Our precious daughter, Jessica, died on the 20th of December 2020. She was 27 years old.

She had been ill for 6 months, but the spring/summer lockdown meant face-to-face consultations with her GP were restricted and numerous antibiotics were prescribed, even in the absence of a physical examination. Jessica was told for months she was suffering from Long Covid despite two negative coronavirus tests. She was finally diagnosed with cancer on the 26th of November. Her dependency upon oxygen from this date meant she did not leave the hospital or ever return home. We discovered that Jess had stage 4 adenocarcinoma with an unknown primary. It had spread throughout her body, to her spine, liver, stomach, lungs and lymph nodes. We are obviously devastated. Our world has been shattered.

Adults aged 25-49 contribute around a tenth of all new cancer cases, with double the incidence in females than males.

Currently, this age group is not prioritised although many cancers are aggressive and require immediate treatment. Despite being too young to be ignored they often are. They are the forgotten generations. Too old for their diagnosis to be truly shocking and too young to be deemed at serious risk. Covid is undoubtedly exacerbating the situation.

This government must ensure no more young lives are tragically and unnecessarily lost.

• Jess's Rule - official guidance calling for a patient’s case to be elevated for review after the third contact with their GP surgery about a condition or symptom.
• Funding must be ring-fenced to allow GPs to respond with utmost urgency in referring ALL patients.
• Steps must be taken to facilitate an increase in face-to-face consultations.
• Once referred, hospitals require more specialist staff and equipment to make the immediate and necessary diagnosis.
• Campaigns, directed at medical professionals in Primary Care, are essential to increase awareness about the incidence of cancer in people in their 20s, 30s and 40s.

Action must be taken.