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Category: Health

  • Steven Bonnar – 2022 Speech on Pancreatic Cancer Awareness Month

    Steven Bonnar – 2022 Speech on Pancreatic Cancer Awareness Month

    The speech made by Steven Bonnar, the SNP MP for Coatbridge, Chryston and Bellshill, in the House of Commons on 8 November 2022.

    It is a pleasure to see you in the Chair, Mr Hollobone. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this debate on Pancreatic Cancer Awareness Month and setting out matters in such great detail for us. We have heard from hon. Members about a wide range of issues faced by constituents across the nations of the UK in dealing with this type of cancer. The hon. Member for Stroud (Siobhan Baillie) spoke of how well informed her constituents are and the asks they have of the Government in this area. My hon. Friend the Member for East Dunbartonshire (Amy Callaghan) spoke of her constituent Barbara and her experience of NHS services failing to identify and diagnose her cancer in time. We also heard from the hon. Members for East Londonderry (Mr Campbell), for Upper Bann (Carla Lockhart) and for Carshalton and Wallington (Elliot Colburn), and I thank all Members for their contributions.

    November is Pancreatic Cancer Awareness Month and 17 November is World Pancreatic Cancer Day 2022. It is so important to raise awareness through these days and through our debates to improve early diagnosis by ensuring that more people know the early symptoms of pancreatic cancer. It has the lowest survival rate of all common cancers and is the deadliest common cancer in Scotland and across the United Kingdom. There are around 10,500 new cases in the UK each year. That equates to 29 cases every single day. It is the 10th most common cancer in the United Kingdom, accounting for 3% of all new cases, and the fifth biggest cancer killer with 9,000 deaths each year. In Scotland, there are around 900 new cases per year, with an incidence rate of 15.5 per 100,000 people.

    Pancreatic cancer is caused by the abnormal and uncontrolled growth of cells in the pancreas—a large gland that is part of our digestive system. In the early stages, a tumour in the pancreas does not cause any symptoms, which can make it difficult to diagnose, as we have heard. Symptoms can vary from person to person and may include jaundice, indigestion, stomach or gut pain, back pain, diarrhoea, constipation or weight loss. Pancreatic cancer is particularly difficult to diagnose early, as we have heard so many times, and Pancreatic Cancer UK reports that 80% of cancer patients are not diagnosed until the cancer is at an advanced stage. While the causes are not clear, it is most common among those aged 75 years and over, with almost half of all new cases diagnosed falling in that age demographic.

    Early diagnosis is crucial to improving survival outcomes, with one year survival rates for those diagnosed at an early stage being six times higher than those diagnosed at stage 4. However, most people with pancreatic cancer are unfortunately diagnosed at that late stage. At present, surgery is the only treatment with curative intent for pancreatic cancer, while chemotherapy and radiotherapy have been shown to improve survival in those with late- stage pancreatic cancer. If it is diagnosed at a late stage, surgery to remove the cancer is usually not possible.

    The Scottish Government are committed to diagnosing cancer as early as possible, which is why they continue to invest in their detect cancer early programme, or DCE, and are rolling out rapid cancer diagnostic services across Scotland. We know the earlier that cancer is diagnosed, the easier it is to treat. That is why the Scottish Government continue to invest in that programme, which adopts a whole-system approach to diagnose and treat cancer as early as possible. They are developing a new plan for early diagnosis as part of their new cancer strategy to be put in place in spring.

    The new 10-year strategy will take a comprehensive approach to improving patient pathways from prevention and diagnosis through to treatment and post-treatment care. That follows on from the establishment of three rapid diagnostic services centres, developed within the NHS infrastructure. The centres are in Ayrshire and Arran, Dumfries and Galloway, and Fife. They will play a key role in delivering early diagnosis and improved care, with fast-track diagnostic testing at the first appointment wherever possible.

    The First Minister announced as recently as 10 October that the next two rapid cancer diagnostic services centres in NHS Scotland will go live in my own NHS board of NHS Lanarkshire and in NHS Borders. Through the NHS recovery plan, the Government in Holyrood have invested £29 million to provide an increase of 70,000 diagnostic procedures next year and 90,000 by the end of the plan in 2026. A new DCE awareness campaign is also under development to empower people with possible cancer symptoms to act early. That is due to be published in spring 2023.

    In Scotland, it has been recognised that the impact of the covid-19 pandemic may have exacerbated inequalities within cancer screening, and the Scottish Government have committed up to £2.45 million to the screening inequalities fund over the past two years. Public awareness campaigns and messages have run throughout the pandemic to encourage those with possible cancer symptoms to seek help. To support scope-based diagnostics, the Scottish Government have published a £70 million endoscopy and urology diagnostic recovery and renewal plan, focusing on key areas such as balancing demand and capacity, optimising clinical pathways, improving quality and efficiency, workforce training and development, and infrastructure and innovation redesign. A further £9 million has been allocated this financial year to support diagnostic imaging capacity, with six mobile MRI scanners and five CT scanners in place across Scotland’s NHS.

    Despite all that work and all the amazing work of charities and activist organisations, and their dedicated supporters, which has been placed on the record today, there is still so much more for us to do. Investment in facilities, improved treatment options and early detection are all necessary, but it is also vital that research into alternative cancer treatments continues and expands. The Scottish Government provided an average of £2 million each year to cancer research causes in the five years before the pandemic, and that remains our priority.

    According to Pancreatic Cancer UK, research into the disease has been underfunded for decades. The charity estimates that pancreatic cancer receives 1.4% of cancer research funding and yet is the fifth biggest cancer killer. Just recently, to mark World Cancer Day, Cancer Research UK delivered a cash injection of £12 million to the Cancer Research UK Scotland centre, supporting the work of cancer researchers from the University of Edinburgh and the University of Glasgow. Professor Ian Tomlinson, who is co-director of the centre, welcomed the finance but highlighted how challenging the previous year had been and the fact that covid-19 has slowed down research.

    Finally, we in the SNP commend all the charities and activist organisations and their dedicated supporters for their tireless efforts to raise awareness of pancreatic cancer. We have called on the UK Government to support Cancer Research UK and other research charities throughout the pandemic, while their funding activities have been curtailed by restrictions, and now in the face of people being more cautious with their money. With the Tory cost of living crisis continuing to undermine people’s financial security and their ability to support charitable efforts, it is more important than ever for the Government to step in and support charities in their work and to directly fund cancer research.

  • Carla Lockhart – 2022 Speech on Pancreatic Cancer Awareness Month

    Carla Lockhart – 2022 Speech on Pancreatic Cancer Awareness Month

    The speech made by Carla Lockhart, the DUP MP for Upper Bann, in the House of Commons on 8 November 2022.

    Thank you for your indulgence in allowing me to speak, Mr Hollobone. I commend the hon. Member for Strangford (Jim Shannon) for securing this debate; he is a tireless champion for his constituents and for many issues that impact the lives of people across the United Kingdom.

    The words pancreatic cancer strike fear into us all, as it is widely recognised to be the most deadly form of this terrible disease. We all know of people in our own lives who, when faced with that diagnosis, have fought valiantly, but ultimately have succumbed to this aggressive form of cancer. Sadly, I know of some who are no longer with us, who were diagnosed during the pandemic and so received the devastating news alone. They were not allowed to have anyone there to comfort them, offer spiritual support or bring someone with them on their treatment journey. That is cruel in the aftermath of such a cruel diagnosis.

    As with all cancers, early detection of the disease and the resumption of treatment is of fundamental importance. It is when considering this aspect that we must look closely at access to GPs. As Members across the House have said, over the last two years we have seen how obtaining any appointment, even by telephone, is increasingly difficult. Face-to-face appointments are almost impossible to secure for many people. The vague symptoms that often present for those with pancreatic cancer are unlikely to trigger any form of consultation, particularly face to face. They are also most likely to lead to a patient giving up the fight to see their GP, given the barriers to consultation.

    We have rightly spoken today about the awareness of symptoms and the importance of early detection. My concern is the pathway to investigation of symptoms; detection is blocked off at that first point of community healthcare. We need to focus on GP services and ensure GPs are resourced and then willing to return to pre-pandemic practices. Colleagues have rightly spoken about research and the importance of increasing funding. We have seen encouraging developments in recent years, including in the research led by Queen’s University Belfast. I join others in asking for increased funding towards treatments to help save lives.

    I will finish by commending some of the charities in my own constituency and in Northern Ireland, which are so forward thinking in raising funds to support those who receive a diagnosis, as well as the families who have to live with that diagnosis. They also help to fund research. I commend NIPANC, a charity headed up by Mr Mark Taylor and supported by a family in my constituency, Mrs Susan McLaughlin and her two sons, Aaron and Adam. They lost a father and a husband, Colin. Adam was just three when Colin died very suddenly from pancreatic cancer. I want to commend Mrs Victoria Poole, who volunteers with Pancreatic Cancer UK and who also lives in my constituency. They are all strong advocates who want to see change and to see the Government stepping up to the mark with regards to pancreatic cancer research.

    Jim Shannon

    I am reminded of a lady I met when I was a Member of the Assembly between 1998 to 2010. Her name was Una Crudden, and she brought the issue to my attention. She was a great advocate of how to deal with pancreatic cancer; she was raising awareness, even back at that time. I often think of her because she was a determined lady and a great supporter of her family. They were a family who were very much together. I am minded that she struggled with that disease for four or five years and ultimately passed away, but it is the Una Cruddens of this world—my hon. Friend referred to some of her constituents—who bring this matter to the fore.

    Carla Lockhart

    Absolutely. I knew Una from my Stormont days as well—she was a courageous lady who deserves to be mentioned in this debate.

    I pay tribute to all those who are involved in charities. They support our healthcare system and I commend them today because they are the true heroes. The NIPANC motto for Pancreatic Cancer Awareness Month is “Time Matters”, and the message today is that time matters: understand the symptoms and seek urgent, early diagnosis.

  • Elliot Colburn – 2022 Speech on Pancreatic Cancer Awareness Month

    Elliot Colburn – 2022 Speech on Pancreatic Cancer Awareness Month

    The speech made by Elliot Colburn, the Conservative MP for Carshalton and Wallington, in the House of Commons on 8 November 2022.

    It is a pleasure to serve under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Strangford (Jim Shannon) on securing the debate, and I thank my hon. Friend the Member for Stroud (Siobhan Baillie) and the hon. Member for East Dunbartonshire (Amy Callaghan) for their contributions. I am delighted to be taking part in this debate, not just because I am the new chair of the all-party parliamentary group on cancer, but because my borough is home to the excellent Royal Marsden Hospital, the Institute of Cancer Research and the London Cancer Hub.

    Colleagues have set out the key issues very well indeed, but they are worth repeating. Out of all the common forms of cancer, pancreatic cancer remains the deadliest. More than half of all patients die within just three months, and only 7% live beyond five years. It is always difficult for an individual to go through a cancer diagnosis, but the statistics make a pancreatic cancer diagnosis particularly hard on the individual, their friends and family, so it is right that Government redouble their efforts to work with the NHS and the third sector, particularly with Pancreatic Cancer UK, in order to improve survival rates.

    I join colleagues who have reiterated key calls made by Pancreatic Cancer UK. They include providing a clear and urgent national-level focus on pancreatic cancer and other less survivable cancers, investment in targeted innovative pancreatic cancer research, producing more and better data, publishing the 10-year cancer plan and improving access to PERT. However, I would like to focus on an additional call in my speech today.

    I acknowledge the good work the Government have done in this space already, including trying to raise awareness of PERT, conducting better data audits, looking to see how we can improve diagnosis and providing a commitment to look at that in the 10-year cancer plan. I hope the Minister can provide us with some assurances about the publication of that plan. We know that health disparities exist across the country and between people with different protected characteristics, but I hope we can learn from an example of best practice in my own constituency.

    In Carshalton and Wallington, we are lucky to have the Royal Marsden on our doorstep, along with the Institute of Cancer Research, where world class research is happening, and the London Cancer Hub, which I would be delighted to invite the Minister to come and visit whenever she is free. That site is truly a world leader in cancer research, second only to those in the United States. The Royal Marsden is currently being refurbished, and it is looking to increase its capacity and work with partners to deliver new and innovative treatments.

    One of the most exciting projects coming down the line is the partnership with the Epsom and St Helier University Hospitals NHS Trust. That project plans to invest in the existing two hospitals and build a third acute hospital, which will be a specialist emergency care hospital, on the old Sutton hospital site, next to the Royal Marsden. As well as providing state-of-the-art acute services, that will also help the Royal Marsden with capacity to provide cancer surgery on the Sutton site, rather than sending people covered by that catchment area up to Chelsea, which can sometimes be difficult. That means local cancer patients, and cancer patients from across south London, Surrey and parts of Sussex, will be able to conduct most, if not all, their cancer journey right on their doorsteps.

    I welcome the work the Government have done to increase investment in the NHS and develop strategies in this area, but a major barrier that prevents optimal care, not just for pancreatic cancer but across the NHS and social care sector, is workforce. I know the Minister knows that already. Yesterday, I had the honour of chairing a roundtable event with the Westminster Health Forum to discuss how we tackle cancer backlogs and how we optimise cancer care in the UK. Again and again, workforce was brought up as the major barrier to improvement. We can invest as much money as we like, develop new strategies and, of course, find efficiencies and better ways to do things, for example by investing in digital and information technology, but without the workforce on the ground to deliver it, much of what we do will not create an impact, at least from a patient perspective, for a long time.

    It must be stressed that workforce does not just mean doctors. Of course we need more doctors, and I am glad to see the progress the Government are making on our manifesto commitment to recruit more doctors, but it must also include nurses and allied health professionals, such as oncologists, pathologists, data scientists and all the specialists involved in the cancer pathway. I appreciate that creates a massive challenge, because we cannot magic a skilled workforce out of nowhere: it takes years to train the staff required. There are a few things the Government can do in the short term to encourage recruitment and retention—I reiterate calls to look again at NHS pensions, which are incentivising early retirement—but workforce options are few and far between, without training the next generation of the NHS workforce.

    As the Minister may have guessed, my fifth call to Government is that a specific NHS and social care workforce plan is developed, alongside the cancer plan, in order to take advantage of the measures available in the short term and to increase the number of people in that highly trained workforce. That will help to fill the vacancies that it is necessary to fill and deliver first class, nationwide cancer care, including for pancreatic cancer patients.

    I look forward to hearing the Minister’s response to the calls from colleagues and from Pancreatic Cancer UK, because as has been set out so well, a diagnosis of pancreatic cancer can be truly devastating for people. I hope the Government can offer some assurance and some hope to patients today, and to future cancer patients, about the work they are undertaking to improve patient experiences.

  • Amy Callaghan – 2022 Speech on Pancreatic Cancer Awareness Month

    Amy Callaghan – 2022 Speech on Pancreatic Cancer Awareness Month

    The speech made by Amy Callaghan, the SNP MP for East Dunbartonshire, in the House of Commons on 8 November 2022.

    It is a pleasure to serve under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this important debate today, and on all the work he does in raising awareness of pancreatic cancer.

    I do not need to tell anyone here how cruel an illness pancreatic cancer is. We know it from experience, whether that be personal or from hearing the tragic stories of our constituents. My parents lost one of their closest friends to the disease 20 years ago, and yet we are nowhere near as far forward in treating and, crucially, diagnosing it as we could be in 2022.

    I see the purpose of today’s debate as awareness raising. Too many lives are lost to pancreatic cancer, so let us try to save some by getting people diagnosed earlier. There are numerous ways of doing that. People need to be more aware of the signs and symptoms, which I will come to shortly and which other hon. Members have outlined. GPs and other healthcare professionals need to be able to recognise the symptoms once presented, and we need incredibly speedy action if pancreatic cancer is suspected; there must be urgent access at the point of diagnosis.

    That is not happening right now. Only 16% of people with pancreatic cancer are diagnosed at an early stage, and emergency presentation remains the most common route to diagnosing it. There is still too low an awareness of it across our communities: 76% of people in the UK are unable to name a single symptom of this terrible disease. Worse still, it is not easily recognised when presented to our healthcare professionals.

    The story of my constituent Barbara sadly emphasises that point. She was 65 years old when she first experienced pains in her abdomen—the first symptoms of her pancreatic cancer. She had not long retired, having been a PE teacher for 40 years. She played hockey for Scotland. She was fit, active and not overweight; she ate healthily, did not smoke, drank in moderation and walked her dog every morning.

    Barbara saw her GP within a week of first having pain. They prescribed an indigestion remedy and suggested paracetamol for the pain. She saw her GP at least once a month over the next year as the pain intensified and spread to her back. Her GP referred her for blood texts, X-rays, ultrasound, a colonoscopy and an endoscopy, but all tests were negative. None of the NHS practitioners who performed the tests recognised the symptoms.

    After a year, the GP put in a referral for Barbara to be seen by a consultant. By that time, the pains were almost so unbearable that she was more or less confined to her house. She arranged to see a private health consultant and paid to have a scan. Within two weeks, she was told that she had a cyst in her pancreas, and further investigation three weeks later diagnosed a cancerous tumour on her pancreas, and she was told immediately that there was no cure.

    Barbara received chemotherapy for six months. At first, the treatment caused the tumour to shrink a little, but it soon began to grow again. The treatment made her feel very ill. Barbara made the decision to discontinue the chemotherapy. It took almost 18 months for Barbara to have her condition diagnosed, and that happened only after a private healthcare consultation. She died two years and two months after experiencing her first symptoms. I thank her family for allowing me to share her story today to help raise this crucial awareness.

    By raising awareness, we can help people get diagnosed earlier and live longer lives. For those diagnosed in time for life-saving surgery, five-year survival increases significantly. Raising awareness of an issue or illness comes in a multitude of ways. I congratulate my constituent Lesley Irving on the power of work she has done to raise awareness of pancreatic cancer since losing her mum to the illness on 6 June 2020. Lesley has got public and private buildings across Scotland to light up purple, and she assures me that this year will be the best one yet. I look forward to meeting her next week to recognise her achievements and celebrate the memory of her mum.

    If anyone watching this debate is experiencing a loss of appetite, upper abdominal or mid-back pain, fatigue, unexplained weight loss, jaundice, nausea and vomiting, they should please see their GP and explain that they think it could be pancreatic cancer. It could just save their life.

  • Siobhan Baillie – 2022 Speech on Pancreatic Cancer Awareness Month

    Siobhan Baillie – 2022 Speech on Pancreatic Cancer Awareness Month

    The speech made by Siobhan Baillie, the Conservative MP for Stroud, in the House of Commons on 8 November 2022.

    It is a pleasure to serve under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Strangford (Jim Shannon) on securing the debate in an important awareness-raising month for pancreatic cancer. I meet hundreds of people each month as Stroud’s MP, and I am asked to take up thousands of issues and causes. Sometimes people demand that I take up causes, and my team get fed up with me, because I want to help everybody, and they say I generate work whenever I leave the house. I know that many MPs across all political parties will share the same experience.

    When constituents come with very clear asks and a constructive approach, it makes it easier for us as MPs. I have found over time in my still relatively new role in the past three years that everybody who comes to talk to me about pancreatic cancer comes with that constructive approach and a clear set of asks about what they want to happen. It does not matter how personal it has been for them, or whether they have had loss or are cancer survivors themselves. Pancreatic cancer is something that people want to see changed. They are going about it the right way, by bringing matters to us, so that we can raise issues with Ministers. I thank them for that, as well as the charities, Pancreatic Cancer UK and others.

    The more I have looked into the subject, the more I have understood why it needs to be addressed. Campaigners and families affected by pancreatic cancer talk about the failure in our NHS medical system. As wonderful as the NHS is, there is a failure to detect this cancer earlier. They raise the failure to get people properly to understand the symptoms of this cancer. One of my constituents says, “The clue is in the loo,” which I like as a slogan. They also raise the failure to prescribe medicine that will help people, which I will come to separately.

    If there are clear asks in this area of medicine, people are confused why they are not being met. The medical healthcare system is failing our constituents at the moment on pancreatic cancer. I know that Stroud people, whom I love dearly, will die of this most deadly common cancer, if the health care system does not change.

    I want to talk about one of my constituents: a young woman, my age, a mum, businesswoman, super-bright cancer survivor. She is a young woman with what was thought of as an elderly person’s cancer. For about five years, she went to her GP with fatigue, bloating and general lethargy, but a further investigation into cancer was not done. She went backwards and forwards with a list of symptoms, but it was not picked up. Her tumour was the size of a walnut and internal, so that it could not be felt. We have got used to checking our bits and bobbins, as my wonderful hon. Friend the Member for Chatham and Aylesford (Tracey Crouch) tells us to do, but where there is an internal walnut-sized lump—not lumps on breasts or testicles—we are stuck, and people are not detecting it. If our medical system is not detecting it, we are in difficulties.

    My constituent’s experience highlights the need for people and health care professionals to be alert to smaller symptoms that could be a sign of pancreatic cancer. We need to talk about poo—the clue is in the loo. We need to raise awareness of this silent cancer. If the general population is not aware of symptoms, we will miss it and will get further into difficulties with that devastating loss.

    My constituent also asked me to campaign on the issue of PERT—pancreatic enzyme replacement therapy. There has been a push from cancer charities to try to get PERT prescribed more frequently, because three in four people with pancreatic cancer reported that PERT improved their quality of life. It is about 60 tablets a day and not an easy thing for people to take, but it improves their quality of life. It reduces the weight loss, the appetite loss, the abdominal pain and the bloating or wind. It reduces pale, oily and floating poo, and it reduces diarrhoea. All of that enables patients to regain some normality in their day to day lives, and it helps food to be digested and absorbed by the body. That means they gain strength to undergo potentially life-saving treatment. Given that we know about that treatment, why is it not prescribed as frequently as campaigners suggest it should be?

    We understand there is a lack of awareness among healthcare professionals about what PERT can do, and that the levels of nutritional expertise among healthcare professionals are quite low, particularly in general hospitals. We know, as the hon. Member for Strangford has set out, that the stage that people are diagnosed with pancreatic cancer is incredibly late.

    I have six key asks: to raise awareness among healthcare professionals; to place PERT at the heart of pancreatic cancer treatment improvements; a top-down prioritisation and approach that tackles the entire pathway of treatment and care; to make PERT a UK-wide priority in pancreatic cancer care; national targets for the use of PERT; and local health bodies to ensure the effective prescription of PERT.

    I want to hear from the Minister today in relation to PERT and the prescription—or lack—of it. I also want to draw her attention to a study into pancreatic cancer —there is not enough time to go into it today—by Oxford University and Pancreatic Cancer Action, which was released last week. I read it last night and it is excellent. The founder and CEO, Ali Stunt, is an incredible woman. In fact, we are surrounded by incredible women campaigners, and we should pay homage to the late, great Dame Deborah James. I am sure all of us have been moved by seeing what she managed to achieve on social media. I know her family are continuing with the campaign.

    All of my Stroud constituents who brought these issues to me want to see action and they want to hear from the Minister. I am really pleased we are having this debate, and I thank the hon. Member for Strangford for securing it. I hope that we can all come together to reach agreement about what should happen.

  • Jim Shannon – 2022 Speech on Pancreatic Cancer Awareness Month

    Jim Shannon – 2022 Speech on Pancreatic Cancer Awareness Month

    The speech made by Jim Shannon, the DUP MP for Strangford, in the House of Commons on 8 November 2022.

    I beg to move,

    That this House has considered pancreatic cancer awareness month.

    It is good to see everyone here. I thank Members for attending and look forward to their contributions, especially those from the shadow Ministers. In particular, I look forward to the contribution from the Minister, who is back in post again. I wish her well and look forward to her summing up of the debate.

    It is a pleasure to speak on the subject and I declare an interest as chair of the all-party parliamentary group on pancreatic cancer. I am pleased that my application to the Backbench Business Committee for a debate was successful, and I have a number of asks. I pay special tribute to the hon. Member for East Dunbartonshire (Amy Callaghan), who is sitting to my right. She was chair of the APPG, and when her health was not the best, she asked me whether I would take it over. That seemed to be the unanimous opinion of the members of the group, so I was pleased to do so.

    I owe the hon. Lady a special thanks. She is the lady, as she always is, who presented the issue and pushed it, and I just follow in her footsteps. That is a fact. I am pleased to see her getting back to health and strength, and look forward to her contribution, which I am sure will be factual and helpful to the debate.

    With pancreatic cancer, silence is deadly. That is where we are—very much conscious of pancreatic cancer and what it does. It is a disease that gets too little attention and too little funding. That is one of my asks of the Minister, and I prepare her for it in advance. Later, I will refer to some stats and figures, which will reinforce the issue. Thousands of people die of pancreatic cancer every year, so it is critical that we secure early diagnosis and ensure that the funding for research is there. Ultimately, we must raise awareness of the disease—for example, through today’s debate.

    Pancreatic cancer is the deadliest common cancer of all, which underlines the importance of the debate, and the stats surrounding it are truly shocking: 10,000 people across the United Kingdom of Great Britain and Northern Ireland are diagnosed with the disease every year, and half the people diagnosed die within three months of their diagnosis. That is alarming, and I want to present some evidence about how the disease affects people, particularly those in my constituency.

    Sadly, only 7% of those who are diagnosed survive five years, and even fewer survive longer than that. The five-year survival rate for pancreatic cancer in Northern Ireland is one of the worst in the world at 4.9%, and it puts us 32nd out of 36 countries in the survival charts. That tells us all about where we are. The Minister is not responsible for health in Northern Ireland because health is a devolved matter, but I want to use the debate to highlight the issue and to show where we can push for the improvements that we would like to see and wish we could have. Back home, I have been pushing the Minister of Health on that for a long time, and I want us to have such a strategy on the UK mainland in the hope that we can do the same in turn in Northern Ireland.

    When I am in my constituency office, my heart sinks when people come in for help with their personal independence payment form and inform me that their illness is pancreatic cancer. I feel my stomach sinking and my heart dropping, and I take a deep breath, because I know that I am looking across the counter at someone—man or woman—who, unfortunately, has limited time left in this world. Much more often than not, pancreatic cancer is a death sentence. My office helps people with benefits, PIP forms and universal credit, which eases them through the financial issues. There is a health burden, but the other burden is finance—when someone can no longer earn the money that they need to pay the bills and get through.

    November is many things, but we are here because it is Pancreatic Cancer Awareness Month. All around the United Kingdom of Great Britain and Northern Ireland, people have been lighting up their homes and local landmarks purple, holding fundraising events for charities such as Pancreatic Cancer UK, and having conversations. It is so important to have conversations to raise awareness of the deadliest common cancer of all.

    Mr Gregory Campbell (East Londonderry) (DUP)

    I congratulate my hon. Friend on securing the debate and on the work that he is doing in the all-party parliamentary group. He is highlighting the importance of November being Pancreatic Cancer Awareness Month. Does he agree that early detection is key? Unfortunately, at the moment pancreatic cancer has the lowest survival rate of all common cancers. Awareness is critical in assisting people, moving toward early detection and trying to get those figures down.

    Jim Shannon

    I totally agree with my hon. Friend. I will give an example and mention a lady’s name; I have her permission to do so. I am pretty sure that the hon. Member for East Dunbartonshire knows this lady, and others may also know her story, which illustrates where early detection and diagnosis can make all the difference. We need to focus on the three symptoms to look out for, which can lead to the early detection and diagnosis that are so important.

    Pancreatic cancer is a brutal illness, and there is no better way of understanding how brutal it is than by hearing how it impacts an individual and their family. To that end, I will take the opportunity to share the story of Rebecca Buggs, who is the face of the Pancreatic Cancer UK campaign this Pancreatic Cancer Awareness Month. She is a nurse, who looked after pancreatic cancer patients and was well aware of the symptoms. Ultimately, her awareness of those symptoms saved her life.

    The Pancreatic Cancer UK campaign is called “No Time to Wait”, and there is no time to wait. There must be an instantaneous response to symptoms—my hon. Friend the Member for East Londonderry (Mr Campbell) mentioned the importance of that—because for patients with pancreatic cancer, delay means disaster. Rebecca, who is 43, knows that all too well. She has been a nurse for 21 years, and over the course of her career she has prepared many patients for the Whipple procedure—the only operation that provides a possible cure for pancreatic cancer. When Members hear her story, they will understand the importance of that.

    On Christmas day last year, almost 11 months ago, Rebecca began to feel very unwell. She believed it was just a covid-19 infection, as many do; if someone is not well, they think it must be covid, because covid has been prevalent for the last two and a half years. Three days later, her husband noticed that she was jaundiced and said, “Becki, you look like a Minion”—not because that is a derogatory term, but because Minions all have yellow faces. After contacting the on-call registrar, whom she fortunately knew because of her role as a nurse, she was told to head straight to her hospital for blood tests and scans.

    On 4 January this year, 10 days after her symptoms began, Rebecca was told the devastating news that she had pancreatic cancer. Luckily, her cancer was caught early enough for her to have the Whipple procedure, for which she had prepared many patients over all those years in her job. For most patients, it is far too late; only 10% of people are able to access that surgery. One of the things I will ask the Minister about is access to surgery; I know that she will have an answer to our queries, as she always does.

    In the campaign, Rebecca talks incredibly powerfully about how this time was for her and her family. It is not just about the impact on the person who has the disease; it is about the impact, in this case, on her husband, her children, her mum and dad, and everyone else. She talks about how scary it was to be the one on the operating table after preparing so many for the procedure herself, highlighting the experience of so many with this devastating cancer. She said:

    “These were the hardest 11 days of my life. I was away from my children, Jacob who’s 9 and Georgia who’s 8, and they couldn’t come and visit me because of COVID.”

    It is vital that we drive improvements so that more people like Rebecca can get access to life-saving treatment for this cancer. That is why Pancreatic Cancer UK’s “No Time to Wait” campaign is vital. We need to ensure that people can get a diagnosis and treatment or surgery—whichever is the case—as soon as possible in order to give them the best chance of survival. I share Rebecca’s concern that so many people are struggling to get GP appointments or referrals for the right tests when they have concerning symptoms such as stomach ache, backache and indigestion. As Rebecca says,

    “they become so ill and jaundiced that they get admitted to A&E and by then it’s too late.”

    When the symptoms and the diagnosis are there and the tests are done, access to surgeons and surgery is so important.

    Rebecca’s point about people with pancreatic cancer being diagnosed in A&E is particularly important. We often think in this day and age that if someone receives a cancer diagnosis, that will happen in a quiet consultation room in a hospital or perhaps in their local GP surgery, but more often than not it happens in a crowded room. More often than not—I say this with respect to doctors and GPs—it may become repetitive for GPs to tell patients that they have a diagnosis of whatever it may be, but that is a life-changing statement for the patient.

    A person came to see me this week and told me that his wife had been diagnosed with cancer, albeit not pancreatic cancer. The doctor had told her very matter-of-factly that she had it, and she was absolutely devastated. What the doctor perhaps could have done was told her husband, who could then have conveyed the news to his wife in a way that would not have been such a shock.

    People might expect that the doctor will give them their diagnosis and follow that up with a clear treatment plan for how they will treat and beat their cancer. In 2022, we expect that there will be a clear path to a cure and a good chance that, eventually, the person will be given the all-clear. But with pancreatic cancer, that just is not the case. More than 60% of patients with pancreatic cancer get diagnosed only in an emergency setting. I think that if anything at all indicates pancreatic cancer, the doctors and those who are aware of it need to prioritise it immediately, because speed is of the essence. Some 70% of people do not receive any active treatment at all, because they are too unwell by the time they are diagnosed; it is almost too late for them. Let that sink in. Imagine receiving a pancreatic cancer diagnosis and then immediately being told, “By the way, there is no possible treatment plan or cure.” That is devastating.

    We have to improve; we have to make the situation better. We have to try to respond in such a way that we add comfort, compassion and understanding—and, more importantly, the opportunity for surgery. It bears repeating that more than half of people who receive a pancreatic cancer diagnosis will die within three months. Wow—that is another blinder of a statement. It really underlines the seriousness of the matter. For people with pancreatic cancer, there really is no time to wait.

    What is the reason behind my saying all this? Primarily, it is that people with pancreatic cancer are being diagnosed far too late. We are all familiar with the fact that the earlier someone is diagnosed, the better their chances of survival. But some things are needed before people can get that crucial early diagnosis. I will outline some of them, and I hope that the Minister will be able to respond in a way that is helpful.

    First, we all need to spread awareness of the symptoms of this cancer, which are stomach and back pain, indigestion, unexplained weight loss, and jaundice. The colour caused by jaundice would obviously be noticeable right away, but all the other things are more difficult. Someone might have a bit of backache and a bit of indigestion now and again. People should always look out for any weight loss, and sometimes even weight gain. Of course, it is striking how common the symptoms on that list are. We would not naturally associate them with pancreatic cancer, but it is vital that people get checks if they experience those symptoms with no explanation. It might not be just backache or a bit of indigestion; it might be more.

    Secondly and simply, there needs to be a test. It is all well and good going to the GP with these types of symptoms, but we also need to equip GPs with the tools that they need to start ruling things out. Will the Minister tell us how we can help our GPs to have all the equipment in place to make early diagnoses, and to refer people for the right test as soon as possible if they have even a minute suspicion that a person might be facing pancreatic cancer? Currently, there is no such test, but research is ongoing to try to create one, which could make a huge difference by allowing people to be diagnosed at an early stage.

    We often speak about research and development. I probably mention it in every health debate—not to be repetitive, but because it is a real issue. Research and development is so important to find a cure and a way to help patients. Will the Minister tell us what can be done to increase research and development in this area? I will give a shocking figure that underlines the importance of research, which is the third key to unlocking earlier diagnosis. Currently, pancreatic cancer is the fifth most common cause of cancer death, but it receives just 1.4% of cancer research funding in the UK. Without sustained investment in innovative research, we will not be able to improve survival rates at the pace that we must.

    To date, Pancreatic Cancer UK has invested over £10 million in pancreatic cancer research, including research that aims to develop a simple test for the cancer, but it is a charity, so its funds are limited. Will the Minister tell us what can be done to help pancreatic cancer research and development? It is sometimes easy to say this, but I genuinely believe in my heart that the Government have to step in and help, because pancreatic cancer is so brutal and singular, and it ends life very quickly. Can we please have some direction on what can be done to help?

    To achieve major breakthroughs, we need the research and development upgraded. We need extra money spent, well above the 1.4% of cancer research funding that pancreatic cancer receives at the moment. I say with respect that if Pancreatic Cancer UK can raise some £10 million, which is quite a bit for a small charity, the Government need to match that and do a wee bit better. Despite everything we have heard today, we need the charity’s ambition and spend to be matched by the Government and other national research funders.

    In addition to driving crucial research breakthroughs, the Government must ensure that they take action to improve outcomes for people with pancreatic cancer. I know that lots of cancers are deadly, but pancreatic cancer is the deadliest. Because of that, it needs a wee bit of extra assistance. That is particularly important at the moment, as we are heading into what will be a very challenging winter for the NHS, with the pandemic, staff shortages and underfunding pushing it to breaking point. By its very nature, the press is quite negative, and it is sometimes hard to be positive about all the different news that we hear in the media, on TV and in the papers, but we need to have pancreatic cancer research and development, and response, at the centre of our cancer strategy.

    Without action, there is a risk that things will get even worse for people with pancreatic cancer, as any additional delays to vital appointments, tests and treatments—the three things we need, along with an assurance on the speed of response—will have an adverse impact on people who have no time to wait. There has been inaction on pancreatic cancer for too long, but together we can change that. Indeed, I believe it is our duty to push for better for those who are faced with this deadly cancer.

    We need to see urgent action, and there are things that the Government could do now to start shifting the dial. First, they must publish the 10-year cancer plan as soon as possible. Back in January, the then Health and Social Care Secretary, the right hon. Member for Bromsgrove (Sajid Javid), committed to publishing a 10-year cancer plan that would transform this country into a world-leading force for cancer care and treatment. Our previous Prime Minister recommitted to doing that, but we have since had silence—I say this with respect—from the new Prime Minister, who has had plenty on his plate, and the new Health and Social Care Secretary. Pancreatic cancer has been neglected by successive Governments, as have cancer plans. As a result, survival rates have not improved in decades. There has been a lack of action over time on pancreatic cancer, and we really need to ensure that work is put in place.

    A funded and ambitious cancer plan would be a real step in the right direction, demonstrating our national ambition. I am proud to be British and proud to have a Government that lead. We need to lead on this, and we need to do so very quickly. That will give us something to aim for in driving up outcomes and survival, and it will help us to give people hope. That hope has not been there for years, and it needs to be there now. I say this very politely but sincerely and firmly: currently, we are a rudderless ship, and a cancer plan would give us direction and hope. The World Health Organisation advises that all nations need a cancer strategy to give this killer disease the attention it deserves. Through this debate, through our Minister and through our Government, let us become a country that can do better and does not fail to meet that standard.

    To make a real difference, the cancer plan must have a specific focus on less survivable cancers, including pancreatic cancer—the ones that kill the most and kill the earliest. Unfortunately, it is possible to receive a diagnosis of pancreatic cancer and, within three months, to be no longer in this world. The plan must include investment in the workforce so that everyone can have a diagnosis and treatment plan within 21 days. That is the best practice that Pancreatic Cancer UK and clinical experts believe should be the reality everywhere. I make a special request for the Minister to address that. I say this often, but it does not lessen the issue, because it is important: I am proud of being in this Parliament of the United Kingdom of Great Britain and Northern Ireland, but we need to share what we have done regionally in Scotland, Wales, Northern Ireland and England in order to do things better. There may even be a necessity for a UK-wide policy and strategy.

    Getting a diagnosis quickly is crucial in ensuring people can get the treatment they need as soon as possible. In addition, the cancer plan must deliver the funding needed to enable specialist cancer nurses to support everyone with pancreatic cancer as soon as possible after their diagnosis, helping them manage their symptoms and maintain a good quality of life. We must ensure that, when the family and financial pressures are gathering around someone and they sometimes feel like it is just them fighting the disease, that is not the case. We need to wrap our arms around people and tell them that they are not on their own.

    I hope the Government will commit today to publishing the cancer plan. That is critical; it is at the core of the issue, and we need it. I encourage the Minister to meet Pancreatic Cancer UK and people affected by this awful disease to find out more about the “No Time to Wait” campaign and how the 10-year cancer plan can finally shift the dial. I know the answer will be yes but, for the purpose of having it in Hansard, will she commit to having that meeting, which I think will enable Pancreatic Cancer UK to press, push, emphasise and raise awareness of the matter?

    There has been silence around pancreatic cancer for too long, but through this debate, together—collectively as MPs, with the Minister and regionally—we can change that attitude. We need to speak up and demand immediate change on behalf of those who have already lost their lives and the families left to grieve, those who are living with pancreatic cancer right now, and those who face a diagnosis in the coming months. We want to give them hope. We want them to know that if they get the disease, their treatment will be prioritised through A&E, their diagnosis will be quick, the response will be equally quick, and surgery will follow.

    We have work to do in Northern Ireland, and I understand that—the figures I gave earlier emphasise it only too well—but we also have work to do across this great United Kingdom. I am asking for attention to be paid UK-wide in the form of a pancreatic cancer strategy, with information and guidance shared in every area of this United Kingdom of Great Britain and Northern Ireland.

    I am conscious that others want to contribute and I very much look forward to their contributions, including those of the shadow Ministers and, in particular, the Minister. I know that she, along with all of us, will want to do all she can to save lives. I look forward to her response, and I thank the Backbench Business Committee for giving me the opportunity to speak on this subject.

    In Pancreatic Cancer Awareness Month we have a duty as elected representatives in this House to deliver a message. With respect, we hope that the Minister and the Government will respond centrally, with a pancreatic cancer strategy that we can all look up to, so that when people with pancreatic cancer come to my office, as they often do, to fill in PIP forms, I can then tell them that there is some hope and show them what they need to do.

  • Florence Eshalomi – 2022 Question on Govermment Target of Ending HIV/Aids Pandemic

    Florence Eshalomi – 2022 Question on Govermment Target of Ending HIV/Aids Pandemic

    The question asked by Florence Eshalomi, the Labour MP for Vauxhall, in the House of Commons on 8 November 2022.

  • Maria Caulfield – 2022 Speech on Abuse and Deaths in Secure Mental Health Units

    Maria Caulfield – 2022 Speech on Abuse and Deaths in Secure Mental Health Units

    The speech made by Maria Caulfield, the Parliamentary Under-Secretary of State for Health and Social Care, in the House of Commons on 3 November 2022.

    I am grateful to the hon. Lady for raising this important question. Everyone in any mental health facility is entitled to high-quality care and treatment and should be kept safe from harm. The findings from the investigation into the deaths of Christie, Nadia and Emily make for painful reading. The death of any young person is a tragedy, and all the more so when that young person should have been receiving care and support. My thoughts and, I am sure, the thoughts of the whole House are with their families and friends, and I want to apologise for the failings of the care that they received.

    As I told the House on Tuesday, these incidents are completely unacceptable. The Secretary of State and I are working closely with NHS England and the Care Quality Commission, and they have updated us on the specific situation and the steps that the Tees, Esk and Wear Valleys NHS Foundation Trust is taking to improve the care at its services. Those include investing £5 million in reducing ligature risks across the estate; improving how it develops and implements care plans for young people; strengthening its policy on observation; and improving staff training and the culture that can exist within the trust.

    I recognise that these worrying findings come in the context of broader concerns highlighted by other recent scandals. The Minister for Health and Secondary Care, my hon. Friend the Member for Colchester (Will Quince), was at the Dispatch Box last month responding to an urgent question on the unacceptable abuses at the Edenfield Centre. These challenges are, rightly, the subject of sharp focus in my Department, and we understand that every part of our system has a responsibility to keep patients safe. That is the driving motivation behind our new mental health safety improvement programme and the patient safety incident response framework.

    I am not just the Minister for Mental Health; I am also responsible for patient safety, and I am not satisfied that the failings we have heard about today are necessarily isolated incidents at a handful of trusts. The Secretary of State and I are urgently meeting the national director of mental health to look at the system as a whole, the role of CQC inspections and the system for flagging concerns. I will also be meeting the new patient safety commissioner to seek her guidance, and based on that, we will make a decision on how we proceed in the coming days.

    Dr Allin-Khan

    It pains me that we are here again after failings in patient care and I send my heartfelt condolences to all the families affected. Emily Moore, Nadia Sharif, Christie Harnett: these are the names of three young women who tragically lost their lives after systemic failings to mitigate self-harm. This cannot go on. I thank my hon. Friend the Member for Middlesbrough (Andy McDonald) for his tireless work with the families involved.

    Sadly, those are not the only cases. In the last five weeks, there have been reports on the Huntercombe Group, the Essex Partnership University NHS Trust and the Edenfield Centre. Why do undercover reporters seem to have a better grip on the crisis than the Government? Patients are dying. They are being bullied, dehumanised and abused, and their medical records are being falsified—a scandalous breach of patient safety.

    The Government have failed to learn from past failings. I wrote to the previous Secretary of State, the right hon. Member for Suffolk Coastal (Dr Coffey), yet I never received a response. I have written to the new Secretary of State and he has not replied. Are the Secretary of State and the Government taking this seriously? It certainly does not seem so.

    Will the Government be conducting a rapid review into mental health in-patient services? What are the Government doing to ensure that patients’ complaints about their care are taken seriously? These reports are becoming a weekly occurrence. I ask the Minister to put herself in the shoes of patients in these units and understand what their relatives are feeling. Will she apologise for the anguish that families are experiencing? This is a scandal and the Government should be ashamed.

    Maria Caulfield

    I will not stand at the Dispatch Box and deny any of the instances that we have seen, their consequences or the failings that have been identified. I apologised in my opening remarks for the care that failed the most vulnerable patients in our system. I commit to right hon. and hon. Members from the Dispatch Box that we are urgently looking not just at these cases but across all mental health in-patient services, and not just at adult mental health, but at offenders and other users of mental health facilities.

    We have brought in a number of measures. We introduced new legislation, which was enacted in March, on the use of force and restraint. We are identifying best practice and trying to get that rolled out across the country. We are looking at putting in place a number of measures to improve safety and to support staff in units where staff shortages have been identified as a cause of the problems.

    With regard to the hon. Lady writing to the Secretary of State, I signed off a letter to her early on Tuesday, which she should receive any day now. I apologise that she did not previously get responses in a timely manner.

    NHS England has commissioned a system-wide investigation into the safety and quality of services across the board, particularly around children and adolescent mental health services. I am pushing for those investigations to be as swift as possible.

    On the issue of a public inquiry, I am not necessarily saying that there will not be one, but it needs to be national, not on an individual trust basis. As we have seen in maternity services, when we repeat these inquiries, they often produce the same information and we need to learn systemically how to reduce such failings. My issue with public inquiries is that they are not timely and can take many years, and we clearly have cases that need to be urgently reviewed and to have some urgent action taken on them now. I will look at the hon. Lady’s request but, as I said, the Secretary of State and I are taking urgent advice, because we take this issue extremely seriously. One death from a failing of care is one death too many.

  • Neil O’Brien – 2022 Speech on Smokefree 2030

    Neil O’Brien – 2022 Speech on Smokefree 2030

    The speech made by Neil O’Brien, the Parliamentary Under-Secretary of State for Health and Social Care, in the House of Commons on 3 November 2022.

    I thank my hon. Friend the Member for Harrow East (Bob Blackman) and the hon. Member for City of Durham (Mary Kelly Foy) for securing this important debate. I add my voice to the voices of those who have wished the hon. Member for City of Durham a speedy recovery. A lot of the people who contributed to this debate, including the hon. Members for Stockton North (Alex Cunningham), and for Blaydon (Liz Twist), and my hon. Friend the Member for Erewash (Maggie Throup), who all spoke eloquently, have personal experience on this subject, and a real passion for and dedication to achieving a smoke-free England by 2030—a goal to which the Government are completely committed.

    I am pleased to update the House on the Government’s work on the Khan review—the independent review of Smokefree 2030 published in June. Tragically, smoking remains the single biggest cause of preventable illness and death across the country. There are still six million smokers in England, and up to two out of three of them will die from smoking unless they quit. Smoking causes seven out of 10 cases of lung cancer, and most people diagnosed with lung cancer die within a year. One in five deaths from all cancers in the UK was connected to smoking in 2019. Smoking substantially increases the risk of heart disease, heart attack and stroke. Smoking is responsible for around 3.7% of all hospital admissions, and so costs the NHS a staggering £2.4 billion each year.

    People who start smoking as a young adult lose an average of 10 years of life expectancy, or around one year for every four years of smoking after the age of 30. As many hon. Members have said, action is vital if we are to meet the Government’s manifesto commitment of extending healthy life expectancy by five years by 2035. The Government are committed to levelling up society and extending the same chances in life to all people across the country. As various Members have said, smoking is one of the largest drivers of health inequalities, and rates vary substantially across the country; we heard about that from the hon. Member for Stockton North. As Dr Khan stated in his independent review, smoking prevalence is four and a half times higher in Burnley than in Exeter, so there is huge variation around the country.

    Smoking is a huge drain on the household finances of the most disadvantaged families. In Halton in Cheshire, smokers spend an estimated £3,551 a year on tobacco—nearly 15% of their income. That is a shocking statistic. Reducing smoking presents a huge economic opportunity to increase productivity and people’s incomes. Smoking is very high in certain populations, and as my hon. Friend the Member for Erewash said, a third of all cigarettes smoked in England are smoked by people with a mental health condition—an incredible fact.

    Behind all these statistics are individuals, families and communities who are suffering from the harms of tobacco. That is why we are so committed to our goal to be smoke free by 2030. We have committed to doing more to help smokers quit and to stop people taking up this deadly addiction in the first place, because we know that most smokers want to quit and many wish they had never started.

    The UK is considered a global leader on tobacco control, and investment in evidence-based stop smoking interventions, a strong regulatory framework, local authority stop smoking services and the NHS has ensured that we now have the lowest smoking rate on record: 13.5% in England, down from 21% in 2010 and 45% in 1974. That is a huge change in our society.

    In the 2017 tobacco control plan, we set a bold ambition to reduce smoking prevalence among 15-year-olds from 8% to 3% or less by the end of 2022. I am pleased to say we are well on track to meet that target. The Government have also committed to an escalator that increases duties by more than two percentage points above inflation until the end of the current Parliament. In 2010, the average price of a packet of cigarettes was £5.70; and in 2022 the average price is £12.72. Since 2010, duty on cigarettes has more than doubled, and a minimum excise tax has been introduced to increase the price of the very cheapest cigarettes, because we know that one of the most effective ways of stopping people smoking is making it more expensive.

    On top of that, we continue to fund a range of comprehensive tobacco control interventions. We have provided £72.7 million to local authority stop smoking services through the public health grant, and more than 100,000 people have quit with the support of a stop smoking service in 2020-21. This year alone, we have provided £35 million to the long-term NHS commitment on smoking, which means that by the end of 2023-24 all smokers admitted to hospital, whether an acute hospital or a mental health hospital, will be offered NHS-funded tobacco treatment services. We will be using those regular touch points, as my hon. Friend the Member for Erewash suggested, to drive down smoking.

    My hon. Friend the Member for Harrow East asked about maternal smoking, and the same model is being provided for expectant mothers through the new smokefree pregnancy pathway, including focused sessions and treatments. A new universal tobacco treatment offer is being piloted as part of specialist community mental health services for long-term users of specialist mental health and learning disability services, to help the most vulnerable populations.

    The change in treatment for women who smoke in pregnancy is remarkable. Women now routinely get a carbon monoxide test. People will be offered support. In some cases, there are exciting experiments with vouchers and financial incentives that can help, particularly in some poorer communities, people to stop smoking. There is a lot of work on maternal smoking.

    Since leaving the EU, we have implemented a new UK-wide system of track and trace for cigarettes and hand-rolled tobacco to deter illicit sales. I have talked about how we have increased duties to drive up prices and to deter smoking, which would of course be undermined if illicit products were circulating.

    We have limited the number of cigarettes that people can bring into the country via duty free to 200, making it much harder for those who want to illegally evade excise duties on tobacco. That will help to prevent the sale of cheap cigarettes, further reducing the illicit market.

    Although smoking rates have fallen, we recognise that they are not falling fast enough. That is why we asked Dr Khan to undertake the independent review to help the Government to reduce the devastation that smoking causes. The review makes a number of bold recommendations.

    Stop smoking services run by local authorities and funded through the public health grant continue to offer smokers the best chance of quitting, and people who get help from local stop smoking services are three times more likely to quit successfully than those who try to quit unaided. I pay tribute to the work of those services, and I assure them that they remain a key part of the Government’s smokefree 2030 ambition.

    Alex Cunningham

    The Minister knows as well as I do that local authorities have been under tremendous financial constraints in recent times. How can we ensure that local authority public health continues to be funded so that these services can continue? At the moment the services are quite inadequate.

    Neil O’Brien

    The hon. Gentleman is right that these services are hugely important. All authorities saw an increase last year and there is a 2.8% increase this year, with funding heavily weighted towards more deprived areas, but there is much more we need to do, and we keep it under active review.

    We are also building investment in anti-smoking marketing campaigns. It was heartening to see the number of people who joined the annual Stoptober campaign last month. This well-known initiative encourages smokers to abstain for 28 days each October, as we know that smokers who manage to quit for 28 days are five times more likely to quit permanently. In England, the Stoptober campaign has now helped more than 2.1 million people quit since its inception in 2012.

    Dr Khan also called for the NHS to prioritise further action to stop people smoking. The long-term NHS plan commitments are a huge step towards preventing smoking-related illness, and they are making significant progress towards reducing preventable ill health and reducing the burden of smoking on the NHS. I have talked about using touch points in hospitals to offer people help to stop smoking.

    We have discussed vaping as a substitute for smoking. We recognise that vaping is far less harmful than smoking and can be an effective quitting device. We also recognise that there is more the Government can do to tackle the myths and misconceptions that surround vaping. Our recently published “Nicotine vaping in England” report set out the most up-to-date evidence on vaping, providing an even more compelling case for supporting smokers to switch. However, in recognition of the recent increase in vaping rates among children, which my hon. Friend the Member for Erewash mentioned, we are doing more to prevent children from vaping. We have updated our online materials, and we are working closely with the Department for Education to communicate with schools on how best to set policies around vaping.

    My hon. Friend asked a specific question about the MHRA and medical licensing. We are working closely with the MHRA to support a future medically licensed vaping product, which would carry many benefits, including tackling scepticism of e-cigarettes among healthcare professionals. We understand that several products are applying for medical licences early next year. I pay tribute to my hon. Friend for all the work she has done on public health.

    As a world leader in tobacco control, the Government continue to support lower and middle-income countries to implement effective tobacco control strategies, and through official development assistance funding to the World Health Organisation-led framework convention on tobacco control 2030, we are supporting a further nine countries to protect their populations from the harms of tobacco.

    Both my hon. Friend the Member for Harrow East and the hon. Member for Denton and Reddish (Andrew Gwynne) mentioned article 5.3 of the tobacco control treaty, to which I can confirm the Government are absolutely committed. I consider myself forewarned about the report mentioned by my hon. Friend the Member for Harrow East.

    The Government are determined to address the challenges raised by the independent review and to meet our bold smokefree 2030 target. I understand the compelling arguments made by the Khan review and the very strong evidence in the recent “Nicotine vaping in England” report. Over the coming weeks, we will be quickly taking stock on whether a refreshed tobacco control plan is the best way to respond, and on how and when to take forward all the suggestions made by that review.

    The Government recognise that more action needs to be taken to protect our people from this dangerous addiction. We know that the action we take must be comprehensive, bold and ambitious. The prize of reaching a smokefree 2030 will be huge for this country, particularly for our most disadvantaged citizens. I thank all hon. Members who have taken part in this debate.

  • Andrew Gwynne – 2022 Speech on Smokefree 2030

    Andrew Gwynne – 2022 Speech on Smokefree 2030

    The speech made by Andrew Gwynne, the Labour MP for Denton and Reddish, in the House of Commons on 3 November 2022.

    It is a pleasure to speak in this important debate. It has been a small but, I think, perfectly formed debate, in which there has been a large degree of consensus throughout the House on our ambition for England to be smokefree by 2030.

    I commend the hon. Member for Harrow East (Bob Blackman) not just for the work he has done on this subject over a long period, particularly in the all-party parliamentary group, but for the way in which he introduced the motion, which, as my hon. Friend the Member for Stockton North (Alex Cunningham) observed, enabled us to say, “We agree with Bob.” I congratulate my hon. Friend for his own work on the subject. I thank the hon. Member for Erewash (Maggie Throup) for her contribution, and also thank her for her time as the public health Minister: I used to enjoy our debates across the Dispatch Box, and I wish her well in whatever comes next.

    The Health and Social Care Front Bench is a bit like a whirling dervish at the moment. We had the hon. Member for Erewash a few months ago, then the hon. Member for Sleaford and North Hykeham (Dr Johnson)—she was in post for just six weeks, and I want to thank her as well for the work she did in that short time—and now we have the new Under-Secretary of State for Health and Social Care, the hon. Member for Harborough (Neil O’Brien), whom I welcome. Let me also echo the words of the hon. Member for Harrow East in wishing my hon. Friend—indeed, my friend—the Member for City of Durham (Mary Kelly Foy) a speedy recovery after her hospital treatment.

    It is now nearly five months since the release of the Khan review. Both the hon. Member for Erewash and I spoke at the launch, and I think the review was universally welcomed. It was generally agreed that we must move apace in ensuring that we meet the ambition of a smokefree 2030. In those five months we have had three different Health Secretaries, and we are now on our third Prime Minister. I do not blame the current Minister for all this chopping and changing, but it is little wonder that the Government have failed to find time to respond to the Khan review amid the endless changes. I hope that when the Minister responds to the debate, we will finally be given some clarity. I hope he will set out a timetable for when the Government will respond to the Khan review, and will outline which measures in the review itself the Government are currently considering. I also hope he will be able to reassure Members on both sides of the House that the Government stand by their commitment to create a smokefree England by 2030.

    The importance of that smokefree 2030 cannot be overstated. Tobacco is the primary driver of health inequalities throughout the United Kingdom. In 2019-20, there were more than half a million hospital admissions and more than 74,000 deaths attributed to smoking. My constituency of Denton and Reddish straddles two local authorities, Tameside and Stockport in Greater Manchester. The public health charity Action on Smoking and Health—ASH—estimates that smoking costs those two local authorities about £172 million in lost productivity and health and social care costs. That is unsustainable.

    Behind those stark economic figures, however, are individual lives that are being harmed or lost as a direct result of smoking. We know that more than 50% of people over the age of 16 who smoke say they want to quit—in fact, many say that they wish they had never started in the first place—and it is therefore imperative that the Government support them in their efforts to do so. Unfortunately, stop smoking services have suffered a 33% real-terms cut in their budgets since 2015-16. There is a drastic need for that to be reversed.

    The Government have made a commitment to a smoke- free 2030, which is commendable. We support them, and we want them to succeed. However, a commitment alone is not enough: we want to see action to get there, and we need to see that action fast. The former Secretary of State had an interesting relationship with the tobacco industry, to put it mildly. She had previously accepted hospitality from the industry, and had voted against several sensible public health tobacco measures. During her brief but eventful tenure, it was reported that she had scrapped the Government’s proposals to publish a tobacco control plan, as well as the health disparities White Paper. I asked the Minister about the White Paper earlier this week during Health questions, and received something of a non-answer. I will therefore ask my questions again today, in the hope of getting some clarity. Are the Government planning to scrap the health disparities White Paper—yes or no? Are they planning to scrap the tobacco control plan—yes or no? We need transparency, as there seems to be an information vacuum in the Department of Health and Social Care. If the Government are indeed rowing back on their public health responsibilities, they should have the guts to say so, and face scrutiny for that decision.

    By doing everything from inviting tobacco lobbyists into the heart of No. 10 to accepting gifts from the big four tobacco firms, the Government have shown themselves too willing to ally themselves to an industry that is damaging the health of the nation. However, the damage done by the tobacco industry is not confined to public health. Recent analysis conducted by The Daily Telegraph has revealed that the Russian Government have received almost £7 billion from tobacco companies in taxes since Putin’s invasion of Ukraine. That is despite several tobacco companies pledging to cut ties with Russia. I would be interested to know what the Minister makes of this revelation. Will the Government make it crystal clear to tobacco companies that they are expected to follow the lead of those companies that have ceased trading with Putin’s tyrannical regime?

    Labour Members believe that if we want to ease pressure on our NHS and improve public health, we need to get serious about prevention. That means ensuring equitable access to smoking cessation services, and taking on tobacco companies that profit at the expense of public health. Smoking prevalence is not a problem that the Government can ignore and hope will magically go away. As a Greater Manchester MP, I have been really encouraged by Greater Manchester’s “Make Smoking History” strategy. If the Minister has not looked at that, I encourage him to do so, because it really is best practice. Indeed, it is cited as best practice in a case study in the Khan review.

    Greater Manchester’s comprehensive approach to tobacco control means that smokers in Greater Manchester have more offers of support in quitting than ever before. Thanks to the scheme, smoking rates among people in routine and manual jobs have reduced faster in Greater Manchester than in any other region of England. If these strategies can work regionally, they can, with the political willpower, be scaled up to national level.

    I urge the Minister to take the brave decisions. They are sometimes tough and often very unpopular with a significant vocal minority of people, but taking those decisions is the right thing to do, as history often shows. Smoking has gone up among young adults aged 18 to 24 in the past three years. To put that in context, in 2007, around 41% of young people said that they had smoked. By 2019, that had fallen to just a quarter, but in the short space from 2019 to 2022, that increased to a third. That is going in the wrong direction. Between 2007 and 2020, smoking fell, as successive Governments really ratcheted up the regulation of smoking and introduced smoke-free laws. They increased the age of sale from 16 to 18; banned the display of tobacco products; introduced standardised packaging and large, graphic health warnings; banned smoking in cars with children; and, lastly, banned menthol in 2020. Those measures worked, but they have to continue, as does the pace of change, if we are to meet the goals of Smokefree 2030.

    The last Labour Government implemented one of the biggest and most significant public health interventions in modern political history. I am most proud of it, but it was not popular in all quarters; I was almost banned from holding surgeries at Denton Labour club. It was the ban on indoor smoking. When we go abroad to countries that still have smoking indoors in public places—in bars, restaurants and cafes—we wonder how on earth we put up with that in our country until fairly recently. Absolutely nobody with a modicum of common sense would want to reverse that legislation.

    When we were in government, we supported taking the bold steps necessary to protect public health, and many thousands of lives were saved as a result. That is why we want the Government to commit to Smokefree 2030. They will miss that target unless they up the pace of change, accept the recommendations of the Khan review, and legislate to put measures in place. For far too long, public health has been an afterthought, or a battleground on which to have ideological arguments. We have had obesity strategies scrapped, tobacco strategies binned, and health inequalities widened. This neglect cannot continue. We will support the Government in being brave on public health. We will give the Minister the majority he needs, if he does not have one, to pass the right measures in this House. Labour Members will do right by Britain, and encourage the Government to do the same. Be brave, and build a healthier, happier and fairer Britain; we will support you.