I am fortunate that I am not one of those one in seven people, but I have the experience of living with someone who suffers from chronic migraine. When we do not suffer from migraine, we do not understand how debilitating it can be. We cannot comprehend how it can take over someone’s life and stop them doing the things they most want to do—that they get pleasure from, that they live for. When that migraine seizes them, they just cannot do anything. They have to lie in a darkened room and cannot function in the way we expect and hope people can function.
Some of the statistics are concerning and saddening. My hon. Friend touched on the fact that 29% of respondents surveyed by the Migraine Trust had had to move from full-time to part-time work. That impacts not just what they do, but their whole family, what they can expect from life and their ambitions for the future. It can change the course of their lives. It is also concerning that 43% of those surveyed felt that their workplace did not believe them when they came in and said they had had a migraine. My hon. Friend touched on the sense of a migraine being just a bad headache. That is not what people have to live with and what they experience; this is something that seizes them totally and utterly.
We need to be more open about the wider impact that this is having on so many people. The fact that 34% feel discriminated against at work is just so wrong. I hope that by talking about this issue and highlighting its impact on so many people, we can improve understanding, not just among the Minister and those in his Department, but in workplaces right across the country, so that they can adapt and work with people who suffer. In that way, they can ensure that those people can give their best all the time while dealing with something we would not wish anyone to have to deal with.
The loss of days worked has a wider impact on businesses and individuals, so we have to start thinking differently, not just in our hospitals but, as has been touched on, in general practice and pharmacy as well. If people were suffering from a more visible disease or condition, the Government would be not just spending £150 million a year but looking at investing so much more in treatment and research so that they could deal with it. Sadly, migraine is one of those conditions where there is not one single answer that can be rolled out to deal with what every single person is suffering.
More and more people in this country are turning to A&E to be treated for migraine, but it is not the best place for them to be treated; it is not good for the hospitals or the individual. All of us in the room will know how important it is to get the right primary care and the right level of support for people, so that they can prevent migraine as much as possible, because when it has set in, it is so much more difficult to treat.
We also see understaffing. We have 1.1 neurologists per 100,000 people in the United Kingdom, compared with four per 100,000 in France and Germany. In addition, so few GPs have the true specialist knowledge they need to be able to sit down with their patients, talk through this issue and have a proper understanding of the type and range of treatments best suited to that individual. The Minister will talk about how all GPs cover neurological conditions, including migraine, in their basic training. However, with the prevalence of migraine in society, we need general practitioners to have not just a bit of general knowledge on it, but more specialist knowledge, certainly in the larger practices. We can then get those individuals who are unfortunate enough to suffer from migraine the specialist advice, treatment and knowledge they need. As we are so short of neurologists across the NHS, we must ensure that the burden is lifted away from our hospitals.
I would put in a particular plea in relation to pharmacies. It is not always that easy to see a doctor when a migraine is starting to emerge—when the indicators that it is about to hit start to show themselves. That is why it is important to ensure that support and help are widely available. I urge the Minister to go back to his Department and use his characteristic imaginative, thoughtful and revolutionary style to encourage it to be a little more bold and radical in its thinking—to be a little more “action this day”, as opposed to having another report. There are many things that can make a difference to people’s lives very quickly. One is ensuring that we make better use of our pharmacies, thereby lifting the pressure off the wider NHS. Another is ensuring that there is better training for GPs so that larger practices have that specialist knowledge.
I will finish with a final plea. My hon. Friend the Member for Bishop Auckland mentioned CGRP blockers. We are all aware that there is not a silver bullet to this problem, but they are one of those things that give so many sufferers a little hope that there is something that can actually help. It is awful that people in many parts of the country cannot access them; they are not in a position to get the help they desperately need. I urge the Minister to go back to his Department and to look at CGRP blockers closely, along with the other actions that have been suggested. He could do something transformative for the lives of hundreds of thousands of people, and lift the misery they have to live with far too often.
]]>The Department for Education plays an incredibly important role in the promotion of World Book Day, working with the Publishers Association and schools and creating the underpinning to ensure that we get our children reading. We have seen children make amazing progress up the PISA scales in terms of reading outcomes and understanding literature as part of our curriculum. That is also true of phonics, which I know is close to the heart of my right hon. Friend the Minister, who has championed it over the years, along with many of us. We know that phonics delivers results, and we are seeing that in the international tables. Sadly, we are not necessarily seeing the same results in every component part of the United Kingdom, and I urge those parts that have not embraced phonics as a central part of developing, promoting and teaching reading to look at it as a matter of urgency.
I particularly welcome the DFE’s £60 million English hubs programme—an intervention focusing on designing and developing the expertise to teach reading. Getting that right is critical, and a number of us in the Chamber have probably seen that work. Getting the very best teaching, as well as encouraging, developing and, most importantly, sharing it right across our schools, is critical for all our children.
Libraries have already been touched on, and it is so important that children from right across the country always have access to a good library and the opportunity to pick up a good book and to be transported to a different world and a different country—or even Worcestershire. With the support of that book, they can go anywhere their imagination takes them. The £20 million libraries improvement fund is certainly welcome, but I suggest that we need to do more in that area. There are some concerns; we saw library book stocks decrease by 11% across England, Wales and Scotland between 2021 and 2022. We need the best possible range of stock in our libraries so that when youngsters have that book that they picked up on World Book Day, they have the opportunity to feed and develop their enthusiasm.
It is important that we thank all the people who have been instrumental in creating the structure for World Book Day. We must also thank all the teachers, teaching assistants, support staff and parents, and the children themselves, who make World Book Day the living, wonderful, beautiful thing it is.
]]>World Book Day brings that focus, because we do face challenges. My hon. Friend the Member for Cities of London and Westminster picked up on some of the challenges faced by children from some of the most disadvantaged backgrounds, who do not have access to a book. It is sad to think that in so many households there is not a book for a child to pick up—for them to discover a new world and have their eyes opened.
My hon. Friend the Member for Cities of London and Westminster read a long list of authors from her constituency, and I would like to point out the great literary tradition that Staffordshire has provided in Arnold Bennett. In my own constituency, Arthur Conan Doyle—my hon. Friend touched on him—visited Great Wyrley during the Great Wyrley outrages and was a great champion of making sure that justice was done. He did not just write about the fictional characters who were meant to have walked the streets of my hon. Friend’s constituency, but also actually delivered justice in Staffordshire.
]]>We have to be acutely aware that although that often occurs in households right across the country, it sadly does not happen in all households. A recent BookTrust survey found that out of over 2,000 low-income families, less than half of children under seven were being read a bedtime story. That is one of the very simple acts that can really transform a child’s outcomes, making sure that they develop and widen their range and vocabulary. That early language development is so incredibly critical for their outcomes later in life. Perversely, that is the case not just in English, but in other subjects, such as maths and science.
World Book Day is incredibly important. It is an opportunity to put a real focus on the importance of a book for every child right across the country. We should all feel a great sense of pride in the scheme, which the Publishers Association has championed over the years. It is not just about what is being done in schools and for children; it is also a celebration of the fact that Britain is a world-leading nation in publishing. We have some of the best companies in the world based here in the United Kingdom, employing so many people right across the country.
The heart of the publishing industry is here in the United Kingdom, and that means we have an amazing stream of talented authors who have the opportunity to get their works published. Indeed, there are many parliamentarians who think they are talented authors as well, and who like to take up the opportunity.
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