NHS: Cancer Treatments

Baroness Goudie Excerpts

Thursday 25th January 2018 Lords Chamber

[Baroness Goudie (Lab)]

My Lords, I thank my noble and very good friend Tessa Jowell, whom I have been friends with for over 40 years, from our days on Camden and Brent councils and through many other campaigns for her to become a parliamentarian and so on. I find today’s debate on evaluating innovative cancer treatments very important.

Britain has a first-class reputation for research but, at the same time, we do not always manage to get the treatment to the patients as early as we should. A number of citizens from around the world want to come to Britain because they know that we have a good reputation for the research and treatment of cancer. It has to go further; there must be more sharing of research and data in Britain and around the world. This would save time and save lives. Travelling is tiring and dangerous for patients with cancer. We must have places of excellence in cities, so that people can at least get to them.

I would like to thank Athena Lamnisos, from the Eve Appeal, for her great work. I have worked closely with her. The Eve Appeal is the UK national charity raising awareness and funding research into five gynaecological cancers: ovarian, womb, cervical, vaginal and vulval. It was set up to save women’s lives by funding ground-breaking research and is focused on early detection and developing effective methods of risk prediction, as well as developing screening for women-only cancers. It is vital that the health service continues to fund screening, which must be made more widely available. Many lives will be saved if cancer is detected early. In the same way as my noble friend described issues surrounding prostate cancer, women also must not be afraid to go for these tests.

I would also like to thank Vanessa Elliott, consultant at St George’s Hospital, and Sarah Rudman, consultant oncologist at Guy’s and St Thomas’, who were very helpful to me in preparing for this debate. They thought that I would have hours to speak. I told them that it would be only three minutes, but they have been very helpful nevertheless. I hope that we will have a longer debate on cancer and the health service at some stage when I can talk at greater length. The Brain Tumour Charity and many others who contacted us all have explained how serious and important it is that cancer is dealt with as quickly as possible.

There are lots of imperfections in clinical trial design and the process could be improved. In oncology, they try to have good working relationships with pharma in order to be involved in the trial design process at the earliest opportunity. It is hoped that focusing on design will lead to a drug licence. Most of the time the pharmaceutical industry and clinicians are aligned, but not always. In general, though, the drug development process is still chunky. Traditionally, most trials still progress through phases 1, 2 and 3, which is expensive in terms of finance, nursing and doctors’ time and, importantly, patient effort. It is also time-consuming and may result in patients waiting too long for new treatments. We must ensure that when there are new treatments there is time available when patients are willing to experiment with those treatments.

In recent years, more innovative drug trials have been used in an attempt to reduce the length of the drug-development process. That is what can happen if we share around the world. It is important for patients also to have equitable access to the early phase of clinical trials. These trial units are often found only in large cancer centres, and not all patients have access to them. Well-enough patients who have exhausted conventional treatments and tumour-specific trials may want to access unlicensed drugs.