Liver Disease and Liver Cancer: Diagnosis

Jim Shannon Excerpts

Tuesday 11th October 2022 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) for raising this issue and for giving us all an opportunity to participate in the debate. I am my party’s spokesperson for health, and also a vice-chair of the all-party parliamentary group on liver disease and liver cancer, so it is good to be here to discuss how we can better improve our services for the diagnosis of liver disease and cancer.

There are over 100 types of liver disease and cancer. They impact some 2 million people across the United Kingdom, so it is of the utmost importance that our services are up to scratch to ensure quick and efficient diagnosis. The British Liver Trust has raised concerns about the difficulty of diagnosing liver disease, given that it can take some time for real symptoms to show. Perhaps the Minister would come back to us on that issue. I am very pleased to see the Minister in her place, which is well deserved, and we look forward to her response to all the issues raised by Members.

Many may wish to keep an eye out if they have been indulging in what are classed as the three main causes of liver disease: excessive alcohol consumption, undiagnosed hepatitis and potential obesity. The hon. Member for Rutherglen and Hamilton West set that out very clearly. Since the 1970s, liver disease has been on the increase, with a 400% increase in deaths. That cannot be ignored. I am one of those—probably one of many here—who have had a liver capacity test. It has also been said that there is a stark disparity between liver disease and diseases such as cancer and heart disease: figures show that deaths from those diseases have remained stable or decreased.

This is a nationwide issue, of course. As of 2019, one in five people in Northern Ireland—I always like to give a Northern Ireland perspective in these debates—who was suffering from liver disease was completely unaware of the fact. It is staggering that that could be the case: that is 20% of those people. In addition, since 2011, there has been a 28% increase in hospital admissions due to liver diseases and cancer.

Unlike some diseases, liver disease is something that we have real control over if we are on top of it and looking out for the potential symptoms. We must become knowledgeable as to how we prevent liver disease to start with: keeping an eye on our consumption of sugar, fat and alcohol can be instrumental in preventing some 90% of liver diseases, so there are a lot of things we can do ourselves. Before covid, Parliament’s Health and Social Care Committee released a publication that alerted people to the concern that exists about alcohol-related diseases and deaths—about a potential spike in deaths of young people due to alcohol or needle-induced hepatitis, which are extremely preventable. The Government have a role to play in schools and at universities to ensure that young people who may be experimenting with alcohol are fully aware of its long-term impacts.

There are things we can do to prevent liver disease, and to diagnose it earlier. Along with personal awareness, more must be done to gather as much information as possible through research. As with all diseases, the more funding we are able to pump into researching liver disease, the more we can investigate, learn and prevent in the future. That is ultimately the role of Governments, not only here in Westminster but across all our devolved Assemblies, whether in Wales, Scotland or Northern Ireland. They are responsible for funding our wonderful charities to enable them to commission and implement great liver disease and cancer services for all our constituents. It is important that we as elected representatives align ourselves very closely with liver disease charities. Those charities do incredible work, carrying out investigations and tests to find ways of making people’s lives better and, ultimately, to try to do away with liver disease.

We are on the right path, but there is no doubt that there is still work to be done on this issue. When we compare liver disease with other diseases, such as heart diseases and cancers, we can see the success stories in some of those areas, but we can make today’s debate an important step forward in curing liver disease. I hope that today’s turnout has encouraged the Minister to come back with something good when she responds; I also look forward to the contribution of the shadow Minister, the hon. Member for Enfield North (Feryal Clark). Today is a true representation of our goal to do better, and whether we are in Wales, in Scotland, in Northern Ireland or in England, we can do it together.