Westminster Hall

Drug-resistant Tuberculosis (Developing Countries)

It is a is a pleasure to serve under your chairmanship, Mr Caton. I congratulate the hon. Member for Poplar and Limehouse (Jim Fitzpatrick) on securing this important debate on the evil that is TB. I draw your attention, Mr Caton, to my declaration in the Register of Members’ Financial Interests. I want make a short contribution today.

Earlier in the year, I was fortunate to visit Ethiopia, with my colleague the hon. Member for Workington (Sir Tony Cunningham), to study the changes that it had made to eradicate the scourge of TB, organised by the charity, RESULTS. Although I represent the leafy semi-rural seat of South Derbyshire, I became aware of the consequences of TB when a child at a neighbouring secondary school was diagnosed with it following a trip to see her extended family on the Indian subcontinent. What I saw in Ethiopia was frankly a success story, but a story based on years and years of diligent health care. We met Drs Amara and Abseno from St Peter’s hospital, who, having qualified as doctors 10 years ago, had given their professional life to that TB hospital on the outskirts

of Addis Ababa. In other clinics, we saw that ordinary TB is being managed and now the next steps are to deal with the rising rates of DR-TB.

Outside of that specialist hospital, we visited the rural area of Awasa, where we saw the integrated Ethiopian Ministry of Health extension programme, which has been successful in delivering primary health care to communities, by training 36,000 health extension workers. That TB REACH programme has already doubled TB detection rates during a two-year period. I sincerely hope that our Government will consider joining the Canadian Government to fund existing and new programmes for case-finding and treatment in hard-to-reach populations. That is desperately needed: 90% of children in Addis Ababa are covered, but only 10% in the region of Afar are. Much has been achieved with our aid packages, but there is so much more to do. I hope that our Minister can respond positively.

[Sandra Osborne in the Chair] - Eating Disorder Awareness - Backbench business

I appreciate being called to speak, Mrs Osborne, particularly because I am going to nip off later to the second debate in the main Chamber. I hope that my hon. Friend the Minister will forgive me. It is a pleasure to serve under your chairmanship, Mrs Osborne.

I begin by paying tribute to my hon. Friend the Member for Romsey and Southampton North (Caroline Nokes)for securing this very important debate during eating disorders awareness week 2013. She is respected by hon. Members on both sides of the House for her knowledge of this issue. I thank her for the tireless way she is championing an issue that is one of the most pressing and, if the medical profession’s statistics are to be believed, one of the most rapidly growing health issues that the nation faces. Indeed, male admissions to hospital are up by 68% in 10 years.

I also pay tribute to the all-party group on body image, of which my hon. Friend is the chair and which exists to inform the media, the fashion industry and wider society of the complex issues arising from poor body image. Body image is, as reported by the First Steps charity, which works in my constituency of South Derbyshire, one of the most significant causes of disordered eating behaviour. It is heartening that such groups exist and it is evidence that, in some small measure, awareness of the issue is starting to grow. Only a few years ago, the very idea of a group committed to improving body image would have been met with a roll of the eyes and a dismissive comment, yet the reality has always been that women, and now increasingly men, spend fruitless hours examining themselves critically in front of the mirror and obsessing over every lump and bump. They are often driven to self-loathing by what stares back at them.

Poor body image and a media full of unrealistic and unobtainable examples of body shapes that we are told to emulate are undoubted drivers in individuals who go

on to develop eating disorders. Many who suffer low self-esteem and poor body image, especially men, go on to suffer serious mental health problems, often manifested in eating disorders and chaotic, dysfunctional and disordered lives, and suffer lifelong unhappiness. Therefore, the focus of the all-party body image group is more than welcome; it is essential and, indeed, it is a weather vane for how attitudes towards such real human issues are changing for the better as awareness of these issues improves.

Eating disorders are a complex issue to discuss in just a few minutes. It is a shame that this debate is not getting the priority that it deserves, perhaps by taking place in the main Chamber, but I am very grateful to the Backbench Business Committee for allowing the debate to be held in Westminster Hall. The number of MPs and, indeed, members of the public here today is testimony to the issue’s importance. Having the debate in the main Chamber would have gone a considerable way towards assuring sufferers that Parliament is at least serious about raising awareness of these issues and the problems that people face.

Of course, not all people with eating disorders come forward to get the help that they need. The most accurate figures of which we are aware are those from the National Institute for Health and Clinical Excellence. They suggest that 1.6 million people in the UK are affected by an eating disorder, of whom about 11% are male. Worryingly, the most vulnerable group are our young people, particularly those between the ages of 14 and 20.

[Sandra Osborne in the Chair] - Eating Disorder Awareness - Backbench business

Absolutely. I thank my hon. Friend for her intervention; she is absolutely right. We have been debating in the main Chamber what should go on the curriculum for personal, social, health and economic education. Perhaps the Minister can reflect on that in his speech. I apologise to him again for the fact that I will not be here at the end of the debate. I will read his speech in Hansard next week.

It is the case that 1% of the population between the ages of 15 and 30 suffers from anorexia. About 40% of those who suffer never fully recover and 30% suffer the illness in the long term. Official figures show that eating disorders rose by 16% in England from 2011 to 2012. The scale of the problem is therefore hard to ignore.

This subject raises issues pertaining to public health, mental health, nutrition, education and the way in which families are supported in dealing with disordered eating behaviour at an early age. That final point is, for me, the most important one and the one on which I shall focus in the few seconds that I have left. I am referring to how we raise awareness of disordered eating behaviour in such a way and at an early enough stage that recognition and treatment are possible and at a time that predates the long-term physical health problems that eating disorders can cause.

So many who suffer from eating disorders start to experience their troubles as children and adolescents. Many suffer in silence, and in so doing curse their lives, not just with a disordered relationship with food, but by destroying both their physical and their mental health in the process. That will probably affect every aspect of their lives: their career, their relationships and even, sadly, in some cases, their ability to become parents themselves.

The underlying cause of much disordered eating behaviour is a person struggling to cope with anxiety, stress and poor mental health. The cause of that anxiety and stress may be bullying. It may be an escape from abuse or traumatic events. The cause may be a lack of control, bereavement, poor parenting or simply uncertainty over one’s place in the world. However, the cause is undoubtedly psychological. The illness therefore deserves genuine sympathy and understanding, not dismissive attitudes, which compound the problem. Perhaps over time, the disordered eating behaviour may be modified through self-discipline or self-awareness. The sooner someone gets the treatment they need, the more likely they are to make a full recovery.

For the reasons that I have set out, this issue deserves at least equal priority with other physical and mental health problems. We cannot ignore or be indifferent to the obvious consequences of eating disorders. We have only to look at those who so bravely suffer them to see why we as a society must do more to tackle them, and we must start by raising awareness of their existence, their causes and their cures.

[Mr Philip Hollobone in the Chair] - Manufacturing (East Midlands)

I congratulate my hon. Friend the Member for Sherwood (Mr Spencer) on securing this Westminster Hall debate. It is a pleasure to speak in it under your chairmanship, Mr Hollobone.

I personally have a special relationship with Toyota, as its factory in Burnaston is located in my constituency, and time after time I have been extremely impressed by what it is doing as a company. Toyota is not only one of the world’s leading car manufacturers; as a leader, it is committed to the environment and the economy. In fact, Toyota Motor Manufacturing UK was the first British car manufacturer to achieve zero waste going to landfill and has recently embraced solar energy at the plant, too. On top of that prodigious achievement, Toyota has provided employment and training opportunities for people throughout the region. On a recent visit to the factory in Burnaston, I was delighted to hear that Toyota is expanding its apprenticeship programme. Toyota also has a charitable trust. That funds the Lucy Prince award, which last time was awarded to Alfreton Park community school.

Apart from Rolls-Royce and Toyota, which respectively focus on jet engines and cars, Bombardier is a world-renowned manufacturer of rail vehicles. In fact, including Bombardier, there are 230 rail engineering companies around Derby alone. Bombardier is well known for the high-speed rail vehicles that have been installed in China and Italy. The hope is that, if all goes well, it will be contracted to design the vehicles for our own HS2.

Manufacturing companies in the region have truly proven that it is equally important to benefit the growth of the economy while creating opportunities for people. I cannot express the pride that I have in the manufacturing

industry in the east midlands. From having the manufacturer that first powered the Boeing 787, the most widely used aeroplane, to a transportation company that has an installed base of more than 100,000 rail vehicles, to an international car company that exports back to Japan, our area has proved to be a manufacturing hub in the UK and an asset to the whole world.

Derbyshire exports more per person than any other place in England. Despite how impressive the large companies are, I find the local businesses to be equally important to the success of the manufacturing industry in the east midlands. In my constituency alone, there are multiple manufacturing companies that stimulate economic growth and provide global services.

One of the smaller firms in my area is Appleby Woodturnings. That specialist family business in south Derbyshire produces wood pellets to conceal screws and boltheads and, furthermore, it produced bespoke tapered wood pellets for the deck and hull of the Cutty Sark in London and the door frames in Portcullis House. Appleby Woodturnings is an excellent example of the ingenuity and skill that we have in south Derbyshire.

Another major manufacturer that has had national and global success is the JCB Power Systems factory, which is a purpose-built, multi-million-pound manufacturing plant and assembly line in Foston. JCB builds construction vehicles and recently needed to employ hundreds of extra skilled workers to cope with the increase in overseas demand for its equipment. Overseas demand for the UK-built products is coming from Brazil, Russia, Turkey and particularly India. In fact, JCB finalised a deal with the Brazilian Government to supply 1,000 machines to improve the nation’s infrastructure in time for the 2014 World cup and 2016 Olympic games, which Brazil will host.

The success of the manufacturing industry in the east midlands shows that it is vital that the Government continue to make manufacturing in the UK easier and continue to work with small businesses and manufacturers, so that the growth we have seen in the region can lead to growth in the national economy. Manufacturing in south Derbyshire is important. It is so successful that between May 2010 and December 2012 unemployment decreased by 18%-I can think of no better way to end my contribution.

Scam Mailing - [Jim Sheridan in the Chair]

With 12 minutes to go, I am not going to fall out with the hon. Lady. Unfortunately, given protocol, I did not wave around the envelopes, but they really are obvious.

Scam Mailing - [Jim Sheridan in the Chair]

It is a pleasure to serve under your chairmanship, Mr Sheridan. I thank Mr Speaker for allowing us the opportunity of having this debate on scam mail and postal fraud, which impacts on the lives of hundreds of thousands of the country’s most vulnerable people. The elderly and those in debt are among those who are deliberately targeted by fraudsters because they are seen as a soft target and easy to con.

I pay tribute to my hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) who has been championing the issue for some time. If her ten-minute rule Bill had received Royal Assent, it would have gone a considerable way to eradicating the issue, by empowering the Royal Mail to take definitive action against those engaging in postal fraud. Regrettably, she is on parliamentary business elsewhere and cannot attend this debate. None the less, I am deeply grateful to her for the input and support of her office.

Let me outline the nature and scale of the problem before making some suggestions as to how the issue might be easily resolved. For the avoidance of doubt, when I use the words “scam mail” I am not talking about the perfectly legal mail shots that legitimate companies send out to advertise lawful services or the sale of genuine goods.

I wish to focus on mail shots, which are sent for the sole intention of obtaining money through deception-fraud. Such scams include fake lotteries, fake lawyers promising transfers of large sums of cash, so-called boiler-room share purchasing scams, and even threats of curses put on recipients if they do not send back money to the originators. The scams have many different guises, but, none the less, end up with vulnerable people parting with their cash.

The scale of this largely unreported problem is vast, costing some £3.5 billion a year and growing. Some 50% of the population will be targeted, and nearly 7% will be duped by scam mail, which is carefully crafted to maximise the potential of deceiving the victim. Once the scam comes to light, the victim or, in many cases, the victim’s family, experience a large range of emotions, including anger, shame and upset. In some cases where the loss has been so big, they might even have suicidal thoughts. Indeed, as we heard on the television today, there were five suicides as a result of this matter last year alone.

Sadly, the experience of my constituent Mrs Smith is like that of many others. Her father, a former Gurkha, spends a considerable amount of his weekly pension on these scams. He looks on the payments as his “investments”. He lives in total denial, but believes unwaveringly that one day one of these investments will pay off. He has even told friends and bank managers that his investments abroad are about to mature. Of course Mrs Smith’s father will not admit what he is doing, but everyone knows about it, including his long-suffering wife and daughters. The growing piles of envelopes from the scammer arrive daily and are overtaking the bedroom, and now the summer house is full of scam mail, too, providing clear evidence of the scale of his obsession.

The local post office and coffee shop know him well, because of his routine visits, almost every day, to register post containing the money. He sends up to £150 a week to these criminals. He insists on making copies of letters so that he has proof should he need it. Of course the people in the post office cannot stop an elderly man from sending post. His family feel powerless. They have tried to make him watch BBC exposés, look at the Think Jessica website, and read leaflets and posters. They have tried to get him help from independent financial advisers; orchestrated visits from Derbyshire police officers; and even arranged a personal visit by Marilyn Baldwin from Think Jessica, who tried her hardest to convince him but to no avail. All attempts were met with the response, “That’s not me” or “Nothing I didn’t know already.”

Marilyn Baldwin is passionate about getting “Jessica’s scam syndrome” recognised as a mental health condition. Those referred to as having such a syndrome would be people trapped in the delusional world created by the scammer. Mrs Baldwin feels passionately that calling individuals obsessed with scam mail “victims” or “addicts” is not enough, as it does not explain their behaviour adequately or the torment faced by those trying to protect them.

Scam mail has the potential to make people mentally ill, as it opens up a delusional world that goes deeper than any other addiction or obsession. This inability to get some victims to see the reality of their victimisation and delusions has led some people to ask whether psychiatrists should consider the existence of some form of psychological or mental health condition that drives people to be repeated victims of scams. I strongly suspect that the addictive and irrational behaviours from which many of these victims suffer might be well known to psychiatrists. Perhaps we should consider how existing powers under the Mental Health Act 1983 could be used to empower families and those with safeguarding responsibilities to intervene and save victims, such as Mrs Smith’s father, from their own delusions.

Mrs Smith’s family feel so strongly that they have set up their own action group called “The Fight To Stop SAPCO”-scams and prize cheque offences-which already has a small army of people behind it, including a consumer affairs lawyer from Nottingham, an EU lawyer from London who is aware of international frauds of this type, a private investigator working internationally uncovering perpetrators of international finance crimes and fraud, Derbyshire trading standards, Marilyn Baldwin of Think Jessica, and DC Jim Egley of Operation Sterling at the Serious Fraud Office.

What is most galling, especially to the families of the victims, is that these scams take place with the full awareness of the Royal Mail, which often handles envelopes full of cash that it knows have been fraudulently obtained. Although the Royal Mail is able to recognise when such scams are happening, it remains powerless to intervene, which is a source of intense frustration among postal workers.

Let me turn to the current difficulties in tackling this issue. The nub of the matter is simple. First, there is confusion over the law and what it permits the various organisations involved in detecting and prosecuting these frauds to do. Secondly, there is a patchwork quilt of legislation derived from various Acts of Parliament, which creates a lack of clarity in this area. Thirdly, there

is an overly burdensome demand to protect mail in transmission, which means postal workers often observe the scams happening, but are either powerless, or believe themselves to be powerless, to intervene. The result is that the fraudsters continue to profit while the authorities are unable to do anything definitive for fear of acting beyond their legal powers. In effect, no one knows what they can do when a scam is detected, even though they know what they would do if they could.

The law needs clarifying, responsibilities need redefining and powers of intervention need enhancing.

Scam Mailing - [Jim Sheridan in the Chair]

The hon. Lady is of course right. If she would like to apply for a Westminster Hall debate on that issue, I would gladly support her. I think the internet may be one byte too many for my 25-minute speech, but I am sure that the Minister, with her breadth of knowledge, will come on to that.

One Bill to amend the three relevant Acts could cover the issue. There is no doubt which organisation is best placed to detect scam marketing-Royal Mail, which says that scam mail is easy to identify both before and when the scam takes place. It wants to be able to pass on the details of suspected victims to trading standards, but its staff feel duty bound, even while observing the scams happening, to observe the Data Protection Act 1998, the Postal Services Act 2000 and the Regulation of Investigatory Powers Act 2000, and not intervene and report the names and addresses of those they believe are being scammed. Those three Acts place obligations on the Royal Mail that, although well intentioned, often run contrary to the detection and prevention of fraud.

The seemingly simple approach of Royal Mail reporting suspicious mail to trading standards officers is particularly hampered because there is some disagreement as to whether disclosure of the victim’s details by Royal Mail is permissible under section 29 of the Data Protection Act 1998. The legal advice received by trading standards is that disclosure of potential scam victims’ details by the Royal Mail is already permitted under section 29 of the Data Protection Act 1998, which says that information can be released if it is in connection with

“the prevention or detection of crime”

or

“the apprehension or prosecution of offenders”.

However, the legal advice obtained by Royal Mail itself contradicts that view, which reminds me of a friend’s quip that if someone asks 10 lawyers a question they will get 20 different answers.

Royal Mail states that it would be a breach of the Data Protection Act 1998 to release details of suspected victims to a trading standards officer, and therefore it does not do so. Consequently, there is complete confusion

about what powers Royal Mail has to report suspected scams to the body that is best placed to investigate. However, a Bill could be brought forward to introduce an amendment to the Postal Services Act 2000 and to the Data Protection Act 1998, in order to provide a legal gateway for the release of that information and for Parliament to enable Royal Mail to act against scam mail.

That brings me to the third issue, which is enhanced powers of interception. At the moment, in order to intercept and report scam mail, the Royal Mail, the police or those officials seeking to investigate scams or enforce existing legislation must secure a warrant from my right hon. Friend the Home Secretary to intercept post in the course of its transmission. To issue a warrant, my right hon. Friend the Home Secretary would need to be satisfied that it was necessary for the purposes of detecting serious crime, which would need substantial proof. That is understandable given the need to protect privacy, data and even human rights. However, the almost sacrosanct nature that post in transmission enjoys is also a charter for the scammer to carry on defrauding.

Like the legislative patchwork quilt, that burdensome approach is well intentioned but it also works against consumer interests. Again, it could be tackled by an Act of Parliament that gives new powers of interception. However, enhancing powers of interception naturally raises questions about protection of privacy and data. If interception powers were to be introduced without the need for a warrant, there would have to be appropriate safeguards against breaches of human rights. Such powers would need to be controlled using the existing authorisation process, but perhaps with the final power of decision resting at a sufficiently high level to ensure that the tests of necessity and proportionality are satisfied, without needing to trouble my right hon. Friend the Home Secretary. After all, should she not be dealing with matters of national security, defeating terrorism and managing our law enforcement agencies?

Scam Mailing - [Jim Sheridan in the Chair]

Exactly; I thank my hon. Friend for that. As I was saying, should my right hon. Friend the Home Secretary not be dealing with matters of national security rather than being asked if a postal worker can report the name and address of someone who he or she has genuine reason to believe is a victim of scam mail?

Scam Mailing - [Jim Sheridan in the Chair]

I thank the hon. Gentleman for his intervention; he is absolutely spot on. One issue that has come to light is the complete frustration of postal workers. They know that they cannot stop this scam mail because they are being told by their bosses that they are not allowed to stop it. It is interesting that we genuinely feel that there must be sufficient safeguards in

place to protect both the addressee’s right to privacy and their data, but we also feel that there is a sensible, proportionate way around the issue.

What can be done to resolve this issue? Who is best placed to deal with it? Who should detect and investigate such scams? As I have said, the Royal Mail is best placed to detect many of the scams, and then either the police or trading standards officers can investigate and prosecute those involved. In many cases, trading standards officers remain the best first port of call. That is the current situation and in my opinion it does not need to change. There is no need for new bodies or agencies, but merely for existing powers to be clarified and improved and for existing bodies to be enabled to do the job with which we charge them.

That prompts the question whether there are already sufficient powers of investigation in place; if there are, there is no need for new powers. Could an amendment to an existing Act close the loopholes? The answer is, “Very possibly and-frankly-very easily.”

Exactly two years ago, in January 2011, my hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) presented to the House the Consumer Protection (Postal Marketing) Bill. It aimed to regulate postal mass marketing, which my hon. Friend rightly defined as the unsolicited sending of mailshots and letters to UK residents. She noted that, although in the majority of cases it is perfectly legal marketing of goods and services, in many cases it is used for fraudulent purposes-so-called “scam mail”.

The purpose and spirit of my hon. Friend’s Bill was not to prevent legal and legitimate marketing, but to augment the existing legislation and to close the very loopholes that I have just mentioned. It also intended to clarify the legal position of the Royal Mail and trading standards officers, and to give Royal Mail the powers that it and trading standards agree it needs to act decisively against such frauds. Therefore, this Bill is a great place to start, offering a road map for resolving the issue.

The main pieces of legislation that my hon. Friend’s Bill sought to augment were not the Acts that I mentioned earlier, but the Consumer Protection from Unfair Trading Regulations 2008 and the Fraud Act 2006. Those two pieces of legislation have some use in dealing with scam mail, but crucially they are limited in their application because they only deal with scams originating in the UK and can only be enforced once a scam has been committed. My hon. Friend’s Bill would have enacted new powers and made a genuine difference in the detection and prevention of these frauds, wherever they come from.

My hon. Friend’s Bill would have been a very welcome piece of legislation, and was regarded as such by Royal Mail, trading standards and the National Fraud Authority. Those bodies all supported it and hoped that it would be given Government time. I echo that call now, particularly if the Bill could be resurrected and amended to deal with the issues relating to the need for a warrant from the Home Secretary, and if it could clarify what powers Royal Mail actually has.

As I said, sadly my hon. Friend’s Bill did not secure Government time and Parliament lost a real opportunity to produce a genuinely worthy piece of legislation that

would have undoubtedly secured both cross-party support and the support of the general public. As a result, the scammers continue to profit in the face of Government inaction, which is greatly to be regretted.

I brought the case of Mrs Smith to the attention of the Minister of State, Home Department, the hon. Member for Taunton Deane (Mr Browne), who is the Minister with responsibility for crime prevention. However, I was disappointed with his response. Although he drew my attention to a number of Government initiatives aimed at tackling fraud in a general sense, his response fell short of proposing legislation to close the loopholes that allow scammers to continue to thrive.

We are legislators, are we not? We are elected to propose, scrutinise and enact legislation, and we should not be afraid of using the privileges of our office to enact laws that are required to enable bodies to carry out their statutory duties. Indeed, to fail to propose such legislation is a dereliction of our duty to our constituents and a betrayal of their trust in this House. To quote the former Member for Wendover, the great Whig philosopher Edmund Burke,

“All that is required for evil to prevail is for good men to do nothing.”

I hope, therefore, that the Minister will do something. I believe that we have done nothing definitive to tackle this issue, and as a result evil continues to prevail and my constituents continue to fall victim to these most wicked of frauds.

Trading standards and the Royal Mail have identified a loophole and proposed a mechanism for closing it. Legislation is needed, so why can the Government not find time for a non-contentious Bill, which commands cross-party support, to protect the most vulnerable people in society, some of whom live in every single one of our constituencies across the country? Indeed, I will quote to the House the words that the Minister with responsibility for crime prevention wrote to me in his response to the case of Mrs Smith:

“It is clear that for some time the response to fraud has not been good enough and criminals have exploited this. The response has been too fragmented, not enough use is made of intelligence or advanced investigation techniques, and there is not a strong enough focus on prevention”.

I could not agree with him more. There has not been “enough focus on prevention” and therefore powers to prevent postal marketing scams that could easily be enacted should be enacted. We demand a lot of our statutory bodies, and when they ask for the powers to do their job, it is in the public interest to grant them.

I urge the Government to think again about the confusion in the current legislative framework, reconsider the position of Royal Mail and trading standards, and rather than call for greater public awareness, new bodies or new initiatives, do what the experts ask, which is to find Government time for a Bill that will close the loopholes that enable fraudsters to continue to scam innocent victims. Such a Bill exists. I urge the Government to look again at the Bill that my hon. Friend the Member for Romsey and Southampton North introduced two years ago, find Government time for it, and act decisively to empower Royal Mail to act to stop mass marketing scams.

Female Genital Mutilation

The Minister talks about a multi-disciplinary approach. I wonder whether she could open up discussions with the health authorities, because I understand that, under the NHS, restorative medical treatment is not granted automatically.

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