(2 weeks, 6 days ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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Lizzi Collinge (Morecambe and Lunesdale) (Lab)
It is a pleasure to serve under your chairship today, Mr Stringer. I thank my hon. Friend the Member for Milton Keynes Central (Emily Darlington) for securing this important debate.
Getting accurate health information is essential, and it is a fact that most people go online to get it. Some 48% of UK adults have used online health information, including from social media, to self-diagnose at least once in a year, according to a 2024 study by AXA. The same study found that 30% of young adults have turned to social media platforms such as TikTok and Instagram to access health information.
Machine-learning tools such as ChatGPT are now, according to a 2026 study by AXA, the first source for symptom-checking for 36% of people—twice the number who would first go to the NHS website. That is worrying in and of itself, given how entirely inaccurate machine-learning tools such as ChatGPT can be. They do not necessarily give accurate information; what they do is build plausible sentences, but that is a debate for another day.
We have already heard how medically accurate women’s health information is being systematically removed or downgraded by the algorithm. This is also known as shadow-banning. Content creators quite often do not know that it is even happening. We have also seen products removed from sales platforms, including Amazon, with adverts or posts being blocked for using words such as “vagina”, “period”, “menopause”, “pregnancy” or “fertility”. At the same time, adverts for erectile dysfunction or testosterone products remain visible. That is just one example. Advertisements for at-home fertility testing kits were automatically rejected by Amazon because they contained the word “vagina”, although the word “semen” was allowed. For context, the word “vagina” was contained in safety advice that said, “It’s not safe for you to use this product if you’ve had vaginal or cervical surgery within the last three months.” That is a safety implication, never mind anything else.
A recurring pattern in reports and research is that algorithms and moderation systems appear to interpret women’s anatomy and women’s reproductive language as adult or sexual in nature, in a way that comparable men’s health content simply is not. A vacuum of information is being created by medically accurate language being removed or downgraded. What happens in this vacuum? What fills this vacuum? Misinformation.
Unfortunately, the health and wellbeing advice online is quite often entirely without scientific basis. It often appeals to language like “natural”, “gentle” or “traditional”, or uses the accurate chemical names of everyday products or food to make them sound scary or unhealthy. That is easy to do. Take the chemical dihydrogen monoxide. That sounds like a very scary chemical, doesn’t it? That is water. It is easy to make things sound unhealthy and unsafe.
We see this pattern again and again: good, anatomically and medically accurate information is buried while nonsense is peddled by grifters—sorry, “influencers”—who usually have their own supplements to sell, funnily enough, or are being paid to promote things that they simply do not understand. The shadow-banning of certain words—the removal of anatomically accurate terms—means that content providers who do know what they are talking about, such as medics and scientists, are drowned out. As a result, women are left with a sea of misinformation, bad advice and often poor health.
What should we do about it? I recognise that some of these problems can come as an inadvertent and unintended consequence of important action to make online spaces safer, particularly for children. But children are not harmed by hearing medically accurate words or understanding how adult bodies work. As a parent, I make a point of using the correct anatomical terms. I am not going to lie: occasionally that has led to a bit of public embarrassment, especially when you have toddlers, but it means that my kids can now understand and find information about their own bodies.
I ask that social media and online sales platforms work with campaigners and Government to figure out how to keep people safe online while not restricting vital, medically accurate content. That work needs to be done across different Departments, and it needs to include regulators. We need to align the very welcome women’s health strategy with wider digital online safety frameworks so that women’s access to accurate health information is treated as a shared priority.
We need to find successful ways to disseminate valid, scientifically based women’s health information. That would involve the active testing of possible solutions, such as trusted expert accreditation, co-designed with clinicians, women’s health organisations and the platforms themselves. There is wider work to do on general health and scientific literacy in the population and the content creator space. I am sure that many of the people peddling nonsense do not know what they are doing because they do not have the critical thinking skills or the simple baseline knowledge to know what it is that they are selling.
In conclusion, women must be able to get medically and scientifically accurate information about their health—and we must work together to deliver it.
(1 month, 4 weeks ago)
Commons ChamberThe hon. Member’s question underlines why it is so important that Lebanon is included in the ceasefire. We are looking across the board at all contingencies in relation to the support that we can put in.
Lizzi Collinge (Morecambe and Lunesdale) (Lab)
My constituents are horrified by the civilian toll of US-Israeli and Iranian military attacks, including the threats to basic civilian infrastructure. They are also very concerned about the long-term domestic impact of the closure of the strait of Hormuz, for example on food prices. First, can the Prime Minister reassure my constituents that UK bases will never be used to target civilians or civilian infrastructure? Secondly, can he reassure them that the Government are planning for all possible domestic impacts?
Those are both very important points, and I can give my hon. Friend’s constituents that assurance on both fronts.
(7 months, 1 week ago)
Commons Chamber
Lizzi Collinge (Morecambe and Lunesdale) (Lab)
The Hillsborough law we debate today is not an historical problem; it is something that my constituents need right now. I have already spoken in this place about baby Ida Lock, who died after failings in her care, and the incompetent investigation and lack of transparency that followed.
Today I want to talk about another constituent of mine. Vicki had autoimmune diseases, and she had regular treatment for them, often needing steroids. In 2021, Vicki fell pregnant and had a flare-up, which was treated with steroids. Not long after she tragically suffered a miscarriage. Days later she was admitted to hospital with severe abdominal pain and an increased heart rate, and she began to deteriorate.
The differential diagnosis was either an infection or a flare-up of her autoimmune disease.
Vicki kept getting more poorly. She was treated with antibiotics but not given any steroids. Her care was fraught with errors: her lipids were scored incorrectly; the right tests were eventually requested but not carried out in a timely way; and a pharmacist spotted that she had missed crucial medication, but nothing was done. According to her family, the doctors got caught in a loop of circular thinking—they focused on sepsis and covid—even when there was another possibility, particularly with her history of autoimmune problems.
There is a rare but known complication of autoimmune disease called hemophagocytic lymphohistiocytosis, which is a massive overreaction of the immune system that causes hyperinflammation, damaging vital organs. If the hospital had listened to Vicki and done a bone marrow test earlier, that HLH could have been identified, and it is possible that it could have been treated successfully. But once the decision to do the test—it gives results in only 10 minutes—was finally made, it took 18 hours for it to be done. The bone marrow test confirmed that Vicki had HLH. Twenty-four hours later, she died.
Vicki knew that she was having a flare-up, and she said so, but she was not listened to. From her hospital bed, she had written a letter of complaint to the patient advice and liaison service; then, just a week later, she was dead. Her family just want the truth to be recognised, because, in their experience, it has not been. Their experience echoes that of Ida’s parents. The pain is compounded because the family had felt that she was in the right place to be cared for. They trusted the hospital to get it right.
We know that no one goes to work in healthcare to do harm, but doctors and nurses are humans; they will make mistakes, and it is difficult for them to admit that they have harmed someone, so we need to create institutional cultures in which people feel able to speak up and raise concerns. Mistakes are often one-offs, but what is not is the institutional response to these tragedies. The institutional response of cover-up is part of a wider, long-standing pattern of poor culture and weak accountability. What harmed families tell me in the wake of these tragedies is that it is not necessarily the mistake itself that causes so much harm to them but the cover-up and the denial. Families, instead of grieving their loss, are forced to fight for the truth.
My hope is that the Bill will protect victims and their families—like Vicki’s, like Ryan and Sarah Lock and those who lost loved ones at Hillsborough—from this prolonged trauma. They deserve honesty, accountability and humanity from the very start, because that is how we rebuild trust.
(7 months, 3 weeks ago)
Commons ChamberDisarmament must be non-negotiable, and that is why it is written into the 20-point plan, and it is why we are now putting ourselves forward to play a part in the decommissioning. It is only by decommissioning that we can ensure that the threat from Hamas is removed. That is why it is in the plan, and it is why we want to play our full part. We will do everything we can with other allies to bring that about.
Lizzi Collinge (Morecambe and Lunesdale) (Lab)
I thank the Prime Minister for his statement and I welcome an end to the killing in Gaza. What guarantees are in place to ensure that humanitarian aid can now reach Gaza without interruption? Will that aid be independent of the whim of the Israeli Government or any other actor on the ground?
We are doing all we can to ensure that is the case, because it is important, for all the reasons that she well understands. That now involves the practical measures, working with other countries to ensure the aid can get in at speed and at volume. It is beginning to go in, but it is by no means in the right volume or at the right speed even now, after the agreement. That is what we need to focus on.
(1 year ago)
Commons ChamberThey all know this. Every trade deal has an arbitration clause to deal with the settlement of disputes. All trade deals have that, including all the trade deals that the Conservatives negotiated.
On the question of the ECJ, if an issue of European law needs to be referred by the independent arbitrators to the court, it will give a ruling on the interpretation. It will then pass back to the arbitrators to make the final decision. That is how trade deals work, but I understand the Conservatives’ new policy. Their new policy is against any trade deals. That has never been the Conservative party’s policy before, but it is good that we have clarity now.
Lizzi Collinge (Morecambe and Lunesdale) (Lab)
This deal is very welcome, particularly for my farmers in Morecambe and Lunesdale. When I was a young person, I benefited from a year in New Zealand and a year in Spain. Can the Prime Minister assure me that he will do everything he can to ensure that other young Brits get the same opportunities that I did?
I want young people in this country to have the opportunity under the scheme to work, to travel, and to involve themselves in volunteering and other activities in Europe.
(1 year, 4 months ago)
Commons ChamberThe hon. Gentleman makes a very good point. My experience in Wolverhampton, which I represent, was that the local authority did a great job of looking out for vulnerable people. An inquiry, perhaps by definition, places the emphasis on things that went wrong, but there was a great deal of experience during the pandemic that showed the best of society, with people looking out for one another and helping those who were vulnerable. We should draw on the things that went well, as well as those that went wrong.
Lizzi Collinge (Morecambe and Lunesdale) (Lab)
In my previous role in health scrutiny in Lancashire, I got a bit fed up of hearing from Conservative politicians that no one could have seen covid coming, as if a global viral pandemic had not been top of the NHS risk register for years, and as if epidemiologists had not warned authorities that it was a matter of when, not if. Does my right hon. Friend agree that it was a disgraceful abdication of responsibility for the former Government to plead ignorance to the well-known risk of a global viral pandemic?
I thank my hon. Friend for her question. There is always a risk of planning for the wrong thing, which is a risk I am very aware of as we try to do this forward-looking exercise. I was encouraged by what I saw yesterday in Liverpool at the Pandemic Institute, where the scientific expertise that we have in this country is trying to take the learning from that in the past and ensure that we do not assume that the next situation will be the same as the one we went through several years ago. It might be something similar, but it might also be something very different, which is transmitted differently and creates a whole different series of questions and requirements for the Government of the day.