Obesity and Fatty Liver Disease Debate
Full Debate: Read Full DebateDepartment: Department of Health and Social Care
Virendra Sharma
Main Page: Virendra Sharma (Labour - Ealing, Southall)Department Debates - View all Virendra Sharma's debates with the Department of Health and Social Care
(1 year, 5 months ago)
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Mr Virendra Sharma (Ealing, Southall) (Lab)
Thank you, Mr Hollobone, for giving me the opportunity to speak for the second time in two days.
I congratulate my hon. Friend the Member for Caerphilly (Wayne David), the chair of the all-party parliamentary group on liver disease and liver cancer, on securing this debate. As vice-chair of the APPG, I am concerned that the UK Government lack a coherent strategy for tackling the worsening liver disease public health crisis, which disproportionately affects our most disadvantaged and marginalised communities. Ealing’s mortality rate for men under 75 is among the worst in the country.
Despite being a leading cause of premature death in the UK, liver disease has not been appropriately prioritised by the Government and was overlooked in the major conditions strategy. Fatty liver disease is a public health emergency. Liver disease mortality rates are outpacing those for other major conditions, such as diabetes or respiratory conditions, which have stabilised or improved over the past 40 years. I am not complaining that those conditions have improved, but it is a fact that liver disease has not been taken seriously. Liver disease deaths are four times higher in the most deprived areas, where risk factors such as obesity, alcohol misuse and viral hepatitis are more prevalent. Poverty and deprivation are key drivers of both obesity and fatty liver disease in the UK.
Ethnic minorities have higher obesity rates than the national average, and south Asian populations are particularly vulnerable to developing fatty liver diseases due to a combination of genetic and societal risk factors, but limited action is being taken to accelerate earlier diagnoses of liver disease within primary care and community settings to reach the communities most at risk. Will the Minister commit to an urgently needed review of adult liver services to tackle the huge inequalities in liver disease outcomes and care across the country? Early detection and diagnosis is key, as all previous contributors have indicated clearly and eloquently. Four in five people with NASH, the most severe form of fatty liver disease, are undiagnosed. The prognosis of NASH is often poor with patients at high risk of liver failure and liver cancer, which has a five-year survival rate of just 13%.
My local integrated care system—North West London ICS—is currently categorised as green, which indicates there is now a fully effective pathway in place for the early detection and management of liver disease. Sadly, due to societal, ethnic and deprivation reasons, my constituency and Ealing lag behind other areas. I urge the Minister to look at the positive examples of ICSs, such as North West London ICS, and see how the great work they are doing can be replicated more widely across the country. I also ask the Minister to expand the work needed to ensure equitable access for all to those improved pathways.