Dr Luke Evans
MP for Hinckley and Bosworth · Conservative · United Kingdom
“I applaud the hon. Gentleman for raising this topic. Although he and I are in different parties, we have long been on the same page about how important it is to have male role models and about the role of men and boys. Under the previous leadership, we were making progress, with a men and boys summit due to take place this summer.”
“This House will know that I continue to push for the issues affecting men and boys to be addressed, and we were making progress—the last Prime Minister committed to a men and boys summit. Sadly, there has been a reshuffle and that summit has not yet happened.”
“We are talking about resilience, and one of the things that has made resilience worse is Labour’s policy on mandatory advice and guidance, and single point of access. We know that secondary care doctors and GPs are struggling but, more importantly, it is causing actual harm to patients.”
“The Minister has spoken about sovereignty, and she is right, and she will be aware that under the Offshore Minerals Ordinance 1994, any decision on exploration has to come to this country. It just so happens that the very Energy Secretary who banned new licences in the UK will now be that decision holder.”
“When the right hon. Lady came to the House last year to announce her consultation, I called it a mess. Fast forward 18 months: there is now chaos in the outcome and decisions. Make no mistake, the reason we are here now is the threat of the courts.”
“We know that Labour’s NHS policy on mandatory advice and guidance and single point of access has led to deaths. We on the Opposition Benches warned about it, doctors warned about it, and patients warned about it, and we were told repeatedly that it was total nonsense, misinformation, opportunism and even conspiracy theories.”
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“Finally, will the Government now review whether the current model, under which chains are expanding rapidly through acquisition and debt, is fit to safeguard community pharmacies in the long term? Linked to that, can the Minister definitively confirm that the funding settlement has not been compromised? The 10-year NHS plan states that it wants to move more care into the community, yet it is completely missing a delivery chapter on how to achieve that. At the same time, we have issues such as Jhoots. I hope the Minister will be taking steps to investigate this issue in its entirety and to safeguard against this type of incident happening again, and will spell out the delivery aspect of the 10-year plan.”
“This is not an isolated business failure; it exposes a deeper fragility in the community pharmacy network on which local people depend for basics and often lifesaving care. I have four questions for the Minister. First, when was NHS England first made aware of these closures, and has the Minister met the Jhoots leadership? If not, why not? If he did, what was the outcome? Secondly, has the Department assessed how many people have been left without local pharmacy access as a result of Jhoots’s actions, and what is the Minister doing to remedy this, considering it is happening across the country? He mentioned ICBs, but there are several involved. Thirdly, what mechanisms exist to ensure continuity of care when a contractor collapses or walks away? Again, he mentioned ICBs, but is there a national contingency plan?”
“Only this weekend, the National Pharmacy Association chief executive, Henry Gregg, said that he is concerned that “reports of Jhoots Pharmacy branches across England failing patients risks damaging community pharmacy’s reputation and could imperil its ability to secure a good 2026-27 funding settlement.” Communities across the country have been left without functioning pharmacies. Doors have been locked without notice, patients have arrived to find no pharmacist, no prescriptions and no stock, and staff have gone unpaid and been threatened with the sack. Jhoots Pharmacy faces allegations of not paying wages, having premises repossessed and serious regulatory breaches. The General Pharmaceutical Council has already intervened several times, yet for many patients it is too late—they simply cannot get their medicines.”
“As Dr Lade Smith CBE, the president of the Royal College of Psychiatrists, said at the time: “It is illogical that the share of NHS funding for mental health services is being reduced at a time of soaring need and significant staff shortages.” Going on, she said that: “The proportion of NHS funding allocated to mental health services will decrease”, which will “equate to these vital services missing out on an estimated £300 million or more that they would have received if their share…had been maintained.””
“The same chaos is playing out across integrated care boards, with local leaders warning that there is already destabilisation due to the 50% reductions. If Ministers cannot manage their own top-down reorganisation, why should anyone believe they can deliver a more ambitious overhaul of mental health services without a clear costed plan, especially when waiting lists have risen in the last three consecutive months? This Labour Government have already cut the proportion of spending on mental health.”
“In March, Ministers made a surprise announcement of the abolition of NHS England and its absorption into the Department of Health and Social Care, yet six months on they cannot say what it will cost, how many staff will be lost or how it will be paid for. The Health Service Journal reports growing confusion inside the system and warnings from NHS leaders that the lack of clarity risks paralysing decision making. Written questions to the Government simply receive the answer “some upfront cost in the millions” yet independent estimates say the cost is over £1 billion. Even the chief executive, Sir Jim Mackey, points out that the Treasury must agree funding for integrated care board redundancies within weeks or the NHS will have to turn to a plan B.”
“This Report stage is our chance to turn those words into commitments. New clause 31 requires the Government to publish a fully costed delivery plan within 18 months of the Act passing into law, setting out how integrated care boards and local authorities will deliver adequate community services. Crucially, the plan must be developed through consultation with those who know best. That is vital, because although we support the many aims of the Bill, the Government already have a pretty dismal record of announcing reforms without any credible plan to deliver them. Let us take the ongoing NHS reorganisation.”
“Warm words are plentiful, but the reality is that too many people are still falling through the gaps: detentions are still present, community services are stretched, and families are left navigating a maze of bureaucracy while waiting for help that may never come. We all know that reform cannot be delivered on aspiration alone. It requires a delivery plan, a workforce and a system capable of learning from its own mistakes. We know the chapter on delivery is missing from the 10-year NHS plan and there is further risk tonight that we miss another opportunity. After all, the principles in the Bill are the right ones. They are even on the face of the Bill—choice and autonomy, least restriction, therapeutic benefit, and treating the person as an individual—but those principles need power behind them and that power lies in delivery.”
“When we last debated the Bill on Second Reading, I said that protecting someone’s freedom for their own safety is not a licence to own their life, but a duty to help them find it again. That principle still guides us today, because good intentions alone do not mend a troubled system. Compassion without competence is not care; it is sentiment without substance. On Second Reading, I spoke of bridges and rough roads, and of how resilience and recovery depend on the strength of the structures that carry people through their hardest times. Tonight, we return to that bridge. The question before us is not whether we believe in reform—after all, there is cross-party agreement on that—but whether the Government have built the foundations to make it stand.”
“In Committee, I argued that the framework still omits one dimension, which is public safety. As far as I can see, there is still no explicit requirement in the Bill for clinicians to assess and record the level of risk posed to the public.”
“The Chair of the Health and Social Care Committee is absolutely right. A simple answer from the Minister today, on Report, would go a long way to alleviating those fears from the mental health sector. I look forward to his response on that. Amendment 40 would add a simple but important requirement that each care and treatment plan must include an assessment of the levels of risk to public safety posed by the patient in the community. The purpose of the Bill is right; the Government want to make the system more compassionate, therapeutic, patient-centred and modernised, and we strongly agree with that ambition. However, modernisation must go hand in hand with public confidence, and the public and patients themselves must know that every plan for treatment and discharge is rooted not only in care, but in safety.”
“The Minister also said that placing these safeguards in legislation would remove flexibility for clinicians in emergencies, but new clause 29 does allow for exceptional circumstances; it simply requires that they are justified, recorded and subject to oversight. Research from University College London found that there has been a 65% increase in the number of children and young people admitted to adult wards for mental health disorders, and this increase is sharpest among teenage girls with eating disorders. They are the most vulnerable, and they are the ones who bear the brunt of this.”
“The Minister may argue that it already exists in professional codes, in the Mental Health Act code of practice or even in risk management frameworks, but the statutory duty does not. Our amendment would put that duty squarely in the Bill. Talking of safety, I will turn to new clause 29, which would ensure that no child is placed on an adult mental health ward except in truly exceptional circumstances, and only when it is demonstrably in their best interests. The Government argue that guidance already covers that, but this guidance has no teeth; it can be ignored or inconsistently applied. Again, guidance without legal backing is too easily ignored. That was why the Joint Committee on Human Rights argued in its letter that this part of the Bill needs strengthening.”
“Gentleman’s point on whether or not it should be in the Bill. I will come back to him on that, because I would be rather surprised if it were not made very clear somewhere that that is a basic expectation; if it were not, that would obviously need to be looked at, but I am reasonably confident that it is.” –– [ Official Report, Mental Health Public Bill Committee, 12 June 2025; c. 171.] Unfortunately, expected in practice is not the same as required in law. We know from past reviews that there is a gap in the risk assessment and that communication can be too inconsistent. Putting such a requirement in statute would not be bureaucracy; it would simply clarify that.”
“I thank my hon. Friend for raising that tragic case. Those are the kind of cases that this amendment seeks to deal with. We have only to look at the tragic cases of Nicola Edgington and Valdo Calocane to see how escalating risk happens, with huge consequences for the families, patients and victims. When I raised this matter in Committee, the Minister gave a very thoughtful answer. He said that: “if any risk at all to public safety is perceived, that must be documented… It is a basic expectation of the professional management of a particular patient that any risk identified to public safety and protection must be in there.” I welcome that. With amendment 40, I am simply asking, if that is indeed the Government’s position, why not make it clear in the Bill? The Minister conceded in Committee that “I take the hon.”
“That is exactly what the House is addressing with this Bill: how to protect without diminishing, how to act with compassion without surrendering precision, and how to empower without imposing. Involuntary care must never be the reflex of a system, be it under pressure or out of principle. The House agrees on this position; the challenge is delivery. Compassion demands more than good intentions. It demands delivery, discipline and detail. With this Bill, the Opposition lays the challenge of delivery. It must be not just a pledge but a plan. The public will judge us all not just on how kindly this House speaks, but on how faithfully it serves those who depend on us most.”
“The point is that in law this principle is already clear in the Children Act 1989, which defined it as the foundation stone of what families should look like. With this amendment, I believe we have solved the concerns the Minister had at Committee stage about the state of a family in the modern era. In any other walk of life the legal framework exists, so why would we weaken it when it comes to mental health? We discussed the issues with A&E and the grey area there in Committee, and I was grateful to the Minister for meeting beforehand to discuss them. I know that he took on my comments about solving the practicalities, and I hope he will look at them seriously. For this House, there is no greater moral burden than deciding for someone who cannot decide for themselves—where care ends and where control begins.”
“At first glance, this may seem technical, but it speaks to something profound about how the law views childhood, family and the balance between protection and autonomy. The Government are right to use the Bill to modernise the old “nearest relative” system, which was too rigid, too bound by bloodline and at times blind to the complexities of family life. Under the Bill, however, a child under 16 deemed competent could nominate any adult—that could be a 19-year-old boyfriend or peer or someone exercising control—and once nominated, that person gets full control. It is a legal authority. We need to ensure that protection is there for the person if there is a breakdown on the family side. [ Interruption. ] I see that Madam Deputy Speaker is encouraging me to wind up, so I will solidify my comments into a more erudite approach.”
“My hon. Friend is absolutely right that that support needs to be there. Fortunately, it is not the budget that is reducing but the proportion of funding, and it shows the priorities of this Government when it comes to mental health. I am concerned that without new clause 29, a child may be harmed or traumatised and placed in an adult ward without proper justification—and it will be little comfort for the family to hear that guidance was breached. Amendment 41 stands up for the simple but vital principle that when a child is detained under the Mental Health Act, the person legally recognised to act for them—their nominated person—should hold parental responsibility. Only where there are legitimate safeguarding concerns should that be set aside.”
“We did not discuss this specifically in Committee, but I would be interested to know about the interaction between the independent mental health advocates, which are being expanded and which we all agreed with in Committee, and a new liaison service. I worry about the duplication. Will the hon. Member explain how that crossover would work in practice?”
“My hon. Friend makes an excellent point. The only protections that I can see in schedule 2 are an age requirement, a stipulation not to be disqualified by a previous court order, and the presence of a witness. There is therefore no pre-emptive way of protecting people, which is why amendment 41 is so important.”
“We in Leicestershire have three, if not four, plans for our reorganisation, with no agreement. We also have a county council run by Reform, which has already had not one but two reshuffles, losing its cabinet leads for social services and finance. While 70% of its budget is spent on social services and special educational needs and disabilities, what assurances can the Government give me that my constituents will get those services, and that those services will be protected, when there already seems to be chaos in the council?”
“The right hon. Gentleman is the Minister for Security. I have been here for almost an hour and a half, and I have not heard him answer this question: was China spying on Parliament, or is it even a consideration that it is spying on Parliament?”
“I want to pick up the question about punishment, because I am confused. The Secretary of State says that, in order to work, someone will have to have a digital ID—it will be mandatory—yet she also says that the impetus will be on the company and not the individual, who will not need to have one. How will that work? Will the individual have to have one? If they choose not to, will that mean they cannot work? Will it mean they have to claim benefit? Or will it mean they will go to prison because they do not have a mandatory ID?”
“Is my right hon. Friend aware that James Matthews, the Sky News reporter, cornered Lord Mandelson on 27 May to ask him specifically about staying in Epstein’s flat? Mandelson did not deny it, but simply said that he regretted having any connection with him. These are the kinds of questions that should have been asked, and were being asked by my hon. Friend the Member for Rutland and Stamford (Alicia Kearns) and many other Members back in May, about the suitability of the ambassador. Does my right hon. Friend agree that the Prime Minister should have looked into this further at that point?”
“It was even on the lectern: “Plan for change”. Herein lies the problem. When the Transport Secretary was found to have committed fraud, when the anti-corruption Minister was investigated for corruption, when the homelessness Minister had to resign for making people homeless, and when the Deputy Prime Minister and Housing Secretary was found not to have paid her tax, it was not because the Prime Minister pushed them out there—it was because the media and this place did their job in holding them to account. That is the difference I am looking for today.”
“I am acutely aware that the sword of hypocrisy has a blade on both sides, and swung heavily in this House, it can hit both sides equally, but it is not the wound that can kill; it is the subsequent infection. That is the problem we are seeing today. The hon. Member for Rugby (John Slinger) pointed to the past and talked about context. He is right: context is important to the public in this debate, and we on the Conservative Benches are paying the price for some of the decisions that were taken before. It was not the fact that a previous Prime Minister ate cake. It was the fact that it was then covered up, and we had to come to this House following the report to say that we felt the Prime Minister had lied. The new Prime Minister came in saying, “There will be change. There will be something different.” Those were his words.”
“When I heard that this debate had been granted, I thought long and hard about what I could add and whether I should even take part. Many of the questions that spring to mind about the process—where, when, why, how and so on—have already been asked far more eloquently and in more detail than I could. In essence, it comes down to the fact that this was a political appointment, so the PM is the person who should carry the risk—that is the job. If it is someone else’s, we need to know who that is. Stepping back a bit, I thought, “What would the man and woman on Hinckley high street say if I talked to them about it?” They do talk about it, and it hits hard. They have many of the process questions that we have. This seems a bit of a pyrrhic victory.”
“My right hon. Friend is spot on. Respect should be given to the many people who have raised concerns, including the Leader of the Opposition, many in the media and many Back Benchers on both sides of the House. This is my primary point: the Prime Minister said he wanted to do something different. Well, what could he do differently? He could come to this House, tell people the truth and answer the questions. There is nothing stopping him from delivering a statement, putting himself up for scrutiny and answering these questions. He could convene a Committee of the House—I am sure many would be happy to attend—to answer the questions put to him.”
“I finish where I started: today is a pyrrhic victory—a hollow victory—but I live in hope. On the day that the Government have introduced the Public Office (Accountability) Bill, I am hopeful that the Prime Minister could still lead the change that he set out. He could still live by his own standards that he set for himself and his Government, and he could still clear up once and for all exactly what happened. I live in hope that that might be the case.”
“My right hon. Friend is spot on. The Prime Minister said he would do things differently. If he wants to show leadership, he could come to the Dispatch Box himself. I have a huge amount of respect for the Minister who will have to defend this situation, but he is not the decision maker—he is not the risk holder when it comes to this decision. Therein lies the point. I am sad today, because the public will look on and see that a new Prime Minister came in on a landslide majority saying he would do things differently, by his own standards that he set, and he has chosen not to. He has ignored the questions. He has answered the media, saying in his one outing, “I wouldn’t have made the decision if I knew the information.” That is not good enough to allow the public to understand.”
“The hon. and learned Gentleman is making a fantastic speech. The Prime Minister said that he had “confidence in the ambassador”. He did not say “pending investigation or a suspension”, “I’ll look into it” or “I’ll follow process”, but “I have confidence.” Why does the hon. and learned Gentleman think that the Prime Minister did not say that he would look into the situation seriously, and instead said from the Dispatch Box specifically that he had “confidence”?”
“The Minister is doing a fair job, but I have one simple question for him: why is he, not the Prime Minister, in the Chamber answering the House’s questions? The Minister clearly cannot answer them—no disrespect to him. The Prime Minister said that he did not know something, but now he knows something. Where is the Prime Minister, and why is he not at the Dispatch Box?”
“I would hate for the Minister to mislead the House inadvertently, because I raised the examples earlier of Sky News and of my hon. Friend the Member for Rutland and Stamford (Alicia Kearns), who raised concerns about Mr Mandelson. Even in this debate, we heard evidence of what the Opposition have been doing, including talking about the inappropriateness of this ambassador back in May.”
“I recently met the chief constable of Leicestershire, and he explained some of the red tape that his force faces. Between April 2024 and March 2025, it used 14,769 “use of force” forms. These are for when people go into handcuffs. Some 6,500 of those were for people who were complicit and were happy to be handcuffed. Each time that happens, it takes an average of 23 minutes to fill in one of those forms. If that could be taken away, it would save the force about £50,000. Will the Minister look at this, and will she meet me to discuss some of the other red tape that we could remove to make policing much more streamlined?”
“The Minister has repeatedly said that it is not his job to speculate on the CPS. He is right, but it is his job to defend the security of this country and therefore to ask the CPS why it has not brought charges. Has he done that? Has he rung the CPS before he came to the House to speak to it and to understand why it has not gone ahead? If not, why not?”
“I am grateful. The new Secretary of State has been asked this several times, but we never heard an answer: can he point to a small or medium-sized business that actually supports this Bill?”
“This is about the Prime Minister’s judgment. By Mandelson’s own admission, there is more very embarrassing information coming, so the Prime Minister could have said to the House yesterday, “I will suspend him, pending further investigation,” but he did not; he backed him. Can the Prime Minister be 100% sure that, in making any trade deals, or in any negotiations, Mr Mandelson has not been compromised by the information that has now come forward, and will he commit to investigating that?”
“May I ask the new Leader of the House for some help? I have been working with the Hinckley school to try and get its science and technology building project sorted. That has been going on for a couple of years and we are at a crucial point with contractors. With the reshuffle, the Minister in charge of that portfolio has been moved on, and we are therefore in a pending position. I have already sent the information to the Leader of the House and I would be grateful if he would contact the Department for Education on my behalf to put pressure on to ensure that we get a decision made on this, so that the development can get started before the winter sets in.”
“In response to a written question in April, the Minister for Care stated: “There are currently no plans to run another grant fund.” Will the Minister explain the basis behind the decision earlier this year not to renew or replace the suicide prevention grant fund, and what alternative provision, if any, is being provided?”
“If we are to go down the route of segregating policies on sex, there appears to be a compelling argument to have a men’s Minister to work across Departments. That cannot be starker if we consider that for every woman who dies by suicide in the UK three men die. Another achievement by the previous Government was the launch of the suicide prevention grant fund, as we have heard, providing £10 million to 79 organisations between August 2023 and March 2025. In my constituency, the charity First Step Leicester, Leicestershire and Rutland received £76,845 and the grant was used to improve specialist counselling work in prisons and to build on pilot projects. It is therefore a regret that the suicide prevention grant came to an end in March 2025 and has yet to be renewed or replaced.”
“We take suicide prevention extremely seriously, because every suicide is a tragedy that has a devastating and enduring impact on families, friends and communities.” —[ Official Report , 24 March 2025; Vol. 764, c. 757.] His Majesty’s Opposition welcome that step forward, but in looking at the 10-year plan, I note that suicide is mentioned only three times. I think that everyone here hopes to see it feature heavily in the upcoming men’s health strategy. Will the Minister provide an update on timescales for the strategy and how it will consider suicide prevention? Will the Government look at the prospect of a Minister for men and boys if the evidence points in that direction? We have a Minister for Women, as we believe that women have different problems across society. By that very logic, men and boys have different needs too.”
“I know that the Government have been consulting on a wide range of issues, particularly when it comes to men’s health and the men’s health strategy. I have been shining a light on those issues since I was elected in 2019, so I thank the Government for taking that important step forward. I understand that the Government are due to publish the mental health strategy and I commend them for that. Indeed, I note than in an Adjournment debate earlier this year, the Minister for Care stated: “In November, my right hon. Friend the Secretary of State for Health and Social Care brought together leading campaigners, experts and the Premier League to gather ideas and inform our strategy and our 10-year health plan.”
“I will reaffirm our commitment and I will work across the House with all Members to deal with suicide prevention.” —[ Official Report , 10 September 2025; Vol. 772, c. 868.] Those are positive, warm words from the Prime Minister, which we are all pleased to hear. However, I think that we, across this House and among the public, would be interested in hearing the tangible actions taken by this Government after one year in office. Will the Minister provide an update on what direct, practical steps this Government are taking on suicide prevention, including the implementation of the recommendations in the strategy? What points—for example, disparities in the difference across ethnicities and races in the UK—are being addressed?”
“Samaritans reports from its rail team that, for every one life lost, it is estimated that six lives are saved by interventions made thanks to the training given to National Rail and rail operating staff. That is proof that things can be done. Just yesterday it was World Suicide Prevention Day and the Prime Minister was asked twice about the topic. In response he said, first: “May I also thank those dealing with suicide prevention? Probably everybody in this House knows someone who has taken their life. It touches all of us and we must do everything we can, together, to prevent suicide.” —[ Official Report , 10 September 2025; Vol. 772, c. 862.] Secondly, he said: “I think that suicide prevention matters to everybody in this House.”
“In 2021, the previous Government also announced £150 million of funding for crisis mental health facilities and patient safety in mental health units. In January 2023, it was announced that £7 million of funding would be allocated to new mental health ambulances, with £143 million going towards 150 new projects, including schemes providing alternatives to A&E. That is welcome, but the stats show that, even with all that focus, the trend is worsening. Despite all that work and prioritisation of funding, we have yet to hear anything substantial from this Government about what they are doing on suicide prevention. As we know from one example, training can make a difference.”
“Through the NHS long-term plan, an additional £57 million was provided by the former Conservative Government between 2019-20 and 2023-24 to fund suicide prevention and bereavement services in every local authority. My former colleague Sajid Javid, who was touched tragically by the experience of losing his own brother to suicide, was instrumental in starting the development of the suicide prevention strategy, which was published in 2023. Key initiatives included the development of a new nationwide, near real-time suspected suicide surveillance system that aimed to provide early detection and timely action to address changes in suicide rates. The strategy in its entirety set out over 100 actions to make progress across Government Departments, the NHS, the voluntary sector and national partners.”
“Members may wonder why I am choosing to focus my comments on men when the latest data from the Office for National Statistics shows that suicide rates are at their highest level since 1999. As we have heard, men account for three quarters of all suicides in the UK. The latest paper by the Centre for Policy Research on Men and Boys puts that in stark light. It showed that more men under 50 die in the UK due to suicide than for any other reason; 14 men every day die by suicide in the UK; 74% of all suicides are male; three times as many men die by suicide every year than die in a vehicle accident; and by 2023, over 90,000 men in England and Wales had died by suicide this century. That is enough to fill Wembley stadium. There is so much to do in this area. I want to highlight the focus and progress of the previous Government.”
“I’m a guy—no one gives a s***” “Speaking for the guys, literally no one.” “You all call someone?” “There’s no one. Nobody who cares.” “No one. I’m a man. No one cares.” “Not a single person. I wouldn’t turn to a single person on this earth as they will use it against me.” “I wouldn’t call anyone.” “What—we can call somebody?” That small insight from a seemingly jokey platform hits on what we—the House and wider society—must look at to try to understand why men feel they are not valued. Why do they feel they cannot call someone? Why do they fear doing so will be used against them? Why do they fear asking for help? Many hide in plain sight, struggling and battling until it is too late. After all, we know from the Samaritans that about two thirds of suicide victims are not known to mental health services. Hon.”
“I thank the hon. Member for Doncaster East and the Isle of Axholme (Lee Pitcher). He honours John by securing the debate. All hon. Members who have spoken have honoured respectively the people they held so dear, in the most powerful way possible by turning personal grief into public purpose. I therefore thank them all for giving their time to speak. There was a TikTok video that went viral. It opens with a young woman energetically and innocently asking: “Be honest: who do you call whenever you’re at your lowest? Who’s that one person?” The stitched video replies come in, with men answering. The replies are harrowing and insightful: “Nobody. I’m a man. No one cares.” “Not a single soul.” “Nobody.” “No one, cause I am all alone.” “I think I speak for a lot of people when I say I don’t call anyone.” “Nobody.”