Chamber
Plenary, 06 Oct 1999
06 Oct 1999 · S1 · Plenary
Item of business
Breast Cancer
From Ruth Picardie's moving columns in The Observer to our everyday experiences, we are becoming aware of the reality of breast cancer and the key issues that surround it—screening, diagnosis and care. Breast cancer is now properly a key component of the health agenda of Scotland. That prominence has been achieved thanks to the campaigns in the charity and voluntary sector, the dedication and professionalism of health service staff at all levels, and the experience and testimony of women themselves. All that work is, at times, inspiring, although at times it is quite terrible.
Most of us, through personal experience or the experience of a family member, a friend, neighbour or associate, have become aware of the significance of the disease to the health profile of women in Scotland. We have become aware of the critical strands that demand our attention: awareness, screening, diagnosis, treatment and care. We know that 14,080 women died of breast cancer in Britain in 1995—270 women each week. Eighty per cent of breast cancers occur in postmenopausal women. Equally, we know that we must pay attention to younger women who suffer. My own friend died tragically at the age of 39. She left not only a grieving husband and two young children, but lonely friends, stunned colleagues and children in care in Glasgow who were denied their fierce advocate.
There can be no room for complacency as we try to tackle the disease. In the 1980s, Scotland's survival rates compared unfavourably with those of many European countries, although there is now some evidence that survival rates in Scotland are beginning to improve. Screening attendance rates must be tackled. The breast cancer awareness group quoted the clinical resource and audit group report, pointing out that
"high attendance rates are achieved in rural areas whilst in urban areas the minimum standard for attendance is seldom reached—Lanarkshire, Lothian and Greater Glasgow do not meet the minimum standard, despite considerable local effort".
We will always make demands of our medical services, but breast cancer must be considered medically and socially. How are women first told of their diagnosis, and how do they hear it? We must ensure that the complex world of cancer care is made less frightening, less daunting and more responsive to the needs of women. We have their experience and testimony to guide us. Above all else, and particularly in this Breast Cancer Awareness Month, we must not frighten women unduly. We must send out signals of hope, encouragement and support and stress the significance of awareness and of early intervention.
I am delighted to join Pauline McNeill in making a small contribution by sponsoring a breakfast for Breakthrough Breast Cancer in the Parliament and by ensuring that this Parliament reinforces the message of awareness and early diagnosis.
Most of us, through personal experience or the experience of a family member, a friend, neighbour or associate, have become aware of the significance of the disease to the health profile of women in Scotland. We have become aware of the critical strands that demand our attention: awareness, screening, diagnosis, treatment and care. We know that 14,080 women died of breast cancer in Britain in 1995—270 women each week. Eighty per cent of breast cancers occur in postmenopausal women. Equally, we know that we must pay attention to younger women who suffer. My own friend died tragically at the age of 39. She left not only a grieving husband and two young children, but lonely friends, stunned colleagues and children in care in Glasgow who were denied their fierce advocate.
There can be no room for complacency as we try to tackle the disease. In the 1980s, Scotland's survival rates compared unfavourably with those of many European countries, although there is now some evidence that survival rates in Scotland are beginning to improve. Screening attendance rates must be tackled. The breast cancer awareness group quoted the clinical resource and audit group report, pointing out that
"high attendance rates are achieved in rural areas whilst in urban areas the minimum standard for attendance is seldom reached—Lanarkshire, Lothian and Greater Glasgow do not meet the minimum standard, despite considerable local effort".
We will always make demands of our medical services, but breast cancer must be considered medically and socially. How are women first told of their diagnosis, and how do they hear it? We must ensure that the complex world of cancer care is made less frightening, less daunting and more responsive to the needs of women. We have their experience and testimony to guide us. Above all else, and particularly in this Breast Cancer Awareness Month, we must not frighten women unduly. We must send out signals of hope, encouragement and support and stress the significance of awareness and of early intervention.
I am delighted to join Pauline McNeill in making a small contribution by sponsoring a breakfast for Breakthrough Breast Cancer in the Parliament and by ensuring that this Parliament reinforces the message of awareness and early diagnosis.
In the same item of business
The Presiding Officer (Sir David Steel):
NPA
We now move to members' business and motion S1M-162 in the name of Pauline McNeill on the subject of breast cancer. The debate will last for 30 minutes. Memb...
Motion debated,
That the Parliament notes that breast cancer is the most commonly occurring cancer amongst women in Scotland; notes that early detection has saved many lives...
Pauline McNeill (Glasgow Kelvin) (Lab):
Lab
I have lodged this motion because this is our first meeting in October and October is Breast Cancer Awareness Month. The pink ribbon and its tartan counterpa...
Irene McGugan (North-East Scotland) (SNP):
SNP
Pauline McNeill is to be commended for bringing this matter to the attention of the Parliament, as are the organisers of Breast Cancer Awareness Month. In Sc...
Ms Margaret Curran (Glasgow Baillieston) (Lab):
Lab
From Ruth Picardie's moving columns in The Observer to our everyday experiences, we are becoming aware of the reality of breast cancer and the key issues tha...
Mrs Margaret Smith (Edinburgh West) (LD):
LD
I welcome the opportunity, as previous speakers have, to highlight the impact of breast cancer on the health of Scottish women. It impacts not only on women ...
Dr Richard Simpson (Ochil) (Lab):
Lab
I would like to offer a word of caution on the screening issue, which is not straightforward. Mass screening is not necessarily the answer for people over 65...
Mrs Smith:
LD
I take those comments on board. I think that what I did was to ask the minister to look at the issue. In September, the minister answered a written question ...
Mary Scanlon (Highlands and Islands) (Con):
Con
I concur with the points that Irene McGugan made on screening. I fall into the category where I do not get breast screening for several years. When I mention...
Malcolm Chisholm (Edinburgh North and Leith) (Lab):
Lab
Once again, one of the best and most important debates in the Parliament is taking place at the end of the day. The shocking figures about breast cancer have...
Dorothy-Grace Elder (Glasgow) (SNP):
SNP
I thank Pauline McNeill and Margaret Curran for raising this important issue. Some years ago, I became one of the many women to go through a breast cancer sc...
Elaine Smith (Coatbridge and Chryston) (Lab):
Lab
I will keep my speech brief. I welcome the opportunity that Pauline McNeill has given us to raise awareness of breast cancer. Given that breast cancer is the...
Fergus Ewing (Inverness East, Nairn and Lochaber) (SNP):
SNP
On Friday, in my constituency surgery in Fort William, I was consulted by a 35year- old woman who is suffering from breast cancer. She is brave woman, not on...
Maureen Macmillan (Highlands and Islands) (Lab):
Lab
Many of the points that I was going to make have been covered in the debate, but there are one or two that I want to add. First, genetic profiling could help...
Christine Grahame (South of Scotland) (SNP):
SNP
I did not intend to speak in this debate, but as we went along, I realised that I am one of those women who are over 50, who get the recall and who defer goi...
The Deputy Presiding Officer (Ms Patricia Ferguson):
Lab
As Christine's contribution was so brief, we can just about squeeze in one last speaker. I call Hugh Henry.
Hugh Henry (Paisley South) (Lab):
Lab
Like other members, I congratulate Pauline McNeill on her initiative in securing this debate and on her work. I am aware of some of the issues surrounding br...
The Deputy Presiding Officer:
Lab
I am conscious that this is a debate that many more members than usual have stayed behind for. If I closed the meeting now, I would be excluding one member w...
Dr Richard Simpson (Ochil) (Lab):
Lab
I will be very brief. Most of the points have already been made. I wanted to end on a good-news story. The west of Scotland breast screening service had come...
The Minister for Health and Community Care (Susan Deacon):
Lab
I have listened with great interest to the debate and will attempt to pick up some of the points that have been raised. The interest and participation that t...
The Deputy Presiding Officer:
Lab
I thank members for their co-operation this evening and I now close the meeting.
Meeting closed at 17:50.