Speech pasted below:

5.29 pm

Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)

It is an honour, as ever, to serve under your chairmanship, Mr Chope. I thank the hon. Member for Telford (Lucy Allan) for securing this debate, which allows us to acknowledge the achievements made in addressing teenage pregnancy rates and to recognise that there is still a lot more to do, as she did so eloquently in her speech. I also want to acknowledge the excellent contributions of the hon. Members for Strangford (Jim Shannon) and for Glasgow Central (Alison Thewliss), who brought important perspectives from Northern Ireland and Scotland respectively.​

Research shows that 61% of children born to teenage mothers are at a higher risk of infant mortality and that, by the age of 30, teenage mothers are 22% more likely to be living in poverty than those who gave birth at the age of 24 or over. I know that that is not universal, but those are the statistics. The fact that 21% of women aged between 16 and 18 who are not in education, employment or training are teenage mothers shows that teenage pregnancy is not only a cause but a consequence of the educational and health inequalities in our society. That is why we cannot sit by and ignore this situation, especially given that we still lag behind western Europe on our teenage pregnancy rate. Although it was welcome news that England last month achieved the long-held target of a 50% reduction—it actually achieved 51%—in the under-18 conception rate between 1998 and 2014, this is no time to be complacent. We must ensure that the positive work that has been done does not go to waste and that the trends do not flatline or worsen.

Although the overall rate has gone down for England, there are still wide-ranging variations—not just between regions but within them. For example, my own local authority, Sunderland City Council, has seen a 45% drop in the conception rate. However, just down the road, Stockton-on-Tees, in the same region, has seen only a 29% decrease between 1998 and 2014. That trend is replicated in all regions, with varying gaps and differences in the conception rate. A lot of that can be put down to local variations and the way in which the 10-year strategy, which was introduced by the previous Labour Government in 1999, was implemented by local authorities.

The strategy was informed by international evidence. A 30-point plan was launched to halve the under-18 conception rate and to improve the life chances not only of the teenagers who fall pregnant but of their children. The plan laid solid foundations for reducing teenage pregnancy by ensuring effective multi-agency work. In 2005, the plan was reviewed when it became apparent that the initial measures were not being implemented across the board. Instead, more prescriptive guidance was introduced. That review of the strategy’s actions was best described by Alison Hadley in a recent article in the Journal of Family Health. She said that the review was an understanding “that high rates were not inevitable—even in deprived areas—if the right actions were put in place.”

That is the crux of the way that we should and must approach the issue of teenage pregnancy. It is not an inevitability of modern society, but it can be down to the inaction of those with the levers of power and their failure to implement the right interventions.

Angela Rayner (Ashton-under-Lyne) (Lab)

I thank my hon. Friend for giving way, and I congratulate the hon. Member for Telford (Lucy Allan) on securing this debate. I do not know how many in the House have the experience that I had, but I was a mum at the age of 16. I come from a deprived background. Does my hon. Friend agree that one of the most important things we can do is to ensure that people have the opportunity to break that cycle and enable them to go back to education or to bring their child up? That is one of the things that I found really depressing when I watched the ITV programme “Long Lost Family”. It is one of the heartfelt things that made me burst into tears. My son is with me; ​I was able to raise him as a teenage mum because of the intervention and support that I got as a mum. Does my hon. Friend agree that it is vitally important that we do that?

Mrs Hodgson

I do, and I commend my hon. Friend for raising that matter. She talked about it in her maiden speech so movingly for those who were in the Chamber or who listened to it afterwards. It brings important insight into this House in debates such as this to hear someone speak from experience. She is right that we need to support teenage mums. This is not about stigmatising them. Obviously, sometimes it is about helping them to make different choices if they do not want to make a particular choice. We must support them and ensure that the statistics I just mentioned, which we are all aware of, do not become the reality for young mums and their children. My hon. Friend has obviously broken that cycle: she is here as a Member of Parliament. The cycle of deprivation does not have to be inevitable. As I said, it is not universal, but the statistics are not where we would like them to be. There are obviously exceptions that prove the rule.

In 2010, the Department for Education set out a bonfire of policies that saw specific budgets directed at local councils, such as for addressing teenage pregnancy, rolled into the early intervention grant, which has sadly been repeatedly cut year on year and is a shell of what it used to be. The Government have failed to build on the work set out by the last Labour Government, thereby threatening the success seen to date with their short-sighted strategy on early intervention.

Instead of the Government seeing local authorities as a problem, rather than a solution, we need a renewal of the thinking that we had between 1997 and 2010, which harnessed the co-operative relationship between local and central Government to address issues such as teenage pregnancy effectively. For instance, one of the key measures that followed through in both the initial strategy and the updated version, as the hon. Member for Telford discussed in her opening speech, was the necessity to improve sex and relationship education in our schools.

No one will be surprised to hear that I am a passionate advocate of age-appropriate sex and relationship education. I understand the real benefits that equipping children with the right knowledge and tools will have on their futures as they become adults. However, it is not just me who believes that; it is the young people themselves. As the Sex Education Forum found in a survey of more than 2,000 young people earlier this year on the sex and relationship education that they receive, one in five was reported as saying that it was bad or very bad, which is deeply concerning when young people still say that they are embarrassed to seek advice about sex or relationship issues and half of 15-year-olds do not know about the existence of local contraception and sexual health services in their area.

Many opponents of age-appropriate sex and relationship education say that it is the job of parents, not teachers, to teach their children about sex and relationships, which shows just how out of touch many people are with the lives of children and young people. The Sex Education Forum reports that 7% of 15-year-old boys and 9% of 15-year-old girls have no trusted adult in their life to whom they can go when they need advice on sex and relationships. Some of them are children in ​care, about whom hon. Members spoke in the earlier debate. It is for that very reason that I and other Labour Members support the introduction of age-appropriate SRE as part of statutory personal, social, health and economic education, and many Government Members are slowly coming round to that idea, too. The lack of sex and relationship education in our schools is a ticking time bomb that the Government must address, especially with their impending forced academisation of all schools, which will bring into question the survival of SRE in any form in our schools.

Kevin Foster (Torbay) (Con)

I am interested to hear some of the points that the hon. Lady has made so far. Does she agree that it is important that schools buy into any duties? It is important that we have SRE and that its delivery does not become like the requirement to hold an act of religious worship in the morning. It is nice that that is statutory, but it is far more honoured in its breach than in its observance.

Mrs Hodgson

That is a very good point, because where sex and relationship education is compulsory in maintained schools, unlike in academies and free schools, there tend to be two elements: the biology and HIV/AIDS awareness, and then the relationship side. That is exactly the hon. Gentleman’s point. It has to be good-quality sex and relationship education, rather than just ticking some boxes.

The ticking time bomb is paired with the increasing sexualisation of young people, with recent freedom of information requests to local police forces showing that reported incidents of children sexting has skyrocketed by more than 1,200% in the past two years due to increased access to social media such as Twitter and Facebook, and even to dating apps such as Tinder, which is why it is welcome that the Women and Equalities Committee has announced today an investigation into sexting as part of its inquiry on sexual harassment among pupils in schools. I look forward to seeing what comes out of that inquiry.

It is high time that the Government took action and issued an update of the sex and relationship education guidance, which was published before the smartphone generation was even born. I hope the Minister can update Members on the DFE’s plans. I will not hold my breath, however, as when the opportunity came for the Government to take bold steps in introducing statutory PSHE and age-appropriate SRE following the most recent report of the Select Committee on Education on this area, it was blocked by no less than the Prime Minister. That was despite it being reported that many women Cabinet Ministers, including the Education Secretary herself, were strongly in favour of introducing this measure and were dismayed at the Prime Minister’s inaction.

Not only disgruntled Cabinet Ministers but the Children’s Commissioner, the Chief Medical Officer, the National Society for the Prevention of Cruelty to Children, 88% of teachers, 90% of parents and 92% of young people themselves are in favour of introducing both subjects to the curriculum as statutory subjects. Yet again, the Prime Minister is putting himself on the wrong side of the issue when it comes to teaching our young people about life and the resilience to deal with what is thrown at them.​

In conclusion, it is undeniable that we have made great strides forward on teenage pregnancy and those achievements must be celebrated, but there is still a long way to go. The Government must make clear their vision about how they will build on the important multi-agency, co-operative intervention work of the last Labour Government, and about how they will finally bring forward plans for PSHE and SRE that will make them effective tools in the young person’s arsenal and enable them to make informed choices in their lives.

3.12 pm

Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)

It is an honour to serve under your chairmanship, Mrs Gillan. First, I want to thank my hon. Friend the Member for Stockport (Ann Coffey) for securing this important debate this afternoon. She is probably the most knowledgeable MP in the House on this issue. As she said, she spoke on this issue in the House more than 21 years ago, and it could be quite frustrating for her that 21 years later she is still raising some of those same issues. It shows her tenacity that she has not given up and, hopefully, we might see some movement this afternoon. We live in hope.

We have heard thoughtful contributions this afternoon from the hon. Member for North Ayrshire and Arran (Patricia Gibson), from my hon. Friend the Member for Rochdale (Simon Danczuk), and from the hon. Member for East Renfrewshire (Kirsten Oswald) who is a Front-Bench spokesperson for the Scottish National party. We have had very thoughtful contributions. Debates are sometimes disappointing. I was in the debate on brain tumours yesterday and there was standing room only. I would not like to think that this debate is any less important than one that needs to have large numbers of people contributing, but let us hope that in our contributions today the quality will outweigh the quantity. I also thank the hon. Member for Telford (Lucy Allan) for her interventions.

What comes across very clearly is that we are sending a message to Sir Martin Narey—the hon. Member for Telford mentioned him—before the publication of his review that we hope to see reforms that will support and improve the lives of looked-after children in residential care. This debate has been on the wider aspects of the ​Narey review, but there are two areas that I wish to touch on this afternoon: out-of-area placements, as described by my hon. Friend the Member for Stockport, and the criminalisation of looked-after children.

Ever since the passing of the Children Act 1989, there has been a strong statutory duty on local authorities to place a child who enters the care system in the local authority area and ensure that their needs are met. However, guidance released by the Department last summer stated: “There will be circumstances where a distant placement will be the most suitable for a child”.

Since then, there has been a clear trajectory in Government thinking that has raised the many concerns eloquently highlighted by my hon. Friend the Member for Stockport. It is important that children receive the best care possible and, in certain circumstances, that may mean that an out-of-area placement is necessary to meet their needs. However, there is no conclusive evidence to support that strategy becoming wider practice. That is why the evidence that was used to come to the Government’s conclusion must be clarified.

Until out-of-area placements’ effectiveness is made clearer, it is important that they do not become the norm, yet when we see more and more children living more than 20 miles away from what they define as their home—their local area—it is not hard to believe that this is now becoming common practice. Recent Department for Education figures show that since 2010 we have seen an increase of over 20% in the number of children placed out of area, which now totals 17.9% of looked-after children. We need to unpick why that is happening, and I hope that the Minister will clarify what is going on in his response to this debate.

We know it is not the case that all local authorities have a children’s home within their boundaries. Many are based, as we have heard, in the west midlands, the south-east and north-west. This is an issue of infrastructure, and I hope that that will be addressed in Sir Martin Narey’s review.

One example of how care homes work, which I believe should be considered by the Government, is the Scandinavian and Germanic model of residential care, with smaller children’s homes with highly educated social pedagogues in charge. This idea of social pedagogy was backed by the “Care Matters” White Paper in 2007, which finally took it out of the confines of academic discourse and brought it into practical policy development. It included a recommendation to pilot a model in England to gather more evidence. A pilot was commissioned by the Social Education Trust and managed by the National Centre for Excellence in Residential Child Care, a specialist unit under the watchful eye of the National Children’s Bureau.

Reviews of the pilots found that residential care staff welcomed the holistic and child-centred approach that social pedagogy could have on real change to the lives of children in residential care. The idea was backed as a valuable way to work in our residential care homes by the then Department for Children, Schools and Families in its looked-after children report in 2009. However, we have unfortunately seen this important step forward put on the back burner since the Government came to office in 2010. I am therefore interested to hear what assessment the DFE has made of how much this would cost and ​whether it is feasible for the UK. It is clear that the model is working in other countries, and it was welcomed here during the pilots, so an assurance by the Minister to look into this further, as the previous Labour Government had done, would be welcome.

For some children, residential care is the best option to meet their needs, but what is best for children is being in an environment that they know. To rip them away from some of the only constants in their life, including their school place and links to positive support from family—let us remember that not all family members of a looked-after child are irresponsible—can be damaging. In addition, reduced access to social workers and other support services that they have grown accustomed to can be damaging.

It is also concerning when the private sector gets involved and fails to market the services correctly. In a recent case, a looked-after child was moved from Oxfordshire to an expensive placement in Wales, and sadly committed suicide shortly after arriving. The serious case review investigation identified the fact that the quality of the provision on offer was not what had been marketed at all.

Although removing a child from influences such as gang violence or sexual exploitation are honourable and necessary, there is a need to support a child to manage risks and build personal resilience in their home area, especially when many of them return there once they have left a children’s home. Can we blame them? It is the place they know best, where friends and family are, and we all have that homing instinct within us, after all. The Challenging Behaviour Foundation recently came out strongly against out-of-area placements, and it has lobbied for more investment in local communities and areas. That included making the case for renting a home in a child’s local area and supplying staff for children on a one-to-one basis, which is not dissimilar to the Scandinavian model that I mentioned earlier.

Many serious questions about out-of-area placements arise, including the involvement of private companies in the system, which must be addressed urgently by the Government. There is no better time, especially with the review pending, for the Government to take the bull by the horns and make significant strides in reforming the provision on offer to looked-after children. I hope that the Government anticipate that all the issues I have mentioned will be addressed in Sir Martin’s review. However, I hope that another area, which has recently been brought into the public debate, will be considered: the criminalisation of children in residential care.

Recently, the Howard League for Penal Reform released data that showed there had been more than 10,000 police call-outs to residential settings. That is more than two for every child in residential care, and many of the call-outs concerned the most minor of incidents. An excellent report from the Standing Committee for Youth Justice, by Claire Sands, entitled “Growing Up, Moving On”, deals with the long-term effect of even minor offences becoming a criminal record that is never wiped clean. The criminalising of children in residential care is deeply concerning for children who are negatively labelled in many ways before they reach adulthood. If we add “criminal” to that list, we are burdening them further ​with a label that will impede any life chances that may come their way as they move into adulthood. There are some pertinent examples in “Growing Up, Moving On”, which I encourage hon. Members and the Minister to refer to. I hope that the Government are considering that issue seriously and that they will provide strong guidance to residential care homes to prevent further damage to the lives of children and young people by the very system that is trying to help and care for them.

We all want children, no matter what their background, to have the best start in life. That belief should be central to any reforms that affect the lives of children, and I hope that the Government will not squander the opportunity presented by Sir Martin’s review to take significant steps towards achieving that. I look forward to reading the review when it is published, and will continue to press the Government to keep the improvement of looked-after children’s lives at the heart of everything they do, ensuring that they are protected and nurtured and live a happy childhood, just like their peers.

 5.19 pm

Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)

I start by thanking the Petitions Committee for introducing this important debate and commending my hon. Friend the Member for Warrington North (Helen Jones) for her excellent opening speech, in which ​she eloquently made the case on behalf of the 120,129 citizens who have signed the online petition. I also commend the hon. Member for Castle Point (Rebecca Harris), who is the chair of the all-party group on brain tumours, for her leadership on the issue and her very emotional speech, which I thank her for.

Over the years, I have had to deal with a number of individual cases, as I am sure other hon. Members have. Currently, I have three, and 132 of my constituents have signed the online petition. The response from our constituents on the issue is not surprising when we realise that, as we have just heard, malignant brain tumours are the biggest killer among all types of cancer of people under the age of 40 and of children.

Also, survival rates for brain tumours have not improved in the last 30 years; if anything, on some measures they have got worse. Currently, only 40% of patients will live for more than a year after diagnosis and less than 20% will survive for more than five years. However, as we have heard, despite those shocking figures, cancer research funding into brain tumours amounts to little more than 1% of the spend on cancer research. Due to the chronic and continuous underfunding of brain tumour research, there are clear knock-on effects to the services and treatments that patients access and receive. If we continue to limit the potential progress that properly funded research might make, those outcomes will never improve. That probably explains the 30-year plateau that I have just highlighted.

As with all cancers, early detection is key to boosting survival rates. That is why it is so dismaying to find that brain tumours are not included in the Government’s Be Clear on Cancer campaign. Early diagnosis not only helps to prevent avoidable death, but can relieve the stress on a patient’s life, as one recent case brought to my attention by a constituent exemplifies. After visiting their local GP twice about feeling generally unwell, my constituent was told that they had all the classic signs of stress and they were prescribed antidepressants.

Sue Hayman (Workington) (Lab)

My constituent, Rita Magorrian, got in touch with me about her granddaughter, Helen, who collapsed just before Christmas with a brain tumour. Helen had been to see her GP several times and had been told her problems were down to stress, but she had also been to see her optician and was told the same. As well as considering further training for GPs, does my hon. Friend agree that we need to widen the process to include opticians

Mrs Hodgson

That is an excellent point, well made, and I thank my hon. Friend for it.

Two days later, when my constituent lost all strength on the left side of their body, they went straight to A&E, where it was eventually found they had three brain tumours. After receiving brilliant treatment by NHS staff and support from the Bobby Robson centre in Newcastle, thankfully my constituent is now in remission. However, that case clearly shows the need for improved awareness, as the situation would have been better if the GP had been able to spot the signs of a brain tumour sooner. We in the north-east have an excellent research facility in the Bobby Robson centre, but there are always concerns about its future, as it depends greatly on legacy and charitable donations.

​It is also important that research considers the needs of patients. According to studies by Brainstrust, patients believe that more research and funding must focus on the quality-of-life issues, such as function and symptom relief, to help to improve life after diagnosis, whether the diagnosis is terminal or not.

That is reflected in the case of another of my constituents, Malcolm, who was given a terminal diagnosis of a glioblastoma multiforme, or GMB, 4 brain tumour. Despite being told by his doctor in the north-east that he was too sick for further treatment, Malcolm, along with his family, sought out specialists in London. He took the difficult and expensive decision to self-fund the life-extending drug, Avastin, which, although licensed for use in the treatment of some other cancers, was not available on the NHS for use in his case.

Malcom is due to receive another dose of Avastin, but he wants it to be administered locally and is unable to find an oncologist in the north-east who is able to do so, even privately, so Malcolm is faced with either travelling up and down to London for that treatment every two weeks, or perhaps up to Scotland, or to Leeds or Manchester. Although Malcolm has responded well to the Avastin treatment, more options need to be available to people in his position, with treatments to improve the quality of life and, where possible, to extend life. However, that is all for nothing when there is a clear postcode lottery on access to specialists and services, as seen by Malcolm and his family.

The chronic underfunding of research into brain tumours is clearly having an impact on the lives of those who are diagnosed with brain tumours, and that cannot and should not go on any longer.