Liz Twist
MP for Blaydon and Consett · Labour · United Kingdom
“I thank my hon. Friend for this report on redress schemes, which certainly reflects the experiences of my constituents who have been involved in some of those campaigns.”
“As the Leader of the House said, today is World Suicide Prevention Day, and I thank him for his comments. In the UK, someone takes their own life every 90 minutes—the length of a football match.”
“These standards, which cover both community and urgent care, must be developed in consultation with the chief medical officer. Crucially, the new clause mandates the Secretary of State to report performance against those waiting times, alongside mental health expenditure, to Parliament every year.”
“I certainly agree with my hon. Friend’s concerns about the need for action on autism. She may be pleased to hear that the all-party groups on suicide and self-harm prevention and on autism will be doing joint work on the matter in the near future.”
“The right hon. Gentleman touches on another angle, namely the world of the internet, which provides such a challenge. The work of Ripple is important in preventing that harm, but there is so much more to do. I congratulate Ripple on its award.”
“I welcome the Bill, and was pleased to be a member of the Bill Committee. I also welcome the Government’s new clauses, about which the Minister has spoken today. New clause 159, to which I have added my name, seeks to address a long-standing legislative omission in our health service. I thank my hon.”
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“With fewer than 20 full-time neuro-psychiatrists in the UK, there is a postcode lottery in accessing support, so those most likely to experience high rates of traumatic brain injury and mental illness also face the most significant barriers to accessing healthcare. That includes those who are homeless, those who struggle with substance abuse or those in prison. Some 60% of offenders are thought to have a brain injury, and yet there are no secure services in the UK for women with an acquired brain injury. Given the links between domestic abuse, offending, brain injuries and suicidality, that is particularly concerning. What steps is the Minister taking to improve the integration of mental health and neurological care, and to ensure that clinicians are trained to recognise and respond to the needs of patients with brain injuries?”
“Despite that, more than half of people with neurological conditions have not been asked about their mental health in the past three years. Many people experiencing suicidal thoughts might not even be aware that they have a brain injury, particularly survivors of domestic abuse who might have experienced repeated mild injuries rather than one significant event. Research suggests that up to half of survivors have experienced brain injury, yet frontline support workers are rarely aware of that link. This matters because people experiencing mental health issues as a result of their brain injury require specialist neuro-psychiatric support. Often they are excluded from mental health services or told that the services they need do not exist.”
“Many teachers say that they have never taught a child with a brain injury, but the evidence suggests that one child in every class will have sustained one by the time they leave school. It is vital that clinicians, teachers and carers consider the question, “Could this be a brain injury?” If that question is not asked, too many will miss out on the specialist support that they need. That is true not just at school but throughout their lives. Rates of brain injury are alarmingly high in our mental health system, in prisons, and among those accessing domestic abuse support services. The risk of suicide is two to three times higher following a brain injury. One in four people report suicidal thoughts within a year of diagnosis, and that risk persists throughout life.”
“For those with moderate and severe injuries, the effect on all aspects of their life is often profound. The UK’s major trauma centres and advances in healthcare are saving more children’s lives than ever—thank goodness—but investment is needed in the quality of those lives after a brain injury. We hope those children will have a long life, but the support remains desperately poor. It is actually left to families and schools to provide much of that support. Brain injuries are common, but the symptoms often go unrecognised or are mistakenly attributed to conditions such as autism or attention deficit hyperactivity disorder. Even with a diagnosis, there is no special educational needs category for acquired brain injury, which forces schools to record affected children under more generic categories.”
“It is entertaining, but it has a very serious message: “Let’s avoid those brain injuries in the first place.” UKABIF and N-ABLES—the National ABI in Learning and Education Syndicate, a young people’s group—point out that acquired brain injury is an under-recognised and often hidden condition that can affect every aspect of a person’s life. About 40,000 children and young people report to hospital with an acquired brain injury every year, but it is likely that many thousands more have an undetected mild brain injury. UKABIF and N-ABLES also say, however, that even mild injuries can be associated with a range of cognitive, behavioural and emotional symptoms, which can inevitably have an impact on a child’s education and health—indeed, on every aspect of their life, as we have heard.”
“A few weeks ago, its representatives accompanied me on a visit to Chopwell primary school, as they have come to other schools in past years, during GloWeek, which is always a big hit with children in Blaydon and Consett. It turns out that road safety is even more memorable if there are high-vis armbands and a visiting police car and fire engine. The purpose is not just entertainment; it is to say to children, “Be seen and be safe,” because so many acquired brain injuries in children are from road traffic accidents.”
“It is a pleasure to serve with you in the Chair, Dame Siobhain. I congratulate the right hon. Member for South Holland and The Deepings (Sir John Hayes) on his opening remarks. We have served together on the all-party parliamentary group for acquired brain injury for a number of years. He gave a very effective summary of the impact of brain injury. I thank Chloe Hayward and everyone at the United Kingdom Acquired Brain Injury Forum and its constituent organisations for all the work and campaigning they do to improve services for people with acquired brain injuries. There are so many aspects of this issue, including sport, other conditions and the justice system, but I will focus on children. I thank the Child Brain Injury Trust for its long-standing support in my constituency.”
“It has been five years since the Cumberlege report shone a light on a shocking patient safety scandal. Last year, the Hughes report set out redress options for those affected by sodium valproate and pelvic mesh. Many of the affected individuals have faced complex, lifelong challenges, which have been compounded by the delays they have faced in getting support. Can we have a debate in Government time about what steps we can take to put the findings into action and provide the recognition and compensation that patients need?”
“Our mental health system is still suffering from the strain of 14 years of Conservative government. Rethink Mental Illness has reported that 12 times as many people are now waiting for mental health treatment than for physical health treatment. Nearly one third of those surveyed attempted suicide while waiting, and one in five lost their jobs. What are the Government doing to tackle those long waits and offer support to people before they reach crisis point?”
“I would be interested to hear the Minister’s views on the potential merits of a dedicated framework to bring those efforts together with work to expand early diagnosis, and on what more we can do to ensure that we catch and treat conditions early. I thank Asthma + Lung UK and the APPG for respiratory health for their work in ensuring that COPD remains firmly on the agenda here in Parliament. My thanks go to constituents who have shared with their experiences with me, not just lately but over a number of years. I know just how devastating this condition can be, and I hope that we continue to work together to address the impact it has on our communities and people.”
“I am pleased with the progress we have made to tackle smoking prevalence through the Tobacco and Vapes Bill, and the progress made through Awaab’s law, which requires that problems of mould and damp are responded to quicker in the social housing sector. Locally in the north-east, our ICB performs well nationally for ensuring timely referrals to pulmonary rehabilitation services. However, much more needs to be done nationally to ensure access to rehabilitation services. I know there is much more to do to ensure that all eligible patients have access to that treatment as well as biologic drugs. Both those interventions can make a huge difference to quality of life and reduce hospital admissions.”
“We have had lots of snow in Consett this week, while I have been down here in Parliament. Although it is great to see people enjoying the snow, I know that such weather conditions make living with a lung condition even more challenging, leading to heightened admissions to hospital, as we heard from the hon. Member for Strangford. This debate is therefore timely and is a good opportunity to remind ourselves of the importance of improving access to diagnosis, treatment and care for people living with COPD. The Government’s 10-year health plan has established the importance of prevention and care within the community.”
“From the discussions I have with constituents who come to my local surgeries or contact my office, it is clear just how closely this condition tracks health inequalities. Nine in 10 cases are thought to be caused by smoking, which we know is associated with socioeconomic deprivation. Meanwhile, persistent exposure to damp and mould in poor-quality housing further contributes to and exacerbates lung problems. I have received messages from constituents receiving hospital care who are frightened to return to homes that they strongly feel are not safe places for them to be in. I have heard from others who struggle to walk long distances, for whom the reliability of public transport is a serious issue. This condition cuts across many areas of daily life. The town of Consett in my constituency is well known locally for its freezing climate.”
“It is a pleasure to take part in this debate with you as Chair, Mr Efford. I also thank the hon. Member for Strangford (Jim Shannon) for securing this important debate. He and I have worked together on the respiratory health APPG for some years now, and I know how committed he is to tackling this issue. Like in many other places across the north-east, a great number of people—more than 2,500 people, in fact—are living in my constituency with the debilitating symptoms of COPD. In some parts of my constituency, the rate is almost twice the national average, and those are just the people we know about. Almost a quarter of those with COPD wait five years or longer for a diagnosis, and there are many more living with COPD who are undiagnosed and therefore untreated.”
“Yesterday evening, I had the privilege of hosting the British Standards Institute at a reception at Speaker’s House to mark the launch of the UK’s first national suicide prevention standard—BS 30480: Suicide and the Workplace. That is a huge step forward in making suicide prevention everybody’s business, and I thank all those involved. Might we have a debate in Government time on how we can support employers and organisations to implement and make the most of that important guidance?”
“Polling by National Energy Action has shown that four in 10 adults with prepayment meters have found themselves without credit and unable to access heating or power in the past 12 months. Families often face immense distress as standing charges continue to accrue as a debt that must be cleared before energy can be accessed again. Does the Minister agree that Ofgem must explore practical reforms to ensure that households are not penalised for maintaining access to energy?”
“I welcome the inclusion of community history and the acknowledgment of its importance. Does the Secretary of State think that projects such as the Addison project, which looks at a category D village in my constituency, help children to develop digital skills, learning and thinking skills and practical skills?”
“I refer the House to my entry in the Register of Members’ Financial Interests. The hon. Gentleman is talking about seasonal work but has he thought about the impact on young people of so-called zero-hours contracts and the pressure that puts on their being able to live a decent life and plan for the future? I was at a conference last week about mental health in the workplace, which Opposition Members are concerned about. Zero-hours contracts and flexible working are really difficult for young people, and we must address their concerns as well.”
“Amazing community groups such as The Pickle Palace, Leadgate Salvation Army, Gateshead Youth Initiative and Building Self-Belief have all been nominated by residents in my constituency to receive one of my red kite awards, created to celebrate all the work that our incredible volunteers do across the constituency to ensure that our communities are vibrant and full of support. May we have a debate in Government time on how we can support the voluntary sector at the heart of our communities?”
“I welcome the Minister’s comments on new clause 20 and a possible child protection register. My constituents Gemma Chappell and Rachael Walls have been campaigning for stronger child protection measures after their great-niece, Maya, was murdered by her mother’s abusive partner. Does the Minister agree that measures such as a child protection register and Maya’s law can only help to protect our children—children like Maya, Tony and others? And what steps will he be taking to follow this up?”
“The clocks turn back this Sunday and many children will soon go to school in the dark. The Child Brain Injury Trust has a campaign called GloWeek, which promotes high visibility so that young people can be seen in the dark and avoid accidents that can alter their lives forever. Tomorrow I will join pupils at Chopwell primary school as they learn all about it. Can we have a debate in Government time on how we can encourage safety across our community?”
“I welcome the Government’s work on the national youth strategy and their investment in youth services so far. How do they expect the move away from a one-size-fits-all approach to benefit young people from different backgrounds in my constituency and in general?”
“T6. Communities in my constituency have been devastated by the destruction of Shotley Park, a grade II listed building, in a recent fire. I understand that an investigation is going on into the circumstances, but can the Minister say in more general terms what steps we can take to protect our listed buildings and the memories they represent for local people?”
“On a point of order, Madam Deputy Speaker. Members will be aware that the Upper Waiting Hall is this week hosting the Speak Their Name exhibition of suicide memorial quilts from across the UK. This would not have been possible without the help of House staff who have gone way over and above to ensure that the exhibition and last Friday’s launch with the Baton of Hope could take place. May I ask you, Madam Deputy Speaker, to thank all the staff involved for their help and to pass on my appreciation?”
“I doubt that there is a single person in Consett and active on social media who has not seen Maya’s beaming smile, which is exactly how her family want her to be remembered. They have held local events, reached out to everyone they can think of and grabbed the attention of local and national media. It is thanks to their tenacity that I am here today and it is a tribute to the entire community, who have got behind the campaign in memory of Maya’s life.”
“She soon began to sustain bruises that were noticed by other people. Relatives flagged these injuries to Maya’s mother, but she did not act. Instead, Maya was kept away from her father, James, and from the staff at her nursery so that they could not see the impact of Daymond’s abuse. In fact, following Maya’s move to Peterlee, members of her family did not even know where she lived. On 28 September, Michael Daymond was being chased for drug debts and was told that his universal credit had been cut off. On that day, he subjected Maya to the most appalling physical violence, leaving her with injuries that were not survivable. She died in hospital two days later, on 30 September 2022. It has now been more than three years since that tragic day, but Maya’s family and the community of Consett have ensured that her name has not been forgotten.”
“Although it is a privilege to remember Maya here in Parliament, it is with a deep sadness that we are here today because this much-loved little girl was failed so terribly by those who were supposed to protect her. Maya was born on 7 March 2020, just before the start of the pandemic. Being born at that time meant that she was not seen by others. Although her mother was not known to statutory services, Maya’s family say there were early red flags, including missed health visits, concerns about drugs being in and around the house, and her parents being involved in controlling or concerning relationships. In summer 2022, Maya’s mother began a relationship with Michael Daymond, and they quickly moved in together. A judge would later conclude that from that moment, Daymond began hurting Maya regularly.”
“My constituent Gemma Chappell and her sister Rachael know that pain all too well. Their great-niece, Maya Chappell, was cruelly murdered by her mother’s new partner in September 2022, aged just two and a half. The case shocked the community of Consett in my constituency, as well as communities in Shotton Colliery, County Durham and across the north-east. Before I talk more about the case, I want to talk about Maya. If one thing was clear from my conversations with Gemma and her family, it is that Maya was a treasured little girl. She had family, friends and an entire community who loved her and who looked after her. Despite her tender age, she touched the hearts of everyone she met with her huge smile, infectious laugh and friendly nature. She was full of life, mischief and personality. She loved cake, playtime and “Peppa Pig”.”
“I beg to move, That this House has considered the potential merits of a child risk disclosure scheme. It is a pleasure to serve under your chairmanship, Mr Efford. The focus of this debate, a child risk disclosure scheme, might sound a bit complicated and dry. In some ways, it is. It is about how our laws, policies and institutions come together to protect some of the most vulnerable children in this country, and about how we close gaps in a complex web involving our police, the NHS, local authorities, our education system and families. Ultimately, however, it is about the children at the heart of those cases and the lives that have been altered forever by the most horrifying abuse. Some we may never know the names of, but their lives were still important, still cherished and still worth protecting.”
“However, children are killed and harmed in households where non-sexual abuse is taking place and where family members have raised concerns but had no legal standing to insist on intervention.”
“Sarah’s law and Clare’s law operate on a right to ask and right to know basis. Relevant third parties can request information and the police can make disclosures of their own accord if they become aware that a person may be at risk. Clare’s law, which focuses on intimate partner violence, covers children only when they are linked to a primary adult who is at risk of domestic abuse. Although children are the focus of Sarah’s law, its primary concern is sexual offending. Sarah’s law does permit the disclosure of wider safeguarding concerns, but that is discretionary, and there is a presumption to disclose information about an individual only where they have convictions for child sex offences.”
“Although the family were not known to statutory services, the child safeguarding practice review highlighted instances in which professionals could have stepped in—for example, when Maya’s mother contacted a health visitor asking for support or when Maya’s father, James, approached Durham’s First Contact service with concerns about Michael Daymond. James was told to contact the police, where the matter was progressed under Clare’s law and Sarah’s law, but when an officer followed that up, Maya’s mother told them that she was no longer with Daymond and the matter was closed. Clearly, there was a need for more professional curiosity on the part of the First Contact service and the police, but the incident highlighted the fact that neither of those laws is designed to protect children from known risks of non-sexual abuse.”
“I know that people in my hon. Friend’s community were also affected by the case. I certainly agree that the law would make a real difference to people and children in future. That is what we want to do—protect other children. I have been particularly moved by Gemma and Rachael’s determination to work with other families who have had their lives changed irrevocably by child abuse, including the families of Star Hobson and Tony Hudgell, who is thankfully still alive. This campaign is not only about remembering Maya; it is about preventing other children from enduring the unimaginable pain that Maya did on that day and in the weeks preceding her death.”
“The result is that, 25 years on from the Victoria Climbié inquiry, we are still seeing children being harmed where opportunities to intervene have been missed.”
“The independent review of children’s social care in 2022 put it plainly: “Poor multi-agency working...is a perennial issue that has been raised in every recent review that has considered child protection”. Existing legislation has attempted to solve this problem. The Children Act 2004 outlines the statutory safeguarding duties of local authorities and how they must work with the NHS and police in multi-agency safeguarding hubs to protect children in their areas. In practice, however, we know that multi-agency working has been more fractured than it should be. Furthermore, the thresholds for intervention are perceived as extremely high, and with a rising number of section 47 inquiries, existing services have been stretched.”
“I am glad to have my hon. Friend’s support in this campaign. As a police officer in Durham constabulary, Maya’s auntie Gemma is well acquainted with these laws and their pitfalls. That is why she and the family are campaigning for Maya’s law, a child risk disclosure scheme modelled on the existing frameworks of Sarah’s law and Clare’s law, and designed to bridge the gaps between them. The scheme should enable proactive information sharing where a child is deemed at risk owing to a parent or caregiver’s known history, even where current laws do not trigger disclosure. It has long been recognised that information sharing is a serious issue when it comes to child safeguarding. Over 50% of serious case reviews cite communication failure as a primary cause.”
“I am in no doubt that those measures, including the establishment of multi-agency child protection teams and the introduction of a single unique identifier for children, will help to save lives.”
“I know that Gemma, Rachael and the family have been working together with other families who have been affected, including Tony’s family. What happened to him is absolutely tragic. We need to take a number of steps along the way, and today we are arguing for this disclosure arrangement. I am very happy to talk to the hon. Member further about Tony’s case and how it can be improved. The Government have taken vital steps forward with the Children’s Wellbeing and Schools Bill by placing a duty on certain agencies to disclose information to other agencies where they consider it to be relevant to safeguarding or promoting the welfare of children. That is a recognition of the regulatory barriers perceived by practitioners when sharing information, and of the culture change that is required.”
“Her family will not have the opportunity to watch her grow up and see where life would have taken her, but they want to take every opportunity they can to ensure that no family has to endure the pain that they have. I pay tribute to them and hope the Minister can work with me and Maya’s family on that mission.”
“Sadly, her death is not the first high-profile case in which more could have been done. Had this debate been longer, I am sure we would have heard testimonies about many more children whose deaths could have been prevented. To put it simply, in each of these cases, reports are produced, and they almost invariably cite lessons learned, as was the case with Maya. The family and I are calling for those lessons to be put into action. As Gemma Chappell says: “Let’s make that phrase mean what it should. Not the end of a case, but the beginning of change.” We should not be here today. Today Maya should be five and a half years old. She should be enjoying her time at school, making friends and going to birthday parties.”
“What steps is the Minister taking, alongside colleagues in the Department for Education, to ensure that our legislation is watertight? Will he commit to working across Departments to ensure that safeguarding partners work alongside each other to uphold their responsibilities? Will the Department for Education, working alongside the Home Office and others, consider the role of the police in protecting children from a broad range of potential risks? Finally, will the Minister meet me and Maya’s family, who are here today, to hear about their concerns and the changes we believe are necessary to prevent future tragedies? Every loss of this nature causes unbearable pain for loved ones and carers. Maya’s family have worked so hard to get the campaign to this point.”
“My hon. Friend makes a very good point. It is really important that we keep the focus on protecting our children and taking the steps we have outlined today. Although it is vital that we improve safeguarding mechanisms among professionals, there is still more to do to ensure that families like the Chappell family are empowered to escalate their concerns, and that their concerns are taken seriously. We need greater awareness among the public and professionals of safeguarding risks that fall outside a narrow view of sexual abuse and intimate partner violence, we need to support safeguarding agencies to fulfil their obligations and hold them to account when those obligations are not fulfilled, and we need to close gaps to protect vulnerable children from slipping through the cracks of a fragmented system.”
“Clearly, there is a whole lot of activity going on to improve child protection, but we think there are some significant gaps. Would the Minister be prepared to meet me and the family so that we can explain where we think the gaps are and how we could improve the legislation?”
“Some cases are now being listed for 2029, which is completely unacceptable. How is the Secretary of State undoing the harm inflicted by the Conservative party not only on the justice system but to trust that justice will be found?”
“School holidays are great, but they can be a really tough time for some families. Programmes such as the holiday activities and food programme help to bridge the gap by providing not only meals, but opportunities to build social skills and confidence with age-appropriate activities and a side serving of fun. This year I attended a HAF Plus event hosted by Northumbria University, at which young people aged 13 to 16 could do just that by taking part in activities from baking to gaming and martial arts, which were designed by young people themselves. I am delighted that the Government have invested to extend the scheme for another three years. Can we have a debate in Government time on how we can build on the success of HAF?”
“I would also like to talk about the online harms that people face. The Government have started to take action, but it is developing all the time. I hope that we can continue to take strong action in that region, and continue to improve the national suicide prevention strategy.”
“But it is also true that some are more affected than others. Deaths of this nature are both a cause and a consequence of health and economic inequalities. In the north-east, our suicide rates have consistently remained higher than the national average, and they have risen steadily over the past decade. There was so much more that I was going to say, but I will move on to my asks of the Government. I am proud of the work that the Government have carried out so far, from expanding mental health support teams in schools to implementing online harms legislation. But going forward we need to have mechanisms in place to assess public mental health need at a local and national level, tackle emerging issues and support well-evidenced public health interventions to prevent suicides.”
“That includes organisations such as If U Care Share, Body & Soul, Gambling with Lives, Silence of Suicide, SoBs, 3 Dads Walking, Jami, Baton of Hope, James’ Place, The Martin Gallier Project, and the Speak Their Name quilts project, with quilts from the UK on display in Parliament when we return in October, and with the Baton of Hope ending its trip in Westminster the previous Friday. There are so many people who I could name, and I apologise for not naming them, but I see and hear them. I thank them for their work. I am pleased to have worked with the British Standards Institution over the past 18 months, which will shortly publish suicide prevention guidelines for employers and launch them in this place. There is no single community in this country that is not affected by suicide.”
“We cannot say it too often: every one of those lives lost to suicide was not a number but a real person, and every life lost to suicide is a tragedy. As a result of my work over a number of years with the APPG for suicide and self-harm prevention, I have got to know many wonderful organisations, very many of them inspired and run by those with their own experiences of loss, working hard to prevent suicide and to help those families and friends who have lost people to suicide.”
“I start by thanking my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher) for securing this important debate just one day after World Suicide Prevention Day, and for speaking so movingly about his personal experience. It does not take much scratching below the surface to find out that many of us here in Parliament and across our constituencies have been affected by suicide. An estimated 7,055 suicides were registered in the UK in 2023. Suicide remains the leading cause of death in people under 35, and of men under 50, and each suicide ripples out, affecting family, friends, work colleagues and social groups, leading to an increased risk of suicide in them. It is now some 25 years since my husband Charlie took his own life, and I still see those ripples affecting so many people who knew and loved him.”