Prostate Cancer

Baroness Royall of Blaisdon Excerpts

Wednesday 3rd September 2025 Lords Chamber

[Baroness Royall of Blaisdon (Lab)]

My Lords, I am grateful for this debate, understanding that when men have prostate cancer and when they die, their loved ones also suffer. I welcome the review by the national screening committee, and I look forward to its conclusions. But in parallel, there must be change in the guidance given to GPs to ensure that men at the highest risk are informed of the risk and offered a PSA test.

If the screening committee decides to recommend targeted screening, which I fervently hope that it will, it will take years to implement. It is crazy that current NHS guidelines prevent GPs discussing the disease with those who are most likely to have it, and late diagnosis of incurable cancer. The system benefits men who are aware of the issue and able to interact with doctors, entrenching biological and societal inequalities. It cannot be right that it is awareness, not risk, that determines who gets tested. This exacerbates inequality and leads to death. Surely, if a GP is in front of a black man or a man with a family history of the disease, they should say, “Have you thought about a test for prostate cancer?” The noble Lord, Lord Patel, and others rightly say that PSA tests are not always accurate. Yes, we need better tests, but, in the meantime, we have PSA tests, so let us use them, because targeted testing saves lives.

Raising awareness is critical. and I pay tribute to the wonderful work of charities such as Prostate Cancer UK, with its great campaigns and whose badge I usually wear. I urge the Minister to work closely with those charities and to embrace the research they are undertaking all the time. I look forward to a positive response from her.