Oral Answers to Questions
Rosie Duffield Excerpts(2 weeks, 1 day ago)
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Wes Streeting
The hon. Gentleman should absolutely make representations to his local ICB if he has concerns about service reconfigurations. We are investing more in the NHS, but I recognise that there are none the less big challenges for ICBs to face. I am sure that the ICB would be happy to meet him to hear his concerns.
Rosie Duffield (Canterbury) (Ind)
The Minister for Secondary Care (Karin Smyth)
The PATHWAYS trial has undergone a thorough independent review and has received all the regulatory and ethical approvals. The sponsors of the study, King’s College London and South London and Maudsley NHS foundation trust, are working to ensure that it is conducted in compliance with the relevant regulations.
Rosie Duffield
The United States Department of Health and Human Services’ peer-reviewed report found that harms from paediatric medical transition are significant, long term and too often ignored and inadequately tracked, as testified by Keira Bell, who is here in Parliament today. What is the Government’s rationale behind medicalising yet more vulnerable children, given that we have no evidence of any benefit to this approach and, in fact, plenty of evidence of harm?
Karin Smyth
As the hon. Lady knows, the Government are acting on the recommendations of the excellent report from Hilary Cass, which I think she would agree is world-leading evidence, and moving the model away from medical intervention towards a more holistic approach to care. The Government will continue to be guided by that evidence, as the whole House will appreciate. The hon. Lady referenced Keira Bell, and I know that my hon. Friend the Member for Birmingham Edgbaston (Preet Kaur Gill) has asked the Secretary of State to meet clinicians and others who disagree with the trial. That meeting is being arranged, and we will continue to work under the guidelines for clinical evidence.
Women’s Health
Rosie Duffield Excerpts(11 months ago)
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Rosie Duffield (Canterbury) (Ind)
It is a pleasure to serve under your chairship, Dr Huq. I congratulate the hon. Member for Hastings and Rye (Helena Dollimore) on securing this debate, which is one of only a handful to tackle women’s health in general. Since I came to this place, a big focus for me has been women’s health, whether it is the devastating and shocking findings of the Kirkup review of East Kent Hospitals maternity care; the setting up of the APPG for birth trauma; the plight of women who now have no recourse to any healthcare or medical treatment in Afghanistan; the women whose health and wellbeing means precisely nothing to the warring factions in places such as Tigray; the tenacious mothers who have tirelessly fought for changes to sodium valproate labelling; female cancers; vaginal mesh; menopause; the mental stress and health toll on WASPI—Women Against State Pension Inequality —or 1950s women; female genital mutilation; or domestic abuse survivors. All of those and so many more are health issues that affect the majority of the population, who are female. And for the avoidance of doubt, let me be clear: by female I mean women, adult human females, the kind who have a cervix and who definitely do not have a penis.
Despite women being 51% of the population, women’s health services are frequently deprioritised, with the healthcare model based on a default male, and women existing within a system built around men. The inequalities in health outcomes between men and women are scandalous. Compared with men, women are more likely to experience common mental health conditions, more likely to be misdiagnosed, more likely to receive less pain medication after identical procedures and more likely to be undertreated for pain by doctors.
A perfect example of how women must exist within a healthcare system built for men is that of heart attacks. I have recent experience of this, with my dear friend Nicky Clark experiencing a heart attack in January. She is now tirelessly campaigning, because compared with men, women are less likely to be admitted to hospital when they complain of chest pain and they have more than double the rate of death within 30 days following a heart attack. Medical professionals know that heart attacks present very differently in women, compared with men, and yet the classic symptoms listed in campaigns are specific to men only.
Recent trends in the collection of data highlight how vital the accurate recording of this is in a medical context. Women’s health issues all arise from our specific biology. A man cannot get ovarian cancer and a woman cannot get prostate cancer, for example. It may be considered good manners, kind and courteous to refer to those who identify as a different gender in the way they prefer, but for the specific purposes of recording vital and potentially lifesaving data, we must accurately record patients’ biological sex. Otherwise, trans patients may miss being called for screening for sex-specific conditions, and that has potentially fatal consequences. That has been highlighted by Professor Alice Sullivan, who was commissioned by the last Government to tackle the issue of recording sex data, including in the NHS. Her review is due to be published, and I would be grateful if the Government could confirm the date for that as soon as possible.
In the last seven years, we have had seven Secretaries of State for Health and Social Care. It is very hard to get even on the second rung of a ladder when we have to start all over again with explanations, evidence and examples relating to a campaign or specific health issue every few months because the departmental personnel and teams change so often, so women here will keep campaigning and holding debates to push women’s health further up the agenda. I will keep working with the Birth Trauma Association, the MASIC Foundation and others to help to end the postcode lottery and extreme inequalities for black and south Asian mothers experiencing what should be straightforward and perfectly safe childbirth. I again thank all those parliamentarians, campaigners and activists who just will not take no for an answer and who fight every day to bring about better experiences for other women.
Oral Answers to Questions
Rosie Duffield Excerpts(11 months, 2 weeks ago)
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Karin Smyth
My hon. Friend is absolutely right that the issue is key, and that the results are worrying. I know how proud my friends and family members were to become nurses, and what a great career nursing offered them. We have to deliver on the promise of a good career, and build on that pride in being a nurse. We absolutely recognise that we cannot rebuild the NHS without their skills and their high-quality critical and compassionate care.
Rosie Duffield (Canterbury) (Ind)
Does the Minister believe that the NHS should expect biologically female nursing staff to get changed in front of biologically male colleagues who identify as female?
Oral Answers to Questions
Rosie Duffield Excerpts(1 year ago)
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Andrew Gwynne
My hon. Friend raises a really important point. NHS England is due to complete a stocktake of long covid services throughout England at the end of this month. That will provide an accurate in-depth overview of not only long covid services but ME/CFS—myalgic encephalomyelitis/chronic fatigue syndrome—services. The stocktake will provide a comprehensive and accurate national picture, identify key challenges and make strategic recommendations for future service improvement, development and assurance.
Rosie Duffield (Canterbury) (Ind)
Wes Streeting
Yes, I or the Minister of State for Health would be delighted to meet the hon. Member. She is right to describe the scale of challenge in urgent and emergency care. Of course, there are other challenges in east Kent, particularly in maternity services, which I am acutely aware of too, and I would be delighted to work with her to help solve some of those challenges in her community.