Type 1 Diabetes: Infant Testing

Tom Hayes Excerpts

Monday 9th March 2026 Westminster Hall

[Irene Campbell]

I thank my hon. Friend for raising that important point. Again, I refer to the Minister’s response. This is a very important issue, and it is crucial that we get it right.

There can be barriers to diagnosis if there is the appearance of another illness, such as a cold or tonsillitis, that can make diabetes more difficult to recognise. Young children are often unable to fully express themselves in relation to symptoms, which can be problematic. There must be more awareness of that possibility. Tragically, as we have heard today, some cases can be missed.

The RCGP said that a GP may not ever see another child in their practice with undiagnosed type 1 diabetes, and that it is a rare occurrence. Time pressures were also commented on. The appointment length is inadequate to deal with potentially more complex issues. As GPs look for the most common diseases in the first instance, they might not think that a glucose test is necessary. It is important to highlight the fact that GPs have the broadest medical specialty. However, the recent RCGP survey found that 64% of members say they do not have enough time to undertake training or continuing professional development alongside their practice work. In addition, the average GP cares for more than 2,300 patients, which is 16% more patients than in 2015, and in deprived communities that figure is significantly higher.

[Tom Hayes (Bournemouth East) (Lab)]

I thank the 143 constituents who signed this petition. I am representing my constituent David. His son fell unwell, but the GP surgery did not recognise the symptoms and he had to be blue-lighted to a hospital the same evening. He has now recovered—in fact, he has now raised £500 for Breakthrough T1D and Diabetes UK. David wanted me to give a special thank you and shout-out to the children’s unit at Poole hospital and the children’s diabetes team at University Hospitals Dorset. Does my hon. Friend agree that we need all GP surgeries around the country to recognise the symptoms and to take all necessary action when they are detected?

[Irene Campbell]

I thank my hon. Friend for making that important point. Yes, I agree.

The survey also found that 73% of GPs report that patient safety is being compromised by their workload pressures, and 58% said that they do not have enough time during appointments to adequately assess and treat patients. It is concerning to hear that a high number of GPs do not have time for professional development and quality development. While the number of patients GPs are expected to see rises, the pressure is higher and patient satisfaction is poorer.

Another important point to note is that the NICE guidelines are from 2015. They could be reviewed to recommend that type 1 diabetes be tested for much earlier, and that an infant need not have all the listed symptoms in the guidelines before testing, as the four Ts on their own are not very sensitive at picking up type 1 diabetes. NICE guidelines could prioritise earlier testing of glucose, making checks immediate and not postponed.