Margaret Mullane

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.