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165985

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England are taking to improve early diagnosis of cancer for patients aged over 75.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215939
answer	answer is ministerial correction date of answer 28/11/2014 answer text <p><em>Improving Outcomes: A Strategy for Cancer</em>, published in January 2011, committed over £450 million over the four years up to 2014-15 to achieve earlier diagnosis of symptomatic cancer. The earlier diagnosis money is designed to support centrally led Be Clear on Cancer (BCOC) campaigns; improved direct general practitioner (GP) access to four key diagnostic tests to support the diagnosis of brain tumours, bowel, lung, and ovarian cancers; and increased testing and treatment costs in secondary care. GPs are able to access these tests directly in cases where the two-week urgent referral pathway is not appropriate but a patient’s symptoms require further investigation. The intention is that more people presenting with relevant symptoms, including patients aged over 75 will be tested and at an earlier stage. NHS England monitors the use of these diagnostic tests through the Diagnostic Imaging Dataset.</p><p> </p><p> </p><p> </p><p>Since 2011 the Department and Public Health England (since 2013) in partnership with NHS England (including NHS Improving Quality) and other stakeholders have run national BCOC campaigns for bladder and kidney, bowel, breast and lung cancers; regional campaigns for ovarian, oesophagogastric cancers, and local pilot campaigns to raise awareness of four symptoms of unexplained bleeding, lump, pain, and weight loss; and awareness of skin and prostate cancers.</p><p> </p><p> </p><p> </p><p>BCOC campaigns are aimed at men and women over the age of 55 and their key influencers (e.g. family members) and use television (at regional and national level), radio and press and face-to-face events. The breast cancer campaign from February to March 2014 was specifically aimed at women over 70 as there is considerable evidence that many older women are not aware that they are still at risk.</p><p> </p><p> </p><p> </p><p>In 2012, to increase the awareness of cancer amongst GPs and support GPs to assess all patients more effectively, the Department funded the British Medical Journal (BMJ) Learning to provide an e-learning tool for GPs. The modules include tackling late diagnosis; risk assessment tools; and cancer pathway and the role of primary care.</p><p> </p><p> </p><p> </p><p>In 2013, Macmillan Cancer Support, partly funded by the Department, piloted an electronic cancer decision support tool for GPs to use in their routine practice. Following the pilot, Macmillan is now offering the tool free of charge to all GPs in the United Kingdom.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is in the process of updating the Referral Guidelines for Suspected Cancer (2005) to ensure that it reflects latest evidence and can continue to support GPs to identify patients with the symptoms of suspected cancer and urgently refer them as appropriate. NICE’s draft is currently out for consultation until 9 January 2015. The anticipated publication date for the revised guidelines is May 2015.</p><p> </p><p> </p><p> </p><p>Men and women aged 75 and over are able to self-refer for bowel screening every two years if they wish. Women over 70 are able to self-refer every three years for breast screening.</p><p> </p><p> </p><p> </p><p>Finally, NHS England in their recent publication ‘Five Year Forward View’ (October 2014) acknowledge that cancer survival is below the European average, especially for people aged over 75. The report highlights that improvements in outcomes will require action on better prevention; swifter access to diagnosis, and better treatment and care for all those diagnosed with cancer.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/11/2014 12:20:57 answering member 3918 label Biography information for Jane Ellison
tabling member	4056 label Biography information for Nic Dakin

165986

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prostate Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of clinical commissioning group budgets is allocated to prostate cancer research, awareness and prevention in 2014-15.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	215921
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. Health funding will again grow in real terms in 2015-16, which means an additional £2.1 billion.</p><p> </p><p> </p><p> </p><p>NHS England has responsibility for clinical commissioning group (CCG) allocations and, as a result of Government protecting the overall health budget for NHS England, NHS England has in turn ensured that all CCGs are receiving a funding increase at least matching inflation, as predicted at the time of the announcement, in 2014-15 and 2015-16.</p><p> </p><p> </p><p> </p><p>The funding that CCGs receive is not ring fenced and as such it is up to CCGs at a local level to decide how to allocate their funding in regards to awareness and prevention.</p><p> </p><p> </p><p> </p><p>The Government’s Mandate to NHS England requires it to ensure that the new commissioning system promotes and supports participation by NHS organisations and NHS patients in research funded by both commercial and non-commercial organisations. This includes ensuring payment of treatment costs for NHS patients taking part in research funded by Government and Research Charity partner organisations. The main Government funders of health research are the National Institute for Health Research and the Medical Research Council.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 215919 215920 215922 question first answered 02/12/2014 17:35:29 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	338 label Biography information for Keith Vaz

165987

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ovarian Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of clinical commissioning group budgets is allocated to ovarian cancer research, awareness and prevention in 2014-15.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	215922
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. Health funding will again grow in real terms in 2015-16, which means an additional £2.1 billion.</p><p> </p><p> </p><p> </p><p>NHS England has responsibility for clinical commissioning group (CCG) allocations and, as a result of Government protecting the overall health budget for NHS England, NHS England has in turn ensured that all CCGs are receiving a funding increase at least matching inflation, as predicted at the time of the announcement, in 2014-15 and 2015-16.</p><p> </p><p> </p><p> </p><p>The funding that CCGs receive is not ring fenced and as such it is up to CCGs at a local level to decide how to allocate their funding in regards to awareness and prevention.</p><p> </p><p> </p><p> </p><p>The Government’s Mandate to NHS England requires it to ensure that the new commissioning system promotes and supports participation by NHS organisations and NHS patients in research funded by both commercial and non-commercial organisations. This includes ensuring payment of treatment costs for NHS patients taking part in research funded by Government and Research Charity partner organisations. The main Government funders of health research are the National Institute for Health Research and the Medical Research Council.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 215919 215920 215921 question first answered 02/12/2014 17:35:29 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	338 label Biography information for Keith Vaz

165988

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of clinical commissioning group budgets is allocated to heart disease research, awareness and prevention in 2014-15.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	215920
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. Health funding will again grow in real terms in 2015-16, which means an additional £2.1 billion.</p><p> </p><p> </p><p> </p><p>NHS England has responsibility for clinical commissioning group (CCG) allocations and, as a result of Government protecting the overall health budget for NHS England, NHS England has in turn ensured that all CCGs are receiving a funding increase at least matching inflation, as predicted at the time of the announcement, in 2014-15 and 2015-16.</p><p> </p><p> </p><p> </p><p>The funding that CCGs receive is not ring fenced and as such it is up to CCGs at a local level to decide how to allocate their funding in regards to awareness and prevention.</p><p> </p><p> </p><p> </p><p>The Government’s Mandate to NHS England requires it to ensure that the new commissioning system promotes and supports participation by NHS organisations and NHS patients in research funded by both commercial and non-commercial organisations. This includes ensuring payment of treatment costs for NHS patients taking part in research funded by Government and Research Charity partner organisations. The main Government funders of health research are the National Institute for Health Research and the Medical Research Council.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 215919 215921 215922 question first answered 02/12/2014 17:35:29 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	338 label Biography information for Keith Vaz

165989

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions NHS England has had with the National Institute for Health and Care Excellence Advisory Committee on introducing an indicator measuring over-75 mortality rates from cancer in the 2015-16 Clinical Commissioning Group Outcomes Indicator Set.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215942
answer	answer is ministerial correction date of answer 28/11/2014 answer text <p>NHS England has not held discussions with the National Institute for Health and Care Excellence Advisory Committee on introducing an indicator measuring over-75 mortality rates from cancer in the 2015-16 Clinical Commissioning Group Outcomes Indicator Set (CCG OIS). The 2014-15 CCG OIS contains a range of indicators to support commissioners to understand key local issues in relation to cancer survival and early diagnosis which include over 75s: cancer: diagnosis via emergency routes; cancer: record of stage at diagnosis; cancer: early detection; lung cancer: record of stage at diagnosis; and breast cancer: mortality.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/11/2014 12:25:52 answering member 3918 label Biography information for Jane Ellison
tabling member	4056 label Biography information for Nic Dakin

165990

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of clinical commissioning group budgets is allocated to diabetes research, awareness and prevention in 2014-15.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	215919
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. Health funding will again grow in real terms in 2015-16, which means an additional £2.1 billion.</p><p> </p><p> </p><p> </p><p>NHS England has responsibility for clinical commissioning group (CCG) allocations and, as a result of Government protecting the overall health budget for NHS England, NHS England has in turn ensured that all CCGs are receiving a funding increase at least matching inflation, as predicted at the time of the announcement, in 2014-15 and 2015-16.</p><p> </p><p> </p><p> </p><p>The funding that CCGs receive is not ring fenced and as such it is up to CCGs at a local level to decide how to allocate their funding in regards to awareness and prevention.</p><p> </p><p> </p><p> </p><p>The Government’s Mandate to NHS England requires it to ensure that the new commissioning system promotes and supports participation by NHS organisations and NHS patients in research funded by both commercial and non-commercial organisations. This includes ensuring payment of treatment costs for NHS patients taking part in research funded by Government and Research Charity partner organisations. The main Government funders of health research are the National Institute for Health Research and the Medical Research Council.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 215920 215921 215922 question first answered 02/12/2014 17:35:28 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	338 label Biography information for Keith Vaz

165991

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	National Clinical Directors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the National Clinical Director of Work and Health post was deleted; for what reasons that post was deleted; and what plans his Department has to replace that post.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215993
answer	answer is ministerial correction date of answer 28/11/2014 answer text <p>The National Clinical Director for Health and Work was created in 2006 to provide independent leadership to a formal, cross-Government health, work and well-being programme of work. The role ended with the formal conclusion of the programme at the end of 2011. The Department has no current plans to reinstate the role.</p><p> </p><p><strong> </strong></p><p> </p><p>Dame Carol Black was appointed the first National Director for Health and Work (1 September 2006 – 31 December 2011). Since then, the Department has appointed Dame Carol as its Expert Adviser on Health and Work, a role she also performs for Public Health England. Additionally, Dame Carol chairs the Public Health Responsibility Deal Health at Work Network.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/11/2014 12:27:07 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

165992

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 7 November 2014 to Question 213582, what the costs already identified by the Walton Centre NHS Trust are for treating patients (a) surgically and (b) with stereotactic radiotherapy and stereotactic radiosurgery.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	215943
answer	answer is ministerial correction date of answer 28/11/2014 answer text <p>This data is not released by NHS England on the grounds of commercial sensitivity.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/11/2014 12:06:11 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

165993

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to improve public knowledge of mental health conditions.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	215969
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Department has invested £16 million in the Time to Change programme. Time to Change is a national high-profile marketing and media campaign, aimed at reaching 29 million adults, to increase public understanding of mental illness and change their attitudes and behaviour towards mental health problems.</p><p> </p><p> </p><p> </p><p>All Government Departments have signed up to the Time to Change programme, and on 10 October, World Mental Health Day, all FTSE 100 companies were challenged to sign up to the programme.</p><p> </p><p>Time to Change statistics show significant reductions in those with mental health conditions reporting discrimination within several life areas, including their social life and securing a job.</p><p> </p><p> </p><p> </p><p>In February this year, Time to Change hosted the Time to Talk Day which aimed to get people talking about mental health issues. Over 1 million conversations about mental health took place on the day.</p><p> </p><p> </p><p> </p><p>The Government has committed to continue funding the Time to Change programme.</p><p> </p><p>Public Health England (PHE) has been working with employers in supporting employees and raising awareness through the workplace, using tools such as the Workplace Wellbeing Charter.</p><p> </p><p> </p><p> </p><p>PHE’s social marketing team are working to embed mental health within their work. PHE will include stress and sleep as key determinants of good mental health in future social marketing campaigns, and emotional wellbeing will be included in the digital information service for parents of babies and young children.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 15:29:46 answering member 1439 label Biography information for Norman Lamb
tabling member	1511 label Biography information for Lord Austin of Dudley

165994

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent estimate he has made of the average waiting time for treatments for mental health conditions.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	215970
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p><strong> </strong></p><p> </p><p>The Department’s most recent estimate of the average waiting times for some mental health services is contained in the impact assessment dated 25 September 2014 which accompanies the Government’s new five-year plan for mental health, <em>Achieving Better Access to Mental Health Services by 2020</em> published on</p><p> </p><p>8 October 2014. <em>Achieving Better Access to Mental Health Services by 2020</em> sets out the immediate actions we will take this year and next to achieve better access and waiting times.</p><p> </p><p> </p><p> </p><p>£40 million in additional funding has been identified to enable change in the current financial year, and a further £80 million will be freed up for 2015-16 to support implementation of waiting times standards in mental health services.</p><p> </p><p> </p><p> </p><p>The Department and NHS England will work together with mental health system partners to develop detailed proposals for the introduction of further access and waiting time standards from 2016 onwards.</p><p> </p><p> </p><p> </p><p>Information on mean and median waiting times for the Improving Access to Psychological Therapy (IAPT) programme by clinical commissioning group in 2013-14 is attached.</p><p> </p><p> </p><p> </p><p>The IAPT dataset did not exist before April 2012 and reliable data became available from April 2013 onwards.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 16:21:17 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Mean and median waiting times for IAPT services by CCG on 2013-14.xlsx title Mean/median waiting times: IAPT services by CCG
tabling member	1511 label Biography information for Lord Austin of Dudley