Lung Cancer — House of Commons, 2018-04-26
Topic: Health
James Peter Brokenshire (Conservative, Centre-right): The hon. Gentleman is prescient, because I was about to say that I believe there is real reason to be positive about what we can achieve Since my diagnosis, I have met leading experts in the field in the charitable sector and within our NHS. I have experienced incredible care by amazing NHS professionals on the frontline and spoken to experts in the field working on ground-breaking programmes. I have heard about new immunotherapies that are offering new hope even when surgery is not possible. I have even donated a small sample from my own tumour to an amazing Cancer Research UK programme to help understand cancer better by getting to the heart of its DNA to get to grips with its specific genetic make-up, help us find its weaknesses, and destroy it I commend the work of the NHS England clinical expert group for lung cancer, chaired by Professor David Baldwin, in seeing that speedier routes to diagnosis and other good practice can be applied across the country. The 10 new one-stop shop rapid diagnostic and assessment centres announced this month to speed up cancer diagnosis where there are vague or non-specific symptoms are another exciting new initiative. There is the work of the cancer taskforce in delivering the Government’s cancer strategy. There is the work of the taskforce for lung health to develop a five-year plan to improve lung health and prevent lung disease more generally. We should be hopeful, we should be positive, and we should be ambitious about what we can achieve and focus on how we can make the biggest impact From everything I have seen and experienced, early diagnosis and treatment lies at the heart of this. That is why I believe that a national screening programme for lung cancer is needed, as we have for breast cancer and bowel cancer. We are not starting from scratch. I commend NHS England for its announcement in November of a lung health check programme. It drew on the success of the Manchester scanner scheme, where mobile CT scanners detected four out of five cases of lung cancer in the early stages. In 12 months, the mobile scanning trucks picked up one cancer for every 33 patients scanned. Following this announcement, new lung screening pilots are about to get under way in various parts of the country But we risk each pilot doing its work in varying ways—not being joined up and with a fragmented approach to data collection preventing us from making comparisons and harnessing the lessons learned. There also remains some reticence to see this work progress to a national screening programme, with a desire to wait and see the results of the NELSON trial from Holland and Belgium. Yet we have already seen the huge benefits of CT scanning in the United States, and we have already dealt with issues such as false positives in other screening programmes There is a real human cost to delay. We should reflect on how many lives could be saved and how many lives are being lost while we wait. One example of this is Bill, whose lung cancer was picked up early through screening. He shared his story with the Roy Castle Lung Cancer Foundation, saying: "If I hadn’t gone through that scan I could have been dead in a year’s time. The doctor when I went said it’s probably given you ten more years of your life." It is because of an overriding desire to see more people enjoy more years of life that I believe we should act now rather than wait. We should commit to a national screening programme and use the pilot programmes to support its implementation. If we want to see a step change in survival rates—to see people living through rather than dying from lung cancer—now is the time to be bold The last few months have been hard, knowing that in resigning from Government, my illness would be very public, and knowing that because of the need for a public announcement, many friends and family would be hearing about it on the TV or radio rather than hearing from me directly. When you go through something like this, it puts things in perspective and reminds you of what is really important—most especially, your family and those you love. In so many ways, it is even harder on them than it is on you. I want to thank my wife Cathy and my children Sophie, Jemma and Ben for the love and support they have given me and how they kept me going and kept me positive at some of my darkest moments I thank the incredible NHS professionals who have looked after me. They are very special people and without them I would not be giving this speech today. I have also got to know and appreciate even more the work of amazing organisations such as the Roy Castle Lung Cancer Foundation, Cancer Research UK, Macmillan Cancer Support and the British Lung Foundation. I have been humbled and overwhelmed by the kind messages of support, prayers and letters of encouragement from so many people, the contact I have had from people who have gone through or are going through a similar experience and the good advice I have received from key friends. It reminds you of the power of basic human kindness I have been very touched by the concern, kindness and support of colleagues from right across the House, some from people I might have expected, and some from people I did not. It has meant a great deal to me at a very difficult time. I hope that we can harness that spirit of good will and the skills, knowledge and experience of Members across the House, so that we can work together to shift the dial on cancer survival and above all deliver on the message of hope that I started with—hope for people receiving a lung cancer diagnosis just like me, hope for the future, hope for a continued life well led and hope for ourselves—and see that more of us are living well with cancer, and living well beyond it.