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  • Huw Merriman – 2023 Statement on the Revised Timetable for HS2

    Huw Merriman – 2023 Statement on the Revised Timetable for HS2

    The statement made by Huw Merriman, the Minister of State at the Department for Transport, in the House of Commons on 14 March 2023.

    Although we notified the House first about Thursday’s announcement, I start by apologising for the timing of the written ministerial statement, which I accept was discourteous to Members and to you, Mr Speaker.

    As part of the largest capital programme ever committed, the Transport Secretary last week confirmed more than £40 billion in transport investment over the next two financial years. This will enable the opening stage of HS2 to be delivered on schedule. By 2033, passengers and communities will benefit from high-speed rail services between new stations at Old Oak Common in London and Curzon Street in Birmingham, but the House will also be aware that we face significant economic headwinds. Record inflation caused by Putin’s illegal war and ongoing global supply chain issues have ramped up construction costs, making capital projects more difficult to deliver. It means we must make responsible decisions on which parts of our capital programme we can deliver within current budgets and timeframes.

    While we remain committed fully to HS2, we will need to rephase the delivery options as part of the project due to inflationary pressures and the need to spread costs. Between Birmingham and Crewe, we expect to push back construction by two years, with an aim to deliver high-speed services as soon as possible after accounting for the delay in construction. We also remain committed to delivering HS2 services to Euston, but will take time to ensure an affordable and deliverable station design, which means delivering Euston alongside the high-speed infrastructure to Manchester. While HS2 Ltd and Network Rail continue work on developing HS2 east, we are also considering the most effective way to run HS2 trains to Leeds.

    The Prime Minister promised to place trust and accountability at the heart of this Government. That means strengthening connectivity across the country while managing public finances effectively. It means never shirking the tough, but necessary decisions as we deliver on the people’s priorities to halve inflation, grow the economy and reduce debt.

    Iain Stewart

    I am grateful to you, Mr Speaker, for granting this urgent question. As Chair of the Select Committee, we feel that there was not enough detail on a number of areas in Thursday’s statement, so I would be grateful if my hon. Friend gave further detail.

    First, my hon. Friend rightly references inflationary cost pressures in construction, which are affecting all sorts of projects up and down the country, but the written ministerial statement also referenced other “increased project costs”. What are they? Is he satisfied that HS2 Ltd has a grip on its finances? Secondly, the statement said that Old Oak Common to Birmingham will be finished “as soon as possible”. What does that mean? Is there a delay to the planned opening date?

    Thirdly, what is the reason for the delay to the Euston to Old Oak Common section? Is it purely down to costs or are there other reasons for a redesign? A lot of construction work is happening at Euston now, so should the redesign not have been identified earlier? Finally, when can we expect to see further detail on HS2 east, the integrated rail plan and the Leeds route options? The industry and the public require—nay, demand—certainty on this. Can we be assured that this is the last delay to the project?

    Huw Merriman

    I thank my hon. Friend the Chair of the Transport Committee for his questions. I will provide some answers, but there will no doubt be further detail to discuss as we go through the session.

    On my hon. Friend’s question about the increased project costs, they chiefly relate to the opening section of the line in phase 1, which is the part that is under construction at the moment. We are spending about £600 million a month on phase 1 construction, which is at its peak. He rightly talks about inflation; the Office for National Statistics shows that construction inflation is running at about 15%, which is why we have an issue with costs. He is right to say, however, that we need to bear down on costs. Yesterday, I met the chief executive of HS2 Ltd. I am delighted with the appointment of the chairman, Sir Jon Thompson, who has a background in finance. Certainly, it is within HS2’s requirements to ensure that, where we have inflationary pressures, it fills the gap by bearing down on costs.

    My hon. Friend asked what finishing Old Oak Common to Curzon Street “as soon as possible” means. As I stated in my opening remarks, we expect that, by 2033, passengers and communities will benefit from high-speed rail services between those two stations. He asked about the reason for the Euston delay. Euston was always scheduled for delivery after the opening of phase 1, which is why we are prioritising Old Oak Common. We will not proceed with construction at Euston in the next two years, due to affordability and profiling issues, but we will use that time to work with partners to ensure an affordable and deliverable design.

    My hon. Friend asks for detail on HS2 east, the integrated rail plan and the Leeds route study. I will be writing to him on the back of the integrated rail plan report this month and further information will be tabled in the six-monthly HS2 report, which is due in May. On the Leeds route strategy, it has been cleared by the Department and we expect it to be published soon.

    My hon. Friend is right to say that the industry needs certainty, and I believe he asked whether we can be certain that this is the last change to the project. Although the pandemic and Putin’s illegal invasion of Russia were not anticipated, we expect these HS2 plans to be the plans that deliver it from London to Manchester.

  • Ben Wallace – 2023 Speech at DSEI Japan

    Ben Wallace – 2023 Speech at DSEI Japan

    The speech made by Ben Wallace, the Secretary of State for Defence, made in Japan on 15 March 2023.

    Thank you for the kind welcome you showed to me and my team from the United Kingdom. We’re all delighted to be here.

    In 1964, Honda Formula One entered into global motorsport, and the rest is history. Six constructors championships, six driver championships, and in turn 223 podiums and 89 race victories. When I was younger I used to race motocross. I had a Suzuki and was always beaten by Kawasaki.

    Britain’s partnership with advanced engineering in Japan is not new. In fact, it goes over many decades. It’s a 60 year partnership with Honda and Formula One. And we know that as we go forward with GCAP, it’ll be an equally long and enduring relationship. GCAP is a strategic partnership to create a sixth generation fighter. I’m excited not only because it’s a great partnership of these three nations, bridging Europe and the Pacific, but also because we’re one of the first to lead the sixth generation development.

    It’s going to fuse the best of all of our technologies. And we’re going to not only be partners but we’re also customers. I think that is important also to remember. We’re going to unlock paths and new technologies, new platforms, export markets and potential new partners, but lock in a strategic partnership of liberal open democracies, who believe in the rule of law and upholding international values across the world that are threatened so strongly today. It’s a global partnership. It’s not a local partnership.

    GCAP isn’t going to be a short love affair. It’s going to be a marriage. AUKUS was another project we announced this week – the United States, Australia, the United Kingdom, developing the next generation of nuclear attack submarines. That’s a 20, 30, 40 year programme. And GCAP will also be of a similar length. So when we as the nations committed to this programme, there’s no going back. The three partners have to keep each other going with forward momentum. There’s no changing our mind at the end of the decade or halfway through because to do so is to let each other down. People don’t like letting teams down and nor should they and industry must also share that overall responsibility. Industry mustn’t look just to itself and its own shareholders. It’s got to look across because as ministers and Chief of Air Staff, our job is to deliver a requirement to defend our nations and that goes above all else. It goes above individual industry self interest, it will go above shareholder interest and that has to be the overruling principle that must guide this.

    So as we progress to the next phases, let’s remember that at the heart of this it’s about defending our democracies and our values. It will not only help deliver a sixth generation fighter, but will also help other industries and complement other developments.

    GCAP from the United Kingdom’s point of view, we will be investing £2 billion up to 2025 and £10 billion over the next 10 years. The overall development programme will be above £25 billion over the next 10 years and they’ll share designs and hopefully get towards development by 2025. And in service to Japan by 2035, a key milestone, a milestone that we must all meet and all deliver for the Japanese. It’s incredibly important that we don’t let this slip.

    The next milestone this year is the agreement of the system’s requirements. And I will add my own air force to make sure that the requirements are common amongst all three air forces and kept consistent. 2025 is the development phase and the flying phase is towards the end of the decade or early 2030s. I think it’s incredibly exciting.

    When you look at the lead industries engaged in this, BAE, Mitsubishi, Leonardo, Rolls Royce, IHI. It’s some of the world leading companies that are going to be contributing to sixth generation capability. I think we should all be incredibly proud we’ve got to this stage, but momentum is important. Keeping our side of the bargain will be very, very important. Unlocking the potential of SMEs to collaborate and recognising that this sixth generation fighter will unlock a whole new hope for global air dominance, global export markets, and lay the foundation for thousands of jobs for all our countries and our taxpayers, who after all, are contributing to make this a reality. Thank you.

  • Amanda Spielman – 2023 Speech at the Annual Apprenticeship Conference

    Amanda Spielman – 2023 Speech at the Annual Apprenticeship Conference

    The speech made by Amanda Spielman, the Chief Inspector of Ofsted, on 13 March 2023.

    Hello, and it’s good to be here, thank you for inviting me.

    State of the nation

    I want to start by recognising the great job that you do. In recent inspections, two thirds of apprenticeship providers have come out as good or outstanding. This shows that we have a lot of high-quality training in the sector – but of course, there is still work to do.

    High-quality apprenticeships are particularly important right now. They play such a big part in making sure that the economy has the right skills to grow. And while they may be mainly aimed at young people, they can be just as valuable for those wanting a career change.

    On a recent visit to a learning provider, I met Lauren. Lauren had already completed a childcare apprenticeship, but when she started working, she realised it wasn’t the right career for her. As she’d really enjoyed her first apprenticeship, she returned to the same learning provider for a business administration apprenticeship. And the learning provider then hired her, and she now works in their digital marketing team.

    This is a wonderful example of how your work makes a difference. You can help the country meet its skills needs. And you help individuals to find the career that works for them, personally and professionally.

    Workforce challenges

    The fact that so many of you are offering this kind of high-quality training is particularly impressive given some of the challenges you have faced and are still facing.

    Many of you are struggling with workforce pressures. Recruiting and retaining staff is difficult in all kinds of education, and beyond. And these difficulties are even greater for specialist staff, many of whom can earn far more working in their sectors.

    We also know that, with the current economic uncertainties, smaller employers are less willing to take on apprentices. So, opportunities for level 2 and level 3 apprenticeships are continuing to decline.

    English and maths

    And we know that many of your apprentices have had their education hampered by the pandemic. You may well have young people who are behind where you need them to be in English and maths. You may also be having to do more to work out which apprentices need additional help. This leaves you and their employer with the challenge of getting them get to the right level.

    We know that some of you have concerns about the reformed functional skills qualifications. You think they are harder to pass. The fact that pass rates are lower might support this, but of course there are other factors at play such as disruption to younger apprentices’ education.

    It is also important to remember that functional skills tests are summative tests not diagnostic assessments. They may not be the best tools to identify what apprentices still need to be taught. You need to assess their skills properly and make sure that you’re genuinely helping them to improve, not just to pass an assessment.

    Just think of all the subjects that you teach and all the different ways that you use English and maths every day. Care apprentices need to measure medicines accurately. Hospitality apprentices need to measure ingredients and calculate portion sizes. Business analyst apprentices need to interpret data and client requirements. Management apprentices need to communicate with their teams, write job specifications and create marketing materials. The list goes on, but these examples show how important English and maths are at every level and in every subject.

    So, you do need to think carefully about how to assess and improve your apprentices’ English and maths skills. You should be asking yourselves the questions:

    • Are you identifying apprentices’ starting points when they begin their training?
    • Are you using the information you gather to plan a suitable curriculum?
    • Are English and maths teachers working with vocational trainers to help apprentices learn these skills in a way that’s relevant to their other training?

    And it’s not just younger apprentices or those at lower levels who need help with English and maths. We recently visited a police constabulary that was training police community support officers as part of a level 4 apprenticeship. Those apprentices did need to be taught spelling and grammar because their notes and statements weren’t always fit to be used as evidence in court.

    Ready for work

    We do also know that some new apprentices don’t have a good attitude to work. They may not have done any work experience in school or college, nor had a part-time job. This can make the start of on-the job training difficult and strain employer relationships which also adds to your workload.

    Funding

    Of course, funding plays a big part in many of these challenges, and in their solutions. We know there are concerns about the complexity of the apprenticeship levy. And we know that several billion pounds have been returned to the Treasury since the levy was introduced which could have funded many more apprenticeships.

    It’s encouraging to hear that the amount being returned is declining which could indicate that businesses are taking on more apprentices. But these new apprenticeships tend to be at higher levels, which are more costly to teach. And the recent data does show a further decline in starts at levels 2 and 3 and for under-19s. Skills gaps often are at the lowest levels, and it is important to maximise opportunities for under-19s.

    We welcome the UCAS announcement that it’s extending its service to apprenticeship vacancies. Along with initiatives to improve school careers guidance, this could significantly improve young people’s awareness and take-up of apprenticeships.

    We also welcome the Institute’s announcement that it’s reviewing funding for the 20 highest enrolling apprenticeships. But we know that some of you are already cutting apprenticeships because they aren’t economically viable. In a few cases, providers are leaving the market completely. We know that the sector is resilient and reactive, but it’s wasteful to lose good capacity only to have to rebuild it.

    I hope that these kinds of changes can accelerate improvement in the sector. We will continue to play our part by highlighting good practice and identifying what needs to improve.

    A need for improvement

    Because, while many of you are doing a great job, we do have concerns about some parts of the sector. We know the current environment is tough, but it is our role to report on the quality of provision as we find it. We will always acknowledge the context, but we can’t soft-pedal on inspection. That wouldn’t be fair to you, and it wouldn’t be fair to the apprentices you train. And by reporting accurately, we can then make a case for systemic change when it’s needed.

    We are concerned about the slow pace of improvement particularly among new providers. The picture is improving and the proportion who aren’t doing well enough at their first inspection has declined. But that proportion is still too high despite all the information, guidance and support that is available.

    Looking at our judgements, we cannot ignore that apprenticeships are the worst performing type of provision in the further education and skills sector.

    Achievement rates

    So, we do welcome the DfE setting a target of 67% for apprenticeship achievement rates. But it’s important to think about why achievement rates are often so low.

    The pandemic, yes it had an impact, but achievement rates were often too low even before this. And it’s worth noting that the apprentices who do take their end-point assessment are very likely to pass. The big challenge is apprentices leaving before they finish their training.

    And of course, there are various reasons for this. They include poor-quality tuition that doesn’t include meaningful practical experience, employers not releasing staff for off-the-job training or just not enough opportunities for on-the-job training.

    Low wages in childcare, hospitality, adult care, and other sectors means that some apprentices are leaving for higher paid roles. This is obviously understandable in the current climate, and different skills aren’t always equally rewarded. But it’s worth asking yourself questions:

    • Could I be doing more to explain the longer-term benefits of apprenticeships?
    • Do my apprentices understand the importance of a career path over a short-term pay boost?
    • Am I acting with integrity when I recruit apprentices?

    All these factors must be considered and tackled if the DfE target is to be met.

    We know that low achievement rates don’t necessarily indicate a problem with the provider. When we inspect, we won’t hold previously low achievement rates against you. But we will want to see that you know the reasons for low rates and have taken actions to improve them where you can.

    High-quality educational experience

    Of course, the most important factors in determining whether apprentices complete their programmes are the quality of the training and the experience.

    Apprentices need high-quality training from skilled and experienced staff. You need to plan it well and teach it in a coherent order. You need to balance the on- and off-the-job elements carefully. You need to know what will be learnt and when, and your apprentices should know this too.

    You need to think about how and in what order you’re going to teach the knowledge and skills. If your hairdressing apprentices need to colour a client’s hair, you obviously need to teach them the practical skills. But you also need to teach them the health and safety aspects around using colouring chemicals. And you’ll need to teach them the skills to hold a client consultation.

    You also need to consider the apprentice’s experience. Online learning and self-study can be part of that. But they can also be a toxic combination when they’re overused or used too soon in an apprenticeship.

    I know that many of you balance these factors well but failing to do so can damage apprentices’ motivation and enthusiasm. If an apprentice spends most of their first 3 months studying at home on their own, we can hardly be surprised if they drop out.

    So, it is important to think about how and why you use these methods. It can be appropriate when it improves the apprentices’ experiences or prepares them well for work in their chosen sector. But it shouldn’t be for your convenience or to save money.

    Other sessions

    We know that part of the value we can add is engaging and supporting you with training. As usual, we’re offering several workshops at this conference. They are being run by our knowledgeable HMI, so you’ll be able to talk directly to the people who come to inspect you.

    The workshop topics reflect the areas where we think we can offer the most help.

    We have a session on on- and off-the-job training and the important relationship between these 2 elements.

    To try and help those of you who are newer to the sector, we have a session on how we inspect. Understanding more about new provider monitoring visits and about full inspections will help those of you who haven’t already got this experience in your team.

    And on both days, we’re running our ever popular ‘Ask the Inspector’ sessions. We really do want to do everything that we can to demystify the process. These sessions give you the chance to ask inspectors whatever you want. Pretty much the only thing they won’t tell you is the date of your next inspection!

    Thank you again for listening. I’m happy to take questions and I’m going to be joined on the platform by Paul Joyce, who is our Deputy Director for Further Education and Skills, and he will join me in answering them.

    Thank you.

  • Siobhain McDonagh – 2023 Speech on Brain Tumour Research Funding

    Siobhain McDonagh – 2023 Speech on Brain Tumour Research Funding

    The speech made by Siobhain McDonagh, the Labour MP for Mitcham and Morden, in the House of Commons on 9 March 2023.

    I crave the indulgence of the House for the speech that I am about to make.

    On 27 November 2021, my beautiful, unique, tough, resilient, successful sister collapsed in front of me and had a series of fits. Five hours later, in University College Hospital, two doctors named Henry told me that they suspected that she had a brain tumour, but as this was the NHS, MRI scans were not done at the weekend, so they could not confirm their diagnosis. On Wednesday, when I stepped on to her ward, she demanded—and everybody here who knows her will be able to hear her say it—that I ask the ward doctor to come and speak to her. She said, “It’s bad, Siobhain, because he can’t look at me.” And it was.

    For the woman who had run Labour’s only two consecutive successful general election campaigns, and achieved her ultimate ambition to see two full-term Labour Governments, the diagnosis was of a glioblastoma. All her toughness evaporated, and there was my little sister with a diagnosis that meant that she might have nine months left—a condition for which there was no cure, for which treatment had not made progress in over 30 years. Just before Christmas, she had the tumours removed by two amazing female surgeons, Róisín Finn and Anna Miserocchi at the National Hospital for Neurology and Neurosurgery, but this was post Brexit, so there were not enough nurses to keep all the operating theatres open, and Margaret’s operation was cancelled three times. I leave it to Members to guess my reaction to that, and how we got that operation in the end.

    The best piece of advice I have ever received in my life, and I have received many bits of good advice, was from the clinical nurse specialist. When we asked her where Margaret should go for post-operative treatment— St George’s, down the road from where we live; the Royal Marsden, around the corner; or to stay at University College—Róisín said, “We have Professor Paul Mulholland, and he is the best. He is the best in the UK, and he is the best in Europe.” I want to confirm to the House that he is the best. He is why Margaret is still alive.

    What you get when you have your tumour removed, if you live that long—many people do not—is six weeks’ radiotherapy, followed by six months’ chemotherapy with a drug called temozolomide. That drug was introduced in 2005, and since then there have been no variations to the gold-standard treatment in our NHS, so when you read articles such as the one in The Times on Monday, telling us all how successful cancer treatment in the UK is—how 85% of people with a breast cancer diagnosis, 55% of people with a bowel cancer diagnosis, and 98% of people with a prostate cancer diagnosis will get to live for 10 years—do not believe that it is the same for brain cancer. The Times may have chosen a brain as the photograph for the top of the article, but those statistics do not apply.

    Margaret had her treatment in early new year 2022; like so many, she could not go through with it—the treatment would have killed her. At that point, where do you go? There were no alternatives. It is not that there are a few trials: there are no trials, and there is nowhere to go. So, like so many of us who are lucky enough to have friends and family and access to money, we looked to the private sector and international travel. Margaret has been on a course of treatment with nivolumab, a Bristol Myers Squibb drug that was seen to be unsuccessful in the treatment of brain cancer, and Avastin, and has been going monthly to Düsseldorf, Germany for four days. That might seem an easy thing to do, but taking a seriously ill person on an aeroplane to a hotel, with no access to healthcare and no emergency services, would be foolhardy unless there was nothing else in this country. There was, and is, nothing.

    The help that we received from Dr Sahinbas and his wife, who runs their small clinic in Germany, with hyperthermic treatment was amazing. Their kindness was overwhelming, but there were times when I thought that I would not be able to get Margaret on the plane—that somebody would stop her because she was so unwell. There was one night when I stayed and stared at her, because I did not think she was going to make it through the night, and how would I explain that to anybody?

    By June 2022, Margaret had a scan, and they could not see the tumour. When I asked Dr Mulholland, “Is this normal for this treatment?”, he said, “Normal? I have never tried this on anybody before.” Nobody has ever had this drug so early in their treatment or at the quantity that Margaret has had it, or at the same time as hyperthermia therapy. Those who know about Margaret’s experience have come to me and sought support from Dr Mulholland because there is nothing else. The number that the NHS is currently forsaking and, for the lucky people who can get the funds to do it, abandoning to international travel is nothing short of a complete and utter national scandal. I wonder what my mum who came here in 1947 to train as part of the first generation of NHS nurses from Ireland would say about the NHS abandoning her daughter.

    But things can be different. Things can be better—maybe not today, maybe not tomorrow, maybe not next year, and maybe not within Margaret’s lifetime—and they can be different if we want them to be different. I ask the Minister to please not give the NHS or the cancer research charities any more money until they guarantee that at least 200 sufferers every year get access to a trial—that would be 1,000 patients over the lifetime of a Parliament—because with those trials we can begin to understand what works and what does not.

    The Minister should give no more money to the NHS trainers until they commit that every young doctor training to be a medical oncologist has to go through a course on brain tumour. At the moment, there is no compulsory training. The reason why there is nobody on those wards and nobody doing the work is that we are training nobody, and we are training nobody because nobody is required to do the course, and it was like that 15 years ago with melanoma. Some 15 years ago, the survival rates were so poor, but somebody came up with the idea that immunotherapy would be successful, and today we see successful survival rates equivalent to the best in any discipline. We also see young doctors wanting to take on the specialism, because it is exciting, there is hope, there is a future and there are alternatives.

    Who in their right mind today would become a medical oncologist in glioblastoma? There is no hope, no future, no trials—nothing. It would have to be someone with the belligerence and tenacity of my sister Margaret, and we have found that person in Paul Mulholland, but there needs to be more Pauls and more determination. We must have access to trials for 200 people and the training of medical oncologists, and we must require the pharmaceutical industry—because we will make no progress without it—to trial every drug that gets licensed to deal with tumours on those with brain tumours, so that there is access to existing drugs that can be repurposed.

    I am sorry about the time I have taken for this speech, but I want to tell the House that when I go to bed tonight I will keep my ear open for Margaret to hear her call my name, I will get up and I will go into her room, and it may be that she is asleep and I have imagined that she has called me. I accept that. That is my duty. It is what I have learned from my family, from my faith and from my politics. I accept that. That is my duty. It is what I have learned from my family, what I have learned from my faith, and what I have learned from my politics. I accept my responsibility. All that I want is for the NHS, cancer research charities, and pharmaceutical companies to stand up and accept their responsibility, and give some hope to the 3,200 people who will be diagnosed with a glioblastoma this year.

  • Holly Mumby-Croft – 2023 Speech on Brain Tumour Research Funding

    Holly Mumby-Croft – 2023 Speech on Brain Tumour Research Funding

    The speech made by Holly Mumby-Croft, the Conservative MP for Scunthorpe, in the House of Commons on 9 March 2023.

    First, let me offer my thanks to the Backbench Business Committee for allowing time for this really important debate. I have been working on this issue for some time, alongside other members of the all-party parliamentary group on brain tumours who have produced this report. I wish to put on the record my thanks to all those who have contributed to the report and, specifically, to Brain Tumour Research for its help. May I also give a special thanks to my hon. Friend the Member for St Ives (Derek Thomas)? I greatly admire the way that he has led this process and the work that he has done on brain tumours over my time in this House, and I know that he will continue with that work.

    Like many Members, I took a keen interest in this issue because of a constituent of mine, David Hopkins, who sadly was diagnosed with a brain tumour. He features in the all-party group’s report. In September 2020, David went to Scunthorpe General Hospital because he was unwell. That was right in the middle of the covid pandemic, so he was alone and had to go through the experience without his family with him. He was given the devastating news that he had a brain tumour—a glioblastoma. As we have heard today, the life expectancy of person who is diagnosed with a glioblastoma is between 12 and 18 months, so it is an utterly devastating diagnosis to receive for a family man and a very much-loved member of our community.

    David underwent bouts of chemo and radiotherapy, and he sought personalised immune therapy in Germany that cost £150,000. Unfortunately, a scan in April 2021 showed further tumour progressions and he had to have two craniotomies. By the following July, David had exhausted all treatment options that the NHS could provide for him and began NeoPeptide vaccine treatment, again in Germany. Sadly, this did not save David and he died in November 2021, leaving behind his children, Dylan, Lydia and Sydney, and his wife Nicki. I should say that Nicki is a force of nature. We are incredibly proud of her in Scunthorpe. She has gone on to raise funds for Brain Tumour Research and she ran the London Marathon. I commend Nicki for the work that she has done in this area.

    As I have already mentioned, people with glioblastoma may have only 12 to 18 months to live. The five-year survival rate for this cancer is still only 12%. By comparison, this rate has increased for cancers such as breast cancer and leukaemia to 85% and 54% respectively. This is not a coincidence; there has been extensive research and funding for treatment for these cancers, and we need to find treatment and cures for people such as David.

    The Government have pledged £40 million to fund brain tumour research. That is neither a small nor inconsequential amount of money. It shows that there is political will to solve the issue, but will alone is not enough. Only £15 million of that pot has been spent, and that underspend must be addressed. As the report explains, there are serious shortcomings in the current funding system when it comes to accessing the funding. We simply need to get the money into the hands of doctors, researchers and the people who know what to do with it—the people who are, as we have heard, working their socks off to find a cure for this terrible disease. A further step that the Government can take in the right direction is to recognise that this is a priority and to develop a plan, backed by the pledged money, that will support research from beginning to end.

    The report contains a number of key recommendations and proposals, and I will highlight a few of them. First, any treatment that is made available must be tested beforehand to assess its efficacy—we understand that—but there is a dearth of available trials, and the number of people participating in them is shockingly low. There are instances in which people with brain tumours are excluded from trials owing to concerns about the side effects from which they might suffer. Sometimes, people are just not aware that a trial is running until it is too late for them to participate.

    Surveys have shown that people want to participate in trials—I think that we all instinctively understand that that is the case—and we should make it as easy as possible for them to do when clinically appropriate. Guidance must be given on the inclusion of brain tumour patients in early-phase cancer trials. More mutation-focused studies should be commissioned, and the available trials should be listed in one single source that is available to patients at their bedside, as well as to clinicians.

    Secondly, another issue raised throughout the enquiry was one that researchers often encounter when taking their findings from labs into treatment centres. Conducting this translational research costs money, but researchers are impeded by a system that is difficult to navigate, meaning they cannot access money that the Government have pledged or put forward. It is ludicrous that scientists spend time and money and provide expertise on research that might go to waste because they cannot take it through the next steps. I would encourage the Government to look closely at the proposals to improve access to funding and for the MRC to introduce a fund to accelerate the pathway from discovery research to translational development.

    The report provides answers on why we seem to be stuck, as it were, on brain tumour research, and why we have not made as much progress as we might have on tackling the disease. People suffering from brain tumours do not have the luxury of time, and we owe it to the people who will be diagnosed in future to take action that gives them the best possible chance of survival, so that families such as the Hopkins family in Scunthorpe do not lose the people they love.

  • Hilary Benn – 2023 Speech on Brain Tumour Research Funding

    Hilary Benn – 2023 Speech on Brain Tumour Research Funding

    The speech made by Hilary Benn, the Labour MP for Leeds Central, in the House of Commons on 9 March 2023.

    The reason that I rise to participate in this debate is that just under two years ago a constituent wrote to me. He revealed that he had a brain tumour and asked me to go along to an APPG meeting to discuss ways in which we could try to find a cure. I went along and I must confess that little did I know then that I would end up taking part in the inquiry. We had, I think, six evidence sessions and we heard from a lot of people. The report, which the hon. Member for St Ives (Derek Thomas) referred to, distils into its recommendations what we heard from those who contributed and who were very patient in answering the many questions that we put to them.

    I pay tribute to the hon. Member, who chairs the APPG and who chaired the inquiry. He has done so brilliantly, cheerfully and in a way that has brought out the best from all of the people who appeared before us, who came along to let us draw on their expertise, to share their frustrations and to offer their ideas and suggestions. It has been an honour and a privilege to work with him and all the other hon. Members here who took part. I also thank the wonderful secretariat from Brain Tumour Research for supporting us in our work and for pulling the report together so skilfully.

    A cancer diagnosis is a terrible thing, although statistics tell us that one in two of us will receive such a diagnosis during our lifetime. I think most of us, if we are honest, would say that we wince when we hear the word “cancer”, because all too often it conjures the idea of a downward path to the end of our lives. Any of us who has been through that experience, either ourselves or, in my case, with those we love, knows exactly how that feels, but death is not always the outcome. Our lives are not preordained, and we have seen real advances in the treatment of certain types of cancer in recent years—breast cancer is a good example—and, overall, I am advised that cancer survival rates in the UK have doubled in the last 40 years.

    But when it comes to brain tumours, the blunt truth is that there has been almost no progress at all. The five-year survival rate for glioblastoma, the most aggressive form, is 6.8%, and the average length of survival is between 12 and 18 months.

    Siobhain McDonagh (Mitcham and Morden) (Lab)

    My right hon. Friend refers to the average length of survival as being 18 months. Actually, it is nine months. His figure suggests that everybody completes treatment. Nine months is the life expectancy of somebody diagnosed with glioblastoma.

    Hilary Benn

    I absolutely take my hon. Friend’s point, which reinforces, in all of us, our awareness of just how awful this diagnosis is, and it is the answer to the question that every person who receives such a diagnosis asks their doctor: “How long have I got?” Eight or nine months is no time at all.

    Dr Matt Williams, a clinical oncologist, is quoted in the report:

    “Every week I have to tell patients that there is nothing more we can offer. I have now been a consultant for 10 years and these conversations are the same now as when I started.”

    That is why a brain tumour is a devastating diagnosis. A patient quoted in the report says:

    “It’s devastating and living with a time bomb in your head.”

    That is a very good description of what it must feel like. In those circumstances, what do patients and loved ones want? What we would all want is to make sure that we are doing everything we possibly can to try to change that.

    Mr Carmichael

    I speak about this publicly from time to time, and I am always struck by the number of people who say to me, “Thank you for doing that, because this took my father”—or their brother, their neighbour, their friend or whoever—“and I had no idea that this had been their life experience.” When I was growing up, 40 or 50 years ago, a cancer diagnosis really was not talked about—it was almost taboo—and I think we are in the same place with brain cancers. If we are to make the progress we need, we all have to start talking about this much more. The experience has to be shared.

    Hilary Benn

    I agree completely with what the right hon. Gentleman has said. To borrow a phrase, it’s good to talk about brain cancer. That is why we are here in this Chamber today. We are here to raise awareness, because loved ones dying remains, among some people, a great taboo, about which we are fearful of saying anything. When my late first wife died of cancer at the age of 26, I was struck by the fact that my colleagues at work, though wonderful people, found it almost impossible to mention what had happened when I went back to work. I understand why, because before it happened to me I would have been like them. I would have thought I would say the wrong thing or cause someone to break down in tears. When it happens to you, you come to realise that there is nothing special to say; you just have to go up to the person and say, “How are you?” and listen. Yes, they will cry and you will cry, but that is so much better than people hiding it inside, with the suffering that it brings.

    That is what this report is trying to do—it is trying to make sure that we are doing everything we can. There are good reasons why brain cancer is proving so difficult to treat. I learnt about that, as did the other members of the inquiry panel. The brain is a complex organ. I had never heard of the blood-brain barrier before. I am not sure I still understand it, but I heard a lot about it in the evidence we received. We learnt about treatments that had been tried and had failed, and about the desperation of those with brain tumours to get on to trials that might just offer some hope, not of a cure, but of a few more months. For someone who has received a diagnosis of a brain tumour, every second—let alone every minute, week or month—is extremely precious. We heard of the despair of people who are unable to get this for themselves or their loved ones, and it is so particularly poignant when it is children who have a brain tumour.

    So we are calling for a renewed and determined focus on doing every single thing we can to change the situation, not because we are naive about the difficulties, which are many, but because it is the very least we can do for the people who find themselves in this position. So, of course, we have called for greater investment. I thought the hon. Member for St Ives explained well why the funds that have been made available and set aside for brain tumour research—I welcome them enormously—have not all been allocated and spent. It is not for want of willingness; it relates to the point he made about the lack of suitable research proposals coming forward and the frustration, which came across so clearly in that one evidence session in particular, of those who have put their research proposals to the research bodies, have been knocked back and feel, “They did not really understand what we are trying to do.” That is because those who sit on those panels may not have expertise in the field of brain tumour research, which is why we strongly encourage the research councils to look more widely at, and more favourably upon, proposals for brain tumour research.

    We have a funding system that has been built in silos. It needs to be better joined up, from basic science through to clinical trials. At this point, I wish to pay tribute, as we all would, to the clinicians, scientists, doctors and others who work their socks off to try to crack this problem and find a treatment. That is why we have made some very specific recommendations. The example of biobanking and tissue samples seemed so simple when people talked about it. When we are dealing with any disease, but particularly this one, does it not make sense to pool all of the information that we have available about what we have learnt, what we still do not know, what may work and what may not? Clearly, that is not happening, even though it is a simple thing to do so that anyone undertaking research can draw upon all the available material as they apply their mind, scientific skill and determination to finding a cure.

    We are also calling for patients with brain tumours to have equity of access to trials of new anti-cancer drugs that currently may be available only to patients with other types of malignant cancers. There can be a fear that if other people are brought into the trial, it will somehow skew the result. However, if a person is dying, that is not their concern. Their concern is: “Might this possibly work to save my life or the life of the person I love?”

    I hope that this report and the views of all those people who so generously gave their time—we thank all of them—will have an impact as, collectively, we roll up our sleeves, redouble our efforts, and express an even greater determination to find treatments and cures for this cruel disease that shortens the lives of so many people whom we have come to know or know already and love. What keeps us going in difficult times is hope, and I think these recommendations offer exactly that. As one patient said, “If you have hope, you have life.”

  • Derek Thomas – 2023 Speech on Brain Tumour Research Funding

    Derek Thomas – 2023 Speech on Brain Tumour Research Funding

    The speech made by Derek Thomas, the Conservative MP for St Ives, in the House of Commons on 9 March 2023.

    I beg to move,

    That this House has considered brain tumour research funding.

    I am hopeful that we will have nodding heads on both sides of the House for this debate this afternoon. I thank you for the opportunity to speak, Mr Deputy Speaker, and thank the Backbench Business Committee for making time for this debate.

    I pay particular tribute to those families around the UK who are living with a brain tumour diagnosis. When I meet some of these families, I see an enduring hope, when so often their outlook seems hopeless. It is for that reason that the purpose of this debate is to demand a greater emphasis from Government and to accelerate the effort to find more effective methods to treat patients with brain tumours and ensure that they have the best care and rehabilitation possible.

    Many hon. Members will remember that back in 2015, the Realf family presented a petition with 120,129 signatories calling for an increase in national funding for the research into brain tumours. The Petitions Committee picked it up and the following Westminster Hall debate led to the Government Minister at the time establishing a task and finish group to look at the issue. That group published its report in 2018 and the Government subsequently announced a £20 million fund for research into brain tumours, boosted by a pledge of a further £25 million by Cancer Research UK.

    Mr Alistair Carmichael (Orkney and Shetland) (LD)

    As the hon. Gentleman knows, I have been on this journey with him since that quite remarkable Westminster Hall debate in 2016. We said then that we needed the money; we got the money, but now we find that there are structural problems still standing in the way of the progress we need. To me, that says that there is probably nobody in charge of the strategy within the Department. Does the hon. Gentleman agree that if we can achieve anything in this debate, it will be to hear a commitment from the Treasury Bench that somebody will take charge of this strategy and make it happen?

    Derek Thomas

    Of course, I agree with the right hon. Gentleman. Actually, I want the Government to go further and make brain tumour research the priority of all cancer research, because we have not seen the progress that we should have in that time.

    Margaret Ferrier (Rutherglen and Hamilton West) (Ind)

    A constituent got in touch with me yesterday to tell the devastating story of her young niece, who struggled to obtain a diagnosis despite several GP trips and horrendous symptoms that left her unable to eat properly or attend school. Does the hon. Member agree that ringfenced funding, specifically for research into childhood brain tumours, must be agreed urgently?

    Derek Thomas

    I will come on to that point later. I am grateful for the contributions that we have already heard.

    I pay tribute to the late Dame Tessa Jowell, who sadly received her own diagnosis of a brain tumour soon after that debate, when Government funding was being announced. At that time, about five years ago, she said in the other place:

    “For what would every cancer patient want? First, to know that the best, the latest science was being used…wherever in the world it was developed, whoever began it.”—[Official Report, House of Lords, 25 January 2018; Vol. 788, c. 1170.]

    Sadly, she passed away in May 2018.

    Soon after, an additional £20 million of Government money was made available and the Tessa Jowell Brain Cancer Mission was established. I pay tribute to Dame Tessa Jowell’s daughter and the mission for the way that they have transformed the pathway and the care that brain tumour patients get, and for the work that they continue to do. I appreciate the way that they have engaged with me and others on the all-party parliamentary group on brain tumours in their work.

    The provision of £65 million heralded a significant shift in focus towards brain tumours. Given the high-profile commitment to brain cancer research, we should not be here calling for a commitment and a focus on brain tumour research five years later. Sadly, however, despite the £40 million of Government funds that were committed to research, there has been a lack of grant deployment to researchers.

    It is important to note that Cancer Research UK, since announcing its commitment to spend £25 million on strategic initiatives in brain tumour research in 2018, has committed almost £28 million to that cause. That is not the case for Government funding. To date, the figures of the National Institute for Health and Care Research—the body responsible for distributing that research funding—state that of the £40 million, between £10 million and £15 million has been deployed, and that depends on how we interpret brain tumour research.

    The all-party parliamentary group on brain tumours, which I am privileged to chair—perhaps I should have declared my interest at the start—decided to conduct the “Pathway to a Cure—breaking down the barriers” inquiry, which aimed to identify barriers preventing that important funding flowing to its intended recipients. We felt the need to launch that inquiry only because a series of meetings, including with the National Institute for Health and Care Research, the Medical Research Council, the Department of Health and Social Care and a Government Minister, failed to reassure us that dedicated research funding would or could be used to ramp up the research needed if we want to discover the breakthrough that every brain tumour sufferer and their family longs for.

    Those of us who serve on the all-party group were able to understand the severity of the issue and the lived experience for patients, families, clinicians and researchers only because of the sterling work of the charity Brain Tumour Research. It provides the secretariat for the all-party group and brings together thousands of people across the UK to share their experience, knowledge and understanding, and to make up what I affectionately know as the brain tumour family.

    In February last year, we launched our inquiry and took evidence from clinicians, researchers and patients. We released our report last Tuesday. Today, part of the way into Brain Tumour Awareness Month, we will set out what we have unearthed during the inquiry and press the Government to review and reform their method of deploying research funds to those who can make best use of them.

    From our work, we know that researchers find it challenging to access Government funding, because the system is built in silos. We know that cell line isolation and biobanking are happening, but at only a minority of sites across the research community; that the pool of talented researchers is finite; and that NIHR processes act as a disincentive to researchers who can apply their expertise and intellect more easily elsewhere in the medical research field.

    We also found that there are a limited number of clinical trials available for brain tumour patients, and that the national trials database is not reliable. We found that pharmaceutical companies are choosing not to pursue the development of brain cancer drugs in the UK, and that funding is not ringfenced—specifically for research into childhood brain tumours, as has been mentioned, where survival rates for the most aggressive tumours have remained unchanged for decades.

    Kirsten Oswald (East Renfrewshire) (SNP)

    The hon. Member is touching on a point that I am sure will have been heard by every MP in this place. Constituents who, sadly, have children who have been or are affected by brain tumours know only too well that things have not changed for decades. That is why what he has come here today to talk about is so important. We need to shift the dial. It is not good enough, it is terribly unfair and the consequences of us not shifting it are obviously profound.

    Derek Thomas

    Sadly, I have met far too many parents who have lost loved ones. It is heartbreaking to speak to them, and to see how a juggernaut has charged through and destroyed much of their lives. They give me so much hope that we can do this work because of the commitment they have to this subject.

    Before I address the specific recommendations of the report, may I thank colleagues—many of them are here today—who have given up the last year to interrogate witnesses and to take evidence? I want particularly to mention my hon. Friend the Member for Scunthorpe (Holly Mumby-Croft), the right hon. Member for Leeds Central (Hilary Benn), my hon. Friend the Member for Buckingham (Greg Smith), the hon. Member for Ceredigion (Ben Lake) and Lord Polak CBE from the other place, but also Sue Farrington Smith MBE of Brain Tumour Research, Dr David Jenkinson of the Brain Tumour Charity, Professor Garth Cruickshank, Dr Antony Michalski and Professor Tony Marson, who took part in the inquiry, and most importantly, Peter Realf, whose son was lost and who triggered the petition back in 2015.

    To turn to the findings, the Government must recognise brain tumour research as a critical priority. Five years ago, a remarkable effort was made by Government to respond to the shocking statistics that surround brain tumours. Brain cancer remains the biggest cancer killer of children and adults under 40. In order for survival rates to increase, the Government must go further and treat brain tumours as a key priority. This has been achieved in other countries through legislation, and I urge the Minister to see what can be achieved here. A brain tumour champion, which has already been hinted at, is needed to co-ordinate the funding and implementation of a strategy between the Department of Health and Social Care and the Department for Science, Innovation and Technology.

    In order for brain tumour research to lead to tangible changes in survival rates for patients, it needs to receive funds across the research pathway, including discovery, translation and clinical research. I recognise the recent advances and improvements in molecular testing and prognostic information, but there is a requirement for further discovery research. That will improve the understanding of disease biology, and how best to frame and support pre-clinical trial research. For instance, a particular issue for tackling brain tumours is the complexity of drug absorption through the blood-brain barrier.

    It is crucial that the Government enable the building of critical mass in these elements of the research pipeline. With no ringfenced funding to support poorly funded disease areas such as brain tumours, investment in the disease is not always prioritised. Focused calls for multidisciplinary research into brain tumours through organisations such as the MRC would support this. Additionally, making the blood-brain barrier a strategic priority and encouraging investment in cutting-edge research could yield game-changing results in the treatment of brain tumours and other neurological diseases.

    On translational research, on average, it takes 15 years for an idea to move from the pre-clinical stage to helping a patient. Patients have not got that long to wait. Researchers have said they found it challenging to access Government funding for translational research, relying on charities to fund risky elements of the pipeline. More must be done to support this valley of death element of the research pipeline. That seeks to move basic science discoveries more quickly and efficiently into practice, and that shift would increase interest among the research community, ensuring a greater concentration of research expertise in this area.

    The inquiry also found that there is a perception that review panels have a lack of understanding about the unique nature of brain tumour research, due to a deficit of specialists on panels. That was reported to account to some degree for low application success rates. During oral evidence sessions, it was also highlighted that a lack of feedback disincentivised unsuccessful applicants from reapplying, bearing in mind that they would potentially have spent a year on such work before their original application was ready for submission.

    Positive and proactive engagement with the research community should be nurtured through a continued programme of workshops and funding toolkits for researchers, supporting navigation of the funding system and increasing success rates. Currently, due to many of those issues, and a lack of funding and support, early stage researchers, especially post-doctoral researchers, are moving away from the field of brain tumour research. They are attracted by more readily available and secure funding in other disease areas. A solution for that would be the MRC and the NIHR ringfencing opportunities, such as specific brain tumour awards, across the research pipeline.

    Funding could also be prioritised for a fellowship programme, supporting early stage researchers to develop their skills in the field. There is an example within the Cancer Mission, where two teaching fellowships, match-funded by the NIHR, are taking place. That number needs to increase. Learning about brain tumours early in careers results in researchers going on to choose the discipline.

    Currently, only 5% of brain tumour patients are entering the limited number of trials available. Clinicians stated that many trials that patients with brain tumours are eligible to enter are not accessible to patients, who often have physical disabilities, as participants are expected to travel long distances across the UK. Poor health and the cost implications were key barriers to patients entering studies that were available to them.

    A survey carried out by Brain Tumour Research highlighted that 72% of patients who responded would consider participating in research or a clinical trial if offered the opportunity. Only 21% believed that healthcare professionals gave sufficient information about opportunities to participate in clinical research, including trials.

    That approach does not take account of the benefits that new and repurposed therapeutics could provide for brain tumour patients. If brain tumour patients are excluded at an early stage, possible benefits for such patients are not identified and carried forward in later trials. Access to trials should be assessed not by the location of the tumour, but by other individual criteria such as genomic profile and medical history.

    It was also demonstrated that clinicians are risk-averse to children accessing early phase trials, despite parents’ wishes. As a result of those limitations, patients are encouraged to travel overseas in pursuit of treatment not available in the UK. Some small improvements to both systems would allow many more clinicians to successfully support patients to access trials across the country.

    We have touched on this briefly, but paediatric brain cancer is viewed by researchers as different from adult brain tumours because brain tumours in children are linked to physical development, rather than ageing. Current treatments for children have significant long-term side effects and much more research is needed into kinder treatments and novel drug delivery for children. Additionally, more must be done to tackle brain injury issues and the consequences of brain tumour treatments.

    In this place, we often talk about the need to support people to meet their potential and to live life to the full to address issues that curtail life chances. That is no less important for children and young people who have experienced a brain tumour or brain cancer. Using the method adopted by the NHS to measure survival rates, children’s survival following a tumour is positive. However, they are often left with a brain acquired injury caused by the surgery and treatment of the brain tumour itself.

    Once the child is discharged from the hospital, there is no guaranteed pathway of rehabilitation or access to suitable education, therapies, services or physio. That causes tremendous additional strain on the family as they seek to access and fight for the appropriate step-down care. In many cases, the lack of those therapies means that the recovery and life chances of the child or young person are nowhere near as good as they could or should be.

    In this place, we want life to be a success. I pay particular tribute to Success Charity and Dr Helen Spoudeas, who has worked tirelessly to ensure that these brain acquired injuries are taken more seriously and that a concerted effort is made to ensure the best possible recovery. Success Charity exists to advocate for survivors and provide them with the care and support that they need and deserve. It has its annual conference at the Royal College of Physicians this Saturday, which will give families an opportunity to share experiences and make friends with other survivors, siblings and parents, and to listen to inspirational speakers.

    Having given some thought to this issue, and having discussed it with others, I think that an appropriate approach would be to introduce a commitment that every child and their family would be entitled to a carefully crafted package that ensures that all the needs of a growing and developing child are met, including access to education services, and that the best person to ensure the implementation of this package would be an occupational therapist.

    This Government want the UK to be considered a science and technology superpower. The UK must start setting the pace for recovery rather than fall further behind. Business as usual threatens the UK’s ability to lead clinical trials for brain tumours. Brain tumour research must be seen as a critical priority, with Government developing a strategic plan for adequately resourcing and funding discovery and translational and clinical research. Robust tissue collection and storage facilities must be put in place across the country. As a Government Minister said in this place only last week, every willing patient must automatically be part of a clinical trial, and that includes collecting and storing tissue for research. There must be equity of access to clinical trials and a robust and up-to-date clinical trial database. The regulatory process must be simplified, with the introduction of tax relief and incentives for investors to encourage investment for the longer-term periods necessary to develop and deliver new brain tumour drugs.

    There is so much more that could be said, and I am sure that much more will be covered this afternoon. I hope that the Minister will take the report and our recommendations seriously, and that he will have an opportunity to come back to us at a later date—when he may have more time than that afforded to him at the close of this debate—to set out how the Government intend to respond to our recommendations. Will he also agree to meet me and members of the all-party group to discuss the recommendations of our Brain Tumour Research report? Thank you, Mr Deputy Speaker.

  • Maria Caulfield – 2023 Speech on International Women’s Day

    Maria Caulfield – 2023 Speech on International Women’s Day

    The speech made by Maria Caulfield, the Minister for Women, in the House of Commons on 9 March 2023.

    May I thank right hon. and hon. Members for their contributions this afternoon? I particularly thank my right hon. Friend the Member for Basingstoke (Dame Maria Miller) for securing this debate and for her work every day of the year on championing women’s rights. I thank all hon. Members who have spoken so passionately today about the issues on which they are campaigning on behalf of women up and down the country.

    As my right hon. Friend pointed out, many women who have gone before us have led the way to our being here today. The hon. Member for Erith and Thamesmead (Abena Oppong-Asare) mentioned Baroness Boothroyd, but there have also been women such as Margaret Thatcher, the first female Prime Minister, who broke that glass ceiling. Unlike the shadow Minister, the hon. Member for Oxford East (Anneliese Dodds), I am not afraid to compliment and pay tribute to female Members on the other side of the House. A personal heroine for me was Mo Mowlam. The hon. Member for Bristol South (Karin Smyth) spoke about how women have been erased from photos and others have often taken the credit for their hard work; Mo Mowlam was instrumental in delivering peace for Northern Ireland, but she is very often forgotten when we talk about issues around the Northern Ireland protocol. However, she is very much remembered for the work that she did.

    My right hon. Friend the Member for Chelmsford (Vicky Ford) said that there is a special place in heaven for men who stand up for women. Today I want to remember Sir David Amess, who usually spoke in these debates; I think particularly of his work on endometriosis. I am sure that he would be very pleased to see his successor, my hon. Friend the Member for Southend West (Anna Firth), taking part in this debate. It has also been great to see my hon. Friend the Member for Worthing West (Sir Peter Bottomley) spending most of the afternoon in this Chamber to listen to women speak about the issues that we face. We are very lucky to have such a Father of the House who respects female Members.

    On International Women’s Day yesterday, I was particularly pleased that so many Departments were able to showcase the work that has been done and make announcements on tackling the issues that women face, many of which have been raised today. The Foreign, Commonwealth and Development Office launched its first international women and girls strategy yesterday, which highlights the work being done globally to tackle threats to gender equality across the world. From climate change and crisis to conflicts and coronavirus, those threats disproportionately affect many women in certain countries; hon. Members have spoken particularly about Iran and Afghanistan today. Significant work is going on to support women across the world.

    I want to touch in particular on the issues facing the women of Ukraine. I had the great pleasure and honour of meeting the First Lady, Mrs Zelenska, this year. While of course planes, weapons and resources are important, her plea to us in this place was to make people aware of how rape is being used as a weapon of war against women in Ukraine—there are young girls, women, older women and elderly women who are being raped as part of the war against Ukraine.

    I am pleased that the UK has cemented its position as a leading global actor standing up for women who are under attack. We know the scale and severity of gender-based violence at times of conflict and insecurity. I am proud that the UK is recognised internationally for the preventing sexual violence in conflict initiative, committing £60 million to preventing and responding to conflict-related sexual violence since 2012. Last November the UK hosted the PSVI international conference in London, with more than 1,000 delegates, and secured new political declarations with 53 countries and 40 national communities. That is incredible work.

    However, this debate has mainly focused on the domestic issue of the gender-based violence that women and girls are experiencing up and down the country. We heard a very moving speech from the hon. Member for Birmingham, Yardley (Jess Phillips), who highlighted the sheer scale of the women who have been murdered in the past year. The right hon. Member for Kingston upon Hull North (Dame Diana Johnson) described the terrible, tragic case of Libby Squire, and the hon. Member for Livingston (Hannah Bardell) told us Wendy’s story about her daughter Aimee. Members cannot have failed to be moved by that.

    Of course we are doing great work in improving the experience of women. We have announced the awarding of grants to rape crisis centres in England and Wales to set up a national telephone support line, open 24/7, which was launched on 7 December, and we are providing £27 million to recruit more independent sexual and domestic violence advisers. Despite all that, however, there is clearly a significant problem. Violence against women and girls was included in the women’s health strategy because it is not just a criminal issue or a justice issue. I was pleased to see both my right hon. Friend the Member for Charnwood (Edward Argar), the Minister for Victims and Sentencing, and the Under-Secretary of State for the Home Department, my hon. Friend the Member for Derbyshire Dales (Miss Dines), in the Chamber earlier to hear about this staggering problem.

    Sarah Owen (Luton North) (Lab)

    I have listened intently to the debate, and it is an honour to be able serve alongside such fantastic female representatives on both sides of the House. The Minister is talking about eradicating sexual and domestic violence from society. Does she agree that we should not be rewarding, in any way, any perpetrators of that sort of abuse and violence?

    Maria Caulfield

    I absolutely agree. As I have said, that is why we included violence against women and girls in the women’s health strategy, and as we approach the first anniversary of the strategy, I am keen for us to move towards making that our priority for the second year, working across Government. I am happy to work across parties as well, because this is such an important issue. Despite all the strategies, plans and—let us be fair—significant funding, we are still not making progress in the areas in which we want to make it. We have been presented with many images, but I was particularly struck by what was said by the hon. Member for Brent Central (Dawn Butler) about the way in which language is used to describe both female victims and their perpetrators, which suggests that an offence of that kind can be justified—that it simply happened, that it was a mistake, and that it was not all that significant. That has to change, which means changing the culture as well as creating the infrastructure to support it. I am keen for us to make progress on that in the next 12 months.

    Jackie Doyle-Price (Thurrock) (Con)

    I am very interested by what my hon. Friend has just said. She referred earlier to putting violence against women and girls at the heart of the health strategy. If we are serious about increasing the rate of convictions for rape and sexual violence, and indeed domestic violence, we should bear in mind that women report being treated like pieces of evidence. What we need is wraparound therapeutic support for victims, so they are not re-traumatised every time they try to obtain justice. Will that be a large part of what my hon. Friend is doing?

    Maria Caulfield

    Absolutely. We do need to look at how we support women, and that includes female MPs. I am thinking of Rosie Cooper, who simply left the House of Commons because of what she had experienced. She has gone on record as saying that she did not feel safe continuing.

    Wera Hobhouse

    Will the Minister give way?

    Maria Caulfield

    I do not have a huge amount of time, but I will give way a couple more times.

    Wera Hobhouse

    I will be very quick. The police are saying that they need to move away from viewing the victim as a credible witness, and move on to the perpetrator. Too often, the perpetrator gets away while the police are investigating the victim.

    Maria Caulfield

    I entirely agree. This is about changing culture as much as about changing the structure of services: we have seen plenty of evidence of that. Let me also pay tribute to the hon. Lady for her private Member’s Bill, which will tackle sexual harassment in the workplace. She has done tremendous work on the Bill, and we hope that it will make swift progress in the other place.

    Vicky Ford

    The issue of spiking has, unfortunately, been coming up in my constituency. If the perpetrators are to be caught, it is important for victims to come forward quickly and provide physical evidence, such as a urine sample, within 24 hours. I wonder whether there is more that my hon. Friend could do, using her own voice, to get that message out to victims.

    Maria Caulfield

    Yes, absolutely. That is why we need a cross-Government approach. We need to work with the Home Office and the Ministry of Justice team so that we have a united voice.

    Abena Oppong-Asare

    Will the Minister give way?

    Maria Caulfield

    I will give way one more time.

    Abena Oppong-Asare

    I appreciate the Minister’s generosity. I just want to put on record the work that Sistah Space has done—particularly in relation to Valerie’s law—for victims of abuse, especially black victims. The Minister’s predecessor started to do some work with me and with Sistah Space before the change of Government. Will she please continue that work?

    Maria Caulfield

    I shall be happy to do that, and we can certainly arrange to meet following this debate.

    The shadow Minister was slightly dismissive of the groundbreaking Online Safety Bill. However, my right hon. Friend the Member for Chelmsford has reported that the UN special rapporteur on violence against women and girls has described it as world- leading. Many other countries are following our progress, and, indeed, may adopt similar legislation. The Bill will tackle criminal activity online. It will protect children from harmful and inappropriate content, and it aims to stop the rise of online misogyny. Several Members have mentioned the importance of that.

    Let me say something about business. The UK is now successfully including gender provision in all the free trade agreements that we have made since leaving the EU. Our trade agreements with Australia and New Zealand, for instance, contain dedicated trade and gender equality chapters. That too is groundbreaking work. As for our domestic business focus, our taskforce on women-led high- growth enterprise was established last summer. I want to pay tribute to my hon. Friend the Member for Meon Valley (Mrs Drummond) for her work in the all-party parliamentary group on women and work, not just her work in pushing science, technology, engineering and maths for women, but the high-growth sector work she is doing. If we deliver more women with ambition, we will improve growth in our economy and also improve the outcome for those women as they thrive in the workplace.

    We know that childcare is an issue. That is why we have spent more than £3.5 billion over the last three years on early education entitlement, and have increased the funding for local authorities to £160 million this year, £180 million next year and £170 million thereafter, to allow them to increase their payments to local childcare providers. I recognise the challenges and the cost that childcare imposes on families, but I also know how difficult it is for the providers to sustain their business model.

    Turning briefly to women’s health, I am proud that in the past year we have published the first women’s health strategy for England. The hon. Member for Vauxhall (Florence Eshalomi) mentioned that in particular, and I am very keen that we make progress in that space, especially on maternity disparities. We have appointed Dame Lesley Regan as the first women’s health ambassador to lead that work. We announced yesterday that we are investing £25 million to roll out women’s health hubs across the country, providing a one-stop shop for women’s healthcare needs.

    We will also level up IVF access to same-sex couples and across the board, ensuring consistent provision across the country, which does not currently exist. The HRT prepayment certificate will be launched from 1 April, cutting the cost of HRT by hundreds of pounds. We also aim to announce our pregnancy loss certificate later this summer, so that babies born before 24 weeks can be registered—an important issue for those parents who have lost babies. The major conditions strategy will look at long-term conditions such as heart disease, musculoskeletal conditions and dementia, the leading cause of death in women, which for too long have been ignored.

    Finally, I want to touch on girls’ education, which it is a top priority for us in both our international commitment—we want 12 years of quality education for every girl, which is the best way to get girls and women out of poverty—and our domestic commitments. The Prime Minister in his first speech set out his ambition to ensure that all school pupils in England study some form of maths to the age of 18. My hon. Friend the Member for Thurrock (Jackie Doyle-Price) raised the issue of teaching materials in schools; the Prime Minister yesterday committed to a review of those and we will look forward to what that shows.

    We need to get more women and girls into science, because, as my right hon. Friend the Member for Basingstoke said, despite getting more girls into STEM A-levels and on to undergraduate courses, we only see women making up 29.4% of the STEM workforce. That is why we are running our STEM Returners pilot; there are 75,000 people, mainly women, with experience and qualifications in STEM who are not working in the sector and who we want to see return to practice.

    I hope that that showcases some of the work we are doing across the board. There are many challenges—we do not deny or shirk that fact—but we are making significant progress. In particular, domestically, on violence against women and girls, I hope that this time next year we will have a better story to tell.

    Dame Maria Miller

    I say an enormous thank you to everybody who has taken part in the debate. This debate always demonstrates how much agreement there is across the House; I always see more heads nodding on the Opposition side and the Government side in this debate than in any other. My final comment, therefore, is, “Let us not allow party politics to get too involved in some of these issues.” They are not about party politics; they are about changing the culture of our country, to make sure that women have the same opportunities and the same barriers as men—not different ones, but not bigger ones. The more we can keep the politics out of this, the more progress we make in that culture change. I think the vast majority of this debate has demonstrated how much agreement there is. I applaud that, and thank colleagues for taking that approach.

  • Rishi Sunak – 2023 Statement at AUKUS Trilateral Press Conference

    Rishi Sunak – 2023 Statement at AUKUS Trilateral Press Conference

    The statement made by Rishi Sunak, the Prime Minister, in San Diego on 13 March 2023.

    Sixty years ago, here in San Diego, President Kennedy spoke of: “A higher purpose – the maintenance of freedom, peace and…security”.

    Today, we stand together, united by that same purpose.

    And recognising that to fulfil it we must forge new kinds of relationships to meet new kinds of challenge – just as we have always done.

    In the last 18 months, the challenges we face have only grown.

    Russia’s illegal invasion of Ukraine…

    China’s growing assertiveness…

    The destabilising behaviour of Iran and North Korea…

    …all threaten to create a world defined by danger, disorder, and division.

    Faced with this new reality, it is more important than ever that we strengthen the resilience of our own countries.

    That’s why the UK is today announcing a significant uplift in our defence budget.

    We’re providing an extra £5bn over the next two years, immediately increasing our defence budget to around 2.25% of GDP.

    This will allow us to replenish our war stocks.

    And modernise our nuclear enterprise, delivering AUKUS and strengthening our deterrent.

    Our highest priority is to continue providing military aid to Ukraine, because their security is our security.

    And we will go further to strengthen our resilience.

    For the first time, the United Kingdom will move away from our baseline commitment to spend 2% of GDP on defence to a new ambition of 2.5%.

    Putting beyond doubt that the United Kingdom is – and will remain – one of the world’s leading defence powers.

    But ultimately, the defence of our values depends, as it always has…

    …on the quality of our relationships with others.

    Those alliances will be strengthened through AUKUS…

    …the most significant multilateral defence partnership in generations.

    AUKUS matches our enduring commitment to freedom and democracy…

    …with the most advanced military, scientific, and technological capability.

    Nowhere is that clearer than in the plans we’re unveiling today for the new Aukus submarine…

    …one of the most advanced nuclear-powered subs the world has ever known.

    Those plans could not happen without cutting-edge American technology and expertise…

    …so I pay tribute to you, Mr President, for your leadership.

    And to you, Prime Minister, for your vision of what Aukus can achieve.

    For our part, the UK comes to this with over sixty years’ experience of running our own fleet.

    We’ll provide the world-leading design, and build the first of these new boats…

    …creating thousands of good, well-paid jobs in places like Barrow and Derby.

    And we will share our knowledge and experience with Australian engineers so they can build their own fleet.

    Our partnership is significant not just because we are building these submarines together…

    …they will also be truly interoperable.

    The Royal Navy will operate the same submarines as the Australian Navy.

    We will both share components and parts with the US Navy.

    Our submarine crews will train together, patrol together, and maintain their boats together.

    They will communicate using the same terminology and the same equipment.

    And through AUKUS, we will raise our standards of nuclear non-proliferation.

    This is a powerful partnership.

    For the first time ever, it will mean three fleets of submarines working together across both the Atlantic and Pacific…

    …keeping our oceans free, open, and prosperous for decades to come.

    Joe, Anthony –

    We represent three allies who have stood shoulder to shoulder together for more than a century.

    Three peoples who have shed blood together in defence of our shared values.

    And three democracies that are coming together again…

    …to fulfil that higher purpose of maintaining freedom, peace, and security…

    …now and for generations to come.

  • Anneliese Dodds – 2023 Speech on International Women’s Day

    Anneliese Dodds – 2023 Speech on International Women’s Day

    The speech made by Anneliese Dodds, the Labour MP for Oxford East, in the House of Commons on 9 March 2023.

    It is always an honour to speak in this debate and celebrate the wonderful achievements of women. I thank the right hon. Member for Basingstoke (Dame Maria Miller) for proposing the debate and the Backbench Business Committee for securing it. I associate myself with her remarks celebrating women in this place for all of their achievements. So many trailblazers have been mentioned: Betty Boothroyd, my right hon. and learned Friend the Member for Camberwell and Peckham (Ms Harman), Barbara Castle, Maureen Colquhoun and many more. But we need many more. As my hon. Friend the Member for Erith and Thamesmead (Abena Oppong-Asare) said, on the Opposition Benches we are proud of the fact that more than half of our representation is female. We need to see that change across all parties and extending away from this place into local government. It was wonderful to hear many Bristolian examples from my hon. Friend the Member for Bristol South (Karin Smyth), and from right across the country, of women in local government, but we need many more.

    I thank everyone who has spoken in this debate, and above all my hon. Friend the Member for Birmingham, Yardley (Jess Phillips). She delivered, yet again, her powerful memorialisation of the women killed over the past year. It was an honour, yet again, to have some members of the families of those individuals join us in the Public Gallery. There can be no starker or more sobering illustration that so many women still lose their lives to male violence and far too many others are still living in fear of it. Let us compare our situation in safety here to the situation that those women remain in right now, in our country, in their homes, in their workplaces and on the street.

    I am grateful to my right hon. Friend the Member for Kingston upon Hull North (Dame Diana Johnson) for speaking so authoritatively about the behaviour of male perpetrators and the need to end their impunity, including when they commit gateway offences such as exposure. I am also grateful to my hon. Friend the Member for Vauxhall (Florence Eshalomi), who was absolutely right that we should call a spade a spade, and a murderer a murderer. As the hon. Member for Thurrock (Jackie Doyle-Price) rightly said, these are not soap operas but despicable crimes and despicable criminals. That must always be the case in the broadcast and print media, as my hon. Friend the Member for Brent Central (Dawn Butler) so powerfully set out in her contribution. That must also be the case on social media, and I associate myself with the remarks from my hon. Friend the Member for Erith and Thamesmead.

    We need stronger action against violent misogyny online. I am afraid that the Online Safety Bill is simply not tough enough to deal with that cancer in our society. We need more action on policing and in other areas on criminal justice, too. Police-recorded rape and sexual offences are at record highs, but just 1.5% of recorded rapes lead to convictions. More than two thirds of women have experienced some form of sexual harassment in a public space, and 86% of 18 to 24-year-olds.

    The criminal justice system is in disarray, I am afraid to say; we all know that, because as constituency MPs we see it in our casework every single day. Women’s refuges—those that are still open—are full. Women and girls are being put at risk. Many of us will question, as hon. Members have done today, why there was no mention of making Britain safer for all in the Prime Minister’s five key priorities.

    No one believes that ending violence against women and girls will be easy, but we certainly cannot do it with short-term, sticking-plaster solutions. We need a comprehensive approach. That is why Labour’s cross-cutting Green Paper “Ending Violence Against Women and Girls” sets out our plan to embed action across every Department. It includes proposals for a new street harassment law, tougher sentences for rapists and whole-life tariffs for those who rape, abduct and murder. It includes having domestic violence specialists in every 999 control centre. It includes making misogyny a hate crime. It would ensure the compulsory vetting of police officers in every police force. We would give victims access to the justice that they deserve. We really cannot delay.

    Nor can we delay in other areas that are critical to women’s lives. Previous Labour Governments did not delay: they introduced the Equal Pay Act 1970, the Sex Discrimination Act 1975 and of course the Equality Act 2010. We are determined to go further. We will match that record and go beyond it by putting women’s equality at the heart of everything we do, and we will start by taking action on the gender pay gap. It is disturbing that that gap has increased by 12% in the past two years alone.

    The Minister for Women (Maria Caulfield) indicated dissent.

    Anneliese Dodds

    Those are ONS statistics. We need proper action to eliminate that inequality for women, so I am delighted to be working with my right hon. Friend the Member for Leeds West (Rachel Reeves) and with Frances O’Grady to review how we can go further and faster to close the gap. We also need action so that flexibility for women in the workplace is not just in the hands of employers. We need equal pay comparisons between employers, not just within a single employer. We need a modern childcare system, as my hon. Friend the Member for Houghton and Sunderland South (Bridget Phillipson) has ably set out.

    As I have the floor for a few more moments, I want to talk about a group of women who rarely get a hearing in this place. I am talking about midlife women: women in their 40s, 50s and 60s. They experience a series of immense pressures—they are often expected to hold down a job, care for elderly parents and support older children—but when we look at how they are faring economically, we can see that over recent years things have moved backwards for them. In the past decade, women in their 40s and 50s have seen their real wages fall by almost £1,000 a year. Since the pandemic, 185,000 women between 50 and 64 have left the workforce at a cost of up to £7 billion to the British economy.

    Karin Smyth

    My hon. Friend is making an excellent point. Does she agree that it is astonishing that the Government are not looking at the issue in the way that we have done? They are concerned about growth in the economy and particularly about the loss of women from the workforce, but they are not looking at social care or childcare. Does she agree that if they want to steal our plans, they are welcome to do so and we will cheer them on?

    Anneliese Dodds

    I would be delighted if the Government stole those plans. I would also be delighted if they looked at Labour’s measures for the NHS, because a fifth of the women I spoke about are on an NHS waiting list. I have been up and down the country talking to women on gynaecology waiting lists, women who are not getting breast cancer referrals on time and women who have not been able to access cervical cancer screening, for which rates have been falling. We can see how big a problem there is and we can see how our plan for the workforce is so urgently needed.

    We would also love the Government to steal Labour’s plan for larger employers to have menopause action plans. Many businesses have welcomed that measure, but so far the Government have not yet adopted it, although the nodding of the Minister on the Front Bench leads me to hope that they may do so. We need action on that, and we need greater action for women.

    Women need answers to these questions because, sadly, too many women will feel that they have little to celebrate on this International Women’s Day in our country. Sadly, that applies even more in many other countries, as hon. Members have discussed throughout this debate. Earlier this week, I had the immense privilege of taking part in a roundtable with women activists from Iran and Kurdish women. Their strength is inspiring, but what they have been through is horrendous. We must stand with them, as has been said. We must also stand with the women of the United States, following the attacks on their bodily autonomy. We must stand with the women of Afghanistan and of Ukraine. We must stand with women in countries subject to appallingly high rates of femicide, such as El Salvador. We must stand with women from all nations in which women’s lives are devalued.

    My mission as shadow Secretary of State for Women and Equalities is to ensure that every woman is recognised, valued and empowered to reach their full potential. I want us to be able to look forward to a future in which our debates in the week of International Women’s Day can focus solely on the brilliant achievements of women and girls in all their diversity—those women and girls who make this country great—rather than on having to detail so many barriers holding them back.