Lobular Breast Cancer: Moon Shot Project Debate
Full Debate: Read Full DebateStephen Kinnock
Main Page: Stephen Kinnock (Labour - Aberafan Maesteg)Department Debates - View all Stephen Kinnock's debates with the Department of Health and Social Care
(1 month ago)
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It is a pleasure to serve under your chairship, Mrs Hobhouse. I thank the hon. Member for Horsham (John Milne) for securing this vital debate. I also thank the hon. Member for Maidstone and Malling (Helen Grant) for campaigning on this topic, following her own diagnosis of lobular breast cancer.
I add my tribute to Dr Susan Michaelis, as today marks one year since she passed away from lobular breast cancer. As a founder of the Lobular Moon Shot Project, she campaigned tirelessly on behalf of women diagnosed with lobular breast cancer and raised awareness for the condition. I also pay tribute to members of the Lobular Moon Shot Project, including Susan’s husband, Tristan Loraine, for picking up the mantle, continuing the important work of the project and carrying Susan’s torch forward.
I recognise the number of charities that carry out important work in this area, such as Lobular Breast Cancer UK, Breast Cancer Now and Cancer Research UK, and all the right hon. and hon. Members who continue to provide support, many of whom we have heard from today.
Lobular breast cancer accounts for 15% of breast cancer cases. However, as we have heard, this form of cancer sadly goes undetected in too many women. We are determined to transform diagnosis and outcomes for patients. Earlier this year, the Minister for Public Health and Prevention, who is the lead DHSC Minister on this issue—I am standing in for her today—and Lord Vallance, the Minister for Science, Innovation, Research and Nuclear at the Department for Science, Innovation and Technology, met representatives of the Lobular Moon Shoot Project. Alongside Government research funders, they discussed the Lobular Moon Shot’s work, listened to the experiences of lobular breast cancer from those who attended, and discussed how to advance research in this vital area.
Following that meeting, last month Lord Vallance hosted a scientific roundtable that brought together a range of researchers, clinicians and industry representatives to identify opportunities to advance research and innovation. At that meeting, attendees agreed that one of the next steps should be to encourage collaborative research and funding applications across multiple existing schemes, including for basic discovery science. I would like to emphasise that Government research funders stand ready to support that work as it progresses.
We acknowledge and share the Lobular Moon Shoot Project’s ambition for researchers to take a collaborative and interdisciplinary approach to addressing the unique challenges of lobular breast cancer. Government responsibility for delivering cancer research is shared between the Department of Health and Social Care, with research delivered by the National Institute for Health and Care Research, and the Department for Science, Innovation and Technology, with research delivered via UK Research and Innovation.
The Medical Research Council primarily supports the discovery sciences and fundamental biological research, which is the focus of the Lobular Moon Shot campaign. Through MRC, UKRI has emphasised its commitment to supporting interdisciplinary team-based research across its funding schemes and highlighted support for collaborative activities to provide a platform on which to build a portfolio of research in this important area. NIHR’s research is complementary to the MRC’s focus, supporting the translation of discovery science into patient benefit.
Through the MRC and NIHR, we are already funding research into lobular breast cancer. For example, a breast cancer screening study is investigating whether a new, faster MRI scan could detect breast cancers earlier. The FAST—first post-contrast subtracted—MRI is a new type of scan that aims to detect cancers, including lobular breast cancer, that may not be routinely picked up by mammograms during a first screening visit. The £1.36 million study is jointly funded by the MRC and the NIHR. Furthermore, with a total investment of £32 million, the Institute of Cancer Research and the Royal Marsden’s NIHR Biomedical Research Centre support lobular breast cancer by combining translational research, precision diagnostics and targeted clinical trials to develop and test tailored treatments.
Promising discoveries are being made. Scientists at the Breast Cancer Now Toby Robins Research Centre at the Institute of Cancer Research have recently discovered a drug, currently being tested in clinical trials for a rare blood cancer, that could also be used to treat lobular breast cancer. Researchers now hope to progress the drug to clinical trials for lobular breast cancer. More widely, we are supporting world-leading research and development to enable the prevention of cancer and to improve diagnosis, treatment and care for people affected by the conditions. Cancer is a major area of NIHR spending. Reflecting its high priority, the institute spent £141.6 million on it in 2024-25. Alongside that, UKRI invested £198 million in cancer research in the same year.
We are investing in the best science, which explores lobular breast cancer both in isolation and in conjunction with other cancers, to maximise the opportunity to share learning and identify possible breakthroughs. Historically, the breast cancer research community has categorised the field around signalling, pathway and molecular presentation on tumours. Rather than naming a particular cancer sub-type, therefore, grants within the MRC portfolio focus on the understanding of molecular mechanisms common to both lobular breast cancer and invasive breast cancer.
We know that more research is needed. That is why both the MRC and NIHR are committed to continuing to support the development of high-quality, fundable research proposals. There are a range of existing opportunities across funders that support this developing portfolio. The NIHR is actively encouraging high-quality, ambitious research proposals on lobular breast cancer, having launched a highlight notice in late 2025 to signal to researchers our interest in funding research into this area.
I think my hon. Friend the Member for Bexleyheath and Crayford (Daniel Francis) was first.
Daniel Francis
I thank the hon. Member for Horsham (John Milne) for securing the debate. I have supported my constituent Emma Hunwick and her campaigning on this issue. It is the third time I have attended a debate on this subject in the two years I have been an MP. I hear what the Minister says about research, but I think what supporters want is assurance that we will not be having a similar conversation again next year. They want confidence that we will have made some progress in the next 12 months.
In a nutshell, what I am trying to lay out is that it is not an either/or question. There is a tremendous amount of work going on to research cancer, including lobular breast cancer, which is a vital subset of that work.
The challenge for us is the idea of ringfencing £20 million, because ringfencing is not the standard process. The standard process is to have applications that are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to the public and health and care services, value for money and scientific quality. If there is a difference of view in the Chamber today, it is whether we have an ecosystem of cutting-edge research, applications and competitive process, based on the principles I have just outlined, or a ringfenced fund.
I have to be absolutely clear and straight with my hon. Friend that currently the Government are not of the view that a ringfencing approach is the right way to go. The worry is that that approach could potentially cut across the ecosystem-based approach that we are seeking to nurture and foster, which we believe will deliver better outcomes in the end.
Helen Maguire
Thankfully, the Minister has clarified some of the issues that I was going to ask about. He says the Government are not necessarily looking to ringfence the £20 million, but are waiting for applications for research. The Lobular Moon Shot Project has already put forward some ideas on research. He has said that he stands ready to support the project, so I would just like some more specific detail. He says that we are waiting for applications for research, but does not what the Lobular Moon Shot Project has submitted or talked about fall within that?
As I mentioned earlier, unfortunately I am not the lead Minister on this issue, so I do not have the most up-to-date information on the proposal that has been submitted. If it is okay with the hon. Lady, I will speak with the ministerial colleague, my hon. Friend the Member for Washington and Gateshead South, and write to the hon. Lady on that subject, providing an update on exactly where the proposal is in terms of the overall process that we have. Have I understood her intervention correctly?
Dr Arthur
I appreciate that the Minister is substituting for another excellent Minister, my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson); I am sad that she is not here, because she is fantastic. We ringfence money for brain tumour research—I know that that community wants more money, so I am not saying it is the gold standard, but we have made that choice, because we recognised the public concern about brain tumours. There is also public concern about lobular breast cancer and the feeling that people who have it are being left behind. It is fantastic that we have better screening coming on board, but ultimately people need treatment if they are diagnosed during the screening process.
The Minister highlighted the fact that there is a competitive bidding process. Is it the case that the bids are not good enough? If that is the case, can we invest money to improve the quality of those bids? As I said earlier, we could bring in better staff, perhaps from overseas, or invest in PhD students to work in this area.
My understanding is that there are bids that are good enough and they are the ones that have attracted funding for research into lobular breast cancer. What I do not know at this moment is precisely where the live bids are and whether they are making the cut in terms of the quality that we are looking for. I will absolutely follow up with my ministerial colleague, and I will write to my hon. Friend on that point.
Sam Rushworth
I think there is a space between the two approaches. As wonderful as the Lobular Moon Shot Project is, I fully respect why the Government say that we cannot allow campaign groups to dictate which universities get x millions of pounds for particular projects, and I see the value of there being a peer-reviewed process through a competitive ecosystem. However, there is a space where we can go beyond a highlight notice, whereby the Government could specifically say, “We want research that will answer these specific sets of research questions.” I wonder whether that is something that he could take back to his colleagues for consideration.
I will absolutely take that suggestion back. I understand my hon. Friend’s point about having a specific call for proposals. I will discuss it with my hon. Friend the Member for Washington and Gateshead South and get back to him.
Our approach to funding research is through open and fair competition and peer review to ensure that the highest-quality proposals most likely to deliver real impact for patients are funded without imposing financial targets or limits. We also recognise that international research co-operation is fundamental to driving medical breakthroughs and saving lives. That is why the DHSC participates in and influences the EU cancer mission, which aims to improve the lives of more than 3 million people affected by cancer by 2030 through multi-country research calls and activities. For breast cancer, that includes a focus on driving screening innovation, including the MammoScreen project, supported by UKRI, which is developing safe, non-invasive, microwave-based imaging for more accurate screening.
The Government’s national cancer plan for England, published earlier this year, sets out our ambition to improve cancer outcomes and ensure that by 2035, three in four people diagnosed with cancer survive for five years or more. Research, innovation and earlier diagnosis are central to achieving that ambition. We know that too many women with lobular breast cancer face delays in diagnosis because it can be more difficult to detect. That is why the work being championed by the Lobular Moon Shot Project is so important.
The cancer plan recognises that improving outcomes depends on strengthening research, supporting innovation and bringing together researchers, clinicians, charities, industry and patients to tackle some of the biggest challenges in cancer care. That spirit of collaboration is exactly what we have seen through the Lobular Moon Shot Project. Through continued engagement with campaigners, researchers and patients, we want to support progress towards a better understanding of lobular breast cancer, and ultimately improvements in diagnosis, treatment and outcomes for the women affected by it. More broadly, the plan is about improving not only clinical outcomes, but people’s experience of cancer care. Through more personalised support and better co-ordinated services, we want to ensure that every patient receives high-quality care and support throughout their cancer journey.
The ambition of the national cancer plan is clear: to combine the strengths of our NHS, our research community and our life sciences sector so that patients benefit from the very best cancer care. That includes people living with lobular breast cancer who deserve the same progress, hope and opportunity as every other cancer patient.
The DHSC was pleased to discuss the issue of NHS breast cancer screening at the petitions debate opened by my hon. Friend the Member for North Ayrshire and Arran (Irene Campbell) last month. The NHS breast screening programme offers all women in England between the ages of 50 and their 71st birthday the opportunity to be screened every three years for breast cancer, to help detect abnormalities and intervene early to reduce the number of lives lost to invasive breast cancer. In addition, some younger women at increased risk of breast cancer because of genetics or their family history are eligible for earlier, more frequent screening, sometimes using MRI rather than mammogram.
We are also investing in research to improve the early diagnosis of breast cancer through the early detection using information technology in health, or EDITH, trial, which is backed by £11 million in Government support via the NIHR. Almost 700,000 women from across the country will take part in the trial to test whether using AI to support radiologists increases the number of cancers detected in women taking part in the national breast cancer screening programme. The trial will evaluate multiple AI technologies to assist radiologists in screening mammograms for signs of cancer. It may enable one specialist to complete the process safely, freeing up hundreds of radiologists to tackle waiting lists and rising cancer rates.
My message to the research community is clear: research funding remains available, and that funding does not have a ceiling. We know that recent advances in technology and data science create a timely opportunity to accelerate progress. Our investment in research means that the UK is well positioned to lead research on this topic. We will continue to strongly encourage research applications. We stand ready to support the research community to develop and submit high-quality, ambitious proposals in remit for review.
Our belief is that that approach will maximise the opportunity of seeing major steps forward in delivering better outcomes for those with lobular breast cancer through research. I thank all hon. Members and you, Mrs Hobhouse, for your time today.