Hughes Report: First Anniversary

Tony Vaughan Excerpts

Thursday 27th March 2025 Westminster Hall

[Sir Julian Lewis (New Forest East) (Con)]

I must say, the hon. Member for Leeds South West and Morley (Mark Sewards) has done us all a service by outlining in detail one case out of what are understood to be a minimum of 10,000; some estimates put the number of people damaged by mesh as high as 40,000. We should bear that statistic in mind when we think about the limited redress that people have had so far through the courts.

In the time available, I wish to touch briefly on the topics of research, legal cases, waiting lists and financial support. I make no apology for coming back to the question of research, because as we have heard, the victims of the mesh implant scandal are still suffering today, and there is no definitive gold standard of how to remediate their suffering.

I did table a question in February that drew attention to a particular world-leading expert called Dr Dionysios Veronikis, who, I gather, has developed extremely effective mesh-removal methods in Missouri. I believe that he has, in the past, offered to give the benefits of his research and successful practice to members of the NHS. I would hope that the Minister would take this away and consider whether an effort should be made to reach out to the best practitioners worldwide on mesh removal and take advantage of their expertise.

[Tony Vaughan (Folkestone and Hythe) (Lab)]

On the question of treatment, one of my constituents, who I will call Louise, endured years of pain and suffering due to the complications from mesh implants. After facing delays caused by local hospitals, she had no choice but to pay for private healthcare that would remediate the issue in one operation. That would not have been available on the NHS. She would have had to go through three separate, painful and lengthy procedures. Does the hon. Member agree that her experience underscores the urgent need for investment in urogynaecology services, as well as the justice that everybody is rightly calling for?

[Sir Julian Lewis]

That is exactly right. The problem is that people are going back for partial remediation time and time again, and it is not achieving the desired outcome.

When we move on to the question of how someone can get financial redress other than by virtue of a Government scheme, we find that of the 1,252 legal cases initiated between 2014 and 2024, only 356 were settled in or out of court with damages, but 678 were concluded without any such damages being awarded. I understand that many of those rejected were rejected because they were out of time, which leads me back to a point that I highlighted during the previous debate we had on this, in December 2024, in which it was pointed out that the 10-year limit on initiating action arising out of medical devices needs to be extended because, in this particular case, the limit has often long passed before it can be established that the victim was damaged by mesh in the first place.

I said we should remember that minimum figure of at least 10,000 mesh-damaged women and bear in mind that out of that pretty large figure—and the real figure is probably much larger still—only 1,200 legal actions were initiated. That is hardly surprising because of the extra burden placed on someone initiating a legal action.

I would also like to look at the question of removal centres. There are nine of these specialist centres, and we have established that people who are justifiably extremely worried about going back to one of them that might be run by the very person who inserted the mesh, do have the option of visiting other centres. However, when it comes to waiting times there is a huge variation. The waiting time for Bristol, which has a particularly high reputation, is much longer than for some of the other centres.

Finally, on the question of financial support, we know that the Government have had to take moves to deal with the question of personal independence payments. We hope that will not affect these victims adversely.

Cancer Strategy for England

Tony Vaughan Excerpts

Thursday 31st October 2024 Westminster Hall

[Tony Vaughan (Folkestone and Hythe) (Lab)]

It is always a pleasure to serve under your chairship, Mr Betts. I thank the hon. Member for Wokingham (Clive Jones) for securing this important debate.

I will start by talking about a constituent who emailed me last week. She is a cancer patient, and when she was discharged from hospital she was informed that there is no specialist cancer rehabilitation and recovery support in Folkestone—a town of 52,000 people. She was told that the nearest support could be accessed only in the neighbouring constituency of Dover or in New Romney, which is 14 miles away. However, she does not have a car, and the effects of the cancer treatment make it challenging for her to move around. Folkestone has been allocated a single cancer support nurse, but they are expected to cover the patients at eight GP surgeries in the area of Folkestone and Dover—a town with a population of 116,000. We obviously do not need to be maths geniuses to work out that the ratio of nurses to the population is unacceptable.

Cancer is the UK’s biggest killer, and as we speak more than 3 million people are living with it. Lord Darzi’s recent report highlighted in stark terms that cancer patients are waiting far too long to be diagnosed and treated, and when they leave hospital there is inadequate support for recovery and rehabilitation.

The lack of a national cancer plan correlates with, and is likely to be one of the causes of, the geographical inequalities in access to cancer care and rehabilitation, which affect my constituency. I appreciate that the NHS long-term plan includes important commitments for cancer services, but it does not provide the comprehensive transformation needed across all areas of control, including research and prevention. A critical question for the Government is: what can we do to ensure that a national cancer strategy generates additional capacity in cancer care and rehabilitative support?

The statistics are shocking and a national disgrace. According to Macmillan Cancer Support, in 2023 almost 90,000 people with cancer across the UK waited more than two months from either urgent referral or when the cancer was first suspected to start treatment. The most recent cancer care waiting times for England, to July 2024, showed that only 68% of people received a cancer diagnosis and started treatment within 62 days of an urgent referral. As the hon. Member for Wokingham reminded us, the 85% target has not been met since 2015.

The situation is not inevitable. I agree that we need to start with a comprehensive plan for cancer of the kind that many of our European partners have. When the 10-year NHS plan is published in spring 2025, it should contain a national plan for cancer that focuses especially on how waiting times for diagnoses and treatment can be reduced and on how geographical variations in the quality of cancer treatment and care can be tackled. The plan should focus on how we as a nation can recruit and retain cancer care and rehabilitation specialists; how we can use new technologies and medicines to improve treatment outcomes and increase survival rates; and how we can use our thriving life sciences sector, to which my hon. Friend the Member for York Central (Rachael Maskell) referred, to reduce diagnosis and treatment waiting times.

I fully appreciate the state of the NHS that the Labour Government have inherited—it struggles to recruit and retain, it has been starved of capital investment, and its workforce have had their morale beaten down by successive Conservative Governments—but we can do better. It falls to the Labour Government to lead the way forward so that we have an NHS that can effectively treat, rehabilitate and support patients, and prevent this terrible disease.

I pay tribute to charities such as Macmillan, which do a brilliant job of providing cancer care to patients. We must never forget their compassion, empathy and service; that should inspire us every day in this House.

Mental Health Support

Tony Vaughan Excerpts

Thursday 10th October 2024 Westminster Hall

[Tony Vaughan (Folkestone and Hythe) (Lab)]

It is a pleasure to serve under your chairship, Mr Dowd. I pay tribute to my hon. Friend the Member for Ashford (Sojan Joseph) not only for securing this debate but for his tireless, dedicated work as a mental health nurse in the NHS. I thank him for his service. His analysis of the problems and solutions was masterful, and Parliament is all the stronger for having his expertise and experience in this place.

The issue of mental health support is a policy challenge that goes beyond party political lines. Any civilised society is judged on how it treats its most vulnerable. The state of people’s mental health in our nations is incredibly concerning. As a former trustee of South Kent Mind in my constituency of Folkestone and Hythe, I have seen a downward trajectory in people’s mental health outcomes, particularly in deprived areas, and how mental health services are increasingly under strain. I also pay tribute to the incredible work done by South Kent Mind, which provides invaluable advice and well-run and well-attended classes, such as cookery and exercise classes, which provide local people with a sense of community, togetherness and support. Statistics from Mind have laid bare the reality. Each year, one in four people in England will experience a mental health problem of some kind, and one in six people report experiencing a common mental health problem, such as anxiety and depression. The number of people reporting self-harm went up by 62% between 2000 and 2014, and the number of people reporting suicidal thoughts in the past year went up by 30% between 2000 and 2014.

The mental health of people in this country is undoubtedly deteriorating, and we know that some groups are more likely than others to be impacted by mental health problems, such as the LGBTQIA+ community, black British people and women aged 16 to 24. There are several reasons behind the steep increase in suffering, such as the giant evils of inequality and austerity that have ripped the heart out of our communities. Unemployment and poor housing still plague people’s mental health, just as they did in the age of the Victorian workhouse. There are in addition recent phenomena, such as the rise of social media, creating unprecedented pressures on young people to look a certain way, and the decline in physical health in our communities, especially in de-industrialised areas.

As a society we say that one suicide is too many, and that we want to remove the stigma around mental health. But as we know, the stigma festers in too many houses, homes, offices and sports clubs, particularly with men and boys, for whom talking about feelings or being seen to be vulnerable can be perceived as weak or embarrassing. I sense that I am out of time, so I will sit down.