Prostate Cancer

Lord Taylor of Warwick Excerpts

Wednesday 3rd September 2025 Lords Chamber

[Lord Taylor of Warwick (Non-Afl)]

My Lords, I thank the noble Lord, Lord Mott, for securing this important debate. One of the lessons of history is that we do not learn lessons from history, and we must not ignore the historical facts. First, prostate cancer is the most diagnosed cancer in men aged over 45 in England. Secondly, there are higher risks of prostate cancer linked to ageing, black men and family history. Thirdly, early diagnosis is critical. Survival is nearly 100% when detected early but drops to around 50% at stage 4. Yet one in five men—that is 10,000 annually—is still diagnosed too late. Fourthly, despite these facts and earlier warning signs, there is still no UK-wide screening programme. So my first question of the Minister is: what analysis of other nations’ prostate cancer treatment is the Government carrying out, and have they come to any conclusions as to the way forward for the UK?

Next, will the Minister set out what action the Government will take to ensure that higher-risk men who request a PSA test are never refused, in line with current policy? What conclusions have the Government reached as to the most effective method of PSA screening as a result of the TRANSFORM trial launched in May of last year? Bearing in mind the reluctance of some men to submit themselves to rectal examinations, what assessment have the Government made of the BARCODE 1 study on the early detection of prostate cancer using saliva samples to identify high-risk patients? Lastly, when will the UK National Screening Committee announce the conclusions and recommendations of the TRANSFORM trial? A national screening programme for men at high risk of prostate cancer is long overdue. National screening will radically improve the fate of prostate before it is too late.