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Jessica Brady, 27, died from stage-four cancer in December after struggling to get an in-person appointment with her GP during the pandemic
The mother of a young woman who died from cancer has told MPs her daughter might still be alive if she was seen by her GP face-to-face.
Jessica Brady, 27, from Stevenage in Hertfordshire, passed away from liver cancer in December after a series of virtual appointments over the course of five months failed to spot her tumour.
Her mother, Andrea, told the Health and Social Care Committee today that Jessica was repeatedly denied an in-person appointment after first complaining of abdominal pain last summer, despite the epidemic being largely under control at that point.
She was diagnosed with a kidney infection ‘in the absence of any diagnostic testing or any physical examination at all’ and prescribed with antibiotics.
When she became extremely fatigued and her symptoms worsened, she was only prescribed more antibiotics, steroids, and an inhaler.
One set of blood tests even revealed Jessica had high D-dimer levels, which can be a signal of solid cancers, the mother told MPs.
And subsequent tests identified concerns regarding her liver function – which her mother said makes sense now as she had liver cancer – but medics decided to wait six weeks to see what happened.
Doctors didn’t put ‘the pieces of the jigsaw together’ that it was cancer until five months later, by which point the cancer had spread around Jessica’s body and become untreatable.
It comes as Health Secretary Sajid Javid demanded ‘more GPs should be offering face-to-face access’ and ‘we intend to do a lot more about it’.
Figures show a third fewer people in England are seeing a GP now than before the pandemic and tens of millions of appointments were ‘lost’ during Covid.
Andrea Brady, Jessica’s mother, told MPs her daughter needed a face-to-face appointment ‘really early on’. She was told to get a gastroscopy after in-person appointments, but if this happened a few months earlier, her cancer ‘wouldn’t have spread so aggressively’, Mrs Brady said
Ms Brady revealed that Jessica was only finally seen in person by a GP when she bombarded her local surgery with more than 20 phone calls.
The family doctor told the family that Jessica ‘probably needs a gastroscopy’, her mother told the committee.
If this procedure – which involves a camera taking pictures inside the stomach – happened a few months earlier, her cancer ‘wouldn’t have spread so aggressively’, Ms Brady said.
‘Jess was a very gentle, sweet person, but she really did attribute her late diagnosis to the slow reaction of her GP surgery,’ her mother added.
Even after seeing a GP in-person, it was not until she sought private health care that she was diagnosed with stage four cancer of the lungs, bones, spine and liver.
She went to hospital on the day of her diagnosis and died three and a half weeks later on December 20.
Asked about Jessica’s challenge in getting a GP appointment, she said: ‘It was incredibly challenging for Jess, just navigating the whole system of consult procedures.
‘I think the most important thing is we feel, and Jess felt that no one listened, no one took it seriously and more than anything, she needed a permitted face-to-face appointment really early on, with people making notes.
‘And also, during all that time, she wasn’t seen by one designated doctor, four different doctors spoke to Jess and prescribed her medication. And we think that was really key.
‘No one person was looking at the whole picture and putting the pieces of the jigsaw together. That didn’t happen until two days before Jess received her diagnosis, when I think there was an element of panic, because she was receiving quite a lot of phone calls at that stage, and saying you probably need a gastroscopy.
‘In fairness, if that had happened three months earlier, obviously her cancer would not have spread – well we think it wouldn’t have spread so aggressively by then – so I think it’s fair to say that Jess was a very gentle, sweet person, but she really did attribute her late diagnosis to the slow reaction of her GP surgery.’
Her parents have launched a petition calling for a cancer specialist in every doctor surgery, a dedicated GP for each patient, frequent courses for GPs and a public health campaign on the warning signs of cancer in young people.
In response to Jessica’s case, Dr Richard Roope, clinical adviser for cancer at the Royal College of General Practitioners, told MPs: ‘In general practice we talk about learning events and this is the mother of all learning events.
‘To state obvious, no GP gets up in morning to miss a diagnosis.
‘We are there to help our patients and to enable access to the best treatment and diagnostics in a timely fashion and I think we can do things better than what has happened.
‘And I think the narrative that we’ve heard is in a way a manifestation of essentially demand outstripping supply.
‘That all GPs could do more if we had more time and if there was more GPs we could give more time to each patient.’
It comes as the Health Secretary said today that ‘everyone can understand’ why GPs ‘couldn’t provide access in the normal way’ during the peak of the coronavirus pandemic.
But he said ‘we are way past that now’ and doctors should be following society in going back to ‘completely normal’ life.
He said that ‘more GPs should be offering face-to-face access’ and ‘we intend to do a lot more about it’.
Virtual appointments were heavily encouraged throughout the Covid crisis in an attempt to keep social mixing low and hospitals virus-free.
But trusts have continued to incentivise the practice, with GPs being offered bonuses to keep in person attendances low.
There are fears that some people, particularly the elderly, are being left behind.
Recent data from NHS Digital showed 57.2 per cent of appointments in July were conducted face-to-face.
That is higher than the low of 46.8 per cent last April, as the first Covid wave swept across the UK, but much lower than the 80 per cent pre-pandemic figure.
Source: DailyMail
