Commons Sense

House of Commons · Westminster Hall

Breast Cancer Diagnosis and Services: Covid-19

12 November 2020 · 12 other contributors · 13,537 words

Opened by Craig Tracey Con North Warwickshire

Responding minister: Jo Churchill

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Craig Tracey raised concerns about breast cancer diagnosis and services: covid-19 in Westminster Hall. A government minister responded.

Key points

  • Craig Tracey raised concerns about the impact of the pandemic on breast cancer services, including missed screenings and paused treatments.
  • Tracey requested a national secondary breast cancer audit and funding for training and expanding the clinical nurse specialist workforce.
  • The Minister acknowledged the challenges posed by the pandemic and noted positive trends in urgent GP referrals for breast cancer since August.

Key requests to Government

Tracey asks for a national secondary breast cancer audit covering diagnosis, treatment, and support access. He also requests funding for training and expanding the CNS workforce to meet both current and future challenges.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Craig Tracey Con North Warwickshire

Craig Tracey is concerned about the impact of the pandemic on breast cancer services, including a pause in screening programmes leading to almost 1 million women missing their appointments. There was also a significant drop in referrals and treatments being changed or paused. The workforce faces sustained pressure due to dealing with both the pandemic and existing challenges. While there has been some recovery since August, issues remain regarding data collection on secondary breast cancer and access to clinical nurse specialists (CNS).

Other contributors (12)
  • Elliot Colburn emphasised the importance of ensuring breast cancer services continue without pausing during the second national lockdown. He noted that around 8,600 women could be living with undetected breast cancer due to delayed screening and called for a plan to address the backlog.

  • Grahame Morris Lab Easington

    The hon. Gentleman highlighted that older women with breast cancer were not prioritised for radiotherapy during the past six months, urging the Minister to persuade NHS England to publish data on this issue. Mr Morris highlighted the impact of the pandemic on breast cancer diagnosis and treatment, citing a backlog of over 100,000 patients with an estimated 50,000 missing diagnoses for cancer. He also noted that fewer women started treatment in May and June compared to previous years, emphasizing the need for solutions and investment to address this issue.

  • Helen Hayes Lab Dulwich and West Norwood

    She paid tribute to NHS staff for their hard work during the pandemic, highlighting the challenges posed by a decade of austerity. She mentioned that more than 50,000 women and approximately 400 men receive breast cancer diagnoses each year in the UK. Hayes noted the drop in reported cases due to the pandemic, with Breast Cancer Now estimating over 100,000 fewer referrals for breast cancer. She expressed concerns about delayed diagnosis and unacceptable waiting times for treatment, emphasizing the need for a proactive programme to address inequalities in access to screening and treatment.

  • Imran Ahmad Khan Lab Wakefield

    The lockdown has resulted in a significant decrease in urgent cancer referrals, with NHS figures showing a 60% drop compared to the same period last year. Breast Cancer Now reported that almost 1 million women missed breast cancer screenings due to the pandemic. The MP highlighted concerns about delays in treatment and their potential impact on patient outcomes, citing a warning from the Health Data Research hub for cancer of an additional 18,000 deaths of people with cancer as a result of the pandemic.

  • Jim Shannon DUP Strangford

    Welcomed the debate and discussed breast cancer statistics in Northern Ireland, highlighting higher mortality rates. Raised concerns about disruptions to clinical trials due to the pandemic, noting that recruitment was paused for 50% of supported trials. Emphasised the importance of learning from rapid coronavirus trial setups and applying similar methods to breast cancer research.

  • Justin Madders Lab Ellesmere Port and Bromborough

    Acknowledged contributions from colleagues, highlighted the importance of a cancer recovery plan to address health inequalities, raised concerns about the backlog in diagnoses due to the pandemic, discussed the impact of reduced screening referrals and capacity issues, mentioned concerns over open invitations for mammogram screenings, and called for better support and access to clinical nurse specialists.

  • Kieran Mullan Con Bexhill and Battle

    Mr Mullan highlighted the NHS's success in managing the pandemic without becoming overwhelmed. He noted a significant drop-off in patient attendance during lockdowns, suggesting that undetected serious conditions like heart attacks and strokes may have occurred due to people avoiding hospitals. He mentioned Breast Cancer Now's estimate that almost 1 million women missed out on mammograms when screening was paused, potentially affecting around 8,600 women with undetected breast cancer.

  • Neale Hanvey Lab Dundee East

    Hanvey highlighted the impact of the pandemic on breast cancer services, noting that one million women have missed their screenings. He emphasised the importance of early diagnosis and the challenges posed by a shortage of radiologists and clinical oncologists. The MP also called for significant investment in diagnostics, treatment, recruitment, and training to address the post-pandemic recovery.

  • Mr Largan expressed concern about a decision by NHS Midlands to withdraw mobile breast cancer screening units from towns in his High Peak constituency. He highlighted issues of accessibility due to poor winter road conditions and the lack of public transport, urging for the reinstatement of these mobile services.

  • David Amess Con Southend West

    The MP expressed concern about the uptake of breast cancer screening in his constituency, noting it is below the national average at only 65.3% with 152 people developing breast cancer annually per 10,000 residents. He called for additional funding to increase workforce and facilities, particularly clinical nurse specialists supporting those with incurable secondary breast cancer.

  • Stephanie Peacock Lab Barnsley South

    Stephanie Peacock highlighted the need for a cancer recovery plan to address the backlog in breast cancer screening tests and get treatments back on track. She pointed out that nearly 10,000 women are waiting for breast cancer screenings in Barnsley alone due to staffing pressures and retirement of specialists.

  • Steve Brine Con Winchester South and Downs

    Mr Brine expressed concern about the loss of around 11,500 women per year to breast cancer in the UK over the past decade. He highlighted that approximately 370 men are diagnosed with breast cancer annually. During the pandemic, patients faced treatment delays and reduced contact with clinical nurse specialists, impacting their emotional well-being. Local screening programmes were suspended for up to 17 weeks due to lockdown measures.

Government Response

Jo Churchill

The Minister highlighted the challenges posed by the pandemic on breast cancer diagnosis and treatment, acknowledging that decisions to pause or delay some patients' treatments were made out of necessity. She noted positive trends in urgent GP referrals for cancers being 2% higher than last year with a significant rise in breast cancer from August to September. The minister also discussed progress in radiotherapy treatments such as the FAST trial which minimizes hospital visits and praised the work done by clinical nurse specialists, emphasizing their importance and the need for more training opportunities. She expressed ambition for eradicating breast cancer by 2050 and called for better data collection to improve services.

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