Dr Rosena Allin-Khan
MP for Tooting · Labour · United Kingdom
“I hope my hon. Friend’s mum is making a swift and healthy recovery, and I am sorry to hear that that was her family’s experience. I agree that prioritising care for the frailer, elder population can often be dealt with more effectively before someone comes to hospital.”
“My hon. Friend and I are not performing a double act today, but he leads me on perfectly to the next part of my speech, as I go on to say that “corridor care” is something of a misnomer.”
“We cannot have a debate like this without recognising the terrible inequalities that scar our healthcare service—we have to work to reduce the disproportionate burden of long waits on deprived communities, older patients and people with mental health needs.”
“The hon. Member is right, but I know that the Government care deeply about this. This is not something on which I am in tension with the Government in any way.”
“By healthcare staff I do not just mean doctors such as myself, but nurses, porters, healthcare assistants and cleaners—we are one big family in the NHS, and no one job is more important than any other. We are unable to do any of our roles without all the others, and for that we are truly grateful.”
“As I have just outlined, this unacceptable and dangerous situation is shared not just by patients, but by their families and NHS staff, who are trying to do their best in a difficult situation.”
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“I must begin by paying tribute to my hon. Friend the Member for Manchester, Withington (Jeff Smith), a fantastic campaigner who is working across party lines and with affected families up and down the country to make a real difference, both for those who are unable to obtain the treatment they need and for those who are left paying huge sums of money for private prescriptions. I also pay tribute to my dear and hon. Friend the Member for Middlesbrough (Andy McDonald), whose bravery in speaking today adds powerful testimony to this debate. I know 100% that his story echoes those of the people we are fighting for in this debate. The objectives of this Bill, for me, are clear and simple, but I fear, listening to some of the contributions today, it has been misunderstood.”
“Absolutely. I thank my hon. Friend for his contribution. To take any further step backwards from the progress we have made in a cross-party collegiate manner would be a travesty. We would be letting down families across the country.”
“I thank the hon. Member for that contribution. That is exactly right. The Bill seeks to move that forward, not frustrate the process. I welcome any intervention that underscores that.”
“In three years, we have had three prescriptions on the NHS. In three years, we have seen people in fear of not having a roof over their heads because they cannot afford to give life-changing medication to their children.”
“Members that people searching in a very desperate way for things that will improve the quality of their life, or even keep their children alive, might also go to places where absolutely no thought is given to the purity of a drug. They may seek alternatives that are increasingly more dangerous for their children. It is important to recognise that.”
“I will make a bit more progress and then I would be absolutely delighted to give way. The situation that we face, whereby only three prescriptions in three years have been allowed, pushes more and more patients into the hands of private providers, who, as we have heard, are charging extortionate amounts of money each month for treatment. For the vast majority of people, that is simply out of reach. Let me add something that I was not originally going to say: I, too, am a science geek. I have a biochemistry degree and I worked in medical research before even going to medical school. I understand the importance of robust, evidence-based medicine, but I can also tell hon.”
“I do not need to tell the hon. Member, who has mentioned his CV—as many of us scientists have today—the cost of not investing in these young people. Think of every time a young person who would benefit from this drug goes into intensive care with seizures, every time they have alternative, expensive sedatives keeping them alive on a ventilator or the fact that they do not fulfil their potential, cannot go on and work and cannot give back to the economy. It is a false economy not to invest in this.”
“I could not agree more; my hon. Friend puts the point across perfectly. If anyone is planning on talking the Bill out today, please will they ask themselves who benefits from that and whether they would feel proud of frustrating a process for many children and families that would mean that they did not have to go through, frankly, the hell that we have heard described?”
“Members from both sides of the House for using their voice today to speak up for those families who cannot be here to make the case themselves. Hon. Members have been begging, but we should not have to beg to do the right thing for the people who we serve.”
“The Government must speed up and improve the availability of medical cannabis on the NHS and guarantee that patients across the country can access those products where appropriate. We have all heard the testimonies of children who receive no respite from their seizures and of patients whose chronic pain has become a constant of their lives. Working in hospitals, I regularly meet those people and their families, who beg me and other doctors to help their loved ones. Witnessing their suffering never gets any less upsetting, especially when we know that there are options to alleviate it. Unrelenting pain can be so devastating for all involved. It is imperative that we listen to those who would benefit from access to cannabis-based products and allow them to guide our future thinking. We have a voice in this place. I commend hon.”
“My understanding and my belief, unless someone has an alternative proposal, is that clinicians are often screaming from the rooftops in the knowledge that their patients need this medicine. We are where we are, however, with only three prescriptions having been granted in three years. This Bill seeks to improve that and move us forward. Families being forced to pay for treatment from private providers creates an unjust two-tier health system. A founding principle of our health service is that we do not believe that people’s access to treatment and services should be based on their ability to pay—it is as simple as that. The barriers in accessing medicinal cannabis are causing exactly that situation. We would not tolerate that for any other medication, so we should not tolerate it here.”
“We now need further action, and I wholeheartedly believe that the Bill would go some way towards achieving that. I trust that the Government believe that too.”
“As usual, I could not agree more with my hon. Friend, who makes a passionate and fair point. The Bill serves as an opportunity to move forward in a way that even the sceptics could support. I say again that anyone who is planning to talk out the Bill should take a long hard look at themselves in the mirror and ask themselves what they are doing. They need to walk a mile in the shoes of the families who are worrying about whether their child will be alive the next day. Last month, we had two debates on the issue in a matter of days. I would like to think that that demonstrates the collective will in the House to make progress, but that will and the warm words it brings are not enough for the thousands of people who should have benefited from those prescriptions in 2018 and since.”
“Without doubt, no one in the House wants anyone to suffer unnecessarily. However, most of us understand, as I am sure the hon. Member does, that in this case a randomised control trial would be immoral. The recipients of these medications are in such dire need that to find a group of children in as dire need and deliberately withhold treatment from them would be immoral. I respect him for his clinical and professional practice and as a Member of Parliament, but what is his alternative? The Bill, which has already gone through several stages with cross-party agreement and understanding, seeks to take this forward in unusual circumstances, where an RCT would be immoral.”
“Having a number of research degrees, I am very aware that there are many different types of trials and that a randomised control trial is not the panacea in all cases. That exactly speaks to the importance of the Bill, which considers a number of other options. It talks about looking at evidence from a widely cast net—it is in agreement with the hon. Member. If he does not agree with the Bill’s suggestions, which he is speaking to, what is his alternative?”
“This country is angry, and understandably so. Last Christmas, while we were in lockdown, millions of people were unable to be with their families; thousands of people waved through their care home windows at the loved ones wishing them a merry Christmas from the side of the road; people died without that last touch from their daughters, their sons, their wives; working in intensive care, I wept behind my mask as three children talking to their dying mother on an iPad begged her to wake up; and countless children are now growing up without parents—while parties were held at No. 10. This is disgraceful. This is an insult to everyone who followed the rules. It is an insult to everyone who was not allowed to say their final goodbye.”
“Yet again, this Government have shown that they are incapable of protecting our communities, protecting our NHS and saving lives.”
“I know that I have mentioned this time and again, but the Government must acknowledge the trauma for people with severe covid and long covid, and for NHS staff, so where is their plan? Labour has been clear throughout this pandemic that proper sick pay will help people to isolate. The Government have chosen to ignore us time and again, so I ask again: what support will be available to people who need to self-isolate? Is not this the time to finally fix sick pay? I would appreciate it if the Secretary of State updated the House on the new antivirals and how they will be used. Why are the Government not already giving antibody tests to the immunocompromised? The situation we find ourselves in was entirely predictable.”
“Our NHS has done us proud, and has done a fantastic job of delivering the vaccine, offering first, second, third and booster jabs, all at the same time as treating patients who are suffering from covid and trying to recover when it comes to elective procedures. I thank everyone who works in our NHS and care sector. We are putting even more demands on them at the moment. Our NHS has stepped up to the challenge; it is a shame that this Government simply have not. Among those with mental illnesses, vaccine rates are low and mortality rates high. The Government need to stop weaponising mental health, and must instead recognise that good, clear, honest communication, which they have failed to have so far, is so important in a crisis.”
“The Prime Minister is not the best person to tell people to wear masks, when he cannot even be bothered to wear one himself when he goes into a hospital full of vulnerable patients—and may I ask the Secretary of State when Conservative Back Benchers will start wearing their masks? Will the Secretary of State update the House on when he expects there to be a decision on vaccinations for younger children? The Government have fallen far short of their own target to offer all 12 to 15-year-olds the vaccine by October half-term, so can he say what action will be taken to speed up vaccine roll-out?”
“Shop workers have given so much during the last 20 months, alongside our emergency services. Asking shop workers to enforce mask wearing is yet another pressure that they do not need and do not deserve. If masks had been mandatory, it would have been harder for this new variant to spread. A global study published in The BMJ argued that face mask wearing can bring transmission down by as much as 53%. This Government’s flip-flopping on masks has created confusion across schools, colleges and universities, so will the Secretary of State today confirm the new requirements across all education settings?”
“There are measures that we can put in place right now to keep infections down and ensure that the country has the best possible protection. Will the Secretary of State set out the rationale for not introducing pre-departure testing? Surely that would be an effective way of preventing people with covid from travelling into our country. We support the decision to introduce measures on masks on public transport and in shops, but we believe that those requirements should never have been abandoned in the first place. Keeping in place requirements for masks would always have been our plan A. Will the Secretary of State extend measures on the use of masks to hospitality and other settings, or does covid not spread in pubs? Most importantly, what is the plan to enforce mask wearing?”
“I start by sending my best wishes to the shadow Secretary of State, my right hon. Friend the Member for Leicester South (Jonathan Ashworth), who cannot be here as he is off with covid; we all hope that he gets better soon. I thank the Secretary of State for advance sight of his statement. This variant is a wake-up call: the pandemic is not over. We need to act with speed to bolster our defences and keep the virus at bay. It is also an important reminder that no one is safe until all of us are safe. Ministers have not met the commitments that were made at the G7 this summer to get the vaccine rolled out to other parts of the globe. What update can the Secretary of State give on the Government’s global commitments? Given that omicron is already here, what we do at home truly matters.”
“She has been spat at in the street, called dirty for walking with her children and, while we were growing up, had people shouting at her on the tube, telling her she had married a dirty—I will not name the name, because I do not want to give it a place in this place. Many people tell me I should have used getting married as the opportunity to drop the Khan and call myself Rosie Allin in a bid to be accepted, and that I should hide all traces of Islam from my daughters’ names, so that they may have “an easier life.” Well, fear will not make me drop my name or my faith, and fear will never stop me fighting against Islamophobia. In this place we have a platform, but millions of people do not. We owe it to them to speak out, and to fight for change for our community and for our children.”
“When I stated that I was a Muslim, he asked where I was from and proceeded to tell me that half my family were eastern European cleaners and the other half were terrorists, and that I should go and tell my family to stop killing people. A taxi driver once told me, 20 minutes into a cab journey, that he would never in his life allow a Muslim into his taxicab. He told me that Muslims were taking over the world, that he had absolutely no desire to meet one, and that he would not allow his daughter to go and study at a university where someone wore a hijab. I told him to stop the car, that he had met a Muslim and that I would continue my journey on foot. My mum, who is not a Muslim but married one and had two children who chose to be Muslim, is Polish and has blonde hair and green eyes.”
“Like many other speakers today, I have my scars. From being attacked by a racist gang in the park with dogs, as me and my brother ran away, having our clothes ripped from us, scared; to the audible gasps of, “Why the hell would you choose to be a Muslim?”, my experiences are as real as they are painful. With a Polish mother and a Pakistani father, and proudly British, I feel fortunate to have grown up immersed in many cultures. I have, sadly, experienced overt racism and bigotry; unfortunately, I have also been where people speak in perceived safety, not realising that I am a Muslim. When I was studying medicine at Cambridge, a senior surgeon spoke openly about terrorism and Islam. When I asked him kindly to stop, he was shocked.”
“When the Government talk about waiting times, they refer to how long it takes simply to get an assessment, and not to when treatment may start. Most children face an incredibly long wait after that first step, or even have their referral closed. The real truth is revealed when we look at how long it takes for children to complete treatment. In Yorkshire and the Humber, it took one child more than 13 years to complete treatment for their anxiety. In the north-west, some children took three years to complete treatment for eating disorders. In the midlands, it is not uncommon for treatment completion to take five years. Will the Minister commit, as we have, to the provision of a counsellor in every school, a mental health access hub in every single community and regular mental health assessments for children in all key stages?”
“The Government have failed to plan yet again, and they are putting the country at risk going into winter. We need less bluster from this Government, who seem to spend more time planning to protect their mates than the lives of people up and down the country. We need action now.”
“At the moment, the figure is less than 300,000 a day, which is why we are calling for more pop-up vaccine clinics, greater use of community pharmacies and the mobilisation of retired medics. As we approach a difficult winter, Ministers have failed to put in place measures such as improved ventilation, proper sick pay and fully resourced local contact-tracing teams, all of which would help to reduce the spread of the virus. We must get the balance right and ensure flu vaccines, covid vaccines and boosters are all delivered at a high pace from now until the end of winter. While the booster scheme is so slow, the Government should never have scrapped mask wearing and working from home. The Prime Minister should never have abandoned those measures.”
“Let us be honest, it is largely less affluent areas that have the lowest take-up, proving that vaccine inequalities are alive and kicking. Covid has shone a spotlight on the health inequalities that exist across the country. Why are the Government ignoring them again now? We are tired of issuing the same warnings time and again. Our rate of child vaccination is shamefully low and slowed during half-term—the rate is still only around 20%. There were almost 250,000 children out of school in the days before half-term. Where is the plan? On current trends, we will not complete the booster programme until spring 2022. The Government need to get a grip and set a target of 500,000 boosters a day.”
“Right now, only 23% of care home residents in Leicester have had their booster jab, and the picture across the country is extremely patchy. To be clear, just promoting pop-up vaccine clinics does not help care home residents. We must use all the resources we have, including community pharmacists, retired medics and trained volunteers, to go into care homes and vaccinate residents. The Government are failing and this is putting people’s lives at risk. In my borough of Wandsworth, the two-dose rate is only 67%, which means that almost 100,000 people do not have the recommended level of vaccination, but this is not an isolated example—people in Wandsworth are working very hard to get the vaccine out—and it is replicated across the country. What are the Government doing to increase the uptake?”
“Yes, we support it, but it is not enough on its own. We must turbocharge vaccine boosters, fix sick pay and improve ventilation. The clinically vulnerable are simply not getting the jabs they need. Local residents are contacting us saying that they cannot get the boosters they so desperately need. One lady in her 70s who has underlying health conditions went to her pharmacy and called 119, just to be told that she was not eligible for her booster. She has now finally got one booked for December, but she had to rely on her daughter to book the appointment for her because she does not use the internet. The system simply is not working, particularly for many of those who need it most. The Government had a deadline of 1 November for offering booster jabs to all care home residents.”
“I thank the Minister for giving me advance sight of the statement and take this opportunity say a huge thank you to our NHS. Frontline staff are doing a fantastic job continuing to deliver the vaccine programme, which is especially complex and fraught with challenges as they deliver first, second and third doses as well as jabs for 12 to 15-year-olds. They are coping with numerous pressures in the system, but continue to work flat out to get the UK through this pandemic. Winter is coming, though, and frankly the Government just do not have a handle on covid, going into the busiest season for our NHS. The Government must get a grip on the stalling vaccination programme. Plan B, which contains measures that we already support, such as mask wearing and allowing working from home, is simply not enough on its own.”
“That has a knock-on impact on how much time GPs are able to spend with patients. Patients are understandably frustrated, as the backlog of care due to covid continues to pile up, with a knock-on impact on waiting times throughout the NHS. At a time when case numbers are soaring again and the booster programme is faltering due to Government inaction, people are anxious about their health and the health of their local community.”
“The Health and Social Care Secretary has resorted to attempts to name and shame GP practices that were unable to guarantee face-to-face appointments. The Government will then deny additional essential funding to the practices they deem to be performing poorly. That provocation does nothing to improve patient care; it serves only to deflect anger away from the Government and towards the health service. I know from colleagues in GP surgeries across England that it has already resulted in abuse both online and in person. That leaves so many practitioners considering their career choices, and will lead only to further shortages in future. Fundamentally, the Government need to make good on their manifesto pledge of an additional 6,000 GPs. Without that, there will be a detrimental impact on the workforce and, crucially, on patient care.”
“When a workforce are supported, their absence rates come down and their productivity goes up; it is pretty basic. Ensuring that staff are supported benefits not only the workforce but the patients, through more effective and timely care. That is a virtuous cycle, which surely even the cynics would support, as it ultimately leads to more patients being seen and better care being provided. We have heard about the trickle-down effect of not being able to see GPs and the knock-on impact that has on the rest of the NHS. Yet instead of delivering on their manifesto pledges, this Government would rather stoke the flames of division by attempting to shift the blame to GPs and encouraging local residents to vent their frustrations at them rather than at the Government.”
“The Conservatives have promised more GPs in every one of their manifestos since 2015. However, we have approximately 2,000 fewer GPs than we had in 2015. It seems like a simple fix for Government—deliver on manifesto commitments and expand the GP workforce. That will allow for even more appointments and help to reduce the burden on existing staff, leading to less burnout and less fatigue. The British Medical Association conducted a survey of GPs in July. Half the respondents said that they are suffering from depression, anxiety, stress, burnout, emotional distress or other mental health conditions. I repeat—half the respondents said that. That is a huge percentage. Around the same proportion said they plan to work fewer hours after the pandemic.”
“Digital solutions have worked well, but we know that they are not appropriate in every setting and they do not work for everyone; we have heard ample examples of that today in this debate. However, we need to be careful not to conflate two separate issues. Digital solutions in practices were necessary not just for infection control. Demand for appointments is through the roof. GPs have been offering telephone consultations and online appointments for some time now, even prior to covid. There were 2.2 million more appointments in August this year compared with August 2019. The percentage of appointments being delivered face to face is also rising. That shows that GPs are striving to see as many patients as they can, but to increase that number even further they need more support from the Government.”
“We need more GPs, pharmacists, physiotherapists and community health workers. But instead of supporting GPs during this challenging time, the Government prefer to blame them, making their jobs even more difficult at the time of greatest pressure for our NHS. We have looked for virtual solutions so often during this pandemic, and for the most part their effectiveness cannot be disputed. They have allowed our economy to keep going and our public services to continue functioning, and also allowed a small degree of normality in what has been an extremely challenging and turbulent 20 months. I know from my own experience on the A&E frontline, especially early on in the pandemic, that infection protocols and social distancing made many elements of delivering compassionate care very challenging.”
“I myself have had the same GP for my whole life, if people can believe that. I am slightly giving my age away to say that she has been my GP for over 40 years. GPs are the foundation of our national health service, and without access to them our health system would collapse. Chronic illnesses would not be caught in time, mental illnesses would go unchecked and life-saving medication would simply not be prescribed. From our birth to our death, a GP is there for us all, and everyone in this country should have access to their GP. However, like much of the NHS, GPs are overstretched and under-resourced. Even prior to the pandemic, GP surgeries had to contend with a double hit of fewer doctors in the workforce and a rising ageing population. Demand simply outweighs supply.”
“It is a pleasure to serve under your chairmanship, Mr Robertson. I thank all hon. Members for their contributions this afternoon and the hon. Member for Beaconsfield (Joy Morrissey) for securing this debate on an extremely important issue as we recover from the pandemic. This issue is close to all our hearts and to the hearts of the people we serve. GPs play an essential role in our communities. They are often the first port of call for people accessing a wide variety of health services, and their hard work and dedication to serving their communities ensure that we can always obtain advice, medicine and referral to other services. When we discuss GPs, it is important to remember that they are more than just nameless public servants doing a job. They do not just serve communities; they are an integral part of them.”
“No; I want to make some progress. The imminent arrival of winter is also a great cause for concern. Winter is always an extremely challenging time for the health service. GPs will be the first point of contact for the majority suffering from winter respiratory illnesses. However, GP surgeries cannot be blamed for being unable to fill vacancies as a result of wider workforce and funding issues. It is simply not acceptable. The Government are purposely turning communities against one another, risking the health and wellbeing of patients and staff simply because they are unwilling to put forward a sustainable plan to support GPs to manage their workloads. GPs’ needs and patients’ needs are one and the same. It is a failure of Government that has led us here.”
“I thank all the GPs out there serving our communities. I hope that the Government have listened to our points on the support that GPs, patients and communities need.”
“Forcing people to have vaccinations in the communities that have been hardest hit, for whom trust has been completed eroded by this Government, does nothing to serve our collective aim, which is to ensure that the communities that we all serve have the treatment that they need, and timely and respectful surgeries and appointments. That is the very thing that will keep our communities alive and well this winter. Will the Minister, whom I welcome to her place, please outline what steps the Government will take to tackle the workforce shortages in GP surgeries? Will she outline what resources will be provided to ease the intense workload that GPs are already contending with? Will she outline why additional funding is all directed to secondary care, while our primary services are left to crumble?”
“That is beyond the scope of this debate, but I am very happy to have a discussion with the hon. Gentleman afterwards. I do not believe it is appropriate to mandate vaccinations for NHS staff, forcing them to leave their jobs if they do not accept vaccination, as I put forward in the Labour party’s position on the care sector. Let us be clear: GPs are being scapegoated for a failure of this Government to act and put people’s health first. The war against GPs that is being propagated by the Government does nothing to serve patient needs or to serve GPs, who are exhausted and unable to fulfil the commitments that they trained hard to carry out, because of a failure of this Government. I see that the hon. Gentleman feels rather pleased with himself for his intervention on me.”
“For example, we have heard about osteoporosis, as well as moving accounts of people living with serious mental illness and wondering why they do not feel like themselves. For many women, that lasts more than a decade. It is important that we recognise GPs’ essential work and pay due thanks for it, but it is also important to address the lack of understanding that some GPs demonstrate. I have heard accounts of GPs refusing to diagnose women as menopausal, resulting in a frustratingly long drawn-out process that has led far too many women to give up and suffer in silence.”
“For how many of us is it too taboo to even start discussing our periods, let alone have conversations about the menopause? It is damaging to our society that far too many women simply do not know what to look out for. More and more women are learning about the menopause from celebrity accounts. There is still far too much mystery around our bodies, despite making up 51% of the population, and that simply has to change. It is our duty to tackle the misinformation about the menopause and HRT. I hope that this debate goes some way to addressing some of those myths. Better information about the menopause and HRT would likely mean that more women would receive treatment before their symptoms became debilitating.”
“Members who have contributed—men and women—on both sides, because they and their solidarity matter. Along with the many accounts we have heard, it has been incredibly important to read accounts of high-profile women realising that they are experiencing the menopause. We have heard a heady mix of humour and heartfelt tributes today, but it is a daunting space to navigate. As a woman who has not yet entered the menopausal phase of her life, but who has been through starting a period, worrying about having children, having children and understanding her body, after today’s debate I feel less anxious than ever about a topic that many women find extremely worrying to talk about. We have celebrities to thank for raising awareness. How many of us have never had those much-needed conversations with our families?”
“I am proud of everyone who has spoken today. I thank my hon. Friend the Member for Swansea East (Carolyn Harris) for all her work on this important topic. She never ceases to amaze me with her tireless campaigning, which has earned her a formidable reputation across all our nations. Many issues divide us in this place, but we have seen the best of the House in this debate. We are here only because of the work of fantastic campaigners. In a short time, we have moved from hearing whispers of “the change” in people’s living rooms to addressing what real change is needed to support women. We are doing that here in such an important way. It is only possible to reduce the stigma around the menopause by talking and listening as we have today. I thank all hon.”
“We need menopause awareness training for employers to help reduce stigma and to ensure that women are getting appropriate support and advice. This not only benefits those with menopausal symptoms, but has economic benefits for employers and wider society by helping to improve productivity and reduce absenteeism. We need to ensure that medical professionals are able to recognise when women are menopausal so that HRT can be prescribed, eradicating the lengthy waits, and women must be able to access accurate information on menopause to dispel the myths once and for all. I would like to end by again thanking every Member for their contribution today, and I eagerly await to hear from the Minister how the Government plan to tackle the stigma surrounding menopause and offer real support for women once and for all.”