Type 1 Diabetes: Infant Testing

Douglas McAllister Excerpts

Monday 9th March 2026 Westminster Hall

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

It is a pleasure to serve under your chairship, Sir Alec. I thank the hon. Member for North Ayrshire and Arran (Irene Campbell) for opening this important debate, and I pay tribute to the members of the public present, who no doubt represent thousands of people online tonight.

The Lyla’s law campaign is a powerful reminder of the devastating consequences of missed or delayed diagnosis for type 1 diabetes in children and young people. It calls for improved education and guaranteed routine testing for children showing early symptoms before they reach diabetic ketoacidosis, which is a life-threatening condition that requires emergency hospital care. Many families and parents learn about their children’s condition only once they have reached this potentially fatal stage. Not only is that traumatic and dangerous, putting a child’s life at risk, but it creates avoidable costs and puts strain on emergency healthcare services. Families should not have to wait for those serious complications to occur for a diagnosis to be made.

Despite this, the UK Government claim that there is still “insufficient evidence” to support routine mandatory testing for type 1 diabetes in babies, toddlers and young children. That is why the petition is so important. It calls for existing NHS guidance, which recommends the immediate testing of children and young people showing symptoms of type 1 diabetes—the fours Ts, which have been mentioned—to be formally legislated for. Current guidance alone is clearly not enough, and a standardised approach for all GPs and doctors is urgently needed.

A member of the Insulin Pump Awareness Group in Scotland recently wrote to me mentioning that they often wonder whether their own diagnosis 29 years ago would have been picked up had they not been made aware of the four Ts symptoms through family.

[Douglas McAllister (West Dunbartonshire) (Lab)]

My West Dunbartonshire constituent Janice shared with me the very personal story of her daughter, who three years ago became so unwell that she was admitted to hospital. She was desperately ill, but she survived. The signs had been there, but they were missed, with the diagnosis coming at the very last moment, in an emergency setting. Will the hon. Member join me in commending the work of Diabetes Scotland and its efforts to improve testing, screening and early diagnosis in Scotland?

[Seamus Logan]

I completely agree with the hon. Member and endorse his suggestion.

This topic is personally important to me, not only because so many family members have been diagnosed with type 1 diabetes but—as the hon. Member for Edinburgh North and Leith (Tracy Gilbert) referred to—because of the premature death in 2022 of my nephew Nick Logan from complications arising from his original diagnosis at the age of 16.

Italy made history in 2023 by becoming the first country to introduce nationwide screening for the early detection of type 1 diabetes in children. In 2021, Scotland also led the way by being the first country to offer C-peptide blood tests to everyone with diabetes to address misdiagnosis. Although that may not be the same as a routine screening programme for type 1 diabetes, it demonstrates how routine testing can be implemented.

Childhood type 1 diabetes rates in the UK are among the highest in the world, ranking fifth globally for children aged 14 and under, according to the International Diabetes Federation. In conclusion, it is essential that the UK Government take a more targeted and strategic approach to improving the care and diagnosis of children and young people showing type 1 diabetes symptoms. That starts with the implementation of routine testing—

Palliative Care

Douglas McAllister Excerpts

Thursday 5th March 2026 Commons Chamber

[Douglas McAllister (West Dunbartonshire) (Lab)]

The hospice sector in Scotland is under severe and growing financial pressure, with two thirds of hospices making cuts or planning to do so in the near future. That is due to underfunding that has left hospices stretched to breaking point; many are forced to cut services at a time when they are needed more than ever. Nowhere is that reality clearer than in my constituency of West Dunbartonshire, which is home to Scotland’s oldest and largest hospice, St Margaret of Scotland Hospice, as well as CHAS Robin House, which provides specialist care to babies, children and young people with life-limiting conditions.

I note the findings of the independent palliative care commission, and I strongly support its call for a comprehensive, specialist palliative care service that is properly funded, accessible to all and available from the point of terminal diagnosis or advanced chronic illness. That vision reflects what families in my constituency need and deserve.

St Margaret’s has served generations of families in West Dunbartonshire and beyond, and I am grateful for the formidable and irreplaceable stewardship of Sister Rita Dawson and her team of wonderful staff and volunteers. It is undertaking a £6 million refurbishment, and the work is almost complete, but there remains a funding shortfall. So far, all the money has been raised through donations and fundraising efforts. Modernisation is urgently needed to ensure that patients receive care in dignified therapeutic surroundings fit for the 21st century, yet the hospice continues to face a funding gap.

Robin House provides extraordinary children’s palliative care to families facing the unimaginable. Its services embody precisely what the commission describes: holistic specialist care that extends beyond the patient to the whole family, including bereavement support. However, like adult hospices, it relies heavily on charitable income alongside statutory funding that does not always reflect the true cost of delivery.

I understand that the findings of the commission relate to England specifically and to the Government’s 10-year NHS plan. I welcome the fact that the UK Government have committed significant investment to hospice and palliative care services in England as part of our long-term health planning. That funding recognises that palliative care is an essential part of our healthcare system for those receiving end-of-life care and their families. Having spoken to representatives from hospices in West Dunbartonshire, it is clear that there has been very little indication of the help that was promised under the Scottish Government’s palliative care strategy announced last September.

Hospices in my constituency are struggling. They deserve clarity and transparency on where this much-needed funding is. West Dunbartonshire has some of the highest levels of health inequality in Scotland. That makes equitable access to specialist palliative care even more critical. A postcode should not determine the quality of someone’s final months, nor should hospices be left dependent on community fundraising to complete essential building works while additional public funding sits somewhere else in devolved budgets.

Given the capital and revenue investment announced for palliative care in England, I ask the Minister whether she has held discussions with her Scottish counterpart to ensure that the Barnett consequentials are properly reflected in Scotland’s approach to hospice funding. In particular, will the Scottish Government set aside their Barnett share of the capital for hospice building improvement works announced by the UK Government? Will she commit to continuing engagement to ensure that the vision set out by the independent palliative care commission is realised not just in one part of the United Kingdom, but across all of it?

Oral Answers to Questions

Douglas McAllister Excerpts

Tuesday 24th February 2026 Commons Chamber

[Ashley Dalton]

The hon. Gentleman and I share part of that integrated care board area. In the cancer plan, we committed to ensuring that coastal and rural areas receive the services that they need. We are investing more in radiotherapy machines, and we are working with ICBs to ensure that they are providing the services that their communities need, and that we are supporting the recruitment of the cancer workforce who will be able to go into those rural areas.

[Douglas McAllister (West Dunbartonshire) (Lab)]

4. What steps his Department is taking to support the diagnosis of cancer patients.

[The Secretary of State for Health and Social Care (Wes Streeting)]

Cancer is the canary in the coalmine for the NHS. For far too many cancer patients, under the Tories, the NHS was not there when they needed it. Under Labour, an extra 213,000 patients have been diagnosed, or have received the all-clear on time. Much has been done, but there is much more to do. I pay tribute to the leadership of the Minister for primary care and prevention, my hon. Friend the Member for West Lancashire (Ashley Dalton), and to her national cancer plan. She has poured her heart and soul into that plan, all while living with and being treated for cancer. We are investing an extra £2.3 billion in diagnostic capacity to deliver 9.5 million more tests by the end of this Parliament. Catching cancer earlier, treating it faster and preventing it is how we will save more lives.

[Douglas McAllister]

I welcome the focus of the national cancer plan on diagnosing cancer faster. That is needed across all cancers, but particularly for leukaemia. Research by Leukaemia UK has found that one in four patients face an avoidable delay in their diagnosis, and that 37% of patients are diagnosed in an emergency setting. How will the implementation of the plan address delays in leukaemia diagnosis, and what steps will the Department take to reduce the proportion of patients who are diagnosed through an emergency route?

[Wes Streeting]

My hon. Friend is right that leukaemia patients are disproportionately diagnosed too late. We are working with GPs to ensure that they are better prepared to spot symptoms or concerning blood test results, so that we can cut out avoidable delays. The real difference, however, will come with the introduction of genomic testing at birth. That will allow the NHS to leapfrog rare cancers such as leukaemia, so that they can be caught early, or even prevented. Lots done, certainly lots more to do.

National Cancer Plan

Douglas McAllister Excerpts

Thursday 5th February 2026 Commons Chamber

[Ashley Dalton]

I absolutely agree with my hon. Friend. It was my pleasure to meet Lorraine. I will, if I can, say very quickly that when we met her, she was explaining to officials how she did not have what she needed for her daughter when they were sent to the specialist care unit straight from A&E. One official said, “Why couldn’t you go and get what you needed?” We all looked at him and said that nobody was going to leave that child. That is why this cancer plan recognises the importance of wraparound care for children and young people, so that parents can support their families best.

[Douglas McAllister (West Dunbartonshire) (Lab)]

I congratulate the Minister on this excellent and ambitious plan. If we are to achieve its targets, improvements need to be made on delivering earlier and better diagnosis, particularly for cancers with extremely low survival rates, such as acute myeloid leukaemia, which has a five-year survival rate of just 22%. In my West Dunbartonshire constituency, 46 people have lost their lives to leukaemia in the past five years. I have lived with leukaemia over the past 18 years. Can the Minister confirm that, as part of this plan, improvements will be made in the survival rate for acute myeloid leukaemia?

[Ashley Dalton]

As my hon. Friend knows—I do not need to tell him this—brain tumours, leukaemia and other less stageable cancers cannot be assessed in the usual way, so we need different measures to understand how early they are being caught. That is why this plan commits to the regular publication of data on emergency cancer diagnoses as a key indicator, exposing where these cancers are picked up too late so that we can drive earlier detection and focus attention where it is most urgently needed.

Unpaid Carers: Inequalities

Douglas McAllister Excerpts

Thursday 20th November 2025 Westminster Hall

[Douglas McAllister (West Dunbartonshire) (Lab)]

It is a pleasure to serve under your chairship, Ms Vaz. My contribution will be brief. I congratulate my hon. Friend the Member for Shipley (Anna Dixon) on securing this debate to consider inequalities faced by unpaid carers. It was also my great pleasure to attend the parliamentary reception last night organised by Carers UK on the eve of Carers Rights Day—which is, of course, today. It is the 25th anniversary, and I believe this year’s theme is, “Know your rights, use your rights”.

To mark the occasion, Carers UK prepared a report highlighting the inequalities faced by the UK’s invisible army—the 5.8 million unpaid carers across our nation. I was struck by the figures in that new report revealing that one third do not know where to go for financial guidance and 41% are unsure what benefits they are entitled to as carers.

I am incredibly fortunate to have Carers of West Dunbartonshire in my constituency. It is a wonderful organisation that provides outstanding help, support and guidance to our unpaid carers—from opportunities to rest, talk and recharge their batteries to essential advice on how to break down the barriers to obtaining financial help, housing and the tailored resources they so desperately need.

However, I want specifically to congratulate Carers of West Dunbartonshire on its book launch last month, which I was privileged to attend—all proceeds go to the charity. The book, “Above and Beyond” by author Lynn Jolly, is reasonably priced, at just £10 a copy, and available in all good bookshops this Christmas. It is a collection of real-life short stories from carers who attend the West Dunbartonshire organisation. There is no better way to recognise the daily struggles of our carers, their love for the people they care for and their contribution to our society.

I thank all our West Dunbartonshire carers, as well as all the unpaid carers across our nation.

[Valerie Vaz (in the Chair)]

Hon. Members have been very disciplined. We now go to the Liberal Democrat Front-Bench spokesperson.

Postural Tachycardia Syndrome

Douglas McAllister Excerpts

Tuesday 14th October 2025 Westminster Hall

[Cat Smith]

I agree with my hon. Friend; I will address that point later in my speech.

[Douglas McAllister (West Dunbartonshire) (Lab)]

Health is obviously devolved to Scotland, but this is a UK-wide issue. My constituents Ewan, Robert and Louise are among a group living with PoTS and they too advise of unacceptably lengthy waiting times for a diagnosis—causing many years of untold suffering. Does my hon. Friend agree that greater support for this syndrome is needed right across the UK?

Defibrillators

Douglas McAllister Excerpts

Tuesday 2nd September 2025 Westminster Hall

[Dr Neil Shastri-Hurst (Solihull West and Shirley) (Con)]

It is a pleasure to serve under your chairmanship, Mr Stringer. I also congratulate the hon. Member for Bishop Auckland (Sam Rushworth) on securing this important debate, and I start by sending my condolences to George Smith’s family at this very difficult time.

Many Members may know that, before coming to this place, I was both a doctor and a barrister. As a doctor, I worked predominantly in acute care, so I have seen the brutal speed with which cardiac arrest can lead to death. But as a barrister, I specialised in inquests and clinical negligence, and I also saw what happened when people did not get timely interventions, and the devastating consequences that arose.

As many Members have set out, the stark reality is that every minute counts. Every minute reduces life expectancy by 10%. If someone gets prompt intervention, their survival rate can be as high as 70% if their defib is within 200 metres of their location. That is a three-to-five-minute brisk walk there and back. But the stark reality is that out-of-hospital arrests have a survival rate of less than one in 12. Compared with in-hospital arrests, the survival rate to discharge is in the region of 25%. That is why this was an important focus for me when I was elected to Parliament for Solihull West and Shirley.

Despite the fact that my constituency has a mix of urban and semi-rural places, only 40.32% of our defibs are within the recommended distance and there are only seven public defibs per 10,000 people, which is well below the national recommendation. Across the United Kingdom, the per-population count for defibs is approximately five to 10 times lower than it is in a country such as Japan. That cannot be right in this day and age, which is why, for one of my office fundraisers this year, we all went and did the Solihull way. We walked 20-odd miles in the day, and raised money for two defibs and some bleed kits on behalf of a brilliant charity called the Daniel Baird Foundation. It was particularly moving to be able to donate one of those defibs to the Wave café in my constituency, where a valued member of the community had sadly died some months earlier because they did not have access to a defib.

I am going to reiterate a couple of calls that have already been made to the Minister, who I know has been listening carefully. First, we should exempt defibs from VAT—it is ridiculous. For every five defibs that are currently bought, we could afford another if we got rid of VAT.

[Douglas McAllister (West Dunbartonshire) (Lab)]

I agree with the hon. Member that this is a UK-wide issue. However, my concern is the potential for inequality and the need to ensure that poorer communities such as my constituency, where 63% of postcodes are out of direct reach of these lifesaving machines, are not left behind. The hon. Member referred to the fact that he is a barrister; believe it or not, because public and community access is essential, defibs are often stolen or vandalised, so does he agree not only that a VAT exemption would help to tackle the issue of inequality in poorer constituencies, but that we should consider creating a specific criminal offence to help to protect these vital machines?

Dementia Care

Douglas McAllister Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Douglas McAllister (West Dunbartonshire) (Lab)]

There is no doubt that dementia is the biggest health challenge of our time. It is the leading cause of death in the UK, and there will not be a single family across our country that is not touched by this illness. I suspect that for most of in this House, if not all, it will be no different.

I look to my own experience with my mum, who developed a condition when she was aged 62 or 63. My mum, Phyllis McAllister, a nurse, nursing sister and midwife—a carer by profession—was also an unpaid carer to my late father, after he suffered a stroke, until she could care no more, with the carer now needing care.

It is often said that it can be a postcode lottery when it comes to the provision of dementia care, both at home and in residential care. My family and I were very fortunate in that our experience was a positive one. The provision of dementia healthcare services is the responsibility of local integrated healthcare boards. That is the case across the UK. My Labour-run administration in West Dunbartonshire provided outstanding home care services on a daily basis to allow my mother to remain in her home for as long as possible. However, the highly dedicated team of home carers are often expected to do more for their clients with reduced times. Those are the consequences of the cuts to local government and health and social care budgets from central Government over the last decade. They are played out on the frontline of dementia care.

I served as a councillor on West Dunbartonshire council for 21 years and I am very proud of our record on the provision of dementia care. As an administration, we took the bold step—the brave yet correct decision—to continue to offer local authority-run residential care homes. We built two large, state-of-the-art care homes: Crosslet House in Dumbarton; and Queens Quay in Clydebank, where my mother now receives quite outstanding care by a highly dedicated team of care staff, which my brother and I are so appreciative of. I refer to that, because it demonstrates what all local authorities and integrated care boards could and should provide, given the correct support and funding from central Government.

I want my UK Labour Government to prioritise a society where every person with dementia receives high-quality, compassionate care, from diagnosis through to end of life care. We must commit to improving dementia care and empower our local leaders with the autonomy they need to provide the best services to their local community. That means the UK Labour Government learning the lessons of SNP failure. Early this year, the Scottish Government formally abandoned their national care service plan, scaling back their flagship policy of centralised control under a single national body, wasting time and money—£30 million wasted, money that could have delivered 1 million extra hours of care, stopped care packages being cut and provided the essential dementia care that families across Scotland are so desperate for.

There is a role for central Government. The Labour Government’s 10-year health plan provides a key opportunity to fix dementia care. It starts with a blueprint for transforming early dementia diagnosis. Diagnosis late in the progression of the disease costs all of us so much more. Early diagnosis is vital to ensure people with dementia can access the treatment and support they need. Our 10-year plan should include bold, brave commitments to funding and providing our NHS with groundbreaking new treatment, medicines and research, including clinical trials of promising new dementia drugs. I urge the Minister to commit our Labour Government to improving dementia care across the board: causes, diagnosis, prevention, treatment, care and support.

Prevention of Drug Deaths

Douglas McAllister Excerpts

Thursday 27th March 2025 Westminster Hall

[Douglas McAllister (West Dunbartonshire) (Lab)]

It is a pleasure, Dr Murrison, to serve under your chairship. I thank and congratulate the hon. Member for Strangford (Jim Shannon) for securing this vital Westminster Hall debate.

With your leave, Dr Murrison, I will begin by paying tribute to Christina McKelvie, MSP and Scottish Government Minister, who sadly died earlier today. Christina was taking leave for cancer treatment. She was the Scottish Government Minister for Drugs and Alcohol Policy in the Scottish Parliament. Our thoughts are with her partner, Keith Brown MSP, and her family.

In my West Dunbartonshire constituency, drug-related deaths increased this year. Figures released in August 2024 from National Records of Scotland showed that in Scotland 1,172 people died due to drug misuse, which was an increase of 121 deaths on the previous period. In the West Dunbartonshire local authority area, which is a very small one, the rise was from 20 to 26, comprising the deaths of nine females and 17 males. Opioids, including heroin, morphine and methadone, were implicated in 80% of those deaths. I pay tribute to Alternatives, a West Dunbartonshire community drug service. Its staff and volunteers do incredible work to tackle drug addiction, offering support across my constituency, as does the West Dunbartonshire Drug and Alcohol Partnership. Of course, as the hon. Member for Strangford said in his opening remarks, there are a person, a family and a story behind every statistic, and it is very important to remember that.

People in the most deprived areas of Scotland are more than 15 times as likely to die from drug misuse as people in less deprived areas, and I suspect that the same is true for Northern Ireland and the rest of the United Kingdom. The Scottish Government and the UK Government need to do more.

The “Evaluation of the National Mission on Drug Deaths” report, which was released last month, found that only one in three alcohol and drug partnership co-ordinators believed that Scottish Government leadership was effective. The report makes it clear that those who understand the drug deaths crisis best do not have faith in the SNP Scottish Government’s leadership. So, the SNP must listen to frontline workers and work with them to deliver the funding that this essential mission needs, properly fund local government, and reverse the cuts to our local health and social care partnerships, which fund and support the frontline organisations across West Dunbartonshire, such as Alternatives, and across our country.

National Cancer Plan

Douglas McAllister Excerpts

Tuesday 4th February 2025 Commons Chamber

[Andrew Gwynne]

That kind of experience is unacceptable, and the purpose of our plan is to demand better of the NHS and the system more widely when it comes to cancer outcomes. Nobody should have the kind of experience that the hon. Lady’s constituent had, which is why we will drive better outcomes through better treatment and earlier diagnosis, and make sure that the whole NHS is joined up in the process—a key part of the national cancer plan.

[Douglas McAllister (West Dunbartonshire) (Lab)]

Given that today is World Cancer Day, this statement is extremely welcome. Half of all leukaemia patients will not survive beyond five years, and the outlook is even bleaker for those diagnosed with acute myeloid leukaemia. If no action is taken, 80% of those diagnosed with AML today will not survive this Parliament. Early diagnosis and greater research are key to improving people’s chances. Will the Minister consider introducing measures to ensure that they are included in the national cancer plan?

[Andrew Gwynne]

My hon. Friend has my assurance on all fronts there. Early diagnosis, more and better research, and identifying how we improve outcomes for people with a variety of cancers are all crucial. His points about leukaemia are well rehearsed in the Department and will be a key part of the national cancer plan.