22/02/2018 House of Commons


22/02/2018

Live coverage of proceedings in the House of Commons including the Backbench Business debate on the role of disabled people in economic growth and a debate on cancer strategy.


Similar Content

Browse content similar to 22/02/2018. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

supporting the autonomy of the

Kurdish region is important. But so

0:00:000:00:00

is supporting the right of the Iraqi

government to territorial integrity.

0:00:000:00:08

We now come to the second select

committee statement. He will speak

0:00:080:00:14

on this subject on this subject

during which are no interventions

0:00:140:00:17

will be taken. I will then call

members to ask questions in the

0:00:170:00:21

usual way. I called the chair of the

Justice committee.

Thank you very

0:00:210:00:26

much, Deputy Speaker. This report

results from what was described by

0:00:260:00:33

Her Majesty 's Chief Inspector of

prisons as one of the worst

0:00:330:00:36

inspection reports of a prison he

had ever seen. It is to meet the

0:00:360:00:41

worst inspection report that our

committee had ever seen, and it is

0:00:410:00:45

because of the gravity of that

situation that we took the unique

0:00:450:00:50

step of holding a specific evidence

session into that individual

0:00:500:00:52

inquiry. Not only do it highlight

conditions which the Chief inspector

0:00:520:00:58

describes as squalid as Liverpool

prison, and a history of

0:00:580:01:04

deterioration over a two-year

period, and a history of failure of

0:01:040:01:11

management at a local national and

regional level over a period of

0:01:110:01:14

time, but also we believe it

highlights a number of systemic

0:01:140:01:20

problems which need to be addressed

by the Ministry and Her Majesty 's

0:01:200:01:25

prison and probation service. And

also, highlights the need for

0:01:250:01:29

approaching a fresh way in which we

deal with Her Majesty 's of prisons

0:01:290:01:35

is self. May I pay tribute to my

colleagues on the select committee,

0:01:350:01:42

a number of whom are present today,

for their work on this report? And I

0:01:420:01:48

may also welcome to his place my

Hons friend the Minister, and I

0:01:480:01:53

appreciate that he came and gave

evidence to our inquiry so early on

0:01:530:01:57

in his appointment to the posting

which he now serves. Can I briefly

0:01:570:02:04

outline the report against that

grave background? This was a

0:02:040:02:08

situation where Liverpool prison was

inspected in 2015. It was failing

0:02:080:02:15

them, it was a re-inspected again in

2017, it had got worse. Some of the

0:02:150:02:22

conditions, a man with a mental

health problems in a cell that was

0:02:220:02:26

not fit the habitation, and that

there was a serious maintenance

0:02:260:02:30

backlog, were in fact the

maintenance backlog had doubled from

0:02:300:02:37

1000 - 2000 over that period where

its marking the guess the various

0:02:370:02:41

tests have gone backwards indicate

not only was there a gross failure

0:02:410:02:45

of management locally and of

oversight at a regional and national

0:02:450:02:50

level, but also that the detailed

recommendations of Her Majesty 's

0:02:500:02:54

Inspectorate made in 2015 had not

properly been addressed, the first

0:02:540:02:58

systemic matter that we addressed.

It's pretty clear that the national

0:02:580:03:03

leadership was not the lurch to the

situation as to what was happening

0:03:030:03:06

on the ground. -- was not alert. The

head of the prison service told us

0:03:060:03:12

he had been informed by the local

management that some 60% of the

0:03:120:03:18

recommendations in 2015 were on

track to be met. That was wrong. In

0:03:180:03:23

fact, only 25% were met, 60% were

not met. The leadership nationally

0:03:230:03:28

was out of touch. When asked what

was the role for the deputy Minister

0:03:280:03:35

for corrections, who is supposed to

have oversight for 12 prisons in

0:03:350:03:38

that region, clearly there was

failure in communication but a

0:03:380:03:42

breakdown in the way the system

operates there. Secondly this is not

0:03:420:03:45

unique. The chief Inspectorate

indicated to us this is a regular

0:03:450:03:52

occurrence, that recommendations by

the Inspectorate are not acted upon.

0:03:520:03:56

The Minister rightly says to us that

much greater use should be made of

0:03:560:04:02

the Inspectorate's recommendations

to drive changes in behaviour, he is

0:04:020:04:05

right. We therefore recommend two

specific matters to make greater use

0:04:050:04:10

of that. Firstly at the moment, the

prison service marks its own

0:04:100:04:14

homework, that is not satisfactory

and can breed complacency. We

0:04:140:04:18

recommend the Inspectorate of

prisons can be given an additional

0:04:180:04:23

resource to follow up on the

implementation of their

0:04:230:04:26

recommendations and hold the prisons

to account. This is not a large sum

0:04:260:04:30

in the overall scheme of things,

perhaps one inspection team should

0:04:300:04:34

be sufficient to do that task and

the overall saving will be offset.

0:04:340:04:40

Secondly, ministers should take

personal responsibility for seeing

0:04:400:04:42

the inspection reports should be

acted upon and accounts to the House

0:04:420:04:47

for that perhaps through a letter to

the Justice select committee. The

0:04:470:04:52

first of our practical

recommendations which we believe

0:04:520:04:53

will offer a way forward. Secondly,

there is the whole question of the

0:04:530:04:59

oversight itself. Given that were

these failings, we believe that

0:04:590:05:07

greater work should be done on

ensuring transparency and

0:05:070:05:10

accountability of the above

establishment teams within the

0:05:100:05:13

Department. Thirdly, there was a

clear problem with the facilities

0:05:130:05:19

management contract. Not only had

the backlog got worse, it's pretty

0:05:190:05:24

clear that the basic issues which

should be picked up in the contract

0:05:240:05:27

were not done so. The fact we had

rats and cockroaches infest it

0:05:270:05:32

indicates the level of the problem.

We are not satisfied with the

0:05:320:05:36

explanations given for the failures

in that contract and we believe

0:05:360:05:39

there is need for greater

transparency. So, we recommend that

0:05:390:05:43

a major contracts, a national

contract, will be subject to a

0:05:430:05:50

public framework outlining the

expectations, performance of

0:05:500:05:51

penalties levies against the

providers of failure and if there

0:05:510:05:55

are penalties, they should frankly

be a system of naming and shaming

0:05:550:06:00

and a public notification of were

failures occur and how much penalty

0:06:000:06:04

is levied as a percentage of the

contract against the provider.

0:06:040:06:08

That's the point of outsourcing, to

drive changes in behaviour but we

0:06:080:06:11

need transparency and openness to do

that. We also noted that part of the

0:06:110:06:17

problem derives from persistent

overcrowding. Liverpool prison was

0:06:170:06:21

not understaffed, it was up to

establishment but it was nonetheless

0:06:210:06:25

pressed for numbers. So we recommend

the ministry and prison service

0:06:250:06:30

published a plan to resolve the

problem of persistent overcrowding

0:06:300:06:35

of the estate. The new governess for

Liverpool was clearly doing a

0:06:350:06:42

difficult job under difficult

circumstances but we need an overall

0:06:420:06:45

plan to deliver on overcrowding and

must aim to reduce the prison

0:06:450:06:49

population and or increase safe

capacity. Can't have it both ways.

0:06:490:06:55

We were also concerned with the poor

situation with health care

0:06:550:06:59

discovered at that stage. We were

glad to see commitments from the

0:06:590:07:04

prison services and NHS England

publish a partnership agreement as

0:07:040:07:07

to how they work together. The last

partnership however it expired in

0:07:070:07:13

April 2017 and a new one will not be

in place until 2018. A one-year gap

0:07:130:07:19

is not satisfactory and we need to

have steps taken to ensure that does

0:07:190:07:22

not happen again. And finally, we

need to have a commitment there to

0:07:220:07:28

make sure there is decent health

care. It was explained to us because

0:07:280:07:32

of the overcrowding and the nature

of the regime, frequently prisoners

0:07:320:07:35

could not be brought to health care

appointments from their cells. We

0:07:350:07:40

need a better approach to that.

Those are the principal

0:07:400:07:44

recommendations of our report which

I commence to the House. At the end

0:07:440:07:49

of the day, the decency of a society

is judged by the way in which it

0:07:490:07:53

treats those who offend against it

as much as the way it treats those

0:07:530:07:58

who do well by it. Liverpool failed

in that regard. We did not House

0:07:580:08:03

prisoners in the decent conditions

that boasts, humanity and our

0:08:030:08:09

international and domestic legal

obligations order that we should.

0:08:090:08:14

That failure cannot be allowed to

happen again. Making greater use of

0:08:140:08:18

the Inspectorate and its tools and

adopting our recommendations will I

0:08:180:08:21

hope be a constructive way forward

to assist the ministry in what I

0:08:210:08:27

entirely believe is his intention,

to get the basics right and

0:08:270:08:32

improving the prison service. In

that spirit, we put the report

0:08:320:08:35

before the House and commend it to

him.

Thank you, Mr Speaker. Can I

0:08:350:08:40

welcome the committee report and

thank the chair of the select

0:08:400:08:44

committee for his quick decision to

hold an evident session on HM

0:08:440:08:51

peelable? I -- HMP Liverpool. I

commend his statements to hold this

0:08:510:08:59

to a camp in prisons fail. We lost

another life in prison this week,

0:08:590:09:04

Anthony Payne suffered with mental

health problems and died in his cell

0:09:040:09:07

on Monday. The report does not

mention in detail the failure to

0:09:070:09:14

invest in infrastructure, renovate

wings or loss and replacement of

0:09:140:09:17

prison officer numbers. And

critically, resources. Having seen

0:09:170:09:22

the prison with my own eyes, there

is no doubt these are basic but

0:09:220:09:25

expensive requirements. In a written

answer to me, the Minister says

0:09:250:09:30

there is no plan to publish the cost

or programme of urgent works at HMP

0:09:300:09:34

Liverpool. Will he agree with me

that is a vital we now have

0:09:340:09:39

transparency across our prison

network and the improvements that

0:09:390:09:43

are necessary, if we are to see a

real change?

I'm grateful to the

0:09:430:09:49

Gentleman, I know he knows Liverpool

Wharton Jail, as often called

0:09:490:09:53

locally, very well. I entirely

understand the point of his remarks

0:09:530:09:58

and I hope the ministry will reflect

upon that. The whole thrust of our

0:09:580:10:02

report is to say we need to shine

the light on transparency and

0:10:020:10:05

publicity on these matters. We've

also in a separate piece of work

0:10:050:10:10

have in hand and enquiry into the

shape of the prison population by

0:10:100:10:14

2020 and part of that is again

dealing with overcrowding. Our

0:10:140:10:20

recommendation is part of that,

getting the fabric right is

0:10:200:10:24

necessary, Wharton Jail, Liverpool

prison is one of the old Victorian

0:10:240:10:28

prisons and there is a real need for

work done there. If we are

0:10:280:10:33

publishing the public framework

arena on facilities maintenance, I

0:10:330:10:35

don't see why we should be able to

have similar publicity about the

0:10:350:10:39

capital works.

Thank you, deputy

Speaker. This is also a historic

0:10:390:10:45

opportunity. It's almost the first

time in more than 200 years of our

0:10:450:10:52

prison service in which we have had

an individual prison to base it on

0:10:520:10:57

the floor of the House. I'd like to

pay to reach to the Justice select

0:10:570:11:02

committee to bring this forward, the

situation in Liverpool prison was

0:11:020:11:05

genuinely shocking. It is very

disturbing and it's unbelievably

0:11:050:11:10

important that select committees,

inspectors, members of Parliament

0:11:100:11:14

hold us accountable for prisons.

These are closed communities, often

0:11:140:11:18

hidden away from the public. Often

in many areas, they can be forgotten

0:11:180:11:25

and without this scrutiny, standards

can drop and standards dropped very

0:11:250:11:28

seriously in the Liverpool prison.

The condition in itself is

0:11:280:11:32

unacceptable, the conditions with

which prisoners were treated was

0:11:320:11:36

unacceptable, the lack of purposeful

activity was unacceptable. We are

0:11:360:11:41

now addressing this very hard and

quickly, but there is still huge

0:11:410:11:45

lessons to be learned through the

system. I'd like to pay tribute to

0:11:450:11:48

the new governor. So, the new

governor has come in, she has taken

0:11:480:11:53

ourselves out of commission and is

very clear both that she has cleaned

0:11:530:11:58

the prison but also that her

objective over the next six months

0:11:580:12:02

is to get those cells into a smart,

good condition. We now have the

0:12:020:12:07

money in place to put new windows in

place and she is very focused on

0:12:070:12:09

making sure that the education and

employment activity is good. But

0:12:090:12:15

more generally, there are lessons

here right the way through the

0:12:150:12:18

prison system. We need to get the

basics right, there is no point

0:12:180:12:23

talking about rehabilitation or

dealing with reoffending and less we

0:12:230:12:28

have clean, decent safe spaces for

all prisoners. So, we want our

0:12:280:12:33

prisons to be smart and well

functioning. We're bringing in over

0:12:330:12:37

2000 more prison officers and that

will relieve some of the prison

0:12:370:12:42

estate pressures. But these are new

prison officers, they are going to

0:12:420:12:48

need training, the support until

they have the prison craft to be

0:12:480:12:52

able to deliver what we require.

More generally, we also need to

0:12:520:12:57

invest I believe a lot more in

training. Because prisons are

0:12:570:13:02

unbelievably complex environments,

the governor needs to have the

0:13:020:13:05

support, the training and I think

this could be months of training, to

0:13:050:13:08

make sure the governor is in

position to turn around the prison.

0:13:080:13:13

Training needs to apply to uniform

staff and finally the role of the

0:13:130:13:18

inspector in the select committee

will be vital in improving

0:13:180:13:20

performance. And he very much, Mr

Deputy Speaker.

0:13:200:13:27

I am grateful to the Minister for

that response. He was very much on

0:13:270:13:30

the case in recognising that we must

get basic things, basic willingness,

0:13:300:13:36

basic decency come a basic

maintenance, the ability to run a

0:13:360:13:40

regime where people can actually get

out to appointment is for health

0:13:400:13:46

care. All of that is critical.

Unless we turn those things around,

0:13:460:13:50

we face a crisis in our prisons. I

look forward to working with him on

0:13:500:13:54

those matters, especially if he will

take up our recommendations with

0:13:540:13:58

regards to the Inspectorate. I can

say that this is a case of a small

0:13:580:14:06

investment paying off in the

long-term.

I rise to speak in my

0:14:060:14:10

role as co-chair of a Parliamentary

group. While I welcomed the report,

0:14:100:14:18

it is is that the Justice committee

did not take evidence from union

0:14:180:14:25

representatives. I understand that

maintenance contractors refused to

0:14:250:14:31

undertake pest control at HMP

Liverpool. The previous governor,

0:14:310:14:36

who is also not called to give

evidence, had to use is already hard

0:14:360:14:40

pushed Budget. The autonomy is a

convenient cover for the prison's

0:14:400:14:52

state.

The select committee engaged

with the POA on a number of

0:14:520:14:58

occasions, and on an ongoing basis

will stop secondly, the issues in

0:14:580:15:04

relation to facilities maintenance

were examined in some detail as far

0:15:040:15:07

as that matter is concerned. We

indicate a report that we are not

0:15:070:15:13

satisfied with the outcome is and

intends to return to that. Thirdly,

0:15:130:15:16

it was specifically not the role to

examined the position of the

0:15:160:15:22

previous governor going forward. We

had evidence from the current

0:15:220:15:33

governor as to what is happening

now. We did not think that going

0:15:330:15:36

back into the history would be

constructive. We are trying to make

0:15:360:15:42

sure that this state of affairs does

not occur again.

One of the most

0:15:420:15:46

distressing aspects of this report

is its relationship to health care.

0:15:460:15:51

My honourable friend has spoken

about health care. Does he, like me,

0:15:510:15:58

share the view that we have no

confidence in the partnership

0:15:580:16:03

agreement that is going to be

brought forward, because one thing

0:16:030:16:06

it will not do is to get prisoners

out of their cells to attend

0:16:060:16:10

appointments?

He is right. I am

grateful to him for his work on the

0:16:100:16:17

select committee on this and many

other reports. That is why we are

0:16:170:16:19

calling for the partnership

agreement to be published, so we can

0:16:190:16:25

actually examine it. At the moment,

we cannot be satisfied it is fit for

0:16:250:16:28

purpose. Previous partnership

agreements have broken down, so we

0:16:280:16:33

need to know how this will be

different both in its structure and

0:16:330:16:39

how it will operate, to have the

reassurance we will not have a

0:16:390:16:41

repetition of what happened in the

past.

Let me congratulate the chair

0:16:410:16:48

and the members of the committee for

what is an excellent and timely and

0:16:480:16:52

important report. If we are to move

out prison estate from being simply

0:16:520:16:57

places of detention in whatever

apparatus condition, to where

0:16:570:17:07

rehabilitation is key, which is what

prisons have to be. While this moves

0:17:070:17:12

us forward, we have a lot of journey

to travel. There does need to be

0:17:120:17:17

something that can reconcile whether

we are delivering the policy of

0:17:170:17:22

health care and education and all

the other things that are necessary

0:17:220:17:26

inside a prison to allow how young

men to come out and be acceptable

0:17:260:17:30

citizens.

He is absolutely right. I know how

0:17:300:17:35

closely he has followed this as a

police and crime Commissioner in his

0:17:350:17:41

part of the world. This is a useful

step forward, but I don't pretend it

0:17:410:17:47

can be more than that. It has to be

part of a system exchange, and I

0:17:470:17:53

hope it drives that. We have to look

at a long-term strategy of what the

0:17:530:17:59

purpose of our prisons is.

I thank

him and his committee for their

0:17:590:18:04

report. When the Care Quality

Commission goes into investigate

0:18:040:18:07

local hospitals, it makes a

recommendation, and goes back at a

0:18:070:18:10

later date to see whether those

recommendations have been

0:18:100:18:14

implemented. I can't see why that

cannot take place with prisons. It

0:18:140:18:20

is alarming that the information

from the prison to the head of the

0:18:200:18:26

prison service was so inaccurate.

Given the speed of the report, witty

0:18:260:18:29

encourage the Minister to be equally

quick in responding to the findings

0:18:290:18:34

is committee has delivered?

The

quick answers are yes, yes, yes and

0:18:340:18:40

yes. I'm sure the Minister will be

quick in doing that. I'm sure it

0:18:400:18:59

will be similar to an Ofsted report

or a CQC report where they will not

0:19:010:19:06

be ignored for very long.

I thank

the committee for their quick action

0:19:060:19:13

and their quick reports. We must not

forget how we arrived at this

0:19:130:19:15

situation. Pleased about the

announcement sometime ago about

0:19:150:19:21

recruiting an extra 2500 prison

officers, but we must not forget we

0:19:210:19:26

lost 7000. there is a 4500 gap. The

nature of the inmates changed. We

0:19:260:19:42

have had all of the historical

sexual abuse cases, with different

0:19:420:19:44

health needs than and prisoners that

were already in prison. There have

0:19:440:19:55

been drains on the resources. At the

same time, the loss of those 7000

0:19:550:20:03

meant there were spikes in drugs.

Morale went down with the loss of

0:20:030:20:11

those prison officers. When we

started to recruit, a baggage

0:20:110:20:16

handler could be paid more than a

new recruit. It is important that

0:20:160:20:22

when we do recruit, and we are

recruiting now, when we do recruit

0:20:220:20:27

that they are trained properly. Not

a week or something like that, but

0:20:270:20:32

months. It is resources that are

needed. Money is important, but it

0:20:320:20:40

is also how that money is used.

Contract management, there has been

0:20:400:20:45

absolutely no contract management

from what I can see. I called for a

0:20:450:20:51

debate on mental health in prisons,

and it didn't appear that there was

0:20:510:20:57

any communication between the

prisons and the Health Service. The

0:20:570:21:01

contract was awarded, money given,

no monitoring of the contracts. As

0:21:010:21:05

the chair of the Justice select

committee said, it is about systems,

0:21:050:21:11

about getting them right. It is also

about resources, getting the right

0:21:110:21:16

people in, training them.

Excellent.

I very much welcome the honourable

0:21:160:21:25

lady back to the committee, where

she has served before. I am glad

0:21:250:21:30

she's back with us once more. It is

quite right that we have to look at

0:21:300:21:35

all of these issues, there is no

silver bullet to address that. We

0:21:350:21:40

need a comrade 's plan. I urge the

Government -- we need a

0:21:400:21:46

comprehensive plan. I look forward

to working to achieve that.

0:21:460:21:55

Staffing, resources, training,

morale, management and proper

0:21:550:22:00

contract management are all part of

the mix that we will need to

0:22:000:22:02

address.

Motion number one on

estimates. Minister to move. Thank

0:22:020:22:15

you. The question is as the order

paper. There is a lot of enthusiasm

0:22:150:22:27

here! I'm not sure we need this

estimate. I think we will say the

0:22:270:22:31

ayes have it. We now come to the

backbench. A backbench motion on the

0:22:310:22:40

role of disabled people in economic

growth. Up to 15 minutes speaking.

0:22:400:22:45

Many thanks. I would like to pay to

be to give the backbench Business

0:22:450:22:52

Committee for enabling this

extremely important debate to take

0:22:520:22:54

place today. Mr Deputy Speaker,

before I begin, I want to pay

0:22:540:23:00

tribute to the many organisations

that continuously championed the

0:23:000:23:06

rights of people with disabilities

across the UK. Without their

0:23:060:23:10

injuring commitment, we would not be

debating this important issue today.

0:23:100:23:14

-- enduring commitment. I want to

pay to beach to Leonard Cheshire and

0:23:140:23:21

disability rights UK

0:23:210:23:31

pay to beach to Leonard Cheshire and

disability rights UK. There are

0:23:310:23:35

dedicated medics that contributed to

the all-party parliamentary groups

0:23:350:23:41

ahead of the enquiry report. Since

commissioning the report, the

0:23:410:23:48

disability all-party Parliamentary

group has been pressing the

0:23:480:23:51

Government to address the disability

employment gap as a matter of

0:23:510:23:55

urgency. I know the minister today

is open and willing to listen to the

0:23:550:24:00

report's suggestions. Mr Deputy

Speaker, the backbench debate is a

0:24:000:24:06

significant step forward in the

fight for equal rights for disabled

0:24:060:24:11

people. To my knowledge, this is the

first time that people with

0:24:110:24:15

disabilities will be debated in the

main chamber with a focus on their

0:24:150:24:23

abilities and as contributors to our

economy, not as employees but also

0:24:230:24:27

as entrepreneurs and business

leaders.

Would she agree with me

0:24:270:24:35

that many employers need education,

particularly those with mental

0:24:350:24:43

health issues, as many employers are

scared or reluctant to take on such

0:24:430:24:53

issues.

I thank him for his

contribution. I think it is an

0:24:530:25:00

extremely important contribution.

Just prior to this debate, only

0:25:000:25:04

yesterday, I was contacted by a

number of people and organisations

0:25:040:25:08

reminding me to highlight that very

issue. People with mental health

0:25:080:25:12

difficulties and people with not

apparent disabilities find it

0:25:120:25:23

difficult to raise awareness of

their disabilities and the

0:25:230:25:25

adjustments they require. We need

heightened awareness amongst

0:25:250:25:31

employers and Parliament, I may

suggest, to make sure that we can

0:25:310:25:38

harness the skills and potential of

everyone for our economy. I thank

0:25:380:25:42

the honourable gentleman. All too

often, people with disabilities are

0:25:420:25:48

portrayed as passive and and willing

to work. However, this could never

0:25:480:25:52

be further from the truth. I want to

use this debate to change the

0:25:520:25:56

narrative. I want to see meaningful

action rather than research and

0:25:560:26:04

rhetoric. I want to see a welfare

system that treats people with

0:26:040:26:08

disabilities as a willing and able

workforce. I want to see

0:26:080:26:12

improvements in current access

routes, the development of work

0:26:120:26:18

those cultures that reflect a

genuine appreciation on the part of

0:26:180:26:22

employers to the positive

contributions that people with

0:26:220:26:26

disabilities make. I want to see

accredited business schemes that no

0:26:260:26:30

further than ticking boxes. While I

might not be able to cover all of

0:26:300:26:35

these points in my speech today, I

know colleagues cross-party around

0:26:350:26:38

the benches will be passionately

advocating similar policy changes

0:26:380:26:46

and attitude changes which are much

needed. I hope the Minister will

0:26:460:26:49

take on board everyone's suggestions

here the date, and they will make

0:26:490:26:54

progress going forward. I want to

start my speech on a positive,

0:26:540:27:00

uplifting note. I have been

absolutely heartened hearing

0:27:000:27:03

accounts of disabled entrepreneurs,

employees and businesses that are

0:27:030:27:08

champions of their fields in the

past few weeks was dubbed I would

0:27:080:27:14

like to share some examples today. A

tech entrepreneur recently run an

0:27:140:27:21

award for disabled entrepreneurs,

run in conjunction with Leonard

0:27:210:27:25

Cheshire disability. After creating

a video diary app that supports

0:27:250:27:30

people to manage their mental

health, called Mental Snap. They can

0:27:300:27:38

rate their mood and named their

feelings. It is innovation at its

0:27:380:27:45

finest, I applaud her for creating

the app which will help so many

0:27:450:27:50

people moving forward. A business

leader that owns his own sock

0:27:500:28:01

company that made several million

pounds in its first year. Its owner

0:28:010:28:05

has Down's syndrome. He runs the

company in conjunction with his

0:28:050:28:18

father and is the face of the brand.

He is a business leader and manager.

0:28:180:28:22

Nearly a third of his staff have

disabilities. He is a businessman,

0:28:220:28:31

and therefore is looking for good

0:28:310:28:35

disabilities. He is a businessman,

and therefore is looking for good,

0:28:350:28:36

reliable workers, and he believes

the disabled community have a vast

0:28:360:28:39

and untapped pool of workers. There

are also benefits to a diverse

0:28:390:28:46

workforce. Channel 4 and Sainsbury

is a good examples of inclusive

0:28:460:28:51

employers. Sainsbury's and Channel

4's workplace adjustment guide is

0:28:510:28:57

second to none top both companies

choose to focus on positive aspects

0:28:570:29:02

of making adjustments, rather than

their legal duty and minimal

0:29:020:29:07

requirements to do so. Most

importantly, these policies are

0:29:070:29:10

dissed to be did to all line

managers so everyone is aware of the

0:29:100:29:16

adjustments they are entitled to

creating, and inclusive implement

0:29:160:29:21

and environment workforce so that

employees and the companies output

0:29:210:29:26

can thrive.

0:29:260:29:30

Channel 4 goes further by issuing

passports for employees after

0:29:300:29:34

receiving a workplace adjustment, so

when they move into a new roller or

0:29:340:29:39

perhaps their line manager changes,

the passport can be referred to and

0:29:390:29:44

used in all future discussions with

the new line managers. Whilst there

0:29:440:29:48

are many other great examples of

disabled business owners and

0:29:480:29:53

entrepreneurs and also inclusive

employers, I wanted to highlight

0:29:530:29:57

these particular three. Each example

shows that in every corner of our

0:29:570:30:03

economy, in every type and size of

business, inclusivity should be

0:30:030:30:07

championed. Not just for ethical

reasons, but also because it makes

0:30:070:30:12

good business and economic sense to

do so.

I thank her for securing this

0:30:120:30:21

debate and also for the examples is

given about the good practices in

0:30:210:30:25

certain organisations, but is she

aware that only 16% of people with

0:30:250:30:31

autism are in full-time employment

and only 30% of autistic adults are

0:30:310:30:36

any kind of employment at all and

will she agreed with me much more

0:30:360:30:38

needs to be done to close the

employment gap in autism?

I thank my

0:30:380:30:45

colleagues for that extremely

important intervention. And for

0:30:450:30:51

highlighting the autism employment

gap, which is far too large, much

0:30:510:30:54

larger even than the disability

employment gap. We much make extra

0:30:540:31:00

strides to support people with

autism into work because they have

0:31:000:31:02

great skills and abilities. And they

will be fantastic tribute to our

0:31:020:31:09

economy given appropriate

opportunities to do so.

I'm grateful

0:31:090:31:14

for giving way and for securing this

important debate. I would like to

0:31:140:31:18

salute the work she does on

disability. I sit on the Work and

0:31:180:31:26

Pensions select committee and one of

the things we are looking at the

0:31:260:31:29

moment is how employers, work

coaches, and people with disability

0:31:290:31:37

can better understand the assistive

technology emerging. Does she think

0:31:370:31:41

that we could do more to bring those

three interested parties together to

0:31:410:31:47

help people to enter and stay in the

workforce?

I thank him for a very

0:31:470:31:52

important intervention. I am not a

technical buff myself, but I'm

0:31:520:31:57

always heartened when we can see

technology assisting people to

0:31:570:32:03

achieve their potential into work

and I think it is extremely

0:32:030:32:05

important example he is giving. We

need collaboration to dig those

0:32:050:32:09

issues forward. Thank you. Mr Deputy

Speaker, examples of best practice

0:32:090:32:16

are exactly that, examples to aspire

to, and as uplifting as they are,

0:32:160:32:20

they are not a true reflection of

the experience of many disabled

0:32:200:32:25

people. They do not reflect the

systemic problems and barriers faced

0:32:250:32:29

by people with disability looking

for work or trying to retain it, and

0:32:290:32:33

it is time for Parliament to

question why these practices in

0:32:330:32:36

moving forward and in developing

inclusivity are not more

0:32:360:32:40

commonplace. In 2017, a report was

published which found that one in

0:32:400:32:48

two people with disabilities had

experienced bullying and harassment

0:32:480:32:51

in work and felt that they could no

longer take place in work

0:32:510:32:57

comfortably, and over half, 58%,

felt the risk of losing their jobs,

0:32:570:33:02

so not only is it about getting

people into work, but ensuring an

0:33:020:33:06

environment which maintains people

in work and helps them to achieve

0:33:060:33:10

their potential throughout. Disabled

people also have to apply for more

0:33:100:33:16

jobs than non-disabled people before

finding one. Research has indicated

0:33:160:33:22

almost up to 60% more jobs have to

be applied for. Lauren Pitt, in

0:33:220:33:29

2017, reported to the Independent

she had to apply for over 250 jobs

0:33:290:33:34

before securing one, so something is

obviously not working correctly and

0:33:340:33:38

we must ensure that employers are

open to employing people with

0:33:380:33:43

disabilities. Seeing their skills.

Seeing their ability and value to

0:33:430:33:46

the workplace and the economy. The

disability employment gap is large

0:33:460:33:51

and enduring for the most recent

figures from 2017 showed the gap

0:33:510:33:58

currently stands at 31.4%. 80% of

non-disabled people of working age

0:33:580:34:04

are in work, but the figure for

people with disabilities is just

0:34:040:34:09

49%. This has routinely been

recognised by the Government and, in

0:34:090:34:14

the 2015 manifesto, they committed

to having this disability employment

0:34:140:34:18

gap, but research from the all-party

Parliamentary group shows, on the

0:34:180:34:23

basis of progress to September 2016,

this would have taken 49 years to

0:34:230:34:28

achieve. The 2017 manifesto replaced

this commitment with a new

0:34:280:34:35

commitment to get 1 million more

disabled people into work in the

0:34:350:34:37

next ten years. Analysis shows this

new target is weaker and likely to

0:34:370:34:43

be met perhaps because of the number

of disabled people within the

0:34:430:34:48

working age population itself

increasing. This means that even

0:34:480:34:51

though local Government could meet

their new target, the size of the

0:34:510:34:55

disability employment gap may not

actually fall and this is something

0:34:550:34:59

that we must take account of. Most

of the Government's proposals for

0:34:590:35:06

reaching the more attainable

commitment are published within the

0:35:060:35:08

command paper improving lives, and

brief look at this paper shows

0:35:080:35:13

almost all of these policies are

dependent on further research and

0:35:130:35:17

pilot schemes and cost of very

little to run. So I would ask that

0:35:170:35:21

we have adequate resourcing and

prioritisation. We cannot afford to

0:35:210:35:25

sit and wait. Unemployed people with

disabilities are entitled to the

0:35:250:35:32

same opportunities now as everyone

else. Our economy cannot afford to

0:35:320:35:36

sit and wait either. Scope estimated

using the employment gap for

0:35:360:35:43

disability by just 10% and generate

a further £12 billion to the

0:35:430:35:48

exchequer by 2030, so this makes

absolute economic sense. Finding a

0:35:480:35:53

solution to the problem goes

significantly beyond the

0:35:530:35:57

Government's current focus on

welfare and benefits. Instead, we

0:35:570:36:02

will not see significant increases

in the number of disabled people in

0:36:020:36:05

employment unless employers can be

in courage to increase their game

0:36:050:36:09

and acknowledge the positive

contribution that people with

0:36:090:36:12

disabilities make in the workplace

and develop new workplace cultures

0:36:120:36:15

and practices that are

accommodating. Reasonable

0:36:150:36:19

adjustments are key. I will very

briefly...

Very briefly, just to

0:36:190:36:28

support what she is saying about the

businesses, does she think that

0:36:280:36:33

there may be a case for having

larger employers report on the

0:36:330:36:40

proportion of their workforce that

has a disability, so that we can see

0:36:400:36:43

those larger employers that are not

pulling their weight and taking

0:36:430:36:47

advantage of the high quality

disabled employees in the market?

0:36:470:36:53

Yes, I agree entirely with the

honourable gentleman on that point,

0:36:530:37:00

and it is particularly concerning

that the Office for National

0:37:000:37:03

Statistics has suspended publication

of disability statistics from the

0:37:030:37:06

labour Force survey, so I think

that's something we should be

0:37:060:37:09

ensuring is taken forward. It is in

an employer's self-interest to make

0:37:090:37:16

a difference in this area, not least

because it gives a solution to the

0:37:160:37:21

labour market problems likely to

face the country in tighter controls

0:37:210:37:25

on the free movement of people. The

UK currently has a skills shortage

0:37:250:37:29

that will become more profound once

we leave the European Union. Indeed,

0:37:290:37:35

KPMG recently published figures

indicating almost 1 million EU

0:37:350:37:39

citizens, many highly qualified,

planning to leave following Brexit.

0:37:390:37:45

We already have a willing workforce

of people with disabilities whose

0:37:450:37:50

skills are undervalued, who should

be trained in sectors that are

0:37:500:37:53

developing and which are much needed

for the future. Health and tech

0:37:530:37:59

sectors are extremely important. It

is fundamentally a labour supply

0:37:590:38:03

issue full for the Government will

not be able to deliver on its

0:38:030:38:08

industrial strategy if it does not

have the capacity to do so. So we

0:38:080:38:11

need to train our working workforces

across the UK and see more

0:38:110:38:18

investment in apprenticeships and

targeted widespread advertising and

0:38:180:38:21

of current access to work schemes to

encourage the business community to

0:38:210:38:26

utilise their workforce. The new

commitment in the industrial

0:38:260:38:30

strategy is to increase the

proportion of apprenticeships

0:38:300:38:32

starting by people with disabilities

by 20% and I commend the Minister,

0:38:320:38:38

but it is not enough, it is part of

the solution. The Government

0:38:380:38:44

acknowledges this critical role for

employers but its main policy with

0:38:440:38:46

regards to this is to encourage or

employers to sign up to confidence

0:38:460:38:51

schemes forth as I've argued

previously in Parliament, the

0:38:510:38:55

evidence from disability confidence

is variable, it shows the scheme

0:38:550:39:00

does not refer enough and result in

enough people being employed and it

0:39:000:39:04

is particularly worrying therefore

that improving lives command paper

0:39:040:39:07

uses this scheme is one of its

central policies for achieving

0:39:070:39:10

targets. The all-party Parliamentary

group points out a number of

0:39:100:39:16

alternative bold new policy

initiatives the Government should

0:39:160:39:19

pursue. These include using public

film and contracts as leveraged by

0:39:190:39:24

stipulating that such contracts will

only go to firms which monitor

0:39:240:39:28

disabled people's employment and

commit to adopting an inclusive

0:39:280:39:34

approach to employment and retention

policies and to that end, Government

0:39:340:39:37

initiatives should think of people

with disabilities not just as

0:39:370:39:41

employees but entrepreneurs and

business leaders also. The

0:39:410:39:45

Government must ensure disabled

entrepreneurs receive the support

0:39:450:39:47

they need from business advisory

networks such as the Federation of

0:39:470:39:52

businesses and local chambers of

commerce. And the financial support

0:39:520:39:55

that they need from bodies such as

innovate UK and the British business

0:39:550:40:00

bank. Mr Deputy Speaker, I refer to

two examples of entrepreneurs with

0:40:000:40:06

disabilities Ilia and the notion

disabled people can be business

0:40:060:40:09

owners and entrepreneurs as one as

employees was completely missed by

0:40:090:40:13

the improving lives paper. We must

ensure disabled people are not

0:40:130:40:18

pigeonholed into one sector and have

the opportunity to choose their own

0:40:180:40:22

future and be masters of their

lives, and that is why the access to

0:40:220:40:26

work scheme should also apply to

start-ups, to accommodate the talent

0:40:260:40:30

and innovation of people with

disabilities. The Government must go

0:40:300:40:35

further and find a specialist advice

services about taxation and benefits

0:40:350:40:39

for people with disabilities who

want to explore the opportunities of

0:40:390:40:43

self-employment. As I have laid out

today, the solutions are there and

0:40:430:40:48

every corner of the economy, if

action is taken the benefits could

0:40:480:40:54

be felt by all in society

immediately but for this to happen

0:40:540:40:57

we need to change the current

narrative so that good policy is put

0:40:570:41:03

into practice. So my constituents

and those of other honourable

0:41:030:41:06

members throughout the land

recognise that we do need to tap

0:41:060:41:11

into the underutilised and important

human resource of people with

0:41:110:41:14

disabilities who are willing and

able to work. The workforce is there

0:41:140:41:18

and ready and it will only grow when

we leave the European Union. It in

0:41:180:41:25

the self-interest of employers,

Government, of everyone to engage

0:41:250:41:29

with this agenda and to accommodate

a diverse and inclusive workforce.

0:41:290:41:37

There are far too many disabled

people who are facing no real

0:41:370:41:40

prospect in today's job market. This

is simply unsustainable and, quite

0:41:400:41:48

frankly, bad economics. So I am

pleased to have been able to bring

0:41:480:41:50

this debate to the chamber today and

I look forward to hearing from other

0:41:500:41:56

colleagues's experiences and I look

forward to working together as part

0:41:560:42:01

of the Parliamentary group for

disability across the House in

0:42:010:42:04

taking this extremely important

issue forward.

The question is as on

0:42:040:42:09

the order paper.

Thank you, Mr

Deputy Speaker Fulston I shall try

0:42:090:42:14

to be better behaved today. I'm

truly grateful to the honourable

0:42:140:42:18

lady for East Kilbride for leading

this afternoon 's debate and for the

0:42:180:42:21

tone she strikes and her

constructive ideas. This follows a

0:42:210:42:24

valuable Westminster board debate

tabled by the Member for South

0:42:240:42:29

Perthshire on the government's

disability confidence scheme which

0:42:290:42:31

she also made a thoughtful

contribution to. During that debate,

0:42:310:42:34

members highlighted some of the

economic opportunities before us if

0:42:340:42:38

we increased participation of

disabled people in the workplace. We

0:42:380:42:41

also focused on barriers to

employment, the disability

0:42:410:42:44

employment gap, and the access to

work scheme and as such, I shan't go

0:42:440:42:48

into the subject again be on

suggesting that the disability

0:42:480:42:51

employment gap is an issue every

business and other workforce diverse

0:42:510:42:55

have as a challenge. That a lack of

employment awareness of the support

0:42:550:43:01

available and we ought to lead in

publicising the Government

0:43:010:43:04

assistance and in this vein I have

now signed up as a disability

0:43:040:43:07

employer and have discussed at my

local job centre the possibility of

0:43:070:43:11

offering a work placement for local

disabled job-seekers with an

0:43:110:43:13

interest in politics. This afternoon

however I wish to focus on economic

0:43:130:43:18

costs if we fail to unlock the

potential of disabled people of all

0:43:180:43:22

ages as well as economic power of

disabled people as both an active

0:43:220:43:25

consumer group and as a motivation

to develop new assisted technologies

0:43:250:43:29

with broader application to a

growing elderly population. I have

0:43:290:43:33

previously highlighted the case love

two artistic constituents who

0:43:330:43:36

desperately want to work but

struggle with the initial stage of

0:43:360:43:39

any new job. But in the past few

weeks I've met families of autistic

0:43:390:43:43

children who believe that early

0:43:430:43:55

support intervention as Woody must

be focusing our attention. I

0:43:560:43:58

recently visited first step, local

charity which provide intensive

0:43:580:44:00

development full support to

preschool children. It can be a huge

0:44:000:44:02

shock to parents to discover their

child has a disability. It they

0:44:020:44:04

assess and not just the development

of a child of supporting parents

0:44:040:44:07

themselves in a very non-judgemental

environment. Caring for a child

0:44:070:44:09

disabilities conveys a huge

financial strain on a family

0:44:090:44:11

particular parents need to take time

off work and do not have the right

0:44:110:44:13

support network in place. However,

in the words of one local parent, a

0:44:130:44:16

failure to develop a child is not

only a moral mistake, but also an

0:44:160:44:20

expensive financial one.

0:44:200:44:27

With no support, they will be left

in adult daycare centres or worse.

0:44:270:44:31

Too often, local authority support

is either entirely absent or limited

0:44:310:44:36

and patchy. It increases the chance

of economic participation when that

0:44:360:44:47

child reaches adult hood and reduces

the need for adult services later in

0:44:470:44:51

life. We also need steady

improvements to the transport

0:44:510:44:56

system. The less daunting it is to

leave home, the more disabled people

0:44:560:45:00

will be able to participate in the

economy by working and spending. I

0:45:000:45:06

support several campaigns. I would

be appreciative if the Minister

0:45:060:45:13

could apply pressure on the Mayor of

London to improve facilities.

0:45:130:45:30

Finally, with the advent of new

assistive technologies, there is

0:45:300:45:34

greater scope than ever before for

disabled people to contribute to

0:45:340:45:39

growth. As the financial Times

suggested in a recent article, 1

0:45:390:45:46

billion people across the world have

some form of disability. As people

0:45:460:45:49

live longer, often with conditions

that reduce their ability to use

0:45:490:45:54

their hands or coordinate, the

market will grow sharply, meaning

0:45:540:45:58

that accessibility is important.

0:45:580:46:09

Technology will be vital not just in

terms of quality-of-life but in

0:46:120:46:14

making it easier for disabled people

to participate fully in the

0:46:140:46:17

workforce. Disability sport has in

recent years been critical of

0:46:170:46:25

changing perceptions of people with

disabilities. I hope that

0:46:250:46:29

technological advances could help

but Judge -- help that trajectory.

0:46:290:46:45

I should be most grateful to the

Minister if she could update the

0:46:450:46:48

House on how the Government is

promoting accessibility, and would

0:46:480:46:54

also appreciate her views on early

investment and transport.

I would

0:46:540:47:04

like to pay tribute to my honourable

friend, the chair. It is an issue on

0:47:040:47:18

and off that I've been working in

for over 20 years. So it's quite

0:47:180:47:23

interesting to see that, despite all

the efforts that many people have

0:47:230:47:28

made over the years, we have just

under 4 million people with

0:47:280:47:33

disabilities that are called

economically inactive, which means

0:47:330:47:38

they are of a working age to be

implied but are not. -- to be

0:47:380:47:44

employed. I have been working with

people to support John Major in

0:47:440:47:52

getting the DDA, which is a game

changer. This meant there was a

0:47:520:48:01

regulatory framework, meaning you

could not discriminate against

0:48:010:48:05

disabled people in goods and

services educate not discriminate

0:48:050:48:09

against people in employment. The

reason that was a game changer as

0:48:090:48:18

often discrimination is tacit and

nuanced. It could be the poor you

0:48:180:48:26

model, you poor, brave disabled

person. We don't mean to do that, it

0:48:260:48:36

is part of human nature, a lack of

understanding. It can be difficult

0:48:360:48:41

to break through. It still can be,

sadly, although I do believe there

0:48:410:48:45

has been some progress over the

years. One area of the DDA that

0:48:450:48:51

worked well this on goods and

services. The reason for that is if

0:48:510:48:56

I'm in arrest and and I don't put a

ramp outside -- if I own a

0:48:560:49:04

restaurant, and I don't put a wrap

outside and someone with a

0:49:040:49:08

wheelchair cannot get in, they can

sue me. Often when you make

0:49:080:49:19

something accessible, you make more

than enough money to pay for the

0:49:190:49:21

cost of the access ability. It is

harder with employment. Particularly

0:49:210:49:29

if you are disabled and you are

applying for a job. If you are

0:49:290:49:33

someone who works for a company and

acquire a disability, the DDA and

0:49:330:49:39

also the broader knowledge now, I

think, means that businesses, either

0:49:390:49:46

in the public or private sector, are

likely to make the necessary effort

0:49:460:49:49

to keep you in the job. What is

harder is if you have a disability

0:49:490:49:58

is to get over the threshold to get

that job. That is a difficult one.

0:49:580:50:03

It is something that I struggled

with many years ago, with some very

0:50:030:50:07

good disability consultants who have

done so much over the years. The

0:50:070:50:23

four of us work for many years in

this area with the employers Forum

0:50:230:50:29

on disability and others to try to

break through. It was difficult. It

0:50:290:50:35

is interesting since I've lost the

election, been away at a comeback,

0:50:350:50:40

and again the committee is going

great guns. To be honest, Mr Deputy

0:50:400:50:55

Speaker, I still feel a little bit

downhearted. It is not my nature.

0:50:550:50:59

Anyone who is liberal and

downhearted is in the wrong party,

0:50:590:51:03

they are in the wrong party. You

have to be an optimist was. It can

0:51:030:51:15

be a game changer. One of the

utility companies, one of the big

0:51:150:51:23

ones, had a call centre in north

London. I'm sure the members of the

0:51:230:51:32

House no that they turn over you

have in call centres is very high

0:51:320:51:37

because it is a difficult job. With

a number of others, I worked with

0:51:370:51:42

this utility to persuade them to

take on 15 people with disabilities

0:51:420:51:48

as call centre agents. It was hard

work, but to give them that you

0:51:480:52:03

, they did their best. People often

just left the carpet and sweep

0:52:040:52:10

people with disabilities under the

carpet. That is something that I

0:52:100:52:16

found very frustrating and it made

me very angry. With this call

0:52:160:52:23

centre, they did finally agree, and

we found the right number of

0:52:230:52:28

disabled staff to be interviewed, 15

or so were hired. What I can tell

0:52:280:52:37

you is that, a year later, 14 of

them were still there. Two years

0:52:370:52:43

later, there were still 14 of them.

One of the fundamental advantages of

0:52:430:52:48

hiring disabled staff, in my view,

is that they will actually offer me

0:52:480:52:53

more reliable work than non-disabled

people. It makes the business case

0:52:530:53:01

for hiring disabled people very

strong. They will need some

0:53:010:53:06

guidance, some support, not least

because their disability, take my

0:53:060:53:13

own disability of hearing loss, I

need a hearing loop. It is a matter

0:53:130:53:20

of providing the right facilities

for that disabled person so they can

0:53:200:53:28

shine. The bigger issue is the quiet

discrimination of either they're not

0:53:280:53:37

being capable or, you don't have to

deal the situation, and those things

0:53:370:53:45

are difficult to change. So where

are we at? The report on improving

0:53:450:53:52

lives is important because it

highlighted some of the figures. 3.7

0:53:520:53:57

million economically inactive, as I

mentioned. Another figure was that

0:53:570:54:00

if you take out 1% of ESA, of

disabled people not receiving ESA

0:54:000:54:08

because they have gained employment,

it would save the Exchequer 250

0:54:080:54:14

million and boost the economy by a

further 260 million. So half £8

0:54:140:54:20

billion. That seems important for

making that bit of extra help to get

0:54:200:54:28

people into jobs. -- half a billion

pounds. I have already mentioned the

0:54:280:54:35

disability challenges, but if you

have been out of work for many years

0:54:350:54:38

it is hard to get back into work.

With the right levels of support, it

0:54:380:54:43

is transformational for those

individuals and their families. A

0:54:430:54:48

recent report by Joseph Rowntree

found that half of households in

0:54:480:54:54

poverty have at least one disabled

member of the House. It is one of

0:54:540:54:58

the reasons why we know that getting

people into jobs and out of the

0:54:580:55:06

cycle of poverty is the key reason

we're here. Is not just enough to

0:55:060:55:19

say we need things. I have been here

four years. Well-meaning isn't

0:55:190:55:23

enough. It needs regulation. The

DDA, the of conservative Prime

0:55:230:55:33

Minister John Major introduced ...

I'm tremendously grateful for what

0:55:330:55:43

he did. It allowed for change. When

you have emotional attitudes, you

0:55:430:55:51

often don't realise that you could

be wrong or you could be

0:55:510:55:54

discriminating. That is why there

are certain times, even as a

0:55:540:56:01

liberal, you need to bring in

legislation. DDA is one, seat belt

0:56:010:56:10

is another. I have been here long

enough to remember the uproar around

0:56:100:56:14

seat belts. You had to wear a seat

belt, if not you got busted by the

0:56:140:56:17

law was up since then, the number of

people dying from car accidents has

0:56:170:56:24

plummeted. It is the same with

disability. What we need more with

0:56:240:56:33

the DDA, I believe is the need to be

greater incentives for people to

0:56:330:56:47

recruit disabled people. You need to

be as perceptive as this to break

0:56:470:56:50

this logjam. I think the need for it

is more than ever because, with

0:56:500:56:55

Brexit, whatever side of the divide

we sit on, we know that there will

0:56:550:56:59

be substantial people's shortages in

employment in the coming years. A

0:56:590:57:07

recent report identified that Tier

two occupations, there would be 32

0:57:070:57:14

areas of Shoreditch of staff. -- of

of shortage staff.

0:57:140:57:28

I think this government's decision

to change the work-related component

0:57:310:57:39

of ESA to mean that they would

receive a lot less money than they

0:57:390:57:43

had earlier is a really foolish and

short-sighted decision. There are

0:57:430:57:48

three areas of ESA, the support

group which means you have a

0:57:480:57:52

disability that is such that you

cannot work, and then their risk

0:57:520:57:58

basic ESA at the front end and in

the middle there was something which

0:57:580:58:06

recognised a disability that Pete

extra money above and beyond the

0:58:060:58:10

normal jobseeker's allowance because

it saw that your disability meant

0:58:100:58:13

that you faced further costs. It

also recognised you are ready to

0:58:130:58:19

work with support. You got people

into that frame of mind where they

0:58:190:58:26

were ready to take a risk, to leave

the structure of support ESA. Then,

0:58:260:58:36

after the coalition and the Liberals

were given a straight edge, George

0:58:360:58:41

Osborne quickly cut it. It was cut

by 30%. -- the Liberals were given a

0:58:410:58:59

defenestrated. If I did go for a

job, never underestimate how strong

0:59:030:59:11

fear is in those situations. With

edible encouragement, I will step

0:59:110:59:15

into the component, and a properly

tell me I am having my salary cut by

0:59:150:59:22

30%. I will do whatever it takes to

stay in the support group because

0:59:220:59:26

that is human nature. It is not

rocket science, it is what you would

0:59:260:59:33

do. It is what I would do, even

someone as intrepid as you would do

0:59:330:59:37

that, Mr Speaker. Because you can be

sure you have the money for the roof

0:59:370:59:44

over your head and your children. It

was a foolish idea, and I'm bitterly

0:59:440:59:50

disappointed the Government did it.

Clearly, not surprisingly, and I

0:59:500:59:54

know from my own constituency

mailbag, I have people try to get

0:59:541:00:03

back into the support group. I

support them.

1:00:031:00:09

I would like the disabilities

minister to address that and perhaps

1:00:091:00:13

take that to the Chancellor that it

was a bad idea and we can change it.

1:00:131:00:18

Finally, where are we act? Again,

I'm very grateful for the honourable

1:00:181:00:26

member for East Kilbride bring this

debate. It's important. It affects

1:00:261:00:33

hundreds and hundreds of thousands

of people across the country.

1:00:331:00:36

There's not an MP in this House who

will not have hundreds if not

1:00:361:00:40

thousands of disabled people in

their constituency. It is so

1:00:401:00:45

important. We know in this room, in

this chamber from our own casework

1:00:451:00:49

levels just how many people with

disabilities come and for help and

1:00:491:00:52

support. I would just love to see

this Government or a Government step

1:00:521:01:01

up and just do a DDA part to around

employment that absolutely said

1:01:011:01:09

businesses, private and public

sector, organisations, charities

1:01:091:01:11

have to do so and employ ex-member

of disabled people, to at least show

1:01:111:01:22

because I don't want it to be

tokenistic, people are disabilities

1:01:221:01:27

have tremendous skills about

opportunity, so maybe it would be

1:01:271:01:30

pleased to show you have systems and

processes that you have interviewed

1:01:301:01:37

a record number of people for every

job with disabilities. I know if

1:01:371:01:42

that happens, it will transform I

think the employment opportunities

1:01:421:01:49

for disabled people, it will

transform many, many millions of

1:01:491:01:53

families because of the poverty are

a lot of people live in, where one

1:01:531:02:01

or both parents are disabled, it be

a game changer that this nation

1:02:011:02:05

deserves and with Brexit coming up,

it could be possibly something

1:02:051:02:09

positive to come out from Brexit.

Many thanks, Mr Deputy Speaker.

1:02:091:02:14

Thank you very much.

I thank the

honourable lady for East Kilbride

1:02:141:02:21

for bringing this backbench debate

to the size. I'd also like to pay

1:02:211:02:27

tribute to my honourable friend the

Member for Hornchurch and Upminster

1:02:271:02:31

who was an actual friend as well,

and she made a very powerful speech

1:02:311:02:40

and she definitely still at least

half of the things I was going to

1:02:401:02:45

say. People often ask why do to go

into politics? I'm sure we all get

1:02:451:02:53

asked that and we all have many

reasons for going into politics, not

1:02:531:02:58

just one, but, for me, the most

important reason why I am in

1:02:581:03:03

politics is to enable everybody to

use their God-given talents whatever

1:03:031:03:10

they are in as best they way as they

can and contribute both for

1:03:101:03:16

themselves, their family, society

and the country and that is why I am

1:03:161:03:19

in politics and people with

disabilities are fully included

1:03:191:03:22

within that and that is why I think

this debate and this subject is of

1:03:221:03:28

critical importance. Now, there will

be those who say that many

1:03:281:03:36

disability benefits should be more

generous and in some ways they

1:03:361:03:40

probably should be. And I'm sure

that the Minister, because I know

1:03:401:03:47

her to strongly believe in this

brief, and the Treasury ministers

1:03:471:03:51

will always do what they can to make

up sure appropriate resources are

1:03:511:03:54

there to help those who need them.

But let's not kid ourselves. What is

1:03:541:04:02

really important, and the subject of

this debate is economic growth but

1:04:021:04:08

it's actually important for people's

well-being, for their lives, is the

1:04:081:04:12

opportunity to make the most of

themselves in a professional work

1:04:121:04:15

career capacity, that is critically

important, and so, yes, benefits are

1:04:151:04:21

critically important but we all

silly to do everything we can to get

1:04:211:04:24

everybody who has a disability into

appropriate work where possible. --

1:04:241:04:31

absolutely everything. That is what

I regard to be the heart of social

1:04:311:04:34

mobility. Now we often talk about

social mobility in this House, in

1:04:341:04:40

many different ways, in education

debates, higher education, in the

1:04:401:04:46

Treasury, business departments, all

over the place, and usually the way

1:04:461:04:50

we talk about social mobility as we

say there's an individual who has

1:04:501:04:55

usually come from a very poor

background and they've overcome the

1:04:551:04:59

odds, achieved something fantastic

and got to the top of a profession

1:04:591:05:02

and we should celebrate that. It is

what Britain is about but actually,

1:05:021:05:06

in my view, social mobility is

really more fundamental. It is about

1:05:061:05:10

ensuring that society uses the

skills and innate talents of those

1:05:101:05:17

who both, with and without

disabilities, to their fullest, that

1:05:171:05:24

is true social mobility, so that

everybody has the ability to use

1:05:241:05:29

their God-given talents and make the

most of their lives. So where are we

1:05:291:05:36

now for policy perspective,

governmental perspective? The

1:05:361:05:39

Conservative Party manifesto 2017, I

did read it, and that's a good thing

1:05:391:05:43

as a new candidate, I read a very,

very carefully, it stated, "One

1:05:431:05:49

million more people with

disabilities should be into

1:05:491:05:52

employment in the next ten years."

Now, by my calculation is, we need

1:05:521:05:58

to grow numbers, because people are

disabilities have fallen to 4.5

1:05:581:06:05

million people, over the next ten

years, in order to achieve that

1:06:051:06:10

target, it would mean a growth of

almost 30% on current levels, and I

1:06:101:06:14

think we would all agree on this has

that is a big task and something

1:06:141:06:19

that the Government and this party

is very focused on and in fact I

1:06:191:06:24

suspect from across the House we

will find agreement on that. What

1:06:241:06:29

does the Government aimed to do? In

November 2017, the Government set

1:06:291:06:34

out a 10-year plan to improve the

situation and to deliver on this

1:06:341:06:37

manifesto pledge and I'm sure the

Minister will elucidate on this plan

1:06:371:06:41

further and whether Government is

with it, but, in essence, it is, on

1:06:411:06:47

reading it, it appeared that the

main thrust of it appeared to be

1:06:471:06:53

linking up the welfare system, the

workplace and health care and in

1:06:531:06:58

particular, and this has already

been alluded to in this debate,

1:06:581:07:01

bringing in new technologies,

especially assistive technologies to

1:07:011:07:04

really help turbo-charge this growth

that we have been gradually seeing

1:07:041:07:12

so people with disabilities can

enter the workplace. Now, a 5% rise

1:07:121:07:18

in employment among people with

disabilities would bring an increase

1:07:181:07:23

in GDP of £23 billion with tax

revenues up somewhere in the region

1:07:231:07:26

of 5-6 billion pounds, a

considerable number. Research by

1:07:261:07:33

Scope, the disabled charity, is

found 58% of disabled people however

1:07:331:07:37

have felt at risk of losing their

job because of their impairment or

1:07:371:07:41

condition. And it is quite clear to

me and clear to most if not all

1:07:411:07:47

members of this House that we need

to work much more closely and

1:07:471:07:51

intensively with employers in order

to drive change. Now several decades

1:07:511:07:58

ago, there were many employers who

did not like to employ women. And

1:07:581:08:02

what happened, over time, this

House, working with employers and

1:08:021:08:09

through legislation, helped drive

change. A few decades ago, there

1:08:091:08:13

were several employers who didn't

like taking on, a time where people

1:08:131:08:20

did not look like me in this place

all the other place, or the lady

1:08:201:08:25

opposite, and they did not like to

employ people of ethnic minorities,

1:08:251:08:30

and what happened, this House with

the legislation and working closely

1:08:301:08:33

with employers, helped drive change.

Now the time has come for those with

1:08:331:08:39

disabilities to get much better

access to employment opportunities.

1:08:391:08:43

And the Government needs to work

with employers, along with a

1:08:431:08:47

legislation already in place, to

help drive change. No disability

1:08:471:08:52

confident as a good scheme and I

think that it is welcome across the

1:08:521:09:00

business community and Government

and civil society, but I believe we

1:09:001:09:04

can go further and the Government

should bear in mind the huge gains,

1:09:041:09:10

not just economic gains, but the

huge games and life chances and

1:09:101:09:14

economic potential of this huge

group of people. In my view, there

1:09:141:09:20

are two main things that we need to

go further to do, in order to help

1:09:201:09:26

drive this change, drive this

turbo-charge. The first is to

1:09:261:09:32

financially incentivise perhaps

through the tax system or in another

1:09:321:09:38

way employers to take on more people

with disabilities, especially in

1:09:381:09:42

industries where typically today

they may not be found. But, in

1:09:421:09:46

conjunction with that, and this is

the critical bit, the way that that

1:09:461:09:50

will happen appropriately and this

is what businesses tell me when I

1:09:501:09:53

have this discussion with them, is

that we need to be able to have a

1:09:531:09:59

much better understanding of the

different capabilities of different

1:09:591:10:01

people with disabilities, so that we

can make sure you match the right

1:10:011:10:06

employment opportunities with the

right people and if we do that

1:10:061:10:10

properly, combined with proper

incentives for business, I think we

1:10:101:10:13

can really see a huge increase in

this area. Wants more people with

1:10:131:10:19

disabilities I believe getting to

the workplace, and not just get into

1:10:191:10:24

it, but progress within their

workplace, get promoted, get to the

1:10:241:10:27

top of their businesses, they will

show what they can do. They will

1:10:271:10:32

show you what they can contribute

and this will send a powerful

1:10:321:10:35

message not just to them or Society

or this House, but to the country as

1:10:351:10:41

a whole, but...

Jayme Stone.

Thank

you very much for them, I

1:10:411:10:56

congratulate the honourable member

for East Kilbride in placing this

1:10:561:10:58

debate before us? It an

extraordinarily important subject

1:10:581:11:02

and it is perhaps a shame this not

more members here today but we have

1:11:021:11:08

some of the best groups in the

chamber. As Miss Jean Brodie

1:11:081:11:13

would've said, we can consider

ourselves the creme de la creme. I

1:11:131:11:17

have a personal interest in this

matter, which I will make note of

1:11:171:11:21

the House, because my wife is

disabled. She has been disabled

1:11:211:11:29

since 1999 and therefore has

featured largely in our lives and as

1:11:291:11:32

a members may be aware, I was a

member in Scotland. I quickly

1:11:321:11:44

realised the temporary Scottish

Parliament, it was completed

1:11:441:11:49

unsuitable for anyone who was

disabled and I volunteered to go on

1:11:491:11:55

the small committees and was given

the responsibility building the new

1:11:551:11:59

building and we put in place

complete disabled access including

1:11:591:12:04

in the chamber of Holyrood itself. I

might say that that job at that time

1:12:041:12:08

very nearly cost me my seat such as

the controversy attached to the

1:12:081:12:14

Scottish Parliament. That was then

and this is now on I must say for

1:12:141:12:17

the record I'm proud to be involved

in building such a disabled friendly

1:12:171:12:20

place. The Member for East Kilbride

talked about examples and that seems

1:12:201:12:27

to me to be ultra important. Just

two points, the first being that in

1:12:271:12:33

the summer of this year, one of the

northernmost Highland games, the

1:12:331:12:41

Prince of Wales who will attend in

the summer, and for the first time,

1:12:411:12:47

disabled servicemen are going to

take part in the event at the May

1:12:471:12:50

games, a historic first for the

Highland games, in Scotland, and

1:12:501:12:55

certainly for the far North. And the

other example that will stay with me

1:12:551:13:00

to my dying day was a former member

of this place, Dame Anne Begg, who

1:13:001:13:09

graced the Labour benches for number

of years here. I knew her because

1:13:091:13:13

she was involved in a cross-party

group of oil and gas and I was in

1:13:131:13:18

the Scottish Parliament and she was

here in Westminster, and I will

1:13:181:13:21

never ever forget going to visit an

oil installation in a field in

1:13:211:13:28

Norway, and we were in a semi open

boat with a noisy diesel engine and

1:13:281:13:33

there was an in their wheelchair.

The weather can change in the

1:13:331:13:41

Atlantic, and a storm came. The boat

was going backwards and forwards and

1:13:411:13:44

we had to attach her wheelchair to

prevent it going overboard but such

1:13:441:13:52

was their courage and good humour

that she never blinked once and I

1:13:521:13:56

think that was example of someone

with disability facing adversity in

1:13:561:14:00

life and she got on with it and I

will never forget that as an example

1:14:001:14:04

of somebody I thought was very,

very, very brave indeed.

1:14:041:14:11

The ambition based on these examples

is there. Particularly I pay tribute

1:14:111:14:15

to the honourable member for Hitchin

and Hutton for bringing that point

1:14:151:14:20

up. It is hugely important. Today,

my wife volunteers for the local

1:14:201:14:28

museum in my hometown, and she is up

in raising money for Marie Curie.

1:14:281:14:32

The point of this is that these

underpaid involvements enrich her

1:14:321:14:39

life. It makes everything much more

worthwhile. If you can broaden that

1:14:391:14:45

out into employment, you can see the

great gift it would give. The points

1:14:451:14:52

that have been made about taxation

at benefits are absolutely right. I

1:14:521:14:57

was intrigued yesterday. I have an

Irish son-in-law who came by

1:14:571:15:09

Westminster in search of a smaller

freshman, and he asked me what I

1:15:091:15:14

would be talking about today. I said

it would be about this particular

1:15:141:15:19

issue, about disability and using

resources. He struck thing by saying

1:15:191:15:24

that he is involved in the textile

business in the Republic of Ireland.

1:15:241:15:28

There is a government incentive

scheme to encourage the implement of

1:15:281:15:35

people in this situation. We could

learn something from the Republic on

1:15:351:15:39

that. The point has been made that

we are mugs if we don't utilise the

1:15:391:15:53

skills and abilities and ambition

and enthusiasm that is out there.

1:15:531:15:58

Goodness knows, during the next few

years, we will have to mobilise

1:15:581:16:01

everything we have got in the UK

because it is an ever more difficult

1:16:011:16:05

and competitive world. That is the

reality is we have to use every

1:16:051:16:11

single person we have got, and they

will relish the opportunity. I have

1:16:111:16:17

absolutely no doubt whatsoever. I

look forward with great interest to

1:16:171:16:21

see what the Minister has to say. We

are as one in this chamber. I guess

1:16:211:16:27

as a not so new member, 7.5 months,

I'm sure this is one thing that

1:16:271:16:38

Westminster does best, to get on to

issues like this. I'm astonished it

1:16:381:16:43

hasn't been debated before. Never

mind, here we are today. I believe

1:16:431:16:53

it is as simple as this. There is a

bargain to be struck here. I think

1:16:531:16:57

that disabled people are offering

their half of the bargain, and I

1:16:571:17:02

think it is up to the Government and

all of us in society in the UK to

1:17:021:17:09

grasp the hand and on how half of

the bargain and make their lives

1:17:091:17:15

better. Thank you.

I would like to

start by bringing my congratulations

1:17:151:17:22

to the member for East Kilbride on

this important debate today. I'm

1:17:221:17:27

delighted to speak in today's debate

on the role of disabled people in

1:17:271:17:30

economic growth. Economic growth is

built on development and progress.

1:17:301:17:39

But also on people, the essential

building block. People who are

1:17:391:17:43

manual workers, managers,

entrepreneurs, females and males,

1:17:431:17:51

all ethnicities and able-bodied and

disabled people. Disabled people

1:17:511:18:00

play an important role in economic

growth. The wording is a little too

1:18:001:18:07

crude. It is not enough for disabled

people to be in jobs to boost

1:18:071:18:13

growth, but they deserve the same

career opportunities. It is not a

1:18:131:18:16

question of economics but also one

of equality. Only half of working

1:18:161:18:23

age people in the UK who are

disabled or have a health condition

1:18:231:18:25

or in work. The work rate for people

without disabilities is 80.6%. We

1:18:251:18:33

must rectified this inequality. We

must hire those who have overcome

1:18:331:18:42

obstacles. We must empower and

assist the disabled so they have the

1:18:421:18:45

confidence and the tools to work in

an even playing field. That is why I

1:18:451:18:51

fully back the commitment and

strategy to getting 1 million more

1:18:511:18:57

disabled people into employment by

2027. I'm delighted that 100,000

1:18:571:19:00

more people disabilities were in

work last year compared to 2016.

1:19:001:19:06

Working with employers is key to

reaching this target, which is why

1:19:061:19:11

the Government has pledged to work

with industry. Disabled people have

1:19:111:19:20

overcome adversity and can offer

workplaces skills such as

1:19:201:19:28

determination, they generally stay

in workplaces for longer and have

1:19:281:19:32

lower rates of absenteeism. But only

one half of employers have reported

1:19:321:19:35

that they recognise the benefits of

employing someone with a disability

1:19:351:19:41

or health condition for their

organisation. It's about changing

1:19:411:19:46

attitudes and cultures, especially

in certain sectors. For example, the

1:19:461:19:48

rate of disabled people in

engineering and science and

1:19:481:19:54

technology is very low. The problem

is twofold, you have to encourage

1:19:541:20:01

disabled people to believe that they

can do these roles, and also

1:20:011:20:06

ensuring that the jobs exist. The

disability confidence scheme has

1:20:061:20:11

done great work in this area.

Helping organisations to improve how

1:20:111:20:14

they attract, recruit and retain

disabled workers. As of the 16th of

1:20:141:20:20

November last year, there were 5359

employers signed up to the scheme.

1:20:201:20:26

We need to do work to make sure more

take part. One of the biggest

1:20:261:20:37

hurdles is the adaptations that are

needed to the employer's offices.

1:20:371:20:46

There is also a lack of awareness

that the 2010 equalities act mean

1:20:461:20:52

that employers are based attitude

duty to make reasonable adjustments.

1:20:521:20:55

I'm keen to hear from the minister

about how he plans to challenge this

1:20:551:21:02

lack of awareness. Adapting

workplaces is also important when a

1:21:021:21:08

staff member becomes disabled. The

disability employment gap is partly

1:21:081:21:22

driven by disabled people who have

fallen out of employment. One in ten

1:21:221:21:26

disabled people falling out of work

each year, convert to one in 20 in

1:21:261:21:30

the non-disabled work population.

Retention is key. That is why I

1:21:301:21:36

welcome the proposed sophistication

of the scheme to enable employers to

1:21:361:21:40

better understand and support their

employees' needs. It is important to

1:21:401:21:45

note that their access for work

grants that can pay for special

1:21:451:21:48

equipment adaptations or support

worker services. I'm delighted that

1:21:481:21:55

it is being rolled out to the

self-employed. We need to raise

1:21:551:21:58

awareness of these. Out of work

grants have been taken up by 25,000

1:21:581:22:03

people on average per year. These

figures have stagnated for the last

1:22:031:22:09

three gears, indicating we really

need to promote awareness. In

1:22:091:22:11

addition, we really need to reach a

younger age group. I have spoken a

1:22:111:22:23

lot about employers but it is also

important to encourage individuals

1:22:231:22:30

to apply for jobs. Physically

disabled people are also in need of

1:22:301:22:37

emotional and mental health support

when re-entering the workplace, and

1:22:371:22:42

it is important not to forget the

physical this abilities and mental

1:22:421:22:44

health challenges are not mutually

exclusive.

1:22:441:22:51

Ritchie agree with me that way you

have a disabled person who is in

1:22:511:22:57

rewarding employment, that that

person could perhaps take some time

1:22:571:23:00

be encouraged to act as a mental

1:23:001:23:13

-- encouraged to act as a mentor.

Being role models for other people

1:23:131:23:19

and acting as mentors is a wonderful

initiative we should be doing to

1:23:191:23:24

encourage more people to have the

self belief and determination to

1:23:241:23:28

progress their dreams and explore

opportunities. We should not just

1:23:281:23:34

treat physical this abilities and

mental disabilities in silos, we

1:23:341:23:42

need to treat them together for the

best outcomes. I'm delighted that

1:23:421:23:45

the key outcomes for the white paper

includes this area. The roll-out of

1:23:451:23:52

personal support packages includes

the recruitment of 200 community

1:23:521:23:58

partners, 300 disability employment

advisers, 100 small employers

1:23:581:24:01

advisers and an extra 1000 mental

health and support bases. In

1:24:011:24:08

conclusion, over the last two gears,

the disability employment gap has

1:24:081:24:12

reduced by 1.9%, so we are on the

right track was top we could save

1:24:121:24:24

240 million and provide a boost to

the economy is 206 the million.

1:24:241:24:27

Getting more disability into jobs is

essential. It would be of great

1:24:271:24:33

financial benefit to our country,

but I actually think the main

1:24:331:24:37

benefit will be to the disabled

people themselves. In turn, making

1:24:371:24:41

our society more equal. I shall end

what I began and stressed that it is

1:24:411:24:45

not just an issue of economics but

also one of equality.

1:24:451:24:52

First of all, it is always a

pleasure to follow the honourable

1:24:521:24:59

lady and I thank her for her aunt

ablution. -- for her contribution.

1:24:591:25:16

She is clearly a champion for those

with disabilities, and I'm pleased

1:25:161:25:20

to be a part of the group that she

chairs. Yesterday, I was able to

1:25:201:25:28

participate in some of those things

that the honourable lady put forward

1:25:281:25:31

and give a Northern Ireland

perspective to it. I will probably

1:25:311:25:35

do that today as well. Also nice to

see the Minister in her place. As an

1:25:351:25:45

expression of her interest in this

subject, we had the disability

1:25:451:25:51

confident event that the Minister

organise. It was good to go along

1:25:511:25:56

and support what she is doing, but

also to have a greater knowledge.

1:25:561:26:00

One thing about being an MP is you

learn every day if you want to. I

1:26:001:26:07

want to extend my knowledge of those

things. It was an opportunity to do

1:26:071:26:13

that yesterday. I could expect to

them what we were doing. A number of

1:26:131:26:22

things in my constituency in

relation to what we are doing, what

1:26:221:26:28

private businesses are doing. The

Shadow Minister and her

1:26:281:26:35

contribution. I look forward to her

contribution. I stand in the shape

1:26:351:26:43

to speak out for many people in our

communities stop the get that

1:26:431:26:50

knowledge from our everyday

interactions in our communities.

1:26:501:26:57

Over 7 million people of working age

are disabled or ... I would hope

1:26:571:27:15

that they would have an opportunity

to see how they can achieve that

1:27:151:27:18

goal. Some disabled cannot work,

that is a fact of life which has to

1:27:181:27:29

be accepted. Those who want to work,

which we are trying to make happen

1:27:291:27:34

through this debate. The employment

rate for people with disabilities

1:27:341:27:47

was higher in 2017 than 2016. There

is quite clearly a strategy that is

1:27:471:27:58

trying to address the issue, because

there are more people with

1:27:581:28:01

disabilities in employment and were

a year ago. That has got to be a

1:28:011:28:07

good news. When you see the chart at

the library provided, they provide

1:28:071:28:24

some excellent information for us

when it comes to preparing for these

1:28:241:28:27

debates, and gives us his chance to

do things well. I read the action

1:28:271:28:33

report hard at work, which was

interesting reading, as opposed to

1:28:331:28:37

just citing their work 33% of

disabled people in work in Northern

1:28:371:28:40

Ireland, but asked the question why.

I will ask that today. I am

1:28:401:28:45

conscious that the Minister as there

was possible to four Northern

1:28:451:28:51

Ireland, and I respect that. To give

the detail to the debate and the

1:28:511:28:57

Northern Ireland perspective of it.

Some of the things that are done in

1:28:571:29:02

Northern Ireland can be done here on

the mainland as well. The overall

1:29:021:29:10

employment rate is 5% lower and for

some groups it is much wider. 33% of

1:29:101:29:19

disabled people are in employment,

less than half the rate of

1:29:191:29:24

non-disabled people. Many applicants

did not feel Constable about

1:29:241:29:37

disclosing their disability. I think

that is something we have do

1:29:371:29:41

address.

1:29:411:29:50

We are well aware of the story in

the press yesterday, slightly

1:29:501:29:53

different from what we are doing

today, but when people are to

1:29:531:29:55

disclose, are you pregnant or having

a child, I think it's the wrong

1:29:551:30:01

question to ask anybody when they go

for employment. The same thing could

1:30:011:30:05

apply for those with disability. By

not telling them you are disabled

1:30:051:30:09

you have a better chance of getting

a job but if you do tell them you

1:30:091:30:13

are disabled, is they can be a box

marked that they are not the right

1:30:131:30:17

people? Employers often did not feel

confident about being open with

1:30:171:30:24

their disability. Even when they do

get employment, if there's a

1:30:241:30:28

problem, they tend to keep it to

themselves. 50% of people feel they

1:30:281:30:38

face discolouration in employment

and less than half of the

1:30:381:30:41

respondents to eight survey said

this. If people feel disseminated

1:30:411:30:46

against, or they are afraid to ask

for reasonable adjustments, I think

1:30:461:30:51

maybe there is a big role for

business to carry out. The reasons

1:30:511:30:55

for not asking where not wanting to

draw attention to their disability

1:30:551:31:01

or because it would be embarrassing

to do so. Nearly a third said they

1:31:011:31:05

received little or no help following

their request. Perhaps it underlines

1:31:051:31:10

the other issue, when you ask for

it, you're not sure it will be done.

1:31:101:31:15

They need to look about as and maybe

sometimes you have to enforce it

1:31:151:31:20

through legislation and through

Government intervention. Little

1:31:201:31:24

wonder many people with so much to

offer feel like they are a burden in

1:31:241:31:27

the workplace and that is a concern

people have referred to so far.

1:31:271:31:36

Concerns among employers in relation

to employing disabled people could

1:31:361:31:40

be a risk to productivity, financial

indications, confusion and negative

1:31:401:31:49

perceptions and maybe the blade

beware of what legislation means for

1:31:491:31:53

them in business as well. Despite

the sea financial indications, a

1:31:531:32:00

survey of over 1000 employers said

the majority provided adjustments.

1:32:001:32:05

The majority tried to the right

things to flexible working patterns.

1:32:051:32:10

I'm not sure but is there financial

incentives available for businesses

1:32:101:32:23

to do those changes, because I think

sometimes, because of the cost, his

1:32:231:32:27

Mrs are concerned about that and if

there was any help to make those

1:32:271:32:31

adjustments happen, I think that

would be helpful. The recent survey

1:32:311:32:37

said the option of modified hours

with part-time working would be an

1:32:371:32:41

important factor in enabling them to

stay in work. Over the years, I've

1:32:411:32:48

had the opportunity to the DLA,

those people who have therapeutic

1:32:481:33:00

work, sometimes people are not fully

able to carry out the duties because

1:33:001:33:07

of their disablement, but

therapeutically, it's good for them

1:33:071:33:10

to have some type of work for a

certain period of time. Maybe we

1:33:101:33:16

could have some thoughts upon where

that features? The problems may be

1:33:161:33:27

the civil service has and what we

need to do as an example, but

1:33:271:33:35

disabled people in the public sector

reported being passed over for

1:33:351:33:37

development and promotion

opportunities and being unfairly

1:33:371:33:41

assessed in terms of their

performance, suggesting talent is

1:33:411:33:43

being wasted and there's a culture

of discontent fostered. So every

1:33:431:33:48

have not got our own House in order,

Madam Deputy 's big, as a

1:33:481:33:53

Government, at all levels, -- Madam

Deputy Speaker, and so one, we must

1:33:531:34:01

address in this place it. When it

comes to Government, they must set

1:34:011:34:10

the example. There was a DDA form

filled in and this woman's employer,

1:34:101:34:20

the civil service, was aware she had

colitis. She applied for a transfer

1:34:201:34:27

to a department closer to home, and

she was not accommodated full

1:34:271:34:32

subduing to the occupational health

service meetings and was told, yes,

1:34:321:34:36

she would be off work sick and

should not be returning to work

1:34:361:34:43

until it settle down and engine was

medically retired because it was

1:34:431:34:46

felt she was not fit for work. She

applied for benefits but was not

1:34:461:34:55

allowed to get it and she was

advised to go for employment. You

1:34:551:34:59

expect someone to hire according to

the PSA, so when we look the civil

1:34:591:35:07

service process, at the age of 28,

she was classified as not fit by the

1:35:071:35:13

civil service had made to feel like

a scrounger for feeling at the civil

1:35:131:35:18

service with their hundreds of

offices could not facilitate an

1:35:181:35:21

illness she would have no chance in

the private sector. Thankfully, we

1:35:211:35:25

were able to help her when it comes

to the issue of getting her

1:35:251:35:28

benefits. Both took reviews but

ultimately she won. Nobody believed

1:35:281:35:37

she could not work. The fact she

couldn't, because they paid her off,

1:35:371:35:41

because she was medically unfit, it

made no sense and that's why we must

1:35:411:35:45

lead by example and put into place

initiatives that help disabled

1:35:451:35:49

people be confident in their

abilities. Instead of feeling only

1:35:491:35:53

their disabilities are important.

It's hard to expect small businesses

1:35:531:35:56

to understand a disability does not

mean an inability to be a vital

1:35:561:36:00

player in a team whenever we, as

civil servants, are not able to do

1:36:001:36:10

this, putting schemes to rent this

happening, and this House is one

1:36:101:36:14

place where I'm advocating we get

our House in order quickly. I look

1:36:141:36:20

to my constituency and I'm very

conscious of time, and I see the

1:36:201:36:23

potential of young people, in Long

Stone, behave real school where

1:36:231:36:28

people with disabilities who need

educational challenges, are trained

1:36:281:36:36

to work and sometimes for them, it's

a big bad world, but it's a world of

1:36:361:36:42

opportunity and we should try to

move it towards that, and we have so

1:36:421:36:46

much more to offer. Should

reconsider apprenticeships with

1:36:461:36:50

financial support to those with

learning disabilities? We respect

1:36:501:36:59

greatly this. I'm certain many

partnerships would turn into

1:36:591:37:04

employment. What can we do to help

those who want to work, who have

1:37:041:37:09

skills to offer, and yet feel there

is no place for them in the modern

1:37:091:37:12

workplace? To me, that is what this

debate is about, giving hope,

1:37:121:37:17

vision, opportunity and if we could

do that I believe we are moving in

1:37:171:37:20

the right direction. I don't have

the answers, not to everything in

1:37:201:37:25

the world, but I do try to at least

seek out the answers and I see the

1:37:251:37:31

great advantage of this debate

today, but I'm asking the Minister

1:37:311:37:36

and her department to really

seriously consider this issue. I'm

1:37:361:37:42

sure she would come back to the

floor with amazing plan to make this

1:37:421:37:49

happen and we can start with the

civil service. I commend the

1:37:491:37:53

honourable lady for her compassion

and one of the members who today

1:37:531:37:56

came on the third afternoon, to

participate in a debate which is

1:37:561:38:01

really, really important.

Thank you.

Can I also, as a member who has a

1:38:011:38:14

constituency, congratulate my

honourable friend from East Kilbride

1:38:141:38:21

and commend the honourable member

for attempting that earlier. You did

1:38:211:38:26

very well indeed. I think we heard

from my honourable friend earlier

1:38:261:38:30

speech which was rich in detail, in

understanding and empathy, someone

1:38:301:38:36

who really truly understands the

subject, and I fully commend her for

1:38:361:38:43

bringing this very positively titled

debate about the role of disabled

1:38:431:38:46

people in economic growth to the

chamber today. It is somewhat

1:38:461:38:52

scandalous that we haven't had the

opportunity to debate this before,

1:38:521:38:54

but that is a wrong which has been

invited today. We in the SNP no

1:38:541:39:02

disabled people continue to make a

fantastic contribution to the

1:39:021:39:05

economy and I've got to say, with

all the words we have heard here

1:39:051:39:11

today, the empathy, the joint

approach taken for these issues in

1:39:111:39:18

the chamber, comments that actually

come from the Government themselves

1:39:181:39:23

can do a lot of harm. I think our

approach to disabled people, the

1:39:231:39:29

approach we have heard here today is

in stark contrast to the UK

1:39:291:39:34

Government's Chancellor who said

recently he thinks disabled people

1:39:341:39:36

are reducing productivity and I

would like to quote from my

1:39:361:39:42

honourable friend, not from her

speech today, but from an excellent

1:39:421:39:45

article she wrote recently, saying

the answer is simple, invest in

1:39:451:39:48

improving the Pathways to work,

invest in the disabled

1:39:481:39:54

entrepreneurs, improve reasonable

adjustment guidelines and encourage

1:39:541:39:57

businesses to diversify the

workforce. Create incentives rather

1:39:571:40:00

than enforce sanctions. If the £108

million spent by the Government to

1:40:001:40:05

deny disabled people the benefits

they are entitled to was redirected

1:40:051:40:09

into creating an apprenticeship

scheme, entrepreneurship, and

1:40:091:40:14

training opportunities for example,

perhaps the narrative of people with

1:40:141:40:17

disabilities could change. I think

those are very wise words. I'm also

1:40:171:40:24

grateful Madam Deputy Speaker to

scope for the briefing they have

1:40:241:40:27

sent along for this debate and

before I move on I want to get onto

1:40:271:40:31

that comment made by the Chancellor.

Scope said we found the Chancellor's

1:40:311:40:37

statement before the Treasury Select

Committee on the naked

1:40:371:40:39

Committee

1:40:391:40:40

negative impact to be entirely

untrue and unacceptable and they

1:40:401:40:47

underline the fact brought out by my

honourable friend, who said a ten

1:40:471:40:53

percentage point rise in the

employment rate amongst disabled

1:40:531:40:57

people would increase GDP by £45

billion by 2030 and result in a £12

1:40:571:41:03

billion gain to the Exchequer, so I

do hope that the Minister, who is

1:41:031:41:07

known to be a thoughtful person,

will reflect on those comments from

1:41:071:41:11

the Chancellor and will distance

herself from those remarks. There is

1:41:111:41:22

a real opportunity for a positive

impact of tackling the disability

1:41:221:41:26

employment gap in the economy.

Delivering the reforms needed to

1:41:261:41:29

support more people to enter, remain

and progress in work but progress up

1:41:291:41:34

until now has been slow. Government

and employers need to do more to

1:41:341:41:38

harness economic benefits and

increase the disability employment

1:41:381:41:45

rate. Tackling the disability

employment gap would mean, as I have

1:41:451:41:49

said, economic growth and

productivity would increase.

1:41:491:41:54

Employing disabled people is an

opportunity for employers,

1:41:541:41:58

delivering significant benefits to

business and the economy, so it's

1:41:581:42:01

important to underline the

Parliamentary group on disability,

1:42:011:42:08

all of those are relevant, but

especially the tailored and targeted

1:42:081:42:13

support for the self-employed

disabled people from the business

1:42:131:42:16

bank, the funding for reasonable

adjustments for disabled recipients

1:42:161:42:18

of tech start-up support from

innovate UK, and bringing forward

1:42:181:42:23

working requirements the plan for

recruitment, but it's also vital to

1:42:231:42:28

recognise the additional challenges

that faced by disabled people. My

1:42:281:42:33

honourable friend earlier talked

about the bullying and high numbers

1:42:331:42:36

of applications required simply to

get a job interview, let alone get

1:42:361:42:43

to a job and she said earlier we

cannot afford to sit and wait.

1:42:431:42:49

Throughout this debate today we've

heard many people agreeing on the

1:42:491:42:52

need for action. I think what

disabled people want to see now is

1:42:521:42:55

action. I'm happy to give away.

He

quite rightly mentions the

1:42:551:43:04

challenges disabled people have. One

is that, depending on the form of

1:43:041:43:11

disability, the fatigue element as

the day progresses can be quite

1:43:111:43:13

critical to that person, so I do

believe employment opportunities

1:43:131:43:18

could be tailored with specific

reference to how this fatigue can

1:43:181:43:24

kick in after two or three hours of

concentrated work.

Thank you. I

1:43:241:43:31

think it's important to look at the

whole size and scale of this, the

1:43:311:43:36

challenges people have and to take

all of them into account to make

1:43:361:43:39

sure that we are able to take full

advantage of this. Now, as my

1:43:391:43:43

honourable friend also said earlier,

the UK has already skills shortage

1:43:431:43:46

and the Brexit exodus of skilled

labour means the opportunity of

1:43:461:43:51

training and pensions must be

embraced falls as we said, the

1:43:511:43:54

Government at the moment is not

going far enough, specialist advice

1:43:541:43:58

services for self-employment are

required and we need to start to

1:43:581:44:02

avoid stereotypes in these debates.

1:44:021:44:11

The additional challenges also come

down to hard cash and the extra

1:44:111:44:14

costs they have to cope with. New

research from Scope shows that an

1:44:141:44:19

average disabled people have do find

an extra £750 per month related to

1:44:191:44:24

their condition on top of any Social

Security payments designed to meet

1:44:241:44:28

these costs. The financial penalty

box disabled people out of being

1:44:281:44:33

able to make a positive contribution

to the economy. They need practical

1:44:331:44:38

help, and the Government can help

now with reversing the trend of

1:44:381:44:43

removing, for example, another issue

that my honourable friend is keen to

1:44:431:44:49

bring up, the ability of most

ability when people are having their

1:44:491:45:00

ability to move around restricted.

I was interested to hear that more

1:45:001:45:11

money should be spent on disability

payments. There should be more from

1:45:111:45:16

this Social Security to support

disabled people, particularly given

1:45:161:45:21

the disadvantage they have. In terms

of the recent work of the pensions

1:45:211:45:30

committee, it presented real

evidence that the assessments are

1:45:301:45:32

failing a substantial minority of

claimants, with claimants stories

1:45:321:45:37

highlighting clear errors being

made, and the SS is lacking

1:45:371:45:44

knowledge and expertise. It is not

just about putting more money into

1:45:441:45:47

the system, but about making the

system work for more disabled

1:45:471:45:51

people. I will give way.

We can meet

with some of the officials in

1:45:511:46:03

Northern Ireland, and I was just

that if it is possible to have a

1:46:031:46:10

meeting that we would then get the

hotline for people who can make the

1:46:101:46:13

changes. Those people who are doing

the assessment would be up to speed.

1:46:131:46:21

Capita nisi changed some of the

things they are doing. Can I suggest

1:46:211:46:28

that others do the same in their own

regions ration

1:46:281:46:30

that others do the same in their own

regions ration?

Having listened to

1:46:301:46:35

me on issues of Universal Credit for

many occasions, he can be a I

1:46:351:46:47

reassured. I believe that it is a

good thing to do. It does not I

1:46:471:46:53

nabbed the difficulties. -- remove

the difficulties. Between April 2016

1:46:531:47:02

and March 2017, the Scope helpline

saw eight 542% rise in calls related

1:47:021:47:14

to PIP payments. There is much more

that the Government can do to help

1:47:141:47:25

on this. I want to finish with some

criticisms, but also given the fact

1:47:251:47:33

that the Minister will be listening

carefully and looking for ways to

1:47:331:47:36

take action today, and that we are

looking at things back in our own

1:47:361:47:46

constituencies. I hope that the

Minister will listen carefully and

1:47:461:47:49

take on board some of the

opportunities to perhaps learn or

1:47:491:47:54

think about how things might be done

differently. We have seen the impact

1:47:541:48:02

that the UK government's system has

had on people in Scotland. In

1:48:021:48:08

October, between 7000 and 10,000

disabled people per year were being

1:48:081:48:11

affected by the removal of the work

activity component of employment and

1:48:111:48:16

support allowance. That is

completely appalling and simply

1:48:161:48:20

unacceptable. It also found that

40,000 disabled people claiming

1:48:201:48:25

implement and support allowance had

been affected by the bedroom tax.

1:48:251:48:28

TSA is supposed to support disabled

people into employment, but the

1:48:281:48:33

Government has said that the £30 a

week cut was to remove incentives to

1:48:331:48:37

be out of work. That is an

outrageous thing to do. It is

1:48:371:48:42

pushing people into poverty and

crisis. The PIP assessment process

1:48:421:48:46

is failing disabled people.

According to the DWP figures, one in

1:48:461:48:54

five claimants who went through

mandatory reconsideration had their

1:48:541:48:58

reward changed, meaning there is a

20% of those decisions that were

1:48:581:49:06

wrong. With the limited powers that

have been transferred to Scotland,

1:49:061:49:13

there are changes where disabled

people should have equality to

1:49:131:49:18

access the work. The Scottish

government is committed to reducing

1:49:181:49:23

the gap by half. With financial

support available to businesses, it

1:49:231:49:34

would make sense that they would

recruit from the widest pool of

1:49:341:49:38

talent possible. While disabled

people make up 20% of the

1:49:381:49:46

population, they represent a lower

proportion in the public and private

1:49:461:49:56

sector. The Scottish government

introduced employer ability

1:49:561:50:06

programmes. In July last year, a

campaign was launched to boost the

1:50:061:50:11

awareness amongst businesses of the

benefits of employing people with

1:50:111:50:14

disabilities, specifically targeting

small and medium-sized enterprises.

1:50:141:50:19

From April 2018, a new programme

will take a new approach to make

1:50:191:50:25

sure that disabled people are

offered support which is

1:50:251:50:29

appropriate. Disabled people

engaging with the programme will

1:50:291:50:36

receive support which identifies and

develops their strengths and assets

1:50:361:50:39

while focusing on sustainable

employment outcomes. Only today, the

1:50:391:50:44

Scottish Dummett and as that people

will no longer see a reduction in

1:50:441:50:47

their payments during the appeal

process for benefits. That is

1:50:471:50:52

something the Minister, given her

response, can say that the UK

1:50:521:50:57

government will consider taking

action. The message from the chamber

1:50:571:51:03

today, from all sides of the

chamber, has been crystal clear.

1:51:031:51:06

Let's do all that can be done to

realise and release the potential of

1:51:061:51:12

disabled people for economic growth.

1:51:121:51:22

Thank you, Madam Deputy Speaker. Let

me firstly begin by congratulating

1:51:231:51:26

the member for East Kilbride for

securing this important and also

1:51:261:51:32

timely debate. I also want to

commend her for all the work that

1:51:321:51:37

she has led on the disability all

party Parliamentary group. I would

1:51:371:51:44

also like to extend a thank you to a

number of different disability

1:51:441:51:50

organisations, including the

disability rights UK, the RNIB,

1:51:501:51:56

Scope, Leonard Cheshire and also

action on hearing loss for all of

1:51:561:52:02

their work that they have done

around improving the employment

1:52:021:52:06

opportunities for disabled people

and also for the important briefings

1:52:061:52:10

that they have provided for today's

very important debate. Madam Deputy

1:52:101:52:17

Speaker, there are currently around

11.6 million disabled people in this

1:52:171:52:23

country, people like me who have

factors that could act as a barrier

1:52:231:52:27

to engaging in a wide range of

valued activity, not just economic

1:52:271:52:32

activity. That is obviously the

focus of our debates today. Disabled

1:52:321:52:39

people make up around 16% of the

working age population, yet we face

1:52:391:52:44

barriers in all aspects of life,

including in education, in

1:52:441:52:49

transport, access to justice, access

to voting, housing, health and most

1:52:491:52:56

importantly employment. Almost eight

years of Tory austerity has had a

1:52:561:53:04

disproportionate impact on disabled

people. We know that half of those

1:53:041:53:07

who live in poverty are disabled or

live with somebody who is. In part

1:53:071:53:15

because of the additional cost of

their disability, but also because

1:53:151:53:22

the labour market does not work well

for disabled people who were able to

1:53:221:53:25

work. The duty to make reasonable

adjustments to support disabled

1:53:251:53:30

people to access education,

employment, housing and goods and

1:53:301:53:37

services is a key feature of the

equality act of 2010, but we know

1:53:371:53:42

that from the House of Lords report

in 2000 15/16 or the equality act

1:53:421:53:47

and disabled people that legislation

needs strong government action to

1:53:471:53:54

ensure it is strongly upheld and to

remove the barriers in society that

1:53:541:53:58

disabled people who have a

condition. It is of concern that we

1:53:581:54:10

have a government who speak of

removing barriers but then create

1:54:101:54:16

others through Social Security cuts.

They made a commitment that they

1:54:161:54:28

were found to be behind on. They

have replaced the pledge and reduced

1:54:281:54:34

it to committing to getting 1

million more disabled people into

1:54:341:54:37

work. As we have heard today, the

rate for disabled people being

1:54:371:54:44

employed stands at 49 when -- 49.2%.

In the most recent period where

1:54:441:54:56

these figures were available. The

disability employment gap lies at

1:54:561:55:03

around 31.3%, which is even wider

among specific disability groups. If

1:55:031:55:10

you take the registered blind

individuals, only one in four of

1:55:101:55:15

working age people are in work. My

honourable friend from Enfield

1:55:151:55:20

Southgate also made reference to the

employment gap among those living

1:55:201:55:23

with autism. The Office for National

Statistics recently announced that

1:55:231:55:31

it was suspending publication of the

disability employment rate in

1:55:311:55:33

definitely. The motion today's

refers to the fact that there will

1:55:331:55:41

be an implement gap after Brexit, at

the current gap is above the

1:55:411:55:46

European union level of around 20%.

It highlights the failure to take

1:55:461:55:56

action. In light of this, why has

the Government weakened its

1:55:561:56:01

commitment to reducing the

disability employment gap? It would

1:56:011:56:04

also be helpful if the Minister

could set out what measures she is

1:56:041:56:08

taking to improve disabled people's

ability to enter work, but also to

1:56:081:56:13

actually stay in work. So around

retention. Many barriers faced by

1:56:131:56:21

disabled people are shaped by false

perceptions about the role that

1:56:211:56:24

disabled people face in the work

place. Research by the Scope charity

1:56:241:56:31

found that almost half of disabled

people have worried about making

1:56:311:56:35

employers aware of their impairment

or condition. One of the key

1:56:351:56:41

barriers highlighted is how we shape

employer attitudes around employing

1:56:411:56:46

people with a disability. I would

like two ask the Minister, what with

1:56:461:56:54

the Government do to support

employees and especially small

1:56:541:56:57

businesses given they make up almost

half the workforce. How cancel

1:56:571:57:04

businesses access timely health

support, and how can best practice

1:57:041:57:09

be shared? I was surprised that, in

the Budget, disability or disabled

1:57:091:57:17

people were not mention, given a

negative message to disabled people

1:57:171:57:24

about their role in the economy, and

the regrettable impression that

1:57:241:57:31

there could be she was not being

championed or prioritised by this

1:57:311:57:33

government. We on this site of the

House will build an economy that

1:57:331:57:39

includes everybody because that is

how you can develop an economy that

1:57:391:57:44

works for everybody and not just for

a few. Madam Deputy Speaker, I

1:57:441:57:49

cannot stand here speaking on the

subject without mentioning the

1:57:491:57:55

comments made in December last year

by the right honourable member for

1:57:551:58:01

Runnymede during a select committee

questioning. The Chancellor linked

1:58:011:58:05

low productivity growth to the

employment of disabled people.

1:58:051:58:08

Unfortunately, there has been no

apology for the comments and his

1:58:081:58:13

lack of a Morse after the

scapegoating of disabled people

1:58:131:58:20

after the failed economic policy

speaks volumes. Does the Minister

1:58:201:58:27

agree that there is a need for a

clear and coherent message from the

1:58:271:58:30

Government that employing disabled

people can enhance productivity and

1:58:301:58:35

make a real contribution to

organisations and businesses across

1:58:351:58:38

the UK? Despite this, the Government

did manage to finally publish its

1:58:381:58:44

long-awaited improving lives paper

late last year. 90% of disability

1:58:441:58:51

and long-term health conditions are

acquired, so it is right to examine

1:58:511:58:57

how employers can make reasonable

adjustments to support android to

1:58:571:59:00

stay in work if they become

disabled. -- to support an employee.

1:59:001:59:11

They do not set out how they would

achieve this aim. Today, the

1:59:111:59:15

disability confident campaign

launched in 2014 has been a dismal

1:59:151:59:21

failure, making a negligible impact

on the disability employment gap.

1:59:211:59:27

The campaign has yet to produce any

concrete evidence or results, so can

1:59:271:59:32

the Minister confirm how many

additional disabled people have

1:59:321:59:37

found work as a direct result of the

disability confident campaign?

1:59:371:59:52

Access to work when it works well

provides invaluable support that too

1:59:521:59:55

often I hear about the problems in

administration and the timeliness of

1:59:552:00:00

payments as well as the cap on

individual awards. Miss French is a

2:00:002:00:07

visually impaired person, her

experience found that when the

2:00:072:00:09

subject of access to work came up,

recruiters would say the employer is

2:00:092:00:14

into much of a hurry and will not be

able to wait for an access to work

2:00:142:00:19

assessments to be completed. Access

to work as we all know is probably

2:00:192:00:26

the best kept secret, but a also the

scheme also helps far too few people

2:00:262:00:31

and will need significantly more

resources if the government is to

2:00:312:00:33

get anywhere near the aim of getting

1 million more disabled people into

2:00:332:00:41

work by 2017. In the case of a deaf

person, Mr Will, they were a job by

2:00:412:00:53

a different ability -- disability

confident employer, however once the

2:00:532:00:59

employer realised they would have to

meet the rest of the costs after the

2:00:592:01:05

cap, that job offer was withdrawn.

So, will the minister set out what

2:01:052:01:08

substantive action the government is

taking to support people in work,

2:01:082:01:12

what work have they done with

disabled people to ensure this

2:01:122:01:14

support is flexible and responsive

to need, and more importantly, what

2:01:142:01:19

additional funding is the government

going to make available, especially

2:01:192:01:24

to access to work? We also have

concerns around the language used in

2:01:242:01:31

the government's Improving Lives

paper, which centres around the idea

2:01:312:01:36

that employment can promote

recovery. It's a familiar sounding

2:01:362:01:42

phrase, disabled people and people

with chronic conditions would

2:01:422:01:47

recover if only they tried a bit

harder, or were subject to an ever

2:01:472:01:51

tougher system. Again, can the

minister reassure people with

2:01:512:01:58

disabilities that have limitations

to work, and those that are actually

2:01:582:02:00

unable to work, that this is not the

intended message that her government

2:02:002:02:08

is trying to convey, or in fact that

the government believes in? Over

2:02:082:02:16

nearly eight years, disabled people

have become the brunt of cuts

2:02:162:02:21

inflicted on them by this government

and the coalition government for

2:02:212:02:23

them. The cuts have had a

detrimental impact on the lives of

2:02:232:02:36

disabled people, cutting living

standards and undermining their

2:02:362:02:37

access to education, to social care

and also to justice. And in a 2016

2:02:372:02:42

United Nations convened committee,

state violations were investigated

2:02:422:02:44

of the UN Convention on the rights

of and persons with a disability,

2:02:442:03:00

and the report concluded that the

government had committed grave,

2:03:002:03:06

systematic violations of the rights

of

2:03:062:03:17

Persons with a disability. And this

is a damning indictment of the

2:03:192:03:30

treatment of disabled people by this

government, one which shames us as a

2:03:302:03:39

country, yet the government has

failed to act and we believe in a

2:03:392:03:42

social model of disability, a

society which removes the barriers

2:03:422:03:44

restricting opportunities and

choices for disabled people. We will

2:03:442:03:46

incorporate the UN Convention and

the rights of Persons with

2:03:462:03:48

disabilities into law, and I would

ask the minister why does the

2:03:482:03:52

government refuse to do the same?

Currently there are 4.2 million

2:03:522:03:54

disabled people who live in poverty,

and new evidence indicates that this

2:03:542:03:57

number is increasing as a result of

cuts and support. Again, according

2:03:572:04:03

to Scope, the 2012 welfare reform

act has cut nearly 28 billion in

2:04:032:04:13

social security support from a 3.7

million disabled people. The 2016

2:04:132:04:21

welfare reform act cuts are adding

to the real suffering many disabled

2:04:212:04:23

people are experiencing and, of

course, this doesn't include the

2:04:232:04:25

cuts in social care, the NHS,

education and transport. All of

2:04:252:04:28

which have had a direct effect on

disabled people. Research by Scope

2:04:282:04:30

that was published this week

revealed that on average, disabled

2:04:302:04:32

people face an extra cost of £570 a

week, I'm sorry, a month, related to

2:04:322:04:35

their impairment or condition, and

this is on top of the social

2:04:352:04:38

security payments designed to help

meet those costs. Extra costs mean

2:04:382:04:40

that disabled people's money simply

doesn't go far. £100 for a

2:04:402:04:45

non-disabled person is the

equivalent of just £67 for a

2:04:452:04:47

disabled person. In addition to the

four-year freeze in social security

2:04:472:04:57

support affecting disabled people,

the 9016 welfare reform act at

2:04:572:05:00

financial support I £1500 a year to

half a million disabled people who

2:05:002:05:08

had been found not fit for work but

who maybe in future on the activity

2:05:082:05:14

group. Can the minister provide the

House with an assessment of the

2:05:142:05:18

impact of this social security

disabled people and their ability to

2:05:182:05:21

actually stay in work and the

current social security system is

2:05:212:05:27

not working for disabled people, and

new analysis this week of the

2:05:272:05:31

treatment of unemployed disabled

claimants has revealed that there

2:05:312:05:35

are up to 53% -- snap up to 53% more

likely to be docked money than

2:05:352:05:44

claimants who are not disabled.

Disabled people hit with a million

2:05:442:05:48

sanctions since 2010. Under this

government we have seen the social

2:05:482:05:52

security system penalising people

with disabilities, cutting

2:05:522:05:55

much-needed support and making it

harder for them to access the

2:05:552:05:58

support that is available. The

assessment process for both ESA and

2:05:582:06:07

PIP are not fits for purpose. The

widespread distrust of the

2:06:072:06:15

assessment process by sick and

disabled people is, with a record

2:06:152:06:19

68% of PIP decisions taken to

tribunal being overturned by those

2:06:192:06:22

tribunal judges. Under private

contractors, the assessment process

2:06:222:06:28

is getting worse and not better. So,

I ask, wire won't be government act

2:06:282:06:34

to end privatisation and replace the

current system with a more holistic

2:06:342:06:39

process? I do welcome the

opportunity to have this important

2:06:392:06:45

debate in this Chamber today

2:06:452:06:46

opportunity to have this important

debate in this Chamber today, and

2:06:462:06:49

also thanking members across the

House for their contributions.

2:06:492:06:51

However I believe that until the

government take into account the

2:06:512:06:57

reality that far too many disabled

people in the social security system

2:06:572:07:02

that punishes them, rather than

support them, and a labour market

2:07:022:07:06

that shuts them out rather than one

which opens up their potential and

2:07:062:07:11

opens up to their skills. It is

incumbent on the government to

2:07:112:07:15

harness the potential of everyone

and create a truly inclusive society

2:07:152:07:22

that works for the many and not just

a few. Thank you.

Thank you very

2:07:222:07:32

much, Madam Deputy Speaker. I would

like to add my personal

2:07:322:07:38

congratulations to those offered by

everyone else this afternoon to the

2:07:382:07:43

member for East Kilbride. I am not

going to throw everybody's named

2:07:432:07:49

constituencies because I have got so

little time left, but I think she

2:07:492:07:54

did a magnificent job introducing

this debate. I would echo the words

2:07:542:07:59

that people have said on all sides

of the House about her commitment to

2:07:592:08:04

this really important issue, her

sincerity and the way in which she

2:08:042:08:07

presented her debate in such a

positive weighbridge has been in

2:08:072:08:13

marked contrast to some of the later

contributions in this debate, quite

2:08:132:08:16

sadly. The work of the AP Gigi and

voluntary sector organisations that

2:08:162:08:23

do sue so much to support their work

and in the myriad of ways that we

2:08:232:08:27

have heard this afternoon. It is

really important to hear all the

2:08:272:08:32

voices across the House today, and

we have heard some very powerful

2:08:322:08:44

personal testimony from the members

of Eastbourne and Battersea and

2:08:442:08:55

others about their lived experience

of disability, and they have all

2:08:552:08:58

made significant contributions in

improving disabled people's

2:08:582:09:00

opportunities in playing their full

part in society. The member for

2:09:002:09:10

Battersea raised to some individual

cases, and I would appreciate her

2:09:102:09:14

providing me with the specific

details so that I can resolve those

2:09:142:09:27

matters. I would like to

congratulate the member for

2:09:272:09:36

Hornchurch and Upminster on becoming

a disabled, confident employer.

2:09:362:09:49

Yesterday she joined some 78 mamas

of Parliament who have done this,

2:09:492:09:55

and there will be further

opportunities for those that have

2:09:552:09:57

taken up this scheme. I would really

like to praise her and encourage her

2:09:572:09:59

for the work that she's going to be

doing her constituency with her

2:09:592:10:02

Jobcentre plus. That personal work

that we can do in our

2:10:022:10:04

constituencies, advocating amongst

local employers, to take seriously

2:10:042:10:06

all of our desire to see more

disabled people in employment, is

2:10:062:10:08

really important and really

powerful. She raised a really

2:10:082:10:10

important point about enabling

disabled children to develop their

2:10:102:10:12

employment skills, and to have the

same opportunities as all other

2:10:122:10:14

young people to gain work

experience. So, she will be pleased

2:10:142:10:16

to know that the Department for

Education completely agrees with her

2:10:162:10:18

and is increasing its commitment and

funding to enable young people to

2:10:182:10:21

have supported internships. We've

also heard from the member for

2:10:212:10:23

hitching and Harper didn't and

Chippenham, who have both made

2:10:232:10:25

powerful speeches about the level of

ambition we all share in closing the

2:10:252:10:27

discipline disability employment

gap. They both stress the importance

2:10:272:10:29

of working closely with employers on

culture change, and I completely

2:10:292:10:31

agree. We are considering the issues

that they raised about improving the

2:10:312:10:34

disability confidence scheme,

although I absolutely refute what

2:10:342:10:35

the member for Battersea set, this

is not a failing skin, it is a

2:10:352:10:38

growing scheme. We are looking at

what more we can do to incentivise

2:10:382:10:44

businesses, publishing the levels of

disability employment, especially

2:10:442:10:45

from large employers, and looking at

what more we can do to communicate

2:10:452:10:50

the wide range of help that is

available to support businesses and

2:10:502:10:54

public sector organisations to

employ disabled people. Now, I'd

2:10:542:10:59

like to congratulate the member for

Strangford unbecoming at a

2:10:592:11:04

disability confident employer

yesterday. And he raised a very

2:11:042:11:06

important point about how important

it is that people feel confident to

2:11:062:11:14

disclose their disability, and how

important it is for employers to

2:11:142:11:16

feel confident about hearing that

news, and how we can work together

2:11:162:11:20

to make sure that happens. Because

there is financial support

2:11:202:11:25

available, both to the disabled

person through access to work but

2:11:252:11:28

also to employers who will be

employing a disabled person. And I

2:11:282:11:35

can absolutely assure the member for

Inverness that each and every year,

2:11:352:11:41

we are increasing our investment in

benefits for disabled people, and

2:11:412:11:46

those with health conditions. This

year alone we're spending more than

2:11:462:11:49

£50 billion more than the defence

budget, and I'm proud to be part of

2:11:492:11:55

a government that prioritises

supporting disabled people. That is

2:11:552:11:58

an increase of £7 billion since

2010. And we are determined to

2:11:582:12:03

continuously improve the processes

of the operation of the system which

2:12:032:12:08

administers our disability benefits.

I will give way. I am grateful to

2:12:082:12:11

the minister for giving way.

I feel

that in addition to this point that

2:12:112:12:17

she is due to address the comments

made by the Chancellor and distance

2:12:172:12:20

herself from that, but on that

specific point, what does she say to

2:12:202:12:24

those people who have lost the

severe disability allowance, then,

2:12:242:12:35

from disability payments?

As he has

so intervened on me, I will not

2:12:352:12:38

leave that without commenting on it.

It is absolutely irresponsible of

2:12:382:12:42

the gentlemen to so deliberately

misrepresent what the Chancellor has

2:12:422:12:48

said at the select committee. We all

owe a huge, we all have a huge

2:12:482:12:55

responsibility in this House, to be

very careful of what we say so that

2:12:552:12:58

we honour the truth, and we don't

make comments which will scare among

2:12:582:13:04

and frighten some of the most

vulnerable people... No, I'm not

2:13:042:13:08

going to give way, I've been very

generous in giving way and I will

2:13:082:13:12

not indulge the honourable gentleman

any more in pursuing things which he

2:13:122:13:16

has met was misrepresented and

quoted out of context. Madam Deputy

2:13:162:13:22

Speaker, returning to the spirit of

the debate, which his colleague, the

2:13:222:13:28

honourable lady, so well-set for

this House, of cross-party, all this

2:13:282:13:33

House coming together to speak to

disabled people outside this

2:13:332:13:36

Chamber, to show how much we value

them, how much more we want to do to

2:13:362:13:42

enable them to play their support in

society, how much we all want to do

2:13:422:13:46

to enable employers to take able on,

I'm going to return to the tone

2:13:462:13:50

which was ably set by the honourable

gentleman's colleague and I hope he

2:13:502:13:55

can respect his own colleague and

the tone she set for us. Madam

2:13:552:14:02

Deputy Speaker, last week I visited

North Devon district Hospital with

2:14:022:14:05

the excellent member of Parliament,

and we met some young people who are

2:14:052:14:09

doing really valued jobs in hospital

on wards with patients and in

2:14:092:14:14

vitally important support services

such as in the engineering

2:14:142:14:17

department. All these excellent

young people had been supported by

2:14:172:14:20

their local college and plus through

a government funded scheme. They

2:14:202:14:24

were really supported through work

experience and placements in the

2:14:242:14:29

hospital, and this programme has

been working for five years. All of

2:14:292:14:34

these young people have learning

disabilities.

2:14:342:14:41

They were being employed not as an

act of charity but because of who

2:14:412:14:44

they were. I have the privilege as

the Minister for disabled people to

2:14:442:14:49

meet disabled people doing

extraordinarily good work in every

2:14:492:14:54

sort of work right across this

country. Just this morning, I was at

2:14:542:15:01

Channel 4, who kindly hosted the

first year anniversary of our sector

2:15:012:15:06

champions. Each sector champion is a

leader in their industry. They are

2:15:062:15:12

working to improve access for

disabled people to their industry,

2:15:122:15:17

from financial services to retail,

tourism, media and transport. Each

2:15:172:15:22

sector leader is an inspirational

leader in their field, driving real

2:15:222:15:27

change in access for disabled

people. They are doing this not just

2:15:272:15:32

because it is the right thing to do

but because it makes good business

2:15:322:15:36

sense for them as well. There are an

estimated 13 million disabled people

2:15:362:15:41

in our country. Each year, they

spend an estimated £250 billion. If

2:15:412:15:50

businesses are not accessible, they

are missing out on a great deal of

2:15:502:15:52

business. Access ability, as members

have said, does not need to be

2:15:522:15:58

expensive. What our champions are

doing is sharing best practice and

2:15:582:16:02

information so more people are

confident about employing disabled

2:16:022:16:05

people. Disabled people are not

2:16:052:16:12

Mickey huge contributions as

consumers at, as we have heard

2:16:122:16:13

today, in all aspects of our

society. That does include

2:16:132:16:19

employment. As the Government is

building a bridge and which is fit

2:16:192:16:22

for the future, when no one is left

behind, we have been clear that we

2:16:222:16:28

want our economy to harness the

skills, talents and contributions of

2:16:282:16:33

every person in society. We have

made significant progress. There are

2:16:332:16:39

now 6000 more disabled people in

work than there were four years ago

2:16:392:16:43

for the -- there are now 600,000

more disabled people in work.

2:16:432:16:52

Implement rates are at record highs.

But we know that only half of the

2:16:522:16:58

disabled people who would like to

work or in work. New analysis also

2:16:582:17:02

shows that over the course of the

year disabled people are twice as

2:17:022:17:06

likely to fall out of work, and

almost three times less likely to

2:17:062:17:10

move into work when compared to

non-disabled people. That is simply

2:17:102:17:14

not acceptable. I will give way.

I

thank the Minister for giving way.

2:17:142:17:21

Apropos of what the Minister has

just said, which she agree with me

2:17:212:17:26

that if you are disabled and living

in a very remote area, such as my

2:17:262:17:31

constituency, getting to work, the

physical travel poses very special

2:17:312:17:37

and difficult challenges for these

people, and that is something the

2:17:372:17:41

Government will have to think about

very carefully so that my

2:17:412:17:43

constituents in this situation are

not disadvantaged.

He makes a good

2:17:432:17:49

point. Representing a constituency

in Cornwall, I completely sympathise

2:17:492:17:56

with the issues he raises. Access to

work funding is available, which

2:17:562:18:02

includes transport, enabling people

to get to their places of

2:18:022:18:03

employment. It is also important

that we look at what more can be

2:18:032:18:11

doing, joining up community

transport with public transport. In

2:18:112:18:15

areas like the one to represent,

public transport isn't as good a

2:18:152:18:21

service as it is in urban areas.

There is more work to be done there.

2:18:212:18:25

With more than one in six people of

working age reporting a disability,

2:18:252:18:31

it is important that we do

everything we can to make sure their

2:18:312:18:35

talents do not go to waste. That is

why we do have an urgent and copper

2:18:352:18:40

of plans in action. We have the

personal support package, £330

2:18:402:18:50

million of funding for a range of

new initiatives for those in the

2:18:502:18:54

right group, so they can have

tailor-made personal support to

2:18:542:18:57

enable them to take the steps to

work. We have already recruited over

2:18:572:19:04

300 additional disability employment

advisers, bringing special advice

2:19:042:19:07

and support into the job centre. We

have begun introducing 200 new

2:19:072:19:13

community partners you are able to

share their lived experience of

2:19:132:19:17

disability across our job centre

network. I will not take any more

2:19:172:19:22

interventions because I am seeing a

slight impatience because there is a

2:19:222:19:27

second debate this afternoon and

there are some point I need to

2:19:272:19:29

address that have been raised this

afternoon. Our work and health has

2:19:292:19:35

lodged, which has contracted value

of over £500 million to give

2:19:352:19:39

specialist support, including two

disabled people. An important point

2:19:392:19:43

was raised this afternoon about the

entrepreneurial spirit of disabled

2:19:432:19:49

people. Our new enterprise allowance

has allowed daily 20,000 people --

2:19:492:19:57

nearly 20,000 disabled people to set

up businesses. We also have our

2:19:572:20:07

small employer offer them again to

help more disabled people into

2:20:072:20:11

employment. Bearing in mind the

time, I would really encourage

2:20:112:20:18

members to read the improving lives,

which sets out an ambitious plan of

2:20:182:20:25

detailed actions and investments

that the Government is taking,

2:20:252:20:29

including in assistive technology.

It is absolutely not what the mother

2:20:292:20:34

for Battersea said it was. We are

not saying those things, which I

2:20:342:20:39

will not repeat in this House

because they are so fundamentally

2:20:392:20:41

wrong. What we are about is

recognising the talents of disabled

2:20:412:20:46

people and making sure that there

are no barriers all its so those --

2:20:462:20:55

no barriers or limits so those

talents can take them as far as they

2:20:552:20:58

can. I'm delighted to say that in

the devolved administrations, they

2:20:582:21:01

are taking all sorts of different

actions. We are working closely with

2:21:012:21:06

the Scottish government, and we are

jointly funding the single gateway

2:21:062:21:12

project in Dundee and five, which is

a good, innovative programme which

2:21:122:21:15

I'm looking forward to looking

closely with to see the lessons we

2:21:152:21:18

can learn to roll it out. It is a

single point of contact between the

2:21:182:21:23

job centre and employers and

disabled people themselves. Of

2:21:232:21:27

course we will continue to work

closely with devolved

2:21:272:21:30

administrations to see what more we

can do. To finally summarise, I want

2:21:302:21:37

to congratulate the member for East

Kilbride on bringing this issue to

2:21:372:21:42

the House, achieving our ambition of

seeing at least 1 million more sabre

2:21:422:21:48

people in work requires all of us to

work together. Of course, the

2:21:482:21:54

Government has got a role to play

but so do businesses, the health

2:21:542:22:03

sector and the voluntary sector. We

all have vital roles to play. I hope

2:22:032:22:12

they will support me and the

Government in delivering our

2:22:122:22:17

ambitious vision for a society in

which disabled people can play their

2:22:172:22:20

full part and go as far as the

talents will take them.

2:22:202:22:30

Thank you, Madam Deputy Speaker. I

would like to thank everyone from

2:22:302:22:32

across the House. It is an important

debate and we have done it justice.

2:22:322:22:41

This is the starting point for the

work that we take together. I am

2:22:412:22:47

keen that people become disability

confident employers, so I would

2:22:472:22:52

encourage MPs to do that and hold

events in your constituency, to

2:22:522:22:58

encourage employers locally. I would

also like to pay tribute to our

2:22:582:23:05

speaker in this Parliament, who has

now created internship schemes over

2:23:052:23:10

the next five years for people to

come with disabilities to work in

2:23:102:23:14

Parliament with MPs. I think it is

important that Parliament is a role

2:23:142:23:19

model and leads the way, that we

don't just talk the talk but also

2:23:192:23:25

walk the walk. He is a shiny example

in that light. We are in politics to

2:23:252:23:29

make a difference to enable, and we

can create the inclusive society

2:23:292:23:37

that everyone deserves stop so thank

you.

Thank you. The question is has

2:23:372:23:41

the order paper. As many of that

opinion, say I. I thought some more

2:23:412:23:49

enthusiasm! The ayes have it. We now

come to the backbench debate on

2:23:492:24:04

cancer strategy. Before we begin

this debate, I would like to remind

2:24:042:24:12

honourable members, and some of the

offenders have just left the

2:24:122:24:15

chamber, that there is not unlimited

time in this place, and that I

2:24:152:24:22

didn't impose a time-limit on the

last debate because I thought it

2:24:222:24:25

would run naturally to finish about

15 minutes ago. It didn't, it

2:24:252:24:31

overran, and I would like to point

out to the House the following. The

2:24:312:24:35

proposer of the motion, all three

front and two other members

2:24:352:24:43

significantly exceeded the amount of

time they ought to have taken. I was

2:24:432:24:48

hoping that in a good-natured

debate, we might have some self

2:24:482:24:56

regulation. It didn't happen. In the

next debate, I will have to impose

2:24:562:25:01

time limits. I should also point out

to those members taking part in the

2:25:012:25:06

next debate that the reason they

have less time to speak in this

2:25:062:25:10

debate is because their colleagues

in the last debate took longer than

2:25:102:25:14

they ought to have. I will leave it

to honourable members, although some

2:25:142:25:21

of the offenders have left the

chamber. I will find them later. Act

2:25:212:25:33

in an honourable way. As I call

Doctor Lisa Cameron, who is working

2:25:332:25:36

very hard this afternoon, to propose

this next debate, I hope that she

2:25:362:25:41

will do so in 15 minutes or less.

Doctor Lisa Cameron.

Thank you so

2:25:412:25:50

much, Madam Deputy Speaker. I will

indeed tried to behave myself much

2:25:502:25:56

better in this debate, timewise. It

is an honour and privilege to

2:25:562:25:59

introduce this debate, and I want to

pay tribute to the backbench

2:25:592:26:06

Business Committee, and also for the

all-party Parliamentary group for

2:26:062:26:12

cancer for the timely and extremely

important report, and particularly

2:26:122:26:16

to the member for a sudden, who

could not be with us today but who

2:26:162:26:24

has done an awful lot of work on

this subject and deserves our thanks

2:26:242:26:30

in that regard. We are an essay on

site against cancer in this House,

2:26:302:26:36

and we are all on the same side in

achieving world-class cancer

2:26:362:26:40

outcomes. This speech will address,

very briefly as I have been

2:26:402:26:52

instructor, the issues raised in a

recent report. The report had over

2:26:522:26:56

80 contributions from charities and

bodies, and truly reflects the

2:26:562:27:01

passion from this sector. But it is

also a cry for help and progress,

2:27:012:27:06

and a positive way forward. The

speech will address the report's

2:27:062:27:12

four main areas of concern,

workforce strategy, data

2:27:122:27:16

transparency and funding. The debate

is open for contributors to raise

2:27:162:27:26

all issues. I will stick to the

group's recent report

2:27:262:27:34

recommendations. It considered

progress as we reached the halfway

2:27:342:27:37

point of the NHS cancer strategy

2015 to 2020. It was the result of

2:27:372:27:45

an all-party enquiry from last year.

It was formally launched at the

2:27:452:27:50

summer reception last July, and the

written submissions were larger than

2:27:502:27:59

anticipated, showing the dedication

of those working in the field. Many

2:27:592:28:01

submissions came from cancer

alliances, those at the front line

2:28:012:28:07

of the services that are being

provided, who identify many

2:28:072:28:10

pressures and challenges in the way

forward. The evidence from front

2:28:102:28:14

line services in particular seemed

to amount to a call for help and in

2:28:142:28:20

the report the Parliamentary group

indicated that while progress has

2:28:202:28:26

been made since its launch, the NHS.

Or to achieve the objectives set out

2:28:262:28:30

in the cancer strategy and less

corrective action is immediately

2:28:302:28:34

taken. To this end, the all-party

Parliamentary group has listed

2:28:342:28:40

recommendations, a copy of which

will be sent to all MPs. The lack of

2:28:402:28:45

workforce planning a merged as a key

concern. The cancer workforce is

2:28:452:28:52

constantly recognised as the biggest

barrier to implement in cash

2:28:522:28:54

strategy. -- implement in our

strategy. The strategy was

2:28:542:29:08

originally promised for 2016.

Written evidence suggests that the

2:29:082:29:15

workforce is the greatest barrier to

the strategy. The group also heard

2:29:152:29:21

that transformation funding is being

withheld from cancer alliances

2:29:212:29:25

because of the performance against

the 62 data waiting time targets. A

2:29:252:29:32

new conditioner funding which only

at a merged after the bidding

2:29:322:29:35

process emerged.

2:29:352:29:43

I thank her for giving way and I

appreciate the fact that she

2:29:432:29:46

acknowledged organisations like

Macmillan nurses for example, who

2:29:462:29:50

very often rely on subscription.

And

they should be encouraged to give

2:29:502:29:56

more subscriptions where possible.

Absolutely. The honourable gentleman

2:29:562:30:00

makes an excellent point. These

agencies are working at the front,

2:30:002:30:06

with people who are just at their

most vulnerable point, and their

2:30:062:30:12

families, and they deserve all of

our encouragement and praise and, of

2:30:122:30:15

course, funding. In addition to

setting out how cancer alliances are

2:30:152:30:25

going to be funded and supported

both for the duration of the

2:30:252:30:28

strategy in the future, the

all-party Parliamentary group

2:30:282:30:30

strongly wreck ends -- strongly

recommends that the 62 day waiting

2:30:302:30:37

time target is decoupled. The

previously mentioned issues prevent

2:30:372:30:41

progress in improving cancer care

and treatment which is not our

2:30:412:30:45

collective vision. The all-party

Parliamentary group also heard that

2:30:452:30:48

improving transparency as regards to

priorities and accountability would

2:30:482:30:54

help support the delivery of the

strategy. At the moment, a lack of

2:30:542:30:59

clarity and lines of communication

are delaying its ink limitation.

2:30:592:31:02

Publishing a detailed progress

update on each of the strategies' 96

2:31:022:31:10

recommendations would indeed be a

positive step forward. In addition,

2:31:102:31:14

following on from the previous

point, it is generally accepted that

2:31:142:31:18

the 62 day waiting target has been

treated as a high priority amongst

2:31:182:31:23

CCG and cancer alliances leaders

than survival or stage diagnosis as

2:31:232:31:30

shown by the linkage between funding

and performance against this

2:31:302:31:33

measure. So, decoupling funding and

process target performance in favour

2:31:332:31:37

of a greater focus on outcomes would

strongly be in the interest of

2:31:372:31:41

patients, not least because if

outcomes are good, survival rates

2:31:412:31:47

increasing, processes will also be

functioning efficiently and

2:31:472:31:49

correctly.

Will my honourable friend

give way? I will indeed. That 62 day

2:31:492:31:57

target has not been met since 2014,

and as such, that is an issue that

2:31:572:32:01

has been around for quite a while.

Wilshere agree with me that more

2:32:012:32:05

funding needs to be put in to make

sure that that target is met and is

2:32:052:32:10

met as soon as possible?

I

absolutely agree with the honourable

2:32:102:32:13

gentleman. It is absolutely

essential that that target is met

2:32:132:32:16

and that resources are put in to

ensure that it is. The all-party

2:32:162:32:21

Parliamentary group also found

access to detailed and timely data

2:32:212:32:25

is critically important for the

success of the strategy,

2:32:252:32:28

particularly in relation to data for

the rare and less common cancers.

2:32:282:32:33

Strong concerns were also raised as

to how future protection regulations

2:32:332:32:39

on data might affect surveys such as

the cancer patient experience

2:32:392:32:41

survey. The value of the cancer

patient experience survey should be

2:32:412:32:47

emphasised, along with outcomes

from... We must hear from those who

2:32:472:32:53

are experiencing services. They are

the ones who know how to improve

2:32:532:32:58

things for the better. In addition,

the ageing UK population cannot be

2:32:582:33:04

left out of the conversation. The

cancer patient is experience survey

2:33:042:33:10

suggests that older people are less

likely to have access to a clinical

2:33:102:33:15

nurse specialist. Additionally,

older patients are less likely to

2:33:152:33:18

know the full extent of their

illness. Age discrimination must

2:33:182:33:21

come to an end, especially in terms

of cancer care. The all-party

2:33:212:33:27

Parliamentary group recommends the

NHS and Public Health England's data

2:33:272:33:33

teamwork to produce more timely

cancer data and to make it publicly

2:33:332:33:39

available. The all-party

Parliamentary group advocates that

2:33:392:33:41

the government ensures that the

cancer agent experience survey and

2:33:412:33:47

other such surveys are able to

continue in a way which allows

2:33:472:33:50

patient experience to be considered

on a par with clinical

2:33:502:33:54

effectiveness, rather than leaving

patients without sufficient

2:33:542:33:58

information regarding their cancer

and care. Furthermore, in terms of

2:33:582:34:02

specific cancers like breast-cancer,

there are key priorities for

2:34:022:34:05

delivery in the cancer strategy. It

must ensure data is collected for

2:34:052:34:11

people living with incurable

secondary cancer. Everyone with

2:34:112:34:16

secondary breast-cancer has a

specialist nurse with the right

2:34:162:34:20

skills and expertise and everyone

has access to the right support

2:34:202:34:25

after finishing treatment for

primary cancer, so they are able to

2:34:252:34:28

live well after breast-cancer. We

should not ignore the fact that the

2:34:282:34:33

strategy has had positive effects.

In the last year, 60 cancer

2:34:332:34:40

alliances and three vanguards have

been established, and £200 million

2:34:402:34:43

has been made available to them for

earlier diagnosis and post-diagnosis

2:34:432:34:48

of support. In addition, 23 NHS

trusts have now received new and

2:34:482:34:55

upgraded radiotherapy machines.

However, as the report makes clear,

2:34:552:34:58

there is much more work still to be

done. I want to just reflate in the

2:34:582:35:05

few minutes that I have left to

speak a bit more about less

2:35:052:35:08

survivable cancers. The less

survivable cancers task force has

2:35:082:35:14

been in touch with me prior to

today's debate, made up of

2:35:142:35:18

pancreatic cancer UK, the British

liver trust, the brain tumour

2:35:182:35:21

charity and axing against heart

bonus offer go cancer and call or

2:35:212:35:27

digestive diseases. There is a

staggering 55% gap in morbidity, and

2:35:272:35:34

that a shock is absolutely

unacceptable. Much, much more must

2:35:342:35:40

be done. I recently myself lost a

very dear uncle to pancreatic

2:35:402:35:49

cancer, and as a family going

through that experience, and knowing

2:35:492:35:55

that we need much more research, we

need much more specialist

2:35:552:36:01

understanding, we need to have the

investment in those areas, it's

2:36:012:36:04

absolutely crucial. I want to ensure

that other families have a better

2:36:042:36:08

chance of a longer survival rate,

and I would also pay tribute to my

2:36:082:36:14

own uncle for his courage in terms

of coping with that condition right

2:36:142:36:19

till the end. Hospice care I would

say is also absolutely essential.

2:36:192:36:25

And we must ensure that families and

patients have dignity at the end of

2:36:252:36:30

life. It's just absolutely

imperative. I have watched far too

2:36:302:36:39

many family members die in hospital

beds, surrounded by other patients,

2:36:392:36:44

with the curtain screen drawn, to

know that that is not dignified, and

2:36:442:36:49

that where possible, we must improve

services and access to Hospice care.

2:36:492:36:56

Very quickly, I want to also pay

tribute to Teenage Cancer Trust,

2:36:562:37:02

because often we think of cancer as

an illness which affects older

2:37:022:37:04

people, but also, young people are

diagnosed with cancer, they do

2:37:042:37:13

fantastic work, Vanessa Todd in my

own constituency is an absolute

2:37:132:37:17

advocate for Teenage Cancer Trust,

and we must ensure that whilst it

2:37:172:37:22

may not be something that GPs

expect, when a young person comes

2:37:222:37:27

with symptoms that are perhaps not

easily identifiable, but it is

2:37:272:37:31

something that we increase awareness

of to make sure that the gnosis is

2:37:312:37:35

very quick and timely for young

people to improve their prognosis. I

2:37:352:37:39

want to thank everybody, thanks once

again the all-party Parliamentary

2:37:392:37:42

group, and as I say, it has been a

privilege to date to open the debate

2:37:422:37:48

for the honourable member who is

Chair of that group, and who leads

2:37:482:37:53

that group in these issues so well.

The question is, this House has

2:37:532:38:02

considered the cancer strategy. And

before I call the next Speaker, I

2:38:022:38:09

will try to continue my experiment

of seeing if people will self at the

2:38:092:38:13

and behave in a decent and

honourable fashion. That means

2:38:132:38:18

taking 8-9 minutes, not 13 or 14 or

15 minutes, and I trust the well

2:38:182:38:29

experienced Mr David Tredinnick to

do so first.

Thank you, Madam Deputy

2:38:292:38:34

Speaker, it is an honour to be

called first on this side of the

2:38:342:38:37

House and I have heard what you said

and intend to respect what you said.

2:38:372:38:40

Madam Deputy Speaker, on the 25th of

January in the Other Place, in the

2:38:402:38:46

House of Lords, as we tend to call

it now, a very distinguished former

2:38:462:38:50

Secretary of State for Culture,

Media and Sport in this House,

2:38:502:38:54

former minister of the Olympics,

someone who did much to bring the

2:38:542:38:58

Olympics to London, Tessa Jowell,

now Baroness Jowell, made an

2:38:582:39:01

impassioned speech about the brain

tumour which she has suffered. And

2:39:012:39:09

this is something that I can

identify with, I don't normally talk

2:39:092:39:13

about family matters, but I will

share with the House that my sister

2:39:132:39:16

died of a brain tumour. What a

Baroness Jowell said in her speech

2:39:162:39:24

is something that I think the

Parliamentary undersecretary, the

2:39:242:39:28

member for Winchester, should mark.

I know he has a strong interest in

2:39:282:39:31

cancer. She said... For what would

every cancer patient want? First to

2:39:312:39:40

know that the latest science was

being used and available for them.

2:39:402:39:42

What else would they want? They need

to know that they have a community

2:39:422:39:47

around them, supporting and caring,

being practical and kind, while

2:39:472:39:54

doctors look at the big picture. We

can all be part of the human sized

2:39:542:39:59

picture. Now, Madam Deputy Speaker,

yesterday at the all-party cancer

2:39:592:40:08

group, of which I am a deputy

chairman, one of the things we

2:40:082:40:12

looked at was recovery packages. And

this is something which is very dear

2:40:122:40:15

to my heart, as the member who has

chaired for much of the 30 years

2:40:152:40:22

that I've been in this House, the

all-party group for integrated

2:40:222:40:24

health care, and my researcher has

told me that I have chaired over 120

2:40:242:40:33

meetings in this House of that

group. What we have try to do over

2:40:332:40:39

the years is to look at how to

support cancer patients in a broader

2:40:392:40:46

way. And if I can share a figure

with the House straightaway, in the

2:40:462:40:51

United Kingdom, according to Cancer

Research UK, 33% of those who have

2:40:512:40:58

cancer use some sort of additional

support the repeat, often

2:40:582:41:02

compliments with therapy. For

sometimes of cancer, such as breast

2:41:022:41:08

cancer, this number is even higher,

at almost 50%. -- some types of

2:41:082:41:14

cancer. Why people use it is because

when used alongside conventional

2:41:142:41:19

cancer treatments such as

radiotherapy and chemotherapy, it

2:41:192:41:22

makes it easier for them to cope

with the cancer and it makes them

2:41:222:41:26

feel that they play a part in how

they coped. It helps them relax,

2:41:262:41:31

reduces stress, it enables them to

take more active roles in their

2:41:312:41:38

treatment and recovery in

partnership with their therapist. It

2:41:382:41:41

enables them to feel more in control

of their feelings and emotions. And

2:41:412:41:45

there is very strong evidence that

these therapies work effectively,

2:41:452:41:49

although more research is always

welcome. The use of acupuncture now

2:41:492:41:54

to relieve sickness caused by some

in the therapy drugs is

2:41:542:41:59

well-established. And also for

relieving a sore mouth after having

2:41:592:42:05

treatment for head and neck cancer.

Not far away from here, there are

2:42:052:42:11

three good examples of how these

additional therapies have helped at

2:42:112:42:17

guys Thomases NHS Trust. They're

offering in the outbreak clinic

2:42:172:42:21

aromatherapy massage, reflexology

and quantitative data analysis shows

2:42:212:42:30

that the statistics show a

statistically significant

2:42:302:42:33

improvement. At the Royal Marsden

the global world-renowned hospital

2:42:332:42:39

not far away from here, they're

using aromatherapy, mass arch and

2:42:392:42:45

have treated 1000 patients to date

at the full circle therapies unit at

2:42:452:42:53

St George is NHS Foundation Trust,

they're using reflexology, massage

2:42:532:42:58

therapy and relaxation training.

Professor Smith, the professor of

2:42:582:43:06

haematology there, said the therapy

team has made a fantastic difference

2:43:062:43:09

to the well-being of our patients.

And there are other citations here.

2:43:092:43:13

I give way.

I am grateful to my

honourable friend for giving way,

2:43:132:43:20

and I know having been a minister of

his assiduous commitment to this

2:43:202:43:23

cause. He mentioned the Noble

Baroness Jowell, would he agree with

2:43:232:43:28

me that the sight of her and the

Prime Minister together, embracing,

2:43:282:43:31

and the Prime Minister's

announcement of £40 million for

2:43:312:43:35

brain cancer, is good news and it is

done in the spirit of cross-party

2:43:352:43:39

commitment to tackling disease and

will give a lot of hope to that

2:43:392:43:42

community. On the point about

alternative therapies, does he agree

2:43:422:43:46

with me that it is very important

that the medical community and the

2:43:462:43:50

national institute of health

research does the research to look

2:43:502:43:53

at the extent to which these

therapies, even if they may not be

2:43:532:43:57

rooted in the tradition of empirical

science, if there is data to show

2:43:572:44:00

that they help patients' recovery

time, then that is worthwhile and

2:44:002:44:04

should be looked at?

2:44:042:44:12

If you look at the trials that have

taken place, we have randomised

2:44:122:44:19

control trials, controlled studies,

the person who came up with the

2:44:192:44:21

notion of evidence -based medicine

has said that the practice of

2:44:212:44:28

evidence -based medicine means

integrating individual clinical

2:44:282:44:31

expertise with the best available

external evidence, which means you

2:44:312:44:36

have to look at the patient and see

what they think and what the

2:44:362:44:42

patient's experience is. Deputy

Speaker, we're often told by the

2:44:422:44:50

front bench, Treasury bench and

others that we need more evidence,

2:44:502:44:54

there must be evidence. When you

produce evidence and proper trials,

2:44:542:44:58

it is often ignored. I have chosen

this particular subject, healing,

2:44:582:45:04

therapeutic touch, call it what you

like, because it appears that with a

2:45:042:45:10

very good evidence people who are

able to use their hands to transfer

2:45:102:45:13

some kind of energy, and I have

studied Reiki myself, once ended up

2:45:132:45:24

speaking to 5000 therapists in Japan

at a conference many years ago, but

2:45:242:45:28

a study in 2007, according to Cancer

Research UK, found that up to 40% of

2:45:282:45:36

people in America uses some kind of

spiritual healing. In this country,

2:45:362:45:42

there is very good evidence to

suggest that seeing a healer helps

2:45:422:45:47

people. In the UK, long-term hormone

therapy for women with breast cancer

2:45:472:45:53

can be enhanced and patients can be

helped if he really is given to them

2:45:532:46:03

for the side-effects of the

treatment. -- healing is to them.

2:46:032:46:07

There is a study that said that over

a period of ten weeks they had fewer

2:46:072:46:14

side-effects. In the National Health

Service, there was a two year trial

2:46:142:46:23

involving 200 hospital patients with

long-standing illness is, the

2:46:232:46:28

largest of its kind funded by the

lottery and supervised by the

2:46:282:46:32

University of Birmingham. The

methodology looks at the

2:46:322:46:39

effectiveness of refuelling in

dealing with irritable bowel

2:46:392:46:45

syndrome, 200 patients were seen.

After these patients were assessed,

2:46:452:46:55

the measure yourself medical outcome

profile showed a very significant

2:46:552:46:59

improvement after six, 12 and 24

weeks. This was a trial on irritable

2:46:592:47:04

bowel syndrome and IBD, but it was a

scientifically carried out trial and

2:47:042:47:14

it worked, so it would almost

certainly work for cancer. We need

2:47:142:47:18

to do more research to look at this.

I say to my honourable friend, the

2:47:182:47:24

drug showed the same results,

especially at minimal cost, it would

2:47:242:47:30

be recommended by NICE. More trials

are needed. Part of the Government's

2:47:302:47:36

efforts to get more rigorous

assessment has been conducted by the

2:47:362:47:40

professional standards authority,

which was set up to oversee the UK's

2:47:402:47:45

nine health and care professional

bodies, previously named as the

2:47:452:47:54

Council for health care regulatory

excellence. In February 2013, it

2:47:542:47:58

lost its accredited registered

scheme, a Government backed scheme,

2:47:582:48:04

and now has 24 accredited registered

covering 31 occupations and 80,000

2:48:042:48:12

practitioners. Among the registers

it has the Association of child

2:48:122:48:18

psychotherapist, the British

acupuncture Council, the British

2:48:182:48:20

Association of sport rebuild

teachers and trainers, the

2:48:202:48:24

Federation of holistic therapists,

the national hypnotherapist society

2:48:242:48:30

and many others. Madam Deputy

Speaker, in its summary, the Chief

2:48:302:48:47

Executive of the professional

standards authorities said, a key

2:48:472:48:53

recommendation is for practitioners

to have the authority to make a

2:48:532:49:01

direct NHS referrals. That is the

practitioners that they are

2:49:012:49:05

regulatory. Inappropriate places,

thereby reducing the administrative

2:49:052:49:12

burden on GP surgeries. Please mark

what I've said here. They are saying

2:49:122:49:18

that practitioners on that register

should have the authority to make

2:49:182:49:23

direct NHS referrals. If this was

possible, you bring into the service

2:49:232:49:32

30,000 additional practitioners. I'm

trying to figure out, perhaps you

2:49:322:49:39

can guide me.

I can guide to the

honourable gentleman. Around 11

2:49:392:49:45

minutes to date, but he has taken

the few interventions, therefore I

2:49:452:49:49

am not compelling him to sit down.

But I'm sure he is going to conclude

2:49:492:49:53

quite soon.

I'm very encouraged to

see that Leicester's hospitals have

2:49:532:50:03

entered into a memorandum of

understanding with university

2:50:032:50:08

affiliated hospital in China. It

attempts to have cooperation between

2:50:082:50:16

the two middle. I have used Chinese

medicine for 20 years and the use of

2:50:162:50:22

acupuncture and herbal medicine, in

my belief, looking through the

2:50:222:50:29

testimonials, dramatically increases

the sense of well-being for those

2:50:292:50:33

whose software cancer and frequently

extend the life span. I absolutely

2:50:332:50:38

come into the hospitals of Leicester

sure when they are discussing this

2:50:382:50:42

with the authorities in China to

look at the possibility of training

2:50:422:50:47

therapists in Chinese therapy. Thank

you, I rest my case.

Thank you,

2:50:472:50:59

Madam Deputy Speaker, and it is a

pleasure to follow the honourable

2:50:592:51:04

member who made a very interesting

speech. I also want to think thank

2:51:042:51:12

the honourable member for a school

pride for securing this very

2:51:122:51:16

important debate. We all know

someone who has had or has been

2:51:162:51:22

affected by cancer. My family is no

exception, both my parents had

2:51:222:51:28

cancer and my husband lives with

cancer every day of his life. I

2:51:282:51:33

could talk about cancer for ever not

I'll try to limit myself to the

2:51:332:51:40

recommended time. We know that the

cancer strategy sets out such eejit

2:51:402:51:46

priorities and recommendations which

aim to radically improve the

2:51:462:51:52

outcomes for people affected by

cancer but we also know that the

2:51:522:51:55

specific needs of a lot cancer

patients are not being fully met by

2:51:552:52:01

this cancer strategy. -- blood

cancer patients. This is because

2:52:012:52:11

their experience is different to

solid tumour patients so it is not

2:52:112:52:16

all that effective in meeting their

needs. These unmet needs occur any

2:52:162:52:21

number of priority areas identified

in the cancer strategy, including

2:52:212:52:27

awareness and early diagnosis,

patient experience, living with and

2:52:272:52:32

beyond cancer, access to new

treatments and researching NHS

2:52:322:52:36

commissioning. Today I want to focus

on one particular issue, the need

2:52:362:52:42

for post stem cell transplant care

for patients. This is for patient

2:52:422:52:54

experience, living beyond cancer and

NHS commissioning. It is estimated

2:52:542:52:59

by 2020, they will be more than

16,000 people in the UK living post

2:52:592:53:04

transplant, many of whom will be

experiencing both physical and

2:53:042:53:08

psychological side-effects from the

treatment. That can last for months

2:53:082:53:12

and even years. The side effects can

include second cancers, infertility,

2:53:122:53:20

depression, isolation and

post-traumatic stress disorder.

2:53:202:53:24

Unfortunately, we know that there

are worrying gaps in their care and

2:53:242:53:27

support available to stem cell

transplant patients after treatment.

2:53:272:53:33

It is particularly concerning that

only half of those who need

2:53:332:53:36

psychological support actually

receive it. The same is true for

2:53:362:53:41

practical support. One and five are

not offered any specialist care to

2:53:412:53:50

help with physical recovery. These

are reflected in the expenses of

2:53:502:53:53

many blood cancer patients who feel

after their transplant, when they

2:53:532:53:58

are sent home, the level of support

and the level of support available

2:53:582:54:03

to them actually falls away. They

feel they have no one to talk to

2:54:032:54:07

about the effects and being

challenged by its complications.

2:54:072:54:12

Also about the psychological burden

of living with and beyond cancer and

2:54:122:54:17

its treatment, their dietary needs

or infertility problems and even

2:54:172:54:22

practical issues such as when they

can start to resume everyday

2:54:222:54:26

activities. The ones they had

enjoyed before the treatment

2:54:262:54:29

started. This is because the

commissioning of post transplant

2:54:292:54:35

services is simply not working for

every patient. After 100 days,

2:54:352:54:40

responsibility transfers from NHS

England to CCGs, but this arbitrary

2:54:402:54:47

cut-off leaps to fragmentation and

gaps in the support. There must be a

2:54:472:54:54

review of that 100 day cut-off as

well as the care currently provided

2:54:542:54:57

to patients after a stem cell

transplant to ensure that all

2:54:572:55:01

patients can access the support they

need. This includes ensuring that

2:55:012:55:06

all patients have access to

appropriate emotional and

2:55:062:55:12

psychological support services and

access to clinical specialist or

2:55:122:55:15

equivalent model of support. Both of

which are pledges in the cancer

2:55:152:55:18

strategy. This issue very much ties

into what the cancer strategy says

2:55:182:55:24

about the commissioning of cancer

services being highly fragmented. It

2:55:242:55:30

recommended setting clear

expectations by the end of 2015 for

2:55:302:55:35

how cancer services should be

commissioned. As we had rapidly

2:55:352:55:41

towards 2020, it is important that

we continue working hard to resolve

2:55:412:55:45

the confusion that still exists. I

hope the Minister when winding up

2:55:452:55:52

can update us on how work in this

area is progressing. I have outlined

2:55:522:55:57

to do just a few of the priority

areas were much more needs to be

2:55:572:56:01

done to ensure that blood cancers

and the needs of the patients are

2:56:012:56:08

appropriately addressed by the

cancer strategy. I believe that

2:56:082:56:12

thorough and robust action in these

and a number of other key areas will

2:56:122:56:19

have an impact for blood cancer

patients, Inc approving care on

2:56:192:56:23

their journey from diagnosis to

treatment and through to recovery.

2:56:232:56:27

Thank you.

I'm delighted to be

taking part in today's debates,

2:56:272:56:36

which I know is such an important

area the Government. Can I

2:56:362:56:41

congratulate the members for

securing time today to speak on it?

2:56:412:56:48

Since 2010, the Government has

recognised the need to improve

2:56:482:56:52

cancer services offered by the NHS

and make the UK a world leader in

2:56:522:56:57

cancer research, diagnosis,

treatment and care. Many innovations

2:56:572:57:01

are being introduced, such as the

Cancer Drugs Fund and the

2:57:012:57:05

implementation of the independent

cancer task force strategy. Cancer

2:57:052:57:09

survival rates are a record high and

access to the world's leading cancer

2:57:092:57:15

continues to improve, so it is clear

great work is already being done. I

2:57:152:57:21

want to focus on the area of breast

cancer. It has been a honour to be

2:57:212:57:27

co-chair of the breast cancer group

for three years, and I have worked

2:57:272:57:32

with a range of really inspirational

people of patients through to

2:57:322:57:37

clinicians. It is great to see two

former chairs representing both

2:57:372:57:43

frontbenchers here today. I know the

minister did some really good work

2:57:432:57:49

during his time on aid related risk

and it is good to see that he is

2:57:492:57:53

carrying that one. I believe we may

be able to tempt him to talk about

2:57:532:57:58

some of the work he is doing in his

remarks later. As we know, breast

2:57:582:58:03

cancer is the UK's most common, with

11,500 women and easy men dying from

2:58:032:58:09

the disease every year. But great

strides are being made in diagnosis

2:58:092:58:14

and treatment, leading to survival

rates doubling over the last 40

2:58:142:58:18

years. One of the key

recommendations in the cancer

2:58:182:58:21

strategy is and early diagnosis were

the targets by 2020 that 95% of

2:58:212:58:26

patients will be diagnosed and

receive results within four weeks. I

2:58:262:58:33

want to concentrate on an area that

is critical in achieving that

2:58:332:58:37

ambition and is often preferred to

as the biggest breast cancer risk

2:58:372:58:40

women are not aware of, breast

density. During my work, the issues

2:58:402:58:48

surrounding breast density has

become clear, particularly the

2:58:482:58:52

increased risk and masking of

cancers in mammography. This is the

2:58:522:58:57

main method of national screening

and well considered the gold

2:58:572:59:01

standard, evidence shows it is not

as effective for women with a dense

2:59:012:59:05

breast'. It is important to

understand what its implications

2:59:052:59:10

are. I would point out it is not an

uncommon situation, with 40% of

2:59:102:59:16

women aged over 40 having dense

breast tissue. Although it is

2:59:162:59:22

completely normal, as is also a

well-established predictor of

2:59:222:59:25

developing breast cancer, with women

having the highest density between

2:59:252:59:30

four and six times more likely to

develop the disease than those with

2:59:302:59:34

less dense breasts.

2:59:342:59:35

The challenge is that on a mammogram

in more than 50% of cases the cancer

2:59:382:59:44

is missed. To illustrate the

significance of this it is useful to

2:59:442:59:48

recount a couple of examples given

to me by patients which highlight

2:59:482:59:51

the importance of the issue and the

differences in approach by country.

2:59:512:59:56

One lady living in the UK underwent

mammogram screening from 2004-2012

2:59:563:00:03

receiving a clean bill of health

each time. Shortly after her fourth

3:00:033:00:11

mammogram she found a lump which was

found to be seven centimetres in

3:00:113:00:14

size and had been missed over ten

years due to her breast tissue being

3:00:143:00:19

75% dense. She underwent a

mastectomy and as a result of her

3:00:193:00:23

illness was forced to give up her

business. Six years later she

3:00:233:00:27

continues to undergo breast

construction surgery. Compare this

3:00:273:00:33

to another patient I met who lives

in France. In 2016 her first ever

3:00:333:00:38

mammogram was clear but as she was

also diagnosed as having dense

3:00:383:00:42

tissue she was immediately referred

for an ultrasound scan which

3:00:423:00:46

revealed an 8mm invasive tumour. As

a result of the early detection she

3:00:463:00:51

received minimal treatment and an

extremely positive outcome. Sadly

3:00:513:00:57

the first experience is not unusual

with three and a half thousand

3:00:573:01:00

breast cancer is going undetected

each year in the UK alone. I'm aware

3:01:003:01:06

there is a global movement to

educate not only women but also

3:01:063:01:09

health professionals about the

implications of density with a view

3:01:093:01:13

to ultimately saving lives by

promoting earlier diagnosis so that

3:01:133:01:17

tumours can be found when they are

small. Currently in the USA 30

3:01:173:01:22

states have passed legislation to

provide women with some level of

3:01:223:01:24

information on breast density

detailing the increased risk they

3:01:243:01:29

face and how effective mammograms

are likely to be for them. I know

3:01:293:01:33

this is an area that the Minister

has a great deal of interest in as

3:01:333:01:36

it is something I have raised

previously and it is pleasing to see

3:01:363:01:39

that in the UK some action is

already being taken. But the

3:01:393:01:44

government commissioning research by

Warwick University on the subject.

3:01:443:01:48

There is also clear evidence showing

high breast density eclipses family

3:01:483:01:52

history as a risk factor for

developing breast cancer. So what

3:01:523:01:57

are the solutions? In an ideal world

the answer is to change screening

3:01:573:02:01

guidelines and offer further

screening to those women at risk.

3:02:013:02:04

But I appreciate the changes on the

skill needs we wait on the outcome

3:02:043:02:10

of the research so long-term

decisions can be reached. But there

3:02:103:02:16

is a straightforward solution which

can be found right now, there is a

3:02:163:02:24

definite need to promote awareness

not only to women but also health

3:02:243:02:28

professionals including GPs who are

the usual first port of call for

3:02:283:02:32

women concerned about their health.

This simple task of educating about

3:02:323:02:38

breast density can potentially

promote more positive health

3:02:383:02:42

outcomes, lead to less harsh

treatments, reduce mastectomies,

3:02:423:02:47

avoid secondary cancer and

ultimately save lives. To conclude

3:02:473:02:51

Madam Deputy Speaker over the past

two years I have learned an awful

3:02:513:02:54

lot about breast density and I would

like to think that as a result of

3:02:543:02:58

today's debate more people will be

informed about the impact it can

3:02:583:03:02

have. But questions remain, do the

women in your family or friends know

3:03:023:03:07

the risk that is posed to them from

breast density? Does your wife,

3:03:073:03:11

mother, sister or daughter now that

a clear mammogram may not actually

3:03:113:03:16

be clear? And shouldn't these

potentially life-saving pieces of

3:03:163:03:20

information be available to every

single woman to ensure that the

3:03:203:03:24

government 's excellent ambition of

an even better cancer survival rate

3:03:243:03:29

and delivering a world-class cancer

outcome can be achieved?

Thank you

3:03:293:03:35

Madam Deputy Speaker, it's a real

pleasure to follow the member who

3:03:353:03:40

reminds us of the importance of

using the expertise and knowledge we

3:03:403:03:43

have got in the system to improve

and accelerate improvements of

3:03:433:03:47

outcomes now. I would like to thank

the honourable member for Basildon

3:03:473:03:52

and Billericay who I know is

disappointed not to be here for

3:03:523:03:55

securing the debate and for his time

and education in chairing the

3:03:553:04:02

all-party group so well and

impressively over the last nine

3:04:023:04:05

years. This debate is focused on the

cancer strategy and the current

3:04:053:04:09

challenges it faces. It is important

as well to reflect on the positives.

3:04:093:04:14

In the space of my lifetime the

progress made in understanding,

3:04:143:04:19

diagnosing and treating cancer has

been remarkable Madam Deputy

3:04:193:04:23

Speaker. In the 1950s there was a

limited knowledge of cancers and the

3:04:233:04:29

risk factors associated, the NHS had

only recently emerged and there was

3:04:293:04:33

no coordinated plan to treat cancer.

We've come a long way since then.

3:04:333:04:39

Since the 1970s cancer survival

rates in the UK have doubled, this

3:04:393:04:42

is a real credit to the countless

health Provisionals, researchers,

3:04:423:04:47

volunteers charities and of course

patients who have pioneered progress

3:04:473:04:51

and continue to do so every day. It

is because of them we are where we

3:04:513:04:55

are, where a person in the UK is

more likely to survive cancer than

3:04:553:05:00

to die from it. However the remain

massive challenges. My constituent

3:05:003:05:05

came to see me after losing her

husband to pancreatic cancer in

3:05:053:05:11

2009, it is her fault I have ended

up as the chair of the all-party

3:05:113:05:14

group of pancreatic cancer. Kevin's

own mother died of the same thing 40

3:05:143:05:21

years earlier and the shocking thing

about that story is that the chances

3:05:213:05:26

of survival were no better than his

mothers and in most parts of life

3:05:263:05:30

the world has moved on rapidly in 40

years but in this part it has not.

3:05:303:05:33

In fact less than 7% in the UK,

pancreatic cancer has the worst

3:05:333:05:40

five-year survival rates of the 20

most common cancers with the new

3:05:403:05:43

Cray ranked 26th out of the 27 EU

countries

3:05:433:05:50

Cray ranked 26th out of the 27 EU

countries. Sadly pancreatic cancer

3:05:503:05:52

is on course to become the fourth

biggest cancer killer by 2026 so

3:05:523:05:57

action is needed now.

I am grateful

to the honourable gentleman for

3:05:573:06:05

giving way, would he agree that it

is vital, if we are to attack those

3:06:053:06:10

outliers that as well as the great

research we do here we make sure the

3:06:103:06:13

NHS is better at adopting and taking

up innovative medicines? That is a

3:06:133:06:18

large part of what the exhilarated

access review, the Informatics

3:06:183:06:23

programme is about, making sure the

NHS is capable of not just doing the

3:06:233:06:27

research but of enlightened

procurement to take up more quickly

3:06:273:06:32

drugs that work?

Absolutely and I

will come to that in my speech. As

3:06:323:06:35

the honourable member moving the

debate pointed out so well we are

3:06:353:06:41

almost halfway into the five-year

implementation plan of the

3:06:413:06:44

governments cancer strategy for

England. At this point there are

3:06:443:06:48

concerns about the rate of progress

being made. The workforce plan is

3:06:483:06:52

not yet as effective as we would

like. As the royal college of

3:06:523:07:00

pathologists point out while it can

take up to 15 years to train a

3:07:003:07:05

pathologist pathology services are

unable to recruit two vacant posts

3:07:053:07:09

today and it's anticipated that a

third of consultants will retire in

3:07:093:07:12

the next five years. This is just

one example of the we face.

3:07:123:07:18

Workforce capacity must be addressed

to change survival outcomes. It

3:07:183:07:26

would be good if the Minister could

update us on what is being done to

3:07:263:07:31

provide the funding needed based

upon England's cancer workforce

3:07:313:07:34

plan. Fast access to quick and

accurate diagnosis test is crucial

3:07:343:07:39

for pancreatic cancer patients many

are diagnosed too late. When surgery

3:07:393:07:44

is no longer available. In the

all-party pancreatic group early

3:07:443:07:49

diagnosis enquiry time to change the

story there was anecdotal evidence

3:07:493:07:54

from a health care professional that

a CT scan can be done quite quickly

3:07:543:07:59

but the report can sometimes take

ten weeks. It would be helpful if

3:07:593:08:04

the Minister's department were able

to respond to the recommendations in

3:08:043:08:08

the report and the progress being

made in that area. Not only

3:08:083:08:13

pancreatic cancer but other cancers

like blood cancers diagnosis can be

3:08:133:08:17

confiscated because symptoms can be

misunderstood or misdiagnosed.

3:08:173:08:24

Delays can have a major impact on a

patient's quality of life and

3:08:243:08:27

overall outcome and last elder

diagnosis would make a difference

3:08:273:08:31

for many not all blood cancers. To

change this recommendations for

3:08:313:08:36

early diagnosis should be reviewed

to ensure that all people with blood

3:08:363:08:41

cancer are benefiting from early,

accurate diagnosis. GPs could be

3:08:413:08:45

encouraged to ask for a simple blood

test for people displaying one or

3:08:453:08:49

more blood cancer symptoms.

Diagnostic techniques also have the

3:08:493:08:56

potential to guide what treatment

options are likely to be effective.

3:08:563:08:58

Last month it was provisionally

rejected to use five tumour

3:08:583:09:05

profiling test to gauge treatment

decisions on whether patients with a

3:09:053:09:08

particular type of early breast

cancer should also have received

3:09:083:09:11

chemotherapy following surgery,

reversing the previous guidance

3:09:113:09:17

recommending the option. This goes

to the point the honourable member

3:09:173:09:22

opposite was saying about using

genomics effectively and any precise

3:09:223:09:27

way. Breast cancer now is concerned

this could be a backward step for

3:09:273:09:33

some breast cancer patients

especially in the context of the

3:09:333:09:37

current cancer strategy is welcome

ambition to enable more personalised

3:09:373:09:40

treatment. I will indulge the

honourable member.

Would he agree

3:09:403:09:48

that on the subject the work of the

Institute in Birmingham led by

3:09:483:09:54

Professor Charlie Craddick and the

cure lead to the team working on

3:09:543:09:56

blood cancers has written the

playbook on how we do early

3:09:563:10:00

diagnosis. They have pulled in £200

million of free drugs for NHS

3:10:003:10:05

patients by doing exhilarated

access.

There is wonderful work

3:10:053:10:09

going on and it goes back to what

the member before me said, that we

3:10:093:10:13

need to grab this wonderful work and

move it forward and not be held back

3:10:133:10:16

by frameworks which are not quick

enough to move with the times. The

3:10:163:10:22

ability to personalise treatment

based on Trym profiling which would

3:10:223:10:26

allow many to avoid the brutal side

effects as the potential to reduce

3:10:263:10:32

the associated costs with the

therapy. It can give clinicians and

3:10:323:10:37

patients are valuable reassurance

that they may safely not have

3:10:373:10:40

chemotherapy which reduces

overtreatment. Nice is not community

3:10:403:10:44

clearly enough the reasons behind

rejecting the use of tumour

3:10:443:10:48

profiling tests as it is unclear if

this is a result of additional

3:10:483:10:54

evidence, the cost, or both. Behind

the recent provisional rejection of

3:10:543:11:03

tumour profiling tests to gauge

treatment decisions any specific

3:11:033:11:06

group of breast cancer patients. The

cancer strategy calls on Public

3:11:063:11:10

Health England to continue to invest

in campaigns to raise awareness of

3:11:103:11:16

the possible symptoms of cancer.

It's a big challenge for pancreatic

3:11:163:11:20

cancer as well as others. A poll

carried out in 2017 found that 35%

3:11:203:11:26

of adults in the UK would not be

worried if they had few of the

3:11:263:11:31

penitential symptoms of pancreatic

cancer. Last year Public Health

3:11:313:11:34

England launched an exciting

regional pilot including persistent

3:11:343:11:42

diarrhoea, although the results were

positive it's not yet been rolled

3:11:423:11:45

out nationally. I would be keen to

know when the minister plans a

3:11:453:11:50

national roll-out on the campaign.

In conclusion Madam Deputy Speaker

3:11:503:11:54

much has been done and much is

happening but there is much more to

3:11:543:11:58

do. Cancer Alliance has a

significant role in delivering

3:11:583:12:01

effective change and many are

clearly making a difference.

3:12:013:12:06

Workforce planning, early diagnosis

and greater symptom awareness are

3:12:063:12:09

key areas we need to up our game as

we move into the second half of this

3:12:093:12:14

five-year cancer strategy.

3:12:143:12:17

Thank you Madam Deputy Speaker. I

would like to also thank the

3:12:213:12:27

honourable member for East Kilbride

for securing this debate and I would

3:12:273:12:30

like to take this opportunity to

discuss blood cancer in particular

3:12:303:12:34

as many will know there are many

different types of blood cancer from

3:12:343:12:37

leukaemia, lymphoma and Mullah Omar

to the rarest that affect just a few

3:12:373:12:43

people. Blood cancer is a complex

and much misunderstood gees Leave

3:12:433:12:53

disease area. It is the third

biggest cancer killer and the fifth

3:12:533:12:57

most common overall with over

230,000 people living with blood

3:12:573:13:01

cancer. Compare to other cancers

those blood cancer patients had to

3:13:013:13:05

see her GP significantly more times

before being referred to hospital,

3:13:053:13:11

more than 35% had to see their GP

three or more times before referral

3:13:113:13:16

compare to only 6% for breast cancer

and 23% for other solid tumour

3:13:163:13:22

types. Blood cancer is by far the

most common cancer among people

3:13:223:13:26

under the age of 30. Despite that

Madam Deputy Speaker there are still

3:13:263:13:32

a number of issues with blood cancer

which need addressed. As the

3:13:323:13:37

honourable member for Scunthorpe has

said diagnosing can be very complex

3:13:373:13:41

at times, symptoms such as back pain

or tiredness are often misunderstood

3:13:413:13:46

and diagnosed as other conditions.

Those delays can lead to major

3:13:463:13:52

problems for the patients, not only

for quality of life but the overall

3:13:523:13:55

outcome. Recommendations for early

diagnosis in the cancer strategy

3:13:553:14:01

should be reviewed to ensure all

people with blood cancer and

3:14:013:14:05

benefiting from early and accurate

diagnosis. GPs should be encouraged

3:14:053:14:08

to ask a simple blood tests for

people displaying one or more blood

3:14:083:14:12

cancer symptoms. And the cancer

strategy says all cancer patients

3:14:123:14:16

will have had access to the recovery

practice by 2020. This helps once

3:14:163:14:21

the treatment has ended to return to

their normal lives.

3:14:213:14:24

It includes a review of the cancer

care but the package is based around

3:14:293:14:33

the needs for people with solid

tumour cancers. People with chronic

3:14:333:14:43

leukaemia, relapsing and phoning,

say that the term such as beyond

3:14:433:14:46

cancer and post treatment are not

applicable to them. In order to

3:14:463:14:49

ensure that people with blood cancer

receive sufficient support, I would

3:14:493:14:55

like to ask if my right honourable

friend would consider how all blood

3:14:553:15:01

cancer patients can benefit from

after-care support, including

3:15:013:15:05

ensuring the recovery package takes

account of the unique

3:15:053:15:09

characteristics of blood cancer.

Madam Deputy Speaker, 5000 people a

3:15:093:15:13

year with some slow-growing blood

cancers are put on a regime of watch

3:15:133:15:19

and wait instead of starting

treatment straightaway. Though

3:15:193:15:25

cancer is monitored potentially for

many years before treatment needs to

3:15:253:15:28

start. This can be difficult for

many patients and can lead to

3:15:283:15:34

psychological distress. Tailored

psychological support must be made

3:15:343:15:37

available to those patients and

watch and wait. I'd like treatment

3:15:373:15:41

of solid shimmer cancers, blood

cancers are not often treatable

3:15:413:15:47

through the use of surgery or

radiotherapy. This means blood

3:15:473:15:51

cancer is more dependent on the

development of new drugs and being

3:15:513:15:55

able to access them, and in order to

continue to improve patient

3:15:553:15:58

outcomes, that's very important.

Continued Government investment in

3:15:583:16:05

blood cancer research, including a

clinical trials infrastructure, is

3:16:053:16:09

required to capitalise on the UK's

position as a reader in blood cancer

3:16:093:16:14

research. This will benefit patients

but also help the Government reach

3:16:143:16:20

ambitions outlined in the UK life

sciences industrial strategy. The

3:16:203:16:25

cancer strategy sets out to clinical

leaders should work together in

3:16:253:16:29

Cancer alliances with those affected

by cancer to decide on how local

3:16:293:16:34

care and services should be

delivered. But despite this

3:16:343:16:37

omission, patients often find the

services are fragmented, adding

3:16:373:16:42

stress to their experience. This can

be a particular problem for blood

3:16:423:16:47

cancer because patients are often

treated in haematology units rather

3:16:473:16:50

than oncology. Cancer alliances

should reduce fragmentation between

3:16:503:16:55

the different stages of care for

blood cancer patients by

3:16:553:16:59

acknowledging and bridging the

recognised gaps between oncology and

3:16:593:17:03

haematology departments and between

primary and secondary care. To

3:17:033:17:08

conclude, the cancer dashboard has

been developed following a

3:17:083:17:12

recommendation on the cancer

strategy. It allows clinicians and

3:17:123:17:16

others to compare performance of

clinical commissioning groups and

3:17:163:17:19

identify areas for improvement.

However it only covers the four most

3:17:193:17:27

common salute tumour types, long,

breast, prostate and colorectal, and

3:17:273:17:32

this equates to less than half of

all cancer cases. Can my right

3:17:323:17:37

honourable friend provide ensures

that the health service will

3:17:373:17:40

actively work to include blood

cancer in the cancer dashboard? As

3:17:403:17:45

the fifth most common cancer and to

ensure that decisions about future

3:17:453:17:49

services to disregard these

patients. -- don't disregard these

3:17:493:17:56

patients.

It is an honour to follow

the right honourable man member who

3:17:563:18:05

spoke knowledgeably. Like everyone

in this House, I'm sure I can speak

3:18:053:18:10

about many aspects of cancer as we

probably all can, including my own

3:18:103:18:14

experience. I could speak about the

very moving speech made by Baroness

3:18:143:18:21

Jowell, a very special moment in

Parliament's history and one I will

3:18:213:18:24

be glad to be there for but I'm very

sad that she had to be. I could

3:18:243:18:32

speak about how horrible

chemotherapy is and how deeply a

3:18:323:18:34

girl can feel the loss of her

eyelashes. I could speak about my

3:18:343:18:42

support for health labelling and

alcohol, because people are unaware

3:18:423:18:45

of the connections between it and

cancer. I hope he will support

3:18:453:18:51

better labelling. I could speak

about how important healthy habits

3:18:513:18:57

are generally for reducing cancer

and would ask the minister if he

3:18:573:19:00

would do more to urge people to take

up healthy habits from an early age.

3:19:003:19:04

I could speak about how women should

learn how to check their breasts

3:19:043:19:08

properly because many have told me

they don't know how. I could tell

3:19:083:19:13

you what I learned last week about

the contribution CERN has made to

3:19:133:19:20

improving diagnoses of cancer

through the development of the

3:19:203:19:23

magnetic resonance imaging machine.

I also spoke to scientists who are

3:19:233:19:28

doing what they can to reduce the

very frightening knocking effects

3:19:283:19:31

that happens when you are in fact

cited. But I'm going to speak about

3:19:313:19:37

the patient experience of a very

specific group, children and young

3:19:373:19:41

people with cancer and their

families. I say to those children

3:19:413:19:46

and young people, their parents, the

clinicians and charity supporting

3:19:463:19:51

them, this speech is for you. I pay

tribute in particular to the teenage

3:19:513:19:56

Cancer trust and thank them and all

other charities who help children

3:19:563:20:01

and young people with cancer every

day. I want to give very personal

3:20:013:20:05

close to my sister-in-law Emily, who

is following the hearing,

3:20:053:20:12

fundraising is an inspiration to

many and whose personal knowledge

3:20:123:20:14

has taught me so much. I will

happily give way to my noble friend.

3:20:143:20:21

As a parent of a child who has had

the support of the charity, and it

3:20:213:20:28

is and then supporting you only from

a medical point of view, it is

3:20:283:20:32

people to talk to to understand what

your child and you are going

3:20:323:20:37

through.

I thank my honourable

friend for that intervention. The

3:20:373:20:45

specialist organisations understand

what the families are going through,

3:20:453:20:48

how devastating the diagnosis can

be, but also what can be done to

3:20:483:20:52

help people through it. I set up the

all-party Parliamentary group on

3:20:523:20:57

childhood and teenage cancer last

year with the help of CLIC Sargent

3:20:573:21:04

and teenage Cancer trust for

children and young people living

3:21:043:21:05

with cancer and their parents

because they told me they want to

3:21:053:21:08

have their voices heard in

Parliament. I think the officers who

3:21:083:21:12

are almost all here, for their

support. And childhood cancers are

3:21:123:21:22

thankfully rare, just 4000 people

under 25 each year in the UK are

3:21:223:21:29

diagnosed with cancer, but this

rarity means they are often die as

3:21:293:21:32

Michael difficult to diagnose and

much more likely than Oldham

3:21:323:21:37

patients to be diagnosed at a later

stage. This also means that

3:21:373:21:41

treatment can be difficult and

children, young people and their

3:21:413:21:43

peers have to travel a long way for

specialist treatment. It can mean

3:21:433:21:47

treatment can be unpleasantly

aggressive. There are consequences

3:21:473:21:54

for children's education, future

employment, the treatment affects

3:21:543:21:59

their fertility. Some of them may

not even be thinking about them at

3:21:593:22:03

the time of diagnosis. It may cause

a disability, set them apart from

3:22:033:22:08

their friends at the time they are

finding out who they are. In

3:22:083:22:12

Bristol, the teenage Cancer trust

provides a specialist ward for

3:22:123:22:18

teenage patients. They are able to

help teenagers and their parents get

3:22:183:22:23

through this difficult time with the

services tailored to the specific

3:22:233:22:27

needs. CLIC Sargent provides a

specialist support and in Bristol

3:22:273:22:31

that includes a home for children

and their families to live and have

3:22:313:22:36

here whilst they are having cancer

treatment. A parent I met when

3:22:363:22:41

visiting the CLIC Sargent has told

me of arriving in Bristol with

3:22:413:22:45

nothing apart from them and their

child expecting a checkup and by the

3:22:453:22:49

evening discovered that their child

had cancer and that treatment was

3:22:493:22:53

due to start immediately. The CLIC

Sargent social worker can explain

3:22:533:22:58

what the House does, what the

facilities are and can help guide

3:22:583:23:01

people who are just suddenly dealing

with the really traumatising

3:23:013:23:05

experience, but also having no

supplies to cope with the next few

3:23:053:23:08

days. Two years ago, the cost of

cancer and support, whose Parliament

3:23:083:23:15

launch I had the honour of hosting,

identified specific costs for

3:23:153:23:20

families affected by chartered

cancer. I urge the Minister to look

3:23:203:23:23

at it again. We are launching our

first enquiry on Monday. We are

3:23:233:23:34

looking at patient experience, and I

know the Minister will want to

3:23:343:23:37

engage with that process as we go

forward. We want Parliament to

3:23:373:23:41

understand better the really

specific experience of children and

3:23:413:23:44

young people with cancer and their

families and identifying whether

3:23:443:23:48

there needs are being met at where

improvements can be made. There

3:23:483:23:52

might be suggestions for

improvements to diagnosis or

3:23:523:23:55

post-treatment support or help with

the very specific about of cancer

3:23:553:23:58

diagnosis. And all those other

consequences I have listed. Many of

3:23:583:24:05

us who may have had contact with

children with cancer or their

3:24:053:24:10

appearance in her constituency work

and I say to those people, this

3:24:103:24:14

enquiry is for you but it's about

you and it's with you. Young people,

3:24:143:24:19

parents and professionals can get

involved by filling in the short

3:24:193:24:23

survey online on the all-party

Twitter feed and website from

3:24:233:24:27

Monday. They can find out more about

the enquiry on the web page, just

3:24:273:24:38

Google APPG and cancer. We are

informed by what young people have

3:24:383:24:41

already told us and have heard and

analysed evidence as well as giving

3:24:413:24:47

it. The Government is committed to

collecting patient experience data

3:24:473:24:53

for the under 16. This is

progressing and we are pleased to

3:24:533:24:55

hear about it, but I would like the

Minister to consider how it might be

3:24:553:25:00

improved and tell us a bit more

about it. I will happily give way.

3:25:003:25:06

CLIC Sargent a few years ago now

produced a report about children

3:25:063:25:10

with cancer going back to school

which are really highlighted some of

3:25:103:25:15

the major problems and the lack of

guidelines about how teachers are

3:25:153:25:20

actually given the proper

understanding. Particularly if the

3:25:203:25:22

children are very young, is not only

difficult for them, but also the

3:25:223:25:26

other children at the school who

have perhaps a senior friend who

3:25:263:25:30

they saw looked perfectly normal and

now might not have hair or something

3:25:303:25:36

like that. We need a proper system

in place so those children can be

3:25:363:25:42

properly included than excluded.

Absolutely right and I know from

3:25:423:25:47

Michael Leask unions in my circle of

exactly how that can affect both the

3:25:473:25:52

young person but also their

educators and their peers. Young

3:25:523:25:56

people have spoken to me with very

difficult experiences, some who had

3:25:563:26:00

good support from their school and

others have been told they were

3:26:003:26:04

upsetting their colleagues with

their hairlessness. But it should be

3:26:043:26:15

an opportunity to work with young

people about how they can support

3:26:153:26:19

their friend and reduced their own

risk through making healthy choices

3:26:193:26:21

at that point. I will close shortly,

but I want to finish by rear to

3:26:213:26:28

rating to all honourable members in

the House and beyond that if they

3:26:283:26:32

would like to get involved with the

all-party group of this enquiry,

3:26:323:26:36

please get in touch with me. If

children, young people are parents

3:26:363:26:41

and other family members wanted

their voices heard, they can contact

3:26:413:26:45

the group myself for their own MPs.

I hope the Government and parliament

3:26:453:26:52

generally will be willing to hear

those voices, needs and experiences

3:26:523:26:55

of children and young people with

cancer and their families. I'm sure

3:26:553:27:00

everyone here is committed to that,

but we really must actually do that.

3:27:003:27:09

I would like to thank the member for

East Kilbride for securing the

3:27:093:27:14

debate today and also state that it

is an honour to follow the member

3:27:143:27:17

for Bristol worst of what was a

passionate and very well-informed

3:27:173:27:20

speech. We all have loved ones that

have been affected by cancer. I lost

3:27:203:27:27

my maternal grandparents to breast

and oesophageal cancer. Many in my

3:27:273:27:32

family have suffered from melanoma

and one of my friends is currently

3:27:323:27:35

battling cancer. We have all heard

harrowing stories by constituencies.

3:27:353:27:44

Cancer is indiscriminate and yes we

can make lifestyle changes to try

3:27:443:27:48

and avoid it and be aware with The

Simpsons, advances in medicine mean

3:27:483:27:52

we can fight it more effectively and

can detect it earlier to increase

3:27:523:27:56

the Lords, but there are still no

guarantees. Cancer is a powerful

3:27:563:28:01

rates are at a record high with

around 7000 people alive today who

3:28:013:28:05

would not have been hit maternity

rates be the same in 2010. --

3:28:053:28:10

mortality rates. This is a step in

the right direction and we are not

3:28:103:28:16

at our destination. For all those

who lose their mother or child or

3:28:163:28:21

friend today and hero of this

debate, I want them to know the

3:28:213:28:25

Government and MPs and get it, we

get that were on the right track but

3:28:253:28:28

equally there is so far to go

because cancer is still the most

3:28:283:28:33

dangerous serial killer that remains

at large and that is why we must

3:28:333:28:39

continue to prioritise this area.

The formation of the 1.2 billion

3:28:393:28:44

cancer drug fund was a massive step

forward and has helped over 95,000

3:28:443:28:49

people to access the life extending

drugs they need. As was the

3:28:493:28:53

fermentation of the pass cancer

strategy. In 2010, we had some of

3:28:533:29:06

the worst survival rates in Europe,

but we are now closing that gap.

3:29:063:29:16

57,000 more patients started cancer

treatment last year. When it comes

3:29:163:29:21

to cancer prevention is key. I do

welcome the increase in investment

3:29:213:29:26

in Cancer Research by the National

Institute for health research since

3:29:263:29:29

2010. And also the work that the

Pazdan along with Cancer Research UK

3:29:293:29:37

including a jointly funded effort of

18 experimental cancer medicine

3:29:373:29:40

centres aimed at driving the

development and testing new

3:29:403:29:44

anti-cancer treatments. In terms of

prevention I would like to draw

3:29:443:29:47

attention to the HPV high uptake,

high uptake of the HPV vaccination

3:29:473:29:54

amongst teenage girls which can

prevent around 600 cancers per year

3:29:543:29:59

and 99% of cervical cancer cases. I

have spoken before in this chamber

3:29:593:30:04

on Public Health England's Tobacco

control plan aiming to usher in the

3:30:043:30:09

first smoke-free generation by 2022.

Improving diagnosis is also equally

3:30:093:30:15

essential. Public health campaigns

such as be clear on cancer are vital

3:30:153:30:19

to raise awareness of early symptoms

especially amongst less common

3:30:193:30:24

cancers. Crucially the 200 million

which has been invested to ensure

3:30:243:30:28

patients received a diagnosis or the

all clear within 28 days by 2020

3:30:283:30:32

will make a huge difference. This

would have benefited my constituent

3:30:323:30:37

Madam Deputy Speaker whose symptoms

were initially dismissed as

3:30:373:30:41

irritable bowel syndrome and then

she waited for a long time

3:30:413:30:44

protesting. She is now terminally

ill with bowel cancer. But she is

3:30:443:30:49

trying to work hard every single day

to raise awareness and help others

3:30:493:30:52

to get diagnosed quickly. Almost

everyone will survive bowel cancer

3:30:523:30:58

if diagnosed early. In fact nine in

ten people. Yet shockingly and sadly

3:30:583:31:04

only 15% of people diagnosed, are

diagnosed at this stage.

She's

3:31:043:31:12

making a very powerful point, on the

question of early diagnosis,

3:31:123:31:17

prevention and screening, would she

agree that the hundred thousand

3:31:173:31:21

Geelong project we launched in the

UK focused on cancer and rare

3:31:213:31:24

disease which is seeking volunteers

for gene sequence

INAUDIBLE

3:31:243:31:30

Is a brilliant way for people to get

involved and if anyone is concerned

3:31:303:31:35

get involved and in role, we still

need another 50,000 patients and

3:31:353:31:39

it's a massive way of getting access

to early diagnosis.

Time did not

3:31:393:31:45

permit me to cover that so I am

grateful he has covered that. In

3:31:453:31:50

terms of bowel cancer I welcome the

new test that is going to be rolled

3:31:503:31:57

out in April, it is more sensitive

and accurate and can detect twice as

3:31:573:32:00

many cancers as the current rate.

Currently only half of those invited

3:32:003:32:05

to take part in testing do but it's

proven scientifically to increase

3:32:053:32:09

the number participating in the

programme, especially as an easier

3:32:093:32:13

and more hygienic post them current

tests. But the awareness of symptoms

3:32:133:32:18

coupled with the new test and the

ageing population is leading

3:32:183:32:22

charities within the sector to voice

concerns of a looming endoscopic

3:32:223:32:26

workforce crisis. I will cancel and

jerky and beating bowel and

3:32:263:32:33

especially as all my 48 have been

trained so far. I would like to hear

3:32:393:32:43

more from the Minister in response

to this so my constituent can be

3:32:433:32:48

assured that others may be diagnosed

earlier than she was. Madam Deputy

3:32:483:32:53

Speaker one of the key issues when

it comes to beating cancer and

3:32:533:32:58

preventing cancer is also getting

screened regularly when applicable.

3:32:583:33:02

This is especially the case of

cervical cancer. The NHS cervical

3:33:023:33:06

screening programme in England

offers screening to women aged 25-49

3:33:063:33:11

every three years and women aged 58

and 60 for every five years. Every

3:33:113:33:16

year in the UK around 3000 women are

diagnosed with cervical cancer but

3:33:163:33:21

research shows the number of women

using the service has dropped to a

3:33:213:33:25

20-year-old time low. Over 1.2

million people are not attending

3:33:253:33:30

screening and last. A recent report

showed that embarrassment is a key

3:33:303:33:36

barrier to attendance for between

one third to one half of all women

3:33:363:33:40

as is the desire not to miss work.

There is also a severe lack of

3:33:403:33:45

understanding about the importance

of the screening. Shockingly one in

3:33:453:33:50

three women aged 25-29 Mr smear yet

cervical cancer is the most common

3:33:503:33:54

for women under the age of 35. We

must address this. I have noted that

3:33:543:34:02

imperial college have conducted a

trial to assess the effectiveness of

3:34:023:34:06

texting non-responders on improving

coverage. But I do think we should

3:34:063:34:10

just do this as it can only help. I

also welcome the Department of

3:34:103:34:15

Health behavioural insight team

which has undertaken a trial to

3:34:153:34:18

investigate the use of behavioural

insights to optimise the contact of

3:34:183:34:21

the invitation letter. I must admit

that I was one of these women, I put

3:34:213:34:30

off my screening for years, I left

it on the bottom of my to-do list.

3:34:303:34:34

Let it fit in around my job. It kept

every year. I must admit if I am

3:34:343:34:40

honest I did not realise that

cervical cancer is the most common

3:34:403:34:43

in women under the age of 35. When I

did have my screening I had to go

3:34:433:34:48

through the processes once abnormal

cells were shown. As my results

3:34:483:34:56

showed high grade abnormalities I'm

extremely thankful I went when I

3:34:563:34:58

went. I would like to take this

opportunity to praise the work with

3:34:583:35:05

the information and support provided

to women, I know personally I find

3:35:053:35:08

it extremely helpful. We seem to be

very British about cervical smear

3:35:083:35:15

tests and don't like to talk about

them much. This is not promoting

3:35:153:35:19

people going. Yes it's not nice, it

hurts a little, it is awkward and

3:35:193:35:24

embarrassing. But it could save your

life. That is the message I think we

3:35:243:35:29

need to get out. I think we need to

promote cervical screening from

3:35:293:35:33

school age so women recognise all

the risks and the importance of

3:35:333:35:39

going from age 20 five. In September

and October 2017

3:35:393:35:45

to our squad activities they had

undertaken to increase coverage from

3:35:513:35:54

August 2016 to August 2017 along of

the outcomes. Of the 149 local

3:35:543:36:04

authorities who responded 32% had

not undertaken any activities at

3:36:043:36:07

all. I ask the Minister to

commission a review and a strategy

3:36:073:36:14

to increase the falling rates of

cervical screening is looking at the

3:36:143:36:18

availability and challenges of

reaching all women. And the need for

3:36:183:36:22

awareness of cervical cancer. To

conclude Madam Deputy Speaker

3:36:223:36:26

MacMillan claimed by 2020 47% of

people will get cancer at some point

3:36:263:36:31

in their life. That is almost one in

two. That's the scale of the problem

3:36:313:36:37

we face. So whilst we have come so

fast and twisted ten in terms of

3:36:373:36:42

diagnosis and treatment there is

still so far to go.

3:36:423:36:44

Thank you Madam Deputy Speaker. I

would like to start by thanking the

3:36:503:36:54

member of East Kilbride for bringing

this debate around, it matters a lot

3:36:543:36:58

to a lot of people. Most people will

talk about statistics but I'm going

3:36:583:37:02

to talk about the impact on the

people behind the statistics. A lot

3:37:023:37:06

of us here have been affected by

cancer, my daughter died at just 35

3:37:063:37:12

of breast cancer and I will talk

about cancer from a patient's

3:37:123:37:14

perspective. One in eight women

develop breast cancer in their

3:37:143:37:20

lifetime and 80% survival five

years. 95% of women will survive one

3:37:203:37:26

year, my daughters survived 13

months. Recent data shows 11,500

3:37:263:37:33

women and 18 men in the UK still die

from breast cancer. My daughter was

3:37:333:37:38

diagnosed with triple negative

breast cancer in April 2010 and died

3:37:383:37:45

13 months later. She was a very

bright girl with a degree in

3:37:453:37:48

politics and social work and worked

with underprivileged children, she

3:37:483:37:53

also had a husband and three small

children. She was treated at

3:37:533:37:57

Nottingham City Hospital. She had

chemotherapy, radiotherapy and a

3:37:573:38:04

mastectomy and her treatment was

amazing, they could not have been

3:38:043:38:06

better. As well as that she came

home for the final three weeks of

3:38:063:38:10

her life to die and the team who

came to support me and her husband

3:38:103:38:16

were amazing as well, I cannot thank

them enough. I want to talk a little

3:38:163:38:21

bit about some of the information

that breast cancer now charity have

3:38:213:38:25

made available to me, I am an

ambassador for them because I

3:38:253:38:28

decided one of the things I wanted

to do was be an ambassador for a

3:38:283:38:33

breast cancer charity. They have

said it will be challenging to meet

3:38:333:38:36

the objectives set out in the cancer

strategy and mice corrective action

3:38:363:38:39

is taken. My daughter 's cancer was

advanced, stage three when it was

3:38:393:38:46

diagnosed and screening would

probably not have helped but this

3:38:463:38:49

report has said breast screening is

a key initiative to ensure the early

3:38:493:38:52

detection and diagnosis and although

controversy still exists around

3:38:523:38:57

overdiagnosis its benefits are

recognised to outweigh its risks in

3:38:573:39:03

detecting 30% of breast cancers and

saving 1300 lives a year. This

3:39:033:39:09

report also talks about a shortage

of staff, 32% of radiologists

3:39:093:39:14

expected to retire between 2015-25.

My daughter developed a brain tumour

3:39:143:39:20

which is a common secondary of

breast cancer and she had to go for

3:39:203:39:25

radiotherapy, it is traumatic, she

saw flashing blue and white light,

3:39:253:39:28

she had to wear a mask and the

upsetting thing was because of staff

3:39:283:39:33

shortages she was often lying on a

trolley waiting for things. If you

3:39:333:39:37

can imagine what it's like lying on

a hospital trolley with cancer, it

3:39:373:39:43

is so distressing. That is the

effect on patients of short

3:39:433:39:46

staffing, it's just a phrase in the

report but that is what it means. I

3:39:463:39:52

also want to talk about the lack of

access to a clinical nurse

3:39:523:39:56

specialist in breast cancer now port

they said they are concerned about

3:39:563:40:03

the lack of access for secondary

breast cancer patients, only 21% of

3:40:033:40:07

organisations in England Scotland

and Wales report having one or more

3:40:073:40:12

dedicated to secondary breast

cancer. We now again this is access

3:40:123:40:16

which can make a big difference to

the way people with cancer

3:40:163:40:21

experience their care providing with

support and helping them manage

3:40:213:40:25

systems. This is especially

important for patients with

3:40:253:40:29

incurable secondary breast cancer

who have particularly complex needs.

3:40:293:40:33

I finally want to go back to the

third part of the report, I am sorry

3:40:333:40:40

I am not very co-ordinated, it's a

bit upsetting. Breast cancer now

3:40:403:40:44

have said we have serious concerns

about the future of the survey as

3:40:443:40:48

the result of an introduction of the

new opt out model scheduled on May

3:40:483:40:53

20 18. It has been a key driver of

improvements in cancer carers and

3:40:533:41:01

2010. I want to finish talking about

the aspiration by breast cancer note

3:41:013:41:06

that by 2050 everyone who develops

breast cancer will live. My daughter

3:41:063:41:10

used to say to me because I used to

say two hah I have had so much of my

3:41:103:41:15

life, more than you, I wish it could

be me and she used to say mum, I

3:41:153:41:19

wish it could be no one and I just

think as parliamentarians we have

3:41:193:41:23

got power to influence this and

change it and maybe we can and by

3:41:233:41:34

2015 nobody need die of breast

cancer. Thank you.

Thank you Madam

3:41:343:41:40

Deputy Speaker, I would like to

thank the Honourable lady, the

3:41:403:41:46

member for East Kilbride,

Strathnaver and Lesnar Hagel for

3:41:463:41:48

opening this debate. And Peter Bute

to the excellent work over

3:41:483:41:59

I am delighted to be a supporter of

this debate. As someone who was

3:42:043:42:10

always keenly interested in the

cancer strategy I wanted to

3:42:103:42:14

highlight three particular issues,

one in relation to pancreatic cancer

3:42:143:42:19

which has been very well covered by

my dear friend the member for

3:42:193:42:23

Scunthorpe, I want to make brief

reference to that and mention

3:42:233:42:26

something about the transformation

funding and make a plea to the

3:42:263:42:30

Minister. I also want to mention

advanced radiotherapy which is a

3:42:303:42:35

hobbyhorse of mine. As some of you

may be aware, I have recently

3:42:353:42:39

recovered from a re-occurrence of

lymphatic cancer. I have got some

3:42:393:42:45

first-hand knowledge of the

importance of getting cancer

3:42:453:42:48

strategy right, not least in terms

of early diagnosis and appropriate

3:42:483:42:54

treatment. I believe delivering the

recommendations set out in the

3:42:543:42:59

cancer strategy is crucial to

improving the care and support for

3:42:593:43:03

thousands of people affected by

cancer. I am not seeking to make a

3:43:033:43:07

party political point about the

nature of policy. Essentially it

3:43:073:43:16

requires resources, it requires a

plan, a strategy and commitment. I

3:43:163:43:20

wanted to mention a little bit

pancreatic cancer, it's a type of

3:43:203:43:28

cancer that sadly has taken some

personal friends of mine and it's

3:43:283:43:32

particularly nasty. It has the worst

five-year survival rate of the 20

3:43:323:43:37

most common cancers. At least 7%

across the UK, a figure which has

3:43:373:43:44

hardly changed in 40 years in most

other types of cancer, survivability

3:43:443:43:51

has gone up, with pancreatic cancer

it is unfairly flat and it really

3:43:513:43:55

needs some investment, it needs

urgent action. Because it looks as

3:43:553:44:01

if pancreatic cancer is set to

become the fourth biggest cancer

3:44:013:44:06

killer by 2026 on the current

trajectory. Indeed currently 80% of

3:44:063:44:13

pancreatic cancer patients are

diagnosed at the stage where the

3:44:133:44:17

disease is advanced and sadly

surgery, the only potential curative

3:44:173:44:22

treatment because you cannot get a

pancreas transplant as far as I'm

3:44:223:44:31

aware, surgery isn't an option when

the disease is in an advanced stage.

3:44:313:44:42

Diagnosing pancreatic cancer early

is key to improving those appalling

3:44:423:44:49

survival rates and ensuring patients

are able to live better for longer

3:44:493:44:53

periods following diagnosis. I

looked up the figures for my own

3:44:533:44:55

area and part of the attic --

pancreatic cancer took the lives of

3:44:553:45:03

188 people. Between 2010-2014, so it

is clear that much more work is

3:45:033:45:12

needed to deliver the kind of change

that we must see by people who are

3:45:123:45:17

affected and their families to

achieve the improvements in surprise

3:45:173:45:20

all trades that are so desperately

needed. -- survival rates. I had

3:45:203:45:27

deep pleasure of visiting a local

group of young volunteers. I think

3:45:273:45:36

many members took similar

opportunities. They were raising

3:45:363:45:40

money for a chemotherapy award

because of their own personal and

3:45:403:45:45

family experiences. They thought the

facilities available were inadequate

3:45:453:45:49

because the ward, although filled

with excellent and committed staff,

3:45:493:45:55

was grappling with the increasing

demand and lack of funds. They were

3:45:553:46:00

raising money to buy for firms to

keep the patient is cool and an

3:46:003:46:04

assortment of other things. It is an

indictment that when we are putting

3:46:043:46:08

additional money into the recovery

fund and encouraging people to get

3:46:083:46:12

through the treatment and we are

relying on charitable donations to

3:46:123:46:18

do this. At the Britain against

Cancer conference in 2016, the Chief

3:46:183:46:25

Executive of NHS England announced

200 million pounds of funding for

3:46:253:46:29

cancer along with improving earlier

diagnosis and funding stratified

3:46:293:46:35

pathways. This money was intended to

support the roll-out of the recovery

3:46:353:46:40

package. But since the funding was

announced, there have been

3:46:403:46:44

significant delays in reaching

cancer alliances, with only nine of

3:46:443:46:49

the 16 having received their

funding. As though Britain against

3:46:493:46:55

Cancer conference in December 2017,

the Secretary of State for Health

3:46:553:46:59

said the release of funding to

cancer alliances with be delayed in

3:46:593:47:02

areas that were unable to

demonstrate an improvement in their

3:47:023:47:08

62 day waiting time standard. That

was an additional requirement that

3:47:083:47:12

had not been included as part of the

original criteria set during the

3:47:123:47:17

bidding process. Every person

diagnosed with cancer, it doesn't

3:47:173:47:23

matter where they live, should be

able to rely upon timely diagnosis

3:47:233:47:29

and treatment when told they have

cancer. However, as the final report

3:47:293:47:33

from your party's report on cancer

said, the delays in funding to these

3:47:333:47:43

cancer alliances had had a

significant impact on their ability

3:47:433:47:46

to make progress. I hope that the

Minister is paying attention,

3:47:463:47:53

because this is a question I want to

ask him. I'm very glad to hear he

3:47:533:47:58

is. I know this is an issue that

estate to his heart, it is a serious

3:47:583:48:04

point. The Department of Health must

decouple the release of the

3:48:043:48:10

transformation funding to cancer

alliances from progress against the

3:48:103:48:14

62 day waiting time standard and I

hope he will address that in his

3:48:143:48:17

remarks. I look forward with

anticipation to the Minister's

3:48:173:48:25

remarks. It wouldn't be a

congregation for me on health if I

3:48:253:48:29

didn't mention advanced

radiotherapy. I want to just say

3:48:293:48:35

that I have regularly raised the

benefits and the applications for

3:48:353:48:39

further investment in research and

advanced radiotherapy. I think

3:48:393:48:45

investment and research, because the

cost should be evidence -based. But

3:48:453:48:49

there are a number of areas that are

quite exciting. In particular,

3:48:493:48:55

proton beam therapy. I visited

University College Hospital in

3:48:553:49:01

London for pardon my treatment and I

have seen the installation of the

3:49:013:49:07

proton beam therapy equipment there.

And adaptive radiotherapy based on

3:49:073:49:17

advanced imaging, which is a kind of

empire linear exurbs Loretto. And

3:49:173:49:29

indeed combinations of radiotherapy

with the drugs, bio markers which

3:49:293:49:32

have selections for radiotherapy and

strategies so that it precisely goes

3:49:323:49:38

to the cancer cells and indeed MRT.

I think it is necessary that we

3:49:383:49:46

evaluate the use of new radiotherapy

techniques and compare them with

3:49:463:49:52

conventional techniques, and

includes some surgical techniques.

3:49:523:49:56

Sometimes radiotherapy is more

effective than surgery or some types

3:49:563:50:00

of pharmaceutical products. I am

advocating the should be alongside,

3:50:003:50:05

not instead, and with considerable

evaluation. It could have better

3:50:053:50:12

outcomes and reduced treatment

costs. I would like to thank all of

3:50:123:50:18

my colleagues, honourable friends

and members of the House who serve

3:50:183:50:24

on the APPG on cancer as well of the

charities who continue to do

3:50:243:50:29

excellent work, and those working on

our National Health Service and the

3:50:293:50:33

cancer.

I'd like to congratulate the

honourable member from a school

3:50:333:50:43

bride and thank her for giving us

the opportunity to come and speak in

3:50:433:50:46

this matter. Some of the

contributions have been extremely

3:50:463:50:54

touching and we should thank all of

the members for their wonderful and

3:50:543:50:58

very personal contributions today.

As everyone here can testify to come

3:50:583:51:07

cancer has touched everyone and

there wouldn't be any family who

3:51:073:51:11

isn't aware of it. I think that the

year 2020, one in two should be

3:51:113:51:19

diagnosed in their lifetime. My

father survived cancer on three

3:51:193:51:23

occasions due to the skill of the

surgeon and the care of the nurses

3:51:233:51:28

and the players he believed in. In

relation to it Northern Ireland,

3:51:283:51:34

there are many things that we have

problems with, we all know about the

3:51:343:51:40

political process, but I would

encourage the Minister to remember

3:51:403:51:45

it is a devolved matter, if they

could have some discussions or

3:51:453:51:50

coordination with the permanent

Secretary of health to see anything

3:51:503:51:56

anyway he can help and encourage

health Department there. Cancer in

3:51:563:52:04

Northern Ireland has increased by

25% in the last ten years. Cancer

3:52:043:52:10

cases have reached 9000 for the

first time ever, which gives us an

3:52:103:52:13

indication of where the problems

are. 2.5 million living with or

3:52:133:52:18

beyond cancer in the UK today. I'm

thankful to Macmillan Cancer care

3:52:183:52:25

for the information they have given.

The issue is that not all of these

3:52:253:52:32

people are living well, with many

experiencing emotional, physical and

3:52:323:52:38

financial problems of treatment.

Many face disability or poor health

3:52:383:52:42

following the treatment and it can

remain for many years after

3:52:423:52:46

treatment. It is vital that the NHS

is set up to meet the changing needs

3:52:463:52:50

of cancer patients so they are able

to access advance care when they

3:52:503:52:54

need it. I'm even more conscious of

the financial implications because

3:52:543:52:58

in the five-year for review

projections, it is expected cancer

3:52:583:53:03

sellers should grow by 9%. -- cancer

services. The rubble lady and others

3:53:033:53:15

referred to cancer prevention.

Macmillan is concerned about the

3:53:153:53:21

cancer patient experiences surveys.

We have had them in Northern Ireland

3:53:213:53:24

for a period of time and it is very

important we can see what the trusts

3:53:243:53:29

are doing and the conical

commissioning groups are doing, what

3:53:293:53:33

the cancer types are and the

different aspects of the cancer

3:53:333:53:36

journey. In England, the CPES since

22 has encourage improvement in

3:53:363:53:46

results, which is very important.

Magellan is concerned, just for the

3:53:463:53:55

record, and apologies for not

looking at you directly, and for

3:53:553:53:59

using the word you, McMillan is

concerned that they will not

3:53:593:54:06

continue to deliver the same

high-quality data as the survey

3:54:063:54:11

model is not like to be viable. It's

clear that Macmillan care have

3:54:113:54:21

concerns that we've collected all

this data, done all this

3:54:213:54:26

information, and it has been done

through the CCGs, so it's

3:54:263:54:32

continuation in its current format

is vitally important. I ask you, can

3:54:323:54:39

the Minister provide clarity on the

issues outlined to gives you the

3:54:393:54:45

continued delivery of this essential

and robust patient survey? The

3:54:453:54:49

benefits are there for that date and

I thank the Minister for that.

3:54:493:54:53

Around one in eight phase mental

problems, such as anxiety,

3:54:533:54:59

depression, post-traumatic stress.

Planning is needed to ensure

3:54:593:55:03

everyone living with cancer across

Great Britain and Northern Ireland

3:55:033:55:05

can access the right care and

support, whether this is

3:55:053:55:11

information, financial assistance,

rehabilitation or emotional support.

3:55:113:55:13

Families can get so much emotional

support, but we need to reach

3:55:133:55:18

outside of that. Just 60% of people

with cancer in Northern Ireland

3:55:183:55:23

started treatment and the referrals

and I'm very much in the early

3:55:233:55:28

diagnosis category and the need to

have that in place as well. The

3:55:283:55:36

cancer deaths in Northern Ireland

are that the highest level they have

3:55:363:55:38

ever been on my party is committed

to improving the five-year survival

3:55:383:55:42

rates. We believe tackling resources

to tackle deprivation, which is

3:55:423:55:49

another issue. There is a high level

of cancer incidence in deprivation

3:55:493:55:52

as well. More needs to be done to

ensure all supporters have support

3:55:523:55:58

and access to key information to the

treatment options that are

3:55:583:56:03

available. McMillan is funding a

second Northern Ireland survey

3:56:033:56:08

launched in spring 2018. They have

invested £7 million as a vital

3:56:083:56:15

segment of the workforce is not

keeping pace with demand. They have

3:56:153:56:20

recognised there are shortcomings

and have tried to injuries finance

3:56:203:56:22

where they can to measure things go

the right way. Cancer is the most

3:56:223:56:30

common cause of death in Northern

Ireland. The end of life choices are

3:56:303:56:34

very important and the Northern

Ireland Cancer Registry found that

3:56:343:56:37

75% would prefer to die at home.

It's not subject matter that is easy

3:56:373:56:42

to speak about, but it needs to be

looked at. Jack Miller researchers

3:56:423:56:47

found people are more likely to die

any place of their choice when there

3:56:473:56:51

were voices are recorded. We believe

improvements to end of life care

3:56:513:56:57

should be included in the

opportunity to have advance care

3:56:573:57:01

planning discussions. They have made

a number of recommendations and I

3:57:013:57:05

will conclude with this. It's

referred to as the delivering

3:57:053:57:09

together strategy. I totally respect

Macmillan's reforms, including

3:57:093:57:17

specific actions to improve care and

enhance the patient explains in all

3:57:173:57:22

trusts. Making the recovery package

available to everyone with and

3:57:223:57:28

beyond cancer. Improving cancer

detection, treatment and support.

3:57:283:57:35

Also working with the GPU

federations to ensure care is

3:57:353:57:39

provided closer to home. Long-term

workforce planning to attain a more

3:57:393:57:46

knowledgeable and skilled workforce.

And with effective recruitment

3:57:463:57:50

across disciplines and settings.

Better implementation of all those

3:57:503:57:53

things in relation to the

nonclinical support at each stage of

3:57:533:57:58

the cancer journey. Providing high

quality palliative and end of life

3:57:583:58:06

care only 24-7 bases. Cancer cases

should have end of life care

3:58:063:58:14

conversation that the earliest

stage. Increase the involvement of

3:58:143:58:16

people affected by cancer in the

development of services and

3:58:163:58:20

commitment to one going use of

datum. -- ongoing use of that. And a

3:58:203:58:29

peer review programme to identify

any gaps or inequalities in cancer

3:58:293:58:33

care and pinpoint areas for

improvement locally and benchmarking

3:58:333:58:37

across the UK. I asked them to take

on board the issues we have all

3:58:373:58:44

referred to. If that's the case,

then do what can be done to help a

3:58:443:58:49

massive amount of cancer sufferers

across the whole of the United

3:58:493:58:52

Kingdom of great Britain and

Northern Ireland to have a better

3:58:523:58:57

journey, better outcome and better

support.

I'd like to thank the

3:58:573:59:06

honourable member who can't be an

seat today for being proactive and

3:59:063:59:10

getting us to debate this this

afternoon. Also the member for a

3:59:103:59:16

school pride who stepped in to open

the debate in his absence.

3:59:163:59:18

The resources available to meet

those targets a reminder to us all

3:59:223:59:26

that those in the receipt of

treatment must be involved in the

3:59:263:59:29

ongoing conversations, their

experiences proving end of life care

3:59:293:59:39

to offer the dignity appropriate at

that time. The honourable member for

3:59:393:59:44

Boswell spoke about alternative

therapies and its role that it can

3:59:443:59:48

play and I would include in that

category but I'm not putting words

3:59:483:59:50

in his mouth, the investigation into

the use of medicinal cannabis. The

3:59:503:59:56

honourable member for north-east

focused on post same cell transfer

3:59:564:00:03

care and practical race port

required and also asked if he could

4:00:034:00:07

review the 100 day cut-off date.

Spoke about breast cancer, the UK's

4:00:074:00:13

most common cancer with a survival

rate doubling in the last 20 years.

4:00:134:00:17

He also highlighted dense tissue, an

area which is new to me and the need

4:00:174:00:24

for early diagnosis and called for

better education in this area. The

4:00:244:00:28

honourable member for Scunthorpe put

down challenges about pancreatic

4:00:284:00:34

cancer and where progress has been

made and it seems to be an area

4:00:344:00:37

where minimal progress has been made

over the years. I draw attention to

4:00:374:00:41

the workforce programme and ask nice

if they can possibly clarify some

4:00:414:00:46

decisions. The honourable member for

Dumfries and Galloway talked about

4:00:464:00:52

blood cancer and clinical research

and the honourable member for

4:00:524:00:58

Bristol West spoke about young

people in cancer and the role

4:00:584:01:04

fulfilled given to me by a young man

in my constituency this time last

4:01:044:01:08

year. The honourable member for

Chippenham highlighted the desire

4:01:084:01:12

the government prior Toros Cancer

Research and we've come a long way

4:01:124:01:16

but we have still got a long way to

go. She also highlighted the need

4:01:164:01:22

for early diagnosis, occurring theme

we have heard throughout this

4:01:224:01:25

afternoon. The honourable member for

Lincoln spoke very movingly about

4:01:254:01:30

the people behind the statistics

including her own daughter. She also

4:01:304:01:34

highlighted the reality of staff

shortages and what they would need

4:01:344:01:37

to patients. The honourable member

for Islington spoke with first-hand

4:01:374:01:43

knowledge of overcoming cancer and

as many speakers have said survivors

4:01:434:01:48

experience should be hugely

influential on developing better

4:01:484:01:52

treatments, who could possibly have

a better understanding? The

4:01:524:01:57

honourable member for Strangford

mentioned that every family is

4:01:574:02:01

touched in some way by cancer. He

also touched on financial

4:02:014:02:05

implications and I shall take up the

topic later on. Despite our progress

4:02:054:02:11

cancer remains a lingering, stubborn

foe and as policymakers we have to

4:02:114:02:16

report a respected health services

as they seek to improve the

4:02:164:02:20

treatment patients receive. We have

undoubtedly taken great strides in

4:02:204:02:24

our progress from a historical

perspective as well a steady

4:02:244:02:28

improvements. For individuals

months, weeks even days become

4:02:284:02:32

precious as they grapple with

uncertainties that this illness

4:02:324:02:36

brings to their life. Patients come

to terms with emotional and physical

4:02:364:02:40

impact of diagnosis and must also

continue to manage everyday

4:02:404:02:45

practicalities of life. Chief

amongst those can be finances and

4:02:454:02:51

research commissioned by Macmillan

Cancer Support shows four out of

4:02:514:02:53

five people with cancer are on

average £570 worth worse off as a

4:02:534:02:59

result of the diagnosis. I believe

you can improve the situation by

4:02:594:03:03

introducing a duty of care for

financial services as this would

4:03:034:03:06

allow cancer patients to do with

organisations such as the bank, it

4:03:064:03:11

is clear more needs to be done to

give cancer sufferers greater

4:03:114:03:15

security. Signposted financial

advice to avoid problem debts are

4:03:154:03:23

some of the ways banks might be able

to assist, I encourage the

4:03:234:03:30

government to introduce a legal duty

of care as a matter of urgency so

4:03:304:03:34

those recovering from cancer are

afforded greater support.

4:03:344:03:44

Satisfactory measures to share best

practice. The North did concluding

4:03:444:03:53

Scotland has a unique system of

safety and patient care, the leader

4:03:534:04:03

of the for, the lead author of the

report sorry said Scotland's other

4:04:034:04:12

than nations of the UK so we are

urging health care leaders from

4:04:124:04:15

England Wales and Northern Ireland

to think about what they might want

4:04:154:04:19

to import from Scotland and I am

sure the Scottish NHS will be

4:04:194:04:24

watching with interest as the NHS in

England continues to boom and the

4:04:244:04:28

cancer task force five-year strategy

for cancer care, share knowledge is

4:04:284:04:32

a vital tool for future progress.

Madam Deputy Speaker earlier this

4:04:324:04:37

year I hosted the world cancer day

drop along with the member for

4:04:374:04:40

Cambridge. It was heartening to

listen to Cancer Research UK's

4:04:404:04:45

ambassadors and reflect on the many

unsung heroes who assist cancer

4:04:454:04:49

sufferers or who have experienced

cancer themselves. I hope the

4:04:494:04:53

government is listening to the third

sector as they have through their

4:04:534:04:56

effort and commitment gathered a

huge and a valuable knowledge. The

4:04:564:05:01

honourable member for Dumfries and

Galloway talked about blood cancer

4:05:014:05:03

and child cancer and I want to

combine the two with a story about a

4:05:034:05:07

young man from my constituency, a

very young man called Nathan. He is

4:05:074:05:12

now the ripe old age of seven. He

has the love and support from his

4:05:124:05:16

mum and dad and sister and is

completing a three years of

4:05:164:05:23

treatment for lymphoblastic

leukaemia, he can save a lot better

4:05:234:05:25

than I can. Do in different

cocktails of chemotherapy, six bone

4:05:254:05:30

marrow procedures, three surgeries,

16 blood platelet transfusions. He

4:05:304:05:38

has a bead of courage for every

procedure he goes through, he has

4:05:384:05:43

earned 1500 beads of courage. Nathan

and other brave children have led

4:05:434:05:47

and others will follow. Finally may

I say that honourable members will

4:05:474:05:52

join with me in reaffirming our

commitment to these areas, consider

4:05:524:05:58

legislation help to support cancer

patients and different aspects of

4:05:584:06:00

their life including finances,

provide health services with the

4:06:004:06:05

financial support they require and

ensure that the expertise and

4:06:054:06:10

knowledge of academia around the

globe is fully utilised to formulate

4:06:104:06:14

government policy.

4:06:144:06:16

Thank you very much mud and 50

Speaker. I would like to start by

4:06:204:06:23

thanking my honourable friend, the

honourable member for East Kilbride

4:06:234:06:35

for leading this debate and for her

excellent speech. I also want to

4:06:354:06:39

thank the honourable member for

Basildon and Billericay for securing

4:06:394:06:44

this debate. He is not currently in

his seat but I want to thank him for

4:06:444:06:48

his excellent contribution to the

work of the all-party group for

4:06:484:06:53

cancer over many years. His

expertise and passion for this

4:06:534:06:56

matter is what has made it so

successful. I also want to thank the

4:06:564:07:02

other honourable members who have

spoken, I was co-chair of the

4:07:024:07:08

all-party for breast cancer and the

important issue of breast density

4:07:084:07:13

was raised and that is something we

have to make progress on as he said.

4:07:134:07:18

Also the honourable members for

Dumfries and Galloway, chipping,

4:07:184:07:23

Strangford and Inverclyde who speak

for the SNP. My honourable friends

4:07:234:07:30

for Coventry North East, Scunthorpe,

Bristol West, Lincoln who made such

4:07:304:07:36

a powerful speech, he is not in

place now, and emotional speech

4:07:364:07:39

about her daughter who I am sure

would be so proud of her bravery

4:07:394:07:44

today as I am sure the grandchildren

will be and I hope they and the

4:07:444:07:48

whole family were watching. Also

paid tribute to my honourable friend

4:07:484:07:52

the member for Easington who I think

is actually has fought cancer twice,

4:07:524:07:58

three times? It's amazing to see him

in his place and long may he stay.

4:07:584:08:06

They have all attended this debate

and made excellent contributions on

4:08:064:08:11

this important issue. Cancer is

understandably are very emotional

4:08:114:08:16

topic to discuss. One into people in

the UK will be affected by cancer in

4:08:164:08:21

a lifetime. As we have heard from

almost all honourable members who

4:08:214:08:24

have spoken in the house today we

have all affected in some way

4:08:244:08:29

ourselves. From my case I lost my

mother in law when my children were

4:08:294:08:35

very small to breast cancer and it's

one of the reasons I joined the

4:08:354:08:38

all-party group for breast cancer

and have worked on that and I'm

4:08:384:08:42

still a vice chair to that all-party

group to this day. It's this emotion

4:08:424:08:47

that really does encourage us and

encourage us all to come together to

4:08:474:08:53

tackle cancer. Over the years we've

seen a steady improvement in cancer

4:08:534:08:57

survival rates in England. But we

still lag behind the improvements of

4:08:574:09:03

our European counterparts and the

number of new cancer cases in

4:09:034:09:07

England does continue to rise

year-on-year. If these trends

4:09:074:09:12

continue it is estimated that by

2020. That is why the government

4:09:124:09:22

must take urgent steps so that

cancer diagnosis care and outcomes

4:09:224:09:27

in England can be improved. I will

start by saying that the cancer

4:09:274:09:31

strategy was a welcome step forward

to achieving the best cancer care

4:09:314:09:35

and outcomes in the world and we on

this side of the house are fully

4:09:354:09:39

committed to delivering and helping

deliver this strategy in full. As

4:09:394:09:43

has already been mentioned there are

some concerns across the house about

4:09:434:09:48

the progress of the strategy. I am

pleased some of the targets have

4:09:484:09:51

already been met but I am under no

illusion that many are now closer to

4:09:514:09:55

being reached than they were almost

three years ago. With the Minister

4:09:554:09:59

today committed to publishing a

detailed progress update on each of

4:09:594:10:05

the 97 cancer strategy

recommendations by the end of this

4:10:054:10:08

financial year so that we are all

able to celebrate success but also

4:10:084:10:12

focus our intention on more pressing

challenges were needed? There are

4:10:124:10:19

many challenges the government must

face before achieving world-class

4:10:194:10:23

cancer outcomes but I will only

touch upon a few today. They are in

4:10:234:10:27

early diagnosis, waiting times, the

workforce and finally prevention. I

4:10:274:10:31

will start with early diagnosis

because we know that if cancer is

4:10:314:10:37

diagnosed early treatment is more

likely to be successful. For cancers

4:10:374:10:41

such as ovarian cancer and lung

cancer it's often too late. The

4:10:414:10:47

National Cancer registration service

found that over a quarter of women

4:10:474:10:51

with ovarian cancer and I should

state at this point I am chair of

4:10:514:10:55

the all-party group for ovarian

cancer, a quarter of women are

4:10:554:10:59

diagnosed through an emergency

presentation and of those women just

4:10:594:11:06

45% survived for a year or more

compared to over 80% of women

4:11:064:11:10

diagnosed with a feral by their GP.

Similarly research by the British

4:11:104:11:16

Lung foundation found that more than

a third of lung cancer cases in

4:11:164:11:20

England are diagnosed after

presenting as an emergency and as a

4:11:204:11:24

result the Roy Castle lung cancer

foundation found that if caught

4:11:244:11:28

early person has up to 73% chance

surviving five years or more.

4:11:284:11:36

However the current five-year

survival rate Lung cancer is just

4:11:364:11:40

10%. Sadly one in 21 sufferers were

not diagnosed until they had

4:11:404:11:45

actually died. Cancer rate 's have

doubled but these are shocking

4:11:454:11:54

statistics. I ask the minister what

his department will be doing to

4:11:544:11:59

ensure cancers are detected even

earlier so patients are no longer

4:11:594:12:04

pushed from pillar to post to

sometimes try to find the diagnosis.

4:12:044:12:08

Unfortunately we know that once a

patient has been diagnosed they then

4:12:084:12:12

have an agonising wait for

treatment, even if it was just a

4:12:124:12:17

week it would be agonising but the

62 day target between urgent GP

4:12:174:12:23

referral and treatment has not now

been met for two years. Meaning that

4:12:234:12:28

patients are having to wait much

longer than they should for

4:12:284:12:30

treatment.

4:12:304:12:40

Cancer patients should not be

expected to wait so long. I

4:12:424:12:46

therefore ask the Minister what his

department is doing to address this

4:12:464:12:50

issue. It's no secret the NHS and

the NHS workforce are under extreme

4:12:504:12:57

pressure due to underfunding and

understaffing by this government. I

4:12:574:13:01

want to place on record that we on

this side of the house do not take

4:13:014:13:05

the NHS workforce for granted and

are incredibly grateful to them for

4:13:054:13:09

the hard work, support and kindness

to patients and their families. They

4:13:094:13:15

are doing an incredible job despite

the circumstances we find ourselves

4:13:154:13:18

in currently. We should never stop

thanking them for the work they do

4:13:184:13:23

to diagnose, treat and care for

patients. The cancer workforce

4:13:234:13:27

really are the backbone of the

cancer strategy. The improvement of

4:13:274:13:35

early diagnosis and waiting times

relies on an efficient cancer

4:13:354:13:38

workforce so the Minister must take

these concerns as a top priority if

4:13:384:13:41

the target any cancer strategy are

to be fulfilled. A report by

4:13:414:13:46

Macmillan Cancer Support and that

over half of GPs and nurses surveyed

4:13:464:13:50

in the UK say that given current

pressures on the NHS workforce they

4:13:504:13:55

are not confident the workforce is

able to provide adequate care to

4:13:554:14:00

cancer patients. This is deeply

worrying. The NHS workforce should

4:14:004:14:05

be suitably equipped to diagnose,

support and care for cancer patients

4:14:054:14:09

during and beyond cancer. Through my

work with the all-party group on

4:14:094:14:14

breast cancer I have heard as I am

sure the Minister did during his

4:14:144:14:18

time as co-chair of the overwhelming

support cancer nurse specialists can

4:14:184:14:23

bring to a breast cancer patient and

family.

4:14:234:14:25

But patients with secondary breast

cancer are likely to have access to

4:14:304:14:36

the cancer nursed specialist.

Research shows that 42% of hospital

4:14:364:14:41

trusts and health boards in England,

Scotland and Wales do not provide a

4:14:414:14:45

dedicated specialist nursing care

for people with secondary breast

4:14:454:14:49

cancer. Even though they will often

have complex emotional and

4:14:494:14:54

supportive care needs. Patients with

secondary breast cancer are

4:14:544:14:57

therefore subject to a postcode

lottery when it comes to having a

4:14:574:15:02

cancer nurse specialist. What steps

is the minister taking to ensure

4:15:024:15:06

that every cancer patient has access

to a clinical nurse specialist?

4:15:064:15:10

There is no doubt that if the cancer

workforce had the time, resources

4:15:104:15:15

and support it so desperately needs

the recommendations in the cancer

4:15:154:15:19

strategy would be achieved. I know

that this is something the cancer

4:15:194:15:23

workforce plan published in December

last year aimed to address. Will the

4:15:234:15:29

Minister did the House on the

progress in this plan and outline

4:15:294:15:32

how much funding the Government will

be granting to ensure the proposals

4:15:324:15:36

in the plan soon become a reality?

The NHS cancer workforce care for

4:15:364:15:41

and support their patients every

day, so we really need the

4:15:414:15:46

Government to fully support the

workforce, too. I move onto the

4:15:464:15:51

first issue raised in cancer

strategy prevention. The World

4:15:514:15:56

Health Organisation estimates that

one third of deaths due to cancer

4:15:564:15:59

are a result of the five leading

behavioural and dietary risks, so

4:15:594:16:05

that's high body mass index, no

fruit and vegetable intake, lack of

4:16:054:16:11

physical activity, tobacco and

alcohol. Alcohol was raised so

4:16:114:16:16

powerfully by my amazing friend, the

member for Bristol West. Coming to

4:16:164:16:22

tobacco, this was identified as the

most important risk factor

4:16:224:16:26

responsible for approximately 22% of

cancer deaths. It is therefore

4:16:264:16:31

estimated that between 30-50% of

cancers can be prevented if you take

4:16:314:16:36

all of these five are risk factors

into account. The Government's

4:16:364:16:43

Tobacco control plan which the

minister pushed to be published in

4:16:434:16:48

his first weeks in the job, and the

childhood obesity plan, are both

4:16:484:16:56

welcome, but will not go far enough

if the Government continues to slash

4:16:564:17:01

public health budgets. So will the

minister commit to strengthen the

4:17:014:17:05

public health budget so that fit and

healthy lifestyles can be encouraged

4:17:054:17:09

across all our communities and help

contribute to cancer prevention? I

4:17:094:17:13

know that the Minister is passionate

to make sure England is one of the

4:17:134:17:18

world leaders when it comes to

cancer outcomes, but we are

4:17:184:17:21

currently lagging behind but the

cancer strategy, with the right

4:17:214:17:25

funding and support from the

Government, has the potential to do

4:17:254:17:29

just that. I hope the Minister will

take all but we have heard today on

4:17:294:17:35

board and go back to his apartment

with an action plan of how best to

4:17:354:17:38

move forward so that we can achieve

world-class cancer outcomes in 2020.

4:17:384:17:49

Thank you very much, Madam Deputy

Speaker and thank you to my shadow,

4:17:494:17:55

my friend, the Shadow minister, for

her remarks. I will start by

4:17:554:18:00

congratulating the members of the

all-party group. I will leave it as

4:18:004:18:10

the member for a school pride -- is

cobranded so I don't make a fool of

4:18:104:18:19

myself. I want to thank them for

their work on the all-party group.

4:18:194:18:26

Just all of the constant work they

do. I extend my appreciation to

4:18:264:18:34

members on all sides who cheer a

different cancer all-party groups

4:18:344:18:39

for the important work they do, as

has been mentioned I was a former

4:18:394:18:44

coach with the shadow minister and

the former Lady for mid Dorset and

4:18:444:18:50

north pole. We were quite a team. We

cheered that group together for five

4:18:504:19:02

years and I was so proud to do that.

We met some amazing people and I

4:19:024:19:08

think we did some good. I was also

vice-chair to the all-party group on

4:19:084:19:15

ovarian cancer with the shadow

minister, which she still chairs. I

4:19:154:19:20

know how important it is that

Parliament allocates time to this

4:19:204:19:25

subject both upstairs and here in

the chamber. If you look at the

4:19:254:19:30

gallery, you see how many people are

there and in the House, it's the

4:19:304:19:36

quality more than the quantity, and

I would say to people watching who

4:19:364:19:40

thing, this is a debate on the

cancer strategy, it is so important.

4:19:404:19:45

It is, so why is Parliament not

forth? Because it is about what goes

4:19:454:19:52

on all over the place and is as what

goes on in here for so many members,

4:19:524:19:58

and I didn't know the shadow

minister's motivation. I have never

4:19:584:20:04

said mine and one day I will. I

realise now where she was so

4:20:044:20:08

passionate. I would say the lady

from a school pride summed it up in

4:20:084:20:14

the first line in the first page of

this debate when she said we are all

4:20:144:20:18

on the same site when it comes to

cancer. What a brilliant way to put

4:20:184:20:23

it. The other point I just want to

say is the lady from Coventry North

4:20:234:20:29

East said about her husband who

lives with cancer. In every cancer

4:20:294:20:36

debates, I always say, and Macmillan

have been brilliant with their

4:20:364:20:41

advertising around this, a mum with

cancer is still a mum. There are so

4:20:414:20:47

many people who are living with and

beyond cancer and survivorship they

4:20:474:20:53

should call us in America, and I

think we should remember that. Let

4:20:534:20:57

me start by reassuring the House

that cancer is a huge priority for

4:20:574:21:03

me, the secretary of state and this

Government, as has been set by a

4:21:034:21:09

number of members. Cancer survival

rates have never been higher, the

4:21:094:21:13

latest figures show an estimated

7000 more people surviving cancer

4:21:134:21:18

after successful NHS treatment

compared to three years prior and

4:21:184:21:21

our aim is to save 30,000 more lives

by 2020 through the cancer strategy

4:21:214:21:27

we are debating today. However, my

more than anybody knows there is

4:21:274:21:31

still so much more to do. There are

still so much more potential. That

4:21:314:21:37

is why we accepted all 96

recommendations in the cancer

4:21:374:21:40

strategy. We have backed this

commitment with over £600 million of

4:21:404:21:46

additional funding up to 2021. We

are just two years into the

4:21:464:21:50

implementation of the strategy and

the fantastic NHS cancer doctors and

4:21:504:21:55

nurses supporting us have made

tremendous progress in many areas. I

4:21:554:22:00

would echo what many members have

said and support for them. Many

4:22:004:22:04

mentioned will report back on how

we're doing? In October we published

4:22:044:22:11

the two-year report, imaging --

energising and published it. That

4:22:114:22:21

was our latest progress report and

we will be doing that again, I hope,

4:22:214:22:26

later this year. I would say, I know

that NHS England's national director

4:22:264:22:34

who is based at the Morriston and is

an incredible lady who I enjoy

4:22:344:22:39

working with very much is leading

the firm intention of the cancer

4:22:394:22:42

strategy. She is in agreement that

there are many areas where we agree

4:22:424:22:47

with the report and don't shy away

from scrutiny. That's exactly why we

4:22:474:22:51

are here. But there are lots of

areas of progress where we didn't

4:22:514:22:57

think sufficient provenance was

given in the analysis of progress

4:22:574:22:59

and we said that at the enquiry. I

think it's important I put that on

4:22:594:23:03

the record. The measure of success

of the strategy will be about

4:23:034:23:10

significant improvements in early

diagnosis. Obviously in treatment

4:23:104:23:14

and office the research. But I am

increasingly aware in this job that

4:23:144:23:20

what we need to do to make cancer

services even better beyond 2020,

4:23:204:23:26

and for this thing is to be a much

greater focus on the fourth pillar,

4:23:264:23:31

which is of course prevention. Of

course we want to be the best in the

4:23:314:23:36

world at delivering positive

outcomes for patients after a

4:23:364:23:39

diagnosis, but we have to

understand's I did a debate earlier

4:23:394:23:43

this week with members from

Oxfordshire, there has been a 120%

4:23:434:23:48

increase in the number of people

presenting with cancer in

4:23:484:23:52

Oxfordshire alone in recent years,

so the number of people presenting

4:23:524:23:54

continues to rise. We can do very

well on those first three pillars

4:23:544:24:00

and we are, but I think it has to be

prevention where we are going to

4:24:004:24:06

really move the dial as well. That's

why my whole mission as the Minister

4:24:064:24:14

for health has been about putting in

place a comprehensive system of

4:24:144:24:18

measures to reduce the risks of

cancer as well as treating it when

4:24:184:24:21

it occurs. My noble friend

mentioned, is that the shadow

4:24:214:24:27

minister, one of my first acts was

to launch the Tobacco control plan.

4:24:274:24:33

I was so keen because it is the

biggest preventable killer in our

4:24:334:24:38

country today. We have done so well

in the previous Labour Government

4:24:384:24:43

and this Government with the

legislative framework and it is all

4:24:434:24:45

about supporting local areas to

continue to bring down the number of

4:24:454:24:49

people have smoke -- who smoke. Last

year we also launched air quality

4:24:494:25:01

plans and that is really important

as well. The plan was significant to

4:25:014:25:09

reduce the pathogens in the air we

breathe, which has a big impact on

4:25:094:25:12

developing disease. Furthermore, we

published a child obesity strategy

4:25:124:25:18

in 2016. This was just the start of

a conversation about how we will

4:25:184:25:23

reduce child obesity over the next

decade. Our overarching focus is

4:25:234:25:28

that our children are supported to

live healthy, active and happy lives

4:25:284:25:32

to grow into adults who are less

likely to develop cancer. We have

4:25:324:25:37

always said that the child obesity

strategy was constantly under

4:25:374:25:41

review, it is part one and we will

go further if we need to to build on

4:25:414:25:45

this. As has been mentioned, the

biggest game changer in preventing

4:25:454:25:50

cancer is the world leading work on

genomics going on in our country.

4:25:504:25:57

The 20 16th annual report published

around the time I was first on the

4:25:574:26:02

year before I was appointed,

generation gene, set out the huge

4:26:024:26:06

potential for genomics to help us

understand the inherited causes of

4:26:064:26:12

cancer and shape the future research

and future personalised cancer

4:26:124:26:16

treatment. I think that is so

important, it's something we should

4:26:164:26:19

talk more about. Let me touch on so

many of the subjects that have been

4:26:194:26:24

raised. I'm grateful to you, Madam

Speaker, for giving me a chance to

4:26:244:26:30

do that. And the workforce,

absolutely, and I've always said

4:26:304:26:39

this, the workforce is the key to

our strategy. We've already

4:26:394:26:46

committed to investing in and

expanding our diagnostic workforce

4:26:464:26:50

to improve survival rates by

diagnosing cancer earlier. We set

4:26:504:26:58

out how we will expand our workforce

numbers but also continue to invest

4:26:584:27:02

in the skills of the stuff we have

and use their times and expertise

4:27:024:27:06

where it is most needed. We have

already committed to training 746

4:27:064:27:12

more cancer consultants and 890 more

diagnostic and therapeutic

4:27:124:27:16

radiographers which we know are in

short supply by 2021. The plan

4:27:164:27:21

further commits to the expansion of

capacity and skills, including 200

4:27:214:27:26

additional clinical endoscopist and

a 300 reporting radiographers by 21

4:27:264:27:30

as well. We will also expand the

number of clinical nurse specialists

4:27:304:27:39

and develop common consistency and

ages competencies with a clear route

4:27:394:27:42

into training to ensure every cancer

patient has access to a CNS or other

4:27:424:27:48

support worker by 2021. That and it

was constantly brought up when I was

4:27:484:27:55

cheering the group. We will follow

with the longer plan and strategy

4:27:554:28:00

later this year beyond 2021. We have

talked about transformation funding

4:28:004:28:10

is already, and the link with the 62

days standard and the performance

4:28:104:28:16

and the phasing of transmission

funding. Cancer alliances are very

4:28:164:28:21

important mechanism for improving

performance on a 62 the sergeant

4:28:214:28:25

grid standard. They bring together

commissions from primary and

4:28:254:28:30

secondary care, they ensure there is

a collective responsibility with the

4:28:304:28:34

cancer services that they provide

and they provide the necessary

4:28:344:28:37

leadership for the transformation of

services. 76 million funding has

4:28:374:28:44

already been allocated to the cancer

alliances. It is imperative they

4:28:444:28:48

have the operational rigour to

achieve the translation we need. It

4:28:484:28:53

is our constituents, taxpayers not

acrimony that is being allocated and

4:28:534:28:58

I I have to say, it is only right

and proper that the alliances can

4:28:584:29:06

demonstrate their preparedness for

this funding. That is not to say

4:29:064:29:10

that the 62 days standard is a

requirement, but it gives the basis

4:29:104:29:14

on which NHS England can improve,

along with senior clinical advice,

4:29:144:29:22

can make an assessment of their

readiness.

4:29:224:29:27

Quickly on that specific point,

those who do not achieve a 62 day

4:29:274:29:34

target, it seems completely perverse

that individuals suffering from

4:29:344:29:38

cancer in those areas are penalised

for lack of funds from the

4:29:384:29:41

transformation fund. Is the minister

singles cancer alliances can still

4:29:414:29:47

apply for that funding in measures

we put in place to ensure they do

4:29:474:29:50

reach the target?

It's not hard and

fast Madam Deputy Speaker and I

4:29:504:29:57

noted that NHS England have written

to me as an MP and all MPs today

4:29:574:30:02

with details of cancer alliances

that members have in their

4:30:024:30:07

individual areas and I bang on about

this every time but I do implore

4:30:074:30:12

members to engage with the local

cancer alliances. I suspect the

4:30:124:30:16

people in this debate do but I would

hazard a guess that many members

4:30:164:30:19

don't. Members should know who the

cancer alliances are in their areas

4:30:194:30:23

and should have a relationship with

them and I think they should know

4:30:234:30:26

them. Let me talk about the cancer

patients experience survey which the

4:30:264:30:34

member for Strangford raised and the

honourable lady for Lincoln. I will

4:30:344:30:40

say on the honourable lady for

Lincoln, I said to my officials

4:30:404:30:44

before this debate that there is

always one speech during these kind

4:30:444:30:47

of debates, and the shadow menaced

was that person a few weeks ago in

4:30:474:30:52

the other debate, there is always

someone who leaves not a dry eye in

4:30:524:30:55

the house and that today was the

honourable lady for Lincoln. I know

4:30:554:30:59

she's not in her place now and I do

not blame her but I think the whole

4:30:594:31:03

house wanted to run over and give

her a hug and many on dead. What an

4:31:034:31:13

amazing speech. We totally recognise

how important the National Cancer

4:31:134:31:20

patient experience survey is in our

continued drive to improve cancer

4:31:204:31:25

treatment and care and monitor that

progress. I have always, I have

4:31:254:31:29

always been clear that I want any

future survey to continue to deliver

4:31:294:31:33

the high quality data, it will

continue in its current form in

4:31:334:31:41

1819, it will be engaging with the

cancer community to ensure any

4:31:414:31:44

decisions about future delivery and

the model to be adopted should the

4:31:444:31:48

commission ranging speech revised

uninformed by all patients and

4:31:484:31:52

ultimately protect the integrity of

the survey and the quality of the

4:31:524:31:54

data. I saw Dame Fiona in Oxford and

discussed the subject with her. It

4:31:544:32:07

left us with a challenge. We will be

meeting all of the major cancer

4:32:074:32:14

charities at the second round table

and we will be discussing that with

4:32:144:32:17

them but I think and I hope members

in the house now that it remains

4:32:174:32:20

very much on the top of my agenda.

Let me touch an early diagnosis,

4:32:204:32:25

because everyone else has and it's

one of the most important shows in

4:32:254:32:30

town. In every conversation I have

had about how we can beat cancer it

4:32:304:32:37

early diagnosis. Survival rates have

always liked behind the best

4:32:374:32:40

performing countries in Europe and

around the world and a primary

4:32:404:32:44

reason for this is no question, late

diagnosis. The man who will stand

4:32:444:32:51

down shortly who I had the privilege

of having lunch with a few weeks

4:32:514:32:56

ago, I asked him about where we

should think about the next cancer

4:32:564:32:58

strategy and he said the rock upon

which you build your church is early

4:32:584:33:04

diagnosis and I will not be

forgetting that. It's one of the key

4:33:044:33:10

priorities of the strategy, to

diagnose cancer earlier when the

4:33:104:33:13

disease is more treatable. How are

we doing that? As part of our drive

4:33:134:33:18

we are introducing 28 day faster

diagnostic standards from GP

4:33:184:33:22

referral to diagnosis or the all

clear. I have often said and I will

4:33:224:33:29

repeat now, 28 days is not a target,

it is a maximum. I will know that

4:33:294:33:35

when people have a cancer worry 28

minutes seems like a lifetime, let

4:33:354:33:41

alone 28 days. I think the 28 day

standard is important. Five pilot

4:33:414:33:47

sites have started testing the new

clinical pathways to ensure patients

4:33:474:33:51

find out within 20 days if they have

cancer or the all clear. Today

4:33:514:33:56

Public Health England which I have

ministerial response body for has

4:33:564:34:01

launched its campaign to be clear on

cancer which focuses on breast

4:34:014:34:05

cancer in women aged over 70

something my friend from North

4:34:054:34:10

Warwickshire mentioned. That will

run until the end of March, the

4:34:104:34:17

campaign focuses on age related

risk, encouraging older women to be

4:34:174:34:22

breast aware. Particularly of

non-lump symptoms which have

4:34:224:34:27

understandably lower levels of

awareness. The other point I want to

4:34:274:34:32

make an early diagnosis is we know

the hardest cancers to detect those

4:34:324:34:36

with early symptoms which can be

vague. Often symptomatic of less

4:34:364:34:41

serious else's. That is why we are

piloting ten multidisciplinary

4:34:414:34:51

diagnostic centres as part of the

wave two of what we call the ace

4:34:514:34:56

programme, Excel rate coordinate and

evaluate. Patients can be referred

4:34:564:35:04

for multiple tests one after the

other and receive a diagnosis or the

4:35:044:35:07

all clear on the same day. The

initial findings are incredibly

4:35:074:35:14

exciting. I don't get easily excited

Madam Deputy Speaker but I am

4:35:144:35:19

excited about this. I had the

pleasure of visiting one of the ace

4:35:194:35:23

pilots in Oxford at the Churchill

Hospital last Tuesday and I have to

4:35:234:35:28

say the enthusiasm and feedback I

got from the patients I spoke to

4:35:284:35:31

about the potential of these centres

is quite incredible. I look forward

4:35:314:35:35

to seeing the analysis in the coming

months. The Shadow man is to talk

4:35:354:35:40

about presentations which is

something I remember being quite

4:35:404:35:47

shocked by, emergency room

preparations, presentations were

4:35:474:35:49

cancer are horrible but I think that

is why the 20 day standard is

4:35:494:35:57

important because when I talk to

GPs, they will fair and then there

4:35:574:36:02

will be a wait. Patients are

understandably terrified and may

4:36:024:36:07

present themselves to accident and

emergency at which point they then

4:36:074:36:10

maybe diagnosed with the primary

cancer. What that does is hit the

4:36:104:36:14

stats around emergency room

presentations were cancer. It does

4:36:144:36:18

not mean they have been carried in,

they have often walked in. But it is

4:36:184:36:23

all why we need to grip early

diagnosis better than ever. My

4:36:234:36:28

honourable friend Herb Bosworth

talked about the Baroness Joel

4:36:284:36:36

speech -- Baroness Tessa Joel speech

and it was incredibly powerful

4:36:364:36:40

speech. The investment in brain

cancer research has been limited by

4:36:404:36:47

a pretty low volume of research

proposals focused on the topic in

4:36:474:36:52

recent years and we'd been working

with charities, academics and the

4:36:524:36:56

pharmaceutical industry to address

this the last 12 months so to

4:36:564:36:59

accelerate our efforts in brain

tumour research the Secretary of

4:36:594:37:04

State has today announced alongside

Cancer Research UK and brain gym

4:37:044:37:07

research package to boost research

and investment into this most

4:37:074:37:09

harrowing form cancer.

4:37:094:37:20

£25 million of their money over five

years in major research centres and

4:37:224:37:28

programmes dedicated to brain

chillers and I think that's an

4:37:284:37:31

incredibly positive announcement

today. -- brain tumours.

I am

4:37:314:37:35

grateful to the minister giving way,

I was not here at the beginning but

4:37:354:37:41

my constituent has a very rare form

of cancer and has had to self fund

4:37:414:37:46

his treatment both in Germany and

Southampton but he has run out of

4:37:464:37:50

money. The treatment meant he did

not die within the weeks he was

4:37:504:37:54

given but he is now needing top up

therapy but his IFR has been

4:37:544:38:02

refused, without this treatment he

will not live. Could the minister

4:38:024:38:05

look into this?

I will not comment

on the case, I was going to suggest

4:38:054:38:11

she gets the clinicians to make an

IFR but by all means bring that case

4:38:114:38:15

to me. Let me return to breast

density, the UK National screening

4:38:154:38:22

committee commissioned Warwick

University study to investigate the

4:38:224:38:25

link between breast density and

breast cancer. Once complete if the

4:38:254:38:29

reviews suggest should be changes in

the UK National screening committee

4:38:294:38:33

which we work with will consider

less under its modification

4:38:334:38:37

programme. I am in touch with the

charity breast density matters which

4:38:374:38:42

is a small charity, small but

perfectly formed so I'm in touch

4:38:424:38:46

with them quite a lot.

4:38:464:38:47

We had a very good at Westminster

whole debate last month led by my

4:38:504:38:55

honourable friend for Crawley, many

patients with blood cancer diagnosis

4:38:554:39:00

was sadly never be cheered, what we

have heard today is watch and wait,

4:39:004:39:08

but things progress to the point

where treatment needs to begin and

4:39:084:39:12

this can take a psychological toll

on the patient and their family. By

4:39:124:39:16

2020 every patient will receive

holistic needs assessment as part of

4:39:164:39:20

the recovery package. That is

excellent. Blood cancer patients

4:39:204:39:24

this person's recovery plan will be

personalised to take account of the

4:39:244:39:28

unique characteristics of blood

cancer including their mental health

4:39:284:39:31

needs. That is why the Secretary of

State announced the additional £1.3

4:39:314:39:35

billion last July to expand the

mental health workforce. My

4:39:354:39:40

honourable friend the member for

Dumfries and Galloway made this

4:39:404:39:42

point very well I thought in his

speech. As they passed me a note, I

4:39:424:39:46

love notes. I will not because I'm

going to finish. The member for

4:39:464:39:54

Dumfries & Galloway touched on the

cancer dashboard including rare

4:39:544:39:59

cancers. NHS England and Public

Health England are currently

4:39:594:40:02

considering next steps on how we can

expand the dashboard. They know I am

4:40:024:40:06

frustrated about it being limited to

the top four and I want to see us

4:40:064:40:10

expand it and do better, in a clear

direction from me on that. The

4:40:104:40:15

honourable lady for Bristol West

spoke brilliantly and what a

4:40:154:40:19

brilliant advertisement for her

all-party group on their enquiry. If

4:40:194:40:22

there is anything I can do, I do not

know about the cost of cancer

4:40:224:40:31

report, I would love to see that if

she can send it to me and any help

4:40:314:40:35

she needs she only needs to ask. The

member for Scunthorpe talked about

4:40:354:40:38

pancreatic cancer, NHS services

pancreatic cancer has significantly

4:40:384:40:40

improved in recent years with clever

diagnostic pathways, decisions made

4:40:404:40:46

and decentralisation of pancreatic

surgery with specialised teams. On

4:40:464:40:49

the 7th of February NICE published

the final guidance on the diagnosis

4:40:494:40:53

and management of pancreatic cancer

in adults. A more quick and accurate

4:40:534:41:00

diagnosis and better access to

psychological support. He talked

4:41:004:41:04

about 2-macro myelin tests, a

decision will be made on that

4:41:044:41:08

underwater NICE to write to me on

that decision and I was sure that

4:41:084:41:11

with him. I am just including. Let

me pay tribute to the staff patient

4:41:114:41:22

groups and charities who are working

so hard as part of team cancer

4:41:224:41:25

because we are all on the same team

when it comes to cancer, to

4:41:254:41:28

implement the strategy and save

lives. We are on track to deliver we

4:41:284:41:32

think but we need to make more

progress especially in the area of

4:41:324:41:37

progress and looking further forward

on the subject of prevention. Thank

4:41:374:41:41

you for the members speaking today,

the fight goes on. Thank you.

Thank

4:41:414:41:47

you so much Madam Deputy Speaker. I

think today's debate has been so

4:41:474:41:53

profound and amazing, so many

personal contributions. I have been

4:41:534:41:58

absolutely astounded by the depth

and breadth of knowledge from across

4:41:584:42:02

the house and the absolute

dedication to the cancer strategy,

4:42:024:42:06

right across the benches. I am

assured we will be working together,

4:42:064:42:11

taking things forward very

positively and making a difference.

4:42:114:42:15

It's been important that we have

discussed that cancer is across the

4:42:154:42:20

life span and to recognise the

serious issues for young people who

4:42:204:42:25

are experiencing cancer. Also, not

just the physical aspects but the

4:42:254:42:29

mental health aspects and the

support required, that treatment has

4:42:294:42:32

to be holistic and evidence -based.

Just to also commend the absolute

4:42:324:42:42

value of the contribution of

charities, of our NHS staff, it

4:42:424:42:45

absolutely invaluable. They are at

the front line. To mention the very

4:42:454:42:53

personal contribution of the

honourable member for Lincoln, she

4:42:534:42:56

has made such an amazing speech

today, I am sure she will go on to

4:42:564:43:01

support and assist so many people

given her experience and I am

4:43:014:43:06

delighted she is a cancer ambassador

and I am sure that so many people

4:43:064:43:10

will benefit from that in the

future. Once again, to thank

4:43:104:43:15

particularly. Thank everybody today,

I look forward to working with

4:43:154:43:18

everybody on this going forward.

The

question is that this house is

4:43:184:43:25

considered the cancer strategy as

many of that opinion say aye of the

4:43:254:43:31

country no. I think the ayes habit.

The ayes have it.

I beg to move that

4:43:314:43:39

this house now adjourned.

The

question is that the house now

4:43:394:43:44

adjourned. Kate hallway.

Thank you

Madam Deputy Speaker.

4:43:444:43:49

I would rather not be here this

evening speaking on this adjournment

4:43:514:43:58

debate not because I don't care

about the issue and particularly

4:43:584:44:02

about my constituent Mr Clifford

Bale but it's such a simple matter

4:44:024:44:05

and it should have been resolved

years ago. It has not been and I did

4:44:054:44:10

give a commitment to my constituents

that I would bring this to the house

4:44:104:44:14

in an adjournment debate.

4:44:144:44:18

I want to begin by setting out the

facts before moving on to the

4:44:184:44:24

problems that I in seeking to

resolve it and the basic relevant

4:44:244:44:29

policy concern. My constituent

worked for the City of London

4:44:294:44:33

Corporation as a security and

services assistant from September

4:44:334:44:37

1989 until he suffered an injury

only six November 2000. He slipped

4:44:374:44:42

on a metal screw by what down some

marble stairs. He fell and hit his

4:44:424:44:48

head and was knocked unconscious.

His health deteriorated while he was

4:44:484:44:52

on subsequent ill-health leave. As

he went on to suffer from the loss

4:44:524:44:56

of hearing in his right ear, and

certainly in the blood dizziness,

4:44:564:45:01

loss of balance and a series of

blackouts that occurred without

4:45:014:45:06

warning, four of which led to his

hospitalisation. One tenth of

4:45:064:45:10

December 2001, the City of London

made a claim on his behalf to the

4:45:104:45:14

Department for Work and Pensions to

pay him industrial injury benefits

4:45:144:45:17

and he was assessed by a doctor. If

every 2002, he was notified he had

4:45:174:45:24

been diagnosed with a loss of mental

equilibria and loss of neurological

4:45:244:45:29

function and awarded industrial

injury benefits. For 12 months

4:45:294:45:32

before a further examination, he

continued to be awarded annual

4:45:324:45:39

industry injury benefits until 2008

when he was judged to be qualified

4:45:394:45:43

to receive industrial injury

benefits for life. On the tenth June

4:45:434:45:48

2002, he met with the City of London

Corporation about his long-term

4:45:484:45:51

absence from work and submitted a

written application for an early

4:45:514:45:57

retirement ill-health pension, but

was informed two days later it was

4:45:574:46:00

being turned down because the City

of London's in his doctor could not

4:46:004:46:05

say that his injuries were

permanent. He informed them that

4:46:054:46:10

their two at options of either early

retirement on a basic pension or

4:46:104:46:13

alternative work were not acceptable

to him and the City of London deemed

4:46:134:46:18

him no longer to be an employee from

the 24th September 2002. After

4:46:184:46:26

months of resistance, he was finally

provided with a copy of an

4:46:264:46:29

additional accident report the City

of London his helped send to the

4:46:294:46:33

health and secondary executive 17

month after his accident that said

4:46:334:46:38

they found it difficult to believe

that he could have slipped only

4:46:384:46:41

screw whilst wearing Doctor Martens

and safety issues and there are a

4:46:414:46:47

number of staff that suspect the

incident, if it really happened as

4:46:474:46:52

described, may have been

exaggerated. Not only do vague

4:46:524:46:58

beliefs and suspicions have no place

in an accident report but I

4:46:584:47:01

reiterate that he was diagnosed

annually by the apartment of work

4:47:014:47:05

and pensions for eight years before

being awarded lifetime industrial

4:47:054:47:09

injury benefits in 2008. In June

2004, Mr Bell filed a grievance

4:47:094:47:15

against the City of London for its

handling of this case and in 2005 he

4:47:154:47:19

signed a compromise agreement for

the City of London's insurers to

4:47:194:47:23

consider his case under the local

government discretionary payments

4:47:234:47:29

regulations 1996. The insurers

failed in his favour and awarded him

4:47:294:47:33

a termination package of around

£50,000, but not in ill-health

4:47:334:47:37

pension. This is the time and so Mr

Bell's case. As far as he was aware,

4:47:374:47:46

these were the relevant facts until

in 2012, he discovered the local

4:47:464:47:50

government pensions committee

circular 252, which noted the local

4:47:504:47:57

government pension scheme should

have been relevant in his case.

4:47:574:48:05

Regulation 979 states, before making

a decision as to whether a member

4:48:054:48:08

may be entitled under regulation 27

or under regulation 31 on the ground

4:48:084:48:15

of ill-health, the scheme employer

must obtain a certificate from an

4:48:154:48:21

independent registered medical

practitioner asked whether in his

4:48:214:48:26

opinion the member is permanently

incapable of discharging officially

4:48:264:48:30

the duties of the relevant local

government employment because of

4:48:304:48:34

ill-health or infirmity of or body.

Regulation 98 sets out he should

4:48:344:48:40

have received a written notification

of the decision by the eye RMP as

4:48:404:48:48

soon as possible. Giving the reason

for the decision and setting it has

4:48:484:48:53

appeal rights under regulation and

then to. The LGPS amendment

4:48:534:49:00

regulations further specified, the

independent registered medical

4:49:004:49:06

practitioner must be in a position

to certify and must include in his

4:49:064:49:11

certification a statement that he

has not previously advised are given

4:49:114:49:16

an opinion on or otherwise been

involved in a particular case for

4:49:164:49:20

which a certificate had been

requested and he is not acting and

4:49:204:49:23

has not at any time acted as the

representative of the member, the

4:49:234:49:28

scheme employer or any other party

in relation to the same case. Not

4:49:284:49:33

one of these regulations were

followed. In Mr Bell's research at

4:49:334:49:39

that time, he discovered two

relevant appeals, 869, that saw the

4:49:394:49:45

strategy of state emphasise the

importance of the opinion of the

4:49:454:49:48

independent registered medical

practitioner, including the one

4:49:484:49:53

judgment against the City of London

in 2008. By the time Mr Bell

4:49:534:49:58

discovered the Jakarta months that

had not been followed, he was well

4:49:584:50:01

out of time for consideration by the

pensions of Bosman -- on ombudsman.

4:50:014:50:11

He contacted me and I wrote my first

of many letter to the City of London

4:50:114:50:17

Corporation seeking to understand

why the rules had not been followed

4:50:174:50:19

in his case. I wrote to the City of

London on the 20th of October 2014,

4:50:194:50:25

26th of May 2015, the 6th of July

2015, the 12th of October 2015 on

4:50:254:50:31

the 4th of November 2015. Each time,

to the head of the human relations

4:50:314:50:37

department who had held dealt with

his case. On each occasion, they

4:50:374:50:42

responded by setting Mr Bell was not

eligible for an ill-health pension

4:50:424:50:46

by making reference to the 2011

local government pensions committee

4:50:464:50:51

's circular 252 and the details of

his compromise agreement he had

4:50:514:50:55

signed an ignorance of his actual

rights. Despite my reviews of the

4:50:554:51:05

asking why the rules had not been

followed in his case, they were just

4:51:054:51:09

not answered. On the 27th of January

2016, I wrote to the Chief Executive

4:51:094:51:14

of the City of London quoting Bill

97 nine of the 1997 regulations

4:51:144:51:21

simply asking why these and similar

2001 regulation should not apply in

4:51:214:51:25

this case. In his answer on the 26th

of February, he stated that in May

4:51:254:51:35

2002, the corporation's occupational

health team said there was no

4:51:354:51:42

evidence of permanent incapacity due

to ill health, so medical retirement

4:51:424:51:45

is not an option at this point. This

view was confirmed on the 11th of

4:51:454:51:52

June 2002 when a daughter who was a

corporation's in corporate doctor,

4:51:524:51:58

advised he was able to state Mr Bell

had any form of medical condition or

4:51:584:52:02

illness that would result in his

parental ability to work for the

4:52:024:52:05

corporation in his current position.

In this medical opinion meant that

4:52:054:52:09

it was not possible for Mr Bell to

be retired on the grounds of

4:52:094:52:14

ill-health. It appears that Mr Bell

has understood the application, it

4:52:144:52:22

quotes, referred to in your letter.

Rule 97 was not engaged and there

4:52:224:52:26

was no requirement for an IRMP

because the daughter's advice was

4:52:264:52:33

that Mr Bell did not, then

requirements for ill-health

4:52:334:52:36

retirement. As indicative Speaker, I

admit to becoming very frustrated at

4:52:364:52:44

this point. The suggestion was

because the internal doctor did not

4:52:444:52:48

give improvement, the independent

doctor must not be as further

4:52:484:52:53

opinion, which strikes me as a whole

point of the protections set out in

4:52:534:52:57

those regulations. In seeking to

make sense of this, I wrote to the

4:52:574:53:03

then Minister for local government

in 2016, setting out the case and

4:53:034:53:07

stating that the answer was as clear

as mud since the role clearly states

4:53:074:53:11

that independent analysis must be

obtained before such a decision is

4:53:114:53:15

made. I asked him to first confirmed

that the legal position remains as I

4:53:154:53:23

have stated in this letter,

secondly, whether they would be any

4:53:234:53:26

exemption to the requirement that

independent analysis be obtained

4:53:264:53:30

before a decision would be taken on

an individual's eligibility, and

4:53:304:53:34

thirdly, what records Mr Bell could

follow to get what he is entitled

4:53:344:53:37

to. As expected, the minister did

not go into detail, about my

4:53:374:53:46

constituent's individual case but

confirmed that the regulations were

4:53:464:53:48

in effect at the time and did not

indicate any scope for extension. I

4:53:484:53:55

wrote again on the 12th of December

2016 asking him to review his

4:53:554:54:00

decision based on the confirmation

given by the Minister. He did not

4:54:004:54:04

reply to this letter and so I had to

chase him. Not literally! He

4:54:044:54:09

eventually replied on the 30th of

May 2017 to state that, the city's

4:54:094:54:16

position as set out in previous

correspondence remains unchanged and

4:54:164:54:20

they did not believe they had any

obligation to inform Mr Bell of his

4:54:204:54:25

rights at the time. He concluded,

the city Corporation remains of the

4:54:254:54:32

view that it is acted properly and

fairly in its handling of this case

4:54:324:54:38

and believes that they are no

grounds for it to consider this

4:54:384:54:41

matter further. Mr Bell has tried

over many years since 2000 to pursue

4:54:414:54:49

down many avenues since the original

injury in 2000, but because he did

4:54:494:54:55

not discover the details of the 1997

regulations until 2000 wealthy, he

4:54:554:55:02

has by that point already exhausted

his appeal options. I had stated to

4:55:024:55:09

the City of London Corporation on

several occasions that if they could

4:55:094:55:11

not satisfactorily explain why the

rules should not have applied in

4:55:114:55:15

this case, I would have to raise the

matter in this House, and that's why

4:55:154:55:20

I believe that I've had no option

but to do so now. There are two

4:55:204:55:27

alternatives, either the City of

London is refusing to apply the

4:55:274:55:31

rules properly by the regulations as

they exist do not work to give

4:55:314:55:36

assurance of an independent

assessment as they should.

4:55:364:55:40

Industrial injuries are by their

nature unexpected, disturbing and

4:55:404:55:44

painful events. If they are to lead

to an in health requirement, it is

4:55:444:55:50

quite right that they should follow

assessment by an independent doctor

4:55:504:55:53

as soon as possible and a process

that sets out the details clearly.

4:55:534:55:59

Surely this process cannot, should

not be used short-circuited by an

4:55:594:56:06

organisation, particularly an

organisation such as the City of

4:56:064:56:09

London Corporation to use and in his

doctor and not allow the worker to

4:56:094:56:12

have their injuries are satisfied by

an independent practitioner. I

4:56:124:56:18

apologise to the Minister unto the

House for very detailed tale which I

4:56:184:56:23

wanted to put on record and ask

fundamentally, is he happy with the

4:56:234:56:28

way in which these regulations

operate? Is he aware of other cases

4:56:284:56:36

where organisations have used a

decision of an in-house doctor to

4:56:364:56:39

override the need to get the opinion

of one IRMP? If he is aware, does he

4:56:394:56:49

intend to tighten the process to

prevent this? Is he concerned about

4:56:494:56:55

organisations particularly like the

City of London Corporation, not

4:56:554:56:58

giving workers details of their

rights in instances like this one?

4:56:584:57:03

Is he aware of other complaints

about the City of London court, in

4:57:034:57:08

particular not their obligations

under these regulations because they

4:57:084:57:12

have not been forthcoming with

details to me? And possibly most

4:57:124:57:16

difficult, can he recommend any

further steps that my constituent Mr

4:57:164:57:22

Bell can follow to have his case

finally considered by an independent

4:57:224:57:27

medical professional? He is even

willing to pay for that independent

4:57:274:57:32

medical professional himself to

receive this opportunity of looking

4:57:324:57:34

at this case. Mr Bell and his

family, for 17 years, have been

4:57:344:57:41

relentlessly pursuing what seems to

me to be a grave injustice. In my

4:57:414:57:47

view, that grave injustice having

been perpetrated by one of the

4:57:474:57:50

richest local authority is in the

country makes it even more

4:57:504:57:55

disgraceful. I hope that the

Minister today will be able to give

4:57:554:57:58

me some assurance that I can give my

constituent that this will change

4:57:584:58:02

and he will get justice. Thank you.

Can I start by congratulating the

4:58:024:58:13

Honourable member for Vauxhall on

securing this debate? I had the

4:58:134:58:17

pleasure of fighting alongside her

in the referendum campaign and I can

4:58:174:58:20

see that she has applied the same

tireless and to nature 's

4:58:204:58:25

campaigning instincts that she has

two this particular case on behalf

4:58:254:58:29

of her constituent for many years

and I commend her for those efforts.

4:58:294:58:33

I particularly welcome the chance to

respond to the point is that she met

4:58:334:58:37

today and indeed share her regret

that we need to do so on the floor

4:58:374:58:40

of this House. I start off by

acknowledging that pensions are not

4:58:404:58:45

just about regulations and

procedures, they are about security

4:58:454:58:49

and peace of mind. We all want to be

able to retire only decent income

4:58:494:58:53

and as we live longer and healthier

lives, we want to be able to save

4:58:534:58:57

more and make the most of our

retirement. Public sector schemes

4:58:574:59:01

that is the local government pension

scheme also includes insurance style

4:59:014:59:05

benefits that help to cushion us

against the most unfortunate events.

4:59:054:59:22

Throughout the course of the last

100 years developed as a national

4:59:224:59:27

scheme to become a valuable and

integral part of local government

4:59:274:59:32

valued by millions. That said I can

attest to this personally as there

4:59:324:59:36

recently ensconced Minister for

local government pensions it's not a

4:59:364:59:40

simple scheme. Some of that

complexity comes from the need to

4:59:404:59:44

cover a wide range of possible

scenarios. The provisions dealing

4:59:444:59:48

with injuries at work such as those

suffered by Mr were interrupted by

4:59:484:59:56

employees own procedures and

implement law. Injuries can lead to

4:59:565:00:00

periods of sickness, permanent or

temporary incapacity and justice

5:00:005:00:05

comes from treating like cases are

like. But also in making fine

5:00:055:00:11

judgments and distinctions between

cases where appropriate. I of course

5:00:115:00:15

want to see the best possible

administration of this scheme. I

5:00:155:00:19

think it's been a key aim of the

government to improve transparency

5:00:195:00:22

and accountability in the making of

decisions by public bodies such as

5:00:225:00:27

this. The ill GPS is a national

scheme setting out in regulations

5:00:275:00:33

but it's important it is

administered locally and it's been a

5:00:335:00:37

long-standing feature of the scheme

and is one of its strengths. Local

5:00:375:00:42

authorities are independent bodies

and in the first in primary

5:00:425:00:46

instances are accountable to the

electorate through the ballot box

5:00:465:00:49

rather than central government. That

said there are routes for

5:00:495:00:56

independent redress where local

authorities fail in obligation. For

5:00:565:01:01

example through the councils own

complaints procedure, the local

5:01:015:01:05

government ombudsman or the pensions

ombudsman and potentially and

5:01:055:01:10

finally through the court by

judicial review. It's a feature of

5:01:105:01:15

any legal system of redress that

there are administrative deadlines

5:01:155:01:19

associated with each of these and I

am sure the honourable member will

5:01:195:01:23

recognise that all sides in a

dispute often benefit from the

5:01:235:01:27

certainty these afford. However I

also believe local authorities if

5:01:275:01:33

they are to retain the trust of the

people they serve should always seek

5:01:335:01:38

to act honourably and correct

mistakes even when they may be under

5:01:385:01:43

no legal obligation to do so. And

where I feel I need to college

5:01:435:01:48

mistakes, I will also do so, from

this dispatch box if necessary and I

5:01:485:01:54

hope my voice in these matters would

not be without some moral force. It

5:01:545:01:59

gives me comfort but in general the

LGPS is a well administered scheme.

5:01:595:02:06

The vast majority of complaints are

involved internally, it pays out

5:02:065:02:11

benefits each year and despite this

I am told there are fewer than 91

5:02:115:02:16

complaints to the pensions

ombudsman. But clearly some stakes

5:02:165:02:23

will be made and the impact of those

mistakes could be hugely significant

5:02:235:02:29

for people particularly vulnerable

or of limited means who rely on

5:02:295:02:33

their pensions to sustain their

dignity and standard of living in

5:02:335:02:35

old age. With this in mind I turn in

the back to the details in the case

5:02:355:02:44

of Mr Bell. The case was made

forcefully and the City of London

5:02:445:02:49

has not complied with its statutory

obligations or delivered justice to

5:02:495:02:54

Mr Bell in this case. As the

honourable member would of course

5:02:545:02:58

expect my officials have been in

touch with the City of London to

5:02:585:03:01

hear the explanation of these

events. At the outset it's worth

5:03:015:03:07

stressing the obvious difficulty in

understanding in precise detail

5:03:075:03:11

events which happened almost 20

years ago. But from hearing both

5:03:115:03:17

sides it strikes me as common ground

that as a consequence of the

5:03:175:03:21

accident on the 6th of November 2000

Mr Bell suffered some degree of

5:03:215:03:27

incapacity. The question appears to

be about the degree of severity and

5:03:275:03:33

permanence of that incapacity. I

expect it's difficult for any

5:03:335:03:37

medical expert to give a very

definite answer to those questions.

5:03:375:03:41

And it's that very reason I would

expect this to be settled as a

5:03:415:03:46

question of fact by someone that

both parties can have confidence in.

5:03:465:03:51

That is the plain meaning and intent

of regulation 97. I can see no good

5:03:515:03:57

reason why the Corporation of London

chose not to instruct an independent

5:03:575:04:01

registered medical practitioner who

could have either confirmed or

5:04:015:04:06

corrected the judgment which was

reached no doubt in good faith by

5:04:065:04:11

the Corporation's operational health

team. But not only was it not

5:04:115:04:17

instructed but other consequences

followed the failure to consider the

5:04:175:04:21

decision of any kind was due in

respect of the application of

5:04:215:04:27

ill-health retirement. The

protections and regulations whereby

5:04:275:04:31

a member is informed of his right of

appeal and a reference to the

5:04:315:04:35

pensions advisory service appear all

so not to have kicked in as one

5:04:355:04:41

might reasonably have expected. Of

course I cannot see what conclusions

5:04:415:04:48

would have been reached or whether

indeed an appeal would have been

5:04:485:04:51

successful. What I can say is that

Mr Bell does seem to have suffered

5:04:515:04:57

an injustice by being denied an

independent assessment of this case.

5:04:575:05:03

But I must note that Mr Bell did

received legal advice from a

5:05:035:05:08

reputable firm of lawyers in

settling the terms of his dismissal

5:05:085:05:11

for a limited efficiency in 2002. In

coming to a decision on how best to

5:05:115:05:17

pursue his case and whether to

accept the terms of settlement I

5:05:175:05:20

would hope the legal advice he

received was complete and accurate.

5:05:205:05:25

Let me know address directly the

question the honourable member for

5:05:255:05:32

box but to me and closing. I am

happy to place on record my concern

5:05:325:05:37

that the regulations do not seem to

have been followed in this case. My

5:05:375:05:42

view is that the facts available to

me at this time, it ought to have

5:05:425:05:47

been engaged in 2002. If the

honourable member for Foxhall

5:05:475:05:53

believes it may serve some purpose I

would be happy to write to the

5:05:535:05:58

Corporation and ask them to justify

this permission to me. Next to her

5:05:585:06:04

other questions more generally I

personally and the Department are

5:06:045:06:07

not aware of any other such cases

where this practice was followed,

5:06:075:06:12

nor of any other specific complaints

about the Corporation's

5:06:125:06:17

administrations practices. I would

hope that if there were similar

5:06:175:06:21

cases, then they would have found

their way correctly and

5:06:215:06:25

appropriately to the pensions

ombudsman. They are I believe the

5:06:255:06:29

arguments advanced would have

received a strong hearing. Next the

5:06:295:06:34

honourable member asked if I wished

to tighten the rules in this area.

5:06:345:06:40

Having reviewed its Madam Deputy

Speaker, to my mind the regulations

5:06:405:06:44

then as now are clear about the

process to be followed. The

5:06:445:06:49

regulations then as now place the

correct emphasis on the need for

5:06:495:06:52

decisions to be taken in a timely

way based on independent advice and

5:06:525:06:57

with further avenues for advice or

appeal clearly signposted. I think

5:06:575:07:03

having reflected on it that the

issue at stake here is not that the

5:07:035:07:06

regulators themselves are at fault

but whether they were properly

5:07:065:07:09

adhered to and followed. But if they

were not then at this point sadly I

5:07:095:07:18

cannot see any specific further

steps which I can take to pursue

5:07:185:07:21

this case on her behalf and a half

of Mr Bell. If we were having this

5:07:215:07:29

conversation at the time of the

incident in question Mr Bell would

5:07:295:07:32

have had the Avenue of appeal and

address through the own two stage

5:07:325:07:37

appeal process. Following that we

could have gone to the pensions

5:07:375:07:41

ombudsman, the Secretary of State or

indeed the courts through judicial

5:07:415:07:44

review. But as I said earlier, there

are good and necessary reasons why

5:07:445:07:50

we have time on its and limitations

in the determination of rights and

5:07:505:07:57

liabilities. Statute of limitations

are common across civil and criminal

5:07:575:08:01

law in this country and across the

world. Patters must be allowed to

5:08:015:08:07

know in a matter has been settled

and given where we are now 18 years

5:08:075:08:12

after the incident unfortunately the

ability to access any of these

5:08:125:08:16

avenues has unfortunately expired.

Of course at that time in question

5:08:165:08:22

Mr Bell received legal advice and

sought a settlement with his

5:08:225:08:24

employers. I very much hope his

solicitors at this time discussed

5:08:245:08:30

with him these vary avenues which

may well have been available at that

5:08:305:08:35

time. And provided advice to him on

the best course of action. It made

5:08:355:08:40

well be worth Mr Bell or the

honourable member discussing this

5:08:405:08:44

again with the solicitors to make

sure all correct procedures and

5:08:445:08:47

avenues were explored. Due to the

separation of powers of central and

5:08:475:08:54

local government I cannot intervene

in the day-to-day activities of

5:08:545:08:57

local authorities except where a

specific provision is made by

5:08:575:09:01

Parliament. I am not aware of any

specific basis on which I could

5:09:015:09:05

intervene directly in this case.

I

thank the Minister of giving way, I

5:09:055:09:11

know he's coming to the end of his

speech, I want to thank him for the

5:09:115:09:15

thoughtful way he has dealt with

this. Does he still not accept or

5:09:155:09:22

does he accept that it should have

been up to the City of London

5:09:225:09:28

Corporation, a hugely rich in

personnel counsel, to actually give

5:09:285:09:35

Mr Bell his rights, to tell him

about his rights? It should not have

5:09:355:09:39

been up to a solicitor a few years

later, surely there is a moral duty,

5:09:395:09:44

is not a legal duty and I think

there should be a legal duty and I

5:09:445:09:48

think the regulations give a legal

duty, to inform Mr Bell and allow

5:09:485:09:53

that independent medical

practitioner that is where it went

5:09:535:09:56

wrong, something so simple. Does he

now agree that the moral case is

5:09:565:10:01

there for the City of London

Corporation and I would welcome

5:10:015:10:04

Madam Deputy Speaker him writing to

the City of London on my behalf and

5:10:045:10:08

on the half of Mr Bell.

Thank you, I

can tell my honourable friend that

5:10:085:10:13

not only is there a moral duty but

she is right there is a legal duty

5:10:135:10:18

both have used an independent

medical practitioner but also to

5:10:185:10:21

have informed Mr Bell of his rights

at the time. That said Mr Bell would

5:10:215:10:29

have been aware of those rights

through the many other

5:10:295:10:31

communications which would have

happened to him as a member of the

5:10:315:10:34

scheme but at the point where it

became relevant under the articles

5:10:345:10:37

and provisions he should have been

made aware at that time again.

5:10:375:10:41

Although it is of course of limited

comfort to Mr Bell and the

5:10:415:10:45

honourable member on means being

reviewed for resolving disputes

5:10:455:10:52

locally and is looking at

simplifying the rules around

5:10:525:10:56

ill-health retirement. I'm expecting

some recommendations for them in

5:10:565:10:59

relation to these matters in due

course and the hearing of this

5:10:595:11:03

particular matter will weigh on my

mind as I review those

5:11:035:11:07

recommendations. In conclusion Madam

Deputy Speaker whilst we have

5:11:075:11:11

discussed process I don't want to

lose sight of the individual at the

5:11:115:11:14

centre of all of this, Mr Bell. The

accident which caused him to lose

5:11:145:11:19

his job seems such a small and

random piece of bad luck. We are

5:11:195:11:24

still talking about it today and

that shows how the unfairness of any

5:11:245:11:30

kind of fate or administration can

be hard to accept and live with. I

5:11:305:11:35

don't know if Mr Bell is adequately

supported today and living if a

5:11:355:11:40

filling and satisfying life but I

sincerely hope so. Finally I want to

5:11:405:11:45

know in the honourable member for

her tireless work and advocating so

5:11:455:11:49

forcefully on the half of her

constituents. I know she will keep

5:11:495:11:53

pushing the City of London

Corporation to examine a fresh if

5:11:535:11:57

they believe they have acted fairly

and in good conscience. I will

5:11:575:12:03

support her in those efforts and I

wish her and Mr Bell every success

5:12:035:12:07

as she pursues this case.

The

question is that this house now

5:12:075:12:14

adjourn as many it that opinion see

aye, the ayes have it. Order.

5:12:145:12:24

Live coverage of the proceedings in the House of Commons, including select committee statements on Kurdish aspirations and UK foreign policy interests and on the HMIP report on HMP Liverpool, followed by a Backbench Business debate on the role of disabled people in economic growth and a general debate on cancer strategy.


Download Subtitles

SRT

ASS