Health: Cancer

Baroness Symons of Vernham Dean Excerpts

Monday 20th May 2013 Lords Chamber

[Earl Howe]

My noble friend has raised a very live issue because consultation will begin shortly on the Government’s plans to reform the governance relating to death certification. The proposed reforms will simplify and strengthen the process for death certification by appointing local medical examiners to provide independent medical scrutiny of the cause of death for all deaths not subject to coronial investigation. The medical examiner will improve the accuracy of information recorded on medical certificates of cause of death because the process will include a review of medical records and consideration of the circumstances leading to death.

[Baroness Symons of Vernham Dean]

My Lords, does the Minister agree that some forms of cancer, particularly the leukaemias and, within those, acute myeloid leukaemia, need a very aggressive form of chemotherapy in order to maintain life and that that necessarily includes the very high risk of infection through blood poisoning or diseases affecting lung capacity? Where the only alternative to very aggressive forms of chemotherapy is the certainty of death, does not the noble Earl agree that these forms of chemotherapy remain enormously important in the treatment of cancer?

[Earl Howe]

My Lords, for many patients, that is so, but of course the decision whether to administer aggressive forms of treatment must be one for the individual patient in consultation with his or her clinician.