Tag: Feryal Clark

The speech made by Feryal Clark, the Labour MP for Enfield North, in Westminster Hall, the House of Commons, on 13 December 2022.

It is a pleasure to serve under your chairmanship this afternoon, Mr Pritchard.

I want to take a moment to sincerely thank the hon. Member for Mid Derbyshire (Mrs Latham) for securing this debate and for sharing her very personal story. I offer my profound condolences to her for the loss of her son, Ben, and I recognise her extraordinarily brave work in campaigning to improve the patient pathway for aortic dissection, and to increase research and screening.

As we have heard, aortic dissection occurs because of a partial tear in the wall of the aorta. The tear then spreads, and can rupture or interrupt the blood supply to vital organs. There are two distinct types of aortic dissection: type A, which occurs in the front of the chest, and type B, which occurs in the back of the chest. Type A is far more dangerous; if untreated, it is sadly almost always fatal. We have also heard today that over 2,000 people per year lose their lives from aortic dissection. Some 11% of maternal deaths from cardiovascular causes are due to aortic dissections. Worryingly, the Oxford Vascular Study projects that those figures will almost double by 2050. It is crucial, then, that we engage with experts and give this life-threatening condition the attention that it deserves.

As the hon. Member for Mid Derbyshire said, there have been some positive advances in aortic dissection care over the last year—notably, the launch of the acute aortic dissection toolkit—but we cannot afford to take our foot off the pedal. Deaths from aortic dissection are avoidable, and with timely treatment the survival rate is good, as we have heard. It is therefore crucial that we do everything we can to drive up diagnosis rates. The Aortic Dissection Charitable Trust estimates that one in three of those who have aortic dissection are misdiagnosed. I would be grateful, then, if the Minister will update colleagues on the steps her Department is taking to improve diagnosis rates for aortic dissection.

The ADCT has made the case for a review of A&E triage processes, imaging, diagnosis and transfer for surgery. Notably, it also advocates diagnosis being made pre-hospital, which bypasses emergency departments and saves vital time. That work already happens with acute coronary syndrome and acute heart attacks. The ADCT states:

“The current pathways are ineffective… There are problems transferring images… Medical management, blood pressure control, imaging protocols, investigation of genetics…and long-term follow-ups are all sporadic and often not addressed well.”

The AAD toolkit has made a positive difference to some of those problems, but there is still much work to do. Has the Minister met with ADCT recently to review pathway processes? In addition, what work is taking place to eliminate regional variations in aortic dissection care, and to streamline aortic care so that patients can be seen before it is too late?

I also wish to highlight preventive interventions and why it is important that the Government support diagnostics to enable clinicians to save lives. Genetic screening, functional imaging and biomarker analysis are now possible, and if used efficiently, they enable clinicians to provide treatment before an aortic dissection occurs. As the hon. Member for Mid Derbyshire highlighted, once a patient is identified as having a family history of the disease, there is scope for potentially life-saving genetic screening. The ADCT estimates that 20% to 30% of families with dissections have an identified gene. Work is ongoing to identify the remaining 70% to 80% of genetic causes, but if we can screen that 20% to 30%, potentially thousands of lives could be saved over the next few years. I am sure that both sides of the House will agree that that is a worthy endeavour. Will the Minister therefore clarify what steps she is taking to support those exciting and potentially life-saving diagnostic tools?

Finally, let me touch on the workforce. We know that the NHS has the facilities to treat those suffering from aortic dissection. The problem lies in diagnostics. The reality, however, is that system-wide pressure on the NHS exacerbates misdiagnosis and compounds issues in patient pathways. It is therefore essential that targeted aortic dissection strategies come alongside whole-system workforce overhaul.

The next Labour Government will oversee the biggest expansion of the NHS workforce in history, doubling the number of medical school places, training 15,000 new doctors, creating 10,000 new nursing placements, and recruiting 5,000 new health visitors. That will be paid for by abolishing the immoral non-dom tax status. I encourage the Minister to nick Labour’s idea and commit to implementing that workforce strategy as soon as possible. Unless we solve the systemic workforce shortages, we will not be able to robustly tackle conditions such as aortic dissection.

In conclusion, I want to see a future where aortic dissection is diagnosed quickly, treated rapidly, and receives appropriate long-term care and management.

The speech made by Feryal Clark, the Labour MP for Enfield North, in the House of Commons on 8 November 2022.

It is a pleasure to serve under your chairmanship, Mr Hollobone. I start by thanking and paying tribute to the hon. Member for Strangford (Jim Shannon) for securing this morning’s debate to mark Pancreatic Cancer Awareness Month.

As other Members have done, I pay tribute to the brilliant work of Pancreatic Cancer UK. Such organisations are vital in raising awareness of this awful disease. I also praise the important contributions made by all Members, and thank them especially for sharing the touching stories of their constituents.

As we have heard throughout the debate, pancreatic cancer is the deadliest of the common cancers. It affects about 10,000 people a year across the UK, with three in five of those being diagnosed at a very late stage. More than half of those people will die within three months of diagnosis, only 7% will survive for more than five years, and 5% will survive for 10 years or longer. The figures are even worse in Northern Ireland, as we have heard.

In the North Central London integrated care board area, within which my constituency of Enfield North falls, 161 people were diagnosed with pancreatic cancer in 2020, and there were 153 deaths due to pancreatic cancer, so I sympathise profoundly with anyone who is affected by pancreatic cancer and with the family members of those who are suffering. Those statistics are shocking, but even more shocking is the fact that they have barely changed in the past 50 years, and that the UK ranks 29th of 33 countries with comparable data on five-year survival for people with pancreatic cancer.

One reason for the tragically low survival rates is the stage at which people are diagnosed, as was mentioned by the hon. Members for East Londonderry (Mr Campbell), for East Dunbartonshire (Amy Callaghan) and for Strangford, and other Members who contributed. Only 16% of people with pancreatic cancer are diagnosed at an early stage. For many, it is simply too late, so I would be grateful if the Minister outlined how the Government intend to improve the diagnosis of pancreatic cancer.

One thing we cannot ignore is the cancer backlog. Over the past decade, pancreatic cancer mortality rates have increased by a fifth. Waiting lists have risen to record levels and the proportion of people waiting less than 18 weeks for treatment is at its lowest in a decade. At the end of July 2020, waiting lists had risen to a record 6.8 million people, with almost 400,000 patients waiting more than a year. The Government are missing their target to eradicate the two-year wait, and analysis produced in May by Macmillan found that it could take more than five years to clear England’s cancer treatment backlog. For pancreatic cancer patients, that is simply not good enough. They cannot afford to wait.

Many Members have spoken about the workforce element, which underpins all the issues outlined in the debate. As was eloquently described by the hon. Member for Carshalton and Wallington (Elliot Colburn), without a robust workforce strategy, our NHS will simply not be in a place to provide the support that pancreatic cancer patients need, yet Ministers continue to ignore those calls—even calls from their own Chancellor, who is the former Chair of the Health and Social Care Committee. A recent report by the Committee said that the absence of a “serious effort” from the Government to tackle gaps in the cancer workforce is jeopardising earlier diagnosis, so I am keen to hear from the Minister what plans the Government have to ensure that staff are trained and retained sustainably, such that pancreatic cancer patients can always access care in a timely manner.

Labour has already set out its plans, pledging the biggest expansion of medical school places in history to give the NHS the doctors it needs so that patients can be seen on time. That commitment also includes creating 10,000 new nursing placements every year and training 5,000 new health visitors. Labour will also produce a long-term workforce plan for the NHS for the next five, 10 and 15 years to ensure that we do not find ourselves in this position again.

Members also mentioned the 10-year cancer plan. In February, the then Health Secretary announced a new war on cancer and launched a call for evidence to inform a new 10-year cancer plan for England. That call for evidence closed in April. We are now on our fourth Health Secretary since April, but there is still no sign of the plan. That is not good enough not just for those suffering with pancreatic cancer, but for those with all forms of cancer. Will the Minister set out exactly when we can expect this cancer plan? As we emerge from the pandemic, people living with pancreatic cancer need an NHS that has the time and resources to support them. It is about time that the Government delivered on that.

The speech made by Feryal Clark, the Labour MP for Enfield North, in the House of Commons on 21 June 2022.

I thank Members from across the House for their contributions this afternoon. I want to praise some of the powerful contributions we have heard during the debate.

My hon. Friend the Member for Sheffield Central (Paul Blomfield) raised the absolutely ridiculously long waiting lists for NHS dentists in his constituency. It is worrying to hear that pregnant constituents cannot even register with a GP, let alone see one. Shockingly, he mentioned the children in his constituency, one of whom has had to wait 35 months to see an orthodontist. He rightly pointed out the issues with the dentist contract, which is disincentivising dentists to take on NHS patients, and reminded us of the last Labour Government’s commitment to reforming it.

We heard from the hon. Member for Waveney (Peter Aldous), who set out the NHS dentistry crisis in his constituency. He rightly set out that many dentists are simply not drawing down on the £50 million Government funding that the Minister says is being used. He set out, in comments I really welcome, the issue of our crumbling primary care assets. I thank him for raising the issue of the NHS app and I could not agree with him more. When are the Government going to move the app into the 21st century? Finally, he mentioned that patient choice is really important. I welcome those comments.

We then heard from my hon. Friend the Member for Lancaster and Fleetwood (Cat Smith), who mentioned the huge number of constituents who are frustrated with their current lack of access to primary care. She mentioned her constituent Dr Mark Spencer, who set up Healthier Fleetwood to tackle health inequalities. I, too, send my thanks to him. She also mentioned that demand is not being met in primary care, and she rightly mentioned the Government’s financial illiteracy, with patients being forced to go to A&E instead of having their demand met in primary care.

On dentistry, my hon. Friend set out how children in her constituency cannot access NHS dentists and the shocking experience of constituents who are resorting to DIY dentistry, as was raised by many hon. Members. She rightly set out that the Government are getting it very wrong. She also set out the Government’s shocking record on GP recruitment and the exodus of NHS dentists. Most shockingly, she mentioned the number of children aged zero to 10 years old who are admitted to hospital for tooth extractions in her constituency in just one year: 30 in Lancaster and 40 in Wyre, of whom 30 were aged five or younger. If that is not a wake-up call for the Minister, I do not know what is.

So many shocking incidents and examples—too many to mention—were raised today, and I thank all hon. Members for sharing their constituents’ experiences. Primary care is in crisis—I know it, Members across the House know it, and the public know it—but the Government continue to bury their head in the sand.

As we have heard from right hon. and hon. Members, our postbags are packed with letters from constituents who are desperate for someone to listen to them. There is the person who cannot get an appointment to be prescribed the medicine they need to manage their chronic pain. There is the person with MS who cannot get an appointment to be referred to a specialist whom they desperately need to see. There are the patients in Wakefield, where every day a child under 11 is taken to A&E for tooth extraction because they cannot see an NHS dentist.

We have heard Ministers come to the Dispatch Box time and time again to lay the blame of primary care’s problems at the door of the pandemic. No doubt, it has had an impact, and we should pay tribute to our amazing NHS staff who have done admirably in the face of an immense challenge, but blaming everything on the pandemic will no longer cut it.

Going into the pandemic, the Government’s preparations were “wanting and inadequate”—not my words, but those of the Culture Secretary. When the argument is not even washing with the Cabinet, how does the Minister expect the public to believe it? After a decade of Tory mismanagement, we went into the pandemic with record waiting lists and staff shortages of 100,000. It is not just that the Tories did not fix the roof when the sun was shining; they dismantled the roof and removed the floorboards. The impact of that became plain for all to see.

The Government promised to recruit an additional 6,000 GPs by 2025, yet we now have more than 1,500 fewer full-time equivalent GPs than when records began in 2015—that was in the Minister’s response to one of her colleagues in April. Given that we have heard from the Royal College of General Practitioners that the average cost of GP appointments is £40 and that an A&E visit is £359, that is not just an access problem but financially untenable. Even the Secretary of State admitted that the target is beyond reach. With a fifth of GP practices having closed or merged since NHS England was formed in 2013, the pattern is becoming clear. The Government have been completely incapable of delivering for more than a decade, creating not a covid backlog but a Conservative backlog.

On dentistry, the situation is a national scandal. Over a third of adults and half of children do not have access to an NHS dentist and, with paying to go private simply not an option for most, we have children being admitted to A&E for tooth extraction on a daily basis and others choosing to take matters into their own hands with DIY dentistry, as we have heard from hon. Members on both sides of the House. In Wakefield, as of 2020, almost a quarter of children have tooth decay before the age of three—double the national average of 11%. How on earth can that be tolerated in 21st-century Britain? Thanks to this Government’s complete inability to come up with a solution, we are not just facing a return to Dickensian Britain; we are already there.

I am sure that the Minister, when she responds, will roll out her usual line about the crux of the issue being the 2006 dental contract, and how this is all Labour’s fault. I am sorry, but after 12 years of Tory Government that simply will not wash. The issue of access is only getting worse, with figures obtained by the British Dental Association showing an overall drop of 22% in the number of patients seen by NHS dentists in England from March to April. In the Minister’s own constituency the figures was 34%. How can she expect dentists across England to have confidence in her when she clearly does not even have the confidence of those in her own patch? If that is not evidence that dentists are leaving the NHS or cutting their commitment, having no confidence that her promised reforms will ever be delivered, then what is? If her idea of tackling the problem is to run scared from even talking to dentists at a conference, then there really is no hope.

This must change. We need a Government who listen. We need a Government who act. Quite frankly, we need a Government who care. This Government have run out of road, have no ideas left and are holding our country back. A Labour Government will give our NHS the staff, equipment and modern technology it needs to deliver for patients. It is time for the Conservative party to move out of the way and let us get on with the job.