Margaret Mullane MP: speeches

Speeches

• 9 Sept 2026 · Pica Eating Disorder: SEND · Hansard source

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  My hon. Friend is quite right. That is ultimately what we seek in the long term. We do not want anyone to have to go through what some families have already gone through. Only if we adopt national training will that actually stop. Earlier this year, I held a pica awareness parliamentary drop-in session with Suzy and the National Pica Advisory Service, representatives of which are in the Public Gallery. I met Tolu, Belinda and the team, who do amazing advocacy work to support parents of children with pica. Speaking to advocates and parents, the consistent theme was a lack of professional knowledge across sectors, whether at schools or—this is another important point—when people present at hospital. Parents are fed up of hearing, “The item will pass through; don’t worry about it.” At my event, the National Pica Advisory Service told the story of a parent of a child with pica. Had that parent not persisted in pushing that their child did not just have an upset tummy, one of the child’s organs would have failed and they would have died. There was a screw lodged in the child’s intestines that was discovered only when the parent demanded an X-ray. That should have been the first port of call when the parent explained that their child had pica, not something that, once again, a parent had to fight for. I heard another story of a child in a private-rented property who would lick paint. Sadly, due to the age of the property the paint had high lead content. In such circumstances, had the child continued and—again—had the parent not persisted, it would have led to the child’s death. Early diagnosis and early intervention are key, but so too is ensuring that adaptions are made, environments are made safe and that caregivers and educators are equipped with the knowledge and training to monitor those with pica. In 2023, pica came to prominence in the media due to the tragic case of Owen Garnett, a student at Welcombe Hills, a specialist SEND provision school in Stratford-upon-Avon. Owen had pica and was in an educational environment that understood that, yet after choking on a paper towel unsupervised, Owen sadly died, aged 19. The coroner’s report highlighted that “the school’s risk assessments…recorded that Owen should ‘Never be left alone when out’ and…in bold ‘NB due to Pica, a named person must watch Owen at all times’”. The report concluded that “Owen’s carer specifically raised concerns surrounding blue paper towels at a meeting…On 4 January 2023 Owen was discovered to have blue paper towel in his mouth and a message was sent to his carers saying this had occurred… On 9 January 2023, contrary to the…risk assessment, Owen was outside of the classroom and was unsupervised. When Owen was located, it was discovered that he had crammed a significant amount of blue paper towel into his mouth and throat and was choking.” He was transported to Warwick hospital. He suffered a hypoxic brain injury. A decision was taken to remove life support and, sadly, he died on 11 January. The Health and Safety Executive said that the school had failed to ensure that all risks associated with pica were identified and had failed to respond to family concerns. The multi-academy trust was fined £300,000 and told to learn from its mistakes but, let us be honest, people at the trust can move on with their lives; a family has lost a son and their lives will never be the same again. It was an exceptional case and not a common occurrence but it serves to highlight what can happen if pica is not taken seriously in an educational setting. All children deserve a safe, secure and happy educational journey, whether in mainstream education, a specialist school or other educational settings, but at present that is not being delivered for children with pica. Parents with children who have pica live their lives in a state of constant vigilance, and they need the assurance that their child is being cared for with the same vigilance at school. That is why, alongside parents in my constituency and across the country, and the National Pica Advisory Service, I believe that educators who are responsible for a child with pica must receive mandatory pica training. This will support teachers to grow their knowledge of the condition and how to support anyone who has pica. Training must be about planning for pica. Classrooms are full of potentially life-threatening dangers to children with pica. Risk assessments should take account of all harmful and hazardous substances, including staples, batteries, glassware, sharp or poisonous items and magnets. They should be replaced with safer items where possible, such as non-toxic Play-Doh, paints and crayons. It is crucial that all educators who are responsible for a child with pica must have knowledge about that individual and have read their plan. That is to help them to develop a good understanding of the child’s pica behaviours, how to keep them safe and how to redirect them. It should include completing a pica monitoring form regularly. Through this process, if an individual has particular pica items, those can be identified and removed from the space as part of an ongoing risk assessment. Finally, all educators must learn to understand the signs of choking, poisoning and possible blockages in individuals with pica, so they can seek medical assistance as soon as possible if something goes wrong. Herein lies one of my main worries about the Government’s proposal to reform SEND provision. I have heard many stories of pica oversight in specialist schools—places that have very good, well-trained professionals who should be able to risk-assess and keep children safe. However, because of the lack of specific pica training and the significant pressures in any SEND environment, there are justified parental concerns that pica is treated as an afterthought. As many local authorities are pushed to deliver SEND provision in mainstream settings, there is every possibility—given larger class sizes and more general training—that the new model will not build in specialist training on pica or other specific disorders. I will end as I started, by requesting that pica training is considered for inclusion in any SEND reform, making it a statutory requirement across educational settings and under SEND provision.

• 9 Sept 2026 · Pica Eating Disorder: SEND · Hansard source

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  The hon. Gentleman is right, and I thank him for raising that matter. While this debate will focus on training in schools and other educational settings, it is important to note that there is a desperate need for pica recognition and training across the NHS, local authorities, care providers and even housing providers. However, that is not the focus today. Sadly, pica is still not fully understood, which often results in people being dismissed or the condition being treated as a behavioural issue. While there is a growing consensus that pica must be treated as the serious medical and safeguarding issue that it is, the lack of awareness means the condition is overshadowed. As such, it is not considered by policymakers. That has to change.

• 9 Sept 2026 · Pica Eating Disorder: SEND · Hansard source

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  I beg to move, That this House has considered Pica training within SEND provision. It is a pleasure to serve under your chairship, Mr Betts. Before I go any further, I want to make an admission. Until last year, I had not encountered pica, either in a personal capacity or through my work in Parliament. I had never heard of the condition. My first awareness of it was at a special educational needs and disabilities roundtable event that I organised last year, the purpose of which was to hear the experiences of parents and professionals across my Dagenham and Rainham constituency so I could feed their voices into the Government’s consultation on SEND reform. At the event, I heard a brave story from a young woman and her family living with the realities of pica. There are many moments in a MP’s life that really move them, and despite the thousands of cases that we deal with on behalf of our constituents, there are ones that truly stick with us. The brave young woman at that SEND roundtable was Suzy Read, and she is here today. I can honestly say that her story, her journey, her perpetual struggle and the fight she has had to get her daughter the care she needs and deserves hushed the room. Suzy told us about her life, where she constantly risk-assessed every room, setting and experience, and how the lack of help, combined with the failures of the system, took a toll on her mental health and the physical wellbeing of her child. We heard how the failure to provide access to a safe educational setting for her child resulted in daily anxieties, daily struggles and, because of the lack of pica recognition, understanding and training, daily explanations of why her child required bespoke care. The room was moved to tears. Something Suzy said has stuck with me ever since: “Pica is not rare. It is just rarely spoken about.” That is why I am here today, to make the case for pica training to be a statutory requirement across educational settings under SEND provision. What is pica? It is an overwhelming compulsion to eat non-food and non-nutritional items such as glass, soil, clay, lead, ice and much more. It can include items that poison, puncture organs, choke, and end a child’s life. It is important to note that while the debate will focus on training in schools and other educational settings, pica also affects adults who have lived with it from an early age or whose condition has presented late.

• 9 Sept 2026 · Pica Eating Disorder: SEND · Hansard source

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  I thank the Minister and agree with her that this has been a very good cross-party discussion, with thoughtful input from everybody. I know that her door is always open and that she is always there if there is anything we need. What she has committed to today is good news for my constituents. This debate, under your chairmanship, Mr Betts, has been Parliament at its best. An issue that is very important to many constituents across the country has been debated and highlighted. The work goes on. Question put and agreed to. Resolved, That this House has considered Pica training within SEND provision.