Diabetes: Tailored Prevention Messaging

David Simpson Excerpts

Thursday 24th October 2019 Westminster Hall

[Jim Shannon]

My hon. Friend is absolutely right. The figures that he and I have indicate that almost 100,000 people over the age of 17 live with diabetes in Northern Ireland, out of a population of over-17s of 1.6 million. We know it is more than that and that there are a lot of diabetics under 17, so he is right to bring that up. Northern Ireland has more children who are type 1 diabetic in comparison with the population than anywhere else in the United Kingdom.

[David Simpson (Upper Bann) (DUP)]

I congratulate my hon. Friend on securing the debate. He referred to having been a big fat pudding; well, I probably am, but we will not go there. Importantly, we have young children in schools who need insulin, but there is a difficulty with teachers and classroom assistants giving it to them. What more can we do about that? How can we encourage the education people to do it?

[Jim Shannon]

I know the Minister will reply to that, because that is one of the questions that I had hoped to get an answer on.

On the Monday before last, we had a diabetes event in the House. Before I came over, some of my constituents said, “Will you go along to this event about diabetes? It is really important, because some great things are being done in some parts of England and we would like to know about them.” When I got there, the people were most helpful and informed me that Northern Ireland has one of the better type 1 diabetes schemes, which is reaching out to 70% of people. As we often do in Northern Ireland, in this case we have a scheme in place that is almost voluntary. We have an un-functioning Assembly, which is disappointing, but we have a system whereby that scheme is working. Some of the things that we are doing, we are doing quite well.

There are 4.7 million people living with diabetes across the UK, each of whom should be treated as an individual. In Northern Ireland, we have 100,000 people with diabetes in that 17-plus bracket, but obviously it is more than that when it is all added up. Every day across the United Kingdom of Great Britain and Northern Ireland, 700 people are diagnosed with diabetes; that is one person every two minutes.

I had a good friend—he is not in this world any more, but that is not because of diabetes—who was a type 1 diabetic. He ate whatever he wanted and I always said to him, “You cannot eat all those things.” He said, “Oh, I can. All I do is take an extra shot of insulin.” I said, “That’s not how it works!” I do not know how many times I told him that. My three hon. Friends—my hon. Friends the Members for East Londonderry (Mr Campbell), for South Antrim (Paul Girvan) and for Upper Bann (David Simpson)—will know who it is, so I will not mention his name. He was very flippant about the control of his diabetes, but it seemed to work for him. I could never get my head around the idea that an extra shot of insulin seemed to cure the problem.

The National Health Service

David Simpson Excerpts

Wednesday 23rd October 2019 Commons Chamber

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

I start by thanking all the NHS workers, wherever in the world they come from, who do such fantastic work for the health and wellbeing of my constituents in Newcastle. I reiterate all that has been said about the devastating impact that any Brexit, but particularly a no-deal or a hard-right Brexit, will have on the NHS and on our European Union brothers and sisters who work in the NHS in Newcastle and across the country.

The labour movement fought for the NHS because working people understand the terrible consequences of ill health for those without means. Just as, under this Government, the gig economy is bringing back types of job insecurity that we thought the labour movement had banished from modern society, so this Government’s back-door privatisation is undermining our NHS. My hon. Friend the Member for Leicester South (Jonathan Ashworth) emphasised how that is driven by a right-wing ideology, and I want to highlight a particular area in which it is particularly obvious: the requirement for competition in primary care, and particularly for GP surgeries in poorer areas.

There has been a rise in poverty under this Government, and with poverty comes increased health problems. GPs working in areas with higher levels of deprivation have higher workloads and patients with more complex needs. GPs are choosing to work elsewhere because of the lack of support offered by the Government, which exacerbates vicious cycles of health inequality.

There are requirements for competition on GP contracts, even when no one is willing to compete. This means contracts are returned early, after two or three years, and my constituents do not have the continuity of high-quality care they deserve. The Government are requiring competition, even where the private sector cannot make enough profit to be interested in competing.

I also highlight the growing health inequalities that mean there is less access to healthcare in more socioeconomically deprived areas. In Newcastle, for example, we have cervical screening rates of 85% in Gosforth, a wealthier area, and of only 23% in Westgate, one of the poorer areas.

The north-east has the highest level of epilepsy in the country, with poorer people more likely to die from epilepsy. As today is Sudden Unexpected Death in Epilepsy Action Day, I want to highlight the work of SUDEP Action in combating rates of epilepsy. Higher health inequalities under this Government mean that more people are dying and suffering unnecessarily.

Briefly, on the privatisation of NHS data, I understand that the Office for Life Sciences is currently assessing the value of NHS data as part of the life sciences industrial strategy. The absence of a regulatory framework to give patients control over their own data leaves it open to being sold off as part of a future trade deal, which the public are completely against. The fact that the Department of Health and Social Care did not take up the great north care record, which was an opt-in rather than an opt-out record, means these dangers are all too obvious.

I finish with two areas that, in themselves, deserve hours of debate: mental health and social care. Mental health, particularly for young people, is a rising issue in Newcastle. It is raised with me by police, schools and housing, and we have yet to see real parity of esteem.

[David Simpson (Upper Bann) (DUP)]

It is devolved in Northern Ireland but, across the United Kingdom we need more trained mental health nurses, especially for young people. The figures are startling: just over 10,000 young people in the United Kingdom under the age of 10 are manic depressive.

[Chi Onwurah]

That is why mental health is consistently raised with me by youth groups and youth organisations, and why the cuts to mental health provision, particularly mental health nurses, are especially regrettable. We need much greater choice and autonomy in mental health services, so that they are designed with users in mind and by users.

Until the Government realise that high-quality social care given by properly paid professionals is not a cost bucket but an enabler of a more equal economy and a fairer society, I fear I will continue to see constituents’ friends and families having to face devastating choices because their loved ones are deprived of the dignity they deserve in old age by the lack of a fair and consistent social care policy in this country.

Children and Mental Health Services

David Simpson Excerpts

Tuesday 16th July 2019 Westminster Hall

[Andrew Griffiths]

I agree that we are in a crisis. The Government are putting record amounts of money in, but the hon. Lady is absolutely right to say that that is an unacceptable wait. I will discuss waiting times later in my speech. Any parent would be terrified at the thought of that long wait and their child being further harmed by it.

[David Simpson (Upper Bann) (DUP)]

The statistics the hon. Gentleman is outlining are horrific. Some years ago figures were released showing that across the whole of the United Kingdom, over 10,000 young people under the age of 10 were manic depressives. That is a horrendous figure. Such a situation puts horrendous pressure on parents and carers.

[Andrew Griffiths]

I have spoken about my own mental health challenges and my battle with depression and anxiety. As an adult it was very difficult to cope with, but for a small child it must be an incredibly hard to have to deal with.

Acquired Brain Injury

David Simpson Excerpts

Tuesday 2nd July 2019 Westminster Hall

[Chris Bryant]

My mother was alcoholic. I do not know whether she drank during my pregnancy—[Laughter.] Was it my pregnancy? I mean before I was born. I am painfully conscious of how difficult it is for women who are alcoholic to stop drinking when they are pregnant. The message about the dangers of drinking during pregnancy has been out there for a long time, but we still have remarkably little in the toolkit for dealing with alcoholism in this country. Broadly speaking, it is still about the 12-step process, which has a very low success rate in comparison with other therapies and which relies on surrendering to a higher being, albeit not necessarily a religious one. It just does not work for an awful lot of people. The syndrome that my hon. Friend refers to is much more prevalent than we realised even 10 years ago. Further research is going on, and we need to ensure that it is fully understood across the whole educational spectrum, as well as the health spectrum.

[David Simpson (Upper Bann) (DUP)]

Does the hon. Gentleman believe that brain injury in children and young people requires a different approach from how we handle adult brain injury?

[Chris Bryant]

There are specific issues that affect children. It is a profound source of depression to me as a Labour Member and a socialist that a child from a poorer background is four times more likely to suffer a brain injury before the age of five than a child from a wealthy background. We need to look at all the elements that lead to that, because prevention is far better than cure. I have spoken in other debates about issues that relate particularly to education, including the importance of schools having as full an understanding as possible of how brain injury can affect a child. All the statistics now indicate that every primary school class in this country has at least one child who has had a significant brain injury, although many of them may be undiagnosed. That is an issue for every single school in the country, and I do not think that we have fully taken it on board yet.

The experience of having had a brain injury often includes the sense of being pushed from pillar to post in the health system and in the organisations that the state provides. An element of that is inevitable, because something fundamentally chaotic is being brought into an ordered system. That is how it feels to the individual, too: they knew what their life was, and then suddenly—nearly always completely out of the blue—something has happened to radically change their life and their family’s lives, perhaps permanently. All too often, however, families have to fight for every single bit of support from the national health service, the local authority, the education system or wherever.

If there is one thing that I hope will come out of all the work that we have done in the all-party group, it is that we can change that feeling of having to fight for every single element. So many patients have told me, “If I could devote all my energy to getting my brain better, rather than fighting for support, I would be a useful and fully functioning member of society. I would dearly love to be that person again.” If there were any way in which all the arms of the state could fully recognise that factor, that would be something that we should dearly hope for.

The charity Sue Ryder does an awful lot of work with people who have had brain injuries and other neurological conditions. It reckons that 15,000 people who have had acquired brain injuries are now in generalist older people’s care homes, which are probably not the places to get the right support, but are the only places available. Sue Ryder is aware of at least 515 people who are placed out of area, a long way from home, which means that all the support systems that they might have through family, friends and so on are simply not available or are extremely expensive because of the travel.

We really have to do far better. The Minister is very good on the subject—I have talked to her several times—but the tendency in the NHS and in Government circles is to put a positive gloss on everything and stress all the good things that have happened. I understand that, but we are still a long way from achieving what we all want, and what the people we are talking about deserve.

The national clinical audit of specialist rehabilitation produced a report earlier this year—it has not yet been discussed in Parliament—on all the specialist rehabilitation around the country. Somebody who has had a major traumatic brain injury, or a brain injury caused by factors such as carbon monoxide poisoning, may at first need four or five people to feed them, clothe them, wash them and provide all the basics of their daily life. However, effective neuro-rehabilitation over a sustained period can and often does mean that they need just one person—or, in an ideal world, it gives them back the independent life that they had before, in as large a measure as possible.

The good news from the report is that the rehabilitation prescription that the all-party group has discussed is being steadily rolled out across the whole country. That means that patients and their families can say, “This is what we know we should be getting—we want to make sure that we are getting it.”

Living with Dementia

David Simpson Excerpts

Tuesday 25th June 2019 Westminster Hall

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

It is a pleasure to serve under your chairmanship, Mr Paisley. I thank the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) for securing this important debate, in conjunction with the hon. Member for Cambridge (Daniel Zeichner) and the Backbench Business Committee.

Hon. Members should be dismayed to learn that, according to a recent survey, 98% of the 2,521 respondents felt that those with dementia were treated differently from people with other health conditions or disabilities. Some even found that employers would not make reasonable adjustments to the workplace. Those respondents believed that they were discriminated against, facing unnecessary stigma and often negative attitudes. It is a worrying statistic given that, apparently, 850,000 people in the UK live with dementia. Indeed, 70% of care home patients live with the condition.

Media coverage of the condition tends to occur only when it befalls a prominent person in public life, when relatives have the courage to publish their experiences, as the TV presenter Sally Magnusson in Scotland did in relation to her mother, or when a member of the public sadly goes missing and the police issue an urgent appeal for help in locating them. It is important that we raise wider and more regular awareness of a condition that appears to be on the increase throughout the United Kingdom.

[David Simpson (Upper Bann) (DUP)]

I apologise for being late to this debate. Last November, my father passed away. He was a sufferer from dementia and, while he got fantastic care, we found as a family that there was a lack of staff with the experience to diagnose dementia, because there are different stages and diagnoses. Does the hon. Gentleman agree that one area that is forgotten about is young carers, who have to dedicate a lot of their time to looking after their parents while still keeping up their studies? We seem to forget about them.

[Bill Grant]

The hon. Gentleman is right that we often seem to overlook the young carers. In my family, we have experience of hosting my mother-in-law. I was very fond of her, but we had two or three months of hosting her, and despite having two daughters who are nurses, what a challenge that was in my life and that of my wife. We thought we knew about dementia, but we knew nothing about it until we walked for several months with my mother-in-law, who I was very fond of.

When I served as a councillor in South Ayrshire, one of my colleagues, Councillor Hugh Hunter, and others were active in ensuring that the needs of dementia sufferers and their carers were to the fore. In his council area, in 2016, a dementia-friendly project was launched, with the laudable aim of building a community that supports people with dementia, enabling sufferers to remain in their community for as long as practicable and reducing the stigma. Indeed, in the constituency of the hon. Member for Central Ayrshire (Dr Whitford), which borders mine, is the Carlton Hotel, one of the first in Scotland to provide a dementia-friendly bedroom. I think she and I would both agree that that is delightful, and I give credit to that hotel and others that do the same.

In 2015, the UK Government launched the Dementia 2020 challenge, a vision for dementia care, support, awareness and research, which includes awareness training for NHS and care staff. I understand research spending is around £60 million a year to 2020, but not beyond. Four years on, I wonder whether the Minister might provide us with an update and an outline of what the future might hold for those with dementia and—equally importantly, as was said earlier—their carers.

In particular, I am sure sufferers and carers would be grateful for more detail on the proposed Green Paper on a new social care policy, especially the Alzheimer’s Society’s desire for a dementia fund to afford financial support for the very real additional costs associated with dementia treatment and care. An update on the Accelerated Access Collaborative introduced last year, which enables patients to benefit from rapid uptake products, breakthrough medicines and technologies with the greatest potential to change lives, would also be welcome. I know an update would be gratefully received by many of my constituents and others elsewhere in the United Kingdom.

I very much welcome the fact that mental capacity legislation should enhance safeguards against deprivation of liberty and ensure that those living with dementia have a person to advocate on their behalf. However, the Government could further assist by making form filling easier and considering whether there is truly a constant need for reassessment, given that dementia is sadly a progressive condition for which there is currently no effective cure.

All our Governments and other organisations must ensure that those living with dementia are able to do so with dignity, respect and, most importantly, compassionate care, to remain safely independent for as long as is reasonably practicable. The Alzheimer’s Society’s mantra that everyone affected by dementia should feel part of—not apart from—society sums the situation up. It is to be commended for encouraging more than 2 million people to sign up as Dementia Friends, and its informative website is truly well worth a visit.

During Dementia Action Week last month, I belatedly became aware that some stores in Ayr—a town in my constituency—such as Specsavers, have several Dementia Friends on their teams. Hopefully this small step will be a growing trend in retail, hospitality and, equally importantly, transport throughout the UK, to extend that hand to those living with dementia who need that wee bit of extra help.

Exiting the European Union (Food and Agriculture)

David Simpson Excerpts

Tuesday 19th March 2019 Commons Chamber

[Steve Brine]

I shall be able to talk in more detail about the ceramics issue, which I can well imagine is of great interest to the hon. Gentleman. However, the point of the regulations is to port across everything that is currently on the EU’s statute book. We have 100% regulatory alignment at this stage, because we are a member state at present; if we have a withdrawal agreement in place, there will of course be a seamless bridge. The purpose of the instruments is to ensure that that seamless bridge comes about regardless.

If, when we are a third country, we as a nation, and this as a sovereign Parliament, decided to make a change to the regulations, we would have to do so with the consent of Members. All the considerations would be taken into account, including the impact on areas such as the one that the hon. Gentleman represents, and I am pretty sure that he would be a very loud voice in any future debate. I hope that that answers his question.

[David Simpson (Upper Bann) (DUP)]

What consultation has there been with the devolved nations?

[Steve Brine]

I ask the hon. Gentleman to bear with me. I will definitely come on to that, in respect of all the SIs.

As I said to the hon. Member for Stoke-on-Trent Central (Gareth Snell), the purpose of the SIs is to ensure that UK domestic legislation that implements directly applicable EU regulations continues to function effectively after exit day. The proposed amendments are critical to ensuring that there is minimal disruption to novel foods, feed additives and other regulated products collectively if we do not reach a deal with the EU.

The first SI, the Materials and Articles in Contact with Food (Amendment) (EU Exit) Regulations 2019—also known as Food Contact Materials—refers to all items that are intended to come into contact with food, both directly and indirectly. They include processing line machinery, transport containers—not vehicles, but the actual containers of food—kitchen equipment, packaging, cutlery as sold and dishes and utensils as sold, and can be made from a variety of materials including metal, paper, plastic, wood, rubber and, indeed, ceramics.

Let me say for the benefit of Members who do not live and breathe these regulations, in the unlikely event that there are any, that specific examples of food contact materials are tin cans for holding baked beans and plastic bottles for holding water. The regulations will ensure that those materials are robust enough to do the job, but safe enough to do it without transferring anything to the foodstuffs.

The instrument is critical in meeting our priority of maintaining after we leave the European Union the very high standards of food safety and consumer protection that we currently enjoy in this country. It will ensure that provisions in four main pieces of EU food contact materials legislation continue to function effectively in the UK after exit day. The first is European Commission regulation 1935/2004, which sets out the framework for all materials and articles intended to come into contact with food. The regulations then become progressively more specific. The second is regulation 10/2011, on plastic materials and articles intended to come into contact with food. The third is regulation 450/2009, on active and intelligent materials and articles intended to come into contact with food. The fourth is regulation 2023/2006, on good manufacturing practice for materials and articles intended to come into contact with food.

The instrument also makes relevant changes to other specific technical pieces of legislation on individual types of food contact material. It will ensure that regulatory controls for food contact materials continue to function effectively after exit day, that public health continues to be protected, and that high standards of food safety are maintained. Consumers must be protected against potential adverse effects of exposure to some substances used in the manufacture of materials and articles that are in contact with the food that we eat. The instrument will ensure that the effectiveness of the controls that we have is maintained.

This instrument, and the other SIs that we are debating today as part of the fourth and final bundle, will transfer responsibilities incumbent on the European Commission from Ministers in the European Council to Ministers in England, Wales and Scotland and the devolved authority in Northern Ireland. It will also transfer responsibility currently incumbent on the European Food Standards Authority to the relevant food safety authority: the Food Standards Agency, for which I hold ministerial responsibility in England, Wales and Northern Ireland, and Food Standards Scotland north of the border. The change will also ensure a robust system of control to underpin UK businesses’ ability to trade both domestically and internationally.

Let me now say something about the impact of this instrument on industry. The proposed amendments are expected to have a very minimal impact on businesses that produce or use food contact materials or articles. Existing provisions have received very positive feedback from our previous consultations, and there is no evidence that the changes required will be detrimental to industry. I was asked about the devolved Administrations. They have consented to the instrument. We liaise closely at official level with our opposite numbers, and, as with the instruments that we have already debated, throughout this month we have engaged positively with the devolved Administrations throughout the development of these instruments. Let me place on the record again my thanks to them for their positive engagement with me and my team.

Leaving the EU: Health and Social Care

David Simpson Excerpts

Tuesday 19th March 2019 Westminster Hall

[Brendan O'Hara]

The hon. Gentleman is absolutely right. The fear in the sector and among care users is palpable. A recent article in The Lancet, which backs up his points, states:

“All forms of Brexit involve negative consequences for the UK’s leadership and governance of health, in both Europe and globally”.

For me, that sums up the hon. Gentleman’s point exactly. I hope that he agrees.

We cannot get ourselves into a situation in which there is a barrier between the health and social care sector and that pool of labour. Age UK recently said that

“our care workforce is in no position to withstand the loss of good…care workers, wherever they come from.”

The King’s Fund said:

“Widespread and growing nursing shortages now risk becoming a national emergency and are symptomatic of a long-term failure in workforce planning, which has been exacerbated by the impact of Brexit and short-sighted immigration policies.”

The message from the sector to the Government is therefore clear and unambiguous: we simply cannot afford to cut ourselves off from the labour markets on which we have become so reliant and on which we will depend more and more in future. One look at the frontline of the health and social care sector and its delivery, and it is easy to see how heavily it depends on workers from outside the United Kingdom. Without access to those workers, the UK home market will be required to fill the gaps, but people are not queuing up to fill the vacancies that exist now, so do the Government believe that somehow post Brexit people will suddenly become available for work in the care sector?

[David Simpson (Upper Bann) (DUP)]

I congratulate the hon. Gentleman on securing the debate. He talks about the workforce, but is it not natural that as the economies of other countries get stronger, the workers who would have come here will be lost to natural erosion as they no longer want to come to the UK? The emphasis needs to be placed on training our own young people and making it advantageous for them to join the health service.

[Brendan O'Hara]

The hon. Gentleman makes a valid point, but we have to compete for workers and to have an attractive package for people to come here to work, but if we take ourselves out of the game, we are no longer in the competition—we will have cut ourselves off. There are issues relating to retraining and getting people into the sector, but unfortunately the demographics are incredibly skewed against that happening, certainly in the short and medium term. I will come on to some of the statistics.

At the end of June 2018, NHS England had more than 100,000 unfilled posts. The NHS regulator has stated that such vacancies will become even more commonplace during the remainder of 2018-19. Both the Care Inspectorate and the Scottish Social Services Council have found that 40% of social care organisations report unfilled staff vacancies. There is no professional analysis out there that does not estimate that the demand for care will only increase in future. The King’s Fund, the Health Foundation and the Nuffield Trust have predicted that NHS England staff shortages could rise from 100,000 to almost a quarter of a million by 2030. That is more than one in six of service posts. At the end of last year, Care England estimated that by 2035 an additional 650,000 care jobs will be required just to keep pace with the demands of our ageing population.

Cancer Workforce and Early Diagnosis

David Simpson Excerpts

Tuesday 8th January 2019 Westminster Hall

[Stephen Lloyd (Eastbourne) (Ind)]

It is a privilege to serve under your chairmanship, Mr Howarth. I thank the hon. Member for Poplar and Limehouse (Jim Fitzpatrick) for securing this important debate.

I will keep my remarks brief because quite a lot of people want to speak, so I will focus on one area of early diagnosis—that of bowel cancer. There are two reasons for that: bowel cancer is the fourth most common cancer, and it is the second biggest cancer killer, yet bowel cancer is not only treatable but curable, especially if diagnosed early. The Minister will know that since my re-election I have pressed him and the Department hard to reduce the bowel cancer screening age in England from 60 to 50. I was delighted when, a few months ago, the Minister agreed to that and announced that the reduction would take place.

I pay tribute to my constituent Lauren Backler, who started the campaign to reduce the screening age three years or so ago. Sadly, her mother died in her mid-fifties; it is very likely she would not have died had she lived in Scotland and had an early diagnosis. That prompted Lauren to launch a campaign, and it has been an unbelievable success in numbers alone: more than half a million people across the country have signed her petition. Colleagues in the Chamber and I have campaigned avidly for it for the last couple of years, and the Minister and the Department of Health announced the change a few months ago.

[David Simpson (Upper Bann) (DUP)]

The hon. Gentleman will be pleased to know that in Northern Ireland, following the introduction of bowel cancer screening kits, participation is 60%. It is a fantastic result for Northern Ireland and we need to do more of it.

[Stephen Lloyd]

The hon. Gentleman is right. The introduction of the new faecal immunochemical test kits will make a huge difference.

I am speaking in this debate because, as the Minister will know and one or two people have alluded to, in yesterday’s announcement there was no clear announcement about additional staff and capacity to ensure that the bowel screening age is brought down from 60 to 50. I commend the Government for listening to Lauren, hundreds of thousands of people across the country, my colleagues here and me, and reducing the age—it is quite clear statistically that many thousands of lives will be saved—but I am anxious that there was no announcement yesterday about the additional budget that will be required for new staff, and a plan for it to happen. I am keen to hear from the Minister not just that the Department of Health is behind it, but detail of when the announcement will be made about additional staff capacity. I urge that particularly because, as the Minister knows, the budget decisions will be announced in March. I want some flesh to be put on the bones.

This is an issue where we know we have a solution. We in this Chamber understand that there are capacity and finance issues. We applaud the Government and the Department of Health for publicly stating that they will bring down the screening age limit. What we all need now is flesh on the bone and detail, so that Lauren Backler, following her remarkable campaign in tribute to her mother, can see in the next few months the first roll-out of the age reduction in screening for bowel cancer.

Ovarian Cancer: Diagnosis and Treatment

David Simpson Excerpts

Tuesday 30th October 2018 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Member for North East Derbyshire (Lee Rowley) on securing this debate. He is right that ovarian cancer does not affect us men, but it affects people we know, and that is why we are here. I thank him for his introduction and for the extensive work he has done on the issue in his role as vice chair of the all-party parliamentary group on ovarian cancer. I was particularly impressed by the group’s report, “Diagnosing ovarian cancer sooner: what more can be done?”. If hon. Members have not had a chance to read it, I suggest that they do so, because it is very helpful. It was published earlier this year and contains a number of key recommendations and findings, which I will pick up on today.

Every single year, more than 7,000 women across the United Kingdom receive the devastating news that they have ovarian cancer. The hon. Gentleman, in his examples at the end of his speech, referred to those who have survived and those who have not; it is important to realise that sometimes people do survive it. Unfortunately, in my time as an elected representative, most of the people I have known who have had it have caught it at a late stage and have not lived as long as perhaps they could have. UK survival rates are among the lowest in Europe and less than half of all women diagnosed with ovarian cancer survive five years or longer.

The fact that we are at the lower end of that league table is an indication that perhaps we need to do more. I look to the Minister, as we always do, for a positive response. We also know that the earlier a person is diagnosed, the better chance they have of beating the disease. More than a quarter of women with ovarian cancer are diagnosed through an emergency presentation, for example via accident and emergency. The hon. Gentleman referred to those who thought they had irritable bowel syndrome, had a bad stomach or were bloated, or whatever it might be, and suddenly found it was something much greater. Over 80% of women diagnosed following a GP referral will survive for a year or more. I think if an early diagnosis can be made, the figures speak for themselves. We must do more to raise awareness about the disease, something I will come on to later.

Before I continue, I would like to share a bit of welcome news for ovarian cancer patients in Northern Ireland. As colleagues may be aware, drugs approved by the National Institute for Health and Care Excellence for use through the cancer drugs fund in England are now being considered in line with the country’s existing endorsement of NICE recommendations and will be equally accessible in Northern Ireland. That has just been announced recently. In cases where a drug is yet to be fully approved by NICE, it can be made available for use under the CDF. I will mention one lady who is no longer with us, Una Crudden, who I got to know when she met us here, as someone who had had ovarian cancer. I think it was six years after her diagnosis. She was a remarkable lady and her story was a very real one: I remember it probably every day of my life.

CDF-approved drugs were previously unavailable in Northern Ireland, meaning that patients had to wait for their full approval by NICE, which can take up to two years. This change in Northern Ireland will help more people to survive, and for longer.

[David Simpson (Upper Bann) (DUP)]

Whenever ladies go through this treatment, their aftercare and companionship with other people is important. Will my hon. Friend join me in congratulating a lady in my constituency, Mrs Maureen Clarke, who set up the Angels of Hope charity some years ago? It has been a tremendous help, psychologically and in every other way, for people who suffer from ovarian cancer.

Infection Prevention and Control

David Simpson Excerpts

Tuesday 15th May 2018 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I beg to move,

That this House has considered raising standards of infection prevention and control in the NHS.

This issue has been brought to my attention by a number of health organisations, and by lobby groups within the House as well. We are very aware that 5 May marked World Hand Hygiene Day and I am very glad to have secured this debate, to draw attention to the importance of infection prevention and control in the NHS and, in particular, the role of good hand hygiene in raising standards.

The first time the matter came to my attention was when my brother Keith had a serious motorbike accident some 12 years ago. Whenever we visited him in the Royal Victoria Hospital, we were told by the nurses to wash our hands: “Everything has to be very, very hygienic in here.” We washed our hands almost to the point of obsession because in that ward people were between life and death, and infection could have meant the end of a life.

This year, World Hand Hygiene Day focused on raising awareness about sepsis. We all know about sepsis through our constituents and the stories in the press as well. The World Health Organisation estimates that sepsis affects some 30 million patients worldwide every year. In response to a business question that I put to the Leader of the House, she suggested I seek a debate in Westminster Hall on the matter. As I am not very often here, I thought I would introduce a debate myself for a change—it would perhaps be an occasion. Here in the UK, there are 44,000 deaths from sepsis every year and it is a priority area for the Secretary of State. Effective hand hygiene plays a key role in reducing the risk of healthcare-associated infections such as E. coli, which are a major risk factor for developing sepsis.

I told Professor Didier Pittet, director of infection control at the World Health Organisation, that a debate on infection control was taking place in Parliament—I wished to inform him about what we were doing.

[David Simpson (Upper Bann) (DUP)]

I congratulate my hon. Friend on obtaining the debate. Yes, he is not often here and it is good to see him speak. On infection control, when we go to hospitals it is amazing to see patients standing in their dressing gowns, outside the front doors, smoking—human rights and all the rest of it—some of them running about with a drip in. All that infection is brought back in. Does my hon. Friend agree that something surely needs to be done from that end as well?

[Jim Shannon]

My hon. Friend is right. I hope that hospitals will take note of what is said in this debate and take action accordingly. It is all very well a visitor washing their hands almost to the point of obsession—every time they go out and come back in again—but hopefully that same level of hygiene control is being done by the hospital as well.

When I notified him of the debate, Professor Didier Pittet said:

“In the early 2000s, the NHS was the first ever health system to use a hand hygiene promotion strategy modeled on the World Health Organisation’s. This strategy went on to be active in 186 of the 194 UN member states. I call for the UK and the NHS in particular to reinvigorate hand hygiene promotion as the main strategy to reduce infections. The WHO hand hygiene promotion strategy saves between 5 and 8 million lives in the world every year, and will save hundreds of thousands in the UK.”

So, the importance of the debate is clear.

I spoke to the Minister before the debate and gave him a copy of my speech, to make him aware of what we are trying to do and the questions I want to ask him. I have absolutely no doubt that the shadow Minister and all of us here will be saying the same thing. We are looking for the same thing. There are some pilots in place and some recommendations coming from across the NHS, and we want to look towards those as well.