World Asthma Day

Jessica Toale Excerpts

Thursday 15th May 2025 Westminster Hall

[Jessica Toale (Bournemouth West) (Lab)]

It is a pleasure to serve under your chairship, Dr Huq. I congratulate the hon. Member for Strangford (Jim Shannon) for bringing forward this debate to mark World Asthma Day.

There are two reasons why I wanted to speak in this debate. The first is personal: I developed asthma as a child, almost certainly as a result of the pollution of the Milan of the early 1990s, and living down the road from the Alfa Romeo factory. While the condition improved for me, unfortunately my younger sister suffered severely with it and continues to suffer today.

The second reason reflects the changes that my constituency has faced. Bournemouth was founded as a wellness resort, and back in the day visitors would come to take the air. In fact, one of our most famous residents, Sir Merton Russell-Cotes, who went on to become mayor and own the Royal Bath hotel, was sent to the south coast of England because he had chronic respiratory conditions, and ended up living in Bournemouth. It is still a place where people move to improve their quality of life and to live a healthier life—but Bournemouth was recently ranked as the 14th worst location in the UK for air quality. A staggering 83% of residents with lung conditions in my constituency say that poor air quality has made their conditions worse.

The hon. Member for Strangford has already pointed out that respiratory deaths are strongly linked to deprivation, more so than any other condition, and people living in the poorest areas of the UK are three times more likely to die from asthma than those in the wealthiest. That national injustice is reflected starkly in my constituency, where areas in the less affluent north, such as Alderney, West Howe, Kinson and Branksome, have asthma rates significantly higher than the national and regional averages.

If we are serious about improving outcomes for people with asthma, we must take a cross-departmental and holistic approach—one that addresses not just healthcare, but pollution, housing, transport and lifestyle. That is why I welcome the Environment Secretary’s commitment to improve air quality across the country, including in Bournemouth West; cleaner air saves lives and it must remain a top priority.

I welcome the Government’s broader efforts to tackle the root causes of respiratory illness: cutting emissions and improving public access to air quality information; the Tobacco and Vapes Bill and the Government’s ambition to create a smoke-free generation; and key legislation such as the Renters Rights’ Bill—specifically the inclusion of Awaab’s law, which is vital for my constituents. I am regularly contacted by residents, who are living in substandard conditions, plagued by mould and damp. These environmental hazards are not just unsightly, but dangerous. Mould is a known trigger for asthma and other respiratory conditions. With a clear link between asthma and deprivation, improving housing standards is a matter of not just fairness, but health.

Our national health service is in need of fundamental reform. We must move away from a system that reacts to ill health towards one that prevents it. I support the Government’s vision to shift more care into the community and tackle the backlog in treatment. In Bournemouth West, the challenges are particularly acute: 32% of respiratory patients are not seen within the 18-week NHS target and, worryingly, 60% of people diagnosed with asthma are not receiving even the most basic asthma care. Those outcomes place us among the worst-performing areas in the south-west. Meanwhile, over 90% of COPD patients in Dorset are not receiving the standard of care—the worst figure in the south of England.

We must end the postcode lottery in NHS services. Access to care should not depend on where someone lives. Is the Department aware of the issues facing my constituents in Bournemouth and people across Dorset? What can be done to improve access to healthcare for people with respiratory conditions in my area?

As the Health Secretary develops the NHS 10-year plan, I also urge the Minister to seriously consider the proposals set out by Asthma and Lung UK, which include: establishing national targets to reduce preventable asthma deaths, improving access to biologic medicines, supporting the use of digital monitoring tools and reviewing funding for asthma research.

In the spirit of World Asthma Day, let us recommit to ensuring that no one dies from preventable asthma attacks and ensure that every person, regardless of postcode or background, can access the care, medicine and environment they need to breathe freely.