Tessa Munt MP: speeches

Speeches

• 1 Jul 2025 · ADHD: Impact on Prison Rehabilitation and Reoffending · Hansard source

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  I beg to move, That this House has considered the impact of ADHD on rehabilitation and reoffending in the prison system. It is a pleasure to serve under your chairmanship, Mr Dowd. I think we all accept that our prison system faces significant challenges, including poor rehabilitation, high reoffending rates, overcrowding, limited resources and prisoner numbers that have doubled over the last 30 years and now exceed 87,000. The Minister will know that recent estimates suggest that prisoner numbers could surge to almost 100,000 by the end of next year. In preparing for this debate, I drew on a number of publications with which the Minister will be familiar, but it is noteworthy that many of the studies were undertaken by those with links not only to justice but to the Home Office, the police, health and social care, planning, education, social equality and good government.

• 1 Jul 2025 · ADHD: Impact on Prison Rehabilitation and Reoffending · Hansard source

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  I could not agree with my hon. Friend more. His point is similar to the one made by my hon. Friend the Member for Yeovil (Adam Dance): the earlier we screen, the better we will be able to understand how people learn. In the long run, if life is not education, I do not know what it is—I am sure the Minister will have some sympathy with that point, because he and I both served on the Education Committee between 2010 and 2015. We need to make sure we have far better screening so that people can understand how both young and older people learn. We should never finish learning. The report observed that only 24% of prison staff had received some level of training about neurodiversity. I accept that that was back in 2021, but I doubt it is much different now. A basic level of awareness of neurodiversity and the needs of neurodiverse people was lacking among frontline staff. The lack of training, combined with staff shortages in prisons, can impact the management of neurodiverse prisoners. Those working in prisons must be able to recognise that the behaviour of some prisoners may be linked to ADHD, and a lack of training for those in mental health teams can result in misdiagnoses or suboptimal treatment. There is an ongoing need to better embed training for prison officers and extend the establishment of neurodiversity support managers across prisons in England and Wales, as mentioned earlier. The structural changes that are taking place in NHS England, which has commissioning responsibility for offender health services, might provide an important opportunity to consider some of the challenges, and to develop new models for supporting people with health and care needs to access the right care and treatment in the community. That is particularly important where an unmet need has the potential to have a direct impact on an ex-offender’s likelihood of reoffending. Will the Minister outline the measures that are currently in place, and what he plans to offer, in the way of support and continuity of care for neurodiverse prisoners after their release, particularly in healthcare settings? The Ministry of Justice’s cross-Government neurodiversity action plan, published in 2022 in response to the independent review, was a step forward in the official recognition of the unmet need around neurodiversity in the criminal justice system. Some promising steps were taken to advance the commitments in the plan, such as the recruitment of more than 100 neurodiversity support managers in prisons and the roll-out of neurodiversity training in some settings. But data remains insufficient and fragmented, as the hon. Member for Upper Bann (Carla Lockhart) said, and that poses challenges to the effective assessment of the impact of interventions. Will the Minister outline what steps the Government are taking to monitor the number and availability of neurodiversity support managers in prisons across the country, and what measurements are being used to assess the impact of their work? It is important to keep up the momentum behind the neurodiversity action plan. However, the 18-month review and update committed to under the action plan, which was due in early 2024, has not been published. I would be grateful for further details from the Minister on his plans to continue the implementation of the neurodiversity action plan. Will he outline what steps were taken last year and will be taken to implement the plan? When will the 18-month review, which was due in early 2024, be published? The ADHD taskforce was established in 2024 and recently published an interim report on the state of play in ADHD care, with its final report due this summer. The taskforce has taken a cross-Government approach, rightly recognising criminal justice as a key focus. The taskforce interim report highlights a number of important and pressing issues, particularly the need for better data to understand where and how people with ADHD are interacting with public services; the relationship between education, health and wider support in relation to outcomes for people with ADHD, including contact with the criminal justice system; and the value of earlier intervention. What steps have the Government taken and will they take to engage with the ADHD taskforce and wider stakeholders to address the barriers and implement the recommendations highlighted in its interim report and forthcoming final report? Many reports show us that people with ADHD are more likely to struggle with impulse control, emotional regulation and memory recall. We understand that those behaviours can lead to early school expulsions, unstable employment and contact with the criminal justice system. Once someone is in the system, ADHD can affect how they interact with the police, legal advisers, the judiciary, court staff and probation officers. That can increase exponentially the risks around unreliable statements, misunderstood behaviours and disproportionate sentences. Responses to their environment can lead neurodiverse people to exhibit challenging behaviour that could result in their being disciplined or sanctioned, and affect their engagement or consideration for rehabilitation programmes. Other reports, such as that published in December 2024 by Takeda, on reforming justice and tackling the unseen challenge of neurodiversity in the criminal justice system, have concluded that there is a need to reassess our approach to managing offenders and consider more innovative ways to interrupt the cycle of reoffending. That includes better approaches to addressing the unmet needs of neurodiverse individuals, where conditions such as ADHD may have a direct impact on offending. Does the Minister agree that, in the light of the challenges, criminal justice services should adjust the way people with ADHD are managed, to improve rehabilitation and reoffending outcomes? Will the Minister address the matter of women who meet the criteria for ADHD in prisons? ADHD in women is often misdiagnosed or missed altogether. Women are more likely to mask symptoms, presenting as anxious, depressed, having eating disorders or as emotionally distressed. That means that for many women and girls their ADHD is often diagnosed late or not at all. More work is needed to understand the experience of women in the criminal justice system who have ADHD. They are likely to experience multiple barriers and may be impacted by co-occurring mental health issues or other disadvantages. For example, one in three women in prison self-harms—the rate is eight times higher than that on the men’s estate—and there is a strong correlation between ADHD in women and self-harming. These issues are directly relevant to the Government’s wider ambition to reform the way female offenders are managed in England and Wales, including the intention to close one women’s prison and increase the management of female offenders in the community. That in part recognises that many women are imprisoned for lower-level offences. For example, in 2023, theft from shops was cited as the most frequent offence committed by female offenders, accounting for 40% of women’s prison sentences shorter than six months. Evidence also demonstrates that the incarceration of women can have a broader impact on families and children. Many women are primary carers, and their imprisonment can result in children being displaced, amplifying cycles of trauma and disadvantage over the generations. The establishment of the Women’s Justice Board presents an opportunity to address these issues, so will the Minister outline whether the board is currently considering neurodiversity and the impact of ADHD on women in prison within its remit? Will the Minister commit to ensuring that ADHD is meaningfully embedded and accounted for in the work of the board in order to ensure that the experiences of women with ADHD in the criminal justice system are a priority? The Government have stated an ambition to address the challenges of prison capacity and to shift the approach taken to women offenders. It is important to recognise that ADHD screening, a coherent care pathway and improved awareness and training in prisons could play a part in achieving that ambition. In summary, my current membership of the Justice Committee and my membership of the Education Committee during my service here between 2010 and 2015, along with my meeting experts in ADHD and criminal justice more recently, has emphasised to me the need to take a different approach to identifying and supporting neurodiverse prisoners to help those individuals to make new lives and thereby to help the Government to make sure that prison is effective and efficient at turning prisoners’ lives around. A new campaign focusing on the unique experience of neurodiverse individuals with ADHD in the criminal justice system explores evidence-based opportunities to improve support and outcomes. Will the Minister meet me and representatives of that campaign to discuss the challenges facing individuals with ADHD in the criminal justice system and the steps that might be taken to meet people’s needs and improve outcomes in relation to rehabilitation and reoffending? I have asked a number of questions, which I provided to the Minister and his team. I recognise that he will not necessarily be able to answer eight questions right now, but would he possibly give me the honour, first, of a meeting and, secondly, of a response to my questions?

• 24 Jun 2025 · Speed Cameras: Installation Criteria · Hansard source

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  I thank my hon. Friend very much for bringing forward this debate. I point out in particular that one of my residents—a man called Chris, who is now a friend—lost his wife Lorraine. She was simply cycling back from her work at school and was hit by a driver. In order to ensure that nothing so dreadful happened again, Chris paid for speeding signs on his piece of road. It really should not be for individuals to feel so desperate that they end up funding that themselves. Certainly in my area, it is very difficult for communities to prove that they need to have some sort of speeding restrictions. Those signs are really effective, particularly since they move around in parishes, which I have and which I know my hon. Friend does not have.

• 19 Jun 2025 · Water Safety Education · Hansard source

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  I am greatly pleased that this debate is taking place. In my constituency and within Somerset and North Somerset—the whole of Somerset—there are 8,463 miles of rivers, reans and streams which, from Somerset, would take us as far as Singapore. That level of water coverage presents a danger not only for those who swim and need to be taught to swim, but for young people, who should understand very clearly what to do should the vehicle in which they are travelling goes into water. There are specific rules around how to save ourselves if the car or vehicle we are in goes into water. Does my hon. Friend have a comment about that?

• 20 Mar 2025 · British Sign Language Week · Hansard source

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  I thank the hon. Lady for securing the debate. I am sorry that my British Sign Language is incredibly rusty, having learned it 30 years ago and not having practised diligently. I want to pick up on what she said about access to learning British Sign Language. Having worked in a council as a lead member for children, families and education, it was evident that growing numbers of young people have speech, language and communications difficulties. If we can capture British Sign Language as a valid language for everybody, and teach our nursery nurses, early learning teachers and teachers right the way through our schools, that will be so much better. As I understand it, British Sign Language can be taken up to a level 6 national vocational qualification, so there is no reason why every child in this country cannot have a second language, even if it is not one of the traditional languages that we would normally recognise in the academic system.

• 22 Jan 2025 · Listed Places of Worship Scheme · Hansard source

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  I thank my hon. Friend, and I add Tiverton and Minehead to my list. First, let me quote one of the people who wrote to me. They said: “It’s such a great scheme because the volunteers who raise money for church repairs find it such hard work making multiple lengthy applications for grants with usually little to show in return. This VAT relief once you have raised the funds is the one thing that is certain and takes the edge of all the effort”. I recognise that in 2024 this scheme already gave 5,000 listed places of worship the benefit of returning up to £42 million from the Government to congregations across the country. That £42 million is a fixed annual pot, and there are, I understand, over 7,000 applications. I will briefly indulge in talking about my own constituency, which I know the Minister has visited on occasion. I have had numerous communications with people, mainly from churches, but also, significantly, from Wells cathedral, where I saw Jethro Tull play a few years ago. The variety of activities is enormous. My partner and I should probably declare an interest; my partner played table tennis in Christ church at Theale last week. Holy Trinity church in Blackford has carols with vast slugs of wine provided to the whole congregation, St Cuthbert’s at Wells has a crib festival and St John the Baptist in Axbridge hosts the annual community awards presentation. There are others such as the Holy Trinity church in Burrington and St Mary Magdalene church in Wookey Hole. All of those places have Remembrance Sunday services where we recall the duty that people have paid to this country. My local church, St Mary’s in Wedmore, runs “The Clash of the Choirs”, which is now world famous, I have to say, and sounds sedate, but is actually a joyous celebration of all sorts of singing, school choirs, folk, handbells and a unique clap-o-meter. There are also the city of Wells almshouses, which are home to some of our more vulnerable elderly citizens. The chapel of St Saviour is benefiting at this moment from works that are being carried out under this scheme. One of the things I would like the Minister to consider is the conditions that are required for people to claim under this scheme, in which the VAT refund is dependent on having work commissioned, carried out and paid for against a VAT invoice of £1,000 or more—as I understand it—and only then can the church submit a claim. One of my concerns is that if this scheme is to be reduced, or stopped and wound up, then I ask the Minister for great understanding and for transition arrangements for those churches and chapels that already have works in train. It is quite difficult for people to get that work done, particularly when a number of my communities have been suffering from flooding and various other things, meaning that the number of available contractors has also been reduced. I will not carry on in too much detail, but I was very pleased to receive a letter from the Secretary of State that recognised that, “Listed places of worship hold great cultural and historical significance, representing some of the nation’s finest heritage.” I am grateful that the Minister and Secretary of State recognise that, and I would ask for some tolerance and kindness in continuing this scheme, which is so important to our various communities.

• 31 Oct 2024 · Cancer Strategy for England · Hansard source

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  I thank my colleague, my hon. Friend the Member for Wokingham (Clive Jones), for calling this timely and critical debate. It is good to see the Minister for Care in his place. I would like to mark the passing of many friends and some of my family who have lost their lives in a battle with cancer—a dreadful disease. When I arrived here in 2010, my team and I started a five-year project tracking the use of radiotherapy in England, using freedom of information requests every six months to gather data on the availability and frequency of the use of stereotactic ablative radiotherapy in England’s then 51 cancer centres. It was not a pretty picture. It is a pleasure to return to the subject of radiotherapy, about which many of my constituents in Wells and Mendip Hills care deeply, as do I. I recall that the hon. Member for Easington (Grahame Morris) and I had common cause. He represented a constituency in the north-east and I one in the south-west of England, the two areas with the greatest incidence of cancer per head of population. I hope and trust that every one of us is persuaded that when confronted with a serious problem or challenge, the odds of successfully tackling it are immeasurably improved if one has a plan. Without a plan, there is a serious risk of misguided or confused action. Benjamin Franklin, one of America’s founding fathers, reportedly said, “If you fail to plan, you plan to fail.” That phrase is as relevant now as when he said it nearly 300 years ago. In England we are in a battle royale against this deadly disease of cancer, which will directly affect one in two of us and indirectly affect almost every one of us through our connections to friends or family. The evidence is absolutely clear: countries with a dedicated cancer control plan show a better overall five-year cancer survival rate. That is not anecdotal; it is the clear result of an international cancer benchmarking partnership study published in The Lancet Oncology. A report in The Lancet Oncology by 12 leading cancer experts published a blueprint for a national cancer plan. Those experts were from Imperial College London, #CatchUpWithCancer and Radiotherapy UK, the Faculty of Public Health and Policy at the London School of Hygiene and Tropical Medicine, and the Institute of Cancer Policy at King’s College London. Their blueprint consolidates four reports published separately in The Lancet Oncology over two years, clearly outlining the necessary steps—a plan—to improve cancer outcomes. The need for a plan is urgent. We had a 10-year one, which ran out in 2022. The then Health Secretary promised a new one. There was a five-month consultation, and then the next Secretary of State binned the whole idea. We are in a dire situation on the cancer front. Cancer mortality in this country is among the highest in the OECD. The key 62-day target to start treatment has not been met in England since 2015. When we consider that international research shows that a four-week delay in cancer treatment can increase the risk of death by 10%, this failure to meet that 62-day target has potentially fatal consequences. If the Government are in any doubt about the consensus across the cancer care community on the need to get back to having a dedicated cancer plan, they need make only a cursory scan of all the charities and other stakeholders. Almost without exception, every organisation of any standing is in favour of getting a cancer plan and getting it fast. As is widely known, there are several main cancer cure pathways: surgery, chemotherapy and radiotherapy. Any cancer plan would obviously need to include all these pathways, but I would like to say a few words about radiotherapy in the context of any such cancer plan. For clarity, I am talking about radiotherapy, not radiography. Radiography is vital. It is the use of techniques to scan an image to detect potential issues such as cancer. Radiotherapy is the use of high-energy radiation to kill cancer cells. If anyone is perplexed by my need to clarify that, they may understand when I say that some former Secretaries of State for Health and Social Care have been heard to confuse the two. I am confident that this Minister and the current Secretary of State will not suffer a similar confusion. Radiotherapy offers technologically-advanced, cost-effective, personalised and precise solutions to treat more patients more quickly, more accurately and better. We have about 270 radiotherapy machines in England. Of those, 70 will pass their 10-year recommended life this year, and replacing them would cost £150 million. The Minister will know that this will be money well spent, as it takes people off the waiting lists and straight into treatment and gives them a life chance that is longer, and many will return to work, just like my hon. Friend the Member for Wokingham. Until recently, radiotherapy has been overlooked in both priority and investment, so I would like to pay testament to the impressive work of Professor Pat Price of Radiotherapy UK, the charity she founded and still leads. I also thank the Secretary of State for Health and Social Care for agreeing to meet Professor Price, representatives of Radiotherapy UK and me, so that we can all do what we can to help. I am sure that the Minister for Care will also be involved in that conversation. Professor Price’s relentless campaigning is putting radio- therapy back at the heart of the political debate. This was reflected in the recent Budget announcement of £70 million for new radiotherapy machines. That money is not enough, but it is a really positive start. The recent Radiotherapy UK productivity report shows that smart investment in the sector could create 87,000 new cancer appointments, and the need for a new national cancer plan including measures to boost radiotherapy is clear. Only 27% of cancer patients in the UK can access the radiotherapy that they need, compared with the international recommendation of 52% to 53%. In total, 7.4 million people in the UK live in radiotherapy cancer treatment deserts. Lord Darzi’s independent review of the NHS revealed that more than 30% of patients are waiting too long for their radio- therapy cancer treatment. Radiotherapy cannot be used on all cancers, but where it is appropriate a typical radiotherapy cancer cure can cost as little as £3,000 to £5,000, which is dramatically less than chemotherapy. The case for a national cancer plan is well made. I urge the Minister to bring the experts in and to produce such a plan.

• 24 Oct 2024 · Special Educational Needs and Disabilities · Hansard source

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  Demand for EHCPs for children in Somerset has tripled in six years, and the county’s SEND budget is forecast to be in deficit by £290 million in the next five years. Previously, Somerset spent, on average, £22,000 per child with an EHCP, but now that is £18,000. So this is not about overspending; it is about the increasing number of children needing help. As a start, could the Minister look at the current legislation, which lacks clear definitions of which children should be assessed or funded? This ambiguity, especially post covid, has led to a huge and rapid increase in the number of children needing support.