Women’s Health

Paul Kohler Excerpts

Thursday 27th February 2025 Westminster Hall

[Mr Paul Kohler (Wimbledon) (LD)]

It is a pleasure to serve under your chairship, Dr Huq. I thank my former colleague on Merton council, the hon. Member for Hastings and Rye (Helena Dollimore), for securing this important debate. As the proud father of four daughters—the solitary man in a family of six—I am acutely aware of the inequalities between the sexes when it comes to health provision. The evidence is clear: our health system does not accord women equal priority to men. Their health issues are often ill researched and underfunded, with women more likely to be misdiagnosed and undertreated for pain, and have their symptoms dismissed.

From a lack of research funding into women’s specific health conditions to medical textbooks using many more images of men, women’s health is often marginalised. Women regularly report feeling unheard by doctors. Surveys have found that over 80% of women report not feeling listened to by healthcare professionals, with their symptoms being dismissed. As a constituent recently told me,

“Every woman I know has a story of their pain not being taken seriously.”

That is simply not acceptable. As time is short, I will focus on two issues that I know are key for my constituents and my immediate family.

My constituency of Wimbledon has a particular concern around the levels and availability of breast cancer screening. Breast cancer is the most common cancer in the UK, with one woman diagnosed every 10 minutes. Every year in the UK that leads to, on average, 11,500 deaths. It is, however, one of the most treatable cancers if caught in its early stages, as I saw with my wife Samantha, who was diagnosed and successfully treated almost a decade ago. Breast cancer is a disease where screening programmes work and are cost-effective.

In Merton, however, where most of my constituency lies, there are genuine concerns about the effectiveness of the screening programme, with more than 40% of eligible women failing to attend when invited. That is partly due to the fact that Merton is one of the only boroughs in London not to have a specific breast screening cancer centre, despite its being recommended by NHS reports a number of times. I acknowledge that that is being worked on, as is the potential for using a mobile screening unit in the meantime, but there is still no firm commitment. Each day’s delay means more breast cancer going undiagnosed and women’s lives being jeopardised.

Finally, as it is Eating Disorders Awareness Week, I would like to focus on how this terrible disease impacts women, as women, particularly young women, are at the highest risk. As my wife and I have seen in our own family, those who take the often difficult step of reaching out for help are too often told that nothing can be done—that they are not ill enough to be treated as the resources are not there—with an underlying message that they should starve themselves more and wait until they are thinner. They will not be taken seriously until their condition has deteriorated further, at which point it is of course more dangerous, more damaging, more difficult, and more doubtful whether they will ever recover, as eating disorders have the highest mortality rate of any mental illness.

I have focused in my speech on the two aspects of women’s health in which my family has the most experience. In finishing, I want to emphasise the broader point with which I began. We have an unequal healthcare system in which women are treated as second best and often marginalised, and that simply must change.