Military Helicopters: Blood Cancers Debate

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Department: Ministry of Defence

Military Helicopters: Blood Cancers

Tanmanjeet Singh Dhesi Excerpts
Tuesday 8th July 2025

(1 day, 20 hours ago)

Westminster Hall
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Jayne Kirkham Portrait Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)
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I beg to move,

That this House has considered military helicopters and blood cancers.

It is a pleasure to serve under your chairmanship, Sir Jeremy. I am here because of someone who joined the Royal Navy Fleet Air Arm at the age of 19 because he had always wanted to fly. He always had the vitality to attack life and live it fully. He flew everything from Hawks to helicopters, and was a talented and committed pilot. By the time I met him, he was teaching new recruits to fly at RAF Cranwell, and was Navy snowboarding champion. In 2005, he went to Cornwall and was stationed at Culdrose, where he flew search and rescue on the old Sea Kings. I represent Truro and Falmouth. Cornwall is rich in forces personnel and veterans. Five and a half per cent of people in Truro and Falmouth have served, which is a much higher percentage than the national average of 3.8%. In Truro and Falmouth, 4,160 houses—more than 10%—have at least one veteran living in them.

He was living in Dorset when he suffered strange symptoms of blood clots in his lungs and legs in the spring of 2022. It took some time and persistence, but he was diagnosed with multiple myeloma, a rare blood cancer that affects only 5,000 people a year in the UK and is most common in men over the age of 85. He was lucky to have some pioneering treatment in Dorset and later at the Royal Marsden hospital, and he was able to trial drugs that were not yet available in the UK. Treatment is developing for blood cancers all the time, and it is important that people in the UK have access to new treatments. The cancer, however, returned, and he died a year after diagnosis, not long after his 54th birthday. His was not an isolated case. Last Tuesday, in the Welsh Senedd, Julie Morgan led a debate very like this one about RAF winchman Zach Stubbings. Zach died from multiple myeloma at the age of 46, after working many hours on Sea Kings.

Tanmanjeet Singh Dhesi Portrait Mr Tanmanjeet Singh Dhesi (Slough) (Lab)
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I congratulate my hon. Friend on her excellent, sterling efforts to advocate on behalf of serving personnel and veterans, seeking answers on the important matter of military helicopters and blood cancers. Does she agree that although the current in-house testing of in-service helicopters is welcome, we must ensure full transparency on the matter so that there is work done for those who have previously worked on those helicopters? The health and wellbeing of our serving personnel must always be front and centre.

Jayne Kirkham Portrait Jayne Kirkham
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I agree absolutely. The health of our serving personnel is and always must be paramount. I will move on to previous cases shortly.

I know of 180 cases with solicitors of crew working on military helicopters who have contracted cancers, many like those of the two people I mentioned. They worked on the Sea King particularly, but also the Westland Wessex, the Puma, and the CH-47 Chinook. Many of the crew affected were in touch with each other, as there seemed too many of them, and the cancers too rare, to be pure coincidence.

Last July, a report was written by the Independent Medical Expert Group on medical and scientific aspects of the armed forces compensation scheme, and was published in November last year. There was a section at the end on the potential link between exhaust fumes such as benzene from helicopters and blood cancers such as multiple myeloma. The findings were that the evidence and data available did not meet their threshold to establish a causal link between Sea King helicopter exhaust fumes or benzene and multiple myeloma, leiomyosarcoma, and soft tissue sarcomas.

--- Later in debate ---
Al Carns Portrait Al Carns
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Unfortunately, we do not have a timescale at the moment. The scale of the task is hard to define. In terms of where the records sit, no one keeps records on veterans when they leave, apart from the NHS. Those records are held in different buckets all over the UK. It is going to take some time to pull that together and analyse it, and to work out whether there are pockets of very rare cancers from one part of defence, another part of defence or from other industries. Unfortunately, we just do not know. I will endeavour to get back to my hon. Friend once the scale of the task, which is gigantic, is conceptualised into time.

I come back to some points raised by my hon. Friend the Member for Truro and Falmouth. On spreading awareness of a potential link, we work really hard to ensure that all service personnel have access to national cancer screening programmes. The MOD regularly runs health education campaigns—I hope that answers her earlier question—that encourage participation in national cancer screening programmes and raise awareness about cancers. Any veteran listening to this debate who has a cancer or a suspicion of cancer should please ensure they get it checked out and get the details recorded medically so that, if there may be a claim of any shape or form, that can be processed and they have the evidence, and it can get dealt with in the fastest and most efficient manner.

Educating GPs in places where there are clusters of personnel and veterans also goes back to data. There are clusters of veterans everywhere, ranging from 1,000 to 17,000, to 33,000 in Portsmouth. I will refrain from speaking about healthcare professionals any broader than the MOD in this forum, but I expect every defence medical service doctor to work in accordance with best practice, particularly National Institute for Health and Care Excellence guidelines, to identify individuals with symptoms that could be caused by cancer and to arrange the appropriate speedy follow-up for a specialist referral.

As well as signposting for veterans, a screening scheme for blood cancers could be set up for those who may be at most risk; that point was mentioned earlier. The current medical advice from IMEG is clear, but I am mindful that there is also no UK screening programme for multiple myeloma or other rare cancers. I have read some of the medical advice, and it looks like some of those screening processes can cause a percentage of harm—I will need to look at that in a bit more detail. Any harm from screening must be outweighed by the benefits of screening. I go back to causation, and a focus on getting data on who needs to be screened and who does not. This is a deeply complex problem. I am not trying to confuse or confuddle the debate. We need to get to the bottom of this, but we need to do it the right way, and in the speediest, most efficient way.

The real-life replication of testing conditions was also mentioned. I want to reassure hon. Members that the testing we do on aircraft mirrors real life. In some cases, it is on the sampling equipment that is carried on the person, on the air crew and indeed the ground crew as well, because not just the pilots are involved, but the broader group. On whether they should still be advised to take sufficient precautions, I should say that I have spent a large proportion of my career in helicopters and stood in the exhaust fumes, which often used to heat us up in cold environments, which I would not recommend. I can attest to the quality and professionalism of the air crew. Indeed, the air crew as a whole are absolutely prepared with both PPE and understanding.

Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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I thank the Minister for his clarification about the testing of helicopters currently in service. But could he clarify something? Are there any provisions to conduct tests or derive data on previous models and those not in service?

Al Carns Portrait Al Carns
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I thank my hon. Friend for the question. Several studies were conducted on the Sea King. In 2010 a study was conducted during operational flying in Afghanistan—I was out there at the same time and probably on them every now and again. It found notable levels of exposure to carbon monoxide and nitrogen monoxide. However, all exposures were below levels considered to be harmful to health.

In 2013, there was a study on search and rescue Sea Kings that found exhaust gases were below levels considered harmful to health. A 2014 study measured exposure to elements of carbon. That was found to be well below the German exposure standard; unfortunately, no UK standard existed at the time. The highest exposure was found to be at least less than a third of the concentration at which, based on the scientific knowledge, long-term repeated exposure could potentially cause ill health.

On the private companies and countries that still use these aircraft, the previous testing of the Sea King helicopters, which I just mentioned, did not have conclusive evidence that air crew were exposed to substances above UK-wide international limits—those German studies. Third party operators and countries may operate the aircraft differently and for different purposes, but I agree with my hon. Friend the Member for Truro and Falmouth that they should ensure that they appropriately manage potential risks. I think we can help with that.

Although views differ, some of the evidence is over a long period of time. The subject group is huge, but it could be quite concentrated in some areas. I accept that we differ on some of the points today. I think we are united in our commitment to the health and safety of our armed forces and the protection of our people, our territories, our values, and indeed our interests, both at home and overseas. It is the most fundamental duty of defence. But that duty is only as strong as the people who uphold it. Our armed forces are not just a source of national pride; they are the lifeblood of our security, admired across the globe for their expertise, professionalism and unwavering commitment. Together we will ensure that the Ministry of Defence remains steadfast in its commitment to the health and safety of its people. Their safety is non-negotiable. Their wellbeing is not optional. It is an obligation.

I want to be clear that we are conducting testing now. We have looked at the reviews of previous testing, and there are options for understanding the broader cancer demographic among our veterans population. I have taken that on after the discussions with my hon. Friend the Member for Truro and Falmouth. We will do everything in our power to ensure that everyone who wears the uniform of this country is protected, respected and supported, because they deserve nothing less.

Question put and agreed to.