Hon. Members will be aware that social distancing is no longer in operation. I remind hon. Members that Mr Speaker has encouraged us all to wear masks. I also remind hon. Members that there have been some changes to normal practice in order to support the hybrid arrangements that we have today. I remind colleagues participating both physically and virtually that they must arrive for the start of the debate, as I think they have today, and Members are expected to remain for the entire debate, please.
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That this House has considered e-petition 317336, relating to cervical screening.
It is a pleasure to serve under your chairship, Mr Pritchard, for this really important debate. I apologise for not being able to be there in person today, but I thank the House for these hybrid proceedings because I was pinged last week.
I will begin by putting on the record my huge thanks to Caitlin, who is Fiona’s sister, for speaking to me last week about Fiona’s case and the way that it has affected her whole family. I also thank Fiona’s friends, Melissa Macdonald and Niamh Foley, who started the petition, and all those who have signed it, which led to this debate being held today.
As a woman, I know that we all sort of dread getting the call-up for our smear test. For most women, it is not painful, but it is uncomfortable and awkward. What can someone even chat about when the nurse is having her little look? But why should it be like that? We have all been there; the nurse has seen it all before. It is just not spoken about, so we feel a sense of shame about it. It is time we stopped being so coy about it, because that may well persuade more women to go for screening and ultimately it may save lives.
Cervical cancer is one of the most common cancers in women under 35, and 99.7% of cervical cancers are caused by human papillomavirus, or HPV. In recent years, testing for HPV has meant that it is easier to identify who is at greater risk from cervical cancer at the earliest stage.
During covid, England had an attendance rate for smear tests of 72%, which means that more than one in four women are not going for screening when invited to do so. The wonderful charity Jo’s Cervical Cancer Trust has a number of ideas to increase the uptake of smear tests, and I suggest that the Minister meets it to discuss ways of increasing the number of women being tested; I know that she has a keen interest in women’s health.
Before I call John Lamont, I have to say that even though the attendants have been fantastic in helping with the air conditioning, it is still very warm, so if hon. Members want to remove jackets, they should feel free.
It is a pleasure to serve with you in the Chair, Mr Pritchard.
I am pleased to speak in today’s important date, which has attracted so much support from my constituents in the Scottish borders, with almost 3,000 signatures coming from Berwickshire, Roxburgh and Selkirk—the highest number across the United Kingdom. This can be explained by the fact that the petition was launched by borderer Andrew Mathewson, who lives in Kelso, in my constituency. As we have heard, Andrew tragically lost his wife Fiona, mother of Ivy and Harry, when she died after battling cervical cancer for 17 months, aged just 30.
I have met Andrew, and I admire the way that he has campaigned tirelessly for cervical cancer screening, in memory of Fiona, and dedicated his work to ensure that other families do not go through what they had to. Fiona’s story is close to the hearts of many people in the Scottish borders who know the Mathewsons, and indeed many people far beyond and across the country, with over 146,000 signatures recorded in total for the petition.
The NHS and this policy area are devolved to the Scottish Parliament, and my comments will have a distinctive Scottish slant. Around 850 women die from cervical cancer each year in the UK. Sadly, that is more than two women every day. Yet cervical cancer is one of the most preventable cancers for two key reasons. First, cervical screening tests check for abnormal changes in sample cells from the cervix. Cervical screening is not a test for cancer, but early detection allows action to be taken to prevent cervical cancer from developing.
Second, the HPV jab is on offer to every child between 12 and 14 in Scotland. For girls, it is designed to protect against types of HPV that cause around 70% of all cases of cervical cancer in Scotland. In most people, HPV does not cause harm and the infection clears on its own, but in some cases HPV infection can lead to cell changes that progress into cervical cancer. Taken together, cervical screening and the HPV vaccine mean that cervical cancer can be avoided.
It is a pleasure to serve under your chairship today, Mr Pritchard, and I am incredibly grateful to be called to speak in this debate on a topic that, as colleagues may know, is extremely close to my heart. It is also a pleasure to follow the hon. Member for Berwickshire, Roxburgh and Selkirk (John Lamont).
Fiona’s story is tragically similar to so many other women’s stories across the country, and my thoughts and condolences are with the whole Mathewson family. As elected representatives, we have the great fortune of being able to speak up on a huge range of the issues that matter most to the people who live in our local communities. It is a fantastic privilege, and one that is not at all lost on me, but there are still certain debates that speak to us as people, not just as politicians. I will always be a vocal and loud champion of cervical screenings, and I am grateful that we are taking the time to speak about this important issue today.
We know that cervical screenings are the best way to protect against cervical cancer: the numbers speak for themselves. Indeed, cervical screenings can prevent more than seven in 10 diagnoses. Those who know me well will know that I speak about cervical screenings whenever and wherever I possibly can, mostly because a delayed cervical screening changed my life almost overnight. Like many others, I put off having my first cervical screening at the age of 25 for all the usual reasons: I was too busy, I did not have the symptoms, and I simply had other priorities. After many conversations with friends, most of whom gave me a good telling-off when I shamefully revealed that my screening had been delayed, I booked my appointment and thought nothing more of it.
While most of us will agree that cervical screening is probably not up there with our top 10 favourite things to do on a morning, the test itself is relatively quick and simple, but as many of us will know, the wait for the results—for that NHS letter arriving on our doorstep—can feel genuinely endless. In my opinion, it is the hardest part about being tested.
It is a pleasure to serve under your chairmanship, Mr Pritchard, and an honour to speak in this important debate. It is an absolute pleasure to follow the hon. Member for Pontypridd (Alex Davies-Jones) and hear her personal story. I am sure we are all glad to see her today.
The petition is a proposal to introduce yearly cervical screenings for all women. As we have heard, the campaign for Fiona’s law was launched after the untimely death of 30-year-old mum Fiona from Kelso in the Scottish borders. Cervical screening is unequivocally the best method of protection against cervical cancer, and I think I speak for us all when I say that I hope to see greater uptake of screening. Unfortunately, prior to the pandemic one in four women across the UK did not accept their invitation for screening. The figure is higher in areas such as London and Glasgow, among women under 30 years of age, and among groups who face additional systemic barriers to their attendance—for example, this issue disproportionately affects LGBTQ people, with 40% of lesbian and bisexual women in the UK having been told that they do not require cervical screening. Experience of trauma or violence can also deter women from attending, with 72% of women who have experienced sexual violence delaying or cancelling their appointments.
Most clinicians would largely disagree with the proposal to make cervical screening annual. The UK National Screening Committee sets the eligibility criteria for screening programmes and makes recommendations about changes in order to maximise the benefits and minimise harm. Cervical screening starts at the age of 25, not 18, as HPV is very rare in younger women, with fewer than four cases per 100,000, due to the high uptake of the HPV vaccine. Around 90% of HPV infections are cleared naturally by the body in two years, and many cell changes return to normal without the need for treatment. Research generally suggests that a lower screening age does not substantially reduce cases and can in fact lead to over-treatment, which can have serious implications for physical and mental health, including on the ability to carry a child to term.
It is a pleasure to serve under your chairmanship, Mr Pritchard, and to follow the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier), who spoke with great passion about this crucial issue. Cervical cancer is something that all women fear. It is not only a deadly disease but one, like breast cancer, that strikes at the heart of how we view ourselves as women.
The petition that we are discussing on Fiona’s law received more than 146,000 signatures, with many from my constituents. That figure represents a groundswell of people who are concerned that not enough is being done to ensure detection of cervical cancer for women in the UK. We cannot ignore them. To detect cervical cancer early, we have developed highly accurate screening tests that enable women to know whether they have pre-cancerous cells, and if so, to receive the proper treatment. In fact, women will be tested for HPV before they get cervical screening, because 99.7% of all cervical cancers are caused by HPV. Simply put, thanks to our researchers and all the medical professionals across our NHS, tests for cervical cancer are more accurate than ever before.
There is much debate in this country about how early and how frequently women should be screened for cervical cancer, but women are only able to have their cancer detected if the screenings are successfully performed. Research on how often women access existing appointments should give us real cause for concern. We all know that the pandemic has had devastating effects on women’s ability to access life-saving cervical cancer screening. Jo’s Cervical Cancer Trust estimates that around 600,000 tests failed to go ahead in the UK in April and May 2020, and figures show that cancer screening for women in the 25-to-64 age group—the most vulnerable age group—decreased by nearly 7% from the previous year. These figures are completely unacceptable and show that the recent physical barriers to screening have a strong negative impact on women’s access to preventive services.
It is pleasure to serve under your chairmanship today, Mr Pritchard, as I often have in this Chamber, and I very much look forward to the Minister’s response. I very much look forward to speaking in this debate on cervical cancer screening.
I stand here to speak on behalf of my female constituents, whom this directly affects, and I speak in complete support of the e-petition, which had 146,000 signatures. Cancer is a tragedy that all of us know only too well. I am sure it has touched the lives of everyone in the room today. I am sure the Minister will not mind me saying that she has been directly affected, and we are very pleased to see her here as a survivor.
We must take every necessary step to catch cases sooner rather than later. The petition for Fiona’s law applies to women in England. However, I speak on behalf of my constituents and the women of Northern Ireland. It is estimated that some 3,200 women will be diagnosed with cervical cancer every year in the UK. Eighty people in Northern Ireland are diagnosed every year, and roughly 20 to 30 of those women will, sadly, pass away from the disease. The Public Health Agency in Northern Ireland has said that early detection and treatment can prevent seven to 10 types of cervical cancer. As the hon. Member for Berwickshire, Roxburgh and Selkirk (John Lamont) mentioned, Northern Ireland offers screening every two years. I would like to see it done better. I would like to see it every year; that is the best way to do it. The request is for early detection and treatment as the way to prevent cervical cancer.
It is important to remember that screening is not a test for cancer; it is a test to help prevent it. That is what we are trying to do, and that is why, to assist in preventing cervical cancers, we must do more to ensure that women have screening appointments regularly. Current legislation states that women between the ages of 25 and 49 will be invited for screening once every three years, and those aged 50 to 64 every five years. That is in line with the NHS’s long-term plan to detect 75% of cancers at stage 1 or 2.
Thank you, Mr Pritchard. It is a pleasure to serve under your chairmanship. I add my congratulations to the petitioners on securing a debate in Parliament on such an important topic.
In January 2021, the Minister stated:
“While we do not hold waiting lists for National Health Service screening programmes, NHS England…are confident that no one eligible for cervical screening has missed an invitation for an appointment.”
An invitation is one thing, but being able to book and access a test can be quite a different matter. In the third quarter of 2021, no clinical commissioning groups in England achieved 80% coverage of women invited for a test. I am, of course, aware of the pressures placed on the NHS during the pandemic, and my speech does not denigrate it at all, but 600,000 cervical screening opportunities are estimated to have failed to go ahead in the UK just in April and May of last year.
In October 2019, NHS England commissioned an independent review of adult screening programmes. It highlighted that demographic factors—levels of affluence and deprivation, and ethnic diversity—have a huge impact on whether women take up the tests. For women who live in areas with higher levels of deprivation, such as parts of my constituency of Wythenshawe and Sale East, the coverage of screening programmes is lower than average.
Hologic, a fantastic innovative medical technology company in my constituency, focuses primarily on improving women’s health and wellbeing. It specialises in high-volume population screening. We know that more than 99% of cervical cancer cases are preventable and that, alongside HPV vaccination, cervical cancer screening is one of the most effective ways to prevent that cancer.
There are opportunities to improve screenings, both for clinicians and for patients, by adopting new innovative screening technologies. One such method is using HPV mRNA testing for primary cervical screening. The tests provide significantly higher clarity and would safely reduce the number of women who require a colposcopy, thereby reducing unnecessary fear, anxiety and stress for the women involved. It would also reduce the pressure on an already overburdened system, save the NHS an estimated £15 million a year, and potentially prevent 30,000 unnecessary colposcopy procedures.
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I was really moved when I spoke to Caitlin, because I got a real sense of how difficult it must be to lose a sister, especially at such a young age. Fiona was only 30 when she died. She was married to Andrew and was the mother of two young children. When Fiona died, Ivy was only four and Harry had just turned two. As Caitlin said, Fiona used all her strength to stick around for Harry’s second birthday.
Fiona was called for her first smear test in 2015, but she was pregnant with Ivy and so was told not to go. When she was called again, she was pregnant with Harry, but there was no follow-up to the first appointment. Fiona never received a reminder to go to her smear test in the interim. This situation is not about someone missing appointments when called to attend them; Fiona went to every appointment that she was meant to go to.
Fiona’s cancer was finally diagnosed after a routine smear test in 2018. She did not have any symptoms, but there seemed to be a lot of hold-ups and delays before her cancer was diagnosed. Caitlin mentioned that it could perhaps have been because of Fiona and Andrew moving from England to Scotland that Fiona received her first invitation. That raises questions about communications between the devolved Administrations and about what procedures are in place to make sure that communication between different trusts and devolved countries is clear.
A hysterectomy was performed and Fiona then went through chemotherapy and radiotherapy as a belt-and-braces approach to dealing with the cancer. After that, Fiona had a number of visits to A&E, including one where the doctor later admitted that she knew the problem was cancer and not a hernia, but did not say anything as Fiona was seeing a specialist soon after.
Most of us are not medical experts. We rely on doctors to tell us the truth because we do not know what is going on, and that vulnerability is really exposed when we hear such stories. I know it is extremely rare to hear stories such as Fiona’s, and the vast majority of our doctors, nurses and other health service staff really care, but it is shocking none the less.
Before covid hit, cancer services were already struggling due to severe staff shortages. Despite the incredible efforts by staff, a backlog has built up. Relying on current staff, who again have not had a pay rise, to clear the backlog on top of delivering regular services will only lead to burnout. It is just not sustainable. Research from Macmillan Cancer Support in 2017 showed that 2,500 specialist cancer nurses were needed to maintain cancer services. By 2030, we will need 3,700 new nurses—an increase of 124% on 2017 levels. Those figures will also have been hugely impacted by the pandemic. The Government have come forward with their own cancer workforce strategy, which is inadequate, and I implore the Minister to reconsider the plans that they have and come up with something that will really help those living with cancer.
Everything that happened to Fiona came before the pandemic hit last year. We have heard countless times about the delays in diagnosis and treatment that the last 16 months has caused. Approximately 1.5 million smear tests take place every year. With the pressure on the NHS since March 2020, that could mean 1.5 million women missing out on a vital tool in diagnosing cervical cancer.
We know that the rates of covid infection are on the up. Hospitalisations for covid are rising, and some NHS trusts across the UK are already cancelling operations as they are at capacity. The recklessness of so-called “freedom day” in England and the removal of all the measures that have been in place to keep us safe is therefore unbelievable. Putting the immunosuppressed at risk, such as those going through cancer treatment, is downright dangerous, and I am glad that the devolved nations have taken a more cautious approach.
What will the extra pressure on the health service mean? Another delay in getting a smear test. And what will that do to the outcomes for so many young women? What will the Government do to make sure that those women who miss out are not left behind, and to stop a knock-on effect on testing? We are looking at new ways forward. Fiona’s case has highlighted some of the gaps that were there before the pandemic started, and things have only deteriorated since covid hit. We must work together to make sure that cancer services are the best that they can possibly be, and that our cancer workforce is protected and given all the tools that it needs to continue to save lives.
When Fiona got really ill, her daughter Ivy used to ask why mummy had to spend so much time in bed. To stop another family having to answer those questions, I want the Minister to answer the questions that Fiona’s family and friends, and all of those who have lost someone to cervical cancer, need answers to. What procedures are in place to make sure that women like Fiona do not fall through the cracks? How does that work across the devolved nations? What is the current screening backlog? What plans to increase the cancer workforce are currently in place?
Caitlin finished our meeting by saying that any change that could come from this debate—if one life is saved, or if one family does not have to go through what her family have been through—would make it worth it.
Cancer Research UK has stated that cervical screening is the best protection against cervical cancer, yet in Scotland it is offered far less frequently than in the rest of the UK. In England, Wales and Northern Ireland, women between 25 and 49 are screened every three years, but women in Scotland face a five-year wait between each screening. Over the past year, some women were notified that their waiting time of five years would be extended as NHS Scotland rightly diverted time and resources to tackling covid-19. However, I am pleased that the resumption of cancer services, including cervical screening, is now being treated as a priority by NHS Scotland.
Alarmingly, this transparency from NHS Scotland was not mirrored by the Scottish Government, who failed to reveal that a number of women had developed cervical cancer after being wrongly excluded from the screening programme following a hysterectomy. One of those women tragically died. The SNP Government were made aware of the errors back in a December audit, but waited until the last day before the summer recess to reveal the scale of the problem to the Scottish Parliament.
This debate is not about party political point scoring, but it would be wrong of me not to highlight the concerns of anxious women, their families and the wider public, who were left in the dark by Scottish Ministers who prioritised their political campaign and attempted to avoid scrutiny. These serious errors have affected hundreds of women, with more cases potentially still to be identified.
The crux of this debate on cervical screening is about the opportunity to reduce the number of women who tragically die from cervical cancer. In my closing remarks, I would like to address some ways in which we can reduce this number of preventable deaths. Evidence shows that the women most likely not to attend a cervical screening appointment are those between the ages of 25 and 34. Yet the evidence also indicates that cervical cancer is the most common cancer in women in this age group. Awareness needs to be raised among women. There is a real incentive to ensure that resources are dedicated to this cause, since cervical cancer can be prevented.
One method that has been trialled in London has involved GPs sending text messages about cervical screening appointments, instead of relying on sending letters through the post. Stigma also needs to be addressed: personal barriers such as lack of knowledge about the purpose and benefits of the test, as well as fear and anxiety about the procedure itself, can play a role in women not attending their appointments. Finally, the Scottish Government should listen to the worries of some Scottish women, who say that they are concerned that they would develop cervical cancer within the five years and just would not know about it.
I end by again paying tribute to Andrew Mathewson and his family and friends, who have been at the forefront of this petition and have ensured that we are debating this important issue today. Andrew continues to selflessly battle on behalf of women he does not even know so that fewer families will have to lose a wife, a mother, a sister or a daughter to this cancer.
Fast forward to a few months after the screening, and I was sat in my local hospital undergoing a colposcopy after my initial test results came back abnormal and further examinations were required. I was genuinely terrified. Everyone had told me that a routine screening was nothing to be concerned about: that it would just be five minutes of awkward conversation with the nurse at my local GP practice, and it would be job done for the next three years in Wales. Sadly, that was not the case for me. I was told that I had abnormal CIN 3 cells that, if left undetected and untreated over a number of years, could develop into cervical cancer. We always think it will not happen to us, but there I was at the age of 25, diagnosed with CIN 3 on a large area of my cervix.
The next few weeks were a complete blur. I became obsessed with googling everything I could about abnormal cells, potential treatment and cervical cancer. I became a prolific poster on, and reader of, the excellent Jo’s Cervical Cancer Trust forum, and I found comfort in talking to others who had gone through, or were going through, exactly the same thing. Thankfully, the staff at my local hospital were incredible, and almost immediately I underwent LLETZ—large loop excision of the transformation zone—treatment to burn off the abnormal cells on my cervix. I went to that appointment alone. It was one of the most surreal moments of my life and one that, try as I might, I will never forget. After the doctor had finished—which felt like an eternity at the time—she did not look happy. More treatment was needed. She told me that on closer inspection, the abnormal cells on my cervix were embedded deeper and looked more challenging than initially expected. I will never forget those words.
The next stage for me was a cold knife biopsy. Thankfully that minor operation went smoothly, and a few weeks later I got the call that I had desperately hoped for: the clinicians were confident that all the abnormal cells had been removed. The damage was quite severe, and if I had put off that initial cervical screening test any later, the situation would have been very different. The extent of the treatment meant that I was now without the majority of my cervix. Of course, having that treatment comes with risks, such as a slightly increased chance of giving birth prematurely, but by that point I did not really care: I just wanted the nightmare to be over.
I was without the majority of my cervix, but my life was saved. Sadly, for many—as we have heard, tragically, in Fiona’s case—that is not the case, and I count my lucky stars that my friends gave me the push I needed to book my cervical screening when they did. After receiving treatment, I attended screenings every six months to ensure the abnormal cells did not return. Even now, years down the line, my screenings are more common than most, and I go on an annual basis.
It would be wrong of me to pretend that I have not been impacted on by the ordeal I went through. The physical scars might be internal, but I will always grapple with the mental effects. Even years on, I still get that nervous feeling in my stomach before I go to my screening. However, we have all seen the numbers—my hon. Friend the Member for Gower (Tonia Antoniazzi) touched on them in her opening remarks—and we all recognise the devastation that cancer, in its myriad forms, can have on those suffering and on their close friends and family. It goes without saying that we should be doing everything we can to protect those who may be particularly at risk of developing cervical cancer, and regular cervical screenings are absolutely key if more lives are to be saved.
Although I am pleased to say that there has been progress on specific incentives to encourage more people to attend their screenings, cell changes such as mine often fall through the gaps, along with HPV. HPV diagnosis is still associated with high levels of fear, confusion and stigma and a lack of understanding, despite it being an incredibly common virus. Jo’s Cervical Cancer Trust recently surveyed its community of users who have HPV and found that one in two people said they knew nothing about HPV prior to receiving a diagnosis. Interestingly, people with recurrent or persistent HPV report feeling let down by their bodies and anxious about the ongoing and uncertain nature of the condition, and they often feel that there is no support or information for them either. There is clearly a need for increased education when the vaccine is first given, greater awareness of how common it is and how it affects the body, and greater information and support for those affected.
The same goes for cell changes such as mine. Around 220,000 women each year will be told that they have cell changes, and many will be treated to prevent the potential development of cervical cancer. There are opportunities to improve the care that is offered. We know that treatment for cell changes is highly effective at preventing the development of cervical cancer, the impact of which can be truly devastating, but more must be done to ensure that women diagnosed with cell changes are properly supported before, during and after treatment. Research from Jo’s Cervical Cancer Trust found that 20% of women said the possible impacts and side-effects of treatment were not explained to them beforehand. Even more shockingly, 60% were not told about the different types of treatment that were available to them. It is clear that although progress has thankfully been made on the dialogue around cervical screenings, we still have a long way to go to change the situation more broadly.
I am hopeful that today’s debate will send a reminder to those who, like me, put off their cervical screenings. I also hope that by touching on issues such as HPV and cell changes, people can learn about the broader benefits of screening too. Although health is of course devolved to the fantastic Welsh Labour Government, I truly believe that this is an issue that crosses the political divide. Indeed, I look forward to hearing from the Minister about the work that she is doing, including across Government Departments and the devolved nations, to encourage better understanding of the widespread benefits of cervical screening.
A more viable option for increasing the uptake of cervical screening would be to roll out widespread HPV self-sampling, which would allow women to enjoy the comfort and convenience of performing the test in their own homes. Research by Jo’s Cervical Cancer Trust suggests this would greatly increase uptake, with 47% of women who rarely or never book a test preferring self-sampling to clinician-led screening. Only 9% preferred clinician-led screening, while 50% of women who are overdue for an appointment and 34% of women from black, Asian and minority ethnic backgrounds also preferred self-sampling. Some 63% of those living with a physical disability have noted that their disability made it impossible for them to attend screening. Making self-sampling possible would put the screening process into women’s own hands.
For that to be recommended by the UK National Screening Committee, far more research into this procedure is required. At the moment, only a few pilot schemes are being run: one in Scotland, in Dumfries and Galloway, and another in London. It is essential that progress on these vital studies continues. It would be helpful to know whether the UK Government plan to increase support for such schemes, to accelerate studies into the viability of HPV self-sampling nationwide, and to give an estimate of when the necessary research will be collected by NHS England.
While annual cervical screening may not be realistically viable or desirable, we can take concrete steps to ensure that access is widened, risk is adequately assessed and appointments are not missed. I hope the Department of Health and Social Care will take on some of these considerations, especially with regard to advancing the research into, and roll-out of, home HPV self-sampling.
However, figures also show an equally strong mental impact. Unfortunately, this life-saving smear test remains a source of great anxiety to many. Earlier this year, it emerged that around one in four women eligible for smear tests do not take up the invitation. New research has found that, among those who do not go for their cervical cancer screening, 75% are scared at the thought of going and 81% are embarrassed to go.
The Government must do more to create public awareness about the test. They must normalise it, so that women do not feel embarrassed to seek this vital service, and bust other myths that induce anxiety about it. Perhaps most worryingly, Jo’s Cervical Cancer Trust has published a study that reveals that women from black, Asian and minority ethnic backgrounds are twice as likely to be strongly worried about contracting a virus at their cervical cancer screening as their white counterparts, and a third more likely to feel unsafe visiting a doctors’ surgery than white women.
It is vital that the Government look more closely into the cultural and mental barriers preventing black, Asian and minority ethnic women from accessing life-saving screening in much higher proportions. They must dedicate more resources to learning why women, especially those from minority backgrounds, are not taking up their testing appointments. That is crucial to achieving a reproductive health programme that is not only thriving but equal. I look forward to hearing from the Minister on the work that she is doing.
I cannot stress enough the importance of screening appointments for women. First, I can only imagine that it is not a comfortable or easy procedure to go through, but I do believe that the prolonged interval of three years only increases the anxiety. Secondly, yearly screening would allow for more effective diagnosis, but it also provides an opportunity to make a procedure that a lot of women dread having more familiar and comfortable, if that is possible.
The UK’s leading cervical cancer charity, Jo’s Cervical Cancer Trust, reports that 51% of women admitted to delaying their screening, that 24% delayed for over a year and that 9%, one in 10 women, have never attended a screening. Those are shocking figures, but they are understandable at the same time. These are lives being lost, and because of the frequency of cervical screening it is getting worse.
There needs to be more communication about screening so that people are aware of what they are going into. That would then provide confidence and increase the numbers attending, which would ultimately result in lives saved: more mothers, more daughters, more sisters, more grandmothers and more wives living longer and healthier lives. My wife went through it. She did not for one second wish to go. She found the whole thing very uncomfortable and, honestly, a little embarrassing. Obviously, we encouraged her. My mother encouraged her, and I think that probably helped—from lady to lady is probably better. She went for the tests and got the all clear.
Cancer of all kinds has destroyed lives and families for too long. We must do all we can to increase early diagnosis, as the petition calls for, especially in the light of the impact of the pandemic, which has seen a further decrease in screening figures. We need to get back on our feet and allow women yearly screenings. I urge the Minister to undertake discussions with the UK National Screening Committee to ascertain why it feels that women do not warrant screenings every year.
To anyone who is offered a cervical cancer screening, I say please go. I say to the Government that the encouragement from the Minister will start here. More must be done to get more frequent appointments, more awareness of the benefits and more discussion around the appointment itself, because there is nothing more promising than the prevention of disease.
Currently, just 54% of all samples in England are processed using that form of testing, meaning that 1.5 million women in England do not have access to the technology. England should move towards a system in which mRNA HPV primary screening is the gold standard used by all labs. With better co-ordination within NHS England, cervical screening would, for example, be commissioned by the same part of the NHS as colposcopies, enabling clinicians to work more effectively together and have a positive impact on patient experience and outcome.
Another innovative technological advance is digital cytology. This advanced imaging technology, used to identify lesions and pre-cancerous cells, which stores cervical images using cloud-based technology, would help maximise screening capacity, enabling any cytologist with capacity in the network to access a particular image. That would provide a much more flexible deployment of the workforce, would speed up time from result to treatment if necessary, and provide physical efficiencies, such as less need for storage and for the transportation of cervical images and slides.
Rolling out such technologies would save not only money and time, but would, in time, reduce the stress on women and girls at a worrying time, as has been pointed out today, as well as reducing the need for unnecessary gynaecological procedures. It would also provide a streamlining of these lifesaving services. I would welcome any comments that the Minister has about those suggestions.