(9 months, 2 weeks ago)
Commons ChamberI am delighted that Stepping Hill Hospital will soon have a new emergency care campus, with all the benefits that that will bring to my hon. Friend’s constituents. I know that she is a great campaigner for her local NHS and has already met the Secretary of State about the concern she raises. As well as making her argument so clearly in Westminster, I would encourage her to continue discussions with her local NHS integrated care board, which is responsible for local decisions on capital investment.
Up to £900 million for a brand-new acute hospital is coming to mid-Hampshire and health experts are making the case that it will make huge improvements in care, despite some politically inspired and misinformed opposition. Can my hon. Friend reassure my constituents that those running our local NHS should be listened to, and also that the doctor-led urgent treatment centre in Winchester will continue to provide for three quarters of urgent cases including X-rays, MRI scans and other tests after the new acute hospital is built, which we hope will be at junction 7?
I commend my hon. Friend for her hard work on supporting the new hospital, for the leadership she is providing and for her work on encouraging residents to have their say in the consultation. I cannot prejudge the outcome of the consultation but I agree with her that the new hospital will be great for patients, with its modern facilities. She is right to say that an urgent treatment centre can provide excellent emergency care for the majority of people who attend A&E.
(1 year, 5 months ago)
Commons ChamberI thank my hon. Friend for his work in this space and I apologise for the delay in publishing the consultation. I met him along with a Justice Minister, and I assure him that we hope to publish it very soon.
Last week, on behalf of the Government, I signed a landmark partnership agreement with the pharmaceutical giant BioNTech. It aims to deliver 10,000 personalised mRNA cancer immunotherapies, including vaccines, to UK patients by 2030. This work will harness the groundbreaking mRNA technology that BioNTech used in its world-first cancer vaccine. Cancer vaccines work by stimulating patients’ immune systems to recognise and eliminate cancer cells, preventing their spread. Trials for BioNTech’s colorectal cancer vaccine are under way at multiple sites across the UK. To accelerate trials further, BioNTech is partnering with NHS England’s new cancer vaccine launch pad, a platform that makes it easier for both early and late stage cancer patients to join vaccine trials. In the coming years, hundreds of patients identified by the launch pad will join trials for BioNTech’s personalised cancer therapies, broadening the treatment options available to cancer patients. I hope the whole House will welcome the opportunity the deal offers future patients.
The announcement that a new hospital between Winchester and Basingstoke is going ahead is much welcomed by my constituents who will use it, as well as by those from other constituencies. It will provide a centre of excellence with better medical outcomes. Will my right hon. Friend meet local MPs, so we can update him on why the hospital needs to be built as soon as possible?
I am always very happy for my hon. Friend and other colleagues to meet me or Lord Markham, who leads the capital programme. It is an important scheme. We are delivering it through the standardised Hospital 2.0 approach, using modern methods of construction. We are keen to progress early supported works on site, working closely with colleagues.
(1 year, 6 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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My hon. Friend paid a fantastic tribute to his office manager, Sue. Rowans Hospice in my constituency is thinking about increasing its number of beds from 19 to 22, but that will cost an extra £130,000 a year, and the trust is nervous about making that commitment. What he is saying is very important. Does he agree that the Government need to give more money to this valuable service?
I suspect that I will be in constant agreement with interventions this morning. My hon. Friend and constituency neighbour makes an astute point, as usual, and she is right to pay tribute to the hospice in her constituency.
Communities such as mine in Eastleigh will suffer as hospices such as Mountbatten have no choice but to reduce their services and the extraordinary high-quality care they offer, and this comes at a time when demand is only growing. As if that were not enough, staffing costs are but one consideration that care providers are having to take into account. As we all know, the soaring price of energy has hit businesses, families and individuals all over the country, and none more so than those in the charity care sector.
(1 year, 9 months ago)
Commons ChamberIt is a privilege to speak in the debate. We have heard some excellent speeches. I wish Margaret all the best, and I also wish the Hopkins family all the best, because I have seen the devastation that brain cancer causes. I also lost a close family friend, Matthew Fearn, and I have seen that devastation in the Fearn family. It is horrible, because this is a horrible progressive disease.
I congratulate my hon. Friend the Member for St Ives (Derek Thomas) and the all-party group on their excellent report, which I have only just heard about and have been reading during the debate.
Brain tumour research is receiving growing support from the Government, which is welcome news, but, as we have heard, more can and should be done. Brain tumours are the biggest cancer killer of people under 40 in the UK, but most people only discover that they have a brain tumour when they turn up at A&E, as Margaret did. That is why Brain Tumour Awareness Month is so important.
We have been talking about research funding specifically, but the hon. Lady is right: many sufferers will only find out that they have a brain tumour when they experience a significant medical event. For many others, however, the symptoms will be present for a number of weeks, if not months. Does she agree that more could be done to raise awareness, among both health professionals and those who are potentially at risk, of the common signs and symptoms of a tumour?
Absolutely. I was going to come on to that. The bad news does not stop at a late diagnosis; the effects of being diagnosed too late are devastating. The bleak reality is that the likelihood of survival for 12 months for someone diagnosed with a brain tumour in A&E is about 30%. We must do better than this for the people who are diagnosed and for their families. All the cancer charities recognise the seriousness of the situation, and I know that the Health Secretary and his colleagues do as well, but how can we improve it? How can we identify the signs earlier?
When I spoke in the debate on brain tumour research in 2016, I praised the work of Professor Geoff Pilkington at the University of Portsmouth. In 2010, the university established a centre of excellence in conjunction with the charity Brain Tumour Research. Professor Pilkington has now retired, but the work that he did made much progress, and is now being continued in other research centres funded by the charity—although, sadly, I think no longer in Portsmouth.
Historically, brain cancer has received only about 1% of the total research funding of all cancers. As we have heard, that was increased with the announcement of a £65 million boost in 2018 from both the Department of Health and Social Care and Cancer Research UK. Centres of excellence need that money, because each brain tumour is unique and needs a different treatment pathway. The biggest gaps in research seem to involve childhood cancers, although brain tumours are the most common type of cancer in children. The understandable desperation of parents—and, as we have heard, of other patients too—has led to families’ seeking treatments, often overseas, that might not always be appropriate for this specific form of cancer, or even taking treatments that are unproven.
Inevitably, how the NHS treats brain tumours will be an area where there is much pressure on more funding. The history of healthcare in this country has always been one of improved diagnosis leading to more demand for clinical facilities, and research opening more treatment pathways. All of this costs money. In areas such as proton beam therapy, while it is good that we have The Christie centre in Manchester and that the UCLH centre is being added to it, it is difficult for patients to travel to those centres, particularly if they have been disabled by a brain tumour, and that is still an area where many people have to seek private treatment.
We need to develop both an academic and a medical pathway for people at the start of their careers to focus on brain tumour work in universities and clinical settings. As the hon. Member for Mitcham and Morden (Siobhain McDonagh) said clearly in her amazing speech, we have some flagship research projects, but their existence is not as secure as that of establishments working on other cancers. One thing that could be done without costing huge amounts of money is support for early-career workers to build up institutional knowledge in the NHS, in the National Institute for Health and Care Excellence and in other guardians of healthcare, which would help to sustain a higher pace of research and development and deployment of treatments.
I end by thanking everyone for the work they are doing in this field. We are at a point where every small improvement in diagnosis and treatment makes a big difference to the lives of people with brain cancers and their families. That comes back the figure I quoted earlier about the time of diagnosis; we have to shift it much further forward from the A&E department, to give people support in dealing with a form of cancer that is so often extremely aggressive.
(2 years, 5 months ago)
Commons ChamberThe heart of the whole House goes out to the hon. Lady, because the trauma of those experiences is so visible; I am hugely grateful for the powerful way she highlights them to the House. She will be aware that we have the pregnancy loss review reporting later this year, and we will be looking at the important issues she raises. I know she met recently with the Minister of State, my hon. Friend the Member for Lewes (Maria Caulfield), to discuss those and, as someone new to post, I will certainly look closely at the points she raises.
I pay tribute to the hon. Member for Sheffield, Hallam (Olivia Blake), because I know exactly what she is feeling. This is the place to make a difference, so I offer her every encouragement to keep going. This is an extremely good strategy and will make a difference to women. I thank the Secretary of State for recognising that domestic violence has a dramatic impact on women’s health, particularly for women who are reluctant or embarrassed to go to their GP. Can he ensure that there is more training in primary care settings to recognise and help those vulnerable women?
My hon. Friend is absolutely right about the importance of tackling domestic abuse. Indeed, last year the Government brought forward and the House passed the Domestic Abuse Act 2021 in recognition of that. There is an important read-across from issues of domestic abuse into the wider piece about data and how that in turn links into prosecutions, evidence gathering and empowering those who are victims with the support they need. It is an extremely important issue, and it is important that we take that legislation forward.
(2 years, 6 months ago)
Commons ChamberI thank the hon. Lady for that helpful intervention. I am glad that she mentioned that: it should have been in my notes and she has reminded me. We do need to have a plan to help those students who wish to pursue a future vocation as consultant cardiologists. If we can recruit them now, it will take three, four or even five years before they are ready. I am not sure whether it is the Minister’s responsibility, but perhaps she could give us some idea of whether there is a plan to give students some financial assistance. I have asked the question before, and the answer would be very interesting. If people make a commitment to staying in the NHS for that period of time, perhaps the Government can make a financial commitment to them.
The hon. Gentleman is making an excellent speech and I am listening to it carefully. Doctors take between 10 and 15 years to become consultants once they have graduated, and they stay in the NHS for two years for the foundation levels. Many GPs are doing face-to-face appointments, and some departments are doing amazing work, such as St George’s Hospital in Tooting which is looking after a huge number of my family who have Brugada syndrome, a sudden death syndrome that affects the heart. I thank the hon. Gentleman for raising awareness of the issue: there are some very good things going on in the NHS at the moment.
I thank the hon. Member for Strangford (Jim Shannon)—I call him my hon. Friend because he is my friend—not only for securing the debate but for his skilful, seamless segue from Westminster Hall to the main Chamber. I join him in paying tribute to all those who work in our health and care system—from doctors and nurses through to porters, cleaners and cooks. They all keep our health and care system going, and we thank each and every one of them for the work they do.
As we heard from the hon. Members for Strangford and for Motherwell and Wishaw (Marion Fellows), who leads for the SNP on these matters, the issue of health inequalities cannot be ignored. The hon. Gentleman talked about postcodes and the workforce not being spread equally, and those health inequalities are not spread evenly across the UK. The hon. Lady mentioned some endemic health inequalities in parts of Scotland, and the same is true of every part of the UK. The maps of deprivation, of certain black and minority ethnic communities, of income levels, of education levels, of obesity and of smoking prevalence can almost be overlaid, and directly correlate, with those for the conditions that we are talking about. Those health inequalities and how we tackle them must be at the heart of everything we do, whether we are talking about the UK Government and their health policy for England, or the devolved Governments across the nations of the UK and the work they do to tackle these same health inequalities in the communities we represent. Health prevention must be at the core of what we do, and I am grateful for the insight the hon. Lady gave on the work of the NHS in Scotland and the insight that the hon. Gentleman brings on the work of the NHS in Northern Ireland. I am a big fan of the Marmot way of looking at health inequalities and how we tackle the social determinants of health. If we get that prevention policy right, we tackle the very conditions that we are talking about.
The pandemic piled massive pressure on the NHS, and indeed the motion is on the impact of the covid-19 pandemic on people with heart and circulatory diseases. But these problems did not start with the covid pandemic. They have been exacerbated massively by it, but I am afraid that we are now seeing the consequences of 12 years of Conservative Government in England: soaring waiting times, an acute staffing crisis and the worst levels of patient satisfaction since the 1950s. We went into 2020 with the NHS in crisis, and the pandemic ruthlessly exploited and exacerbated the failures. As the Culture Secretary recently admitted, a decade of Conservative rule left our NHS “wanting and inadequate” before covid hit. That is nowhere more apparent than in cardiac care. At the start of 2020, 30,000 people were waiting more than 18 weeks for cardiac care. That was already an unacceptably high figure, but it has ballooned by an unbelievable amount in the last two years. Now, 319,000 people are on an NHS waiting list for cardiac care—that is 319,000 individuals anxiously awaiting essential care, worried for their future, worried about their health and worried about their lives.
Cardiac care is time-sensitive. For example, patients with severe aortic stenosis—I will put my teeth in to say that—who are treated within two years have a 50% chance of survival, but that falls to 20% after five years. Every day that the Government fail to act, more patients face worse outcomes. About 15 million adults in the UK have high blood pressure and about 270,000 people over 65 have undiagnosed atrial fibrillation. What does that mean? It means we are sitting on a ticking timebomb, and unless we pre-emptively support people to manage cardiovascular risk factors, the system will come under even more pressure. I urge Ministers to work relentlessly to get a grip on this crisis. They need to come to terms with the fact that, on their watch, cardiac care has been allowed to falter. It is maddening that in these circumstances the Government have not set out a robust strategy for cardiac care and how they plan to address these really important issues. When the Minister comes to the Dispatch Box, will she commit to a timeline for that strategy, or will we hear more warm words with precious little action?
I want to reiterate concerns raised about urgent and emergency care. We now know that the average response time for a category 2 emergency, such as a heart attack or stroke, is more than double the target of 18 minutes. In some parts of the country, it is far, far worse than that, as we heard from my hon. Friend the Member for Wirral West (Margaret Greenwood) . Does the Minister agree that no one suffering from a heart attack or a stroke should have to wait 40 minutes or more for an ambulance? If so—I am sure that she does, as we all do in the House; nobody wants to see those failings—what discussions have she and her colleagues had to sort it out? This is a crisis on multiple fronts, and I am afraid that we need action rather than words.
From the moment a patient dials 999, they are being systematically failed. As we know, our NHS staff are heroes. Without them, the system would have buckled under the weight of incompetence and indecision during the pandemic, but they are fighting an uphill battle and the Government are letting them do it alone. That needs to change.
There is also a failure to acknowledge the role that prevention plays with health and social care. The Government have cut public health budgets here in England—that happened before the pandemic, and it is just not acceptable—and it means that only half of adults over 40 are attending regular health checks, which were introduced by the Labour Government in 2009. Those health checks have provided crucial evidence for spotting diseases early on, not least cardiovascular disease. With the fall in health checks, many opportunities to spot avoidable problems are being missed, especially among people from disadvantaged communities as I and the hon. Member for Motherwell and Wishaw outlined earlier. Indeed, the disproportionate impact of covid-19 showed starkly just how unequal a country we have become in health terms.
We also have huge numbers of people reporting difficulty in accessing primary care, as the hon. Member for Strangford referred to in his contribution. Some 40% of surveyed heart patients or those at risk of cardio- vascular disease had their appointments cancelled or rescheduled more than once. In 2019, the Prime Minister promised the British public that he would deliver 6,000 extra NHS GPs. Instead, numbers have gone down—another broken promise to add to the never-ending list of broken promises that define this Tory Government. Will the Minister explain to the House why the target is not being met and explain to patients why they are waiting longer than ever before?
We know from the Getting It Right First Time national cardiology report that the NHS needs 760 new cardiac physiologists and almost 100 consultant cardiologists to meet anticipated demand. Again, I reiterate the concerns raised about urgent and emergency care, because we need those staff in place. We need that workforce.
The hon. Gentleman makes an interesting point, but how does he then account for the fact that in Labour-run Wales the waiting lists are even longer? I think 21% of the population are now on the waiting list, and that has extended dramatically, far more than in the NHS in England.
As we discussed at the start of the debate, the NHS is four systems that work together. We are here in the UK Parliament to hold the UK Government to account for the NHS in England. In terms of the NHS in Wales, the Welsh Government receive a block grant, as indeed do the Scottish Government, and they decide how to spend that money themselves.
There are some great things about the Welsh NHS, not least its leading the way on public health issues across Wales, and we can learn things from there, but I want to ensure that the promise about GP access that the hon. Lady’s Government made to the people in my constituency in England is kept. That is why I posed that point to the Minister. Again, we need the Government to outline how they plan to fill those vacancies and whether the workforce plan, when it finally materialises, will include speciality-level data and strategy to fill those gaps.
We in the Opposition have been clear. Labour would put patients first and sort out the mess that the current Government have left our NHS in. The last Labour Government brought waiting lists down from 18 months to 18 weeks, and we would do that again—[Interruption.] The Comptroller of Her Majesty’s Household, the hon. Member for Nuneaton (Mr Jones), chunters from the Front Bench, but I remind him that, while patient satisfaction is worse today than it has ever been and our waiting lists are some of the highest in NHS history, when we left office, patient satisfaction was the best it had ever been and waiting lists were among the lowest in NHS history. That is our record and I am proud of it.
That progress has been undone by this Conservative Government. Again, we are on standby to step in and protect our NHS. But we would focus on prevention. That prevention would improve outcomes and guarantee access to GP services for those who need them. We would publish a robust and comprehensive workforce strategy, and transform pay and conditions in the process. As part of that, we would support the hundreds of thousands of cardiovascular patients who are anxiously awaiting treatment. We would support health and social care staff who are shattered and demoralised after carrying us through the pandemic, and we would build an NHS that was resilient, accessible and fit for the future.
At the heart of that is a public health agenda that will seek to resolve the health inequalities that are endemic in too many parts of the country, where those health conditions are holding back the life chances of the constituents we represent and causing misery, poverty and pain. That is why a holistic approach to public health, and within that a strategy to deal with heart and circulatory diseases, is crucial. I hope the Minister understands the real importance of that. We stand ready to support her while she is in Government to get the strategy right, but getting that strategy right is crucial.
(2 years, 7 months ago)
Commons ChamberI say a big “thank you” to my fellow Hampshire MP, my hon. Friend the Member for Gosport (Dame Caroline Dinenage), for securing this important debate. I back her children’s cancer mission.
I saw the local news about Sophie Fairall. Her family faced a sad and difficult condition with dignity and courage, and I know the House will join me in wishing Charlotte, Gareth and Sophie’s sisters Lucy and Amelia well. I pay tribute to their campaign to improve outcomes for all children who have cancer.
It is every parent’s worst nightmare to hear that a life-threatening disease may affect their child, and cancer strikes horror into every heart. Children go downhill very fast with any illness, and the rapidness of cell division means cancer spreads faster in younger people. As we have heard, every year 1,800 children get a cancer diagnosis, and the biggest childhood cancer, leukaemia, accounts for about 30%.
Treatment is constantly improving. For instance, when I was at school in the 1970s, a classmate, Alison Brownlow, got leukaemia and sadly died at the age of 17. Ironically, her favourite song before her diagnosis was “Seasons in the Sun” by Terry Jacks. I think of her every time I hear that song, although she did not enjoy many seasons and was always desperate to return to school. Just over 30% of children survived leukaemia in the 1970s, but things improved fast; in the 1990s, my cousin, Suzanne Adamson, had acute lymphoblastic leukaemia when she was 10 but she has gone on to have a wonderful life, with a second child on the way. So there are some good outcomes and the leukaemia survival rates in the 1990s were at 80%. Cancer survival rates overall are now at 84%, but there is still room for improvement, as is shown by the death of Sophie.
One of my constituents, Alison Carson-Blake, wrote to me about her son Jake, who was just eight years old when he was diagnosed with stage 4 bulky Hodgkin’s lymphoma. His mother wrote:
“He had lost so much weight, looked yellow and was not eating. He was out of breath and got tired so easily. They never considered cancer and even as sick as he was, neither did I”.
Alison had to physically beg the doctors to look at Jake, as they would not give him a face-to-face appointment because of covid. Jake had cancer all over his body but is now is cancer free. There you have it: no one thinks that it will happen to their child, and it is rare; so rare that GPs do not get enough training in childhood cancer. The campaign would like to raise awareness for parents to recognise the signs of cancer in the same way that we know about meningitis. I back this campaign to have a quicker diagnosis, so that better outcomes can be achieved. A national campaign on the signs and symptoms of childhood cancer will help, as well as better training for GPs and nurses, alongside more funding for research. I once again pay tribute to Sophie’s family and to all those who are working so hard to make sure that cancers are curable for all ages, but particularly children.
(2 years, 8 months ago)
Commons ChamberYes, I can give my hon. Friend, and my hon. Friend the Member for Montgomeryshire, who cannot be with us today, the reassurance that they seek.
My right hon. Friend said in his statement that the Care Quality Commission rated these maternity services inadequate for safety only in 2018, which is unacceptable. Can he assure the House that the CQC inspections are now rigorous enough that failings are picked up much earlier to prevent this type of thing from happening again?
I can assure my hon. Friend that there have already been a number of changes in the CQC’s approach, but I cannot give an assurance that it has changed enough, because this report has only just been published and it is important to me to follow through and ensure that, where relevant, the independent regulators are also making the changes set out in the report. To respond to an earlier question from the hon. Member for Enfield North (Feryal Clark), she was right to suggest that there should be an update from Ministers on progress following this report, and I will ensure that that happens. That picks up on this question about the CQC as well.
(3 years ago)
Commons ChamberI am grateful to the hon. Lady; I had the pleasure some months ago of visiting one of her local hospitals, where I had the opportunity to speak to staff. They do an amazing job. No one, irrespective of the role they perform, should be subject to intimidation or violence in doing their job, still less those who are working hard to save lives, to protect us and to get us through this pandemic. I join with her entirely in condemning both physical and verbal assaults on members of our emergency services. I highlight the important legislation that went through recently to increase the penalties, and pay tribute to those responsible for getting it on the statute book—the hon. Member for Rhondda (Chris Bryant) once again. No one, absolutely no one, particularly in our emergency services, should be subject to abuse of any sort while doing their job.
GPs in Meon Valley are finding it difficult to recruit new GPs to fill vacancies, and as a consequence are working very long hours. Can the Minister ensure that some of the new money goes to primary care and GPs in particular?
I am grateful to my hon. Friend, who rightly highlights the hugely important contribution of GPs to our health system. We continue to look at the best ways to support them, not only by recruiting more GPs and supporting existing ones, but by investing in general practice buildings to ensure they have the tools to do the job.
(3 years, 1 month ago)
Commons ChamberMay I also add my thanks to the hon. Member for Swansea East (Carolyn Harris) for this amazing debate and Bill?
When I was first in Parliament, I encountered the exact experiences in all the comments read out by the hon. Member for Luton South (Rachel Hopkins). I was incredibly worried about it. I am delighted that so many people are now speaking out about it in public, because none of that was happening when I was first in Parliament and going through the menopause myself. Other than knowing that hot flushes were part of the process, I had no idea about any of the other symptoms until I listened to “Woman’s Hour” in, I think, 2017 and literally everything became clear: the brain fog, the insomnia, which I am afraid has not gone away—it was in the middle of the night that I heard the programme—and the anxiety and weepiness and feeling that you couldn’t cope with what was happening to you. That was very much part of it. Weight gain is common in Westminster anyway, and a lot of men also gain the Westminster stone, so I cannot blame the menopause for that, but it is certainly something that we need to work on.
That is why this conversation is so important. There are 5.1 million women aged between 45 and 55, and it is estimated that 1.5 million will be going through the menopause at any one time, yet we are so embarrassed to talk about it. Husbands and partners are at a loss as to why their wives and partners are struggling, because the symptoms have been hidden from public knowledge. If I had known some of the symptoms before, I could have dealt with them better, and I am sure my husband could have as well. That “Woman’s Hour” programme was a saviour for me, because suddenly I understood what was happening, and if you understand what is happening, you are better able to face it.
Turning to HRT, I never take medication, apart from the odd pain killer, so taking something to control a natural process was something that I did not consider—probably mostly from ignorance, I should add—but I completely understand that others need medical help. The House of Commons Library briefing states that
“16,000 women were admitted to hospital in England in 2019/20 with conditions associated with the menopause.”
I had absolutely no idea, and I am sure that most of the public do not either.
The case on HRT has been well made, so I will not say more on that, but I do hope that we can consider how it can be made affordable, because, otherwise, it will become a postcode lottery. I am very grateful that a Member who represents a constituency in Wales is interested in looking after all of us who live in England.
I wish to comment on the second part of the Bill, because it is very important. I am really pleased that everything has been raised so publicly, but it is extraordinary that it is only in the past four years that people have been bold enough to speak out, when this has been happening to millions of women for centuries. The big change is that more women are in the workplace now than at any time over the past 100 years, and nearly half of all women are over 50. I am really pleased that we have the menopause workplace pledge, with so many employers leading the way. I hope that Parliament has signed up to it, too. Flexible working hours are essential, especially as lack of sleep is a big issue. Another thought is allowing women to come later into work if they travel on public transport, so that they do not have to crowd themselves in when they are feeling incredibly hot. I have come off the tube so many times absolutely drenched in sweat and incredibly embarrassed that I do not have a change of clothes when I get to my office.
The point about training GPs is crucial, too. I listened to what my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) had to say. I spoke to a doctor about this and found that the issue is barely covered in their initial medical training. For GPs, the clue is in the name—the name is general practice, which means that GPs have to cover a huge area in their curriculum, and it is not mandatory to have additional training for a condition such as the menopause in their professional development. I would very much like to see such training being seen as part of their professional development and it should be taken perhaps every year or every few years, so that they can keep up to date with every aspect, whether it be HRT or anything else on the menopause.
Does my hon. Friend hope that the chair of the Royal College of General Practitioners is listening to this debate today and responds to the hon. Member for Swansea East (Carolyn Harris) on what we are talking about on GP training?
Absolutely, because it is incredibly important that people understand what we are going through—whether we are talking about men or women or people of any age. As someone who does not see the same doctor twice in their practice, although I have not been there very often, I do not have that relationship with a GP, so I would feel embarrassed about going to ask for something that I did not know much about.
On the peer-to-peer point, when I returned to Parliament in 2019, I looked around at the new intake and started approaching women of a certain age—I call them my WOCA group—to form a support group to help those going through the menopause. This has been a lifeline to us, and I hope that everyone else considers that as well. [Interruption.] I can see Madam Deputy Speaker indicating to me.
Finally, may I thank the hon. Member for Swansea East. She truly is a force of nature and I congratulate her on all the things that she is achieving in Parliament, and it is such a joy to work with someone on the Opposition Benches to make a real difference to people’s lives.