(2 days, 19 hours ago)
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It is a pleasure to serve under your chairmanship, Dr Murrison. I declare an interest as an ambassador for Prostate Cancer Research. In the work that I do for that charity I have spent a lot of time in the community talking to people affected by prostate cancer and those organising drives, and I am humbled by the many men I have met for whom diagnosis has come far too late to make a difference to their life, but who have chosen to dedicate themselves to this issue and to raising awareness. I think that is extraordinary of them and, as I said, humbling. The most important thing we can do to honour them is to make sure no one else loses a father, grandfather or brother to this cruel disease.
I, like many other campaigners, was disappointed with the decision of the National Screening Committee. The Budget is not until Wednesday, but colleagues know I like numbers, so I dove into the model behind that decision and found a few issues that I hope the Minister will go back and have a look at. The model assumed treatment costs of around £27,000, but most independent estimates are far higher. The model assumed that only about a quarter of men received the most advanced drugs—again, audit figures suggest that twice as many do—and that they would not receive that treatment for more than three years, when the evidence is that they receive it for longer. All those gaps understate the positive case for screening that has been verified by the independent York Health Economics Consortium.
Further to that, we heard about the concern regarding overtreatment, but modern diagnostic pathways offer ways to reduce unnecessary treatment and diagnosis. Given the time available to us, we do not need to go into all the details, but the evidence this year from the Cochrane review that looked at 800,000 men’s experience, and from the Swedish study into the success of the new Stockholm3 trial, indicated that the evidence is moving faster than the committee is moving. I am delighted that the Government have committed to a living model. Will the Minister commit to publishing the workflow perhaps by January, so that we know when the model will be updated with the new evidence and what the workstreams are for that, particularly on the new survival assumptions and costs? Will she also open up the model, as National Institute for Health and Care Excellence does, to independent experts, because then we can have real scrutiny and debate the assumptions.
(4 years ago)
Commons ChamberI was pleased to have a call last night with the First Minister of Scotland. It was important that I spoke to her on my first day in office, because I wanted to express my desire to work constructively with the Scottish Government so that together we can deliver for the people of Scotland. That is what I plan to do. Indeed, I hope that crime is one thing that we can collaborate on. The right hon. Gentleman will know that violent crime is rising in Scotland and police numbers are falling, whereas we are increasing police numbers here. I look forward to working with the Scottish Government on our shared challenges, because I believe in a strong United Kingdom.
My right hon. Friend is a vociferous campaigner on that issue, as I learnt over the summer. He will know that local authorities determine these issues, but I reassure him that all large incinerators in England must comply with strict emission limits and receive permits only if plants do not cause any damage to human health. Hopefully, that is reassuring for him.
(5 years, 9 months ago)
Commons ChamberI thank the hon. Gentleman for his question and for registering some of those issues with me. I know that he and other colleagues are speaking to the Chancellor of the Duchy of Lancaster about individual issues, and I will be sure to follow up with him later today. The hon. Gentleman will know, and I hope it is helpful, that we funded with £200 million a trader support service, which is helping businesses in Northern Ireland to adjust to the new arrangements. I think 25,000 at the last count had signed up, and I know that the response has been pretty good, but there is always more we can do, and I look forward to talking to the Chancellor of the Duchy of Lancaster later.
The Treasury has done really well supporting businesses and jobs in this crisis, but directors of small limited companies are many of the people who will ultimately be paying for the Treasury’s support. What can be done, perhaps using a version of the Federation of Small Businesses’ suggestion of a directors income support scheme, to help prevent hard-working linchpins of our economy—on modest incomes taken as dividends—from falling through the cracks?
We always will give fair and due consideration to any proposals that we receive. Indeed, the Financial Secretary to the Treasury, my right hon. Friend the Member for Hereford and South Herefordshire (Jesse Norman) has met the FSB and received the proposal, and we will go through it in detail.
(6 years, 6 months ago)
Commons ChamberI very much welcome the statement, particularly the news about the bounce-back loans, which will be very helpful for small businesses in my constituency. Selling milk and meat into the non-domestic market has largely stopped, as have farm diversification schemes that were necessary to cross-subsidise land-based businesses. What more can the Chancellor do, beyond that which he has announced today, to assist agricultural businesses—land-based businesses—across the country?
Representing a rural constituency myself, I understand very well the comments that my right hon. Friend has made. I am in constant dialogue with the Secretary of State for Environment, Food and Rural Affairs on these issues. We are making sure that all the economic interventions that we have put in place can benefit not just the agriculture sector but as many sectors as possible.