(9 months, 4 weeks ago)
Commons ChamberThe Government currently contribute £2.6 billion to community pharmacy, quite apart from the £645 million addition for Pharmacy First. We are about to start negotiations for the 2024-25 period.
The three pharmacies in Shirley, in my constituency, have been there for decades. They are very well known and very trusted, but they are all on the edge of having to close. To stay open, one pharmacist is using their own savings and not paying themselves a wage. I welcome your announcement, but would you read a letter from them—
Order. There may have been lax obeying of the rules at other times, but would the hon. Lady please refer to the Minister as “she”, not “you”?
Forgive me, Madam Deputy Speaker. That was an error.
Would the Minister read that letter, consider these issues and perhaps meet us to talk about it? They are good people, and we want to keep their pharmacies open.
I am of course happy to read the letter, but I would say that Pharmacy First offers a significant new boost to community pharmacies.
(1 year, 9 months 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to serve under your chairmanship, Mr Mundell. I congratulate the hon. Member for Bosworth (Dr Evans) on securing this debate. It is an important topic and he is doing some excellent campaigning. His description of bigorexia, the impact of social media and all the pressures on young men to get the perfect body image was powerful. It is true that we have been talking about these issues when it comes to women for a long time, but we have not been talking about men. I have twin boys who are 12 years old, and they tell me repeatedly that they want a six pack. They do not have one and they will not have one any time soon, but they are already thinking in that way.
The hon. Member for Bosworth mentioned Andrew Tate as a particularly powerful online influencer; they are putting great pressure on our young boys. I took a group of scouts around Parliament last week, and they were all telling me how poor Andrew Tate had been badly done by and locked up in prison for no reason. The hon. Member made the point that sometimes some of these men talk sense and sound like they are all about empowering men, but on the other hand they are being incredibly misogynistic and spreading awful mistruths. That is very true; I see it time and again.
This is an important conversation to have, and there is a wider conversation about the role that we can all play in developing what it means to be a man. I have done lots of debates about knife crime, and we talk endlessly about boys who feel they have to carry knives and be macho in order to be a man. There are boys now who go to the gym and are tempted to take steroids because they feel that is what it is to be a man. There is the growth of the horrific incel movement, with men who define themselves as not being attractive and not able to attract women. The Government need to think about all those important things in the round. It is a wider issue than this debate today.
We have covered a lot of the issues that the Government need to think about. The first thing is the law. As has been said, steroids are a class C drug, so they are illegal to own and sell. Possession is punishable by up to two years in prison or a fine, and people can get 14 years in prison for supply. Other drugs are illegal to ship or sell, but not to buy or possess. An example is the tanning drug melanotan, which I had not heard of until this debate, but it sounds like a strange thing to want to do. As with all classified substances, the Government are responsible for clamping down on the sale and use of those drugs. Although the Opposition said that the 10-year drugs plan did not go far enough, it did contain a lot of good policies. However, the fact that it did not include any of those steroids is amiss, and perhaps the Government should look at that again.
We have already talked about the physical side effects, which go way beyond what people read about when they decide that they want to get steroids. There are the potentially lethal impacts of strokes or heart attacks, as well as erectile dysfunction, sterility and loss of hair. We clearly need more information on all those things to tell people what they are likely to face if they take steroids. The other aspect is mental health. We know that use of these drugs is very high. It seems there is a debate online about the number being between 500,000 and 1 million. Perhaps 1 million is not quite right, but a large number of people in the UK use steroids; the hon. Member for Bosworth referred to the figures from UK Anti-Doping.
In a 2016 survey, 56% of steroid users said they were motivated by improving their body image, so getting stronger and fitter is not the driver here—it is body image. We all know the pressures to look good and conform to shockingly rigid beauty standards that are presented by the media. “Love Island” is back on television, as the hon. Member for Bosworth said, and there is really powerful pressure that very few of us are able to ignore. I certainly worry about my weight all the time, and why would men not do the same? We do not talk about that as much as we should.
Fads come and go, and new things will come on the market as soon as we tackle some of the older things. Recently I saw reports of a new procedure called buccal fat removal, which takes the fat out of one’s cheek. It is quite extraordinary, but apparently suddenly very popular. Surgeries and techniques and fitness tips change almost daily, but their impact on our mental health, especially that of young people, is relenting.
A study in 2021 found that 54% of men displayed signs of body dysmorphia and said that low body confidence had negative effects on aspects of their lives, while 49% of women admitted to often thinking about being lean and maintaining an extreme exercise programme and feeling anxiety at missing a workout. Over 80% of those aged 18 to 24 showed at least one sign of body dysmorphia. We have heard many more stats. The hon. Member for Cumbernauld, Kilsyth and Kirkintilloch East (Stuart C. McDonald) talked about lots of the recommendations. The Women and Equalities Committee has heard that over 60% of women feel negatively about their bodies, but the equivalent figure for men does not come to the fore in the way that it should.
It is important to say that there is help out there for people who need it. The eating disorder charity Beat and the Campaign Against Living Miserably offer support to those affected by eating disorders, body dysmorphia and drugs. Help is out there for everyone, including men. Whatever toxic male influencers may say, there is no shame in seeking help for performance-enhancing drug use and body image issues. It is a sign of bravery and strength, not weakness. We should be clear that alongside proper enforcement of the law to tackle the crime, we should also tackle the causes of the crime. The next Labour Government will guarantee mental health treatment within a month for all who need it. That is a wider issue that the Government need to address.
The hon. Member for Bosworth very eloquently asked questions to the Minister. I know he is a Health Minister, so it is hard for him to talk about Home Office issues, but hopefully he can pass on the comments from this debate to his Home Office colleagues. There is a question about what is being done to stop the sale of these steroids. I was able to find a vast number of websites just by looking on Google. The websites ukroids247.com and hench-club.com will sell someone steroids. There is also onlinesteroidsuk.org. There were absolutely loads of them.
Although selling steroids is illegal and the Government say they are acting to stop such websites, there is little evidence that anything much is being done, so I ask the Minister: what will the Home Office do to tackle the sale of controlled IPEDs online? Will he look again at the 10-year drug strategy and perhaps expand it into this space? Will the Government commission a national review on steroid use, as has been mentioned, which the Health and Social Care Committee recommended?
The reasons that people use steroids and other image and performance-enhancing drugs are complex, but the drugs are illegal and cause serious harm to physical and mental health. This is an issue of public health as much as one of crime. It is clear from today that the Government must go further. We all need to catch up on the changing nature of the drugs that are available for people to buy. We need to move at the same speed as social media and do what we can to ease the pressure on young men in particular to build their body image by using these kinds of drugs. I am looking forward to hearing what the Minister has to say.
I remind the Minister that he can go to 5.38 pm, while obviously leaving some time for Dr Evans to wind up.
(2 years ago)
Commons ChamberIt has been a privilege to chair this emotional and effective debate.
Question put and agreed to.
Resolved,
That this House has considered the matter of guaranteeing the right to maintain contact in care settings.
On a point of order, Mr Deputy Speaker. The shadow Home Office team has been seeking clarity on security breaches involving the Home Secretary and serious discrepancies in the information provided to Parliament. Yesterday, the Prime Minister stated in this House that the Home Secretary
“made an error of judgment, but she recognised that, she raised the matter and she accepted her mistake.”—[Official Report, 26 October 2022; Vol. 721, c. 289.]
That was contradicted last night by the former Conservative party chairman, the right hon. Member for Rossendale and Darwen (Sir Jake Berry), who stated that the Home Secretary was presented with evidence of her breach, rather than proactively reporting it. Similarly, the Home Secretary has claimed the breach related to a written ministerial statement on immigration, but the former Conservative party chairman claimed it related to cyber-security and other media reports state it was a set of Cabinet papers.
The Cabinet Office has now reportedly confirmed that it will investigate neither the circumstances of the Home Secretary’s original departure nor her reappointment. These are questions of national security and are incredibly serious. The public and Parliament deserve answers. Mr Deputy Speaker, this is the latest in a series of attempts to get answers. I ask your advice on how we can compel the Home Secretary to come to this House and answer questions about the accuracy of her resignation letter and the media briefings that have followed.
I thank the hon. Lady for her point of order and for advance notice of it. The Chair does not have the power to compel Ministers to come to the Dispatch Box in the way that she is asking, but there have been previous points of order on this matter and urgent questions—indeed, it was raised at Prime Minister’s questions. I know that the next question time for the Home Secretary is some way off, but none the less I have no doubt that there will be other opportunities for this matter to be raised. Those on the Treasury Bench will have heard the point of order and will ensure that it is brought to the attention of the Home Secretary.
(3 years ago)
Commons ChamberMy right hon. Friend is absolutely right. We have seen that in other areas, for example mental health, where there has been concerted work, including by excellent organisations such as the Mindful Employer Network in my area, to demystify the issue and remove the stigma. Such work allows employers to understand autistic people, some of whom see the world in ways that you and I could not dream of. Going back to my celebratory point, it is all about the potential of people with neurodiverse conditions and what they have to offer.
I congratulate the right hon. and learned Gentleman on the debate and on his cause. It is incredibly exciting that he has chosen this subject to focus on after his ministerial career—not that it is the end of his ministerial career; I am sure it will carry on—and I just want to stress how important it is that we talk about autism and educate people about it. In my constituency, we had a five-year-old boy who was excluded from school. He was on the path to being diagnosed, but had not quite been diagnosed. His classroom was moved around over half-term and when he came back, he did not understand where anything was. He kicked off and was excluded. The language used in the letter to his mother included strange adjectives—it said that he was being “manipulative”—and other language one would not use about a five-year-old, because his teachers did not understand his condition. Now he is in a good school that does understand and he is thriving. He will have a lot to contribute to society. I just wanted to congratulate the right hon. and learned Gentleman and say that I am very happy to support what he is doing.
I am very grateful to the hon. Lady. I think we formed a pact on Sunday night that we would work together cross-party on these issues. There are plenty of others on the Labour Benches—the hon. Member for Stalybridge and Hyde (Jonathan Reynolds) has a similar experience and knowledge of autism—who I know will put their shoulder to the wheel, and that will be incredibly powerful. She has done work on the issue of knife crime. All too often, there is a sad correlation between the isolation of people who might be suffering from anxiety driven by an undiagnosed condition and what I call a cycle of isolation that can often lead to the decision to arm themselves for their own protection. That is an aspect of knife crime—we always think and talk about gangs—that we misunderstand at our peril, so I am grateful to her for taking part in the debate.
I was talking about the golden opportunity we have. We are between the autism strategy as published and the White Paper, which I am waiting for with relish. The Prime Minister knows that that is another issue I will be pressing him and the Government on in the next few months. Many of us identify social care as an issue not just for older people, important though that this, but for adults with disabilities who need lifelong support. They must be part of the mix. More than half of local government expenditure is on adults with disabilities. If we do not pay regard to that in the plan, we are failing. Although I supported and am happy to support difficult decisions on national insurance and on funding issues, we have to make sure that the system that we are funding is well evidenced, produces the outcomes that we all want to see and has an element of accountability that, at the moment, is lacking. People talk about the black hole of health and social care funding. With respect to everybody concerned with that, that is what it feels like to us on the outside, and we have to change. That is why research on care will be so important.
(4 years, 2 months ago)
Commons ChamberNHS Test and Trace is consistently reaching tens of thousands of people who need to isolate each week. In the latest week’s data, 84.3% of contacts were reached and asked to self-isolate where contact details were provided. Since its launch, we have reached over 300,000 people who may have been unwittingly carrying the virus and transmitting it, to ensure that they keep themselves safe and keep their community safe.
I pay tribute to my hon. Friend for everything she has done to stick up for North Devon at this difficult time. I am really pleased that there is no evident increase in covid in Devon as a result of tourism. So many people go to Devon, during the summer especially, because it is such a wonderful place. We must ensure that, through test and trace and through social distancing, which is the first line of defence against this virus, that remains the case.
Covid hit Croydon and the rest of London early and hard, but Croydon has done us proud, and the number of infections has been very low for a number of weeks, thanks to the hard work of the people in the borough. We welcome the move towards more local track and trace, where expertise and local knowledge make all the difference, but as my director of public health said to me, we have just finished the beginning of this thing and we are now starting the next chapter. One of the things that keeps her awake at night is the need for certainty about budgets for outbreak control plans beyond the end of the year. Can the Secretary of State provide some reassurance?
Absolutely. I am glad to hear what the hon. Lady says about the constantly improving integration between the national and local systems. We have worked hard to make that happen, and I am glad to hear that it is happening in Croydon, as it is in other parts of the country. The budgets in that respect are of course important, and we have been clear that financial provision will be made. I cannot make any more definitive statement than that at this stage, but it is of course an important consideration.
(4 years, 6 months ago)
Commons ChamberOf course. As of the week ending 30 April, there were two urgent dental care centres in the Leeds area to provide urgent dental treatment and care for patients on referral either from the patient’s own dentist or from NHS 111. As with all urgent dental care centres, there is also a triage service that will give people advice, antibiotics or painkillers and then refer them through if clinical work is required. There are 308 urgent dental centres open across the country. I regularly talk to the chief dental officer and to the British Dental Association about the needs and requirements in the profession so that we can care for patients in the best way.
It is vital that we find out what groups are most at risk so that we can help protect them. That is why we have asked Public Health England to conduct a rapid review of the different factors that might influence how someone is affected by the virus. Among other things, it will explore age, ethnicity and gender. As our deputy chief medical officer outlined yesterday, this is important but complex work.
I am sure the Minister would want to join me in paying tribute to the staff at Croydon University Hospital and those in our local community for the resilience, bravery and good grace they have shown during this crisis. Over 250 people have died in Croydon, and we are all thinking of their families and their loved ones who will be suffering so much. High levels of deaths in Croydon appear to be down to the underlying health of the population. Although of course it is early days in terms of analysing the data, it is clear that in Croydon covid has disproportionately affected people from black, Asian and minority ethnic backgrounds. Does the Minister agree that on early sight it looks like poorer people, often from BAME backgrounds, are being hardest hit by covid, and that we need to tackle the longer-term underlying health issues that have got us to this place of gross inequality?
It is so important that we do the research before we draw conclusions. Every death is a tragedy. Everybody who has died during this pandemic is somebody’s mum, dad, brother, sister and therefore we owe it to them to give Public Health England and all those researching this area all the support we can, so that we do not rush to conclusions, but draw conclusions that will truly help us to address the pandemic and those who are most affected by it in the right way.
(4 years, 8 months ago)
Commons ChamberFirst, I pay tribute to civil servants across Government, who have worked incredibly hard to put this legislation together. I welcome the content of the Bill and the work that the Government are undertaking. But I want to focus my remarks on housing, because there are massive holes in today’s proposed legislation when it comes to protections for the millions of people who rent, not own, their home. I am basing my remarks on the amendments that have, in the last 15 minutes, been published by the Government. We have absolutely no time properly to scrutinise them.
These are very difficult times for all of us in this country, but the risk of losing one’s home is surely too much to ask anyone to bear at this time, on top of everything else. The Government themselves have acknowledged that with their action on mortgage holidays. The Labour party, and my right hon. Friend the Member for Wentworth and Dearne (John Healey) in particular, published draft legislation last week to protect renters, which would have gone much further than the Government have gone today. There is an overwhelming case for action: 20 million people in England rent, 6 million of whom have no savings whatsoever.
Last week, Shelter estimated that 50,000 households could face eviction through the courts in the next six months, and those evictions do not include large numbers of section 21 no-fault evictions. We have heard of landlords threatening to evict health workers because of the risk of their exposing others to the virus. More alarmingly, some of the 1.5 million people the Government have written to and told to stay at home for 12 weeks could face eviction notices over the coming weeks.
Astonishingly, today’s amendments do not get us to what the Government promised last week, which is a three-month ban. They simply extend the notice period for evictions by one month. That means that, over this entire period, eviction notices will still be landing on people’s doormats. They simply will not be evicted until June instead of May. It is really clear what we need. We need three things: a real ban on evictions for six months; suspension of rents to defer rental payments and allow repayment over a further manageable period; and a substantial increase in support for rental costs through the social security system.
Although I broadly welcome the work that the Government are doing, it would be frankly disgraceful for Ministers to have promised one thing last week and to have misled renters with a promise to ban evictions, when the reality is nothing like that. Will the Minister please tell us what he will do for the thousands of families who could be evicted in the middle of this lockdown? Will we see an immediate suspension of all possession cases? Shelter has draft legislation in place. Will the Minister also protect those families in temporary accommodation and bed and breakfasts and listen to the Children’s Commissioner’s call and pay attention—
(5 years, 6 months ago)
Commons ChamberMy hon. Friend is absolutely right about that: early diagnosis is critical to improving the proportion of people who survive cancers, because of course it is easier to treat people if diagnosis is early. We are reviewing all cancer screening programmes because they are not working well enough; the National Audit Office set that out in some detail recently, and we accept those findings. We want to get early diagnosis and screening right, and it is a top priority for the new Public Health Minister, my hon. Friend the Member for South Ribble (Seema Kennedy), to make sure we do so that more people can survive.
As the Secretary of State said, last weekend marked a year since the death of Tessa Jowell. We all heard the moving interview that Jess did at the weekend, which showed the commitment that she still has for taking on this issue and fighting for her mother’s legacy. On 19 April last year, we were in this place for a Back-Bench debate, with Tessa sitting in the Under-Gallery. I had sponsored the debate, alongside the right hon. Member for Old Bexley and Sidcup (James Brokenshire), and I should also like to thank you, Mr Speaker, for helping us at that time. We heard many moving speeches, and we were all glad to be there to pay our tributes to Tessa.
I am privileged to sit on the board of the Tessa Jowell Brain Cancer Mission, and I want to thank the Department of Health and Social Care for its support and for the roll-out of the pink drink that we have all been talking about. That is one of the many important initiatives that the mission has prioritised. Will the Secretary of State give us his assurance that the Department will provide the same amount of support and commitment to the other initiatives that we have identified? He has talked about some of them. They include the national roll-out of the integrated multidisciplinary care model, support for the first adaptive trial for brain cancer and the Tessa Jowell fellowship programme for oncologists. The NHS is one of the few care systems in the developed world that does not train or employ experts in brain tumour treatment. Rather, brain tumour patients are typically cared for by colleges and radiologists who predominantly treat other cancers. This strategic programme is really important, as it will revolutionise the skills in the health service to tackle this difficult problem.
Finally, I worked for Tessa Jowell, and I also worked for Mo Mowlam. They were two of the most powerful, wonderful women in this House, and they both had brain tumours. We need to find a faster cure, to ensure that people with brain tumours live well for longer so that women like those two amazing parliamentarians can continue to contribute for much longer. I thank the Secretary of State for the work that he has done, and I ask him to carry on doing it.
The hon. Lady expresses the thoughts of the whole House. She, too, has done an awful lot. I should of course have mentioned my right hon. Friend the Member for Old Bexley and Sidcup (James Brokenshire), who used his enforced sabbatical from the Cabinet due to cancer to push this agenda. I add his name to the tributes. It is absolutely true that campaigners on this subject who have had personal experience of brain cancer either themselves or in their loved ones and friends, as I have, feel very strongly about it, and this is absolutely not the end of the drive. I wanted to update the House on what we have done in a year, but there is still plenty more to do.
(6 years, 5 months ago)
Commons ChamberPerhaps when the Minister responds to the debate she can tell us which amendments the Government would accept if they could get their write-around sorted out in time—[Interruption.] The Minister indicates “none” from a sedentary position, but that is absolutely not what the Government communicated to me yesterday. They said to me yesterday, “I wish we had seen these amendments earlier.” The Minister’s indication flies in the face of that.
Members have had six months to table amendments, so perhaps the hon. Gentleman could have speeded up the tabling of his.
I support my hon. Friend the Member for Croydon North (Mr Reed) and his Bill, but there is a suggestion that it needs to be improved, and we must of course all look into what improvements could be made. I should point out, however, that the organisations that support the Bill in its current form include the Royal College of Psychiatrists, the Royal College of Nursing, the Care Quality Commission, NHS England, YoungMinds, Mind, Agenda, Rethink Mental Illness, Inquest, the GMB and Unison. With all those very good organisations supporting the Bill, perhaps we can try to make progress today.
I do not believe the hon. Lady has been present throughout the debate; had she been, she would have appreciated that we all support the Bill. The hon. Member for Croydon North supports the Bill in its current form, but it has become apparent during the debate that he actually agrees that it would be improved by the inclusion of amendments 11 and 12. It is a question not of whether we support the Bill—we all support it—but of whether we get a Bill that is fit for purpose, and if we pass the best possible Bill. The point is that once these provisions have passed through the House, that will be it: the Bill will move off the House’s agenda, and we will not have another chance to do the great things that the hon. Gentleman is trying to achieve. We have to get it right this time, because otherwise the opportunity will pass. Those two absolutely key bits of training to prevent what happened to Mr Lewis from happening to other people need to be provided for in the Bill. To be perfectly honest, it is blindingly obvious to anybody that they need to be in the Bill.
(6 years, 7 months ago)
Commons ChamberI beg to move,
That this House pays tribute to the work of Baroness Tessa Jowell in her campaign to help people with brain tumours to live better lives for longer; recognises the Government’s increased funding for research; and calls on the Government to increase the sharing of health data and promote greater use of adaptive clinical trials.
May I start by thanking you, Mr Speaker, after what has been a very busy week, for being here today in the Chair? I know you have two interests here today. One, obviously, is your friendship with Tessa, but there is also your interest in brain tumours, having set up the all-party parliamentary group on brain tumours. We are all extremely grateful that you are here.
I also thank the co-sponsors of the debate, the right hon. Member for Old Bexley and Sidcup (James Brokenshire) and the hon. Member for East Dunbartonshire (Jo Swinson)—unfortunately, she cannot be here today—and all the Members who helped us secure the debate. I also thank all those who have gone before us in the all-party parliamentary group—people who have spoken many times in this place with greater knowledge than I on brain tumours and cancers. I also thank the Secretary of State and the shadow Secretary of State, my hon. Friend the Member for Leicester South (Jonathan Ashworth), for being here today—it means a lot to us all.
This is a really important debate about cancer. My father died of cancer—of mesothelioma—last June, three days after I was elected to this place. No one here is not touched by cancer. However, I want to start by talking about Tessa and to tell Members a story about her.
To say that Tessa is determined in the face of adversity is a major understatement. In early 2001, she had a thought: that we should bid for the Olympic and Paralympic games. Now, if hon. Members remember, we had had the Millennium Dome, we had had Wembley stadium, we were 10th, I think, in the medals table in 2000, and we had been even worse the time before. We had quite a low opinion of ourselves in terms of our ability to construct and in terms of sport.
However, Tessa read everything there was to read, and she convinced herself that it was a good idea. She then set about convincing everybody else. She was faced by a Cabinet and a public who had no faith in this idea at all. She went round every single member of the Cabinet, one by one, and personally persuaded them that this was a good idea. She turned the entire Cabinet to her view.
She then threw herself into the bid, making sure that every single diaspora community and every sports group felt that this was exactly what we should be doing. She went to the Mongolians’ national day archery demonstration; she went to the Indian craft and shooting competition. She supported community groups all over the country. She would go and talk to a group of children about how they would directly benefit, and then she would dash across the country and deliver a wordy lecture to a load of economists about the evidence base for sporting-led regeneration.
In the midst of this mayhem, she would go on holiday, but not like the rest of us would go on holiday. She would take herself off to Mumbai, where she volunteered for a charity that taught sport and life skills to children who were homeless in the slums of Mumbai. She was offered a hotel room, but she slept in a tent. Two weeks later, she would come back, after spending every day in the boiling heat helping other people, and she would feel refreshed and do round 2 of the Olympics, and we all remember what an absolutely glorious time that was, how proud of our country we were and what an achievement it was.
Now, Tessa has a new course, which has been brought about by her personal experience of a brain tumour. She has thrown herself into the campaign for people to live longer lives with cancer with exactly the same relentless optimism and total bloody doggedness as she did with the Olympics. When faced with this woman who walks through walls, never gives up and always gets what she wants, we could almost feel sorry for cancer.
Last May, Tessa was diagnosed with a high-grade brain tumour, called GBM, or glioblastoma. This type of cancer, like many brain cancers, is very aggressive and very difficult to treat. Life expectancy for patients is very poor and has not improved in decades. Some 60% of people diagnosed will die within one year, and yet only 2% of the funding for research goes to study brain tumours.
In January, Tessa led a very moving debate in the House of Lords, which I am sure we all watched. She talked bravely and openly about the reality of life with a brain tumour, but she talked of hope; she talked of hope for cancer patients across the world—hope that the revolution we need is close at hand, and hope that we can live well together with cancer. I am sure that that debate had a big impact on us all—people across the country and colleagues across both sides of the House. Today’s motion recognises the tireless work that Tessa has done on this so far. It calls on the Government to improve the use of patient data to drive forward medical advances, and to promote greater use of adaptive clinical trials.
There are lots of reasons for the absence of breakthroughs in brain cancer treatment. Of course, it is partly down to resources but, as Tessa has said, it is not just about money. We need to radically transform the way in which we develop new treatments, two aspects of which I want to mention today: clinical trials and data sharing.
There is a long history of failure in traditional clinical trials for brain tumours and no vital drugs have been developed for 50 years. The proportion of brain cancer patients taking part in a clinical trial is less than half the average across all cancers. Some 97% of brain cancer patients want to share their data to help to accelerate research, yet we still do not have a proper national brain tumour registry.
After her Lords debate, Tessa led an expert roundtable that brought together senior figures from the Government, NHS, industry and research. It was a powerful meeting that set out the key priorities and the innovations that we need. The event helped to secure some really important wins for brain tumour patients, including commitments from NHS England to include people who had been treated for brain cancer in the roll-out of the cancer quality of life metric. Public Health England agreed to work with brain tumour charities to explore greater access to data. The event also coincided with the announcement of £45 million of research funding into brain tumours, supported by both Cancer Research UK and the Department of Health. It is a testament to Tessa that she can invoke such love and respect from colleagues of all sides and still be at the forefront of this process. Only this week she was in the Department of Health at the first meeting of the steering group that is looking into this, chaired by Lord O’Shaughnessy. But there is still a long way to go.
The Government are currently considering a raft of recommendations around these issues. I have two specific asks. First, this situation can only change through a global community working together collaboratively. This international movement exists; there are people who want to do this. We just need the structures in place and the barriers removed.
Secondly, we need a clear and conscious shift to new, more innovative models of treatment and care. We need a culture of research within the NHS, with wider access to adaptive clinical trials. The Cambridge model at Addenbrooke’s Hospital has seen patient involvement in research grow to 80%. That should not be the exception; it should be the norm.
My hon. Friend is making an eloquent and remarkable speech. As I cannot stay for the whole debate, I hope that I may—with the indulgence of the Chair—make a brief intervention to say that Tessa Jowell is an inspiration to us all. On behalf of the shadow Cabinet, I pay tribute to her today. I know that all Members of the House find her bravery extraordinary. She has achieved so much, and we will work constructively with the Government to implement many of the recommendations that my hon. Friend is outlining.
I thank my hon. Friend for those lovely words and for the commitment to all work together, as, of course, we must.
Before I draw my speech to a close, I want to mention one more person by name. Jack Lloyd is 10 and lives in New Addington, in my constituency of Croydon Central. Jack has a brain tumour that is inoperable. His tumour was initially treated successfully but, sadly, another developed. Jack and his parents are facing the worst horror imaginable. He was only diagnosed after his mother, Claire, typed “child with persistent vomiting” into Google, and the HeadSmart campaign run by the Brain Tumour Charity came up. Claire told me that she did not for one second think that having a brain tumour was even a possibility for children; it was not something that she had come across before. In fact, brain tumours are the single biggest cause of cancer death among children. Some 7,000 children and young people are currently living with the disease. Jack’s experience is not unique. Almost half of patients with brain tumours are diagnosed by emergency admission, compared with only 10% of cancers overall.
Jack and his family are strong, and they are doing everything they can to give him the best possible time in the time that they have. He was a mascot for Crystal Palace at Selhurst Park in March. Claire has other surprises planned, but I do not want to say what they are in case Jack is listening. Jack’s family have worked with the Brain Tumour Charity to spread the message that tumours exist; that people need to know more; and that we need to improve funding, data sharing, and developing new treatments. Claire’s message to this place is that her son cannot die in vain. That is a powerful call to action—and one that I know we will all hear.
It is knowing Tessa, having worked for her on the Olympics and since being her friend—she helped me get to this place and gave me massive support—that brought me to the issue we are debating today. There is something uniquely pervasive about cancer. But perhaps it is precisely because it is so pervasive that there is hope, because the battle is personal to so many people. That is why I am confident that, with the good beginning that the Government have made, real progress will be made today and beyond.
I know that the debate we are about to have will be difficult. People will be talking about their personal experience and the lives of their constituents. I know the debate will be comradely, because that is what Tessa would want—she always believes the best in people and never assumes the worst. I know that some of what we say will be hard. This will be an emotional debate, but one rooted in determination: for Tessa; for my dad; for Jack.
I should like to thank everyone who has spoken so eloquently and movingly today. I cannot name everyone in the time remaining, but I often stand in awe of the Members of this House, and no more so than today. We have had quite a harrowing week in this place, and it has sometimes been quite dark and difficult. There has been a lot of shouting. However, we have closed the week by talking about human kindness, compassion, love and hope. That is what a drop of Tessa magic does for this place. When I saw Tessa just before the debate, she said that this was not about her or about us, and that she wanted it to be about what comes next and what we should do. I hope—and I have faith—that the Government will prove that Tessa’s model of collaboration is more effective than the model of confrontation that we have unfortunately seen so much of this week.
I have here a note from Tessa that I would like to read out. This is odd, because she is just over there, and she could say this herself, but I shall read out a little bit of what she wanted me to say today:
“Living with cancer has taught me so much. I have been so lucky to be surrounded by such love from my family, friends and fellow cancer patients. And today, hearing so many of you talk about your own fights, reminds me why I love this Palace of Westminster and the people who work here. It was a brilliant Member of this House, who spent far too short a time here, who said ‘we have far more in common than that which divides us’, and today shows how much we can do when we all put our shoulders to the wheel. It was the honour of my life to be one of you, and I shall cheer on from the sidelines as you keep fighting the good fight. So remember our battle cry: living with, not dying of, cancer. For more people, for longer. Thank you.”
In rounding off these proceedings, before we move to the Adjournment, perhaps I can thank warmly and from the bottom of my heart the hon. Member for Croydon Central (Sarah Jones) for securing the debate, for what she said in opening it and for the manner in which she did so. I think I speak for everybody in thanking all participants in the debate, both those who made speeches and those who intervened with great piquancy and significance—I say that looking directly at the Secretary of State for Health and Social Care, and, in his absence, thinking of the shadow Secretary of State. Their presence meant an enormous amount.
At the outset of the debate, I asserted with absolute confidence that Tessa was about to witness and experience real parliamentary love—the embrace of parliamentary love. I hope that the warmth of that embrace of parliamentary love has been manifest to her. She cannot have been in any way disappointed by it. Tessa, you are the standing testament to the indomitability of the human spirit and we have heard about that from people who know you so well in so many aspects of your life. I am quite certain, although I do not know it from personal experience—I can see it from the impact on those around you—that it is true of you as a wife and as a mother. It is assuredly true of you as a distinguished Member of Parliament—the Member, for so long, for the people of Dulwich and West Norwood. I thought that what your successor said about the affection and esteem in which you continue to be held there was worth everything.
It was most certainly true of you as a Government Minister, the details of which have been lovingly recalled to the Chamber this afternoon. Of course, we all know of the significance of what you did on the Olympics and, if I may say so, the significance of what you did by way of Sure Start and early years opportunity. When I briefly did a little work in a support capacity on speech and language services a decade ago, I trogged around the country—what a privilege it was—and visited huge numbers of such settings. There is absolutely no doubt whatsoever that the work you did and the translation from conception to execution transformed the lives of some of the most vulnerable of our fellow citizens. That is part of your amazing public service legacy.
As somebody who is living with cancer you have shone a light on a cruel curse and the need for collaborative, resourced and unflagging devotion to the effort to tackle that curse. The hon. Member for Croydon Central, quoting your letter, said that you loved this place. I hope that it is blindingly obvious to you, Tessa, that we love you—[Applause.] These breaches of parliamentary protocol are becoming more commonplace, but I think that this week we can rejoice in them.
Question put and agreed to.
Resolved,
That this House pays tribute to the work of Baroness Tessa Jowell in her campaign to help people with brain tumours to live better lives for longer; recognises the Government’s increased funding for research; and calls on the Government to increase the sharing of health data and promote greater use of adaptive clinical trials.