Osteoporosis

Debate between Jim Shannon and Judith Cummins

Thursday 26th October 2023 Commons Chamber

[Judith Cummins]

I thank the hon. Gentleman for that important intervention. The condition predominantly affects women, but it does affect men as well. Small changes to lifestyle, as well as detection and prevention, are very, very important.

Osteoporosis often develops during menopause, when a decrease in oestrogen can lead to a 20% reduction in bone density. A loss of bone density affects people of all sexes as they age, but women lose more bone density more rapidly than men.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Lady for securing the debate. I referred to this point earlier in the debate on menopause, but my staff and I deal every day of the week with benefit issues relating to osteoporosis. It is clear that the understanding and capacity that maybe should be there in the health sector is not there. Mindful that the Minister is not responsible for the Department for Work and Pensions, does she think that within the Department there should be a better understanding when assessing those with osteoporosis to ensure they can gain the benefits in the system that the Government have set aside and have a better quality of life?

[Judith Cummins]

I thank the hon. Gentleman for that important intervention. Osteoporosis suffers from some mystery, and any light that we shine on the condition is welcome. It is entirely possible for someone with osteoporosis to work and have a very full life, given detection and treatment.

Fracture liaison services are integral to that. They are essential because throughout our lives our bones continuously renew themselves in a process called bone turnover. With osteoporosis, bone turnover becomes out of balance. Bones lose strength and become more fragile, bringing an increased risk of fractured bones time and time again. The FLS can identify osteoporosis at the first fracture through methods including DEXA scanning, and offer treatment that can reduce the risk of further fractures. The FLS also systematically monitors patients after an osteoporosis diagnosis to ensure they get the best out of their treatment plan. With the FLS, patients who would otherwise face a fracture or multiple fractures can continue to lead healthy and fulfilling lives.

With osteoporosis designated as the fourth most consequential health condition when measured in terms of disability and premature death, we have to question the Government’s current record on assessment, treatment and prevention. There is a postcode lottery for access to these vital life enhancing and lifesaving services, with only 57% of the eligible population in England currently having access to the FLS. What we desperately need is a central mandate requiring integrated care boards to invest in established FLS for everyone.

Let me stress not only the moral imperative of acting on this issue, but the clear financial argument for establishing 100% FLS coverage in England. One million acute hospital bed days in England alone are taken up by hip fracture patients. Research shows that FLSs reduce the refracture risk by up to 40%. Applying that to the national picture, we find that a staggering 750,000 bed days would be freed up over five years, saving the NHS £665 million. This would have a significant and positive impact on the social care system. For every pound invested in FLS, the return is more than threefold. With the NHS in crisis, the Government must be bold and recognise the value of services such as FLS.

The future of the NHS lies in prevention, but this argument extends beyond the NHS. Every year, 670,000 people of working age suffer from fractures due to osteoporosis, and a third of those will leave the workplace permanently owing to the impact of chronic pain. We also know that every year 2.1 million sick days are taken in England as a result of disabilities caused by fractures. Any Government would surely understand how consequential this is for our economy. A new analysis provided for the Treasury shows that universal access to FLS can prevent up to 750,000 sick days every year, and that is why trade unions, the TUC, the Federation of Small Businesses and other business groups have joined the campaign to extend FLS access to everyone aged over 50.

It is clear that the Chancellor cannot succeed in addressing labour shortages without taking decisive action on FLS. To provide this vital support—to provide 100% FLS coverage in the UK—would cost an estimated £27 million per annum, which is less than 2% of the UK’s current expenditure on hip fractures. Preventive osteoporosis treatment not only presents a sound financial case for the NHS, but presents a strong business case by ensuring that so many women can continue to work. Improved osteoporosis treatment does not just mean that people can work for longer; it means—perhaps much more important—that those living with osteoporosis can enjoy a higher quality of life beyond their work.

It is time to do away with the stigma because, with people in the UK living to an older age than ever before, 50 has become the new 40. Osteoporosis is no longer an old person’s condition. We have allowed it to become accepted as a natural part of ageing, but it does not have to be. In this country, we have a choice: to diagnose and treat it, or to simply continue to ignore it. This is an opportunity to address old prejudices. Osteoporosis is one of many conditions, mostly experienced by women, that have historically been swept under the carpet. In the 19th century, during the period of its earliest identification, studies crudely described the condition in terms of women tripping over “their long skirts”. Even today, people refer to osteoporosis in crude and demeaning terms such as “a dowager’s hump”. Raising awareness of this long-overlooked condition is essential, and I am grateful for the opportunity provided by today’s debate to further demystify osteoporosis as a health issue which affects so many people across this country.

After centuries of inattention in the world of medicine, we now have revolutionary new technologies and systems such as DEXA scanning and FLS. These services have the potential to transform the lives of so many women throughout the country—women who have so much to offer, who should not be left undiagnosed, but whose quality of life is left literally to crumble along with their bones; women who are left to suffer in pain when treatment can and should be made available. The decision to provide full FLS coverage is not only fiscally responsible and right, but it would be an historical leap forward in terms of women’s healthcare. Today, two thirds of those who need anti-osteoporosis medication are left untreated. That is roughly 90,000 people, every year, missing out on necessary treatment due to Government inaction. This is life-changing medicine. As many people die from osteoporosis-related issues as die from lung cancer or diabetes, so FLS and fracture prevention need to be part of the mandated NHS core contract. We must establish new guidelines to support the establishment of FLS across England.

In August, the Minister publicly stated that the Government would make an announcement on establishing more fracture liaison services by the end of this year. In September, the Minister in the other place said that the autumn statement would include

“a package of prioritised measures to expand the provision of fracture liaison services and improve their current quality.”—[Official Report, House of Lords, 14 September 2023; Vol. 832, c. GC241.]

I understand that, since then, there has been a walking back of this commitment. On behalf of the 90,000 people missing out on life-saving, life-changing medication, I yet again ask the Government to hold their nerve and act quickly.

Now is the time for this Government to turn their back on outdated attitudes towards osteoporosis, now is the time to protect women whose quality of life would otherwise be left to crumble along with their bones, and now is the time to commit to 100% FLS coverage across England. By ensuring that every person in the UK has access to fracture liaison services, we have the power to make this vision of life-saving early intervention and prevention a reality.

British Indian Ocean Territory: Sovereignty

Debate between Jim Shannon and Judith Cummins

Wednesday 7th December 2022 Westminster Hall

[Jim Shannon]

On a point of order, Mrs Cummins. I have spoken to the Doorkeepers about this room. It is so cold you could hang dead people in here and they would not go off. The Doorkeepers have asked the staff to do something with the heating. They say the heat is turned on. I am not sure where it is, but it is not on here. Can I ask, Mrs Cummins, that you use your power as Chair to do something about that?

[Judith Cummins (in the Chair)]

I thank the hon. Gentleman for raising that issue. I know that the Doorkeepers are busy, and I am very aware of just how cold it is in here. I am sure that that will be on the record.

Question put and agreed to.

Resolved,

That this House has considered the sovereignty of the British Indian Ocean Territory.

Rugby League World Cup 2022

Debate between Jim Shannon and Judith Cummins

Tuesday 25th October 2022 Westminster Hall

[Judith Cummins]

I thank my hon. Friend for his intervention. I hope that he and his dad very much enjoy the match at the weekend. I absolutely agree that rugby league is just the best game in the world. Anything that does it good in terms of growth in the community is worth celebrating. I hope he has a great time at the weekend.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for securing this debate. Her enthusiasm for the sport is self-evident. Does she agree that the focus on team sports in the media and on TV can be the impetus that young men and women need to join a team that builds character and self-esteem, creates friendships, and brings people out of social isolation to social interaction? The promotion of that can only be a good thing for the mental health of people of all ages who could be involved in the riveting game of rugby. I have to say that I am a rugby union man rather than a rugby league man, but that does not make me less of a supporter.

[Judith Cummins]

I thank the hon. Member for his intervention. I married a rugby union player, so I am saying nothing. It is a totally inclusive sport. It is great to celebrate sport full stop, but it is especially great to celebrate the rugby league world cup being held here. It is fantastic because it is so inclusive. We also have a very interesting mental health programme, which I will cover later in my speech.

We have 20 nations competing in the tournament, from Australia to Wales, Canada to the Cook Islands, Fiji to France and Scotland to Samoa—and Greece and Jamaica have made their debuts in the tournament. Every second of every minute of every match will be streamed live on the BBC, which has its own unique heritage with rugby league. Most games will be carried on either BBC 1 or BBC 2.

At its heart, rugby league is about people and communities. Week in, week out, local communities come together to support their clubs, their local kids’ teams and young players, giving up their time, money and energy, and sometimes even their blood, sweat and tears. The late Colin Welland said:

“Rugby league provides our cultural adrenalin. It’s a physical manifestation of our rules of life, comradeship, honest endeavour, and a staunch, often ponderous allegiance to fair play”—

very much like this place. Strong and insightful words indeed. The sport of rugby league has that power and potential. The tournaments are competitions at the very pinnacle of the sport, and they are spectacular, but the event is so much more; it is laying the foundations for the future of the sport, and for communities, regeneration and levelling up, through its social impact agenda and its legacy.

As chair of the all-party parliamentary rugby league group, I am incredibly proud that the world cup organisers and the Rugby Football League have placed that legacy at the heart of their plans before and after the event. Their trailblazing social impact programme has generated £26 million of investment in equipment and facilities, volunteering, mental fitness, education, culture, and an international development programme. That investment in facilities has helped transform clubs into hubs for their communities.