Cancer Strategy

David Tredinnick Excerpts

Thursday 22nd February 2018 Commons Chamber

[David Tredinnick (Bosworth) (Con)]

It is an honour to be called to speak first from the Government Benches, Madam Deputy Speaker. I heard what you said about time and intend to respect it.

On 25 January, in the other place—the House of Lords as we tend to call it now—a very distinguished former Secretary of State for Culture, Media and Sport and former Minister for the Olympics, someone who did much to bring the Olympics to London, Tessa Jowell, now Baroness Jowell, made an impassioned speech about the brain tumour from which she is suffering. That is something with which I can identify. I do not usually talk about family matters, but I will share with the House that my sister died of a brain tumour.

What Baroness Jowell said in her speech should be marked well by the Under-Secretary of State for Health, my hon. Friend the Member for Winchester (Steve Brine), who has, I know, a strong interest in cancer. She said:

“For what would every cancer patient want? First, to know that the best, the latest science was being used and available for them…What else would they want? They need to know that they have a community around them, supporting and caring, being practical and kind. While doctors look at the big picture, we can all be a part of the human-sized picture.”—[Official Report, House of Lords, 25 January 2018; Vol. 788, c. 1170.]

Yesterday at the all-party group on cancer, of which I have the honour of being a vice-chair, one of the things we looked at was recovery packages, which are very dear to my heart as the Member who has chaired the all-party group for integrated healthcare for much of the 30 years for which I have been in this House. My researcher, who has worked with me for 20 years, told me today that I have chaired more than 120 meetings of that group. Over the years, among other things, we have tried to look at how to support cancer patients in a broader way.

Let me share a figure with the House straight away. In the United Kingdom, according to Cancer Research UK, 33% of those who have cancer use some sort of additional support therapy, often complimentary therapy. For some types of cancer, such as breast cancer, this number is even higher, at almost 50%. People use these treatments because when used alongside conventional cancer treatments such as radiotherapy or chemotherapy, they make it easier for them to cope with the cancer and to feel that they play a part in how they cope. Such treatments help them relax, reduce stress, enable them to take a more active role in their treatment and recovery in partnership with their therapist, and enable them to feel more in control of their feelings and emotions. There is very strong evidence that these therapies work effectively, although more research is always welcome. The use of acupuncture to relieve sickness caused by some chemotherapy drugs is now well established, as well as to relieve a sore mouth after having treatment for head and neck cancer.

Not far from here, there are three good examples of how these additional therapies have helped. At Guy’s and St Thomas’ NHS Foundation Trust, the outpatient clinic offers aromatherapy, massage, reflexology and reiki. Quantitative data analysis shows a statistically significant improvement. At the Royal Marsden, a world-renowned hospital not far from here, aromatherapy massage has been used on 1,000 patients to date. At the Full Circle Fund Therapies clinic at St George’s University Hospitals NHS Foundation Trust, they are using reflexology, massage therapy and relaxation training. Professor Ted Gordon-Smith, professor of haematology there, said that the

“Full Circle Fund therapy team has made a fantastic difference to the wellbeing of our patients.”

There are other citations.

[George Freeman (Mid Norfolk) (Con)]

I know, having been a Health Minister, of my hon. Friend’s assiduous commitment to this cause. He mentioned the noble Baroness Jowell. Does he agree that, with the sight of her and the Prime Minister together embracing, the Prime Minister’s announcement of £40 million for brain cancer is good news and that that is being done in the spirit of cross-party commitment to tackling disease? It will give a lot of hope to that community.

On the point about alternative therapies, does my hon. Friend agree that it is very important that the medical community and, through the Government, the National Institute for Health Research do the research to examine those therapies? Although they might not be rooted in a tradition of empirical science, if there is data that shows that they help patients’ recovery time, that is worthy of consideration.

[David Tredinnick]

My hon. Friend has helped me on my path. Various trials have taken place: randomised control trials, observational studies and quality-of-life studies. The person who came up with the notion of evidence-based medicine, Professor Sackett, said:

“The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence”.

In plain language, that means, “You have to look at the patient and see what the patient thinks and what the patient’s experience is.” We are often told by Ministers and others that we need more evidence—that there must be evidence. The trouble is that when evidence is produced on the basis of proper trials, it is often ignored.

The subject on which I have chosen to focus this afternoon is healing—therapeutic touch; call it what you like. There is very good evidence that people are able to use their hands to transfer some kind of energy. I have studied reiki myself—I have done it twice—as well as another Japanese tradition. I once ended up speaking to 5,000 therapists at a conference in Japan, believe it or not, many years ago.

According to Cancer Research UK, a study conducted in 2007 found that up to 40% of people in America used some kind of what they termed spiritual healing. In this country, there is good evidence to suggest that seeing a healer helps people. In the UK, long-term hormone therapy for women with breast cancer can be enhanced and patients can be helped if they are given healing therapy for the side-effects of their treatment. A study showed that a number of women who were given the therapy for 10 weeks experienced fewer side-effects.

In the national health service, there was a two-year trial involving 200 hospital patients with long-standing illnesses. It was the largest clinical trial of its kind, and was funded by the national lottery and supervised by the University of Birmingham, a Russell Group university known for its first-rate research. The methodology was used to assess the effectiveness of healing in dealing with irritable bowel system and inflammatory bowel disease in 200 patients. After the assessment, the Measure Yourself Medical Outcome Profile showed a significant improvement after six, 12 and 24 weeks.

That trial was scientific and properly carried out, and I think that if healing worked for those problems, it would almost certainly work for cancer. I suggest to my hon. Friend the Minister that if a drug showed the same results, especially at such minimal costs, it would be recommended by the National Institute for Health and Care Excellence. More research and trials are needed.

Some of the Government’s efforts to bring about more rigorous assessments of therapies have involved the Professional Standards Authority, which was set up to oversee the UK’s nine health and care professional regulatory bodies. It was previously known as the Council for Healthcare Regulatory Excellence. In February 2013, it launched a Government-backed accredited register scheme. There are now 24 accredited registers covering 31 occupations and 80,000 practitioners. They include the Association of Child Psychotherapists, the British Acupuncture Council, the British Association of Sport Rehabilitators and Trainers, the Federation of Holistic Therapists, the National Hypnotherapy Society, and many others. In its summary, Harry Clayton, chief executive of the Professional Standards Authority, said that

“a key recommendation is for practitioners”

whom the PSA is regulating

“to have the authority to make direct NHS referrals—in appropriate cases—thereby reducing the administrative burden on GP surgeries.”

I ask the Minister to take note of that: it is saying that practitioners on that PSA register should have the authority to make direct NHS referrals. If that were possible, we would bring into the service 30,000 practitioners.

Madam Deputy Speaker, I am trying to figure out how long I have been speaking for; perhaps you can guide me.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I can guide the hon. Gentleman: about 11 minutes to date, but he has taken a few interventions. Therefore, I am not compelling him to sit down, but I am sure he will conclude quite soon.

[David Tredinnick]

I conclude by saying that I am encouraged that Leicester’s hospitals have entered into a memorandum of understanding with the Affiliated Hospital of Nantong University in China. The agreement intends to promote co-operation on medical research, training and education between the institutions.

I have used Chinese medicine for 20 years, and I believe—from that and from the testimonials I have received—that the use of acupuncture to increase the flow of energy in the body and the use of herbal medicine dramatically increase the sense of wellbeing of those who suffer from cancer and frequently extend their lifespan. I commend the hospitals of Leicestershire for discussing this with the authorities in China, to look at the possibility of training therapists in Chinese therapy. I rest my case.

--- Later in debate ---

[Steve Brine]

Obviously, I will not comment on the case. I was going to suggest that the hon. Lady gets the clinicians to make an IFR, but she can by all means bring the case to me.

My hon. Friend the Member for North Warwickshire talked about breast density. The UK National Screening Committee commissioned a Warwick University study to investigate the link between breast density and breast cancer. Once complete, if the review suggests that there should be changes to the national breast screening programme, the UK National Screening Committee, which we work with, will consider that under its modification programme. I am in touch with Breast Density Matters, which is a small charity—small but perfectly formed.

The hon. Member for Coventry North East and others talked about blood cancer. We had a very good Westminster Hall debate last month led by my hon. Friend the Member for Crawley (Henry Smith). As has been said, many patients with blood cancer diagnosis will sadly never be cured; they will be on the regime of watch and wait, often over many years, to see whether the cancer has progressed to a point where treatment needs to begin. That can take a huge psychological toll, which Members have mentioned, on the patient and their families.

By 2020, every patient will receive a holistic needs assessment as part of the recovery package, which is excellent. For the blood cancer patient, their recovery plan will be personalised to take account of the unique characteristics of blood cancer and will include their mental health needs. That is why the Secretary of State announced the additional £1.3 billion last July to expand the mental health workforce. My hon. Friend the Member for Dumfries and Galloway (Mr Jack) made that point very well in his speech—I say this as I am passed a note. I love the notes from the Whips.

[David Tredinnick]

Will the Minister give way?

[Steve Brine]

No, I will not, because I want to finish.

My hon. Friend the Member for Dumfries and Galloway touched on the cancer dashboard, including, yes, rarer cancers. NHS England and Public Health England are currently considering next steps on how we can expand the dashboard. They know that I am frustrated about its being limited to the top four, and I want to see us expand it and do better, and they have had a very clear direction from me on that.

The hon. Member for Bristol West (Thangam Debbonaire), as always, spoke brilliantly. What a brilliant advertisement for her all-party group and its inquiry. If there is anything that I can do to help—I do not know about the cost of cancer report, but if she sends it to me, I would love to see it—she knows that she only needs to ask.

The hon. Members for Scunthorpe and for Easington talked about pancreatic cancer. NHS services for pancreatic cancer have significantly improved in recent years, with clearer diagnostic pathways, decision making by specialist multi-disciplinary teams and the centralisation of pancreatic surgery with specialised teams. On 7 February, the National Institute for Health and Care Excellence published the final guidance on the diagnosis and management of pancreatic cancer in adults. This will ensure quicker, I think, and more accurate diagnosis referred to specialist MDTs and better access to psychological support. The hon. Member for Scunthorpe mentioned tumour profiling tests. NICE has made a decision on that. I will get it to write to me with an explanation of that decision, as he has asked, and I will share that with him.

Let me conclude by paying tribute to the staff who do so much, the patient groups and the charities that are working so hard as part of team cancer—we are all on the same team when it comes to cancer—to implement the cancer strategy and to save lives. We are on track to deliver, we think, but we need to make more progress, especially on early diagnosis and looking further forward on the subject of prevention, as I have said. I thank all Members for speaking today. The fight goes on.