Oral Answers to Questions

Debate between Stuart Andrew and Iain Stewart

Wednesday 14th March 2018 Commons Chamber

[Stuart Andrew]

My hon. Friend is absolutely right: it is this Government who have being bringing in the investment in our rail infrastructure, and the M4 corridor really does need solving. Many people and businesses across south Wales have been calling for that for a very long time and, frankly, it is time that the Welsh Government got on with it.

[Iain Stewart (Milton Keynes South) (Con)]

May I urge my hon. Friend to look at the evidence received by the Select Committee on Transport? We heard that the new bi-mode class 800 trains will run to the same timetable, whether they operate on diesel power or on electric, so there will be no loss of service by not having the lines electrified.

[Stuart Andrew]

My hon. Friend is a great expert in transport matters and he is absolutely right that having those lines above the train will not improve performance. What passengers want is to be able to get to their destination reliably, and that is what we are going to bring back.

Oral Answers to Questions

Debate between Stuart Andrew and Iain Stewart

Wednesday 31st January 2018 Commons Chamber

[Stuart Andrew]

That is exactly why we made the announcements in the Budget. Now, households who already claim housing benefit will automatically receive an additional two weeks of housing benefit when they claim universal credit. We are responding to the lessons that we are learning, and we will continue to do so as we roll out the project.

[Iain Stewart (Milton Keynes South) (Con)]

I warmly welcome my hon. Friend to the Dispatch Box. May I urge him, in looking at the administrative changes to universal credit, not to lose sight of the overarching goal, which is to have a simpler welfare system that actually encourages people into work—a far cry from the old system that it is replacing?

[Stuart Andrew]

I am delighted to take a question from my hon. Friend, and I mean that in the sincerest sense. He is absolutely right. Unemployment in Wales is currently 73,000, which represents a decrease of 52,000 since 2010. People are going back into work because universal credit is encouraging that. Under the old system, people who worked a minute over 16 hours would lose their whole jobseeker’s allowance. There was no incentive to get into work, which is why we have introduced this new system.

Homophobia in Sport

Debate between Stuart Andrew and Iain Stewart

Wednesday 30th November 2016 Westminster Hall

[Stuart Andrew]

I am grateful for that intervention and I certainly agree. We can look at some of our successes—I think of the England women’s football team and the British hockey team—which are fantastic, but we need to encourage more choice in sport for all genders.

The perception that Sue Day spoke of is widely expressed in sport at all levels by professionals and spectators alike. I cannot emphasise enough how welcoming and inclusive sport is becoming, and much credit for that must go to the spectators. The vast majority of fans find the shared bonds of loyalty to their team far more important than anything else, but we must aim for the best on the field as well as off it. There is clearly some significant work to do.

I do not want to be perceived as being only critical of the situation in our sports clubs and among our spectators, because I am not. There is much good practice from clubs and governing bodies and great examples of spectators working together on the issue, but we need to pull all of that work together. When clubs get behind such initiatives they can have a huge impact, but we need some national direction. I would be interested to hear from the Minister on what the Government are doing in that respect and what progress there is from national governing bodies.

A great deal of good work being is done across the country by fans, clubs, coaches, professional leagues and governing bodies, but now is the time to bring that together. With the Select Committee on Culture, Media and Sport undertaking an important inquiry on this issue, we must build on the momentum to take a bold and strategic step forward so that we can start tackling the problem at all levels.

[Iain Stewart (Milton Keynes South) (Con)]

I congratulate my hon. Friend on securing this important debate. I agree that some central direction is necessary to bring together all the good work happening at club level. One thing that prevents senior sporting stars from coming out is a feeling that they might lose corporate sponsorship if they were to reveal their true sexuality. Would it not be useful for the big corporate organisations to say it would not matter a jot to them or affect sponsorship if a footballer or rugby player or whoever decided to come out?

[Stuart Andrew]

My hon. Friend makes a valid point. In some aspects of sport—I will come on to football in a bit—huge amounts of money are spent on sponsorship, and I can understand why some players may fear that that would be a problem. He makes a strong point that I think all sponsors need to think about when drawing up those deals.

To come back to the inquiry that is happening at the moment, I commend the previous Culture, Media and Sport Committee report into racism in football, which also highlighted the prominence of homophobia in football and has done much to bring the issue into the open. I look forward to the important report from the current inquiry. Its terms of reference touch on some of the things I will raise, including looking at the experience of gay sportsmen and sportswomen and what those tell us about different sports and the progression of attitudes in general; the approach of governance bodies throughout sport; and how homophobic abuse compares with other forms of harassment.

I will also look at how successful governing bodies have been in tackling the issue; how homophobia is being tackled at school; what action is being taken by teachers and coaches involved in youth and amateur sport to ensure homophobia is challenged at an early stage; and whether football has a particular problem with homophobia in comparison with other sports. I will outline some of the problems that we still have in sport, including the effect on athletes, the potential loss of great talent, and the general lack of participation and the drop-off rates among LGBT athletes.

One thing that triggered my effort to secure the debate was a recent BBC Radio 5 live survey. I have to say that it included some positive figures, but one thing that struck me was the finding that 8% of football fans would stop supporting their team if one of its players came out as gay. The majority were obviously positive about it, but when we consider the huge number of spectators who go out and watch football every weekend, 8% is a significant number. Knowing how passionate and loyal many supporters are about their teams, the fact that something like that was a trigger to stop them supporting their team alarmed me.

The “Out on the Fields” report is one of the world’s biggest studies of homophobia in sport. It studied gay and straight people worldwide. Statistics from the UK in the survey showed that 77% of participants have witnessed or experienced homophobia in sport; 85% believe that an openly gay person is not safe as a spectator; the most likely location for people to hear abuse in sport is in the spectator stands, followed closely by the school PE class; and that most people surveyed believe that sport is more homophobic than the rest of society.

Complex Regional Pain Syndrome

Debate between Stuart Andrew and Iain Stewart

Tuesday 9th July 2013 Westminster Hall

[Iain Stewart]

I have much sympathy with what the hon. Gentleman says, and if he bears with me, I will address training and research funding a little later.

The NHS Choices website sets out the quality of care and treatment that CRPS sufferers should receive due to the complex nature of the condition. My constituent should have been provided with a care team comprising a physiotherapist, an occupational therapist, a neurologist, a psychologist, a social worker and a pain relief specialist. He informed me that he has not received such care, as most health professionals whom he has encountered do not even know the condition’s acronym.

That leads me to my principal argument. If NHS clinicians do not sufficiently understand the condition, how will they be able to diagnose it properly and ensure that patients are adequately treated and cared for? The NHS Choices website says that it is hard to estimate exactly how common CRPS is because many cases go undiagnosed or misdiagnosed. I think the hon. Gentleman was referring to that point.

My constituent contends that possibly 250,000 people in England have not been properly diagnosed. He is understandably impassioned about the issue and has been carrying out his own research using American sources—it appears more research is being conducted into the condition in America.

From my own research, I learned from one study that as many as one in 3,800 people in England may be affected by CRPS. Therefore, going by the 2011 census estimates, 14,000 people could either have been misdiagnosed or remain undiagnosed. Although that might appear to be a small number by comparison with my constituent’s estimate, it does not diminish the issue’s importance.

The core principles of the NHS state that good health care should meet the needs of everyone and should be based on clinical need. Kevin Scardifield is unable to do the everyday things that other people take for granted. He was a police officer before the onset of the condition—a profession he greatly loved but had to give up. So debilitating is the condition that, by the middle of last year, he had been able to leave the house only six times, which was just for a few yards to the GP.

I am sure that Members can appreciate why this is such an important issue and why Kevin Scardifield has been campaigning hard for proper diagnosis and treatment. Since he made me aware of the condition, I have made a number of representations to the Department of Health, the local hospital, the primary care trust—now the clinical commissioning groups—and even the Department for Work and Pensions.

I am grateful to the Minister and his predecessor, the right hon. Member for Sutton and Cheam (Paul Burstow), for their replies to my constituent’s concerns when I brought them to their attention. Had my constituent felt that his concerns had been fully addressed, however, we would not be having this debate, so if the Minister will forgive me, I will raise a number of specific issues. First, as I have mentioned, people are either being misdiagnosed or remain undiagnosed because NHS clinicians do not appear to have sufficient awareness of the condition.

[Stuart Andrew (Pudsey) (Con)]

I congratulate my hon. Friend on raising the issue. Although I take an interest in health issues, CRPS is new to my attention. Only today, I was contacted by a lady from Leeds who is a sufferer, and listening to her story was very harrowing. Is my hon. Friend surprised, as I am, that there is only one specialist centre in the UK? That centre is in Bath, which is a long way from many places. If CRPS is diagnosed early, there is a high chance of it going into remission, which would be great for the NHS and, more importantly, for the patients involved.

[Iain Stewart]

My hon. Friend makes an important point, and I suspect that if we spoke to all our colleagues we would find that they, too, have been contacted by constituents with this condition. One of the points that I will make in a few moments is on the need for greater research and specialist services, so that the types of benefit that he rightly describes can be identified and delivered.

Secondly, the number of people diagnosed with the condition is unknown. Indeed, the Department of Health has informed me that it does not hold such records. My constituent informs me that, in 2010, he was told by NHS Direct that just over 11,000 people had been diagnosed in the United Kingdom. In 2012, he came across some information in the CRPS guidelines prepared by the Royal College of Physicians that quoted research suggesting a higher incidence of CRPS in Europe. On the back of that, he again contacted NHS Direct, and this time he was informed that it had been ordered to stop keeping records and to delete existing ones, as that responsibility would be undertaken by the Office for National Statistics. The ONS, however, replied that no such responsibility had been passed to it. Will the Minister clarify that issue and assure me that there is a strategy in place adequately to capture the number of people being diagnosed with CRPS? Will he also look into claims that specialists are failing to highlight the seriousness of the condition, particularly its potentially degenerative nature?

Thirdly, there does not seem to be an agreed pathway within the NHS for the treatment and care of those diagnosed with the condition. If there is, it was not reflected in the care that my constituent received. Will the Minister ensure that all NHS trusts and clinical commissioning groups follow the guidelines?

Fourthly, compared with the United States and other European countries, we are not doing enough to research the condition with a view to finding a cure and ensuring an improved quality of life for CRPS sufferers. While preparing for this debate, I observed that there was more information on the condition on US-based websites than on UK-based ones. I have also been unable to find UK charities or support groups for CRPS. Everyone can be proud of the fact that since the start of modern clinical trials, 39,179 trials have been made or are in progress to find a cure for cancer. The UK has carried out about 2,299 of them. The UK Charity Commission has 976 cancer charities on record, and the NHS spent more than £375 million between 2008 and 2012 on researching a cure for cancer. Clearly, that is a wonderful amount of research, but during the same period, only 76 trials on CRPS have been conducted worldwide. Holland, with a population of just over 16.5 million, has carried out three trials, and Switzerland, with a population of 8 million, has carried out two. The UK has a population of more than 60 million, yet I have been unable to locate a record of our carrying out any trials.

In addition, the NHS does not appear to have invested much in researching CRPS. I understand that one project was carried out last year in Bath, to which my hon. Friend the Member for Pudsey (Stuart Andrew) referred, but it was not aimed specifically at finding a cure, and it was funded by an American charity. Will the Minister look into funding for more UK research into the condition? Specifically, will he consider my constituent’s suggestion that a post be created within the Department of Health for a CRPS officer to liaise with specialist clinics around the world to collect, collate and disseminate papers and studies on the condition? My constituent explains that it would prove useful, as it was not until 19 years after the US first stated that guanethidine blocks were ineffective on RSD sufferers that our own specialists came to the same conclusion.

I hope that the Minister will address those matters when he replies, and I hope that this debate will help draw attention to this important issue, so that more people are properly diagnosed and adequately treated. I also hope that I have been able to do justice to the needs of sufferers such as my constituent. May I suggest that the Minister find time at some point in future to meet them, so that he can properly understand the sheer pain and agony that they face?

Prisons (Property) Bill

Debate between Stuart Andrew and Iain Stewart

Friday 14th September 2012 Commons Chamber

[Stuart Andrew]

No, I am most certainly not suggesting that. However, I hope that the Bill will finally allow prison governors to sell such property, and then donate the money to charities such as Victim Support, perhaps. In that way, the proceeds of those criminal activities could go back to the victims who have suffered at the hands of those prisoners.

[Iain Stewart (Milton Keynes South) (Con)]

I add my congratulations to my hon. Friend on securing this slot. Further to the proposals to sell those items and give the proceeds to charity, he might like to know that certain charities can use old mobile phone handsets, in this country and in developing countries. Might that be an appropriate way of disposing of them?

[Stuart Andrew]

My hon. Friend, as ever, makes a wise contribution. That suggestion is also of great merit. It would be good that those items could be used in that way, and we will certainly consider his suggestion as the Bill continues through the House.

The situation is not only ludicrous from a legal point of view; it sends out entirely the wrong message. Unauthorised items can prejudice safety and security in prisons, and there have been instances of their being linked to serious crimes. Mobile phones, for example, have been used to organise crimes including murder, drug dealing and witness intimidation, and to access social networking sites.

When I was researching these matters, I was astonished to see the amount of mobile phone communication that had taken place from prisons. I have some examples here. Murders have been carried out from prison. In April 2006, Andrew Wanogho was shot dead in a London street in the early hours. The culprit had a cast-iron alibi; he was in jail at the time. The fact that he was on remand in Belmarsh prison had not prevented him from co-ordinating the murder using a smuggled mobile phone, however. Even more shocking is the fact that he rang the victim’s mobile phone after the shooting to check that his rival was dead. It is astonishing that such activities are going on in our prison system. In September 2007, Ryan Lloyd was jailed for life for the murder of Liam Smith, who was shot dead outside a prison in Liverpool in 2006. Lloyd had used a contraband mobile to call an accomplice. In 2009, another gang leader was jailed for organising the murder of a 17-year-old man from his cell in a prison in Humberside.

Drugs have been sold from prison. One drug dealer was behind bars in a prison in Lewes when he realised that he had a captive market, using the fact that there are drug addicts in the prison system. Before his imprisonment, he had been part of a small heroin and cocaine distribution ring based around Worthing. Once inside, he not only continued to run the business, issuing instructions to his team by mobile phone, but expanded his operation to include the prison itself. Packages of drugs were hidden in socks and thrown over the prison walls, to be collected by inmates at pre-arranged times. That was all made possible by the fact that he had access to a mobile phone.

We then come to intimidation from prison. I have a constituent whose 16-year-old son was murdered by a gang of 30 youths. Four of them were prosecuted, but one escaped to Pakistan. He has taunted my constituent from there on Facebook, telling her how much he was enjoying his freedom. That has been terribly difficult for her, because it means that she can never really let go of that horrible day. Let us imagine, therefore, what it must be like to get that kind of intimidation from someone in prison. I think that it would add insult to injury. That happened two years ago, when it emerged that one of Britain’s most dangerous gangsters was using Facebook to threaten his enemies from his high-security prison. The gang boss, who had been locked up for 35 years, was able to correspond with up to 565 “friends” on Facebook for more than two months, until the page was shut down. Some of the things he wrote were, frankly, astonishing. He wrote:

“I will be home one day and can’t wait to look into certain people’s eyes and see the fear of me being there. It’s good to have an outlet to let you know how I am, some of you will be in for a good slagging and some have let me down badly and will be named and shamed”.

The fact that this has come from within the person’s cell is horrendous.

The taunting of victims’ families from prisons is another problem. One of the killers of 16-year-old Ben Kinsella used his Facebook page to taunt his victims’ families from behind bars. He boasted that he was “down but not out”, and for his profile picture he mocked up a T-shirt emblazoned with his face and the slogan “Free Jade Braithwaite”. From his cell, he wrote how he wanted “remote control” so that he could

“mute or delete people when I need to”.

Ben’s sister Brooke, who is 28, said at the time:

“My family and I are appalled that Jade Braithwaite is able to operate a Facebook page from inside prison—and to use the site to protest his innocence is really upsetting. We are disgusted by the comments on the site and feel it is a real insult to Ben’s memory.”

We are letting down these families if we do not deal with this problem. I have more quotes, which I may come back to later, but that gives a flavour of the real problem and its effect on the families of victims and on the victims themselves.

Phones today are not just instruments of communication; they often have cameras and recording devices. Pictures can be taken from inside prison and communicated outside, which could facilitate the opportunity to escape or help with smuggling drugs and other contraband into prison. What message does that send to victims, particularly when we have to store these items if they are found?

There is a real effect on prison discipline. Some items of property may not be illicit in themselves but have not been authorised for possession by a prisoner, including items that might have been smuggled in by visitors or obtained from another prisoner. Currently, too many prisoners use the lack of legislation to their own advantage. Prison officers discover items, but prisoners know that no legislation is in place to allow their destruction and demand that the items are put in storage. That is bad not only for good order, but for the morale of staff who work in the prison.

Glyn Travis of the Prison Officers Association states:

“The POA welcome this Bill and believe it is long overdue. Staff do get frustrated when they work hard to confiscate contraband and are then taunted by prisoners who use the loophole and force staff to store the property for them when they are released. This has a knock on effect and cost to the tax payer as property has to be transferred if the offender is. If property is classed as illegal/contraband, it should be destroyed and not stored. If the loophole is not closed compensation claims may arise if property is lost.”

If we do not pass the Bill today, we will let down the people who work so hard for us in those prisons.

The impact on resources within the prison system is another issue. When I was doing research for this Bill, I visited HMP Leeds—I hope it will prove to be the only time I go there—which is an extremely large and imposing Victorian building in which space is at a premium. I am extremely grateful to all the prison staff who gave up a considerable amount of their time to talk me through the process of prisoners entering the prison and to explain the many issues they face daily. They also told me what the problems were in the prison system.

As many Members will know, when prisoners arrive from court they must declare the items they have on them, and those that are permitted in the prison are listed on a card for the records. Prisoners are allowed to keep some of the items on them, and some will be stored. That is legitimate, and the Bill does not deal with those items. Others, such as mobile phones, are not allowed, but as long as prisoners have declared them in the court, they will be listed on a second card and stored until the prisoners are released. Storing the legitimate items is demanding enough given the number of people who are involved in the prison system, but the pressure is increased by the fact that prison staff are forced to store all the unauthorised items as well. It is estimated that storing the tens of thousands of mobile phones alone costs about £20,000 a year.

--- Later in debate ---

[Stuart Andrew]

I believe that the items are destroyed after 12 months. As for their being stolen, my hon. Friend tests my knowledge. I did not ask prison officers that question, but perhaps I will go back to Leeds prison and ask for an answer. Again, I shall be happy to give my hon. Friend some clarification.

I hope all this demonstrates that although the Bill is not particularly extensive it is long overdue. It is intended to reverse an outrageous and perverse position by creating a statutory power for governors to destroy or dispose of unauthorised property. It is also retrospective in nature in that it enables the destruction, or other disposal, of certain items of property that were seized prior to the commencement of its powers and which remain unclaimed six months after commencement. This measure applies to cameras, sound-recording devices and electronic communication devices, including mobile phones, and their component parts. It is illegal to take all those items into prison, and they are items that cause particular concerns with prison security.

It is considered that this retrospective application is fair and in the public interest. It is a limited power, and will finally enable the Prison Service to deal with the 41,000 mobile phones that are currently held in storage. During the six-month period I have just mentioned, prisoners will be able to make representations against an item’s destruction. All such representations will be considered, but it is right that the power is given so we can deal with this problem.

[Iain Stewart]

Under clause 1, the governor or director of a prison may dispose of property where the ownership “cannot be ascertained.” Is there a defined process and time limit for that? I ask that because I am concerned that my hon. Friend’s otherwise excellent Bill may be undermined by there being a loophole that prisoners could exploit. He may not have the answer to my question at his fingertips now, but I ask him to reflect on this point as the Bill progresses.

Homophobic Bullying (Schools)

Debate between Stuart Andrew and Iain Stewart

Tuesday 12th June 2012 Westminster Hall

[Iain Stewart]

I do not want to over-egg things. I was not physically bullied and the verbal bullying that I experienced was very mild and short-lived, but I was perceived to be different and it left deep scars. It was enough to make me feel isolated and introverted, and it took me a very long time to overcome. It is clear from the research that Stonewall and others have done that those consequences of bullying can severely impair a young person’s academic and social development. Further evidence shows that, where there is a culture of bullying in schools and particularly homophobic bullying, it drags down the performance of the class and the school as a whole, so it is not just those who are bullied who suffer; it is their classmates as well.

Social attitudes have changed enormously in the two decades or so since I was at school. Thankfully, we live in more enlightened times. However, it is wrong to think that homophobia does not exist among young people. I challenge hon. Members to read some of the horrifying stories in the recent special youth edition of Attitude magazine. Some pretty appalling things have gone on and are going on in classrooms in our schools today.

In preparing for this speech, I took the time to speak to some of the pupils in my constituency to find out what their experience of bullying in schools was. I found some pretty surprising and appalling things. One girl told me that she was doing a media studies class and part of the research involved looking at the portrayal of homosexuality in the media. The class had to view an episode of, I think, “EastEnders” in which two men were kissing. The phrase “dirty faggot” was shouted out in the classroom and clearly heard by the teacher, but the teacher did nothing about it. Such incidents take place; they are happening today. The girl also told me that a Facebook page was set up so that pupils at the school who were thought to be gay could be outed.

[Stuart Andrew (Pudsey) (Con)]

I congratulate my hon. Friend on securing the debate and on talking so personally about this issue. Bullying, in whatever form, is a terrifying experience for those who suffer it. Sadly, one of my friends committed suicide because of bullying, although it was not homophobic bullying, and that had a profound effect on me personally. My hon. Friend mentions Facebook, and there is also Twitter. In this age of modern technology, there seems to be no escape for some bullying victims, because even when they go home, whether through the mobile phone in their pocket or the laptop in their bedroom, the bullies are ever present. Does my hon. Friend think that that is another aspect of the issue that needs serious consideration?

[Iain Stewart]

My hon. Friend, as ever, makes an important point. Cyber-bullying is very much with us. It takes place in many different forms. It extends the boundaries and the times of the school, as my hon. Friend said, so that pupils feel victimised in their own homes and not just when they are within the school gates. From what I have been able to research, I do not think that there is a particular problem with homophobic bullying in cyberspace—it is just another vehicle through which homophobia and homophobic bullying can take place—but my hon. Friend is absolutely right that it needs to be part of our response to the problem.

What can we do to tackle this important problem? The Government have made a good start. It was very good that the schools White Paper included a specific reference to preventing and tackling homophobic bullying in schools. I am aware that new anti-bullying guidance has been produced for schools to use. I am glad that within the Ofsted inspection framework is the expectation that schools should create a safe learning environment for lesbian, gay, bisexual and transgender students. I certainly applaud all those initiatives, but more needs to be done.

For all the toolkits available, research by Stonewall found that the vast majority of teachers want to combat homophobic bullying but do not feel that they have the appropriate training or support. If we isolate only one thing that needs to be done—many more things need to be done—it is to improve training for teachers, so that they have the skills to prevent bullying from happening in the first place and to tackle it when it does.

Northern Rail Hub

Debate between Stuart Andrew and Iain Stewart

Wednesday 18th January 2012 Westminster Hall

[Stuart Andrew]

It has nothing to do with me; it is up to the Minister.

Thinking about the economy, my constituency comprises old mill towns. The mills have now gone and people now travel much further to go to work. We have excellent, vibrant cities and towns in the north of England. We have a horrible reputation of wearing cloth caps and so on, but some vibrant work is going on.

I am proud that Leeds, Harrogate, York, Wakefield and Bradford are working together in the Leeds city region, ensuring that they are making the best of what we have. The chamber of commerce has now linked together with Leeds and north Yorkshire. But we need to work even more widely, so that Leeds, Liverpool, Manchester, York, Sheffield and Hull can take up the opportunities that are there. However, there is an obstacle: the current network is struggling. There are more passengers on our railways, more cars on our roads and more freight on the motorways. We need to make it easier to get around.

My mother visited me recently and wanted to get over to Chester to see the rest of her family. Trying to plan her journey from Leeds to Chester was ridiculous, because she would have had to make a number of changes and spend a long time on platforms waiting for connecting trains.

Not so long ago, when I went on a Select Committee visit to Wrexham, I thought I would be good and get the train back to Leeds. It took me four and a half hours on five different trains, by which time all the officials from the Select Committee had got back to London. It is ridiculous that I cannot make a journey that would take an hour and a half by car in a similar time on the train.

[Iain Stewart (Milton Keynes South) (Con)]

My hon. Friend touches on an important point, because if we are serious about wanting to achieve a modal shift from car to rail, we have to look at the whole journey time. If I visit him, I can get quickly from Milton Keynes to Manchester by train, but it takes as long again to get from Manchester to Leeds, so it is actually quicker for me to drive up. If we want to achieve that modal shift, we have to look at the whole journey time.

Ovarian Cancer

Debate between Stuart Andrew and Iain Stewart

Wednesday 12th October 2011 Westminster Hall

[Stuart Andrew]

The hon. Gentleman is in danger of stealing my thunder, but I am glad that he has emphasised my point before I have made it.

[Iain Stewart (Milton Keynes South) (Con)]

I congratulate my hon. Friend on bringing this important matter before the House. He is right to highlight awareness, but there is also the need for better information for women and their families following diagnosis. A close relative of mine was diagnosed with the condition, but there was a lack of knowledge of where to find more information about it. That led me and others to look online at a condition that was similar, but had a very different five-year survival rate. That caused a lot of unnecessary anguish to close family members.

[Stuart Andrew]

My hon. Friend raises a valid point. I worked in the hospice movement for about 15 years, and time and again we heard from parents of children at the hospice or patients in the adult hospice that when they were told of their disease, they almost went blank; they heard not the rest of the information, but just the dreaded diagnosis. It is crucial that people are given as much information as possible to take away and digest later.

As I said, 76% of women recognise the most common symptom of breast cancer, but there is clearly a lack of understanding about the significance of symptoms that they may experience due to ovarian cancer. Furthermore, GPs are not picking up the disease quickly enough. Just 22% of women are urgently referred to the two-week cancer referral route, and the rest are either sent away, or treated or referred inappropriately. Late diagnosis has been identified by the cancer benchmarking study, funded by the Department of Health, as a key driver for the poor ovarian cancer survival rates. That study seeks to understand the differing survival rates between countries for breast, lung, bowel and ovarian cancer. For some reason, despite the findings, ovarian cancer was the only cancer in the study not to be included in subsequent awareness campaigns. A large majority of women who are diagnosed in the later stages of the disease will experience recurrences, and many will develop resistance to chemotherapy.

My constituent, Chris Shagouri, is undergoing treatment yet again to try to slow the progress of the disease. Her strength and commitment to help to improve the lives of women who are diagnosed with ovarian cancer is amazing, especially when she could be forgiven for wanting to concentrate her efforts on herself and her close family. Chris Shagouri is representative of the many women who have attended meetings of the all-party group on ovarian cancer, and who share a determination to change the status quo. They often say that if just one woman gets a quicker diagnosis it will have been worth it, because for that woman this really is a matter of life and death. I hope that we can reach a better total than just one woman.

Treatments for ovarian cancer are highly intensive and invasive. An American study showed that, compared with women who have breast cancer, those with ovarian cancer spend nearly 10 times as long being treated in hospital in the first year after diagnosis and the last year of life. There have been no new life extending treatments for women with ovarian cancer during the past 20 years.

Why do members of the all-party group on ovarian cancer want to have this debate? Because we feel that, right now, an important opportunity to make much needed progress is being overlooked. I welcome the Government’s work, and commend them for it, with the cancer drug fund and the palliative care strategy —it was long overdue. In January, the Government published their new cancer strategy, which contained a strong commitment to improving early diagnosis and a multimillion pound investment in cancer awareness campaigns—fantastic stuff. It initially included regional breast, lung and bowel cancer campaigns, and recently we have heard that a national bowel cancer awareness programme will be rolled out next year, following the success of the pilots. New campaigns on oesophogastric cancers, and kidney or bladder cancer, will be run at a local level. The all-party group remains frustrated that ovarian cancer is not included in that admirable work.

The Government are committed to saving more than 5,000 lives a year from cancer by 2014-15, and women with ovarian cancer could represent 10% of that figure. Each year, up to 500 women lose their lives unnecessarily to ovarian cancer because we do not do as well as other European countries. The Government’s study showed that late diagnosis is a key driver of deaths from ovarian cancer in the UK, and it is curious that the condition was not included in the awareness campaigns in this country.

Why can an awareness campaign on ovarian cancer not be started now, even in pilot form? We applaud the Minister for the commitment to improve people’s chances of surviving cancer, but urge him to include ovarian cancer in the awareness work that is being done. Every day we wait, another one or two women, like my grandmother or such as Chris Shagouri, and many others who have been campaigning will lose their lives unnecessarily. As a matter of urgency, I ask the Minister whether he will consider an awareness campaign and whether he will meet with representatives from the all-party group on ovarian cancer to discuss how we can take such a campaign forward and stop other women suffering in future.