be

3:08:45 > 3:08:49encouraged to ask for a simple blood test for people displaying one or

3:08:49 > 3:08:56more blood cancer symptoms. Diagnostic techniques also have the

3:08:56 > 3:08:58potential to guide what treatment options are likely to be effective.

3:08:58 > 3:09:05Last month it was provisionally rejected to use five tumour

3:09:05 > 3:09:08profiling test to gauge treatment decisions on whether patients with a

3:09:08 > 3:09:11particular type of early breast cancer should also have received

3:09:11 > 3:09:17chemotherapy following surgery, reversing the previous guidance

3:09:17 > 3:09:22recommending the option. This goes to the point the honourable member

3:09:22 > 3:09:27opposite was saying about using genomics effectively and any precise

3:09:27 > 3:09:33way. Breast cancer now is concerned this could be a backward step for

3:09:33 > 3:09:37some breast cancer patients especially in the context of the

3:09:37 > 3:09:40current cancer strategy is welcome ambition to enable more personalised

3:09:40 > 3:09:48treatment. I will indulge the honourable member.Would he agree

3:09:48 > 3:09:54that on the subject the work of the Institute in Birmingham led by

3:09:54 > 3:09:56Professor Charlie Craddick and the cure lead to the team working on

3:09:56 > 3:10:00blood cancers has written the playbook on how we do early

3:10:00 > 3:10:05diagnosis. They have pulled in £200 million of free drugs for NHS

3:10:05 > 3:10:09patients by doing exhilarated access.There is wonderful work

3:10:09 > 3:10:13going on and it goes back to what the member before me said, that we

3:10:13 > 3:10:16need to grab this wonderful work and move it forward and not be held back

3:10:16 > 3:10:22by frameworks which are not quick enough to move with the times. The

3:10:22 > 3:10:26ability to personalise treatment based on Trym profiling which would

3:10:26 > 3:10:32allow many to avoid the brutal side effects as the potential to reduce

3:10:32 > 3:10:37the associated costs with the therapy. It can give clinicians and

3:10:37 > 3:10:40patients are valuable reassurance that they may safely not have

3:10:40 > 3:10:44chemotherapy which reduces overtreatment. Nice is not community

3:10:44 > 3:10:48clearly enough the reasons behind rejecting the use of tumour

3:10:48 > 3:10:54profiling tests as it is unclear if this is a result of additional

3:10:54 > 3:11:03evidence, the cost, or both. Behind the recent provisional rejection of

3:11:03 > 3:11:06tumour profiling tests to gauge treatment decisions any specific

3:11:06 > 3:11:10group of breast cancer patients. The cancer strategy calls on Public

3:11:10 > 3:11:16Health England to continue to invest in campaigns to raise awareness of

3:11:16 > 3:11:20the possible symptoms of cancer. It's a big challenge for pancreatic

3:11:20 > 3:11:26cancer as well as others. A poll carried out in 2017 found that 35%

3:11:26 > 3:11:31of adults in the UK would not be worried if they had few of the

3:11:31 > 3:11:34penitential symptoms of pancreatic cancer. Last year Public Health

3:11:34 > 3:11:42England launched an exciting regional pilot including persistent

3:11:42 > 3:11:45diarrhoea, although the results were positive it's not yet been rolled

3:11:45 > 3:11:50out nationally. I would be keen to know when the minister plans a

3:11:50 > 3:11:54national roll-out on the campaign. In conclusion Madam Deputy Speaker

3:11:54 > 3:11:58much has been done and much is happening but there is much more to

3:11:58 > 3:12:01do. Cancer Alliance has a significant role in delivering

3:12:01 > 3:12:06effective change and many are clearly making a difference.

3:12:06 > 3:12:09Workforce planning, early diagnosis and greater symptom awareness are

3:12:09 > 3:12:14key areas we need to up our game as we move into the second half of this

3:12:14 > 3:12:17five-year cancer strategy.

3:12:21 > 3:12:27Thank you Madam Deputy Speaker. I would like to also thank the

3:12:27 > 3:12:30honourable member for East Kilbride for securing this debate and I would

3:12:30 > 3:12:34like to take this opportunity to discuss blood cancer in particular

3:12:34 > 3:12:37as many will know there are many different types of blood cancer from

3:12:37 > 3:12:43leukaemia, lymphoma and Mullah Omar to the rarest that affect just a few

3:12:43 > 3:12:53people. Blood cancer is a complex and much misunderstood gees Leave

3:12:53 > 3:12:57disease area. It is the third biggest cancer killer and the fifth

3:12:57 > 3:13:01most common overall with over 230,000 people living with blood

3:13:01 > 3:13:05cancer. Compare to other cancers those blood cancer patients had to

3:13:05 > 3:13:11see her GP significantly more times before being referred to hospital,

3:13:11 > 3:13:16more than 35% had to see their GP three or more times before referral

3:13:16 > 3:13:22compare to only 6% for breast cancer and 23% for other solid tumour

3:13:22 > 3:13:26types. Blood cancer is by far the most common cancer among people

3:13:26 > 3:13:32under the age of 30. Despite that Madam Deputy Speaker there are still

3:13:32 > 3:13:37a number of issues with blood cancer which need addressed. As the

3:13:37 > 3:13:41honourable member for Scunthorpe has said diagnosing can be very complex

3:13:41 > 3:13:46at times, symptoms such as back pain or tiredness are often misunderstood

3:13:46 > 3:13:52and diagnosed as other conditions. Those delays can lead to major

3:13:52 > 3:13:55problems for the patients, not only for quality of life but the overall

3:13:55 > 3:14:01outcome. Recommendations for early diagnosis in the cancer strategy

3:14:01 > 3:14:05should be reviewed to ensure all people with blood cancer and

3:14:05 > 3:14:08benefiting from early and accurate diagnosis. GPs should be encouraged

3:14:08 > 3:14:12to ask a simple blood tests for people displaying one or more blood

3:14:12 > 3:14:16cancer symptoms. And the cancer strategy says all cancer patients

3:14:16 > 3:14:21will have had access to the recovery practice by 2020. This helps once

3:14:21 > 3:14:24the treatment has ended to return to their normal lives.

3:14:29 > 3:14:33It includes a review of the cancer care but the package is based around

3:14:33 > 3:14:43the needs for people with solid tumour cancers. People with chronic

3:14:43 > 3:14:46leukaemia, relapsing and phoning, say that the term such as beyond

3:14:46 > 3:14:49cancer and post treatment are not applicable to them. In order to

3:14:49 > 3:14:55ensure that people with blood cancer receive sufficient support, I would

3:14:55 > 3:15:01like to ask if my right honourable friend would consider how all blood

3:15:01 > 3:15:05cancer patients can benefit from after-care support, including

3:15:05 > 3:15:09ensuring the recovery package takes account of the unique

3:15:09 > 3:15:13characteristics of blood cancer. Madam Deputy Speaker, 5000 people a

3:15:13 > 3:15:19year with some slow-growing blood cancers are put on a regime of watch

3:15:19 > 3:15:25and wait instead of starting treatment straightaway. Though

3:15:25 > 3:15:28cancer is monitored potentially for many years before treatment needs to

3:15:28 > 3:15:34start. This can be difficult for many patients and can lead to

3:15:34 > 3:15:37psychological distress. Tailored psychological support must be made

3:15:37 > 3:15:41available to those patients and watch and wait. I'd like treatment

3:15:41 > 3:15:47of solid shimmer cancers, blood cancers are not often treatable

3:15:47 > 3:15:51through the use of surgery or radiotherapy. This means blood

3:15:51 > 3:15:55cancer is more dependent on the development of new drugs and being

3:15:55 > 3:15:58able to access them, and in order to continue to improve patient

3:15:58 > 3:16:05outcomes, that's very important. Continued Government investment in

3:16:05 > 3:16:09blood cancer research, including a clinical trials infrastructure, is

3:16:09 > 3:16:14required to capitalise on the UK's position as a reader in blood cancer

3:16:14 > 3:16:20research. This will benefit patients but also help the Government reach

3:16:20 > 3:16:25ambitions outlined in the UK life sciences industrial strategy. The

3:16:25 > 3:16:29cancer strategy sets out to clinical leaders should work together in

3:16:29 > 3:16:34Cancer alliances with those affected by cancer to decide on how local

3:16:34 > 3:16:37care and services should be delivered. But despite this

3:16:37 > 3:16:42omission, patients often find the services are fragmented, adding

3:16:42 > 3:16:47stress to their experience. This can be a particular problem for blood

3:16:47 > 3:16:50cancer because patients are often treated in haematology units rather

3:16:50 > 3:16:55than oncology. Cancer alliances should reduce fragmentation between

3:16:55 > 3:16:59the different stages of care for blood cancer patients by

3:16:59 > 3:17:03acknowledging and bridging the recognised gaps between oncology and

3:17:03 > 3:17:08haematology departments and between primary and secondary care. To

3:17:08 > 3:17:12conclude, the cancer dashboard has been developed following a

3:17:12 > 3:17:16recommendation on the cancer strategy. It allows clinicians and

3:17:16 > 3:17:19others to compare performance of clinical commissioning groups and

3:17:19 > 3:17:27identify areas for improvement. However it only covers the four most

3:17:27 > 3:17:32common salute tumour types, long, breast, prostate and colorectal, and

3:17:32 > 3:17:37this equates to less than half of all cancer cases. Can my right

3:17:37 > 3:17:40honourable friend provide ensures that the health service will

3:17:40 > 3:17:45actively work to include blood cancer in the cancer dashboard? As

3:17:45 > 3:17:49the fifth most common cancer and to ensure that decisions about future

3:17:49 > 3:17:56services to disregard these patients. -- don't disregard these

3:17:56 > 3:18:05patients.It is an honour to follow the right honourable man member who

3:18:05 > 3:18:10spoke knowledgeably. Like everyone in this House, I'm sure I can speak

3:18:10 > 3:18:14about many aspects of cancer as we probably all can, including my own

3:18:14 > 3:18:21experience. I could speak about the very moving speech made by Baroness

3:18:21 > 3:18:24Jowell, a very special moment in Parliament's history and one I will

3:18:24 > 3:18:32be glad to be there for but I'm very sad that she had to be. I could

3:18:32 > 3:18:34speak about how horrible chemotherapy is and how deeply a

3:18:34 > 3:18:42girl can feel the loss of her eyelashes. I could speak about my

3:18:42 > 3:18:45support for health labelling and alcohol, because people are unaware

3:18:45 > 3:18:51of the connections between it and cancer. I hope he will support

3:18:51 > 3:18:57better labelling. I could speak about how important healthy habits

3:18:57 > 3:19:00are generally for reducing cancer and would ask the minister if he

3:19:00 > 3:19:04would do more to urge people to take up healthy habits from an early age.

3:19:04 > 3:19:08I could speak about how women should learn how to check their breasts

3:19:08 > 3:19:13properly because many have told me they don't know how. I could tell

3:19:13 > 3:19:20you what I learned last week about the contribution CERN has made to

3:19:20 > 3:19:23improving diagnoses of cancer through the development of the

3:19:23 > 3:19:28magnetic resonance imaging machine. I also spoke to scientists who are

3:19:28 > 3:19:31doing what they can to reduce the very frightening knocking effects

3:19:31 > 3:19:37that happens when you are in fact cited. But I'm going to speak about

3:19:37 > 3:19:41the patient experience of a very specific group, children and young

3:19:41 > 3:19:46people with cancer and their families. I say to those children

3:19:46 > 3:19:51and young people, their parents, the clinicians and charity supporting

3:19:51 > 3:19:56them, this speech is for you. I pay tribute in particular to the teenage

3:19:56 > 3:20:01Cancer trust and thank them and all other charities who help children

3:20:01 > 3:20:05and young people with cancer every day. I want to give very personal

3:20:05 > 3:20:12close to my sister-in-law Emily, who is following the hearing,

3:20:12 > 3:20:14fundraising is an inspiration to many and whose personal knowledge

3:20:14 > 3:20:21has taught me so much. I will happily give way to my noble friend.

3:20:21 > 3:20:28As a parent of a child who has had the support of the charity, and it

3:20:28 > 3:20:32is and then supporting you only from a medical point of view, it is

3:20:32 > 3:20:37people to talk to to understand what your child and you are going

3:20:37 > 3:20:45through.I thank my honourable friend for that intervention. The

3:20:45 > 3:20:48specialist organisations understand what the families are going through,

3:20:48 > 3:20:52how devastating the diagnosis can be, but also what can be done to

3:20:52 > 3:20:57help people through it. I set up the all-party Parliamentary group on

3:20:57 > 3:21:04childhood and teenage cancer last year with the help of CLIC Sargent

3:21:04 > 3:21:05and teenage Cancer trust for children and young people living

3:21:05 > 3:21:08with cancer and their parents because they told me they want to

3:21:08 > 3:21:12have their voices heard in Parliament. I think the officers who

3:21:12 > 3:21:22are almost all here, for their support. And childhood cancers are

3:21:22 > 3:21:29thankfully rare, just 4000 people under 25 each year in the UK are

3:21:29 > 3:21:32diagnosed with cancer, but this rarity means they are often die as

3:21:32 > 3:21:37Michael difficult to diagnose and much more likely than Oldham

3:21:37 > 3:21:41patients to be diagnosed at a later stage. This also means that

3:21:41 > 3:21:43treatment can be difficult and children, young people and their

3:21:43 > 3:21:47peers have to travel a long way for specialist treatment. It can mean

3:21:47 > 3:21:54treatment can be unpleasantly aggressive. There are consequences

3:21:54 > 3:21:59for children's education, future employment, the treatment affects

3:21:59 > 3:22:03their fertility. Some of them may not even be thinking about them at

3:22:03 > 3:22:08the time of diagnosis. It may cause a disability, set them apart from

3:22:08 > 3:22:12their friends at the time they are finding out who they are. In

3:22:12 > 3:22:18Bristol, the teenage Cancer trust provides a specialist ward for

3:22:18 > 3:22:23teenage patients. They are able to help teenagers and their parents get

3:22:23 > 3:22:27through this difficult time with the services tailored to the specific

3:22:27 > 3:22:31needs. CLIC Sargent provides a specialist support and in Bristol

3:22:31 > 3:22:36that includes a home for children and their families to live and have

3:22:36 > 3:22:41here whilst they are having cancer treatment. A parent I met when

3:22:41 > 3:22:45visiting the CLIC Sargent has told me of arriving in Bristol with

3:22:45 > 3:22:49nothing apart from them and their child expecting a checkup and by the

3:22:49 > 3:22:53evening discovered that their child had cancer and that treatment was

3:22:53 > 3:22:58due to start immediately. The CLIC Sargent social worker can explain

3:22:58 > 3:23:01what the House does, what the facilities are and can help guide

3:23:01 > 3:23:05people who are just suddenly dealing with the really traumatising

3:23:05 > 3:23:08experience, but also having no supplies to cope with the next few

3:23:08 > 3:23:15days. Two years ago, the cost of cancer and support, whose Parliament

3:23:15 > 3:23:20launch I had the honour of hosting, identified specific costs for

3:23:20 > 3:23:23families affected by chartered cancer. I urge the Minister to look

3:23:23 > 3:23:34at it again. We are launching our first enquiry on Monday. We are

3:23:34 > 3:23:37looking at patient experience, and I know the Minister will want to

3:23:37 > 3:23:41engage with that process as we go forward. We want Parliament to

3:23:41 > 3:23:44understand better the really specific experience of children and

3:23:44 > 3:23:48young people with cancer and their families and identifying whether

3:23:48 > 3:23:52there needs are being met at where improvements can be made. There

3:23:52 > 3:23:55might be suggestions for improvements to diagnosis or

3:23:55 > 3:23:58post-treatment support or help with the very specific about of cancer

3:23:58 > 3:24:05diagnosis. And all those other consequences I have listed. Many of

3:24:05 > 3:24:10us who may have had contact with children with cancer or their

3:24:10 > 3:24:14appearance in her constituency work and I say to those people, this

3:24:14 > 3:24:19enquiry is for you but it's about you and it's with you. Young people,

3:24:19 > 3:24:23parents and professionals can get involved by filling in the short

3:24:23 > 3:24:27survey online on the all-party Twitter feed and website from

3:24:27 > 3:24:38Monday. They can find out more about the enquiry on the web page, just

3:24:38 > 3:24:41Google APPG and cancer. We are informed by what young people have

3:24:41 > 3:24:47already told us and have heard and analysed evidence as well as giving

3:24:47 > 3:24:53it. The Government is committed to collecting patient experience data

3:24:53 > 3:24:55for the under 16. This is progressing and we are pleased to

3:24:55 > 3:25:00hear about it, but I would like the Minister to consider how it might be

3:25:00 > 3:25:06improved and tell us a bit more about it. I will happily give way.

3:25:06 > 3:25:10CLIC Sargent a few years ago now produced a report about children

3:25:10 > 3:25:15with cancer going back to school which are really highlighted some of

3:25:15 > 3:25:20the major problems and the lack of guidelines about how teachers are

3:25:20 > 3:25:22actually given the proper understanding. Particularly if the

3:25:22 > 3:25:26children are very young, is not only difficult for them, but also the

3:25:26 > 3:25:30other children at the school who have perhaps a senior friend who

3:25:30 > 3:25:36they saw looked perfectly normal and now might not have hair or something

3:25:36 > 3:25:42like that. We need a proper system in place so those children can be

3:25:42 > 3:25:47properly included than excluded. Absolutely right and I know from

3:25:47 > 3:25:52Michael Leask unions in my circle of exactly how that can affect both the

3:25:52 > 3:25:56young person but also their educators and their peers. Young

3:25:56 > 3:26:00people have spoken to me with very difficult experiences, some who had

3:26:00 > 3:26:04good support from their school and others have been told they were

3:26:04 > 3:26:15upsetting their colleagues with their hairlessness. But it should be

3:26:15 > 3:26:19an opportunity to work with young people about how they can support

3:26:19 > 3:26:21their friend and reduced their own risk through making healthy choices

3:26:21 > 3:26:28at that point. I will close shortly, but I want to finish by rear to

3:26:28 > 3:26:32rating to all honourable members in the House and beyond that if they

3:26:32 > 3:26:36would like to get involved with the all-party group of this enquiry,

3:26:36 > 3:26:41please get in touch with me. If children, young people are parents

3:26:41 > 3:26:45and other family members wanted their voices heard, they can contact

3:26:45 > 3:26:52the group myself for their own MPs. I hope the Government and parliament

3:26:52 > 3:26:55generally will be willing to hear those voices, needs and experiences

3:26:55 > 3:27:00of children and young people with cancer and their families. I'm sure

3:27:00 > 3:27:09everyone here is committed to that, but we really must actually do that.

3:27:09 > 3:27:14I would like to thank the member for East Kilbride for securing the

3:27:14 > 3:27:17debate today and also state that it is an honour to follow the member

3:27:17 > 3:27:20for Bristol worst of what was a passionate and very well-informed

3:27:20 > 3:27:27speech. We all have loved ones that have been affected by cancer. I lost

3:27:27 > 3:27:32my maternal grandparents to breast and oesophageal cancer. Many in my

3:27:32 > 3:27:35family have suffered from melanoma and one of my friends is currently

3:27:35 > 3:27:44battling cancer. We have all heard harrowing stories by constituencies.

3:27:44 > 3:27:48Cancer is indiscriminate and yes we can make lifestyle changes to try

3:27:48 > 3:27:52and avoid it and be aware with The Simpsons, advances in medicine mean

3:27:52 > 3:27:56we can fight it more effectively and can detect it earlier to increase

3:27:56 > 3:28:01the Lords, but there are still no guarantees. Cancer is a powerful

3:28:01 > 3:28:05rates are at a record high with around 7000 people alive today who

3:28:05 > 3:28:10would not have been hit maternity rates be the same in 2010. --

3:28:10 > 3:28:16mortality rates. This is a step in the right direction and we are not

3:28:16 > 3:28:21at our destination. For all those who lose their mother or child or

3:28:21 > 3:28:25friend today and hero of this debate, I want them to know the

3:28:25 > 3:28:28Government and MPs and get it, we get that were on the right track but

3:28:28 > 3:28:33equally there is so far to go because cancer is still the most

3:28:33 > 3:28:39dangerous serial killer that remains at large and that is why we must

3:28:39 > 3:28:44continue to prioritise this area. The formation of the 1.2 billion

3:28:44 > 3:28:49cancer drug fund was a massive step forward and has helped over 95,000

3:28:49 > 3:28:53people to access the life extending drugs they need. As was the

3:28:53 > 3:29:06fermentation of the pass cancer strategy. In 2010, we had some of

3:29:06 > 3:29:16the worst survival rates in Europe, but we are now closing that gap.

3:29:16 > 3:29:2157,000 more patients started cancer treatment last year. When it comes

3:29:21 > 3:29:26to cancer prevention is key. I do welcome the increase in investment

3:29:26 > 3:29:29in Cancer Research by the National Institute for health research since

3:29:29 > 3:29:372010. And also the work that the Pazdan along with Cancer Research UK

3:29:37 > 3:29:40including a jointly funded effort of 18 experimental cancer medicine

3:29:40 > 3:29:44centres aimed at driving the development and testing new

3:29:44 > 3:29:47anti-cancer treatments. In terms of prevention I would like to draw

3:29:47 > 3:29:54attention to the HPV high uptake, high uptake of the HPV vaccination

3:29:54 > 3:29:59amongst teenage girls which can prevent around 600 cancers per year

3:29:59 > 3:30:04and 99% of cervical cancer cases. I have spoken before in this chamber

3:30:04 > 3:30:09on Public Health England's Tobacco control plan aiming to usher in the

3:30:09 > 3:30:15first smoke-free generation by 2022. Improving diagnosis is also equally

3:30:15 > 3:30:19essential. Public health campaigns such as be clear on cancer are vital

3:30:19 > 3:30:24to raise awareness of early symptoms especially amongst less common

3:30:24 > 3:30:28cancers. Crucially the 200 million which has been invested to ensure

3:30:28 > 3:30:32patients received a diagnosis or the all clear within 28 days by 2020

3:30:32 > 3:30:37will make a huge difference. This would have benefited my constituent

3:30:37 > 3:30:41Madam Deputy Speaker whose symptoms were initially dismissed as

3:30:41 > 3:30:44irritable bowel syndrome and then she waited for a long time

3:30:44 > 3:30:49protesting. She is now terminally ill with bowel cancer. But she is

3:30:49 > 3:30:52trying to work hard every single day to raise awareness and help others

3:30:52 > 3:30:58to get diagnosed quickly. Almost everyone will survive bowel cancer

3:30:58 > 3:31:04if diagnosed early. In fact nine in ten people. Yet shockingly and sadly

3:31:04 > 3:31:12only 15% of people diagnosed, are diagnosed at this stage.She's

3:31:12 > 3:31:17making a very powerful point, on the question of early diagnosis,

3:31:17 > 3:31:21prevention and screening, would she agree that the hundred thousand

3:31:21 > 3:31:24Geelong project we launched in the UK focused on cancer and rare

3:31:24 > 3:31:30disease which is seeking volunteers for gene sequenceINAUDIBLE

3:31:30 > 3:31:35Is a brilliant way for people to get involved and if anyone is concerned

3:31:35 > 3:31:39get involved and in role, we still need another 50,000 patients and

3:31:39 > 3:31:45it's a massive way of getting access to early diagnosis.Time did not

3:31:45 > 3:31:50permit me to cover that so I am grateful he has covered that. In

3:31:50 > 3:31:57terms of bowel cancer I welcome the new test that is going to be rolled

3:31:57 > 3:32:00out in April, it is more sensitive and accurate and can detect twice as

3:32:00 > 3:32:05many cancers as the current rate. Currently only half of those invited

3:32:05 > 3:32:09to take part in testing do but it's proven scientifically to increase

3:32:09 > 3:32:13the number participating in the programme, especially as an easier

3:32:13 > 3:32:18and more hygienic post them current tests. But the awareness of symptoms

3:32:18 > 3:32:22coupled with the new test and the ageing population is leading

3:32:22 > 3:32:26charities within the sector to voice concerns of a looming endoscopic

3:32:26 > 3:32:33workforce crisis. I will cancel and jerky and beating bowel and

3:32:39 > 3:32:43especially as all my 48 have been trained so far. I would like to hear

3:32:43 > 3:32:48more from the Minister in response to this so my constituent can be

3:32:48 > 3:32:53assured that others may be diagnosed earlier than she was. Madam Deputy

3:32:53 > 3:32:58Speaker one of the key issues when it comes to beating cancer and

3:32:58 > 3:33:02preventing cancer is also getting screened regularly when applicable.

3:33:02 > 3:33:06This is especially the case of cervical cancer. The NHS cervical

3:33:06 > 3:33:11screening programme in England offers screening to women aged 25-49

3:33:11 > 3:33:16every three years and women aged 58 and 60 for every five years. Every

3:33:16 > 3:33:21year in the UK around 3000 women are diagnosed with cervical cancer but

3:33:21 > 3:33:25research shows the number of women using the service has dropped to a

3:33:25 > 3:33:3020-year-old time low. Over 1.2 million people are not attending

3:33:30 > 3:33:36screening and last. A recent report showed that embarrassment is a key

3:33:36 > 3:33:40barrier to attendance for between one third to one half of all women

3:33:40 > 3:33:45as is the desire not to miss work. There is also a severe lack of

3:33:45 > 3:33:50understanding about the importance of the screening. Shockingly one in

3:33:50 > 3:33:54three women aged 25-29 Mr smear yet cervical cancer is the most common

3:33:54 > 3:34:02for women under the age of 35. We must address this. I have noted that

3:34:02 > 3:34:06imperial college have conducted a trial to assess the effectiveness of

3:34:06 > 3:34:10texting non-responders on improving coverage. But I do think we should

3:34:10 > 3:34:15just do this as it can only help. I also welcome the Department of

3:34:15 > 3:34:18Health behavioural insight team which has undertaken a trial to

3:34:18 > 3:34:21investigate the use of behavioural insights to optimise the contact of

3:34:21 > 3:34:30the invitation letter. I must admit that I was one of these women, I put

3:34:30 > 3:34:34off my screening for years, I left it on the bottom of my to-do list.

3:34:34 > 3:34:40Let it fit in around my job. It kept every year. I must admit if I am

3:34:40 > 3:34:43honest I did not realise that cervical cancer is the most common

3:34:43 > 3:34:48in women under the age of 35. When I did have my screening I had to go

3:34:48 > 3:34:56through the processes once abnormal cells were shown. As my results

3:34:56 > 3:34:58showed high grade abnormalities I'm extremely thankful I went when I

3:34:58 > 3:35:05went. I would like to take this opportunity to praise the work with

3:35:05 > 3:35:08the information and support provided to women, I know personally I find

3:35:08 > 3:35:15it extremely helpful. We seem to be very British about cervical smear

3:35:15 > 3:35:19tests and don't like to talk about them much. This is not promoting

3:35:19 > 3:35:24people going. Yes it's not nice, it hurts a little, it is awkward and

3:35:24 > 3:35:29embarrassing. But it could save your life. That is the message I think we

3:35:29 > 3:35:33need to get out. I think we need to promote cervical screening from

3:35:33 > 3:35:39school age so women recognise all the risks and the importance of

3:35:39 > 3:35:45going from age 20 five. In September and October 2017

3:35:51 > 3:35:54to our squad activities they had undertaken to increase coverage from

3:35:54 > 3:36:04August 2016 to August 2017 along of the outcomes. Of the 149 local

3:36:04 > 3:36:07authorities who responded 32% had not undertaken any activities at

3:36:07 > 3:36:14all. I ask the Minister to commission a review and a strategy

3:36:14 > 3:36:18to increase the falling rates of cervical screening is looking at the

3:36:18 > 3:36:22availability and challenges of reaching all women. And the need for

3:36:22 > 3:36:26awareness of cervical cancer. To conclude Madam Deputy Speaker

3:36:26 > 3:36:31MacMillan claimed by 2020 47% of people will get cancer at some point

3:36:31 > 3:36:37in their life. That is almost one in two. That's the scale of the problem

3:36:37 > 3:36:42we face. So whilst we have come so fast and twisted ten in terms of

3:36:42 > 3:36:44diagnosis and treatment there is still so far to go.

3:36:50 > 3:36:54Thank you Madam Deputy Speaker. I would like to start by thanking the

3:36:54 > 3:36:58member of East Kilbride for bringing this debate around, it matters a lot

3:36:58 > 3:37:02to a lot of people. Most people will talk about statistics but I'm going

3:37:02 > 3:37:06to talk about the impact on the people behind the statistics. A lot

3:37:06 > 3:37:12of us here have been affected by cancer, my daughter died at just 35

3:37:12 > 3:37:14of breast cancer and I will talk about cancer from a patient's

3:37:14 > 3:37:20perspective. One in eight women develop breast cancer in their

3:37:20 > 3:37:26lifetime and 80% survival five years. 95% of women will survive one

3:37:26 > 3:37:33year, my daughters survived 13 months. Recent data shows 11,500

3:37:33 > 3:37:38women and 18 men in the UK still die from breast cancer. My daughter was

3:37:38 > 3:37:45diagnosed with triple negative breast cancer in April 2010 and died

3:37:45 > 3:37:4813 months later. She was a very bright girl with a degree in

3:37:48 > 3:37:53politics and social work and worked with underprivileged children, she

3:37:53 > 3:37:57also had a husband and three small children. She was treated at

3:37:57 > 3:38:04Nottingham City Hospital. She had chemotherapy, radiotherapy and a

3:38:04 > 3:38:06mastectomy and her treatment was amazing, they could not have been

3:38:06 > 3:38:10better. As well as that she came home for the final three weeks of

3:38:10 > 3:38:16her life to die and the team who came to support me and her husband

3:38:16 > 3:38:21were amazing as well, I cannot thank them enough. I want to talk a little

3:38:21 > 3:38:25bit about some of the information that breast cancer now charity have

3:38:25 > 3:38:28made available to me, I am an ambassador for them because I

3:38:28 > 3:38:33decided one of the things I wanted to do was be an ambassador for a

3:38:33 > 3:38:36breast cancer charity. They have said it will be challenging to meet

3:38:36 > 3:38:39the objectives set out in the cancer strategy and mice corrective action

3:38:39 > 3:38:46is taken. My daughter 's cancer was advanced, stage three when it was

3:38:46 > 3:38:49diagnosed and screening would probably not have helped but this

3:38:49 > 3:38:52report has said breast screening is a key initiative to ensure the early

3:38:52 > 3:38:57detection and diagnosis and although controversy still exists around

3:38:57 > 3:39:03overdiagnosis its benefits are recognised to outweigh its risks in

3:39:03 > 3:39:09detecting 30% of breast cancers and saving 1300 lives a year. This

3:39:09 > 3:39:14report also talks about a shortage of staff, 32% of radiologists

3:39:14 > 3:39:20expected to retire between 2015-25. My daughter developed a brain tumour

3:39:20 > 3:39:25which is a common secondary of breast cancer and she had to go for

3:39:25 > 3:39:28radiotherapy, it is traumatic, she saw flashing blue and white light,

3:39:28 > 3:39:33she had to wear a mask and the upsetting thing was because of staff

3:39:33 > 3:39:37shortages she was often lying on a trolley waiting for things. If you

3:39:37 > 3:39:43can imagine what it's like lying on a hospital trolley with cancer, it

3:39:43 > 3:39:46is so distressing. That is the effect on patients of short

3:39:46 > 3:39:52staffing, it's just a phrase in the report but that is what it means. I

3:39:52 > 3:39:56also want to talk about the lack of access to a clinical nurse

3:39:56 > 3:40:03specialist in breast cancer now port they said they are concerned about

3:40:03 > 3:40:07the lack of access for secondary breast cancer patients, only 21% of

3:40:07 > 3:40:12organisations in England Scotland and Wales report having one or more

3:40:12 > 3:40:16dedicated to secondary breast cancer. We now again this is access

3:40:16 > 3:40:21which can make a big difference to the way people with cancer

3:40:21 > 3:40:25experience their care providing with support and helping them manage

3:40:25 > 3:40:29systems. This is especially important for patients with

3:40:29 > 3:40:33incurable secondary breast cancer who have particularly complex needs.

3:40:33 > 3:40:40I finally want to go back to the third part of the report, I am sorry

3:40:40 > 3:40:44I am not very co-ordinated, it's a bit upsetting. Breast cancer now

3:40:44 > 3:40:48have said we have serious concerns about the future of the survey as

3:40:48 > 3:40:53the result of an introduction of the new opt out model scheduled on May

3:40:53 > 3:41:0120 18. It has been a key driver of improvements in cancer carers and

3:41:01 > 3:41:062010. I want to finish talking about the aspiration by breast cancer note

3:41:06 > 3:41:10that by 2050 everyone who develops breast cancer will live. My daughter

3:41:10 > 3:41:15used to say to me because I used to say two hah I have had so much of my

3:41:15 > 3:41:19life, more than you, I wish it could be me and she used to say mum, I

3:41:19 > 3:41:23wish it could be no one and I just think as parliamentarians we have

3:41:23 > 3:41:34got power to influence this and change it and maybe we can and by

3:41:34 > 3:41:402015 nobody need die of breast cancer. Thank you.Thank you Madam

3:41:40 > 3:41:46Deputy Speaker, I would like to thank the Honourable lady, the

3:41:46 > 3:41:48member for East Kilbride, Strathnaver and Lesnar Hagel for

3:41:48 > 3:41:59opening this debate. And Peter Bute to the excellent work over

3:42:04 > 3:42:10I am delighted to be a supporter of this debate. As someone who was

3:42:10 > 3:42:14always keenly interested in the cancer strategy I wanted to

3:42:14 > 3:42:19highlight three particular issues, one in relation to pancreatic cancer

3:42:19 > 3:42:23which has been very well covered by my dear friend the member for

3:42:23 > 3:42:26Scunthorpe, I want to make brief reference to that and mention

3:42:26 > 3:42:30something about the transformation funding and make a plea to the

3:42:30 > 3:42:35Minister. I also want to mention advanced radiotherapy which is a

3:42:35 > 3:42:39hobbyhorse of mine. As some of you may be aware, I have recently

3:42:39 > 3:42:45recovered from a re-occurrence of lymphatic cancer. I have got some

3:42:45 > 3:42:48first-hand knowledge of the importance of getting cancer

3:42:48 > 3:42:54strategy right, not least in terms of early diagnosis and appropriate

3:42:54 > 3:42:59treatment. I believe delivering the recommendations set out in the

3:42:59 > 3:43:03cancer strategy is crucial to improving the care and support for

3:43:03 > 3:43:07thousands of people affected by cancer. I am not seeking to make a

3:43:07 > 3:43:16party political point about the nature of policy. Essentially it

3:43:16 > 3:43:20requires resources, it requires a plan, a strategy and commitment. I

3:43:20 > 3:43:28wanted to mention a little bit pancreatic cancer, it's a type of

3:43:28 > 3:43:32cancer that sadly has taken some personal friends of mine and it's

3:43:32 > 3:43:37particularly nasty. It has the worst five-year survival rate of the 20

3:43:37 > 3:43:44most common cancers. At least 7% across the UK, a figure which has

3:43:44 > 3:43:51hardly changed in 40 years in most other types of cancer, survivability

3:43:51 > 3:43:55has gone up, with pancreatic cancer it is unfairly flat and it really

3:43:55 > 3:44:01needs some investment, it needs urgent action. Because it looks as

3:44:01 > 3:44:06if pancreatic cancer is set to become the fourth biggest cancer

3:44:06 > 3:44:13killer by 2026 on the current trajectory. Indeed currently 80% of

3:44:13 > 3:44:17pancreatic cancer patients are diagnosed at the stage where the

3:44:17 > 3:44:22disease is advanced and sadly surgery, the only potential curative

3:44:22 > 3:44:31treatment because you cannot get a pancreas transplant as far as I'm

3:44:31 > 3:44:42aware, surgery isn't an option when the disease is in an advanced stage.

3:44:42 > 3:44:49Diagnosing pancreatic cancer early is key to improving those appalling

3:44:49 > 3:44:53survival rates and ensuring patients are able to live better for longer

3:44:53 > 3:44:55periods following diagnosis. I looked up the figures for my own

3:44:55 > 3:45:03area and part of the attic -- pancreatic cancer took the lives of

3:45:03 > 3:45:12188 people. Between 2010-2014, so it is clear that much more work is

3:45:12 > 3:45:17needed to deliver the kind of change that we must see by people who are

3:45:17 > 3:45:20affected and their families to achieve the improvements in surprise

3:45:20 > 3:45:27all trades that are so desperately needed. -- survival rates. I had

3:45:27 > 3:45:36deep pleasure of visiting a local group of young volunteers. I think

3:45:36 > 3:45:40many members took similar opportunities. They were raising

3:45:40 > 3:45:45money for a chemotherapy award because of their own personal and

3:45:45 > 3:45:49family experiences. They thought the facilities available were inadequate

3:45:49 > 3:45:55because the ward, although filled with excellent and committed staff,

3:45:55 > 3:46:00was grappling with the increasing demand and lack of funds. They were

3:46:00 > 3:46:04raising money to buy for firms to keep the patient is cool and an

3:46:04 > 3:46:08assortment of other things. It is an indictment that when we are putting

3:46:08 > 3:46:12additional money into the recovery fund and encouraging people to get

3:46:12 > 3:46:18through the treatment and we are relying on charitable donations to

3:46:18 > 3:46:25do this. At the Britain against Cancer conference in 2016, the Chief

3:46:25 > 3:46:29Executive of NHS England announced 200 million pounds of funding for

3:46:29 > 3:46:35cancer along with improving earlier diagnosis and funding stratified

3:46:35 > 3:46:40pathways. This money was intended to support the roll-out of the recovery

3:46:40 > 3:46:44package. But since the funding was announced, there have been

3:46:44 > 3:46:49significant delays in reaching cancer alliances, with only nine of

3:46:49 > 3:46:55the 16 having received their funding. As though Britain against

3:46:55 > 3:46:59Cancer conference in December 2017, the Secretary of State for Health

3:46:59 > 3:47:02said the release of funding to cancer alliances with be delayed in

3:47:02 > 3:47:08areas that were unable to demonstrate an improvement in their

3:47:08 > 3:47:1262 day waiting time standard. That was an additional requirement that

3:47:12 > 3:47:17had not been included as part of the original criteria set during the

3:47:17 > 3:47:23bidding process. Every person diagnosed with cancer, it doesn't

3:47:23 > 3:47:29matter where they live, should be able to rely upon timely diagnosis

3:47:29 > 3:47:33and treatment when told they have cancer. However, as the final report

3:47:33 > 3:47:43from your party's report on cancer said, the delays in funding to these

3:47:43 > 3:47:46cancer alliances had had a significant impact on their ability

3:47:46 > 3:47:53to make progress. I hope that the Minister is paying attention,

3:47:53 > 3:47:58because this is a question I want to ask him. I'm very glad to hear he

3:47:58 > 3:48:04is. I know this is an issue that estate to his heart, it is a serious

3:48:04 > 3:48:10point. The Department of Health must decouple the release of the

3:48:10 > 3:48:14transformation funding to cancer alliances from progress against the

3:48:14 > 3:48:1762 day waiting time standard and I hope he will address that in his

3:48:17 > 3:48:25remarks. I look forward with anticipation to the Minister's

3:48:25 > 3:48:29remarks. It wouldn't be a congregation for me on health if I

3:48:29 > 3:48:35didn't mention advanced radiotherapy. I want to just say

3:48:35 > 3:48:39that I have regularly raised the benefits and the applications for

3:48:39 > 3:48:45further investment in research and advanced radiotherapy. I think

3:48:45 > 3:48:49investment and research, because the cost should be evidence -based. But

3:48:49 > 3:48:55there are a number of areas that are quite exciting. In particular,

3:48:55 > 3:49:01proton beam therapy. I visited University College Hospital in

3:49:01 > 3:49:07London for pardon my treatment and I have seen the installation of the

3:49:07 > 3:49:17proton beam therapy equipment there. And adaptive radiotherapy based on

3:49:17 > 3:49:29advanced imaging, which is a kind of empire linear exurbs Loretto. And

3:49:29 > 3:49:32indeed combinations of radiotherapy with the drugs, bio markers which

3:49:32 > 3:49:38have selections for radiotherapy and strategies so that it precisely goes

3:49:38 > 3:49:46to the cancer cells and indeed MRT. I think it is necessary that we

3:49:46 > 3:49:52evaluate the use of new radiotherapy techniques and compare them with

3:49:52 > 3:49:56conventional techniques, and includes some surgical techniques.

3:49:56 > 3:50:00Sometimes radiotherapy is more effective than surgery or some types

3:50:00 > 3:50:05of pharmaceutical products. I am advocating the should be alongside,

3:50:05 > 3:50:12not instead, and with considerable evaluation. It could have better

3:50:12 > 3:50:18outcomes and reduced treatment costs. I would like to thank all of

3:50:18 > 3:50:24my colleagues, honourable friends and members of the House who serve

3:50:24 > 3:50:29on the APPG on cancer as well of the charities who continue to do

3:50:29 > 3:50:33excellent work, and those working on our National Health Service and the

3:50:33 > 3:50:43cancer.I'd like to congratulate the honourable member from a school

3:50:43 > 3:50:46bride and thank her for giving us the opportunity to come and speak in

3:50:46 > 3:50:54this matter. Some of the contributions have been extremely

3:50:54 > 3:50:58touching and we should thank all of the members for their wonderful and

3:50:58 > 3:51:07very personal contributions today. As everyone here can testify to come

3:51:07 > 3:51:11cancer has touched everyone and there wouldn't be any family who

3:51:11 > 3:51:19isn't aware of it. I think that the year 2020, one in two should be

3:51:19 > 3:51:23diagnosed in their lifetime. My father survived cancer on three

3:51:23 > 3:51:28occasions due to the skill of the surgeon and the care of the nurses

3:51:28 > 3:51:34and the players he believed in. In relation to it Northern Ireland,

3:51:34 > 3:51:40there are many things that we have problems with, we all know about the

3:51:40 > 3:51:45political process, but I would encourage the Minister to remember

3:51:45 > 3:51:50it is a devolved matter, if they could have some discussions or

3:51:50 > 3:51:56coordination with the permanent Secretary of health to see anything

3:51:56 > 3:52:04anyway he can help and encourage health Department there. Cancer in

3:52:04 > 3:52:10Northern Ireland has increased by 25% in the last ten years. Cancer

3:52:10 > 3:52:13cases have reached 9000 for the first time ever, which gives us an

3:52:13 > 3:52:18indication of where the problems are. 2.5 million living with or

3:52:18 > 3:52:25beyond cancer in the UK today. I'm thankful to Macmillan Cancer care

3:52:25 > 3:52:32for the information they have given. The issue is that not all of these

3:52:32 > 3:52:38people are living well, with many experiencing emotional, physical and

3:52:38 > 3:52:42financial problems of treatment. Many face disability or poor health

3:52:42 > 3:52:46following the treatment and it can remain for many years after

3:52:46 > 3:52:50treatment. It is vital that the NHS is set up to meet the changing needs

3:52:50 > 3:52:54of cancer patients so they are able to access advance care when they

3:52:54 > 3:52:58need it. I'm even more conscious of the financial implications because

3:52:58 > 3:53:03in the five-year for review projections, it is expected cancer

3:53:03 > 3:53:15sellers should grow by 9%. -- cancer services. The rubble lady and others

3:53:15 > 3:53:21referred to cancer prevention. Macmillan is concerned about the

3:53:21 > 3:53:24cancer patient experiences surveys. We have had them in Northern Ireland

3:53:24 > 3:53:29for a period of time and it is very important we can see what the trusts

3:53:29 > 3:53:33are doing and the conical commissioning groups are doing, what

3:53:33 > 3:53:36the cancer types are and the different aspects of the cancer

3:53:36 > 3:53:46journey. In England, the CPES since 22 has encourage improvement in

3:53:46 > 3:53:55results, which is very important. Magellan is concerned, just for the

3:53:55 > 3:53:59record, and apologies for not looking at you directly, and for

3:53:59 > 3:54:06using the word you, McMillan is concerned that they will not

3:54:06 > 3:54:11continue to deliver the same high-quality data as the survey

3:54:11 > 3:54:21model is not like to be viable. It's clear that Macmillan care have

3:54:21 > 3:54:26concerns that we've collected all this data, done all this

3:54:26 > 3:54:32information, and it has been done through the CCGs, so it's

3:54:32 > 3:54:39continuation in its current format is vitally important. I ask you, can

3:54:39 > 3:54:45the Minister provide clarity on the issues outlined to gives you the

3:54:45 > 3:54:49continued delivery of this essential and robust patient survey? The

3:54:49 > 3:54:53benefits are there for that date and I thank the Minister for that.

3:54:53 > 3:54:59Around one in eight phase mental problems, such as anxiety,

3:54:59 > 3:55:03depression, post-traumatic stress. Planning is needed to ensure

3:55:03 > 3:55:05everyone living with cancer across Great Britain and Northern Ireland

3:55:05 > 3:55:11can access the right care and support, whether this is

3:55:11 > 3:55:13information, financial assistance, rehabilitation or emotional support.

3:55:13 > 3:55:18Families can get so much emotional support, but we need to reach

3:55:18 > 3:55:23outside of that. Just 60% of people with cancer in Northern Ireland

3:55:23 > 3:55:28started treatment and the referrals and I'm very much in the early

3:55:28 > 3:55:36diagnosis category and the need to have that in place as well. The

3:55:36 > 3:55:38cancer deaths in Northern Ireland are that the highest level they have

3:55:38 > 3:55:42ever been on my party is committed to improving the five-year survival

3:55:42 > 3:55:49rates. We believe tackling resources to tackle deprivation, which is

3:55:49 > 3:55:52another issue. There is a high level of cancer incidence in deprivation

3:55:52 > 3:55:58as well. More needs to be done to ensure all supporters have support

3:55:58 > 3:56:03and access to key information to the treatment options that are

3:56:03 > 3:56:08available. McMillan is funding a second Northern Ireland survey

3:56:08 > 3:56:15launched in spring 2018. They have invested £7 million as a vital

3:56:15 > 3:56:20segment of the workforce is not keeping pace with demand. They have

3:56:20 > 3:56:22recognised there are shortcomings and have tried to injuries finance

3:56:22 > 3:56:30where they can to measure things go the right way. Cancer is the most

3:56:30 > 3:56:34common cause of death in Northern Ireland. The end of life choices are

3:56:34 > 3:56:37very important and the Northern Ireland Cancer Registry found that

3:56:37 > 3:56:4275% would prefer to die at home. It's not subject matter that is easy

3:56:42 > 3:56:47to speak about, but it needs to be looked at. Jack Miller researchers

3:56:47 > 3:56:51found people are more likely to die any place of their choice when there

3:56:51 > 3:56:57were voices are recorded. We believe improvements to end of life care

3:56:57 > 3:57:01should be included in the opportunity to have advance care

3:57:01 > 3:57:05planning discussions. They have made a number of recommendations and I

3:57:05 > 3:57:09will conclude with this. It's referred to as the delivering

3:57:09 > 3:57:17together strategy. I totally respect Macmillan's reforms, including

3:57:17 > 3:57:22specific actions to improve care and enhance the patient explains in all

3:57:22 > 3:57:28trusts. Making the recovery package available to everyone with and

3:57:28 > 3:57:35beyond cancer. Improving cancer detection, treatment and support.

3:57:35 > 3:57:39Also working with the GPU federations to ensure care is

3:57:39 > 3:57:46provided closer to home. Long-term workforce planning to attain a more

3:57:46 > 3:57:50knowledgeable and skilled workforce. And with effective recruitment

3:57:50 > 3:57:53across disciplines and settings. Better implementation of all those

3:57:53 > 3:57:58things in relation to the nonclinical support at each stage of

3:57:58 > 3:58:06the cancer journey. Providing high quality palliative and end of life

3:58:06 > 3:58:14care only 24-7 bases. Cancer cases should have end of life care

3:58:14 > 3:58:16conversation that the earliest stage. Increase the involvement of

3:58:16 > 3:58:20people affected by cancer in the development of services and

3:58:20 > 3:58:29commitment to one going use of datum. -- ongoing use of that. And a

3:58:29 > 3:58:33peer review programme to identify any gaps or inequalities in cancer

3:58:33 > 3:58:37care and pinpoint areas for improvement locally and benchmarking

3:58:37 > 3:58:44across the UK. I asked them to take on board the issues we have all

3:58:44 > 3:58:49referred to. If that's the case, then do what can be done to help a

3:58:49 > 3:58:52massive amount of cancer sufferers across the whole of the United

3:58:52 > 3:58:57Kingdom of great Britain and Northern Ireland to have a better

3:58:57 > 3:59:06journey, better outcome and better support.I'd like to thank the

3:59:06 > 3:59:10honourable member who can't be an seat today for being proactive and

3:59:10 > 3:59:16getting us to debate this this afternoon. Also the member for a

3:59:16 > 3:59:18school pride who stepped in to open the debate in his absence.

3:59:22 > 3:59:26The resources available to meet those targets a reminder to us all

3:59:26 > 3:59:29that those in the receipt of treatment must be involved in the

3:59:29 > 3:59:39ongoing conversations, their experiences proving end of life care

3:59:39 > 3:59:44to offer the dignity appropriate at that time. The honourable member for

3:59:44 > 3:59:48Boswell spoke about alternative therapies and its role that it can

3:59:48 > 3:59:50play and I would include in that category but I'm not putting words

3:59:50 > 3:59:56in his mouth, the investigation into the use of medicinal cannabis. The

3:59:56 > 4:00:03honourable member for north-east focused on post same cell transfer

4:00:03 > 4:00:07care and practical race port required and also asked if he could

4:00:07 > 4:00:13review the 100 day cut-off date. Spoke about breast cancer, the UK's

4:00:13 > 4:00:17most common cancer with a survival rate doubling in the last 20 years.

4:00:17 > 4:00:24He also highlighted dense tissue, an area which is new to me and the need

4:00:24 > 4:00:28for early diagnosis and called for better education in this area. The

4:00:28 > 4:00:34honourable member for Scunthorpe put down challenges about pancreatic

4:00:34 > 4:00:37cancer and where progress has been made and it seems to be an area

4:00:37 > 4:00:41where minimal progress has been made over the years. I draw attention to

4:00:41 > 4:00:46the workforce programme and ask nice if they can possibly clarify some

4:00:46 > 4:00:52decisions. The honourable member for Dumfries and Galloway talked about

4:00:52 > 4:00:58blood cancer and clinical research and the honourable member for

4:00:58 > 4:01:04Bristol West spoke about young people in cancer and the role

4:01:04 > 4:01:08fulfilled given to me by a young man in my constituency this time last

4:01:08 > 4:01:12year. The honourable member for Chippenham highlighted the desire

4:01:12 > 4:01:16the government prior Toros Cancer Research and we've come a long way

4:01:16 > 4:01:22but we have still got a long way to go. She also highlighted the need

4:01:22 > 4:01:25for early diagnosis, occurring theme we have heard throughout this

4:01:25 > 4:01:30afternoon. The honourable member for Lincoln spoke very movingly about

4:01:30 > 4:01:34the people behind the statistics including her own daughter. She also

4:01:34 > 4:01:37highlighted the reality of staff shortages and what they would need

4:01:37 > 4:01:43to patients. The honourable member for Islington spoke with first-hand

4:01:43 > 4:01:48knowledge of overcoming cancer and as many speakers have said survivors

4:01:48 > 4:01:52experience should be hugely influential on developing better

4:01:52 > 4:01:57treatments, who could possibly have a better understanding? The

4:01:57 > 4:02:01honourable member for Strangford mentioned that every family is

4:02:01 > 4:02:05touched in some way by cancer. He also touched on financial

4:02:05 > 4:02:11implications and I shall take up the topic later on. Despite our progress

4:02:11 > 4:02:16cancer remains a lingering, stubborn foe and as policymakers we have to

4:02:16 > 4:02:20report a respected health services as they seek to improve the

4:02:20 > 4:02:24treatment patients receive. We have undoubtedly taken great strides in

4:02:24 > 4:02:28our progress from a historical perspective as well a steady

4:02:28 > 4:02:32improvements. For individuals months, weeks even days become

4:02:32 > 4:02:36precious as they grapple with uncertainties that this illness

4:02:36 > 4:02:40brings to their life. Patients come to terms with emotional and physical

4:02:40 > 4:02:45impact of diagnosis and must also continue to manage everyday

4:02:45 > 4:02:51practicalities of life. Chief amongst those can be finances and

4:02:51 > 4:02:53research commissioned by Macmillan Cancer Support shows four out of

4:02:53 > 4:02:59five people with cancer are on average £570 worth worse off as a

4:02:59 > 4:03:03result of the diagnosis. I believe you can improve the situation by

4:03:03 > 4:03:06introducing a duty of care for financial services as this would

4:03:06 > 4:03:11allow cancer patients to do with organisations such as the bank, it

4:03:11 > 4:03:15is clear more needs to be done to give cancer sufferers greater

4:03:15 > 4:03:23security. Signposted financial advice to avoid problem debts are

4:03:23 > 4:03:30some of the ways banks might be able to assist, I encourage the

4:03:30 > 4:03:34government to introduce a legal duty of care as a matter of urgency so

4:03:34 > 4:03:44those recovering from cancer are afforded greater support.

4:03:44 > 4:03:53Satisfactory measures to share best practice. The North did concluding

4:03:53 > 4:04:03Scotland has a unique system of safety and patient care, the leader

4:04:03 > 4:04:12of the for, the lead author of the report sorry said Scotland's other

4:04:12 > 4:04:15than nations of the UK so we are urging health care leaders from

4:04:15 > 4:04:19England Wales and Northern Ireland to think about what they might want

4:04:19 > 4:04:24to import from Scotland and I am sure the Scottish NHS will be

4:04:24 > 4:04:28watching with interest as the NHS in England continues to boom and the

4:04:28 > 4:04:32cancer task force five-year strategy for cancer care, share knowledge is

4:04:32 > 4:04:37a vital tool for future progress. Madam Deputy Speaker earlier this

4:04:37 > 4:04:40year I hosted the world cancer day drop along with the member for

4:04:40 > 4:04:45Cambridge. It was heartening to listen to Cancer Research UK's

4:04:45 > 4:04:49ambassadors and reflect on the many unsung heroes who assist cancer

4:04:49 > 4:04:53sufferers or who have experienced cancer themselves. I hope the

4:04:53 > 4:04:56government is listening to the third sector as they have through their

4:04:56 > 4:05:01effort and commitment gathered a huge and a valuable knowledge. The

4:05:01 > 4:05:03honourable member for Dumfries and Galloway talked about blood cancer

4:05:03 > 4:05:07and child cancer and I want to combine the two with a story about a

4:05:07 > 4:05:12young man from my constituency, a very young man called Nathan. He is

4:05:12 > 4:05:16now the ripe old age of seven. He has the love and support from his

4:05:16 > 4:05:23mum and dad and sister and is completing a three years of

4:05:23 > 4:05:25treatment for lymphoblastic leukaemia, he can save a lot better

4:05:25 > 4:05:30than I can. Do in different cocktails of chemotherapy, six bone

4:05:30 > 4:05:38marrow procedures, three surgeries, 16 blood platelet transfusions. He

4:05:38 > 4:05:43has a bead of courage for every procedure he goes through, he has

4:05:43 > 4:05:47earned 1500 beads of courage. Nathan and other brave children have led

4:05:47 > 4:05:52and others will follow. Finally may I say that honourable members will

4:05:52 > 4:05:58join with me in reaffirming our commitment to these areas, consider

4:05:58 > 4:06:00legislation help to support cancer patients and different aspects of

4:06:00 > 4:06:05their life including finances, provide health services with the

4:06:05 > 4:06:10financial support they require and ensure that the expertise and

4:06:10 > 4:06:14knowledge of academia around the globe is fully utilised to formulate

4:06:14 > 4:06:16government policy.

4:06:20 > 4:06:23Thank you very much mud and 50 Speaker. I would like to start by

4:06:23 > 4:06:35thanking my honourable friend, the honourable member for East Kilbride

4:06:35 > 4:06:39for leading this debate and for her excellent speech. I also want to

4:06:39 > 4:06:44thank the honourable member for Basildon and Billericay for securing

4:06:44 > 4:06:48this debate. He is not currently in his seat but I want to thank him for

4:06:48 > 4:06:53his excellent contribution to the work of the all-party group for

4:06:53 > 4:06:56cancer over many years. His expertise and passion for this

4:06:56 > 4:07:02matter is what has made it so successful. I also want to thank the

4:07:02 > 4:07:08other honourable members who have spoken, I was co-chair of the

4:07:08 > 4:07:13all-party for breast cancer and the important issue of breast density

4:07:13 > 4:07:18was raised and that is something we have to make progress on as he said.

4:07:18 > 4:07:23Also the honourable members for Dumfries and Galloway, chipping,

4:07:23 > 4:07:30Strangford and Inverclyde who speak for the SNP. My honourable friends

4:07:30 > 4:07:36for Coventry North East, Scunthorpe, Bristol West, Lincoln who made such

4:07:36 > 4:07:39a powerful speech, he is not in place now, and emotional speech

4:07:39 > 4:07:44about her daughter who I am sure would be so proud of her bravery

4:07:44 > 4:07:48today as I am sure the grandchildren will be and I hope they and the

4:07:48 > 4:07:52whole family were watching. Also paid tribute to my honourable friend

4:07:52 > 4:07:58the member for Easington who I think is actually has fought cancer twice,

4:07:58 > 4:08:06three times? It's amazing to see him in his place and long may he stay.

4:08:06 > 4:08:11They have all attended this debate and made excellent contributions on

4:08:11 > 4:08:16this important issue. Cancer is understandably are very emotional

4:08:16 > 4:08:21topic to discuss. One into people in the UK will be affected by cancer in

4:08:21 > 4:08:24a lifetime. As we have heard from almost all honourable members who

4:08:24 > 4:08:29have spoken in the house today we have all affected in some way

4:08:29 > 4:08:35ourselves. From my case I lost my mother in law when my children were

4:08:35 > 4:08:38very small to breast cancer and it's one of the reasons I joined the

4:08:38 > 4:08:42all-party group for breast cancer and have worked on that and I'm

4:08:42 > 4:08:47still a vice chair to that all-party group to this day. It's this emotion

4:08:47 > 4:08:53that really does encourage us and encourage us all to come together to

4:08:53 > 4:08:57tackle cancer. Over the years we've seen a steady improvement in cancer

4:08:57 > 4:09:03survival rates in England. But we still lag behind the improvements of

4:09:03 > 4:09:07our European counterparts and the number of new cancer cases in

4:09:07 > 4:09:12England does continue to rise year-on-year. If these trends

4:09:12 > 4:09:22continue it is estimated that by 2020. That is why the government

4:09:22 > 4:09:27must take urgent steps so that cancer diagnosis care and outcomes

4:09:27 > 4:09:31in England can be improved. I will start by saying that the cancer

4:09:31 > 4:09:35strategy was a welcome step forward to achieving the best cancer care

4:09:35 > 4:09:39and outcomes in the world and we on this side of the house are fully

4:09:39 > 4:09:43committed to delivering and helping deliver this strategy in full. As

4:09:43 > 4:09:48has already been mentioned there are some concerns across the house about

4:09:48 > 4:09:51the progress of the strategy. I am pleased some of the targets have

4:09:51 > 4:09:55already been met but I am under no illusion that many are now closer to

4:09:55 > 4:09:59being reached than they were almost three years ago. With the Minister

4:09:59 > 4:10:05today committed to publishing a detailed progress update on each of

4:10:05 > 4:10:08the 97 cancer strategy recommendations by the end of this

4:10:08 > 4:10:12financial year so that we are all able to celebrate success but also

4:10:12 > 4:10:19focus our intention on more pressing challenges were needed? There are

4:10:19 > 4:10:23many challenges the government must face before achieving world-class

4:10:23 > 4:10:27cancer outcomes but I will only touch upon a few today. They are in

4:10:27 > 4:10:31early diagnosis, waiting times, the workforce and finally prevention. I

4:10:31 > 4:10:37will start with early diagnosis because we know that if cancer is

4:10:37 > 4:10:41diagnosed early treatment is more likely to be successful. For cancers

4:10:41 > 4:10:47such as ovarian cancer and lung cancer it's often too late. The

4:10:47 > 4:10:51National Cancer registration service found that over a quarter of women

4:10:51 > 4:10:55with ovarian cancer and I should state at this point I am chair of

4:10:55 > 4:10:59the all-party group for ovarian cancer, a quarter of women are

4:10:59 > 4:11:06diagnosed through an emergency presentation and of those women just

4:11:06 > 4:11:1045% survived for a year or more compared to over 80% of women

4:11:10 > 4:11:16diagnosed with a feral by their GP. Similarly research by the British

4:11:16 > 4:11:20Lung foundation found that more than a third of lung cancer cases in

4:11:20 > 4:11:24England are diagnosed after presenting as an emergency and as a

4:11:24 > 4:11:28result the Roy Castle lung cancer foundation found that if caught

4:11:28 > 4:11:36early person has up to 73% chance surviving five years or more.

4:11:36 > 4:11:40However the current five-year survival rate Lung cancer is just

4:11:40 > 4:11:4510%. Sadly one in 21 sufferers were not diagnosed until they had

4:11:45 > 4:11:54actually died. Cancer rate 's have doubled but these are shocking

4:11:54 > 4:11:59statistics. I ask the minister what his department will be doing to

4:11:59 > 4:12:04ensure cancers are detected even earlier so patients are no longer

4:12:04 > 4:12:08pushed from pillar to post to sometimes try to find the diagnosis.

4:12:08 > 4:12:12Unfortunately we know that once a patient has been diagnosed they then

4:12:12 > 4:12:17have an agonising wait for treatment, even if it was just a

4:12:17 > 4:12:23week it would be agonising but the 62 day target between urgent GP

4:12:23 > 4:12:28referral and treatment has not now been met for two years. Meaning that

4:12:28 > 4:12:30patients are having to wait much longer than they should for

4:12:30 > 4:12:40treatment.

4:12:42 > 4:12:46Cancer patients should not be expected to wait so long. I

4:12:46 > 4:12:50therefore ask the Minister what his department is doing to address this

4:12:50 > 4:12:57issue. It's no secret the NHS and the NHS workforce are under extreme

4:12:57 > 4:13:01pressure due to underfunding and understaffing by this government. I

4:13:01 > 4:13:05want to place on record that we on this side of the house do not take

4:13:05 > 4:13:09the NHS workforce for granted and are incredibly grateful to them for

4:13:09 > 4:13:15the hard work, support and kindness to patients and their families. They

4:13:15 > 4:13:18are doing an incredible job despite the circumstances we find ourselves

4:13:18 > 4:13:23in currently. We should never stop thanking them for the work they do

4:13:23 > 4:13:27to diagnose, treat and care for patients. The cancer workforce

4:13:27 > 4:13:35really are the backbone of the cancer strategy. The improvement of

4:13:35 > 4:13:38early diagnosis and waiting times relies on an efficient cancer

4:13:38 > 4:13:41workforce so the Minister must take these concerns as a top priority if

4:13:41 > 4:13:46the target any cancer strategy are to be fulfilled. A report by

4:13:46 > 4:13:50Macmillan Cancer Support and that over half of GPs and nurses surveyed

4:13:50 > 4:13:55in the UK say that given current pressures on the NHS workforce they

4:13:55 > 4:14:00are not confident the workforce is able to provide adequate care to

4:14:00 > 4:14:05cancer patients. This is deeply worrying. The NHS workforce should

4:14:05 > 4:14:09be suitably equipped to diagnose, support and care for cancer patients

4:14:09 > 4:14:14during and beyond cancer. Through my work with the all-party group on

4:14:14 > 4:14:18breast cancer I have heard as I am sure the Minister did during his

4:14:18 > 4:14:23time as co-chair of the overwhelming support cancer nurse specialists can

4:14:23 > 4:14:25bring to a breast cancer patient and family.

4:14:30 > 4:14:36But patients with secondary breast cancer are likely to have access to

4:14:36 > 4:14:41the cancer nursed specialist. Research shows that 42% of hospital

4:14:41 > 4:14:45trusts and health boards in England, Scotland and Wales do not provide a

4:14:45 > 4:14:49dedicated specialist nursing care for people with secondary breast

4:14:49 > 4:14:54cancer. Even though they will often have complex emotional and

4:14:54 > 4:14:57supportive care needs. Patients with secondary breast cancer are

4:14:57 > 4:15:02therefore subject to a postcode lottery when it comes to having a

4:15:02 > 4:15:06cancer nurse specialist. What steps is the minister taking to ensure

4:15:06 > 4:15:10that every cancer patient has access to a clinical nurse specialist?

4:15:10 > 4:15:15There is no doubt that if the cancer workforce had the time, resources

4:15:15 > 4:15:19and support it so desperately needs the recommendations in the cancer

4:15:19 > 4:15:23strategy would be achieved. I know that this is something the cancer

4:15:23 > 4:15:29workforce plan published in December last year aimed to address. Will the

4:15:29 > 4:15:32Minister did the House on the progress in this plan and outline

4:15:32 > 4:15:36how much funding the Government will be granting to ensure the proposals

4:15:36 > 4:15:41in the plan soon become a reality? The NHS cancer workforce care for

4:15:41 > 4:15:46and support their patients every day, so we really need the

4:15:46 > 4:15:51Government to fully support the workforce, too. I move onto the

4:15:51 > 4:15:56first issue raised in cancer strategy prevention. The World

4:15:56 > 4:15:59Health Organisation estimates that one third of deaths due to cancer

4:15:59 > 4:16:05are a result of the five leading behavioural and dietary risks, so

4:16:05 > 4:16:11that's high body mass index, no fruit and vegetable intake, lack of

4:16:11 > 4:16:16physical activity, tobacco and alcohol. Alcohol was raised so

4:16:16 > 4:16:22powerfully by my amazing friend, the member for Bristol West. Coming to

4:16:22 > 4:16:26tobacco, this was identified as the most important risk factor

4:16:26 > 4:16:31responsible for approximately 22% of cancer deaths. It is therefore

4:16:31 > 4:16:36estimated that between 30-50% of cancers can be prevented if you take

4:16:36 > 4:16:43all of these five are risk factors into account. The Government's

4:16:43 > 4:16:48Tobacco control plan which the minister pushed to be published in

4:16:48 > 4:16:56his first weeks in the job, and the childhood obesity plan, are both

4:16:56 > 4:17:01welcome, but will not go far enough if the Government continues to slash

4:17:01 > 4:17:05public health budgets. So will the minister commit to strengthen the

4:17:05 > 4:17:09public health budget so that fit and healthy lifestyles can be encouraged

4:17:09 > 4:17:13across all our communities and help contribute to cancer prevention? I

4:17:13 > 4:17:18know that the Minister is passionate to make sure England is one of the

4:17:18 > 4:17:21world leaders when it comes to cancer outcomes, but we are

4:17:21 > 4:17:25currently lagging behind but the cancer strategy, with the right

4:17:25 > 4:17:29funding and support from the Government, has the potential to do

4:17:29 > 4:17:35just that. I hope the Minister will take all but we have heard today on

4:17:35 > 4:17:38board and go back to his apartment with an action plan of how best to

4:17:38 > 4:17:49move forward so that we can achieve world-class cancer outcomes in 2020.

4:17:49 > 4:17:55Thank you very much, Madam Deputy Speaker and thank you to my shadow,

4:17:55 > 4:18:00my friend, the Shadow minister, for her remarks. I will start by

4:18:00 > 4:18:10congratulating the members of the all-party group. I will leave it as

4:18:10 > 4:18:19the member for a school pride -- is cobranded so I don't make a fool of

4:18:19 > 4:18:26myself. I want to thank them for their work on the all-party group.

4:18:26 > 4:18:34Just all of the constant work they do. I extend my appreciation to

4:18:34 > 4:18:39members on all sides who cheer a different cancer all-party groups

4:18:39 > 4:18:44for the important work they do, as has been mentioned I was a former

4:18:44 > 4:18:50coach with the shadow minister and the former Lady for mid Dorset and

4:18:50 > 4:19:02north pole. We were quite a team. We cheered that group together for five

4:19:02 > 4:19:08years and I was so proud to do that. We met some amazing people and I

4:19:08 > 4:19:15think we did some good. I was also vice-chair to the all-party group on

4:19:15 > 4:19:20ovarian cancer with the shadow minister, which she still chairs. I

4:19:20 > 4:19:25know how important it is that Parliament allocates time to this

4:19:25 > 4:19:30subject both upstairs and here in the chamber. If you look at the

4:19:30 > 4:19:36gallery, you see how many people are there and in the House, it's the

4:19:36 > 4:19:40quality more than the quantity, and I would say to people watching who

4:19:40 > 4:19:45thing, this is a debate on the cancer strategy, it is so important.

4:19:45 > 4:19:52It is, so why is Parliament not forth? Because it is about what goes

4:19:52 > 4:19:58on all over the place and is as what goes on in here for so many members,

4:19:58 > 4:20:04and I didn't know the shadow minister's motivation. I have never

4:20:04 > 4:20:08said mine and one day I will. I realise now where she was so

4:20:08 > 4:20:14passionate. I would say the lady from a school pride summed it up in

4:20:14 > 4:20:18the first line in the first page of this debate when she said we are all

4:20:18 > 4:20:23on the same site when it comes to cancer. What a brilliant way to put

4:20:23 > 4:20:29it. The other point I just want to say is the lady from Coventry North

4:20:29 > 4:20:36East said about her husband who lives with cancer. In every cancer

4:20:36 > 4:20:41debates, I always say, and Macmillan have been brilliant with their

4:20:41 > 4:20:47advertising around this, a mum with cancer is still a mum. There are so

4:20:47 > 4:20:53many people who are living with and beyond cancer and survivorship they

4:20:53 > 4:20:57should call us in America, and I think we should remember that. Let

4:20:57 > 4:21:03me start by reassuring the House that cancer is a huge priority for

4:21:03 > 4:21:09me, the secretary of state and this Government, as has been set by a

4:21:09 > 4:21:13number of members. Cancer survival rates have never been higher, the

4:21:13 > 4:21:18latest figures show an estimated 7000 more people surviving cancer

4:21:18 > 4:21:21after successful NHS treatment compared to three years prior and

4:21:21 > 4:21:27our aim is to save 30,000 more lives by 2020 through the cancer strategy

4:21:27 > 4:21:31we are debating today. However, my more than anybody knows there is

4:21:31 > 4:21:37still so much more to do. There are still so much more potential. That

4:21:37 > 4:21:40is why we accepted all 96 recommendations in the cancer

4:21:40 > 4:21:46strategy. We have backed this commitment with over £600 million of

4:21:46 > 4:21:50additional funding up to 2021. We are just two years into the

4:21:50 > 4:21:55implementation of the strategy and the fantastic NHS cancer doctors and

4:21:55 > 4:22:00nurses supporting us have made tremendous progress in many areas. I

4:22:00 > 4:22:04would echo what many members have said and support for them. Many

4:22:04 > 4:22:11mentioned will report back on how we're doing? In October we published

4:22:11 > 4:22:21the two-year report, imaging -- energising and published it. That

4:22:21 > 4:22:26was our latest progress report and we will be doing that again, I hope,

4:22:26 > 4:22:34later this year. I would say, I know that NHS England's national director

4:22:34 > 4:22:39who is based at the Morriston and is an incredible lady who I enjoy

4:22:39 > 4:22:42working with very much is leading the firm intention of the cancer

4:22:42 > 4:22:47strategy. She is in agreement that there are many areas where we agree

4:22:47 > 4:22:51with the report and don't shy away from scrutiny. That's exactly why we

4:22:51 > 4:22:57are here. But there are lots of areas of progress where we didn't

4:22:57 > 4:22:59think sufficient provenance was given in the analysis of progress

4:22:59 > 4:23:03and we said that at the enquiry. I think it's important I put that on

4:23:03 > 4:23:10the record. The measure of success of the strategy will be about

4:23:10 > 4:23:14significant improvements in early diagnosis. Obviously in treatment

4:23:14 > 4:23:20and office the research. But I am increasingly aware in this job that

4:23:20 > 4:23:26what we need to do to make cancer services even better beyond 2020,

4:23:26 > 4:23:31and for this thing is to be a much greater focus on the fourth pillar,

4:23:31 > 4:23:36which is of course prevention. Of course we want to be the best in the

4:23:36 > 4:23:39world at delivering positive outcomes for patients after a

4:23:39 > 4:23:43diagnosis, but we have to understand's I did a debate earlier

4:23:43 > 4:23:48this week with members from Oxfordshire, there has been a 120%

4:23:48 > 4:23:52increase in the number of people presenting with cancer in

4:23:52 > 4:23:54Oxfordshire alone in recent years, so the number of people presenting

4:23:54 > 4:24:00continues to rise. We can do very well on those first three pillars

4:24:00 > 4:24:06and we are, but I think it has to be prevention where we are going to

4:24:06 > 4:24:14really move the dial as well. That's why my whole mission as the Minister

4:24:14 > 4:24:18for health has been about putting in place a comprehensive system of

4:24:18 > 4:24:21measures to reduce the risks of cancer as well as treating it when

4:24:21 > 4:24:27it occurs. My noble friend mentioned, is that the shadow

4:24:27 > 4:24:33minister, one of my first acts was to launch the Tobacco control plan.

4:24:33 > 4:24:38I was so keen because it is the biggest preventable killer in our

4:24:38 > 4:24:43country today. We have done so well in the previous Labour Government

4:24:43 > 4:24:45and this Government with the legislative framework and it is all

4:24:45 > 4:24:49about supporting local areas to continue to bring down the number of

4:24:49 > 4:25:01people have smoke -- who smoke. Last year we also launched air quality

4:25:01 > 4:25:09plans and that is really important as well. The plan was significant to

4:25:09 > 4:25:12reduce the pathogens in the air we breathe, which has a big impact on

4:25:12 > 4:25:18developing disease. Furthermore, we published a child obesity strategy

4:25:18 > 4:25:23in 2016. This was just the start of a conversation about how we will

4:25:23 > 4:25:28reduce child obesity over the next decade. Our overarching focus is

4:25:28 > 4:25:32that our children are supported to live healthy, active and happy lives

4:25:32 > 4:25:37to grow into adults who are less likely to develop cancer. We have

4:25:37 > 4:25:41always said that the child obesity strategy was constantly under

4:25:41 > 4:25:45review, it is part one and we will go further if we need to to build on

4:25:45 > 4:25:50this. As has been mentioned, the biggest game changer in preventing

4:25:50 > 4:25:57cancer is the world leading work on genomics going on in our country.

4:25:57 > 4:26:02The 20 16th annual report published around the time I was first on the

4:26:02 > 4:26:06year before I was appointed, generation gene, set out the huge

4:26:06 > 4:26:12potential for genomics to help us understand the inherited causes of

4:26:12 > 4:26:16cancer and shape the future research and future personalised cancer

4:26:16 > 4:26:19treatment. I think that is so important, it's something we should

4:26:19 > 4:26:24talk more about. Let me touch on so many of the subjects that have been

4:26:24 > 4:26:30raised. I'm grateful to you, Madam Speaker, for giving me a chance to

4:26:30 > 4:26:39do that. And the workforce, absolutely, and I've always said

4:26:39 > 4:26:46this, the workforce is the key to our strategy. We've already

4:26:46 > 4:26:50committed to investing in and expanding our diagnostic workforce

4:26:50 > 4:26:58to improve survival rates by diagnosing cancer earlier. We set

4:26:58 > 4:27:02out how we will expand our workforce numbers but also continue to invest

4:27:02 > 4:27:06in the skills of the stuff we have and use their times and expertise

4:27:06 > 4:27:12where it is most needed. We have already committed to training 746

4:27:12 > 4:27:16more cancer consultants and 890 more diagnostic and therapeutic

4:27:16 > 4:27:21radiographers which we know are in short supply by 2021. The plan

4:27:21 > 4:27:26further commits to the expansion of capacity and skills, including 200

4:27:26 > 4:27:30additional clinical endoscopist and a 300 reporting radiographers by 21

4:27:30 > 4:27:39as well. We will also expand the number of clinical nurse specialists

4:27:39 > 4:27:42and develop common consistency and ages competencies with a clear route

4:27:42 > 4:27:48into training to ensure every cancer patient has access to a CNS or other

4:27:48 > 4:27:55support worker by 2021. That and it was constantly brought up when I was

4:27:55 > 4:28:00cheering the group. We will follow with the longer plan and strategy

4:28:00 > 4:28:10later this year beyond 2021. We have talked about transformation funding

4:28:10 > 4:28:16is already, and the link with the 62 days standard and the performance

4:28:16 > 4:28:21and the phasing of transmission funding. Cancer alliances are very

4:28:21 > 4:28:25important mechanism for improving performance on a 62 the sergeant

4:28:25 > 4:28:30grid standard. They bring together commissions from primary and

4:28:30 > 4:28:34secondary care, they ensure there is a collective responsibility with the

4:28:34 > 4:28:37cancer services that they provide and they provide the necessary

4:28:37 > 4:28:44leadership for the transformation of services. 76 million funding has

4:28:44 > 4:28:48already been allocated to the cancer alliances. It is imperative they

4:28:48 > 4:28:53have the operational rigour to achieve the translation we need. It

4:28:53 > 4:28:58is our constituents, taxpayers not acrimony that is being allocated and

4:28:58 > 4:29:06I I have to say, it is only right and proper that the alliances can

4:29:06 > 4:29:10demonstrate their preparedness for this funding. That is not to say

4:29:10 > 4:29:14that the 62 days standard is a requirement, but it gives the basis

4:29:14 > 4:29:22on which NHS England can improve, along with senior clinical advice,

4:29:22 > 4:29:27can make an assessment of their readiness.

4:29:27 > 4:29:34Quickly on that specific point, those who do not achieve a 62 day

4:29:34 > 4:29:38target, it seems completely perverse that individuals suffering from

4:29:38 > 4:29:41cancer in those areas are penalised for lack of funds from the

4:29:41 > 4:29:47transformation fund. Is the minister singles cancer alliances can still

4:29:47 > 4:29:50apply for that funding in measures we put in place to ensure they do

4:29:50 > 4:29:57reach the target?It's not hard and fast Madam Deputy Speaker and I

4:29:57 > 4:30:02noted that NHS England have written to me as an MP and all MPs today

4:30:02 > 4:30:07with details of cancer alliances that members have in their

4:30:07 > 4:30:12individual areas and I bang on about this every time but I do implore

4:30:12 > 4:30:16members to engage with the local cancer alliances. I suspect the

4:30:16 > 4:30:19people in this debate do but I would hazard a guess that many members

4:30:19 > 4:30:23don't. Members should know who the cancer alliances are in their areas

4:30:23 > 4:30:26and should have a relationship with them and I think they should know

4:30:26 > 4:30:34them. Let me talk about the cancer patients experience survey which the

4:30:34 > 4:30:40member for Strangford raised and the honourable lady for Lincoln. I will

4:30:40 > 4:30:44say on the honourable lady for Lincoln, I said to my officials

4:30:44 > 4:30:47before this debate that there is always one speech during these kind

4:30:47 > 4:30:52of debates, and the shadow menaced was that person a few weeks ago in

4:30:52 > 4:30:55the other debate, there is always someone who leaves not a dry eye in

4:30:55 > 4:30:59the house and that today was the honourable lady for Lincoln. I know

4:30:59 > 4:31:03she's not in her place now and I do not blame her but I think the whole

4:31:03 > 4:31:13house wanted to run over and give her a hug and many on dead. What an

4:31:13 > 4:31:20amazing speech. We totally recognise how important the National Cancer

4:31:20 > 4:31:25patient experience survey is in our continued drive to improve cancer

4:31:25 > 4:31:29treatment and care and monitor that progress. I have always, I have

4:31:29 > 4:31:33always been clear that I want any future survey to continue to deliver

4:31:33 > 4:31:41the high quality data, it will continue in its current form in

4:31:41 > 4:31:441819, it will be engaging with the cancer community to ensure any

4:31:44 > 4:31:48decisions about future delivery and the model to be adopted should the

4:31:48 > 4:31:52commission ranging speech revised uninformed by all patients and

4:31:52 > 4:31:54ultimately protect the integrity of the survey and the quality of the

4:31:54 > 4:32:07data. I saw Dame Fiona in Oxford and discussed the subject with her. It

4:32:07 > 4:32:14left us with a challenge. We will be meeting all of the major cancer

4:32:14 > 4:32:17charities at the second round table and we will be discussing that with

4:32:17 > 4:32:20them but I think and I hope members in the house now that it remains

4:32:20 > 4:32:25very much on the top of my agenda. Let me touch an early diagnosis,

4:32:25 > 4:32:30because everyone else has and it's one of the most important shows in

4:32:30 > 4:32:37town. In every conversation I have had about how we can beat cancer it

4:32:37 > 4:32:40early diagnosis. Survival rates have always liked behind the best

4:32:40 > 4:32:44performing countries in Europe and around the world and a primary

4:32:44 > 4:32:51reason for this is no question, late diagnosis. The man who will stand

4:32:51 > 4:32:56down shortly who I had the privilege of having lunch with a few weeks

4:32:56 > 4:32:58ago, I asked him about where we should think about the next cancer

4:32:58 > 4:33:04strategy and he said the rock upon which you build your church is early

4:33:04 > 4:33:10diagnosis and I will not be forgetting that. It's one of the key

4:33:10 > 4:33:13priorities of the strategy, to diagnose cancer earlier when the

4:33:13 > 4:33:18disease is more treatable. How are we doing that? As part of our drive

4:33:18 > 4:33:22we are introducing 28 day faster diagnostic standards from GP

4:33:22 > 4:33:29referral to diagnosis or the all clear. I have often said and I will

4:33:29 > 4:33:35repeat now, 28 days is not a target, it is a maximum. I will know that

4:33:35 > 4:33:41when people have a cancer worry 28 minutes seems like a lifetime, let

4:33:41 > 4:33:47alone 28 days. I think the 28 day standard is important. Five pilot

4:33:47 > 4:33:51sites have started testing the new clinical pathways to ensure patients

4:33:51 > 4:33:56find out within 20 days if they have cancer or the all clear. Today

4:33:56 > 4:34:01Public Health England which I have ministerial response body for has

4:34:01 > 4:34:05launched its campaign to be clear on cancer which focuses on breast

4:34:05 > 4:34:10cancer in women aged over 70 something my friend from North

4:34:10 > 4:34:17Warwickshire mentioned. That will run until the end of March, the

4:34:17 > 4:34:22campaign focuses on age related risk, encouraging older women to be

4:34:22 > 4:34:27breast aware. Particularly of non-lump symptoms which have

4:34:27 > 4:34:32understandably lower levels of awareness. The other point I want to

4:34:32 > 4:34:36make an early diagnosis is we know the hardest cancers to detect those

4:34:36 > 4:34:41with early symptoms which can be vague. Often symptomatic of less

4:34:41 > 4:34:51serious else's. That is why we are piloting ten multidisciplinary

4:34:51 > 4:34:56diagnostic centres as part of the wave two of what we call the ace

4:34:56 > 4:35:04programme, Excel rate coordinate and evaluate. Patients can be referred

4:35:04 > 4:35:07for multiple tests one after the other and receive a diagnosis or the

4:35:07 > 4:35:14all clear on the same day. The initial findings are incredibly

4:35:14 > 4:35:19exciting. I don't get easily excited Madam Deputy Speaker but I am

4:35:19 > 4:35:23excited about this. I had the pleasure of visiting one of the ace

4:35:23 > 4:35:28pilots in Oxford at the Churchill Hospital last Tuesday and I have to

4:35:28 > 4:35:31say the enthusiasm and feedback I got from the patients I spoke to

4:35:31 > 4:35:35about the potential of these centres is quite incredible. I look forward

4:35:35 > 4:35:40to seeing the analysis in the coming months. The Shadow man is to talk

4:35:40 > 4:35:47about presentations which is something I remember being quite

4:35:47 > 4:35:49shocked by, emergency room preparations, presentations were

4:35:49 > 4:35:57cancer are horrible but I think that is why the 20 day standard is

4:35:57 > 4:36:02important because when I talk to GPs, they will fair and then there

4:36:02 > 4:36:07will be a wait. Patients are understandably terrified and may

4:36:07 > 4:36:10present themselves to accident and emergency at which point they then

4:36:10 > 4:36:14maybe diagnosed with the primary cancer. What that does is hit the

4:36:14 > 4:36:18stats around emergency room presentations were cancer. It does

4:36:18 > 4:36:23not mean they have been carried in, they have often walked in. But it is

4:36:23 > 4:36:28all why we need to grip early diagnosis better than ever. My

4:36:28 > 4:36:36honourable friend Herb Bosworth talked about the Baroness Joel

4:36:36 > 4:36:40speech -- Baroness Tessa Joel speech and it was incredibly powerful

4:36:40 > 4:36:47speech. The investment in brain cancer research has been limited by

4:36:47 > 4:36:52a pretty low volume of research proposals focused on the topic in

4:36:52 > 4:36:56recent years and we'd been working with charities, academics and the

4:36:56 > 4:36:59pharmaceutical industry to address this the last 12 months so to

4:36:59 > 4:37:04accelerate our efforts in brain tumour research the Secretary of

4:37:04 > 4:37:07State has today announced alongside Cancer Research UK and brain gym

4:37:07 > 4:37:09research package to boost research and investment into this most

4:37:09 > 4:37:20harrowing form cancer.

4:37:22 > 4:37:28£25 million of their money over five years in major research centres and

4:37:28 > 4:37:31programmes dedicated to brain chillers and I think that's an

4:37:31 > 4:37:35incredibly positive announcement today. -- brain tumours.I am

4:37:35 > 4:37:41grateful to the minister giving way, I was not here at the beginning but

4:37:41 > 4:37:46my constituent has a very rare form of cancer and has had to self fund

4:37:46 > 4:37:50his treatment both in Germany and Southampton but he has run out of

4:37:50 > 4:37:54money. The treatment meant he did not die within the weeks he was

4:37:54 > 4:38:02given but he is now needing top up therapy but his IFR has been

4:38:02 > 4:38:05refused, without this treatment he will not live. Could the minister

4:38:05 > 4:38:11look into this?I will not comment on the case, I was going to suggest

4:38:11 > 4:38:15she gets the clinicians to make an IFR but by all means bring that case

4:38:15 > 4:38:22to me. Let me return to breast density, the UK National screening

4:38:22 > 4:38:25committee commissioned Warwick University study to investigate the

4:38:25 > 4:38:29link between breast density and breast cancer. Once complete if the

4:38:29 > 4:38:33reviews suggest should be changes in the UK National screening committee

4:38:33 > 4:38:37which we work with will consider less under its modification

4:38:37 > 4:38:42programme. I am in touch with the charity breast density matters which

4:38:42 > 4:38:46is a small charity, small but perfectly formed so I'm in touch

4:38:46 > 4:38:47with them quite a lot.

4:38:50 > 4:38:55We had a very good at Westminster whole debate last month led by my

4:38:55 > 4:39:00honourable friend for Crawley, many patients with blood cancer diagnosis

4:39:00 > 4:39:08was sadly never be cheered, what we have heard today is watch and wait,

4:39:08 > 4:39:12but things progress to the point where treatment needs to begin and

4:39:12 > 4:39:16this can take a psychological toll on the patient and their family. By

4:39:16 > 4:39:202020 every patient will receive holistic needs assessment as part of

4:39:20 > 4:39:24the recovery package. That is excellent. Blood cancer patients

4:39:24 > 4:39:28this person's recovery plan will be personalised to take account of the

4:39:28 > 4:39:31unique characteristics of blood cancer including their mental health

4:39:31 > 4:39:35needs. That is why the Secretary of State announced the additional £1.3

4:39:35 > 4:39:40billion last July to expand the mental health workforce. My

4:39:40 > 4:39:42honourable friend the member for Dumfries and Galloway made this

4:39:42 > 4:39:46point very well I thought in his speech. As they passed me a note, I

4:39:46 > 4:39:54love notes. I will not because I'm going to finish. The member for

4:39:54 > 4:39:59Dumfries & Galloway touched on the cancer dashboard including rare

4:39:59 > 4:40:02cancers. NHS England and Public Health England are currently

4:40:02 > 4:40:06considering next steps on how we can expand the dashboard. They know I am

4:40:06 > 4:40:10frustrated about it being limited to the top four and I want to see us

4:40:10 > 4:40:15expand it and do better, in a clear direction from me on that. The

4:40:15 > 4:40:19honourable lady for Bristol West spoke brilliantly and what a

4:40:19 > 4:40:22brilliant advertisement for her all-party group on their enquiry. If

4:40:22 > 4:40:31there is anything I can do, I do not know about the cost of cancer

4:40:31 > 4:40:35report, I would love to see that if she can send it to me and any help

4:40:35 > 4:40:38she needs she only needs to ask. The member for Scunthorpe talked about

4:40:38 > 4:40:40pancreatic cancer, NHS services pancreatic cancer has significantly

4:40:40 > 4:40:46improved in recent years with clever diagnostic pathways, decisions made

4:40:46 > 4:40:49and decentralisation of pancreatic surgery with specialised teams. On

4:40:49 > 4:40:53the 7th of February NICE published the final guidance on the diagnosis

4:40:53 > 4:41:00and management of pancreatic cancer in adults. A more quick and accurate

4:41:00 > 4:41:04diagnosis and better access to psychological support. He talked

4:41:04 > 4:41:08about 2-macro myelin tests, a decision will be made on that

4:41:08 > 4:41:11underwater NICE to write to me on that decision and I was sure that

4:41:11 > 4:41:22with him. I am just including. Let me pay tribute to the staff patient

4:41:22 > 4:41:25groups and charities who are working so hard as part of team cancer

4:41:25 > 4:41:28because we are all on the same team when it comes to cancer, to

4:41:28 > 4:41:32implement the strategy and save lives. We are on track to deliver we

4:41:32 > 4:41:37think but we need to make more progress especially in the area of

4:41:37 > 4:41:41progress and looking further forward on the subject of prevention. Thank

4:41:41 > 4:41:47you for the members speaking today, the fight goes on. Thank you.Thank

4:41:47 > 4:41:53you so much Madam Deputy Speaker. I think today's debate has been so

4:41:53 > 4:41:58profound and amazing, so many personal contributions. I have been

4:41:58 > 4:42:02absolutely astounded by the depth and breadth of knowledge from across

4:42:02 > 4:42:06the house and the absolute dedication to the cancer strategy,

4:42:06 > 4:42:11right across the benches. I am assured we will be working together,

4:42:11 > 4:42:15taking things forward very positively and making a difference.

4:42:15 > 4:42:20It's been important that we have discussed that cancer is across the

4:42:20 > 4:42:25life span and to recognise the serious issues for young people who

4:42:25 > 4:42:29are experiencing cancer. Also, not just the physical aspects but the

4:42:29 > 4:42:32mental health aspects and the support required, that treatment has

4:42:32 > 4:42:42to be holistic and evidence -based. Just to also commend the absolute

4:42:42 > 4:42:45value of the contribution of charities, of our NHS staff, it

4:42:45 > 4:42:53absolutely invaluable. They are at the front line. To mention the very

4:42:53 > 4:42:56personal contribution of the honourable member for Lincoln, she

4:42:56 > 4:43:01has made such an amazing speech today, I am sure she will go on to

4:43:01 > 4:43:06support and assist so many people given her experience and I am

4:43:06 > 4:43:10delighted she is a cancer ambassador and I am sure that so many people

4:43:10 > 4:43:15will benefit from that in the future. Once again, to thank

4:43:15 > 4:43:18particularly. Thank everybody today, I look forward to working with

4:43:18 > 4:43:25everybody on this going forward.The question is that this house is

4:43:25 > 4:43:31considered the cancer strategy as many of that opinion say aye of the

4:43:31 > 4:43:39country no. I think the ayes habit. The ayes have it.I beg to move that

4:43:39 > 4:43:44this house now adjourned.The question is that the house now

4:43:44 > 4:43:49adjourned. Kate hallway.Thank you Madam Deputy Speaker.

4:43:51 > 4:43:58I would rather not be here this evening speaking on this adjournment

4:43:58 > 4:44:02debate not because I don't care about the issue and particularly

4:44:02 > 4:44:05about my constituent Mr Clifford Bale but it's such a simple matter

4:44:05 > 4:44:10and it should have been resolved years ago. It has not been and I did

4:44:10 > 4:44:14give a commitment to my constituents that I would bring this to the house

4:44:14 > 4:44:18in an adjournment debate.

4:44:18 > 4:44:24I want to begin by setting out the facts before moving on to the

4:44:24 > 4:44:29problems that I in seeking to resolve it and the basic relevant

4:44:29 > 4:44:33policy concern. My constituent worked for the City of London

4:44:33 > 4:44:37Corporation as a security and services assistant from September

4:44:37 > 4:44:421989 until he suffered an injury only six November 2000. He slipped

4:44:42 > 4:44:48on a metal screw by what down some marble stairs. He fell and hit his

4:44:48 > 4:44:52head and was knocked unconscious. His health deteriorated while he was

4:44:52 > 4:44:56on subsequent ill-health leave. As he went on to suffer from the loss

4:44:56 > 4:45:01of hearing in his right ear, and certainly in the blood dizziness,

4:45:01 > 4:45:06loss of balance and a series of blackouts that occurred without

4:45:06 > 4:45:10warning, four of which led to his hospitalisation. One tenth of

4:45:10 > 4:45:14December 2001, the City of London made a claim on his behalf to the

4:45:14 > 4:45:17Department for Work and Pensions to pay him industrial injury benefits

4:45:17 > 4:45:24and he was assessed by a doctor. If every 2002, he was notified he had

4:45:24 > 4:45:29been diagnosed with a loss of mental equilibria and loss of neurological

4:45:29 > 4:45:32function and awarded industrial injury benefits. For 12 months

4:45:32 > 4:45:39before a further examination, he continued to be awarded annual

4:45:39 > 4:45:43industry injury benefits until 2008 when he was judged to be qualified

4:45:43 > 4:45:48to receive industrial injury benefits for life. On the tenth June

4:45:48 > 4:45:512002, he met with the City of London Corporation about his long-term

4:45:51 > 4:45:57absence from work and submitted a written application for an early

4:45:57 > 4:46:00retirement ill-health pension, but was informed two days later it was

4:46:00 > 4:46:05being turned down because the City of London's in his doctor could not

4:46:05 > 4:46:10say that his injuries were permanent. He informed them that

4:46:10 > 4:46:13their two at options of either early retirement on a basic pension or

4:46:13 > 4:46:18alternative work were not acceptable to him and the City of London deemed

4:46:18 > 4:46:26him no longer to be an employee from the 24th September 2002. After

4:46:26 > 4:46:29months of resistance, he was finally provided with a copy of an

4:46:29 > 4:46:33additional accident report the City of London his helped send to the

4:46:33 > 4:46:38health and secondary executive 17 month after his accident that said

4:46:38 > 4:46:41they found it difficult to believe that he could have slipped only

4:46:41 > 4:46:47screw whilst wearing Doctor Martens and safety issues and there are a

4:46:47 > 4:46:52number of staff that suspect the incident, if it really happened as

4:46:52 > 4:46:58described, may have been exaggerated. Not only do vague

4:46:58 > 4:47:01beliefs and suspicions have no place in an accident report but I

4:47:01 > 4:47:05reiterate that he was diagnosed annually by the apartment of work

4:47:05 > 4:47:09and pensions for eight years before being awarded lifetime industrial

4:47:09 > 4:47:15injury benefits in 2008. In June 2004, Mr Bell filed a grievance

4:47:15 > 4:47:19against the City of London for its handling of this case and in 2005 he

4:47:19 > 4:47:23signed a compromise agreement for the City of London's insurers to

4:47:23 > 4:47:29consider his case under the local government discretionary payments

4:47:29 > 4:47:33regulations 1996. The insurers failed in his favour and awarded him

4:47:33 > 4:47:37a termination package of around £50,000, but not in ill-health

4:47:37 > 4:47:46pension. This is the time and so Mr Bell's case. As far as he was aware,

4:47:46 > 4:47:50these were the relevant facts until in 2012, he discovered the local

4:47:50 > 4:47:57government pensions committee circular 252, which noted the local

4:47:57 > 4:48:05government pension scheme should have been relevant in his case.

4:48:05 > 4:48:08Regulation 979 states, before making a decision as to whether a member

4:48:08 > 4:48:15may be entitled under regulation 27 or under regulation 31 on the ground

4:48:15 > 4:48:21of ill-health, the scheme employer must obtain a certificate from an

4:48:21 > 4:48:26independent registered medical practitioner asked whether in his

4:48:26 > 4:48:30opinion the member is permanently incapable of discharging officially

4:48:30 > 4:48:34the duties of the relevant local government employment because of

4:48:34 > 4:48:40ill-health or infirmity of or body. Regulation 98 sets out he should

4:48:40 > 4:48:48have received a written notification of the decision by the eye RMP as

4:48:48 > 4:48:53soon as possible. Giving the reason for the decision and setting it has

4:48:53 > 4:49:00appeal rights under regulation and then to. The LGPS amendment

4:49:00 > 4:49:06regulations further specified, the independent registered medical

4:49:06 > 4:49:11practitioner must be in a position to certify and must include in his

4:49:11 > 4:49:16certification a statement that he has not previously advised are given

4:49:16 > 4:49:20an opinion on or otherwise been involved in a particular case for

4:49:20 > 4:49:23which a certificate had been requested and he is not acting and

4:49:23 > 4:49:28has not at any time acted as the representative of the member, the

4:49:28 > 4:49:33scheme employer or any other party in relation to the same case. Not

4:49:33 > 4:49:39one of these regulations were followed. In Mr Bell's research at

4:49:39 > 4:49:45that time, he discovered two relevant appeals, 869, that saw the

4:49:45 > 4:49:48strategy of state emphasise the importance of the opinion of the

4:49:48 > 4:49:53independent registered medical practitioner, including the one

4:49:53 > 4:49:58judgment against the City of London in 2008. By the time Mr Bell

4:49:58 > 4:50:01discovered the Jakarta months that had not been followed, he was well

4:50:01 > 4:50:11out of time for consideration by the pensions of Bosman -- on ombudsman.

4:50:11 > 4:50:17He contacted me and I wrote my first of many letter to the City of London

4:50:17 > 4:50:19Corporation seeking to understand why the rules had not been followed

4:50:19 > 4:50:25in his case. I wrote to the City of London on the 20th of October 2014,

4:50:25 > 4:50:3126th of May 2015, the 6th of July 2015, the 12th of October 2015 on

4:50:31 > 4:50:37the 4th of November 2015. Each time, to the head of the human relations

4:50:37 > 4:50:42department who had held dealt with his case. On each occasion, they

4:50:42 > 4:50:46responded by setting Mr Bell was not eligible for an ill-health pension

4:50:46 > 4:50:51by making reference to the 2011 local government pensions committee

4:50:51 > 4:50:55's circular 252 and the details of his compromise agreement he had

4:50:55 > 4:51:05signed an ignorance of his actual rights. Despite my reviews of the

4:51:05 > 4:51:09asking why the rules had not been followed in his case, they were just

4:51:09 > 4:51:14not answered. On the 27th of January 2016, I wrote to the Chief Executive

4:51:14 > 4:51:21of the City of London quoting Bill 97 nine of the 1997 regulations

4:51:21 > 4:51:25simply asking why these and similar 2001 regulation should not apply in

4:51:25 > 4:51:35this case. In his answer on the 26th of February, he stated that in May

4:51:35 > 4:51:422002, the corporation's occupational health team said there was no

4:51:42 > 4:51:45evidence of permanent incapacity due to ill health, so medical retirement

4:51:45 > 4:51:52is not an option at this point. This view was confirmed on the 11th of

4:51:52 > 4:51:58June 2002 when a daughter who was a corporation's in corporate doctor,

4:51:58 > 4:52:02advised he was able to state Mr Bell had any form of medical condition or

4:52:02 > 4:52:05illness that would result in his parental ability to work for the

4:52:05 > 4:52:09corporation in his current position. In this medical opinion meant that

4:52:09 > 4:52:14it was not possible for Mr Bell to be retired on the grounds of

4:52:14 > 4:52:22ill-health. It appears that Mr Bell has understood the application, it

4:52:22 > 4:52:26quotes, referred to in your letter. Rule 97 was not engaged and there

4:52:26 > 4:52:33was no requirement for an IRMP because the daughter's advice was

4:52:33 > 4:52:36that Mr Bell did not, then requirements for ill-health

4:52:36 > 4:52:44retirement. As indicative Speaker, I admit to becoming very frustrated at

4:52:44 > 4:52:48this point. The suggestion was because the internal doctor did not

4:52:48 > 4:52:53give improvement, the independent doctor must not be as further

4:52:53 > 4:52:57opinion, which strikes me as a whole point of the protections set out in

4:52:57 > 4:53:03those regulations. In seeking to make sense of this, I wrote to the

4:53:03 > 4:53:07then Minister for local government in 2016, setting out the case and

4:53:07 > 4:53:11stating that the answer was as clear as mud since the role clearly states

4:53:11 > 4:53:15that independent analysis must be obtained before such a decision is

4:53:15 > 4:53:23made. I asked him to first confirmed that the legal position remains as I

4:53:23 > 4:53:26have stated in this letter, secondly, whether they would be any

4:53:26 > 4:53:30exemption to the requirement that independent analysis be obtained

4:53:30 > 4:53:34before a decision would be taken on an individual's eligibility, and

4:53:34 > 4:53:37thirdly, what records Mr Bell could follow to get what he is entitled

4:53:37 > 4:53:46to. As expected, the minister did not go into detail, about my

4:53:46 > 4:53:48constituent's individual case but confirmed that the regulations were

4:53:48 > 4:53:55in effect at the time and did not indicate any scope for extension. I

4:53:55 > 4:54:00wrote again on the 12th of December 2016 asking him to review his

4:54:00 > 4:54:04decision based on the confirmation given by the Minister. He did not

4:54:04 > 4:54:09reply to this letter and so I had to chase him. Not literally! He

4:54:09 > 4:54:16eventually replied on the 30th of May 2017 to state that, the city's

4:54:16 > 4:54:20position as set out in previous correspondence remains unchanged and

4:54:20 > 4:54:25they did not believe they had any obligation to inform Mr Bell of his

4:54:25 > 4:54:32rights at the time. He concluded, the city Corporation remains of the

4:54:32 > 4:54:38view that it is acted properly and fairly in its handling of this case

4:54:38 > 4:54:41and believes that they are no grounds for it to consider this

4:54:41 > 4:54:49matter further. Mr Bell has tried over many years since 2000 to pursue

4:54:49 > 4:54:55down many avenues since the original injury in 2000, but because he did

4:54:55 > 4:55:02not discover the details of the 1997 regulations until 2000 wealthy, he

4:55:02 > 4:55:09has by that point already exhausted his appeal options. I had stated to

4:55:09 > 4:55:11the City of London Corporation on several occasions that if they could

4:55:11 > 4:55:15not satisfactorily explain why the rules should not have applied in

4:55:15 > 4:55:20this case, I would have to raise the matter in this House, and that's why

4:55:20 > 4:55:27I believe that I've had no option but to do so now. There are two

4:55:27 > 4:55:31alternatives, either the City of London is refusing to apply the

4:55:31 > 4:55:36rules properly by the regulations as they exist do not work to give

4:55:36 > 4:55:40assurance of an independent assessment as they should.

4:55:40 > 4:55:44Industrial injuries are by their nature unexpected, disturbing and

4:55:44 > 4:55:50painful events. If they are to lead to an in health requirement, it is

4:55:50 > 4:55:53quite right that they should follow assessment by an independent doctor

4:55:53 > 4:55:59as soon as possible and a process that sets out the details clearly.

4:55:59 > 4:56:06Surely this process cannot, should not be used short-circuited by an

4:56:06 > 4:56:09organisation, particularly an organisation such as the City of

4:56:09 > 4:56:12London Corporation to use and in his doctor and not allow the worker to

4:56:12 > 4:56:18have their injuries are satisfied by an independent practitioner. I

4:56:18 > 4:56:23apologise to the Minister unto the House for very detailed tale which I

4:56:23 > 4:56:28wanted to put on record and ask fundamentally, is he happy with the

4:56:28 > 4:56:36way in which these regulations operate? Is he aware of other cases

4:56:36 > 4:56:39where organisations have used a decision of an in-house doctor to

4:56:39 > 4:56:49override the need to get the opinion of one IRMP? If he is aware, does he

4:56:49 > 4:56:55intend to tighten the process to prevent this? Is he concerned about

4:56:55 > 4:56:58organisations particularly like the City of London Corporation, not

4:56:58 > 4:57:03giving workers details of their rights in instances like this one?

4:57:03 > 4:57:08Is he aware of other complaints about the City of London court, in

4:57:08 > 4:57:12particular not their obligations under these regulations because they

4:57:12 > 4:57:16have not been forthcoming with details to me? And possibly most

4:57:16 > 4:57:22difficult, can he recommend any further steps that my constituent Mr

4:57:22 > 4:57:27Bell can follow to have his case finally considered by an independent

4:57:27 > 4:57:32medical professional? He is even willing to pay for that independent

4:57:32 > 4:57:34medical professional himself to receive this opportunity of looking

4:57:34 > 4:57:41at this case. Mr Bell and his family, for 17 years, have been

4:57:41 > 4:57:47relentlessly pursuing what seems to me to be a grave injustice. In my

4:57:47 > 4:57:50view, that grave injustice having been perpetrated by one of the

4:57:50 > 4:57:55richest local authority is in the country makes it even more

4:57:55 > 4:57:58disgraceful. I hope that the Minister today will be able to give

4:57:58 > 4:58:02me some assurance that I can give my constituent that this will change

4:58:02 > 4:58:13and he will get justice. Thank you. Can I start by congratulating the

4:58:13 > 4:58:17Honourable member for Vauxhall on securing this debate? I had the

4:58:17 > 4:58:20pleasure of fighting alongside her in the referendum campaign and I can

4:58:20 > 4:58:25see that she has applied the same tireless and to nature 's

4:58:25 > 4:58:29campaigning instincts that she has two this particular case on behalf

4:58:29 > 4:58:33of her constituent for many years and I commend her for those efforts.

4:58:33 > 4:58:37I particularly welcome the chance to respond to the point is that she met

4:58:37 > 4:58:40today and indeed share her regret that we need to do so on the floor

4:58:40 > 4:58:45of this House. I start off by acknowledging that pensions are not

4:58:45 > 4:58:49just about regulations and procedures, they are about security

4:58:49 > 4:58:53and peace of mind. We all want to be able to retire only decent income

4:58:53 > 4:58:57and as we live longer and healthier lives, we want to be able to save

4:58:57 > 4:59:01more and make the most of our retirement. Public sector schemes

4:59:01 > 4:59:05that is the local government pension scheme also includes insurance style

4:59:05 > 4:59:22benefits that help to cushion us against the most unfortunate events.

4:59:22 > 4:59:27Throughout the course of the last 100 years developed as a national

4:59:27 > 4:59:32scheme to become a valuable and integral part of local government

4:59:32 > 4:59:36valued by millions. That said I can attest to this personally as there

4:59:36 > 4:59:40recently ensconced Minister for local government pensions it's not a

4:59:40 > 4:59:44simple scheme. Some of that complexity comes from the need to

4:59:44 > 4:59:48cover a wide range of possible scenarios. The provisions dealing

4:59:48 > 4:59:56with injuries at work such as those suffered by Mr were interrupted by

4:59:56 > 5:00:00employees own procedures and implement law. Injuries can lead to

5:00:00 > 5:00:05periods of sickness, permanent or temporary incapacity and justice

5:00:05 > 5:00:11comes from treating like cases are like. But also in making fine

5:00:11 > 5:00:15judgments and distinctions between cases where appropriate. I of course

5:00:15 > 5:00:19want to see the best possible administration of this scheme. I

5:00:19 > 5:00:22think it's been a key aim of the government to improve transparency

5:00:22 > 5:00:27and accountability in the making of decisions by public bodies such as

5:00:27 > 5:00:33this. The ill GPS is a national scheme setting out in regulations

5:00:33 > 5:00:37but it's important it is administered locally and it's been a

5:00:37 > 5:00:42long-standing feature of the scheme and is one of its strengths. Local

5:00:42 > 5:00:46authorities are independent bodies and in the first in primary

5:00:46 > 5:00:49instances are accountable to the electorate through the ballot box

5:00:49 > 5:00:56rather than central government. That said there are routes for

5:00:56 > 5:01:01independent redress where local authorities fail in obligation. For

5:01:01 > 5:01:05example through the councils own complaints procedure, the local

5:01:05 > 5:01:10government ombudsman or the pensions ombudsman and potentially and

5:01:10 > 5:01:15finally through the court by judicial review. It's a feature of

5:01:15 > 5:01:19any legal system of redress that there are administrative deadlines

5:01:19 > 5:01:23associated with each of these and I am sure the honourable member will

5:01:23 > 5:01:27recognise that all sides in a dispute often benefit from the

5:01:27 > 5:01:33certainty these afford. However I also believe local authorities if

5:01:33 > 5:01:38they are to retain the trust of the people they serve should always seek

5:01:38 > 5:01:43to act honourably and correct mistakes even when they may be under

5:01:43 > 5:01:48no legal obligation to do so. And where I feel I need to college

5:01:48 > 5:01:54mistakes, I will also do so, from this dispatch box if necessary and I

5:01:54 > 5:01:59hope my voice in these matters would not be without some moral force. It

5:01:59 > 5:02:06gives me comfort but in general the LGPS is a well administered scheme.

5:02:06 > 5:02:11The vast majority of complaints are involved internally, it pays out

5:02:11 > 5:02:16benefits each year and despite this I am told there are fewer than 91

5:02:16 > 5:02:23complaints to the pensions ombudsman. But clearly some stakes

5:02:23 > 5:02:29will be made and the impact of those mistakes could be hugely significant

5:02:29 > 5:02:33for people particularly vulnerable or of limited means who rely on

5:02:33 > 5:02:35their pensions to sustain their dignity and standard of living in

5:02:35 > 5:02:44old age. With this in mind I turn in the back to the details in the case

5:02:44 > 5:02:49of Mr Bell. The case was made forcefully and the City of London

5:02:49 > 5:02:54has not complied with its statutory obligations or delivered justice to

5:02:54 > 5:02:58Mr Bell in this case. As the honourable member would of course

5:02:58 > 5:03:01expect my officials have been in touch with the City of London to

5:03:01 > 5:03:07hear the explanation of these events. At the outset it's worth

5:03:07 > 5:03:11stressing the obvious difficulty in understanding in precise detail

5:03:11 > 5:03:17events which happened almost 20 years ago. But from hearing both

5:03:17 > 5:03:21sides it strikes me as common ground that as a consequence of the

5:03:21 > 5:03:27accident on the 6th of November 2000 Mr Bell suffered some degree of

5:03:27 > 5:03:33incapacity. The question appears to be about the degree of severity and

5:03:33 > 5:03:37permanence of that incapacity. I expect it's difficult for any

5:03:37 > 5:03:41medical expert to give a very definite answer to those questions.

5:03:41 > 5:03:46And it's that very reason I would expect this to be settled as a

5:03:46 > 5:03:51question of fact by someone that both parties can have confidence in.

5:03:51 > 5:03:57That is the plain meaning and intent of regulation 97. I can see no good

5:03:57 > 5:04:01reason why the Corporation of London chose not to instruct an independent

5:04:01 > 5:04:06registered medical practitioner who could have either confirmed or

5:04:06 > 5:04:11corrected the judgment which was reached no doubt in good faith by

5:04:11 > 5:04:17the Corporation's operational health team. But not only was it not

5:04:17 > 5:04:21instructed but other consequences followed the failure to consider the

5:04:21 > 5:04:27decision of any kind was due in respect of the application of

5:04:27 > 5:04:31ill-health retirement. The protections and regulations whereby

5:04:31 > 5:04:35a member is informed of his right of appeal and a reference to the

5:04:35 > 5:04:41pensions advisory service appear all so not to have kicked in as one

5:04:41 > 5:04:48might reasonably have expected. Of course I cannot see what conclusions

5:04:48 > 5:04:51would have been reached or whether indeed an appeal would have been

5:04:51 > 5:04:57successful. What I can say is that Mr Bell does seem to have suffered

5:04:57 > 5:05:03an injustice by being denied an independent assessment of this case.

5:05:03 > 5:05:08But I must note that Mr Bell did received legal advice from a

5:05:08 > 5:05:11reputable firm of lawyers in settling the terms of his dismissal

5:05:11 > 5:05:17for a limited efficiency in 2002. In coming to a decision on how best to

5:05:17 > 5:05:20pursue his case and whether to accept the terms of settlement I

5:05:20 > 5:05:25would hope the legal advice he received was complete and accurate.

5:05:25 > 5:05:32Let me know address directly the question the honourable member for

5:05:32 > 5:05:37box but to me and closing. I am happy to place on record my concern

5:05:37 > 5:05:42that the regulations do not seem to have been followed in this case. My

5:05:42 > 5:05:47view is that the facts available to me at this time, it ought to have

5:05:47 > 5:05:53been engaged in 2002. If the honourable member for Foxhall

5:05:53 > 5:05:58believes it may serve some purpose I would be happy to write to the

5:05:58 > 5:06:04Corporation and ask them to justify this permission to me. Next to her

5:06:04 > 5:06:07other questions more generally I personally and the Department are

5:06:07 > 5:06:12not aware of any other such cases where this practice was followed,

5:06:12 > 5:06:17nor of any other specific complaints about the Corporation's

5:06:17 > 5:06:21administrations practices. I would hope that if there were similar

5:06:21 > 5:06:25cases, then they would have found their way correctly and

5:06:25 > 5:06:29appropriately to the pensions ombudsman. They are I believe the

5:06:29 > 5:06:34arguments advanced would have received a strong hearing. Next the

5:06:34 > 5:06:40honourable member asked if I wished to tighten the rules in this area.

5:06:40 > 5:06:44Having reviewed its Madam Deputy Speaker, to my mind the regulations

5:06:44 > 5:06:49then as now are clear about the process to be followed. The

5:06:49 > 5:06:52regulations then as now place the correct emphasis on the need for

5:06:52 > 5:06:57decisions to be taken in a timely way based on independent advice and

5:06:57 > 5:07:03with further avenues for advice or appeal clearly signposted. I think

5:07:03 > 5:07:06having reflected on it that the issue at stake here is not that the

5:07:06 > 5:07:09regulators themselves are at fault but whether they were properly

5:07:09 > 5:07:18adhered to and followed. But if they were not then at this point sadly I

5:07:18 > 5:07:21cannot see any specific further steps which I can take to pursue

5:07:21 > 5:07:29this case on her behalf and a half of Mr Bell. If we were having this

5:07:29 > 5:07:32conversation at the time of the incident in question Mr Bell would

5:07:32 > 5:07:37have had the Avenue of appeal and address through the own two stage

5:07:37 > 5:07:41appeal process. Following that we could have gone to the pensions

5:07:41 > 5:07:44ombudsman, the Secretary of State or indeed the courts through judicial

5:07:44 > 5:07:50review. But as I said earlier, there are good and necessary reasons why

5:07:50 > 5:07:57we have time on its and limitations in the determination of rights and

5:07:57 > 5:08:01liabilities. Statute of limitations are common across civil and criminal

5:08:01 > 5:08:07law in this country and across the world. Patters must be allowed to

5:08:07 > 5:08:12know in a matter has been settled and given where we are now 18 years

5:08:12 > 5:08:16after the incident unfortunately the ability to access any of these

5:08:16 > 5:08:22avenues has unfortunately expired. Of course at that time in question

5:08:22 > 5:08:24Mr Bell received legal advice and sought a settlement with his

5:08:24 > 5:08:30employers. I very much hope his solicitors at this time discussed

5:08:30 > 5:08:35with him these vary avenues which may well have been available at that

5:08:35 > 5:08:40time. And provided advice to him on the best course of action. It made

5:08:40 > 5:08:44well be worth Mr Bell or the honourable member discussing this

5:08:44 > 5:08:47again with the solicitors to make sure all correct procedures and

5:08:47 > 5:08:54avenues were explored. Due to the separation of powers of central and

5:08:54 > 5:08:57local government I cannot intervene in the day-to-day activities of

5:08:57 > 5:09:01local authorities except where a specific provision is made by

5:09:01 > 5:09:05Parliament. I am not aware of any specific basis on which I could

5:09:05 > 5:09:11intervene directly in this case.I thank the Minister of giving way, I

5:09:11 > 5:09:15know he's coming to the end of his speech, I want to thank him for the

5:09:15 > 5:09:22thoughtful way he has dealt with this. Does he still not accept or

5:09:22 > 5:09:28does he accept that it should have been up to the City of London

5:09:28 > 5:09:35Corporation, a hugely rich in personnel counsel, to actually give

5:09:35 > 5:09:39Mr Bell his rights, to tell him about his rights? It should not have

5:09:39 > 5:09:44been up to a solicitor a few years later, surely there is a moral duty,

5:09:44 > 5:09:48is not a legal duty and I think there should be a legal duty and I

5:09:48 > 5:09:53think the regulations give a legal duty, to inform Mr Bell and allow

5:09:53 > 5:09:56that independent medical practitioner that is where it went

5:09:56 > 5:10:01wrong, something so simple. Does he now agree that the moral case is

5:10:01 > 5:10:04there for the City of London Corporation and I would welcome

5:10:04 > 5:10:08Madam Deputy Speaker him writing to the City of London on my behalf and

5:10:08 > 5:10:13on the half of Mr Bell.Thank you, I can tell my honourable friend that

5:10:13 > 5:10:18not only is there a moral duty but she is right there is a legal duty

5:10:18 > 5:10:21both have used an independent medical practitioner but also to

5:10:21 > 5:10:29have informed Mr Bell of his rights at the time. That said Mr Bell would

5:10:29 > 5:10:31have been aware of those rights through the many other

5:10:31 > 5:10:34communications which would have happened to him as a member of the

5:10:34 > 5:10:37scheme but at the point where it became relevant under the articles

5:10:37 > 5:10:41and provisions he should have been made aware at that time again.

5:10:41 > 5:10:45Although it is of course of limited comfort to Mr Bell and the

5:10:45 > 5:10:52honourable member on means being reviewed for resolving disputes

5:10:52 > 5:10:56locally and is looking at simplifying the rules around

5:10:56 > 5:10:59ill-health retirement. I'm expecting some recommendations for them in

5:10:59 > 5:11:03relation to these matters in due course and the hearing of this

5:11:03 > 5:11:07particular matter will weigh on my mind as I review those

5:11:07 > 5:11:11recommendations. In conclusion Madam Deputy Speaker whilst we have

5:11:11 > 5:11:14discussed process I don't want to lose sight of the individual at the

5:11:14 > 5:11:19centre of all of this, Mr Bell. The accident which caused him to lose

5:11:19 > 5:11:24his job seems such a small and random piece of bad luck. We are

5:11:24 > 5:11:30still talking about it today and that shows how the unfairness of any

5:11:30 > 5:11:35kind of fate or administration can be hard to accept and live with. I

5:11:35 > 5:11:40don't know if Mr Bell is adequately supported today and living if a

5:11:40 > 5:11:45filling and satisfying life but I sincerely hope so. Finally I want to

5:11:45 > 5:11:49know in the honourable member for her tireless work and advocating so

5:11:49 > 5:11:53forcefully on the half of her constituents. I know she will keep

5:11:53 > 5:11:57pushing the City of London Corporation to examine a fresh if

5:11:57 > 5:12:03they believe they have acted fairly and in good conscience. I will

5:12:03 > 5:12:07support her in those efforts and I wish her and Mr Bell every success

5:12:07 > 5:12:14as she pursues this case.The question is that this house now

5:12:14 > 5:12:24adjourn as many it that opinion see aye, the ayes have it. Order.