Endometriosis and Polycystic Ovary Syndrome

Debate between David Mundell and Taiwo Owatemi

Monday 1st November 2021 Westminster Hall

[Taiwo Owatemi]

I thank the hon. Member for raising that important point, which absolutely highlights that need.

The Government urgently need to invest in research projects and create more streamlined diagnostic practice. That must start with better GP training, as hon. Members have highlighted, so that GPs no longer inadvertently gaslight or misdiagnose anyone with endometriosis or PCOS. It must extend to more accurate and less invasive screening technology to confirm the diagnosis. Once women are finally diagnosed, there is currently no targeted treatment for endometriosis—none at all. Similarly, there is no drug or treatment on the UK market that has evidence-based approval to treat PCOS. We need funding for this research, as well as facilities to carry it out.

There is only one dedicated PCOS clinic in the whole of the UK, and I am proud to say that the clinic is in my own city of Coventry. I visited the clinic recently and spoke with the head researcher, Professor Harpal Randeva, and their specialist nurse, Danielle Bate. They stressed the importance of treating PCOS as a disease in need of its own funding body. Currently, the limited funding for PCOS and endometriosis alike is attached to funding bundles for several other diseases, as is clear from the Government’s response to the petition. We should not be attaching research funding for these conditions as addendums to general funds for fertility diseases or other endocrine diseases. Endometriosis and PCOS impact millions of women in the UK. They are not afterthoughts, and we cannot continue to treat them as such in funding discourse. We should encourage funding charities to set up independent boards for PCOS and endometriosis.

Earlier this year, a Department of Health and Social Care consultation acknowledged the importance of improving research into women’s health. The strategy for that improvement is, according to the Government, now in development, and it would be great to hear from the Minister what progress is being made. I also ask the Minister whether the strategy will commit to establishing independent well-supported funding bodies for research into both endometriosis and PCOS, which are so desperately and deservingly needed.

I will end my remarks by thanking all the brave women suffering from endometriosis or PCOS who continue to fight for increased resources. Without their remarkable self-advocacy and will to advocate for each other, I am certain that we would not be here today. I hope the debate will provide an opportunity for the Government to listen and act.

[David Mundell (in the Chair)]

As a lot of Members want to speak, I ask Members to stick to about three and a half minutes so that everybody who wants to speak gets the opportunity to do so. I call Emma Hardy, and then Jackie Doyle-Price.

--- Later in debate ---

[Taiwo Owatemi]

I thank all hon. Members who have spoken so passionately in this important debate. I look forward to hearing from the Government about their strategy to make funding for endometriosis and PCOS more readily available, and about how their strategy to improve research on women’s health will establish well-supported and dedicated funding bodies for both endometriosis and PCOS research.

I will highlight some of the many important remarks made during the debate. My hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) underlined the fact that we do not know what causes endometriosis and that we need dedicated funding to determine the cause of the condition. I completely agree with the hon. Member for Thurrock (Jackie Doyle-Price) on the crucial point about the need to destigmatise and demystify many of the symptoms associated with endometriosis and PCOS.

Finally, I thank my hon. Friends the Members for Streatham (Bell Ribeiro-Addy) and for Worsley and Eccles South (Barbara Keeley), as well as the hon. Member for East Renfrewshire (Kirsten Oswald), for their powerful stories, which illustrated better than statistics or figures ever could the need to support women who suffer from these conditions. Simply put, we need more funding for research into endometriosis and PCOS so that we can combat both. I thank every Member who participated in the debate.

[David Mundell (in the Chair)]

Although I am sure that Mr Norris was correct in saying that Sir David would have been pleased with the terms of the debate, as the Minister said, I am sure that Sir David would also have been holding her feet to the fire afterwards.

Question put and agreed to.

Resolved,

That this House has considered e-petition 328570, relating to research into endometriosis and polycystic ovary syndrome.

HS2

Debate between David Mundell and Taiwo Owatemi

Monday 13th September 2021 Westminster Hall

[David Mundell (in the Chair)]

I will just say at this stage that because the debate is heavily over-subscribed, those people making interventions, particularly lengthy ones, are unlikely to catch my eye for the debate itself.

[Taiwo Owatemi]

Thank you, Mr Mundell, and I will try not to take any more interventions.

The benefits that I have just outlined are dependent on the Government following through on the entire project. As was highlighted by my right hon. Friend the Member for Leeds Central (Hilary Benn), earlier this summer the Department for Transport directed HS2 to stop all work on the leg linking Birmingham with the east midlands, Sheffield and Leeds. I know that the Government have made efforts to quell rumours that this leg of HS2 will be scrapped, but they have not issued any outright denial of that possibility.

That certainly brings into doubt some of the predicted economic benefits of constructing HS2. To be clear, the Government’s business case for HS2 depends upon building an entire railway network, not just fragments of HS2 for the favoured few. Failing to build that network would not only break the Government’s promise regarding the returns on HS2, but destroy their promise on levelling up the west midlands and, indeed, the midlands as a whole.

The Government must be clear about which part of HS2 will in fact be constructed, so that MPs have all the facts. As is evidenced by this petition, the potential benefits of HS2 have often been overshadowed by the controversies over how the Government have so far managed this major project. The petition refers to the extraordinary increase in the bill for building HS2. Back in 2009, the projected cost was £37.5 billion. By 2020, that figure had ballooned to £107.7 billion—an increase of 361%—and that hike is before much of the construction has even begun. That is completely unacceptable—how in the world did it even happen?

A review by the National Audit Office concluded that the key reason the price of HS2 skyrocketed was the Government’s failure to estimate accurately how quickly and cheaply they could build HS2 and the constantly changing scope of the project. In many ways, this project has clearly been mismanaged and there are no guarantees that the cost of it will not continue to rise.

--- Later in debate ---

[David Mundell (in the Chair)]

The debate will now continue until 7.45 pm. I call on Taiwo Owatemi to conclude her remarks.

[Taiwo Owatemi]

Thank you, Mr Mundell.

--- Later in debate ---

[Taiwo Owatemi]

I thank my hon. Friend for raising such an important point, which I will come on to.

I am deeply concerned about the environmental destruction that this project is causing to ancient woodland areas. The Woodland Trust estimates that 108 ancient woodland areas are at risk of loss or damage as a result of construction on HS2, and that irreparable damage to an ancient woodland ecosystem and biodiversity cannot be adequately addressed by planting a few saplings over a few years or generations. These environmental concerns alone give me pause for thought.

If HS2 is to be anything close to a success story, it must change course. I am worried that this project will continue with the same mismanagement that has characterised its construction so far, and has increased the projected construction time by about eight years and projected costs by over £60 billion. The same mistakes will continue to plague other phases unless we see change. HS2 Ltd needs to be much better at listening to the communities that it is impacting most, and to take the time to allow contractors to weigh in on what truly works best for local communities.

Finally, I will touch on something larger that is at stake: public trust. When we consider new and ambitious infrastructure projects, the public must trust that the Government will be open, transparent, trustworthy, cost-effective and efficient. With HS2, that has all too often not been the case, and I worry that the public’s diminished faith in Government’s ability to manage such projects effectively will prevent them from supporting positive and ambitious infrastructure projects in future. The end does not always justify the means. I look forward to hearing from the Government how they plan to address the important concerns I have raised, and to hearing the issues of concern to MPs from across the House and their ideas on how to drastically improve the HS2 project.

[David Mundell (in the Chair)]

I am imposing a three-minute limit on contributions. I call Jeremy Wright.