Tag: Speeches

Kwasi Kwarteng – 2022 Comments on His Period as Chancellor of the Exchequer

The comments made by Kwasi Kwarteng, the former Chancellor of the Exchequer, in an interview with Tom Newton Dunn on TalkTV on 10 November 2022.

INTERVIEWER

[What went wrong?]

KWASI KWARTENG

I think we tried to do too much too quickly, too much too fast. And of course, there’ll be a budget in April. So I think that was her vision, her drive was 100% the right thing, but I think we need a better tactical plan to deliver what she wanted.

INTERVIEWER

[Why did you do everything so fast?]

KWASI KWARTENG

I think the Prime Minister was very much of the view that we needed to seize the opportunity, we needed to hit the ground running and she’s very dynamic, very forceful. That’s a great strength, but I think you had to have a measured approach, especially doing the things that were radical and bold.

INTERVIEWER

[Wasn’t it obvious you were going to frighten the markets?]

KWASI KWARTENG

There were lots of things going on. I mean, it wasn’t simply the breakneck speed which you’ve talked about, it so happened that the dollar was a record low, sterling at a record low, the Yen was at a 50 year low, the Euro was at a 20 year low and the Eurozone has only been around for 20 years. Interest rates are rising sharply across the world, there was a global picture as well, but I fully admit that the mini budget did surprise the markets and that’s something that we have to we have to accept.

INTERVIEWER

[Who controlled that pace?]

KWASI KWARTENG

I bear some responsibility for it. I think it was a good idea to try and set our parameters quickly and I think the Prime Minister was very much of the view that we needed to, but I think I think it was too quick.

INTERVIEWER

[Did you tell the Prime Minister to slow down?]

KWASI KWARTENG

I said actually after the budget that because we were going very fast. Even after the mini budget, we were going breakneck speed and I said, you know, we should slow down.

INTERVIEWER

[What did she say?]

KWASI KWARTENG

I said you’ll have two months if you go on like this and that’s I’m afraid what happened.

November 11, 2022
Robert Jenrick – 2022 Speech on Using the Novotel Hotel in Ipswich for Asylum Seekers

The speech made by Robert Jenrick, the Minister for Immigration, in Westminster Hall on 8 November 2022.

I am pleased to serve under your chairmanship, Mr Hollobone. Given your duties as Chair you will not be able to say so, but I know that you also feel strongly about the issue, which affects your constituents in Kettering. I am grateful to my hon. Friend the Member for Ipswich (Tom Hunt) for raising the matter, and to my hon. Friend the Member for Peterborough (Paul Bristow) for supporting him. The issue clearly concerns many Members across the House and millions of people across the country. Resolving it is a first-order priority for the Government.

The ongoing legal action means it is difficult for me to comment on the specific case of the hotel in Ipswich, but I will speak about it in more general terms, and about the wider issues raised by my hon. Friend the Member for Ipswich. I know Ipswich well, and met my hon. Friend for the first time when he was standing for Parliament there, when we toured Ipswich and visited the harbour, where the hotel is. I have seen the good work that he is doing with the council and others on the town deal board to regenerate Ipswich and help it achieve its potential. It is concerning to hear that the actions of the Home Office might, in a small way, be damaging his and the community’s wider efforts to boost opportunities and prosperity in Ipswich.

Since we came into office, the initial task for me and my right hon. and learned Friend the Home Secretary has been to resolve the very urgent situation that we found in Manston in Kent, where a large number of migrants who crossed the channel illegally in small boats were being accommodated in a temporary processing facility that was meant for a smaller number of individuals. That was not within the control of the Government. It was the result of thousands of people choosing to make that perilous journey—over 40,000 this year alone, and rising. We had to ensure that the site was operating legally and decently. As a result, we had to procure further hotels and other types of accommodation across the country at some pace. I am pleased to say that that hard work is bearing fruit, and the situation at Manston has significantly improved. The number of people being accommodated there is now back down to the level for which it was designed.

That leads to the second priority, which is to stabilise the situation more broadly, and ensure that we procure hotels in a sensible, common-sense way. The case that my hon. Friend the Member for Ipswich raises prompts some important questions. First, when we choose hotels, other than in emergency situations such as the one we have been in with Manston, we need to ensure there is proper engagement with local Members of Parliament and local authorities, so that we choose hotels that might not be desirable but are none the less broadly suitable and can command a degree of public support. In some cases, we have seen hotels chosen that simply do not meet that barrier.

We need to ensure hotels are chosen against sensible, objective criteria. Those criteria might mean ensuring that towns such as Ipswich can continue to carry out their day-to-day business, and ensuring that tourists can be accommodated and that business and leisure travellers can find hotel accommodation in the centre. They will include ensuring that we take into account safeguarding concerns, for example by not choosing hotels that are next to children’s homes, schools or places where young people congregate. The criteria will certainly include taking into account community cohesion and the likelihood for disruption, and they should, obviously, include value for money for the taxpayer. On that point, I wholeheartedly agree with my hon. Friend that we should be choosing decent but not luxurious accommodation. People coming here seeking refuge should be accommodated in simple but humane accommodation. He referenced the situation in Calais. The way this country accommodates asylum seekers vastly outweighs the way some neighbouring countries choose to do so, and I am afraid that creates an additional pull factor to the UK.

Deterrence needs to be suffused throughout our entire approach. We can be decent and humane, but we also need to apply hard-headed common sense. Once we have stabilised the present situation, and applied those criteria and better engagement methods, the third strand of our strategy is to exit from hotels altogether. Accommodating thousands of individuals in hotels costs the UK over £2 billion a year. In a time of fiscal constraints, that is an unconscionable sum of money and we need to ensure we move away from that as swiftly as we can.

The strategy that my right hon. and learned Friend the Home Secretary and I are establishing to do that has a number of fronts. One will be ensuring fairer dispersal across the country, so that cities and larger towns do not bear a disproportionate impact of the asylum seeker issue. Secondly, it will involve looking for other sites, away from hotels, that provide better value for money for the taxpayer, which might mean more simple forms of accommodation; we hope to say more on that soon. Thirdly, and perhaps most importantly, we will accelerate the processing of asylum claims altogether, so that those individuals whose claims are rejected can be removed from the country swiftly and those whose claims are upheld can start working, create a new life in the UK and make an economic and broader contribution to the country.

Tom Hunt

I thank my right hon. Friend the Minister for giving way. There are a great number of Members on our Benches who think that the very act of coming here illegally should prohibit people from making an application at all. Frankly, those people have already broken the law of the land by entering illegally. There is also an issue with the definition of “refugee” and I understand our rates of granting refugee status are much higher than those of comparable European countries. Will he expand further on any work that may be done by Government to make a narrower definition of what a refugee actually is? My concern is that some people are being given refugee status who may not be refugees, if we stick to the sense of the word.

Robert Jenrick

My hon. Friend raises two important points. First, we are very concerned that a large number of individuals, certainly all those coming across in small boats, have transited through multiple safe countries before choosing to make the crossing to the UK. We do not want to be a country that attracts asylum shoppers. We want people to be seeking asylum in the first safe country that they enter. That may necessitate further changes to the law. We want to have a legal framework that is broadly based on individuals who are fleeing genuine persecution, such as war or serious human rights abuses, finding refuge in the UK through safe and legal routes, such as the highly effective resettlement schemes that we have established in recent years for, for example, Syria, Afghanistan, Ukraine and Hong Kong. My hon. Friend was right to say that his constituents in Ipswich, like millions of people across the country, broadly support that approach and have played an important role in recent months, for example by taking in refugees under the Homes for Ukraine scheme. We do not want people to be encouraged by people smugglers to cross the channel illegally and then find refuge in the UK.

The second point that my hon. Friend raises, which is equally perceptive, is that the UK’s asylum system grants asylum to a higher proportion of applicants than those of some comparable countries, such as France and Germany. The Home Secretary and I are looking at that issue in some detail to see whether we can make changes to the way we manage the process and the criteria we adopt, not so that we become a country that is unwelcoming or ungenerous—that is not the British way—but so that we do not create an additional pull factor to the UK over and above other countries that are signatories to exactly the same conventions and treaties to which the UK is party.

Tom Hunt

To be perfectly honest, I am quite keen for us to be unwelcoming towards those who have illegally entered our country. What is the difference between breaking our immigration law and breaking any other domestic law? From what I see, if someone breaks a law in the country, they get punished. Surely breaking our immigration law is breaking our law, and the people who do so should be treated as such.

Robert Jenrick

I do not want to get into a detailed conversation about our exact treaty obligations and the legal framework, but the issue is that any individual can claim asylum regardless of the means by which they came to the UK, regardless of whether they have transited through safe countries, and even regardless of whether they came from a safe country in the first place. That balance is not currently right, so we need to look carefully at how we can change it.

The most striking issue is the individuals coming from demonstrably safe countries. Today, about 30% of the individuals crossing the channel have come from Albania. That is a first-order priority for the Home Secretary and I to address, because it cannot be right that the UK provides safety and support for those individuals—mostly young men who are healthy and sufficiently prosperous to pay people traffickers, and who come from a country as safe as Albania. We need to change that. We have already returned 1,000 Albanians under the return agreement signed by the previous Home Secretary, my right hon. Friend the Member for Witham (Priti Patel). The present Home Secretary and I want to take that significantly further.

The longer-term trajectory obviously has to be moving away from tackling merely the symptoms of the problem—the processing of applications and the accommodation of individuals in expensive hotels—to tackling the root cause itself. My hon. Friend the Member for Ipswich is correct that a significant element of that will be to make further legal changes to our framework. Another element will be ensuring that deterrence is suffused through our approach so that we do not become a magnet for illegal migrants. We need the UK to be a country that supports those in genuine need, but we must not create a framework that is significantly more attractive than those of our EU neighbours.

That will also require work on the diplomatic front. My right hon. Friend the Prime Minister has just returned from Sharm el-Sheikh, where he had further positive conversations with President Macron and other world leaders who are dealing with the symptoms of a global migration crisis. It will require tougher action by the security services to address the criminal gangs and gain greater intelligence on their work overseas. It will include tougher action at home on employers who illegally employ migrants who do not have the right to work here.

On all those fronts, the Home Secretary and I are absolutely committed to tackling this issue. I know it is extremely important to my hon. Friend the Member for Ipswich, who is one of the leading voices in Parliament on it, as is my hon. Friend the Member for Peterborough. They are both simply representing the strong views of their constituents, who, like millions of people across the country, want secure borders and a fair and robust immigration and asylum system. That is exactly what the Home Secretary and I intend to deliver.

November 11, 2022
Tom Hunt – 2022 Speech on Using the Novotel Hotel in Ipswich for Asylum Seekers

The speech made by Tom Hunt, the Conservative MP for Ipswich, in Westminster Hall on 8 November 2022.

I beg to move,

That this House has considered the use of Novotel Ipswich as asylum accommodation.

It is a pleasure to serve under your chairmanship for the first time, Mr Hollobone.

It is difficult for me to stress how big an issue this is in my constituency. It is something I have been aware of for some time. Before it became public, I was made aware of it as the local Member of Parliament, so that is not my complaint—I was aware of it. There is a paper trail that shows me strongly opposing the use of the Novotel for the purposes in question, and I have worked with Ipswich Borough Council on it. There are many issues on which the Labour-run council and I do not see eye to eye, but on this matter we have been on the same side.

In keeping with what many other local authorities have done, the council has, on planning grounds, secured a temporary injunction, and there will be a court hearing later today—it was meant to be yesterday. What the outcome will be I do not know. What I am saying today is less of a legal point and more of a political point on the ins and outs of whether this is the right thing to do, and I will give my views as the as the local Member of Parliament representing my constituents.

The Novotel is a town centre hotel in Ipswich. It is a good quality hotel in an incredibly important location, linking the waterfront to the Saints, which leads up to the town centre. It is an area of the town that has been at the heart of our regeneration efforts. My right hon. Friend the Minister might remember his visit to Ipswich to talk about the town deal. A significant part of the town deal is about regenerating the part of the town where the Novotel sits, and that is one of my concerns. I am already hearing stories about the way in which the building and the upkeep of it has deteriorated since it was acquired by the Home Office for this six-month period.

Paul Bristow (Peterborough) (Con)

My hon. Friend is making an important point. Does he agree that often we are talking not about budget accommodation, but about accommodating those who come over here illegally on small boat crossings in smart hotels in city and town centre locations? What sort of message does he think that sends to those living on modest incomes in the middle of a global cost of living crisis?

Tom Hunt

I thank my hon. Friend for his intervention. In answer to his question, I think it sends all the wrong messages. The cost to the taxpayer at a national level of putting up many illegal immigrants in hotel accommodation is huge. To say that it grates with a large number of my constituents would be an understatement. The Novotel is a nice hotel. I have been there before and my family have stayed there. I have spent time there. The issue is not in keeping with what we should be doing. My personal view is that if someone has entered this country illegally, they are not welcome and virtually all of them should be deported. But if we are going to have them staying here for a short term, it should be in basic, safe and secure accommodation, not hotels.

In addition to the Novotel with its 200 spaces in the town centre of Ipswich, there is a Best Western hotel in Copdock, which is not technically within the boundaries of Ipswich borough or my constituency, but for all intents and purposes it is within the urban area of Ipswich, so this is already causing concern for my constituents and having an impact on local public services. We are looking not just at the 200 in the Novotel, but the 150 in Copdock, so we are talking about 350 individuals who are overwhelmingly young men and who have all entered this country illegally.

Why is the Novotel the wrong location? Why is the decision to acquire the use of the Novotel for 200 individuals the wrong thing to do? Why has it united virtually everyone in the community against it? It has united the Conservative Member of Parliament, the Labour-run borough council, and the local business improvement district. It has united all sorts of people whom I do not often agree with, but we are all of one view: this is not the right location to be accommodating these individuals.

Something that I also find desperately concerning is the way in which 20 constituents of mine who worked at the hotel have been treated by Fairview Hotels (Ipswich). They were given five and a half days’ notice that their jobs were on the line, and many of them felt pressured into resigning under the vague promise that they might get their jobs back after the six-month period. I have one constituent whose daughter came home and broke down in tears because of the way she had been treated by those who manage the hotel. My responsibility is to her. My responsibility is to those 20 constituents. My responsibility is not to think about the welfare of those who have entered our country illegally, and I make no apology for that.

In terms of the economic impact of using this Novotel, a huge amount of effort is going into promoting Ipswich as a visitor destination. Ipswich is surrounded by beautiful countryside. It is the oldest town in the country—I thought it was older than Colchester anyway, but now that Colchester has city status, Ipswich is definitely the oldest town in the country. It was home to Cardinal Wolsey, and soon we will be celebrating the 550th anniversary of his birth. Only a stone’s throw away from the Novotel is Wolsey’s Gate, which was built by Cardinal Wolsey, and there is a whole operation to try to enhance the area.

What we are talking about is a 200-room, good-quality hotel in the centre of Ipswich that is lost to us and our local economy. It has been described by a business lady who runs a successful shop a stone’s throw away from the hotel as being an economic bomb that has landed on the town, and there is consensus within the business community that that is the case.

There is also the other angle: the nature of the hotel means that it is often used by successful businesses in Ipswich to host clients. If they have clients visiting or there are conferences, the Novotel is more often than not the hotel that is used, so losing those 200 beds is a further negative economic impact.

I also want to talk about community tension, which is an important point and I plan to address it directly. Ipswich is a welcoming town. It is a multicultural town and it has benefitted from that diversity. It is an integrated town. We have a history of welcoming genuine refugees—some of them are Conservative councillors, and some are from Albania—but they came here in a proper way. They came here legally, they were welcomed, and they have thrived in Ipswich. They have been welcomed in Ipswich and have made a positive contribution. The people of Ipswich are welcoming people but, quite frankly, there is a limit. When they see that people who deliberately enter our country illegally from another safe European country are being accommodated at vast expense in a good quality local hotel in an important location, which is costing local jobs and having a spill-over negative impact on the local economy, they are quite rightly furious. It is not surprising—I make no exaggeration in saying this—that at a time of cost of living strain, when many constituents are desperately concerned about getting by, I am hearing more about this than any other local issue in my postbag. I need to make the point that we are a welcoming and compassionate town.

I move on now to the general point. My right hon. Friend the Minister will know that I have been a consistent voice on the issue of illegal immigration since I was elected to this place. I support the Home Secretary fully in her efforts, and I support my right hon. Friend the Minister’s efforts fully. I was behind him in the main Chamber yesterday, supporting him. I was proud to do that, and he knows he has my support.

My view is that the situation would be even worse under Labour—there is no one from the party present. I find it somewhat ironic that the shadow Home Secretary, the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper), visited Ipswich last week and commented on this matter, even though about a year ago, when she was Chair of the Home Affairs Committee, she called an urgent question to oppose the use of Napier barracks for those who have entered our country illegally. All I would say is that I would much prefer the use of disused Army barracks for these individuals, rather than good quality hotels in the centre of Ipswich. I also note that the Labour candidate for Ipswich has made multiple visits to Calais. Quite what he was doing there, I do not know, but that is by the by; I will not get distracted by that.

I will finish simply by saying that I acknowledge the fact that, in tackling illegal immigration, there is no silver bullet. I am encouraged by the Prime Minister’s meeting with President Macron yesterday, and I look forward to hearing what came out of it. I have confidence in the Prime Minister on the issue. I spoke to him, and supported him. He is a great man. But, ultimately, we have to put turbochargers under the Rwanda policy. That needs to be part of it. Sections of the left deride what happened in Australia; they say that Australia’s offshore processing approach was not successful. Everything that I have seen indicates that it was successful. The fact of the matter is that Australia had a big problem with illegal immigration, it started offshore processing, and it now no longer has a big problem. I understand that Australia had two different locations and is not using one of them, and that there might be differences between Australia and ourselves, but ultimately the principle holds. I strongly encourage my right hon. Friend the Minister not just to support the concept in principle but to stress the urgency of delivering it and of doing what is required to deliver it. He has huge support on our Benches to get this done.

I thank my hon. Friend the Member for Peterborough (Paul Bristow) for coming to support me today. He is also a strong voice on this matter. We do not know what will happen in court later today with the temporary injunction; I hope that it is successful. But if it is not, we must separate it from the bigger issue of how we tackle the crossings. In the short term, we are where we are now. We must look again at the use of Novotel, take on board the view of the local business community and work with and support those 20 employees. They are my constituents, and have been treated very poorly. That is all I have to say on the matter.

November 11, 2022
Helen Whately – 2022 Speech on Pancreatic Cancer Awareness Month

The speech made by Helen Whately, the Minister of State at the Department for Health and Social Care, in the House of Commons on 8 November 2022.

I congratulate the hon. Member for Strangford (Jim Shannon) on securing this important debate, and for his work as chair of the APPG on pancreatic cancer. He is right: we should talk about pancreatic cancer; we should talk about how to improve survival rates and diagnosis rates; and we should talk about how we can raise awareness of pancreatic cancer. As we do so—including in this very debate—that in itself will make a difference, and if we do not debate this now, during Pancreatic Cancer Awareness Month, then when? I believe in seizing the moment.

I welcome the speeches from the hon. Members for Strangford, for East Dunbartonshire (Amy Callaghan) and for Upper Bann (Carla Lockhart) and my hon. Friends the Members for Stroud (Siobhan Baillie) and for Carshalton and Wallington (Elliot Colburn), who also seized this moment to speak about pancreatic cancer. The hon. Member for Strangford spoke movingly about Rebecca Buggs, whose children were just eight and nine years old at the time she had surgery. I am very glad that because she was diagnosed early, she was able to have surgery, but we know that, sadly, her experience is the exception not the rule.

The hon. Member spoke about the importance of raising awareness of symptoms such as stomach and back pain, indigestion, unexplained weight loss and jaundice, and the importance of getting those symptoms checked if there is no explanation. He also spoke about research as the key to earlier diagnosis. On one of his questions, I will answer straightaway that, yes, I would be delighted to join him for a meeting with Pancreatic Cancer UK. I will come to his other questions as I go through my speech.

My hon. Friend the Member for Stroud mentioned that she wants to help everybody and, knowing her well as a colleague, I know that that is absolutely true. She also mentioned the catchphrase, “The clue is in the loo,” as mentioned by other hon. Members. She spoke movingly about one of her constituents, a young woman who spent five years going to and from her GP with symptoms, including fatigue and bloating, which brought to life how hard this cancer is to detect. She also talked about the PERT treatment, which I will come to in a moment.

It is very good to see the hon. Member for East Dunbartonshire, a former chair of the APPG, here and to hear her speaking so eloquently in this debate. She spoke about Barbara, a PE teacher, and about the healthy life she lived. Barbara went many times to get a diagnosis, but it took almost 18 months to get one. Again, sadly, that brought to life how hard this cancer is to detect.

I thank my hon. Friend the Member for Carshalton and Wallington for acknowledging the work that the Government have done, particularly on raising awareness for pancreatic cancer. He talked about the importance of the workforce, which I will come to. He also asked me to visit the Royal Marsden, of which he is rightly proud, and which I would be delighted to do.

The hon. Member for Upper Bann spoke about the importance of access to GPs. She called for more funding into research, and said, rightly, that time matters.

I will come to many of the points that hon. Members have raised, but first, I believe in saying it as it is. Nearly 10,000 people a year are diagnosed with pancreatic cancer, and that figure has steadily increased since 2013. Diagnosis rates increase with age, and from the mid-40s onwards pancreatic cancer is more common in men than in women. Just under a quarter of pancreatic cancers are diagnosed at an early stage, so three quarters are not. About 40% of diagnoses follow an emergency presentation. The one-year survival rate is just 27% and the five-year survival rate is only 7.8%. Although those figures have improved in the past 10 years, they are still bleak for anyone who receives a diagnosis and for their loved ones. That is why it is right to talk about pancreatic cancer.

As with many other cancers, early diagnosis of pancreatic cancer is crucial so that there is the opportunity for successful treatment. One of the Government’s healthcare priorities is to improve early diagnosis of all cancers, and to achieve 75% diagnosis at stage 1 or stage 2 by 2028, compared with the current rate of about 50%. We have opened 91 community diagnostic centres, which have carried out 2 million extra scans, tests and checks, including cancer tests. We are rolling out non-specific symptom pathways so that people with symptoms such as weight loss or fatigue are either diagnosed or have cancer ruled out. We are encouraging people to go and get their symptoms checked. The NHS’s “Help Us, Help You” campaign tackles the barriers that prevent some people from getting their symptoms checked, such as fear about what might be found.

The hon. Member for Enfield North (Feryal Clark) talked about waiting times, and I assure her that we are tackling them. This August, more than 19,000 patients saw an upper gastrointestinal specialist, compared with 17,600 last August, and 17% more patients have seen a specialist within the two-week performance standard. That said, I recognise that the NHS is still not hitting the standard for enough people—it is currently 83%, compared with the 93% standard—so we will continue to support the NHS’s efforts to tackle waiting lists and backlogs.

On treatment, credit is due to hard-working NHS staff who have increased cancer treatment levels to 107%, compared with pre-pandemic levels. The cancer drugs fund has helped more than 80,000 patients, and we are investing £5.4 million in five new national clinical audits of cancer, one of which is focused on pancreatic cancer.

As several hon. Members said, the key to making a big leap forward in survival rates for diseases such as pancreatic cancer is research—research into tests that will achieve earlier diagnosis and research into treatments. The Government spend £1 billion a year on health research through the National Institute for Health and Care Research. The NIHR has funded seven research projects for pancreatic cancer since 2019, with a committed spend of about £3.6 million. That is about 5% of the NIHR’s total funding for cancer research, which is over £73.5 million.

Jim Shannon

I referred to the fact that Pancreatic Cancer UK has raised £10 million for research every year, and one of its requests is that the Government match that. I thank the Government very much for the £3.6 million that is going to pancreatic cancer, but is it possible for that extra bit of effort to be made and for the Government to match the charity’s £10 million? I do not want to put the Minister on the spot, but I really do think that is an important issue.

Helen Whately

I absolutely hear the hon. Gentleman’s request, which is for match funding for the funding contributed by Pancreatic Cancer UK. I will say two things about that. Another function of the NIHR is to support research where the funding comes from other organisations; it already does that. In fact, it has supported 70 pancreatic cancer-related studies that have been funded by others.

The other point, which the hon. Gentleman may be aware of, is that the NIHR does not actually ringfence funding for specific diseases. That is similar to his match funding point. The NIHR is ready to fund research. It looks at applications for funding from the research community and then allocates that funding by looking at the merits of the proposal. We should encourage more bids for funding for pancreatic cancer research and more bids to go into the NIHR, which would then enable it to allocate more funding. I am assured the NIHR stands ready to fund pancreatic cancer research; it is about getting those applications in to carry out that research. I could publish a highlight notice to flag to the research community the importance of pancreatic cancer, which may go some way to achieving what the hon. Gentleman seeks.

My hon. Friend the Member for Stroud spoke about PERT and asked why it is not prescribed for more people. National Institute for Health and Care Excellence guideline NG85 recommends that PERT be offered to patients with inoperable pancreatic cancer, and NICE includes PERT in its quality standard for pancreatic cancer. NICE guidelines do not replace clinical judgment. They are not mandatory; they are guidelines. However, it is clear that PERT should be discussed between a doctor and a patient so a clinical decision can be made. I heard what my hon. Friend called for and I will look into whether there is evidence that such discussions between doctor and patient are not happening.

My hon. Friend the Member for Carshalton and Wallington spoke about the importance of the workforce and, as the daughter of two NHS doctors and a former Minister for the NHS workforce, I agree with him. In essence, the NHS is its workforce, and I am proud that we are on track to achieve our ambition of 50,000 more nurses. Talking specifically about the cancer workforce, the workforce plan published in 2017 set an ambition to increase the workforce by 1,500 full-time equivalents by 2021. That has been achieved and, in fact, exceeded by 226 staff members.

Since then, Health Education England has been taking forward the priorities in the cancer workforce plan, with an additional £50 million of funding in the last financial year and this one. Also, a significant proportion of the elective recovery funding—£8 billion in the next two years—will be spent on workforce, both on capacity and skills. I assure my hon. Friend that, as the Minister with oversight of cancer care, I will look carefully at whether we have the necessary workforce coming on track now and in the future to achieve our ambitions and aspirations for cancer care.

The hon. Member for Strangford and several others asked about the 10-year cancer plan, and I know hon. Members are keen to hear about progress. More than 5,000 individuals and organisations responded to the Government’s call for evidence. The Government are considering the responses and the next steps, so I may have to disappoint some colleagues who may want to know more, because that is as far as I will go today. I assure hon. Members that I know how strongly they and their constituents feel about the matter.

I have welcomed this debate as a chance to talk about all the work going on to improve cancer diagnosis, treatment and survival rates, and crucially, to talk specifically about pancreatic cancer. Not least because raising awareness of pancreatic cancer is, in itself, an important step towards improving people’s chances of survival, raising awareness of the symptoms and, in turn, encouraging people to contact their GP and get themselves checked. I pay tribute to everyone involved in Pancreatic Cancer Awareness Month, particularly to Pancreatic Cancer UK and to everyone taking part, whether that is walking 30 km this month or doing their own thing to raise funds and awareness. I thank them all for what they are doing. In turn, I will do what I can in Government to support all those efforts and to improve the chances for anyone suffering from pancreatic cancer.

November 11, 2022
Feryal Clark – 2022 Speech on Pancreatic Cancer Awareness Month

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.

November 11, 2022
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.

November 11, 2022
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.

November 11, 2022
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.

November 11, 2022
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.

November 11, 2022
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.

November 11, 2022