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Tag: Tom Randall

  • Tom Randall – 2022 Parliamentary Question on Inward Investment

    Tom Randall – 2022 Parliamentary Question on Inward Investment

    The parliamentary question asked by Tom Randall, the Conservative MP for Gedling, in the House of Commons on 15 December 2022.

    Tom Randall (Gedling) (Con)

    What assessment her Department has made of the contribution of inward investment to the Government’s growth agenda.

    The Secretary of State for International Trade (Kemi Badenoch)

    In the last financial year, DIT supported foreign direct investments generating over £7 billion-worth of economic impact to the UK economy and creating nearly 73,000 new jobs, of which 34,000 were outside London and the south-east, contributing to our levelling-up agenda. In 2021-22, we supported 91 inward investment projects aligned with the 10-point plan into the UK, which delivered £13 billion of green investment. In October, as part of the Green Trade & Investment Expo, I visited the Offshore Renewable Energy Catapult in Blyth—an excellent example of our British low-carbon sectors.

    Tom Randall

    I am grateful to my right hon. Friend for that answer. I am sure she will agree that the benefits of investment need to be seen throughout the United Kingdom. In that context, will she tell me what her Department is doing to support the levelling-up agenda and, in particular, to locate staff in the regions and nations?

    Kemi Badenoch

    I thank my hon. Friend for that question. DIT intends to grow over 550 roles outside London by 2025. Our second major location will be the Darlington economic campus, alongside three new trade and investment offices in Edinburgh, Cardiff and Belfast. I would also like my hon. Friend, as an east midlands MP, to know that I visited businesses in the east midlands just last month, and I am supported by DIT staff based all around the region, who are doing a fantastic job on trade advisory.

  • Tom Randall – 2022 Speech in the No Confidence in the Government Motion

    Tom Randall – 2022 Speech in the No Confidence in the Government Motion

    The speech made by Tom Randall, the Conservative MP for Gedling, in the House of Commons on 18 July 2022.

    The manifesto on which the Government were elected was entitled, “Get Brexit Done, Unleash Britain’s Potential”, and the first part of that has been achieved. It has been difficult and protracted but we got there, and I congratulate my right hon. Friend the Prime Minister on achieving perhaps the most significant single piece of constitutional change in the post-war era. When one sees, for example, unrest in places such as Catalonia, I think we sometimes do not give ourselves enough credit for this country’s ability to effect change peacefully, smoothly and, considering the far-reaching implications of Brexit, at some pace. The Prime Minister achieved that and although his premiership is ending sooner than many would have liked—sooner than I would have liked—his place in history is undoubtedly assured, and he has begun to unleash Britain’s potential.

    I welcome the creation of an east midlands freeport that will create up to 60,000 jobs in the region—made possible by Brexit. I welcome the Government’s ambitious vaccination policy—made possible by Brexit. I further welcome the more than two dozen police officers on the streets of Gedling, the plans to overhaul the Queen’s Medical Centre and City hospitals in Nottingham, and the increased school funding in Gedling—made possible thanks to the sound finances that only a decade of Conservative Government can provide. That is the Prime Minister’s legacy, which will be taken forward in the remainder of this Parliament.

    The Leader of the Opposition instigated today’s confidence motion. If it fails, there will be a clamour for a general election. So what is his European policy? For starters, he is the man who said no—the man who was happy to tell the people of Gedling, “You may have voted to leave the European Union, but I’m going to ask you to do it again.” To him, the good folk of Gedling put their X in the wrong place on the ballot paper. They were to be admonished and told to correct their mistake.

    The Leader of the Opposition is seeking to look like a Prime Minister in waiting. To establish his European credentials, he went to the continent this week, turning up in Berlin where the Bundestag is in recess. He committed what many considered to be a serious faux pas by recording a party political video at a holocaust memorial. In that video, he declared that he wants the Labour party to follow in the footsteps of the German Social Democratic party. Given that the SPD’s position in the opinion polls has fallen by a fifth in the past three months, I wish him well in those endeavours.

    As I speak, there are five contenders for the Conservative party leadership—almost as many as for the Labour party leadership—and one of the things that they have in common is that none of them served, or would serve, in a shadow Cabinet led by the right hon. Member for Islington North (Jeremy Corbyn), who is hostile to NATO, called for collaboration with Russia after a chemical attack, and is a proponent of a reckless economic agenda. The prospect of a Labour Government led by the right hon. Member scared people in Gedling at the last election. Notwithstanding the many achievements of this Government, of which there are many, it is surely inconceivable that anyone would have preferred, or placed greater confidence in, the alternative Government who might have been elected in 2019 to take us through the pandemic, Brexit and the war in Ukraine.

    I will support tonight’s motion because I have confidence in the programme of this Government, I have confidence in the Cabinet, I have confidence in the manifesto, and I have confidence that the Labour party remains unfit to govern.

  • Tom Randall – 2021 Speech on Down Syndrome

    Tom Randall – 2021 Speech on Down Syndrome

    The speech made by Tom Randall, the Conservative MP for Gedling, in the House of Commons on 26 November 2021.

    Like many others, I speak in support of the Bill. I add my congratulation to those from colleagues of all parties to my right hon. Friend the Member for North Somerset (Dr Fox) on having brought the Bill to the House and his passionate speech in favour of the measures it contains. Down’s syndrome is a visible condition and the name will be familiar to very many people, but my right hon. Friend’s speech raised so much awareness of a condition of which there are so many factors that members of the public or those who have not been directly affected are not aware. This morning’s debate, like those on so many sitting Fridays, has been an educational process. We have learned something about the wider world, which is a good thing for us as politicians to do once in a while.

    There are 47,000 people in the UK with Down’s syndrome. I am grateful to my constituents who wrote to me in advance of this debate to tell me about the issues that they and their families have faced and the challenges that the condition can bring. They have told me about how the language and attitude on learning that the baby has Down’s syndrome can often be negative and discriminatory, and that young people with Down’s syndrome are more likely to be hospitalised than those without it, and for longer.

    From my research in preparation for this debate, I have learned that those with Down’s can have problems with their heart, bowel difficulties, difficulties with hearing and vision and increased risk of infection, so there is possibly an increased requirement for health services. Parents are often discouraged from sending children to mainstream schools because teachers there sometimes lack confidence and the knowledge to include children in classes alongside siblings and neighbours. Post-16 education is often a “one size fits all” approach that sees learning stall. Social care can often be inappropriate. My right hon. Friend gave the example of those in older life, and he was right to say that there is a scandal that we very much need to avoid in terms of possibly putting those with Down’s syndrome in age-inappropriate settings.

    The Bill provides the opportunity to make life-changing differences for a condition that affects so many aspects of life across the health, education, housing and social care fields. The Bill is short—only a couple of clauses—and it requires the Secretary of State to create guidance. Various authorities would be required to pay due regard to that guidance. One might argue about whether primary legislation is required for the production of guidance. We ought not to have laws for laws’ sake, but given the wide variety of bodies that the guidance will affect, the argument in favour is strong and has been articulated strongly this morning. The importance of the changes that can be brought about once the guidance is written and implemented has also been highlighted.

    There is a precedent for the Bill. We have not spoken yet of the Autism Act 2009, which shares some similarities with this Bill. I was particularly struck by the words of the National Autistic Society:

    “The…Act has brought about some great changes to the way that autistic people access support. Because of the Act, almost every council has a diagnosis pathway for adults and a specific Autism Lead. Additionally, it makes sure that every autistic person has the right to a social care assessment, something which was difficult for many autistic people more than 10 years ago.”

    It appears that that legislation has brought about some positive changes, so I am hopeful that, by supporting this Bill today, we will be able to revisit this situation in 10 years’ time and find that we have seen great strides in the way that the needs of people with Down’s syndrome have been met. The Bill certainly commands my support, as I am sure it does across the House, and I wish it well.

  • Tom Randall – 2020 Speech on Free School Meals

    Tom Randall – 2020 Speech on Free School Meals

    The speech made by Tom Randall, the Conservative MP for Gedling, in the House of Commons on 21 October 2020.

    Free school meals have been part of the education system for more than a century, and they are and have always been intended to be an additional support on school days in term time. Lockdown disrupted education in a way that we probably have not seen since the war. The lines between school, home and education became blurred and, in those extraordinary circumstances, it was right to temporarily amend the rules on school meal provision so that those who would have received a meal, had school been open in the usual way, did not miss out.

    But as I understand it, this motion is proposing something entirely different: it does not extend the system, but changes the very basis on which support ​might be offered. Schools are now open and those in receipt of free school meals will receive one at school. Indeed, the proposal in the motion was rejected by the Labour Government when it was made in 2007. This change might be desirable; it could make a difference. But I suggest that any such proposal should be considered not on its own, but as part of wider efforts to combat poverty.

    We are definitely facing a period of economic hardship, and the welfare system has rightly been strengthened. I welcome, for example, the cash injection of £9,000 million into our welfare system and I particularly welcome the increase by £858,000 to Nottinghamshire as its part of the local authority welfare assistance fund. I further welcome changes such as the national living wage and the raising of the income tax threshold so that those on the lowest incomes pay no income tax at all—policies of practical benefit to the poorest in society.

    I am a little unclear about how the Opposition’s proposals will work in practice. Should schools be reopened at a time when they would normally be closed? Is there a desire among staff who have worked so hard recently to take on this additional responsibility? What will be the additional costs and who will pick them up?

    I also hear from the Opposition Benches the name of Marcus Rashford being invoked. But according to his tweet of 18 October, Mr Rashford is calling for school meal provision in all holidays. Is it that the Opposition motion does not agree with Mr Rashford but is attempting to catch his coat tails or do the Opposition secretly agree with him but are too coy to say it at the moment?

    There are big questions to answer when it comes to tackling poverty and I do not believe that changes should be made lightly. But I do accept that there is far more to do, including targeted interventions for those most in need. For the reasons I have given, I regret that I cannot support the motion in its unamended form today. The Labour party might believe that the motion scores a moral victory, but I believe that it fails to address many fundamental issues, and the responsibility for addressing those issues now falls to the Government side of the House.

  • Tom Randall – 2020 Speech on Axial Spondyloarthritis

    Tom Randall – 2020 Speech on Axial Spondyloarthritis

    The text of the speech made by Tom Randall, the Conservative MP for Gedling, on 17 September 2020.

    I am grateful for the opportunity to hold this Adjournment debate. I have been a Member of this House for nine months. One of the great privileges of being a Member of Parliament is the opportunity to sit in this Chamber. The more astute observers might have noticed that I occasionally sit slightly awkwardly on these Benches. I admit that, sometimes, I slouch. One of my waggish Twitter correspondents recently juxtaposed a photograph of me and a photograph of my right hon. Friend the Leader of the House reclining on the Treasury Bench, with the caption,

    “great to see Gedling MP getting comfy in parliament and following in the footsteps of his fellow parliamentarian”.

    I admire the Leader of the House very much—there is much to admire about him—but on this, alas, I do not seek to emulate him. Rather, my awkward posture arises from the condition I have: ankylosing spondylitis.

    Ankylosing spondylitis is one of three sub-types of a type of inflammatory arthritis called axial spondyloarthritis. Axial spondyloarthritis is a chronic inflammation of the spine and joints. It is a painful and progressive long-term condition for which there is no cure. It is unlike conditions such as osteoarthritis, which is often associated with older people and the wear and tear that comes with ageing.

    Axial spondyloarthritis, often abbreviated to axial SpA or AS, tends to present in the late teens or early 20s, with the average onset being just 24. In my own case, I first presented with symptoms at 16. As well as the stiffness and pain that one might expect from an arthritic condition, axial SpA is also associated with a range of complications and comorbidities, including uveitis and psoriasis. But it is perhaps the less visible complications of AS that can be the most debilitating. Many suffer from severe fatigue, as well as flare-ups and stiffness.

    The condition presents itself in a period when most people are at a crucial stage of their lives, looking to build careers, start families and forge social relationships. I well remember my early 20s, when I was starting out in my first job after university, before I was prescribed the treatments that I am on now. When I got home after doing an eight-hour day in the office—something that most people would take in their stride—I crashed out on the bed, completely exhausted from a normal day at work.

    Munira Wilson (Twickenham) (LD)

    I congratulate the hon. Member on securing this important debate. My husband also suffers from ankylosing spondylitis. Like the hon. Member, he started getting symptoms when he was about 20, and it took him about 10 years to get diagnosed. He was exhausted and struggling to work, and there were days when I had to help him put his socks on because he could not bend over. Does the hon. Member agree that the shocking delays in getting a diagnosis have a massive impact on quality of life, as do the difficulties that people have in accessing the right treatment? We need to improve awareness, particularly of the National Institute for Health and Care Excellence guidelines on the treatments available.

    ​Tom Randall

    The hon. Lady is absolutely right. What I and her husband have experienced is sadly not a rare phenomenon.

    The name axial spondyloarthritis will be unknown to many, if not most, people, but it is not uncommon. It affects about one in 200 of the adult population in the UK, or just under a quarter of a million people.

    Jim Shannon (Strangford) (DUP)

    I congratulate the hon. Gentleman on bringing forward this debate. I spoke to him this morning to seek his permission to intervene. He is aware of the massive eight-and-a-half-year delay in diagnosing this awful illness. I read an article in my newspaper back home in May about a young mum in Northern Ireland and her battle. We must all be determined to secure extra funding so that early diagnosis can happen, for adequate research into this life-changing debilitating disease, and for more support groups. In Northern Ireland, we have only two—one in Belfast and one in Londonderry—for a population of 1.8 million spread across the whole Province.

    Tom Randall

    In last night’s Adjournment debate, the hon. Member for Pontypridd (Alex Davies-Jones) said that she felt like a proper MP after the hon. Gentleman intervened on her in an Adjournment debate, and I echo those sentiments. He is completely right about the delay, which I will come on to in a moment, and about the role that support groups can play in showing that people are not alone in having the condition and in providing moral and practical support. I hope that now awareness has been raised, there will be more than two groups in Northern Ireland in due course.

    As I was saying, there are a quarter of a million people with AS, which makes it more prevalent than multiple sclerosis and Parkinson’s combined. Hon. Members may say, “Well, so what?” AS is incurable and it can be managed through medication, physiotherapy or exercise, but what makes it worthy of particular concern and debate is, as outlined earlier, the delay to diagnosis.

    The symptoms of AS can be difficult to diagnose. I was passed between neurologists, geneticists and other specialists as various conditions were ruled out, before a rheumatologist finally diagnosed AS when I was about 20. I was very lucky that I had to wait only a couple of years before getting my diagnosis, but on average, there is a delay of eight and a half years between the onset of AS symptoms and diagnosis in the UK.

    Gareth Bacon (Orpington) (Con)

    I commend my hon. Friend’s bravery in refusing to allow the condition to prevent him from gaining a place in this House and in attempting to draw more attention to the condition. How does the UK compare internationally in terms of the delay that various hon. Members have discussed between the onset of symptoms and diagnosis?

    Tom Randall

    I think in comparable countries such as Germany, France and Italy it is four, five or six years. Certainly, I think the delay to diagnosis in the UK is one of the longest in Europe, and that is something that needs to be remedied. Obviously, during that delay of eight and a half years, the condition can deteriorate considerably. One does not need to be an expert to understand the clinical, economic and human burden of delayed diagnosis.

    ​Andy Slaughter (Hammersmith) (Lab)

    I congratulate the hon. Gentleman on this timely debate. I have the honour to have the National Axial Spondyloarthritis Society based in my constituency, which is why I have some knowledge of the matter and am involved in the all-party parliamentary group on axial spondyloarthritis. I am sure that he will join me in praising its work and the extraordinary expertise that it brings. The danger is that if people do not have that association or contact, as many medical practitioners do not, it is difficult to diagnose, and therefore, heartbreakingly, young people suffer in pain and do not get a diagnosis when they should. Will he praise the NASS’s work and agree that the NHS needs to communicate about it much more widely?

    Tom Randall

    I pay tribute to the hon. Gentleman’s work. He was an active member of the APPG long before I was in this place. On the issues that he identifies, on which I will go into more detail in a moment, he is absolutely right.

    Rachael Maskell (York Central) (Lab/Co-op)

    I am grateful to the hon. Gentleman for bringing forward this debate. Before coming to this House, I was a physiotherapist. I ran an AS group for swimming and exercise and really know the benefits of that. The Chartered Society of Physiotherapy was in touch with me just this week to say that, because of covid, it is experiencing a real shortage of physios for the future and that 2,339 more physios are needed. Does he agree that we need to look back at the NHS work plan to ensure we have the right practitioners in place to support people like him?

    Tom Randall

    Physiotherapy can play a key role in managing the symptoms of AS, and we should all support the work that physiotherapists do with patients.

    Anthony Browne (South Cambridgeshire) (Con)

    I congratulate my hon. Friend on securing the debate on this important issue, and I pay tribute to his bravery in overcoming his condition and ensuring it did not prevent him coming to this House.

    I have a family member, a friend and a constituent who suffer from AS, and I know well the problems with delayed diagnosis. My constituent Frances Reid started having symptoms 10 years ago. She went from doctor to doctor to doctor but did not get diagnosed. She was diagnosed only one year ago, and she now has pains across her entire body and needs joint replacements. She is in so much pain that she wakes up eight to 10 times a night. In contrast, a friend from Canada was diagnosed really early. With treatment and exercise, he leads a full life. What lessons can we learn from countries that have quicker diagnosis and what would my hon. Friend like to see here?

    Tom Randall

    My hon. Friend neatly explains the consequences of delayed diagnosis. A recent systematic review of the available literature found that, overall, patients with a delayed diagnosis of AS had worse clinical outcomes, including higher disease activity, worse physical function and more structural damage compared with patients who had an earlier diagnosis. Those with a delayed diagnosis also had higher healthcare costs and a greater likelihood of work disability, as well as a worse quality of life, including a greater likelihood of depression. Those are the consequences of not giving a prompt diagnosis.​

    We spoke earlier about the National Axial Spondyloarthritis Society, or NASS, which has identified four factors that contribute to delay: a lack of awareness among the public that AS might be the cause of their chronic pain; GPs failing to recognise the features of AS; referral to non-rheumatologists who might not promptly recognise AS; and failure by rheumatology and radiology teams to optimally request or interpret investigations. AS cannot be cured, but reducing the eight-and-a-half-year average delay in diagnosis will lead to better outcomes for those living with the condition.

    The all-party group for axial spondyloarthritis, of which I am a vice-chair, suggests three steps that would help to reduce the delay in diagnosis. The first is the adoption of a local inflammatory back pain pathway to support swift referral from primary care directly to rheumatology. Low levels of referral to rheumatology from primary care represent one of the key barriers to achieving an early diagnosis of AS, and a national audit by the APPG found that 79% of clinical commissioning groups do not have a specified inflammatory back pain pathway in place, despite NICE guidelines recommending that.

    Jerome Mayhew (Broadland) (Con)

    My hon. Friend makes reference to the NICE guidelines and the quality standard on spondyloarthritis not being implemented by 79% of clinical commissioning groups. Does he agree that that simply relates to primary carers referring directly to rheumatology departments, which is not a cost issue but one of professional education?

    Tom Randall

    My hon. Friend is absolutely right, and that neatly leads me on to the APPG’s second proposal. I appreciate that the NHS is rather busy at the moment with public health messaging of one kind or another, but awareness of AS remains low and support for an awareness campaign would help to significantly raise the visibility of the condition not only among the public, but among GPs.

    Thirdly, the APPG suggests encouraging the routine adoption of minimum service specifications across the NHS to help to reassure patients, particularly in the context of covid-19 and the difficulties many patients face in accessing key services during the recent lockdown. I would welcome any opportunity to meet Ministers separately to discuss those proposals in detail, if that were possible.

    I will leave the last word to Zoë Clark, who addressed the APPG’s last physical meeting in January. She told attendees how, after getting AS symptoms aged 20, incorrect diagnoses and the impact of her condition left her socially isolated and unable to live independently, at a time when she was trying to complete a demanding four-year master’s degree in osteopathy. She said that living with undiagnosed AS was a frightening time and she ended up having to largely sacrifice her social life, due to the difficulties of balancing her degree with the pain and fatigue she regularly experienced.

    No one should have to wait eight and a half years to find out what is wrong with them. I hope that we can begin to put that right.