Cancer Treatment: Psychological Support — House of Commons, 2018-11-22
Topic: Health
Mark Richard Tami (Labour, Centre-left): That is very important. What we tend to do throughout the whole process is address the disease itself and its physical aspects, but we do not address the psychological damage and problems that can occur. My hon. Friend is absolutely right that we need to do that Before I close, I would just like to take a moment to talk about the specific needs of children, teenagers and young adults who have had cancer. They experience many of the same physical and psychological problems as adults, but they also face some unique challenges, such as the impact on their growth and development, education and future prospects. Earlier this year I was very pleased to be part of the inquiry into patient experience by the all-party parliamentary group on children, teenagers and young adults with cancer. I would like to put on record my thanks to my hon. Friend the Member for Bristol West (Thangam Debbonaire), who set up the group and chairs it. She is doing sterling work and I thank her for that When parents and young people were surveyed, 73% felt that not enough was being done to ensure access to post-treatment support. Some 26% of parents and young people identified mental and emotional help as the biggest improvement needed. As Kate Collins, chief executive of Teenage Cancer Trust, summarised: "Young people have told us that actually the experience of being spat out at the end of treatment can be as traumatic as diagnosis, because all of a sudden you’ve been radically changed, you’ve been through this remarkable transformation experience in lots of ways, you’ve faced problems that lots of adults have not had to face…you may be clear of cancer but often young people are living with long-term effects, be they psychological or physical." The all-party group therefore recommended that the Department of Health and Social Care makes mental health support for children, young people and parents a key part of diagnosis, treatment, follow-up and recovery. Furthermore, NHS England should engage with children and young people with cancer to ensure that the recovery package meets that specific need. The all-party group also recommended that the Department of Health and Social Care and the Department for Education should re-examine their proposals in the mental health Green Paper and take account of the impact of a long-term physical condition on young people’s mental health When the Under-Secretary of State for Health and Social Care, the hon. Member for Winchester (Steve Brine) gave evidence to the all-party group, he said: "For the 80% of children who survive, they’ve got it all ahead of them, so we have to make sure that we tool them up to live their lives." Can the Minster tell us what she and the Department are doing to give children, teenagers and young adults the tools they need to deal with the psychological consequences of their treatment CLIC Sargent’s 2017 report, "Hidden Costs", found that 79% of young people felt that cancer had a serious impact on their emotional wellbeing, 70% experienced depression, 83% experienced loneliness, 90% experienced anxiety and 42% experienced panic attacks during their treatment. For parents, the figures are similar: more than half of parents—63%—said that they experienced depression, more than one third experienced panic attacks, and 84% experienced loneliness It goes without saying that surviving cancer is brilliant news. However, I urge the Minister and everyone here today to remember that although survival rates are improving, people are living with the effects, including the long-term effects, that cancer has dealt them. We must do more to ensure that patients such as Joanna, Ruth, Frances, Ciara and Chris not only live, but live well. That means taking action to improve the provision of gold-standard psychological support. Finally, I thank Anthony Nolan, CLIC Sargent, Macmillan and the Teenage Cancer Trust for their help.