Respiratory Health

Debate between Caroline Nokes and Oliver Heald

Tuesday 3rd February 2015 Westminster Hall

[Sir Oliver Heald (North East Hertfordshire) (Con)]

Rightly, my hon. Friend the Member for Stevenage (Stephen McPartland) and other Members who have contributed have talked about the most serious incidents and life-threatening situations. I want to say a few words about mild asthma, of the sort that can affect someone playing sport. If we are talking about campaigning about asthma awareness, there are quite a lot of people who are not going to die because of their asthma but whose lives are spoilt by it.

My own experience is that when I was young I was a keen rugby player. I could play rugby, but after a match I was always wheezy. It never occurred to me that that was because of a medical condition, but I was talking to my doctor one day, when I had been playing rugby for years—I was in my teens at the time—and he said, “Actually, we can help you with that.” He gave me an inhaler and told me to take a puff before I played, and my life was transformed. There was no more wheezing and I improved; I was able to play rugby much better, and was able really to enjoy it for the first time. There must be a lot of people in the country who have not really realised that they have asthma, as it is undiagnosed.

My first point is that in making people aware of respiratory conditions we are talking not just about saving lives but about improving the quality of people’s lives. I am told that there are any number of top sportsmen who have the same condition of mild exercise asthma.

[Caroline Nokes]

My hon. and learned Friend makes an interesting point. This is a problem not just for elite sports players and those who participate in sport regularly, but for those who are not active enough, or not taking part in any physical activity. They tend to look for reasons not to take part in those activities and being a bit wheezy, for some, can be a convenient excuse.

[Sir Oliver Heald]

My hon. Friend makes a good point. It is easy to see this issue as 1 million hospital admissions and the third highest cause of death, without also looking at the huge effect on other sufferers. We know that 5.4 million people are being treated in the UK for asthma, and I rather share the view that the National Institute for Health and Care Excellence, in saying that a third of people have no symptoms at any particular time, may be making a slightly complacent comment. By the time I was in my late 20s I had no symptoms at all and I no longer needed to use an inhaler to do sport. However, when I had a problem one year with flu, they came back. It is a variable condition, and that can be underestimated.

Kay Boycott, the chief executive of Asthma UK, said:

“Asthma has many complex causes, which is one of the reasons why it is sometimes difficult to get a definitive diagnosis. It is also a highly variable condition that can change throughout someone’s life or even week by week, meaning treatment can change over time.”

One of the great lessons to learn is that we need to monitor regularly for asthma. My hon. Friend the Member for Stevenage made a particularly important point about attending the asthma clinic for the test.

The Royal College of Physicians recently made a point about variability and how asthma can suddenly deteriorate. As it said, there are different kinds of asthmatics: brittle asthmatics who can move from having no wheeze to severe problems; others for whom it appears just in the early morning; and others for whom it disappears for a period. We need more research and a campaign on awareness.

Oral Answers to Questions

Debate between Caroline Nokes and Oliver Heald

Tuesday 15th October 2013 Commons Chamber

[Caroline Nokes (Romsey and Southampton North) (Con)]

9. What steps the Director of Public Prosecutions is taking to raise awareness amongst prosecutors of how to deal with cases of human trafficking; and what assessment he has made of whether current legislation is being used to prosecute such cases effectively.

[The Solicitor-General (Oliver Heald)]

Guidance is issued by the Crown Prosecution Service and it is regularly updated. There is a training programme for the CPS and the Director of Public Prosecutions will host a round-table event later this year to consider how best to strengthen prosecutions.

[Caroline Nokes]

I thank the Solicitor-General for that response. This Friday 18 October is anti-slavery day, which aims to highlight human trafficking and modern-day slavery. Does my hon. and learned Friend agree that one of the key problems is that those crimes are very well concealed and seldom brought to the attention of the authorities and the police, and that wider public awareness, as well as the awareness of GPs and teachers, is required.

[The Solicitor-General]

I absolutely agree with my hon. Friend. The Government are committed to publishing a draft modern-day slavery Bill later this year. There have been amendments to the law to enable more prosecutions to occur. The round-table event later this year will be important in raising awareness, as she suggests.