Healthcare
Diethylstilbestrol: Intergenerational Impact
“I thank my hon. Friend for his intervention. I have also met Susie—she is a doughty campaigner and a real tribute to the movement. I will come on to some of the calls of the DES Justice campaign shortly. The reason I think we as a nation have a unique responsibility to act is that DES was developed here in the UK, using public money. I am just going to let that sink in for a minute. It was not patented, meaning that it could be used widely, and it was. Despite the evidence of harms, the Medicines and Healthcare products Regulatory Agency still has not shown us any evidence of when it officially advised against the use of DES. In July last year, I co-ordinated a cross-party letter signed by 37 Members of Parliament, calling for recognition and an apology for those affected by DES. Since then, those affected have come together to establish the DES Justice campaign, and I pay tribute to all the brave men and women who have come forward to share their stories. I know how painful and personal this is, and I know that for many, speaking out means reliving a trauma that has shaped their whole life. I also want to acknowledge Clare Fletcher and the DES campaigners who have worked tirelessly for recognition, often with little support and against huge institutional silence, and I thank Sarah Corker and ITV News for their investigation, which helped bring the scandal to public attention and forced institutions to begin answering questions that were left unanswered for decades. That co-ordinated campaigning has paid off. In September, the MHRA admitted that it had made inaccurate statements for up to 25 years about when DES was withdrawn in Britain and apologised. In November, the former Health Secretary, my right hon. Friend the Member for Ilford North (Wes Streeting), acknowledged the suffering of DES-affected families and apologised. This was a huge step; it was the first time that many campaigners felt that the state had begun to recognise what had happened to them. That apology matters, but it cannot be the end of the matter, because for people like Jan—who has campaigned for more than 40 years—there must now be action. The DES Justice campaign is calling for the Government to take five clear steps. The first of those steps is to commit to uncovering the truth about what happened, including through a full, judge-led statutory inquiry. The second is to support research into the long-term and intergenerational effects of DES; the third is to raise awareness of DES among NHS professionals; the fourth is to assess the feasibility of tracking and informing those potentially exposed to DES; and the fifth is to introduce targeted screening and monitoring for those at risk. Those asks are reasonable, practical and necessary, because while some progress has been made, it remains nowhere near enough. We need updated and accurate information on the NHS website, so that people searching for DES are not left confused, frightened, or dependent on campaign groups for basic fasts. We need better information flows to GPs, gynaecologists, oncologists, fertility specialists and other NHS professionals. We need DES to be included in medical training and continuing professional development, so that clinicians know what it is, what the risks are, and how to support people who have been exposed. We need clear guidance on screening and monitoring, especially given the limitations of routine smear testing. We also need a serious effort to understand whether and how those at risk can be identified, and those affected informed. I recognise that this is difficult—many of the records are old, and some have been lost or destroyed or were never kept properly. Some people will not know whether their mothers took DES, and some mothers may no longer be alive to be asked, but difficulty cannot be an excuse for inaction. There are people who may be at risk today and do not know it. There are women who believe they are protected by the smear test, but they need specialist monitoring. There are families living with unexplained patterns of gynaecological problems—infertility, pregnancy loss or cancer—without even ever knowing that DES could be part of the picture. Motion lapsed (Standing Order No. 9(3)). Motion made, and Question proposed, That this House do now adjourn.—(Mark Ferguson.)”