(2 weeks, 2 days ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered patient access to tissue freezing for advanced brain cancer treatment, diagnostics and research.
It is a pleasure to serve under your chairmanship, Mr Western—you look remarkably like the man I had breakfast with 45 minutes ago.
I am pleased that this topic is getting the attention it deserves, and I am grateful to open this important debate, especially ahead of Less Survivable Cancers Awareness Week, which begins on 13 January. I must confess I knew relatively little about the effects of brain cancer until I met my constituent, Ellie James. Ellie has travelled from Wales today and is in the Gallery. I admire how tirelessly she has campaigned in memory of her late husband, Owain, who has brought us all here today.
Owain passed away from glioblastoma, the most common type of malignant brain tumour in adults, in June 2024. He was just 34 years of age. Since then Ellie has been campaigning for what she calls Owain’s law to be implemented in this country. Owain was young, fit and healthy, and he had his whole life ahead of him. He leaves behind a family, including a young daughter. Owain’s story highlights the importance of informed consent from patients and their families regarding treatment and the storage of their brain tissue.
Owain was diagnosed with a brain tumour in September 2022. Half of Owain’s 14 cm tumour was surgically removed, but only 1 cm of the removed tissue was stored fresh or flash frozen. The 1 cm was used to treat Owain with a form of immunotherapy treatment that requires the patient’s frozen tissue. Owain received three rounds of the vaccine before the frozen tissue ran out, at which point further surgery was not considered possible. The remaining 6 cm of tissue was stored in paraffin, making it unsuitable for additional vaccines.
Owain died a few months later, despite his cancer showing signs of regression during the treatment. If all the removed tissue had been fresh frozen, around 30 vaccines could have been created. If Owain and his family had been more informed about the practices surrounding brain tissue freezing and storage, and if the hospital had chosen the flash-freezing method for all the removed tissue instead of keeping it in paraffin, Owain could still be with us. His story is truly devastating, but what most stood out to me was that there was a real, achievable potential to extend, if not save, his life.
The amount of grief that Ellie and Owain’s family face must be tremendous and unimaginable. However, out of grief great change can take place, and I pay tribute to Ellie for her determination to turn her unimaginable grief into something positive that can help others. There is currently no consistent national guidance or sufficient infrastructure to ensure that brain tumour tissue removed during surgery can be stored in the fresh frozen state required for advanced therapies such as immunotherapy and cancer research. It is fundamentally wrong that Owain and his family learned of the small proportion of tissue initially frozen only once the vaccines ran out. I am sure they are not the only people that that will have happened to.
For every patient diagnosed with a less survivable cancer, the average one-year survival rate is 42%. That is compared with a one-year survival rate of 70% for all cancers. Those statistics need to improve. There are procedures surrounding brain tissue freezing that can be changed, which would have an undeniably positive impact on survival rates. There are already groups doing research and drawing attention to what can be done to improve outcomes for people with cancer, such as the all-party parliamentary group on the less survivable cancers. There are also charities such as Cancer Research UK and Macmillan that conduct valuable research and support cancer patients and their families. Again, I pay tribute to them.
There are, however, specific recommendations that I would like to mention, which link specifically to Owain and many others who face similar situations. The NHS needs an appropriate number of medical freezers to store fresh frozen tissue. In many cases, there is not enough freezer space to facilitate this type of brain tissue freezing. That must change. That long-term investment would save lives.
Monica Harding (Esher and Walton) (LD)
Brain cancer is one of the deadliest cancers, and it disproportionately affects young adults: it is the big cancer killer of people under 40. Does the hon. Gentleman agree that this proposal not only would save lives at a relatively small cost but has an economic benefit? The Brain Tumour Charity points out that most people diagnosed have to give up work, and so do their carers: 70% of carers also have to give up work to look after those afflicted. There is an economic benefit to doing this, at a relatively low cost, and of course it would save lives.
The hon. Lady is absolutely right. We have to remember that a cancer diagnosis affects not just the person, but their family and loved ones. A lot of people have to leave work to care for those people, and they have to deal with the emotional impact too. Her economic point is absolutely right. The wider point is that we lead the world in life sciences. If we did what I am suggesting, we could be a world leader in brain cancer care and we could save lives too, so it is a win-win for everybody.
As the hon. Lady said, the change is cost effective. It is estimated that it would cost £250,000 to £400,000 to ensure that all NHS trusts have the necessary capacity and capabilities for flash freezing. Every brain cancer patient should be able to access the latest treatment and research and the most accurate genome-sequencing techniques.
In Owain’s case, there was enough freezer space, so storing his tissue in paraffin was a conscious decision not made out of necessity. That is why attitudes and established guidance protocols within the NHS about brain tissue freezing need to change. It should not be the norm to store removed brain tissue in something that makes it unusable for further research or treatment. I hope the Minister will commit to establishing national standards so that every suitable brain tumour sample is routinely frozen.
A brain tumour can happen to anyone. It could affect us or any of our loved ones. This change needs to happen now to save lives in the future. It needs to happen for people such as Owain who are no longer with us, for people who are currently unwell with brain cancer and for people who will unfortunately become ill in the future. This Labour Government have a real opportunity to enact meaningful, positive and feasible change. We must seize that, especially if it is achievable and affordable.
As I said earlier, we lead the world in life sciences, and brain cancer care is something that we can proudly be world leaders in. The national cancer plan, which will be published next month, must address the storage of brain tissue. Specifically, it must outline exactly how it will improve outcomes for patients with less survivable cancers. If we are serious about putting patients at the heart of cancer care, improving their awareness of the storage of their own tissue is one of the simplest places to start.
The way that treatment is allocated is deeply unfair. The postcode lottery of cancer treatment must end. It is wrong that a person’s ability to access cancer treatment is dependent on where they live: 40% of people with cancer in the UK have struggled to access treatment or care because of where they live. That is ineffective, unfair and discriminatory. Those are not the values that a Labour Government should uphold. For the cost of a few hundred thousand pounds, we could eliminate the postcode lottery that affects brain cancer patients. We need to ensure that all types of treatment, including experimental ones involving freezers and vaccines, can succeed in all areas, not only some. That exceptionally small investment could have a lifesaving impact.
It is not only treatment that is affected by current protocol, but research. Owain’s tissue was no longer suitable for research because it was stored in paraffin. It is also incredibly difficult for a person to have control over their own tissue post extraction. The confusion about who technically owns it makes it challenging for people such as Ellie to retrieve the remaining tissue for further testing or research. We need to stop putting unnecessary barriers in place. We are making things harder than they need to be, and these practices have a direct impact on people’s everyday lives.
It is just as alarming that all this is done without informed consent from the patient or their families. The importance of the storage method for brain tissue cannot be overstated when someone’s life relies upon it. Brain cancer patients and their families should have an absolute right to be consulted on and to give informed consent on how their tumour is stored. While we have the opportunity to make these changes in the national cancer plan for England, we must do so. It is a small, affordable change that could have a huge impact and improve cancer treatment nationwide.
This issue was debated in the Welsh Senedd in July, and I wonder if the Minister could liaise with the Welsh Government about introducing a similar plan. I understand that the Minister there said he was not minded to introduce legislation. Could she raise this topic with him in bilateral meetings at some point? I was also hoping to get a commitment from the Minister today to meet me and my constituent Ellie, so that Ellie can explain in detail her husband Owain’s experience and we can discuss how to prevent the same thing happening to current and future patients.
In matters of great importance like this, patients must be aware of what is happening to their tissue during treatment and afterwards. Families should be able to access their tissue if needed for future testing and research. I urge the Minister to think of real people like Owain, Ellie and their young daughter, whose lives could be so different now if patients were consulted, if the tissue was stored differently and if there were more medical freezers. I would specifically like to know the Government’s plans regarding brain tissue freezing, given the impact it would have on diagnostics, treatment and research. Do the Government plan to invest in freezer capacity, and do they intend to make flash freezing the norm?
While brain tumours will continue to happen to people like Owain or anyone in this room, diagnostics, treatment and research can get better. The Government can lead the way and begin to change the attitudes and practices surrounding brain tissue freezing—in fact, we must do so. I do not wish to hear another story like Owain and Ellie’s, which is absolutely tragic, and I want Ellie’s campaign to succeed; it can and must. The most devastating thing is that Owain’s outcomes could have been different if the established guidance protocol had been different. Perhaps if these things had happened, Owain could have been sitting with Ellie in the Public Gallery today.
Several hon. Members rose—
In a debate where tears were shed, it was good to hear the Minister’s positive reply. I look forward to meeting with her and Ellie to discuss Owain’s case further. I pay tribute to my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) for her work on this issue. From a position of great grief, she has tried to bring about something good. I think that we can all endorse what she has been trying to do in her campaigns.
I am pleased that the Minister has committed to meeting with the devolved Administrations, because if one thing came out of this debate, it is that cancer is no respecter of age, where we live or boundaries. It affects everybody and we need a national effort to deal with it. I am pleased with the Minister’s response; I thought it was very positive. I look forward to working with her and all other hon. Members to provide the hope that we so desperately need in cases like these.
Question put and agreed to.
Resolved,
That this House has considered patient access to tissue freezing for advanced brain cancer treatment, diagnostics and research.
(2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to serve under your chairmanship, Mr Mundell.
I thank the hon. Member for Richmond Park (Sarah Olney) for securing this debate on International Men’s Day. I also pay tribute to her constituent, Philip Pirie; no one can imagine the loss of a child, and it is a testament to him that in the pits of his despair, he has reached out to others.
If ever I am asked when someone is struggling, I always say, “Just talk—help is available.” That would be my attitude today. If someone needs support, they should reach out and find it. Just six months ago, I might not have chosen to speak in this debate at all. Then, in the summer, two events taught me a harsh lesson; they made me realise that reaching out and receiving support is not so easy and, in many cases, not done.
On 13 August, I was driving to work on a normal day. I had been away for a long weekend with the family and had just dropped my kids at the sports camp. I was trying to work out what time I had to leave work to pick them up. As I said, it was an ordinary day. Then the phone rang and everything changed. It was my hon. Friend the Member for Bridgend (Chris Elmore), who was then a Government Whip, telling me that Hefin David, MS for Caerphilly, had died suddenly.
To talk about Hefin in the past tense is surreal. He was someone so full of life—so passionate, so dedicated to his job and to the people of Caerphilly. He had a wide circle of friends. He was someone who knew help was available and would have told anyone else that, but now he was gone.
I think back to our last conversation in July and how normal it was: I was going to Greece and he was going to Benidorm. We both talked about how much we were looking forward to the break. We ended the conversation by saying we would speak when we were back. Surely, I thought, the news that he was gone was not true. But that is the grim reality that all his family and those who loved him have to face on a day-to-day basis.
Then, a month later, on 14 September, while I was settling down for Sunday lunch, a news alert flashed up on my phone telling me and the world that Ricky Hatton, the beloved Manchester boxer and world champion, had been found dead. I had only met Ricky on a few occasions at boxing events, but I was always struck by how polite and down to earth he was—a man who dedicated his post-boxing career to men’s mental health and talked candidly about his suicidal thoughts. He brought joy and excitement to so many people and had seemingly put his problems behind him, but he was found alone at home.
In different ways, both Hefin and Ricky were warriors. One fought passionately in the Senedd for those on the margins of society, and one demonstrated untold bravery in the ring. In the end, outside appearances can, and often do, mask the struggles that men face.
The importance of this issue cannot be overstated. With the rate of male suicide in Wales having risen by 56% in the last 40 years, it has become the joint highest killer of men under 50, with those aged 45 to 49 facing the highest risk. At that stage of life, men are burdened with societal expectations that mandate how they should think and behave. Those expectations are passed down from generation to generation, derived from traditional notions of masculinity that promote strength, self-reliance and emotional restraint.
Acknowledging poor mental health can feel like a confession and lies at odds with this supposed ideal. Rather than being seen as a sign of humanity, it is viewed as a weakness or failure to live up to what a man should be, as opposed to men being seen for what they are: simply human beings. Men are just as likely to experience emotional difficulty in life as anyone else, so why are they expected not to talk about it? As a result, many men are reluctant to seek help and tend to downplay symptoms for fear of appearing weak or vulnerable.
It is important to acknowledge that there are people in society doing important work to address this problem, undo stigma and, more importantly, start a conversation. The Jolly Brew Crew in my constituency is a free men’s mental health group focusing on peer support, reducing stigma and having more meaningful conversations. It provides a place for men of all ages to go, speak openly about their problems and feel supported. It has fostered a sense of community, combating social isolation and loneliness, proving that problems can be solved.
John Slinger (Rugby) (Lab)
My hon. Friend is making a powerful and moving speech. Does he agree that organisations such as the one he mentioned mirror the work of Back and Forth Men’s Mental Health, a support group in my constituency who literally go out on walks together? They also run a podcast, which I was on this week. It is all about getting men together so that they can talk about the way they feel. In my view, that is one of the best ways to avoid terrible mental health problems. Boys and young men should always be encouraged to speak to friends and family, and to seek the help of charities and, when they need it, professional help. We can then break the stigma and prevent far more of these terrible cases of suicide.
I pay tribute to my hon. Friend and the group he mentioned. Anything that can be done to reduce the stigma of suicide must be done. We must realise how important this is. One family losing one life to suicide is one family too many. It is time to end the silly stigma about “real men” being this, that or the other. Real men talk about their feelings. We are human and we have got to get away from this stigma.
As my hon. Friend mentioned, groups are incredibly important but they cannot bear the sole responsibility for starting the conversation and providing support. Government must provide more education, support and treatment for mental health. I support the comments of the hon. Member for Richmond Park about health awareness campaigns, which are vital. There are posters of Davina McCall referring to breast cancer to ensure that it is diagnosed earlier than ever. We should take the same approach to suicide.
Suicide is the joint highest killer, alongside accidental poisoning, of men under 50 in Wales. It is ironic that there is so little conversation about such a big killer. That must change and can start with local groups, but should be led by the Government. If the mental health strategy launched today is to work, it must not only address men’s health issues, which have long been ignored, but seek to undo the deep stereotypes that impact men’s likeliness to reach out for help.
Undoing those stereotypes will make it more acceptable for men to receive support in any area of their lives, proving that their struggles can be addressed. There is no stigma or embarrassment in that, only strength. The impact that Government action can have on the stigma surrounding men’s mental health and suicide must not be overlooked. Healthcare systems must better hear and respond to the epidemic of male suicide. I hope the Welsh Government introduce a similar strategy to address those problems.
At a meeting I had with the Men and Boys Coalition charity last week, it revealed the necessity for a men’s health strategy in Wales. I want to echo that message. My constituency has the seventh highest suicide rate in Wales. Figures like that prove the necessity and urgency of a mental health strategy. I know the Minister well and we are friends. As a fellow Welsh MP, I hope he can use his influence to ensure that the Senedd adopts the strategy we have launched today in England.
More importantly, I call for the rhetoric around male suicide to change: compassion, understanding and kindness must be at the heart of whatever we do next. We must use the lessons we have learned from the deaths of others. The solution may involve some uncomfortable, unfamiliar and new conversations, but those conversations could save someone’s life.
I want to end by talking about Ricky Hatton. He fought battles in the ring and fought wars, but the one battle he could not face, against himself, he lost. Let us hope that there are fewer people who feel like that. I urge the Government to take action.
Like me, the Minister represents a rugby stronghold and he will know of instances of ex-sports players committing suicide. We have already spoken about some high-profile cases, including Gary Speed and Ricky Hatton, but there are others who stop playing at lower levels and then develop feelings of isolation and lack of identity. When the Minister speaks to the Premier League and other sporting institutions, will he ensure that ex-sportsmen have the necessary support once they retire from the game?
My hon. Friend is right. I do not know whether there is a connection, but it is possible that some of the perhaps more macho attitudes in some sporting environments are connected to the difficulties that some men—particularly men in those environments—have in reaching out, talking and being honest and open about their feelings. There may well be a connection. However, I hope that other sporting federations—the Rugby Football Union, the Welsh Rugby Union or whichever sporting association it might be—will look at what the Premier League is doing, and that we will perhaps see a blossoming of these initiatives across other sports and sporting disciplines.
The Premier League’s reach is unmatched. The partnership will engage men who are less likely to seek help and more likely to suffer in silence, meeting them in spaces that they trust, rather than waiting for them to access traditional health services.