NHS Hysteroscopy Treatment

Jim Shannon Excerpts

Tuesday 31st January 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I am grateful, Sir Mark, for the opportunity to speak in the debate. I thank the hon. Member for West Ham (Ms Brown) for raising the issue and, as she so often does, setting the scene so well. She has had a number of debates on this—some of them were Adjournment debates in the Chamber—and on every occasion I have been there to support her. I will come on to explain why I support her and what she is trying to achieve. I thank the hon. Lady for her contribution, and I look forward to the contribution of the hon. Member for York Central (Rachael Maskell); I thought I was going to follow her, but today it is the other way round. I very much look forward to the contributions.

Over the years, the hon. Member for West Ham has done her bit to secure debates on raising awareness of issues surrounding hysteroscopy treatment. As my party’s spokesperson on health, it is always a pleasure to be here to support her and her requests. The hon. Lady pushes these requests with perseverance and dedication, and I recognise that in supporting her.  We look to the Minister for a positive response to what she is asking for. She has always made her requests in a way that is direct but never nasty, and with determination, which I support.

Many women have contacted my office about issues relating to this procedure that have been going on for years. It is great to be here to add my support to the requests of the hon. Lady and others. I have spoken in these debates before, and I am always shocked at how common these issues are. There have been countless reports on issues such as anaesthesia and pain relief, to the extent that all Health Departments across the devolved Assemblies have taken formal action.

I always try to give a Northern Ireland perspective to these debates. Back home, the then Minister of Health Robin Swann provided an overview of guidance currently followed in Northern Ireland for hysteroscopy procedures, referring to information provided by the National Institute for Health and Care Excellence and the professional guidance produced by the Royal College of Obstetricians and Gynaecologists. He stated that there was a need to

“write to the HSC trusts in Northern Ireland to highlight this guidance and remind the service about the importance of the consistent application of the guidance.”

The Cumberlege report plays a role in this area too, and the hon. Member for Thurrock (Jackie Doyle-Price) referred to it. The purpose of the report was to make recommendations for improving the healthcare system’s ability to respond to the issues that women have been having with hysteroscopies. The hon. Member for West Ham set the scene well and with thoughtful consideration with regard to the guidance. According to the Campaign Against Painful Hysteroscopy, at least 70—or 35%—of women who have had hysteroscopies this year in English NHS hospitals said they were left in extreme pain following their procedures, with many suffering trauma for several days.

The reason I am here is simple. My wife went through one, and the hon. Member for West Ham knows that. I am here to support my wife, first of all, but also to highlight from a male point of view why I think this is so important and why the hon. Lady is right in what she asks for. Before my wife and I got married, my wife had had some problems, and the doctor—who was lovely, by the way—said to my wife, “You know, Sandra, when you get married and have children, things will be okay.” Well, they were not okay. The years went by and after three children things became worse. I believe it is important that I stand here in support of my wife and other women across the United Kingdom of Great Britain and Northern Ireland.

In a world of many technological advances, we can do more to ensure that pain relief is available and pain is kept to a minimum. The hon. Member for West Ham illustrated that well in the example that she gave. No one could have any doubt whatsoever as to exactly what was happening and why that 71-year-old lady had to endure what she endured. The Royal College of Obstetricians and Gynaecologists has been in touch with my office ahead of this debate. I am always thankful for its input, as I believe it gives a real insight into the problems that are occurring and backs up evidentially what others have said. It has raised a valid point that is often left out of the argument—that the fear of pain puts women off these procedures completely. I believe it probably does. From looking at the evidence and hearing the stories, my goodness me, would someone not be scared? That is it.

Hysteroscopies are used to detect and diagnose a range of conditions and symptoms, such as pelvic pain, repeated miscarriages—which are a reality as well—excessive bleeding, fibroids and polyps or cancerous growths in the womb. It has to be underlined that hysteroscopies are a possible life-saving tool. Unfortunately, the risk of pain puts many women and girls off, which increases the likelihood of problems in later life. The best thing we can do is get the conversation going. The hon. Lady has done that consistently over the years. I want to continue that conversation, so we can ensure that sustainable pain relief is readily available. I hope today we get a positive response from the Minister.

I want to conclude by thanking the hon. Member for West Ham—I mean this genuinely—for her valiant efforts in raising this issue. She has raised awareness of consent, choice and effective communication in this matter, and it is clear that existing provision falls down on all three. It has to get better, as the backbone of many procedures and especially those more intimate procedures where younger women may feel scared and even unsupported. For the mainland and the devolved Administrations, there is more to be done in safeguarding and implementing efficient practice for hysteroscopies and other intimate treatments for women.

I look forward to what the Minister will say in response to the debate. I know that she understands these matters very well and I think the response will be helpful. Again, we look forward to improvement, which is what we ask for. We need to see that process starting today in Westminster Hall.