Commons Sense

House of Commons · Westminster Hall

Cervical Screening

19 July 2021 · 8 other contributors · 12,380 words

Opened by Tonia Antoniazzi Lab Gower

Responding minister: Jo Churchill

NHS

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

At a glance

Tonia Antoniazzi raised concerns about cervical screening in Westminster Hall. A government minister responded.

Key points

  • Tonia Antoniazzi expressed concern about the 72% attendance rate for cervical screening in England during the COVID period.
  • Antoniazzi requested the Minister to meet with Jo's Cervical Cancer Trust to discuss ways to increase cervical screening rates.
  • The Minister acknowledged the need to address cultural barriers and use technology like self-sampling kits to increase screening uptake.

Key requests to Government

Antoniazzi asked the Minister to meet with Jo's Cervical Cancer Trust to discuss ways of increasing the number of women being tested. She also requested information on procedures in place to prevent similar situations and details about any screening backlog and plans for increasing the cancer workforce.

How the debate unfolded

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

Opened the debate

Tonia Antoniazzi Lab Gower

Tonia Antoniazzi expressed concern about the low attendance rate for cervical screening in England, which stood at 72% during the covid period. She highlighted that over one in four women are not attending their smear tests when invited and noted that this could lead to missed diagnoses due to delays and lack of follow-ups. Antoniazzi also mentioned the case of Fiona, who died from cervical cancer at age 30 after experiencing delays and hold-ups before her diagnosis, including issues related to communication between devolved Administrations.

Other contributors (8)
  • Alex Davies-Jones Lab Pontypridd

    Described her personal experience with cervical screening and abnormal cell diagnosis, emphasizing the importance of screenings in preventing cervical cancer. Highlighted the need for better education on HPV and the emotional impact of cervical screenings. The hon. Member for Rutherglen and Hamilton West talked about some of the challenges faced by the lesbian and bisexual community in accessing appointments, but we also need to recognise some of the challenges faced by our trans community, especially trans men, who are not sent reminder letters because of administrative policies at GP services.

  • Alex Norris Lab Co-op Nottingham North and Kimberley

    He thanked the MP for Gower for securing the debate and highlighted the petition's impact. He mentioned the legacy of Fiona Mathewson, who tragically died from cervical cancer in 2021, inspiring the campaign against the disease. Norris addressed issues like health equity, mental impacts of screening during the pandemic, and the importance of effective communication as discussed by other MPs. He noted that every year around 3,200 people get cervical cancer, and Cancer Research UK estimates that 857 died in 2018. Mortality rates have dropped from 10 per 100,000 women to approximately 2.5 since the 1970s. He emphasized the importance of screening for early diagnosis and saving lives.

  • Jim Shannon DUP Strangford

    Jim Shannon emphasised the importance of cervical cancer screening, noting that early detection and treatment can prevent seven to ten types of cervical cancer. He highlighted that current legislation invites women between 25-49 for screening every three years and those aged 50-64 every five years, but he advocated for yearly screenings to improve diagnosis and reduce anxiety among patients. Shannon cited statistics from Jo's Cervical Cancer Trust indicating that 51% of women delay their screening, with 24% delaying over a year and 9% never attending at all. I referred to my wife's difficulty in making an appointment. She talked to her mother for support and advice before going to the hospital, highlighting that women talking to women is much easier than other options.

  • John Lamont Con Berwickshire, Roxburgh and Selkirk

    Mr Lamont highlighted the high number of signatures from his constituency in support of the petition for improved cervical cancer screening. He emphasized that around 850 women die annually from cervical cancer in the UK, yet this is one of the most preventable cancers due to early detection through screening and HPV vaccination. However, he noted that Scotland offers screenings less frequently than other parts of the UK. Mr Lamont also addressed a recent case where some women developed cervical cancer after being wrongly excluded from the screening programme following a hysterectomy, expressing concern over the Scottish Government's delayed response in revealing these errors to the public.

  • Margaret Ferrier SNP Rutherglen and Hamilton West

    Cervical screening is the best method of protection against cervical cancer but one in four women across the UK did not accept their invitation for screening. A more viable option would be to roll out widespread HPV self-sampling, which could greatly increase uptake with 47% preferring it over clinician-led screening.

  • Mike Kane Lab Wythenshawe and Sale East

    Mr. Mike Kane raised concerns about the impact of the pandemic on cervical screening, highlighting that no clinical commissioning groups in England achieved 80% coverage for women invited for tests in Q3 2021. He mentioned an estimated 600,000 missed screening opportunities between April and May 2021. Mr. Kane also discussed demographic factors influencing take-up rates and proposed the adoption of new innovative screening technologies such as HPV mRNA testing to reduce unnecessary colposcopies and improve patient outcomes.

  • Philippa Whitford SNP Central Ayrshire

    She expressed sympathy for Fiona's family and emphasized the importance of early cervical cancer detection through HPV vaccination and screening. Philippa highlighted the Scottish success in reducing high-risk HPV infections from 30% to 4.5% among vaccinated women, leading to an 89% fall in CIN 3 cases. She advocated for wider adoption of two-step testing (HPV then cytology) and self-administered vaginal swabs to increase screening uptake, especially among underrepresented groups.

  • Taiwo Owatemi Lab Coventry North West

    The petition on Fiona's law received more than 146,000 signatures. Research shows that around 600,000 cervical cancer tests failed to go ahead in the UK during April and May 2020 due to the pandemic, decreasing screening for women aged 25-64 by nearly 7%. The Government must do more to create public awareness about cervical cancer screenings and address cultural barriers preventing minority ethnic women from accessing testing appointments.

Government Response

Jo Churchill

Acknowledged the need to increase uptake in cervical screening by addressing cultural barriers and using technology such as self-sampling kits. Highlighted that current guidelines are based on expert advice from the UK National Screening Committee, which recommends HPV testing due to its effectiveness in detecting abnormalities leading to cervical cancer. Noted the importance of the national HPV immunisation programme for boys and girls introduced since 2008, aiming to eventually eradicate HPV infections. Emphasized the rarity of missed abnormalities turning into cancer between screening tests but acknowledged ongoing work needed to improve access through trials like YouScreen in London targeting disadvantaged groups.

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