As Shadow Minister for Public Health, Sharon spoke in a Westminster Hall Debate on Antibiotic Resistance and the need to improve public awareness of this issue, along with research and development of new and improved antibiotics to be brought onto the market to tackle antibiotic resistance of bacteria.
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You can read Sharon's speech here in Hansard: Antibiotic Resistance Westminster Hall Debate 09.03.17
Speech pasted below:
Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)
It is a pleasure to serve under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Thirsk and Malton (Kevin Hollinrake) on bringing this important debate to the House. He gave an eloquent and knowledgeable speech clearly setting out the issue and the matters to be discussed following the O’Neill review. I thank him for that.
An estimated 50,000 deaths occur every year due to untreatable infections, rising to 700,000 globally. That is why it is only right that we do all we can to address antibiotic resistance. It is believed that the number of deaths will rise to 10 million a year by 2050 if no significant action is taken. As we have heard from a number of Members, deaths from drug-resistant infections could exceed deaths from cancer.
This is an incredibly timely debate. Only a couple of weeks ago, the World Health Organisation published a list of 12 bacteria for which new antibiotics are now needed. Some strains of bacteria have built-in abilities to find new ways to fight off treatments that can then be passed on to other bacteria via genetic material to make them drug-resistant too. I find it a bit scary to consider what we are up against. This is a battle that we have to win.
I also thank other hon. Members who have spoken in this debate. My hon. Friend the Member for Bristol East (Kerry McCarthy) gave a very knowledgeable speech about the use of antibiotics in farming; other hon. Members touched on the subject as well. I really think we need to get a firm grip on it internationally, with the UK leading the way. Ten other Members spoke in this very active debate: my right hon. Friend the Member for Rother Valley (Sir Kevin Barron), my hon. Friend the Member for Ealing, Southall (Mr Sharma), the hon. Members for Erewash (Maggie Throup), for Bosworth (David Tredinnick), for Glasgow North (Patrick Grady), for Sleaford and North Hykeham (Dr Johnson), for Mole Valley (Sir Paul Beresford), for Strangford (Jim Shannon) and for Stafford (Jeremy Lefroy), and the hon. Member for Linlithgow and East Falkirk (Martyn Day), who speaks for the Scottish National party. Their speeches were all thoughtful and knowledgeable, albeit brief because of time constraints.
I will touch on two key points: raising public awareness, and supporting research and innovation to combat antibiotic resistance. It is generally accepted that antibiotic resistance is a natural process—bacteria naturally evolve to become resistant to certain drugs used to fight them off—but it has been exacerbated by humans. As Dr Hsu of the Singapore Infectious Diseases Initiative has said, the causes come down to
“a single axiom—abuse and overuse of antimicrobial drugs.”
Concerns have also been raised that the development of new antibiotic drugs has dried up, contributing to the situation. According to the World Health Organisation, we are left in a precarious position. The WHO’s director general, Dr Margaret Chan, describes antimicrobial resistance as
“a crisis that must be managed with the utmost urgency.”
That urgency applies here in the UK, too. In 2014, the chief medical officer, Dame Sally Davies, said that
“we could be taken back to a 19th century environment where everyday infections kill us as a result of routine operations.”
We could be taken even further back: as the hon. Member for Thirsk and Malton said, this could be the new black death. That is not as melodramatic a statement as people may first think. Antimicrobial resistance is a really serious problem that we need to address here and now, so that those predictions do not come true.
I do not always do this, as I am sure you have noticed, Mr Hollobone, but I must give credit to David Cameron’s coalition Government, who were global leaders when they announced Lord O’Neill’s review into antimicrobial resistance. The review’s 10 recommendations show just how complex and multifaceted the issue is and how wide-scale the actions needed to address it are. The review’s final report was published in May 2016 and the Government responded at the end of last year, so now is a good time to ask the Government for an update.
One of the review’s key recommendations was to introduce a large-scale global awareness campaign to reduce the demand from patients to be prescribed antibiotics when they are diagnosed with an illness. I am a firm believer in public awareness campaigns relating to health issues, especially cancer. My hon. Friends and I fully support such a campaign for antimicrobial resistance and we want to see the Government working hard to achieve it. The review’s recommendation was for an international awareness campaign, but what does the Minister plan to do here in the UK to complement that international work? That is a pertinent question because a 2015 Wellcome Trust study found that people in the UK did not fully understand antibiotic resistance and how it affects their health. They did not understand that antibiotic resistance is to do with the bacteria in people’s bodies, rather than a lack of antibiotics or the cost of them; it is not just a case of doctors being awkward. I would therefore be grateful if the Minister told us what relatable public awareness campaigns she is planning to ensure that people understand more about the problem and about what they can do personally.
I have already mentioned the problems with combating antibiotic resistance caused by the drying up of innovative developments in drug technologies. The O’Neill review identifies that the low commercial return on research and development for antibiotics makes them less attractive to pharmaceutical companies and reduces the chance of new drugs being developed. To reverse that situation, it recommends considering market entry rewards to encourage companies to develop new or improved drugs, especially in areas of urgent need. I hope the Minister will explore that issue further in her reply.
Public and private funding is being made available to help to combat these issues. On 20 December, the Minister referred to
“international programmes to tackle AMR, including the Fleming fund and the Global AMR innovation fund, which represent more than £300 million of investment over the next five years.”—[Official Report, 20 December 2016; Vol. 618, c. 1294.]
There is also the incredible work of the Longitude Prize, which is in the middle of its competition to develop
“a cheap, accurate, rapid and easy-to-use point of care test kit for bacterial infections”
to help to address antibiotic resistance. That is important work and we support it.
In summary, we cannot afford to get antimicrobial resistance wrong. Millions of lives depend on our tackling it. It is not far away; it is happening right here, right now, and it affects us all, so it is important that we do all we can to address this growing problem, both in the UK and internationally.
As Shadow Minister for Public Health, Sharon spoke in a Westminster Hall Debate on Antibiotic Resistance and the need to improve public awareness of this issue, along with research and...
Sharon spoke in a Westminster Hall Debate on Maintained Nursery Schools and the impact of changes in the Early Years Funding Formula and what this will mean for local maintained nursery schools.
Image copyright Parliamentary Recording Unit 2017
You can read Sharon's speech here on Hansard: Maintained Nursery Schools Westminster Hall Debate 01.02.17
Speech pasted below:
Sharon spoke in a Westminster Hall Debate on Maintained Nursery Schools and the impact of changes in the Early Years Funding Formula and what this will mean for local maintained...
In her capacity as Shadow Minister for Public Health, Sharon was invited to speak to a group of Socialist Health Association members in the North East about public health and prevention. In her speech, Sharon raised concerns over the progress of the Five Year Forward View's promise of a "radical upgrade in prevention and public health" and how the crisis and mismanagement the NHS is facing is currently not allowing this promise to be fulfilled.
You can read Sharon's speech below:
CHECK AGAINST DELIVERY
Thank you for inviting me to speak to you this morning.
The Socialist Health Association is an organisation of academic specialists, medical practitioners and those with health interests within the organisation, and I know that myself and the rest of the Shadow Health team greatly appreciate the work you do to support Labour’s approach to all matters related to health policy.
Health inequality is an issue which we continually need to work on to get right, especially here in the North, where it is well documented that our region and other northern regions have persistently poorer health than the rest of the country. This gap has widened over the last four decades.
Figures show this to be the case, with latest public health outcomes data showing that the North-East and the North-West have the lowest life expectancy compared to London and the South-East, which have the highest.
It was highlighted in the Due North report that since 1965, there have been 1.5 million excess premature deaths in the North due to the disparity in health outcomes.
This is something that cannot be ignored.
This shows what we all know to be true: people in the more deprived areas of the country do not live as long as those in more affluent areas.
This is exacerbated by the fact that those short lives can also be unhealthy lives. Long-term health conditions, cancer prevalence, and addictions are all far more common in more deprived areas of the country.
It is not only the health of people which is affected by health inequalities, but also there is an economic argument to be made too. In England, as a whole, the cost to the NHS of treating illnesses and diseases arising from health inequalities is estimated at £5.5 billion a year, and ill-health means a loss to industry of £31 to £33 billion each year in productivity.
If we are to improve health outcomes and reduce health inequalities in our region, and indeed across the country where there are pockets of persistent inequality, then it is important that we look at how our health and social services are working now and how we need to ensure services are working towards improving the health of our nation, especially through prevention.
The NHS, Social Care and Public Health Funding
It goes without saying that this winter saw our NHS face unprecedented challenges which has pushed it virtually to the brink.
In the week of 9th January to 15th January, we saw 69 trusts out of 152 reporting serious operational pressures at some point during that given week – with the average deemed to be 50 Trusts a day reporting operational pressures.
There are countless stories in the media about the pressures the NHS is facing, and sadly, the Government have buried their heads in the sand and acted as if the issue isn’t as bad as it is in reality.
Whilst we are seeing the NHS facing a crisis, we are also seeing yet another reorganisation of services at a local level through Sustainability and Transformation Plans (STPs).
Whilst in principle, the idea of improving integrated services through STPs is a welcome idea, there are real and perceived concerns on the ground – not just here in the North, but across the country – that the efficiency savings are all about cuts, rather than improving clinical services for patients.
Pair all of this with the pressures in adult social care services, which saw a cut in funding of £4.6 billion in the last Parliament and experts warning there is an expected £1.9 billion funding gap in social care this year alone, then there is no wonder why there is no ability to seriously address health outcomes and inequalities.
Even in my own area of policy – public health - we are beginning to see what could be a crisis.
Whilst the total spend on public health is just over 4% of GDP, the then Chancellor in 2015, announced a £200 million in-year cut to the pot of money, and then in the Autumn Statement announced an average, real-terms cut of 3.9% until 2020.
It is estimated that that by 2020-21, public health funding will fall to just over £3billion, compared to the £3.47billion in 2015-16.
Even though the Government has ring-fenced this money when it reaches local authorities, there is no guarantee it will continue in the next spending round in 2018.
It is hypothetical what will happen, but when local authorities are strapped for cash already, if the ring fence is removed, there is a real concern that those councils with difficult decisions to make may take from this budget to plug other areas.
This can in some way be backed by current figures on the cuts we are seeing to public health services, as reported in the Health Select Committee’s report: Public Health, post-2013, where they cited figures by the Association of Directors of Public Health.
These figures showed the stark impact of the cuts we are already seeing. Take for example, health checks in 2015-16 which saw a cut of 27% and soared to 59% in 2017-17 with a 1% decommissioning.
Or weight management support which saw a 32% reduction and 9% decommissioning in 15-16, which then rises to 52% reduction and 12% decommissioning in 2015-16.
What we are seeing in the NHS, social care and public health is a complete mismanagement and lack of commitment to fund these important services properly.
This is something I have raised with Health Ministers across the House of Commons: if you cut from one area in the health and social care service, you will see a knock on affect in others.
This has unsurprisingly been met with disregard from ministers who fail to recognise the impact their mismanagement is having on these vital services and the health of the country.
It must be remembered, that for a region – such as our own – where ill-health and health inequalities are clearly apparent that this approach to our health services will have a serious impact on regions which are already at the lower end of the spectrum of dealing with health problems.
Yet, also this approach, especially to public health, goes completely against NHS England’s Five Year Forward View, which promised: “a radical upgrade in prevention and public health” and the Prime Minister’s own commitment to reduce health inequalities when she took office.
It is clear that the radical upgrade and desire to address these issues are not being met. In fact, it could be described as going backwards, or at best, staying still. Neither option is a welcome one.
However, if we remember the state of the NHS currently, which is fighting crisis after crisis every day, then it is not surprising that this worthy commitment to prevention and reducing health inequalities is not being worked towards.
How do we address this?
What we need to see is this radical upgrade made a central theme to any approach to improve services and not see them cut to the bone.
For me, improving the health of our nation is not just a health priority but a social justice one as well.
Because of persistent ill-health and poor health outcomes, people here in the North are not being allowed to reach their fullest potential and instead held back by inaction to improve their health, both through interventions but also providing them with the tools to improve their health themselves.
To do this, the NHS needs to bring forward a new funding settlement for the NHS and social care in the upcoming Budget, which will not only give the NHS the vital funding it needs to deal with increasing pressures, but also in order that it can begin to achieve its vision of radically upgrading prevention and public health as called for in the Five Year Forward View.
This should also include a rethink on the current approach to public health – the false economy of reducing funding when pressures remain the same, or increased, shows a complete lack of joined up thinking by the Government. And this is something I will push them to rethink at every available opportunity that I have as Labour’s Shadow Minister for Public Health.
It seems illogical to me that you cut prevention budgets, which will just present problems further down river in the NHS which as we know is already facing difficulties when coping with the demands it has now.
However, it cannot all be about funding. Labour’s approach at the last General Election was two-fold: one, ensuring interventions happen when necessary, especially at younger ages to correct bad habits which could lead to ill-health in adulthood, and second, ensuring that adults have the tools in their arsenal to make healthy lifestyle choices to live fulfilling lives.
This is something that I hope to continue to build upon in my time as Labour’s spokesperson on public health and ensure that any policies we propose will help seriously shift us away from the current situation where persistent health inequalities remain the norm.
To end, health inequalities are a serious issue that cannot be ignored. Reports after reports have shown that we have not made many serious inroads into health inequalities, and that is why it calls for a radical approach which doesn’t weaken the already fragile state of affairs we are seeing.
With innovation and political will, we can ensure the gap in health inequalities shrinks and health outcomes improve. To do this, we need that step change in ethos called for in the Five Year Forward View towards prevention but an NHS which itself is healthy enough to seriously begin to work towards this vision – if that does not happen, then it will never be achieved.
I hope in the discussions that we can start the process of doing just that, and I hope that you will all feed your thoughts and ideas into the Health and Social Care Commission.
In her capacity as Shadow Minister for Public Health, Sharon was invited to speak to a group of Socialist Health Association members in the North East about public health and...
In her capacity as Shadow Minister for Public Health, Sharon responded to a Backbench Business Debate on Breast Cancer Drugs, specifically the drug, Kadcyla and other drugs used for treatment of breast cancer.
Image copyright BBC Parliament 2017
You can read Sharon's speech here: Breast Cancer Drugs Backbench Business Debate 26.01.17
Speech pasted below:
In her capacity as Shadow Minister for Public Health, Sharon responded to a Backbench Business Debate on Breast Cancer Drugs, specifically the drug, Kadcyla and other drugs used for treatment...
As Shadow Minister for Public Health, Sharon responded to a debate in Westminster Hall on the recently published Accelerated Access Review and the the impact that implementing these recommendations could have on issues surrounding access to drugs for people with long-term conditions, specifically cystic fibrosis and the drug, Orkambi.
You can read Sharon's speech here: Sharon Hodgson MP Accelerated Access Review Westminster Hall Debate 13.12.16
Speech pasted below:
As Shadow Minister for Public Health, Sharon responded to a debate in Westminster Hall on the recently published Accelerated Access Review and the the impact that implementing these recommendations could...
As Shadow Minister for Public Health, Sharon spoke during a secondary legislation committee on the approval of the Draft Consumer Rights (Enforcement and Amendments) Order 2016. This Order was to update current tobacco regulations in line with the Consumer Rights Act 2015. In her contribution, Sharon welcomed the order, along with the need to continue on the route to a smoke-free society and for the Government to finally publish their long awaited Tobacco Control Plan.
You can read Sharon's speech here: Sharon Hodgson MP Consumer Rights (Enforcement and Amendments) Order 2016 Secondary Legislation 12.12.16
Speech pasted below:
As Shadow Minister for Public Health, Sharon spoke during a secondary legislation committee on the approval of the Draft Consumer Rights (Enforcement and Amendments) Order 2016. This Order was to...
As Shadow Minister for Public Health, Sharon responded to a debate on the progress on the implementation of the Cancer Strategy for England. In her speech, Sharon raised the need to improve preventative measures, especially around smoking and obesity, which are seen as two of the most preventable contributors to cancer, and also issues around workforce capacity and capability.
You can read Sharon's speech here: Sharon Hodgson MP Cancer Strategy Backbench Business Debate 08.12.16
Speech pasted below:
As Shadow Minister for Public Health, Sharon responded to a debate on the progress on the implementation of the Cancer Strategy for England. In her speech, Sharon raised the need...
As part of her long-standing campaigns against ticket touting and on improving access to free school meals, Sharon spoke during the Report Stage of the Digital Economy Bill on two amendments, which would ban the misuse of bots when buying tickets and also on sharing data between local authorities and schools to improve the take-up of free school meals, which have been proven to be beneficial to a child's life.
You can read Sharon's speech here: Sharon Hodgson MP Report Stage of the Digital Economy Bill 28.11.16
Speech pasted below:
I want to speak for my two or three minutes in support of new clause 19 and new clause 31. I welcome these two new clauses after my many years of campaigning to put fans first and to improve access to free school meals.
Hungry children struggle to learn in school, and they fall behind their peers. That is why it is important that we improve the provision that is on offer and the access to it, and new clause 19 will do just that. This policy proposal was first introduced by my right hon. Friend the Member for Birkenhead (Frank Field) as a ten-minute rule Bill earlier this year. I have fully supported this policy change, and I congratulate my hon. Friends on the Front Bench on bringing it forward. It is estimated that having a child on free school meals can save a family up to £400 a year. A school will net £1,320 a year for each child who is currently on free school meals or who has been in receipt of free school meals in the previous five years. The proposed changes are simple and have been tried and tested by Calderdale Council and Greenwich Council, which have both used data sharing to improve the take-up of free school meals and, in turn, pupil premium in their boroughs.
I want to speak briefly to new clause 31. I thoroughly welcome this new clause, which has been introduced by the hon. Member for Folkestone and Hythe (Damian Collins) on behalf of the Culture, Media and Sport Committee after its excellent short inquiry into bots and ticket touting a few weeks ago—I had the pleasure, as I said earlier, of witnessing it at first hand—following the amendment originally tabled by the hon. Member for Selby and Ainsty (Nigel Adams) and supported by the Labour Front-Bench team and me. The new clause would take us one step closer to sorting the market out, but it is not a silver bullet; far from it. Alongside the new clause, we need the enforcement of existing legislation, such as the Consumer Rights Act 2015, and the implementation of the Waterson review recommendations on the secondary ticketing market.
Over the years, like the Minister and the hon. Member for Selby and Ainsty, I have heard about examples—I have experienced it myself—of people trying to buy tickets but finding that they were already sold out, and within minutes finding those tickets up on the secondary market. I never relented; I refused to buy any tickets from touts, but one can only deduce that there is a serious issue about how the tickets get on to the secondary market so quickly. One way in which they do so is definitely through the use of bots. Fans are not getting a fair crack at getting tickets, just as the Minister and other Members have not had a fair crack at getting them.
In the past 18 months, there has been a massive escalation in the number of tickets harvested by the aggressive software used by touts, with these attacks becoming more and more sophisticated. Attacks appear to emanate from all over the world, but the majority of attacks on ticketing systems are orchestrated by UK-based and UK-resident touts. Some 30% to 50% of tickets for high-demand events are harvested by aggressive software and immediately placed for resale on viagogo, GetMeIn!, StubHub and Seatwave, despite the best efforts of the industry, which has tried to police itself and to bring in technical solutions. The industry has tried to sell tickets through fan clubs, but even those are attacked. Where tickets are sold by ballot, there are ballot bots. Where fan club registration is required, there are email-generating bots that flood systems with thousands of false identities. There is not one single way to offer tickets for sale to the public for which there is not already a bot out there that will attack the system.
The situation is deteriorating. Primary ticket sites have to detect an attack, examine the data, identify the software used, reverse engineer it and develop measures to prevent a further attack. That process can take months. In the meantime, a tout can simply pay a coder overseas a few hundred pounds to develop a new bot to circumvent the new security features. Bots can be coded to attack a specific ticketing system in as little as a day.
Although legislation is in place in the form of the Computer Misuse Act 1990, which has broad applications that could be used to address bots, it is 25 years old and it is yet to be tested in this regard. This is an arms race that the primary ticket sellers simply cannot win. The secondary market has already shown its blatant disregard of civil remedy legislation, such as the amendment to the Consumer Rights Act 2015, which is flouted daily. The only effective deterrent is a very clear criminal offence, with appropriate punishment on conviction, and that would be provided by new clause 31.
As part of her long-standing campaigns against ticket touting and on improving access to free school meals, Sharon spoke during the Report Stage of the Digital Economy Bill on two...
As Shadow Minister for Public Health, Sharon responded to a debate on reducing health inequalities and the need for the Government to take action to address variations in health outcomes across the country. In her speech, she raised two specific interventions that the Government could go on: childhood obesity and publication of the Tobacco Control Plan.
You can read Sharon's speech here: Sharon Hodgson MP Reducing Health Inequalities Backbench Business Debate 24.11.16
Speech pasted below:
As Shadow Minister for Public Health, Sharon responded to a debate on reducing health inequalities and the need for the Government to take action to address variations in health outcomes...
As Shadow Minister for Public Health, Sharon responded to a Backbench Business Debate on contaminated blood and blood products, secured by Diane Johnson, MP for Hull North, who has led on this issue for a number of years. In her speech, Sharon spoke about the support given to those affected by this scandal under the new system and those missed out, the involvement of private for-profit companies in the administering of payments, and also the need for an independent Hillsborough-style panel.
You can read Sharon's speech in Hansard here: Sharon Hodgson MP Contaminated Blood and Blood Products Backbench Business Debate 24.11.16
Speech pasted below:
As Shadow Minister for Public Health, Sharon responded to a Backbench Business Debate on contaminated blood and blood products, secured by Diane Johnson, MP for Hull North, who has led...