Lord Rennard (LD)

My Lords, many men and their families should be grateful to the noble Lord, Lord Mott, for this debate, which will increase the profile of prostate cancer and illustrates the need for screening. We have heard moving stories about prostate cancer. I have very strong and close relationships with friends from my university days some 45 years ago. Several male members of this group now have personal experience of prostate cancer. Thanks to screening, early diagnosis and the latest treatments, most of them are okay. But one close friend, who is my age, has advanced stage 4 prostate cancer. The very latest and experimental treatments are helping to keep him going for a few more years than we dared hope. He was unlucky, because he had screening but the disease developed rapidly in between screenings. The experience of my male friends means that I ask for a PSA test now when I can, sometimes when I have other blood tests concerned with diabetes. But we have heard how some GPs are discouraged from discussing this threat with some of those at highest risk. The risks are highest with black men and those with a family history of the disease. Those from the most deprived backgrounds are almost a third more likely to be diagnosed with late-stage incurable prostate cancer. The PSA screening test is not perfect by any means. We need, as and when we can, to move to saliva/spit tests. We need to use AI with blood and urine tests and use multi-parametric MRI. But in the meantime, it seems that we should get GPs to proactively offer PSA testing to men at high risk. It will save lives, and I hope that people are listening.