As Shadow Minister for Public Health, Sharon responded to a debate on HIV Treatment and raised concerns with the ramifications of the Health and Social Care Act on local HIV services, along with concerns over public health budget cuts and issues with PrEP.
You can read the speech here: Sharon Hodgson MP HIV Treatment Westminster Hall Debate 28.02.17
As Shadow Minister for Public Health, Sharon responded to a debate on HIV Treatment and raised concerns with the ramifications of the Health and Social Care Act on local HIV...
In her capacity as Shadow Minister for Public Health, Sharon responded to a debate on the UK's Rare Diseases Strategy and the need for an implementation plan to be drafted - which at the time of the debate, was being refused by both the Department of Health and NHS England. Sharon raised concerns that this deadlock between the two was having an impact on the lives of patients with rare diseases and their care, support and treatment, but also the need for specific recommendations in the Strategy to be worked on.
You can read Sharon's speech here: Sharon Hodgson MP Rare Diseases Strategy Westminster Hall Debate 28.03.17
Speech pasted below:
It is a pleasure to serve under your chairmanship this afternoon, Mr Pritchard.
I welcome this important debate and I thank the hon. Member for Bath (Ben Howlett) for securing it and for his excellent introduction to it, although I am sorry that I missed the start of his speech because it started four minutes early before my hon. Friends and I were in our places.
I also thank other hon. Members for their contributions this afternoon, including the hon. Member for South Down (Ms Ritchie), my hon. Friend the Member for Cambridge (Daniel Zeichner) and the hon. Member for Linlithgow and East Falkirk (Martyn Day), the spokesman for the Scottish National party, who all made excellent and insightful speeches.
As others have said, here in the UK one in 17 people will be affected by a rare disease at some point in their life, which equates to approximately 3.5 million people in the UK. It cannot go unsaid that those 3.5 million people have a wide range of symptoms, which vary from condition to condition, some of which we have heard about this afternoon. It is clear that there are common experiences that people with these conditions all share. As Rare Diseases UK has estimated that it takes on average four years for a patient to receive a diagnosis, it is clear that there are many missed opportunities to help those people living with rare diseases. Each and every person who suffers from a rare disease deserves the necessary support to live a fulfilling life.
That is why it was welcome that in 2013 the coalition Government published their UK-wide strategy for rare diseases, which was seen as heralding a new era in the treatment and care of rare disease patients across all four home nations. The 51 recommendations are all to be welcomed, as they each take us a step further in addressing concerns about the care and treatment of rare diseases, and the strategy’s aim is to make sure that no one gets left behind just because they have a rare disease. It is an aim that Labour welcomes wholeheartedly.
Most of my contribution to this debate will focus on the issues with the implementation of the strategy, but I will take a moment to mention some of the positives. It is welcome to see that the National Institute for Health Research has launched the Rare Diseases Translational Research Collaboration—I will use the acronym, RD-TRC, as it is much easier to say—which aims to empower patients to engage and become involved with research and research funding decisions. To date, the NIHR has invested £4 million in the RD-TRC, and the programme is expected to continue for another five years, with a £5 million investment.
Work has also been done by Public Health England on data recording, to bolster diagnosis and early intervention, and we have also seen Health Education England collaborate with the National School of Healthcare Science to produce two educational videos for healthcare professionals, in order to raise awareness of the problems faced by families who have a child with an undiagnosed condition and the importance of considering whether it is a rare disease. All this work is to be welcomed and should not go unnoticed.
Yet the sticking point in all of this, and the reason why we are here today to debate this issue, is that the Government are digging their heels in and not getting on with drafting an implementation plan, while the other home nations’ health departments are making significant strides. That betrays not only those patients living in England who wish this strategy to be properly implemented but the strategy itself, which stated that all four home nations must see the vision behind the strategy become a reality by 2020. It also undermines all the excellent work that I mentioned previously to implement the recommendations.
The strategy was published in 2013 and we are now just three years from the date set for the vision to be realised. However, the all-party group that the hon. Member for Bath so ably chairs has discovered that the Department of Health does not intend to publish an implementation plan, believing that it should be published by the NHS. Yet the NHS has said that it does not intend to do this either, as it does not have responsibility for other arm’s length bodies of the Department of Health. I want to ask the Minister why. I want to know why we are seeing patients and their families caught in this dispute between the NHS and the Department of Health. This situation cannot continue; there are people suffering right now who need this strategy to be implemented correctly.
I have briefly mentioned the report by the all-party group on rare, genetic and undiagnosed conditions on the lack of an implementation plan, but I know that it covers other issues as well, and I will take a moment to touch on some of them. One of the main issues raised was the lack of communication between organisations responsible for implementing the various aspects of the plan, and the failure to provide patients, families, doctors, industry experts and patient organisations with updates on progress of the strategy. That is deeply worrying, as it is important that people are made aware of the issues that affect them so personally. Therefore, it is not surprising that the all-party group heard from more than 300 patients that widespread disillusionment and disappointment had become the common feeling about the strategy, despite the optimism felt when it was published five years ago. The sting in the tail is that there are implementation plans for the strategy across the UK, with the exception of here in England. I share the frustration of the many others who are affected by the Government’s complacency. The Department’s rationale for not providing updates on progress is that patient organisations can disseminate information to patients and families, but it sadly fails to grasp that those organisations and charities are often very small and do not have the resources to pull together updates and send them out.
Also, issues that have not been worked on since the strategy was published have been identified, including prevention and identification of rare diseases, improving care pathways and failing to implement structures that would facilitate collaboration between the four home nations. In his response, I would be grateful if the Minister could provide us with an update on those points and tell us what his Department plans to do to see the recommendations through.
The strategy is now five years old, and although there has been work to see it realised, it has not gone far enough. The failure here is that the Department for Health in England is not fulfilling its duty to draft an implementation plan to realise the visionary goals in the strategy, which undermines the work already under way and hinders any future work. The Minister must set that right, and I hope he plans to do so today. He has the power to rectify the situation and he cannot be complacent when it comes to supporting people living with rare diseases.
We are not talking about a handful of people; many of our own constituents are being failed by the Government, and all they ask for is that the Department for Health do what Departments in the other home nations are doing and provide an implementation plan to enable the strategy to be fully realised and make the impact it was intended to have. I once more thank the hon. Member for Bath. I hope that the debate will make the Minister think again about the Government’s opposition to taking responsibility for a plan, and that he will honour the whole vision of the strategy, instead of cherry-picking from it.
In her capacity as Shadow Minister for Public Health, Sharon responded to a debate on the UK's Rare Diseases Strategy and the need for an implementation plan to be drafted...
As Shadow Minister for Public Health, Sharon spoke during a secondary legislation committee on the approval of the Draft Draft Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) (amendment) Regulations 2017. These regulations allow for the continued mandation for health visitors to undertake universal health visitor reviews. Whilst they were not opposed, Sharon did raise concerns about the watering down of who can do health visitor reviews and pressed the Government to keep an eye on this concern raised by health visitors themselves.
Speech pasted below:
Draft Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) (amendment) Regulations 2017 27.03.17
As Shadow Minister for Public Health, Sharon spoke during a secondary legislation committee on the approval of the Draft Draft Local Authorities (Public Health Functions and Entry to Premises by Local...
A week after International Women's Day and over a week away from Mother's Day, Sharon secured a debate on the effects of Maternity Discrimination, and raised issues with this form of discrimination's impact on society and our economy, along with the work of the Equalities and Human Rights Commission and the Women and Equalities Select Committee, and what more the Government should be doing to tackle this discrimination in the workplace.
You can read Sharon's speech here in Hansard: Sharon Hodgson MP Effects of Maternity Discrimination Westminster Hall Debate 15.03.17
Speech pasted below:
A week after International Women's Day and over a week away from Mother's Day, Sharon secured a debate on the effects of Maternity Discrimination, and raised issues with this form...
As part of the Budget Resolution Debates following the Chancellor's 2017 Budget, Sharon spoke in the debate allotted to discussing education and skills. In her speech, Sharon discussed issues around Nissan, the wider manufacturing sector and the need to boost skills as part of the process of leaving the EU; with one example through the creation of a Materials Catapult.
You can read Sharon's speech here in Hansard: Sharon Hodgson MP Budget Resolutions Debate: Education and Skills 14.03.17
Speech pasted below:
As part of the Budget Resolution Debates following the Chancellor's 2017 Budget, Sharon spoke in the debate allotted to discussing education and skills. In her speech, Sharon discussed issues around...
As part of Teach First North East's 5 year celebrations, Sharon spoke at their awards ceremony about the issue of child poverty in education. You can read her speech below.
CHECK AGAINST DELIVERY
Thank you for inviting me to speak today. It is an honour to be here to celebrate 5 years of Teach First here in the North East.
For me, just like everyone in this room, I see education as a crucial route out of poverty, whereby we unlock the potential of children by believing in them and offering them opportunities they might never have had, so that they can reach their full potential.
As the second President of the United States, John Adams, said: “Before any great things are accomplished, a memorable change must be made in the system of education … to raise the lower ranks of society nearer to the higher.”
Adams was speaking about his new fledgling country’s education system, in its widest sense, but what resonates with me in this quote is the belief that a memorable change can have such an impact on our lives, acting like a catalyst that can change the course of a child’s life for the better, if done the right way.
The facilitators of that change are teachers and everyone who works within the school environment. Each and every one of you here today can have a substantial impact on the lives of the children in your schools. That power must never be forgotten and must be realised at every opportunity available.
Whilst I am not standing here today to tell you how to do your jobs – teachers get enough of that from politicians already – what I am here to do is recognise the amazing work done day-in and day-out by teachers and how it is vital that this work is used to help alleviate poverty in our society.
Poverty is a multi-faceted and complex issue, where one fix will not address all the causes of poverty.
It goes without saying that to end poverty in our society, we need to address a whole host of issues, from low pay, to housing, to worklessness, and education should not be singled out as the silver bullet.
But what education can do is provide a vehicle out of poverty, if linked together with strategies in other places, but one thing education can do on its own is provide children, who endure poverty everyday of their childhood, with the sanctuary to escape it while still living in it, as teachers you can’t change that, but you can allow them to realise their potential and their worth without being burdened by the weight of poverty on their shoulders, in the knowledge that this gift of education can be their escape to a better, more prosperous and fulfilling life.
Regardless of what is going on down in Parliament or in government to address these issues, each and every day that a teacher walks into their classroom, they are doing what we all say we must do: break the cycle of generational poverty by inspiring children and teaching them that they have far more to offer in life, than what they may presume. To make them believe that their future really is in their hands, that it doesn’t have to be like their past or their present.
I see this often when I visit schools in my constituency just down the road in Sunderland or when I visit schools up and down the country, but also in documentaries, such as “Educating Essex” or “Educating Yorkshire” – which show the lengths by which teachers go to transform the lives of children.
One clear example that sticks out for me, is from Educating Yorkshire, where we see Mr Burton help Musharaf, a pupil with a severe stammer, to overcome his impediment which has the triumph of Musharaf speaking in front of the whole school in assembly for the first time, with confidence and with no stammer.
I don’t know about you, but when I watched that episode, and saw the final scenes, I was deeply moved and also humbled at the power of our education system to transform lives for the better and of course, I shed a few tears.
This power to transform a child’s life through education can be a valiant fight against poverty in our schools.
Today, there are three things that I want to talk to you about: the current state of poverty in the UK and how poverty affects education; what I have been doing during my time as a Member of Parliament, specifically around hunger – which is an all too real part of poverty in our society, and finally; how education and our schools can be a driver to alleviate poverty.
Current State of Child Poverty & impact on education
It has been estimated that in 2014-15, 3.9 million children were living in poverty – an increase of 200,000 on the previous year. As a percentage, this means out of all children in the country, 28% are living in poverty.
Here in the North East, there are approximately 132,000 children living in poverty.
These are all big numbers – unfathomable to many. But if we were to look at this matter on a micro-level, say the classroom, these figures would translate into 9 children in each classroom living in poverty.
These 9 children in your classroom will be living in difficult circumstances – I know, I was one of them – be it poor housing conditions, to a dysfunctional family environment, to looking after family members or their siblings or dealing with many of the other difficulties life throws at them without having the resilience to deal with them.
Poverty for these 9 children can also manifest itself as not having uniform changes or nice clothes for mufti-days, or money to go on school trips or to events that the school puts on, to even not having money to buy the ingredients for cookery lessons.
The persistence of poverty in our society has a knock-on effect on the education of our children.
It is a well-known fact that the most disadvantaged children are falling behind those from more affluent backgrounds.
This was clearly shown in 2015, when GCSE results were analysed and showed that 36.7% of disadvantaged pupils received 5 A* to C grades, compared with 64.7% of all pupils.
Compound this with the fact that England has a stronger correlation between parental social background and children’s test scores than many other developed countries, then it is clear that schools are a prime place for us to help alleviate some of the issues children in poverty face.
There are many more facts out there that show that poverty is impacting on the lives of children and their educational attainment. Such as the fact that only 5% of children eligible for free school meals – seen as a key determiner of poverty – gained 5 A grades at GCSE.
Or the fact, that a child living in one of England’s most disadvantaged areas is 27 times more likely to go to an inadequate school than a child living in one of the least disadvantaged.
The list of facts and figures could go on. This is one of those examples where the facts really do speak for themselves and instead of some Government heads being buried in the sand, they should be facilitating progress and improving the lives of the worst off children in our society.
What can we do?
This is why I have been a key supporter of poverty proofing the school day, and have spoken on this matter often in the past and also worked to introduce policies that can help alleviate poverty.
This has included campaigning to introduce universal free school meals – I’ve partly succeeded and we now have Universal Infant Free School Meals, the story behind that is a speech in itself – this is so important because these meals provide children with the necessary nutrients at lunch time to help improve learning, behaviour and wellbeing.
What some people don’t realise is this meal can often be the only nutritious meal a child has in a day. With this fact in mind, this can mean that children who rely upon their free school meals can go without during the school holidays when they do not receive their free school meal. The impact this has is well-documented by teachers who see malnourished children who return from the long summer holidays having fallen behind only to improve and catch up again after a few weeks of access to free breakfasts and lunches to aid their learning.
This issue is commonly known as child holiday hunger, and is an issue which I have campaigned on for a number of years now, in my capacity as Chair of the APPG on School Food.
Some out there think that, when the school gates lock for the school holidays, it is none of our business about how a child eats, or doesn’t in some cases, when they are at home.
But children are at school for 190 days of the year, and the rest, a total of 170 days, their food is the responsibility of their parents totally. Some may say this is right and how it should be.
But what I say, is that when children in 21st century Britain are going hungry for sustained periods, then inaction is simply not acceptable.
If we are to seriously address child poverty through education, then we cannot do it with hungry children, especially when all the hard work that goes into improving children’s life chances is reversed, if they are too hungry to learn, all because some say it is none of our business to get involved.
I have also campaigned on school uniform policies, which can be a source of contention in schools where it can be used as stealth selection or cause bullying amongst pupils, to even more inane issues which get overlooked, such as not having the right stationary, books, equipment or ingredients when a child comes to a lesson to learn.
These are only a few of the things I have campaigned on, and what we can do to help eradicate poverty from the school environment and the impact it has on a child’s attainment.
But for teachers directly, you are in the perfect position to inspire, lead and nurture children to be the best they can possibly be.
Remember the example I gave earlier from Educating Yorkshire – you too can be your own Mr Burton and change a child’s life – I’m sure you’re doing it already. It just takes passion and determination – something I know you all possess already to be here.
Teach First is a perfect example of how we can help change the lives of children in the most deprived areas, where poverty is the most apparent.
The driving force of the charity is that every child deserves the best education possible and that a child’s socio-economic background does not disadvantage them, and you place high achieving graduates in schools where they can relish the chance to really improve the lives of children and young people.
That is why I want to thank everyone at Teach First and all of you here today for doing that – it cannot be under-valued the impact that charities such as yours are having to help raise the attainment of children in the most deprived areas of our country.
I truly believe that poverty is not an inevitability – we don’t need to see poverty in our society. What poverty tells us is that we have failed as a society to address social and economic issues which cause poverty, due to a lack of political will, innovative thinking and a drive to act.
But schools and teachers are the perfect conduits for allowing us to end this issue once and for all, as long as you are supported by policymakers who create an education system and environment conducive to such work and not one that encourages more social separation and division.
Each and every person here today has the power to change a child’s life – just like Mr Burton did with Musharaf – and Mr Ridley and Miss Brown did for me - and I hope when you go back to your classrooms following today’s celebrations that you will continue to do what I know you all do anyway: inspire children, regardless of their background, to dream big and be the best they can possibly be and not allow their background to limit them.
I started with a quote, and I will end with another, this time from the inspirational former First Lady of the United States, Michelle Obama, who in her final speech as First Lady said:
“We can be whatever we dream.”
Remember that when you go back to your classrooms and to those 9 children who live in poverty – they may not know it, but you do.
Help them realise their dreams.
As part of Teach First North East's 5 year celebrations, Sharon spoke at their awards ceremony about the issue of child poverty in education. You can read her speech below....
During National Apprenticeship Week, Sharon was honoured to open Unipres' new Training Academy.
You can read Sharon's speech below.
CHECK AGAINST DELIVERY
Thank you for inviting me to be here today to mark the opening of a fantastic new facility that will kick start the careers of young people wishing to enter into engineering, for generations to come.
High-quality apprenticeships are a vital way to help young people take their first steps into working life, and offer many young people the chance to earn and learn at the same time. That is why I am always delighted when local businesses in our community provide young people with these opportunities; Unipres has a long history of doing so.
We all know it, but young people are the future. Companies like Unipres who invest in the future are not only doing right by young people in the area, but by themselves as a business, as they build a strong and sustainable future.
Today's opening is about just that. It’s about creating a space that will strengthen Unipres’ team, and one that will also create so many opportunities for young people in and around Sunderland.
Nationally we have seen a real push for apprenticeships, and this has spurred on the more forward-thinking companies to look at new ways of growing their own talent.
That is why it is excellent to see Unipres tap into this national issue with the opening of their training academy, which will not only prepare themselves to manufacture more than just car parts, but also invest more in the workforce here in Sunderland.
Businesses are fuelled by people – while machines and facilities are one part of the picture, critically it all relies upon people, skilled people, to drive business and to innovate and create.
Sunderland has that, based in part on what I believe to be the innate abilities of the people of Sunderland when it comes to manufacturing and engineering, and also the dedication of local businesses to invest in the workforce in our area.
Combine both of our natural skills and industry-led training and you have a recipe for success, and today’s opening celebrates that.
Unipres working hand in hand with the city's college and the city council to deliver this Training Academy will be a great success for our City, and I am proud to have this initiative based in my constituency.
Sunderland College, and the FE sector at large, has faced incredible scrutiny from Government over the last year or so, but its role in bringing through talented young people who are ready to take the reins from the leaders of today, cannot be underestimated.
It is heartening to see a local business that has a commitment to this city is also reflecting a commitment to localism in its work with the education sector, and I am sure it will yield a strong partnership for many years to come. We have some tremendous assets in the city, and we must encourage them to work together to deliver bigger, better things for the next generation.
The automotive sector presents a huge opportunity for Sunderland. Despite the challenges that lie ahead as we begin our exit from the European Union, we still have a strong unique selling point as an attractive and flourishing automotive hub.
What this academy does is give Sunderland a vote of confidence, which will send a clear message to other businesses that may be looking at this part of the world. What this message says is: we are open for business.
Pair this message with the planned developments, such as the IAMP not far from here, then there is a world of opportunity out there for our City.
But the Government must make sure that this work done at a local level is supported and sustainable by ensuring what goes on nationally complements this work, but also local work is not hindered as we enter the negotiations to exit the EU and then leave the EU.
As the local Member of Parliament, I am fully committed to supporting the manufacturing sector here in Sunderland – as I am sure we all are in this room today.
Today is a fantastic step for the UK automotive sector, the North East, and especially for Sunderland. It’s a credit to Unipres, and to the skills of the team at the company, who have helped create the level of confidence needed for this fantastic business to continue with its investment in our great City.
I am both proud and delighted to be here today at the opening of Unipres’ Training Academy. Congratulations and I know it will go from strength to strength.
During National Apprenticeship Week, Sharon was honoured to open Unipres' new Training Academy. You can read Sharon's speech below. CHECK AGAINST DELIVERY Thank you for inviting me to be here...
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.
Image copyright Parliamentary Recording Unit 2017
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...