Christmas Adjournment

Lyn Brown Excerpts

Thursday 18th December 2014 Commons Chamber

[Lyn Brown (West Ham) (Lab)]

I am absolutely delighted to have this opportunity to contribute once again to a Christmas pre-recess Adjournment debate. I want to raise two health issues: the hysteroscopy procedure and pancreatic cancer. I know that some Members were present when I talked about hysteroscopy last year, but I must warn the others that it is not for the squeamish, so I will perfectly understand it if anyone wants to leave the Chamber.

The hysteroscopy procedure was first brought to my attention by my constituent Debbie, who lives in Plaistow. She is a really lovely women and a great campaigner. She was diagnosed with womb and uterine cancer and contacted me not about the pain of the cancer, but the pain she went through during the process of diagnosis. Debbie underwent a hysteroscopy, which I remind Members is a procedure for looking inside a patient’s uterus. It is used to investigate symptoms such as pelvic pain, abnormal bleeding and infertility. Biopsies are often taken during the procedure and tissue is removed. The procedure is uncomfortable and can be incredibly painful.

Debbie has since campaigned tirelessly to prevent other women from being subjected to such a painful procedure. I pay tribute to the work that she and others in the hysteroscopy campaign have done. Since raising Debbie’s story in the House last Christmas, I have been contacted by a number of women across the country who heard about the debate and wanted to share their stories with me. The cases they described have all happened since last year’s debate.

One such woman is Mrs Hughes. She had a thickening of her womb and was told that she might have cancer, so she had a pipelle biopsy, which in itself was very painful and distressing. She was then told that she would need a hysteroscopy and that she would be given an anaesthetic. Mrs Hughes, who has heart problems, phoned the hospital to find out what type of anaesthetic she would be given. She was told that it would be a nerve block anaesthetic. To be clear, Mrs Hughes received information from a doctor, a nurse and a leaflet at the local hospital, all telling her that the procedure would be conducted under anaesthetic.

On the day of the procedure, however, her doctor—let us call him Dr C—told her, “Well, we only give anaesthetics to people who can’t cope with facing it. It stings, but you’ll be all right. I’ll be gentle. I’ll be in and out in 30 seconds.” But the doctor could not find the cervix. After some time, and a considerable amount of intense and painful probing inside her, water was pumped into her womb and a camera was inserted. The pain increased significantly and Mrs Hughes was calling out loudly in distress. She felt herself passing out because of the pain. The doctor then said, “I can’t reach it.” The procedure was terminated without a biopsy or a diagnosis.

After the procedure, Mrs Hughes went home. She said:

“I had excruciatingly painful cramps and bleeding. I was so very distressed and dazed...I started to shiver and then began to shake all over. I couldn’t stop the shaking. My nerves were shot. I was crying and couldn’t get the procedure out of my head... I kept having flashbacks. My heart was affected, thumping and missing beats. I felt truly traumatised. I couldn’t sleep—I kept waking up in an absolute panic.”

She was in agony and was clearly experiencing post-traumatic stress. The doctor simply told her that she would have to come back and have the procedure done under general anaesthetic.

This really cannot go on. The Under-Secretary of State for Health, the hon. Member for Battersea (Jane Ellison), kindly wrote to me after last year’s debate. She highlighted the guidance from the Royal College of Obstetricians and Gynaecologists, stating that she expected

“all clinicians to adhere to guidance where available to ensure good practice and the best outcomes for patients.”

The guidance includes the need for formal informed consent for out-patient hysteroscopy before the procedure. I am afraid that I do not consider that to be sufficient protection for women. A significant number of hospitals still do not use a written consent form for an out-patient hysteroscopy. It is a postcode lottery as to whether a patient is offered different options for pain control, or indeed even advised to take a pain killer before the procedure. Put simply, many women across our country are still having to go through this procedure, which is often agonising, without the right information or informed consent.

I implore the Minister to take action to ensure that surgeons must always discuss with patients what will happen before, during and after a hysteroscopy, and that they must obtain formal informed consent for an out-patient hysteroscopy before the procedure. This matter must be tackled. I ask the Minister to use her good offices to make some progress.

I would now like to turn to pancreatic cancer. The diagnosis of pancreatic cancer often comes too late for any effective treatment, meaning that for many the news is abrupt, shocking and, all too often, a death sentence. It is often called the silent cancer, because the early symptoms are hard to detect and it is only later, when more precise and exact symptoms appear, that patients and doctors consider the possibility of pancreatic cancer.

One of my constituents, Norma Giles, wrote to me about the loss of her son Steven to pancreatic cancer in 2010. He was previously a fit and healthy man, happily married and a father, and his death has had a devastating impact on the family. He was just 42, and like many he was diagnosed too late for surgery. His wife, Clair Giles, wrote:

“if I told you pancreatic cancer is a git, I would be lying, as there are no words strong enough to tell you what pancreatic cancer does to the patient and to their family. I have struggled losing my husband, my soul mate.”

She wants me to help get the message out that early diagnosis and surviving pancreatic cancer go hand in hand, and she argues that the lack of funding for the fight against pancreatic cancer is directly responsible for the poor survival rate. Understandably, she wants that to change.

Tragically, Steven was diagnosed only after numerous visits to their GP with a range of symptoms. He had lost 4 stone and had diabetes, but it was only when a locum saw him that he was referred to hospital. Tragically, it was too late. We need to do far more to save people like Steven. Survival rates have remained unchanged over the last 40 years, with 22 people dying every day from pancreatic cancer and only 10% of patients being diagnosed in time for lifesaving curative surgery. Surely we can do better. As Members know, behind each statistic are personal stories and individual and family tragedies.

Pancreatic cancer has the worst survival rate of all cancers, yet it receives only 1% of research spend. Over the last four years, cancer spending has been cut by £800 million in real terms, and I am told that treatment standards are deteriorating and that the national cancer target has been missed in the last three quarters. Hon. Members will share my concern that this is simply not good enough, so I implore the Government to look at the issue afresh. I am sure I speak for all Members in extending our thoughts and prayers to those battling cancer and in expressing our admiration for and thanks to the NHS staff caring for them, especially over the Christmas period.

Madam Deputy Speaker, I wish you, hon. Members and everybody who works on the parliamentary estate the happiest of Christmases and the very best of new years.

--- Later in debate ---

[The Deputy Leader of the House of Commons (Tom Brake)]

It is a pleasure to respond, for what will be the last time in this Parliament, to the pre-recess Adjournment debate. Earlier, we heard that the hon. Member for Rhondda (Chris Bryant), who has previously taken this debate, referred to Members who contributed to the debate as characters from different TV series. I would, perhaps, liken those sitting here today to characters we would all recognise from our local pub. There is the one who always bangs on about how immigrants take our jobs. There is the one who always goes on about medical problems. There is always one who only ever drinks orange juice. There are others who will insist on talking about birds at great length. Finally, there will be another who will always complain about their trains being late—that is me, incidentally.

This debate was, as always, opened very effectively by the hon. Member for Southend West (Mr Amess). As usual, he ran through a large number of issues, and I will try to respond to at least some of them. I think he started by suggesting that, following the renovation works, we might never return to this place. He will be relieved to hear that I suspect his concerns in that respect are unfounded. He referred to the facilities being empty and the prices being too high, and then went through a long list of local issues, including scrap metal, energy prices and the world athletics—and I want to commend his schools, Southend high school for boys and Southend high school for girls, on qualifying to represent England at that event. He also referred to the Music Man project and to Councillor David Stanley, and then proceeded to plug that event. He did not tell us what the ticket prices would be, but he no doubt would have done so if time had allowed, as well as providing us with a link so that we could purchase tickets online. He also referred to the talent show that is being launched as part of the alternative city of culture events in 2017. I think that the House would like to be assured that he will be taking part in that talent show himself.

The hon. Gentleman referred to all-party parliamentary groups. Initially, he described them as “farcical”, but then went on to describe the very significant role that he plays in a number of APPGs. He rightly highlighted the fact that, following the significant loss suffered in the Philippines after the cyclone struck, the authorities there took the necessary action. That shows that, if countries take steps to deal with climate change, mitigation can have an effect, even if it is not always successful in reducing the amount of damage inflicted on the infrastructure of a country. He referred to Bahrain, and I will come back to that subject shortly. He also mentioned Iran.

The hon. Gentleman talked about the all-party parliamentary group on fire safety. My right hon. Friend the Member for Hazel Grove (Sir Andrew Stunell) might want to talk to him, if he has not already done so, about the fire safety issue that he identified. The hon. Gentleman rightly drew attention to something that Members on both sides of the House are concerned about—the issue relating to firefighters. He said that if a firefighter failed a fitness test through no fault of their own and did not qualify for ill-health retirement, they would be redeployed or receive an unreduced pension. That is a significant concession that is worth underlining.

[Lyn Brown]

May I say something to the right hon. Gentleman—very gently, as it is Christmas—about the repeated statement that firefighters in those circumstances will get redeployment or a full pension? If he reads the statutory instrument that was laid today, he will see that the Minister is going to ask the fire and rescue authorities to do that, but that there is no requirement for them to comply. We will not be doing anyone a service by continuing to repeat that there is to be a requirement for jobs and full pensions to be guaranteed.

[Tom Brake]

As I understand it, the situation will then be monitored to ensure that that happens.

The hon. Member for Southend West also referred to his own personal contribution to the work done by maternity wards, in that he has five children. I congratulate him on that. He mentioned the mental health manifesto. He also talked about the all-party parliamentary hepatology group. He started that point with a reference to the season of good will, then referred to obesity, hepatitis and alcohol misuse, which was a bit of a downer. He was making a serious point, however.

If I were to refer to all the other things that the hon. Gentleman mentioned in the debate, I would not have time to refer to anyone else. However, his most important subject was the one he raised at the end of his speech. It is a concern that he has raised repeatedly, and it relates to his local health service. I am sure that the Department of Health, his clinical commissioning group and the trust in his area will have heard his arguments loud and clear.

The hon. Member for Harrow West (Mr Thomas), who is no longer in his place, referred to the estuary airport. I agree with him that that project was never going to happen, because the airlines would not have wanted to pay for it or to pass on the costs to their passengers. He referred to the important role of London assembly members in holding Transport for London to account, and I would like to congratulate Caroline Pidgeon and Stephen Knight on the role that they play in the assembly in that respect. The hon. Gentleman supported the idea of Transport for London being more open to engaging transport users in the system, and I agree with him on that. He referred to local authority funding cuts, which other Members have also raised; that is clearly an issue. Labour Members have accepted that the deficit needs to be addressed, and that is one way of doing it. If they find it unacceptable, they must come up with a financial alternative, but I am afraid that none has been forthcoming.

My right hon. Friend the Member for Tonbridge and Malling (Sir John Stanley) referred to Gatwick, where other aviation proposals have been made, raising concerns about some of the financial aspects and the projection of passenger number increases. If the intention is for an increase from 30 million to 90 million by 2050, clearly there will be a need for significant public transport investment in infrastructure around Gatwick.

The hon. Member for Walsall South (Valerie Vaz) touched on the issue of local government and the tough financial settlement. She referred to the NHS pay rise, where people have been given a minimum of a 1% increase across the board, although I agree that that is not the full pay increase that some had been expecting. She referred to the need for more doctors and nurses. I am pleased to say that there are 9,000 more doctors and 3,000 more nurses. Perhaps more helpfully, she referred to John’s Campaign, which is about allowing carers to stay in hospital. I can confirm that, by means of an exchange of texts, the relevant Minister has confirmed that he would be happy to meet her and campaigners to discuss that issue.

My hon. Friend the Member for Tiverton and Honiton (Neil Parish), who is not in his place, referred to the A303. Anyone who has gone to that part of the country will welcome the investment being made in that road. He referred to the need to accelerate the implementation of rural broadband, on which, again, we would all agree. He also referred to the Devon Freewheelers, talking about bikers who deliver body parts—he paused at that point and we all started to worry about what this meant, but it turned out to be about transplants. We should certainly support such charities. I believe he was calling for NHS funding, but often charities work because they are charitable enterprises. I am sure, however, that anything the Government can do to support them in terms of publicity and ensuring that they can operate effectively will be done.

The hon. Member for West Ham (Lyn Brown) referred to hysteroscopy, as she did last year, and it was equally as uncomfortable for us listening to it as it was 12 months ago. I am pleased to hear that the Minister with responsibility for public health did respond to her, but clearly she has identified that there is an ongoing issue and so I will follow that up again and make sure that she gets a further response, which I hope will clarify that things have moved on and what further can be planned. She also raised the issue of pancreatic cancer, the silent cancer. More needs to be done to raise the profile of that, so that we have a better chance of early diagnosis. I commend her for drawing that to the House’s attention.

My hon. Friend the Member for Congleton (Fiona Bruce) rightly drew attention to North Korea and the horrendous situation there. Anyone who is in any doubt about that can still go on to Google Earth to look at the concentration camps in North Korea. I commend to all Members “Escape from Camp 14” on Shin Dong-hyuk. I have read it and it sets out in the bleakest terms possible exactly the conditions political prisoners and others in North Korean camps are kept in.

The hon. Member for Rochester and Strood (Mark Reckless) referred to the estuary airport. [Interruption.] He is not in his place. He then talked about a housing development of 5,000 homes and he did a very effective job of opposing those plans—it was as effective a job as he did when he was supporting them before he defected to the United Kingdom Independence party. It is Christmas—a time for caring, reflection, forgiveness and good will—and I know he is running a fundraising campaign whereby he is seeking £7.30 contributions from each and everyone to support his legal case against the Conservative party. I am not sure how many people will want to contribute to that appeal fund.

We then heard from my hon. Friend the Member for Colchester (Sir Bob Russell), who will be very relieved to hear that it is perfectly in order for schools within the national curriculum to discuss the 1812 to 1814 war. I will, if he wishes, set out afterwards precisely how that is possible. We have given teachers the flexibility to do that. Clearly I hope that many teachers will have listened to his pleas for them to pick up this issue and will respond accordingly.

We had a contribution from the hon. Member for Islington North (Jeremy Corbyn) on the subject of the base in Bahrain. The Leader of the House responded to that point in some detail this morning, drawing on the knowledge he had gained from his previous role as Foreign Secretary. The hon. Gentleman and I have been lobbied by representatives about the human rights situation in Bahrain. Although the Foreign and Commonwealth Office thinks that some positive steps have been taken, it is clear that there are still areas that need to be addressed. In particular, more needs to be done on the accountability of police personnel and the investigation and sentencing of those alleged to have committed torture and mistreatment. There is a recognition that action needs to be taken.

The hon. Gentleman also referred to local authority funding and the private rented sector, which he does on a regular basis, and I commend him for that. He will be as disappointed as I was—indeed as almost everyone was in this House—that the Bill about revenge evictions put forward by my hon. Friend the Member for Brent Central (Sarah Teather) was talked out.

We then had a positive and informed contribution on the subject of trains and the reliability problems that my right hon. Friend the Member for Chelmsford (Mr Burns) faces on his service. I can commiserate with him on that matter, as the works at London Bridge at the moment are causing chaos on the Southern and Thameslink services, which frustrates me virtually every day of the week when I attempt to get into this place. I will refer to the Secretary of State for Transport his plea for faster electrification of the Felixstowe and Nuneaton line.

I congratulate the hon. Member for Hayes and Harlington (John McDonnell) on again raising the case of Shaker Aamer, to which the Government accord high priority. He again called on the Prime Minister to raise the matter with President Obama, and I will ensure that that request is conveyed to him. The Prime Minister last raised the matter in June 2013, but there have been interventions since from the Deputy Prime Minister and the Foreign Secretary. The hon. Gentlemen is right to continue to raise that particular issue.

I regret the forthcoming departure of the right hon. Member for Uxbridge and South Ruislip (Sir John Randall). Having been on a Select Committee tour to Brazil and Venezuela with him, I can say that he is excessively good company and one of the friendliest, most considerate and courteous Members of this House. We will all miss him, as will the customers of his store. He also thanked the Whips Office, which is probably rather rare in this place.

The hon. Member for Hendon (Dr Offord) talked about sight loss. I commend him for the work he is doing on that issue and draw to his attention the importance of ensuring that sight tests are available for people with learning disabilities, which is an issue I have taken up recently given the high level of prevalence of sight impairment within that group. He raised the matter of sight loss advisers and the need for expanding eye clinic liaison officers, and I will draw these point to the attention of the Department of Health.

My right hon. Friend the Member for Sutton and Cheam (Paul Burstow) raised a number of issues, including that of his constituent, Lauren, and the runaround that he is getting from NHS England in relation to the services or support that will help her to deal with gastroparesis. As he has often done in this place, he referred to a number of issues to do with care, on which he is a real champion, and he referred to the two reports on residential care and home care. He asked me to pursue with Her Majesty’s Revenue and Customs the subject of agencies that pay less than the minimum wage to carers, and of course I will do that. He talked about the need to ensure that there was parity of esteem in relation to the millennium development goals and the role that the Department for International Development is playing. Finally, he referred to the short time frame for the renal consultation. As I understand it, that is necessary because the changes need to be implemented by 1 April next year, and it will be difficult to achieve that if the consultation period is extended. I am sure that he will follow that up with the Department of Health if he does not feel that that is satisfactory.

My right hon. Friend the Member for Hazel Grove referred to the A555, for which he has consistently campaigned along with my hon. Friend the Member for Cheadle (Mark Hunter) since 1997. Phase 2 might be his legacy, but that might be in the next Parliament. I am sure that he will be able to get his name attached to it in some shape or form and I hope that the money for that phase will be forthcoming. He raised the issue of fires in houses, which he could take up with the all-party parliamentary group, but I will ensure that it is drawn to the attention of the appropriate Minister as there is clearly a potentially significant issue that could affect not only that estate but many others around the country.

My hon. Friend the Member for Cleethorpes (Martin Vickers) is a regular attendee at these events and I welcome him again to this one. He referred to a number of significant events in his constituency and the need for a rapprochement between the electorate and Westminster. He also referred to English votes for English laws, which we need to move on quickly. However, I do not think we can rush it and there are issues that need to be considered alongside it, including the devolution of more power below the level of England and, in my view, the need for a constitutional convention.

My hon. Friend the Member for Stafford (Jeremy Lefroy) raised a number of local issues and I commend him for his work in campaigning to improve the NHS in his area as well as the campaign he is running to ensure that his A and E is returned to a 24-hour-a-day service. I wish him well. He also referred to libraries, and I think we collectively support the network of libraries in our constituencies and will want to see them strengthened by the provision of the sorts of things recommended in the recent report, such as wi-fi provision, innovation and ensuring that they can operate as a network. My hon. Friend referred to other issues that affect many Members of Parliament, including nuisance telephone calls and copycat websites, which I think we can all do a lot to campaign against through our use of our own social media, for instance. He also referred to local councillors and I want to take this opportunity to commend them for their work.

The hon. Member for Dunfermline and West Fife (Thomas Docherty) referred to the Recall of MPs Bill. I do not know whether he noticed that Lord Campbell-Savours was rather lacking in festive spirit when he described the changes that the hon. Gentleman had implemented as ones made by boys in short trousers in the shadow Cabinet. Perhaps he can take that up with Dale later.

The hon. Gentleman asked for a debate on foreign policy, which I shall certainly pass on to the Leader of the House, although I think that contrary to the impression that was given we are not a zombie Parliament. We have important business to transact and that might be a matter for the Backbench Business Committee. I thank the hon. Gentleman for thanking members of staff individually, some specifically for what they have achieved in the House.

In conclusion, Mr Deputy Speaker, I thank you and wish you a merry Christmas. I wish all Members in the Chamber, the Clerks, the officers of the Serjeant at Arms, the staff who care for us here and our own staff a merry Christmas.

Let me finish where we started the debate with the final words of the hon. Member for Southend West. I thank the emergency services that will be looking after us over the Christmas period. I thank the ambulance service in St Helier, the fire service in Wallington, the police in Sutton and the NHS staff in all our hospitals, particularly at St Helier hospital. I know that they will be working over the Christmas break to keep us all healthy and safe, so merry Christmas to them all.

Question put and agreed to.

Resolved,

That this House has considered matters to be raised before the forthcoming adjournment.