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1147649

registered interest
date	01/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Babies: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the report by Genetic Alliance UK Fixing the Present, Building for the Future: Newborn screening for rare conditions, published in July, in particular its finding that the UK tests for fewer conditions in new-borns in its new-born bloodspot screening programme than similar high income countries; and what plans they have to increase the number of serious conditions they test for.
tabling member printed	Baroness Redfern
uin	HL17975
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>In the United Kingdom, screening is an end to end service from test to treatment. This is not necessarily the case in other countries such as the United States of America. Therefore, comparisons with other health systems can be misleading.</p><p>In April 2014, the UK National Screening Committee (UK NSC) recommended extending the newborn bloodspot screening programme to include four additional conditions: maple syrup urine disease; homocystinuria; glutaric acidaemia type 1; and isovaleric acidaemia. The newborn blood spot screening is currently offered to all babies to identify nine conditions, as recommended by the UK NSC.</p><p>The UK NSC welcomes any new topic proposals through its annual call for topics. Using research evidence, pilot programmes and economic evaluation, the UK NSC assesses the evidence for programmes against a set of internationally recognised criteria. To ensure that screening is offered where the balance of benefit outweighs the harms.</p><p>In August 2019, the UK NSC published <em>Generation genome and the opportunities for screening programmes</em>. The report reflects the specific opportunities identified by each of the 11 population screening programmes, including the antenatal and newborn screening programmes. The report concluded that the advances in genomic technologies present exciting and potentially effective developments for screening programmes. Current and developing research and technology will be used to determine how, in future, genetics can best be used in screening. A copy of the report is attached.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:39:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Generation_genome_and_opportunities_for_screening_programmes.pdf title Generation_genome
tabling member	4551 label Biography information for Baroness Redfern

1147651

registered interest
date	01/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cancer: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to increase the uptake of checks for breast, bowel, and cervical diseases; and whether they intend to publish guidance to NHS trusts in England about ways in which such trusts can increase the uptake of such checks.
tabling member printed	Baroness Redfern
uin	HL17977
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>NHS England is committed to improving the uptake of national cancer screening programmes, for breast, bowel, and cervical cancer.</p><p>In January, NHS England published its Long Term Plan, which outlined its ambition to deliver improvements in the uptake of national cancer screening programmes. To support this process, NHS England has developed improving uptake action plans, which can be used by providers and the wider health system, to improve the performance of screening programmes.</p><p>The uptake action plans include proposals for reviewing and extending appointment hours (for example for breast cancer screening) and using data to inform strategies for improving uptake in those populations of greatest need. These plans are already available to commissioning teams and will be updated and reissued throughout the year.</p><p>National Health Service regions are currently developing implementation plans to deliver on these commitments. To provide robust oversight and assurance of delivery, NHS England has established national programme boards for each cancer screening programme area.</p><p>In addition, we expect the Sir Mike Richards’ Review of Screening report, due to be published soon, to identify additional opportunities to improve the uptake of breast, bowel, and cervical screening.</p><p>Further, Public Health England has been running ‘Be Clear on Cancer’ campaigns since 2011. These are designed to raise the public’s awareness of specific cancer symptoms; encourage people with those symptoms to go to the doctor; and diagnose cancer at an earlier stage, and therefore make it more treatable, and thereby improve cancer survival rates.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:40:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4551 label Biography information for Baroness Redfern

1147652

registered interest
date	01/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cancer: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to using (1) smartphone bookings, (2) text reminders, (3) evening appointments, and (4) accessible locations, for cancer screening appointments; and what assessment, if any, they have made of whether such measures would increase (a) the uptake of such screenings, and (b) early diagnosis.
tabling member printed	Baroness Redfern
uin	HL17978
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>NHS England recognises the importance of delivering public health services, including screening, which people find easy to access. This is why the NHS Long Term Plan and detailed improvement actions are about ensuring services are easy and convenient for people to use in order to deliver the Long Term Plan ambition on cancer to see 55,000 more people surviving cancer for five years in England each year from 2028.</p><p>The actions plans include real-world case studies which have demonstrated improvements in local areas. These case studies sit alongside widely published evidence which has been proven to deliver improvements in uptake. We expect these actions to have a positive impact on the uptake of screening.</p><p>Sir Mike Richards’ Review of Screening report is due to be published shortly which will identify additional opportunities to improve the uptake of breast, bowel, and cervical screening. In addition, NHSX is looking at possible improvements to screening IT systems, which should support the delivery of cancer screening programmes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:41:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4551 label Biography information for Baroness Redfern

1131481

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dental Health: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to increase the frequency of the Children's Dental Health Survey, currently conducted every ten years.
tabling member printed	Baroness Redfern
uin	HL16275
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Dental Health Survey of Children and Young People has taken place every 10 years since 1973 with the most recent survey carried out in 2013. There are no plans to change the frequency of this survey which provides an important time series of information used to underpin and help plan dental health care for children in England.</p><p> </p><p>The Government is committed to improving oral health in England and the Child Dental Health Survey is a valuable source of data and indicator of children’s oral health over time.</p> answering member printed Baroness Barran question first answered 25/06/2019 14:34:04 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern

1131482

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dental Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to include specific measures to prioritise good oral health in the forthcoming Green Paper on prevention.
tabling member printed	Baroness Redfern
uin	HL16276
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>We are considering a number of policy options for the Prevention Green Paper including measures to improve oral health. The Parliamentary Under Secretary of State for Public Health and Primary Care (Seema Kennedy MP) has held a roundtable meeting with dental and oral health stakeholders on 19 June to discuss Government plans on prevention and oral health in more detail.</p> answering member printed Baroness Barran question first answered 25/06/2019 14:33:47 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern

1131483

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to increase the range of vaccination sources that could be provided in community pharmacies through the NHS.
tabling member printed	Baroness Redfern
uin	HL16277
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Vaccination is one of the world’s most clinically effective public health interventions. Community pharmacies already provide National Health Service flu vaccination. During the 2018/19 flu season 1,431,538 vaccinations were provided in community pharmacy.</p><p>NHS England and NHS Improvement are currently undertaking a review of all vaccinations and immunisations and community pharmacy is represented in that review.</p> answering member printed Baroness Barran question first answered 25/06/2019 14:32:43 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern

1131484

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to increase the role of community pharmacies (1) in promoting self care, and (2) as a first point of contact recognised in contractual frameworks.
tabling member printed	Baroness Redfern
uin	HL16278
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>In terms of promoting self-care, community pharmacy contractors are already obliged by the community pharmacy contractual framework to provide advice and support to enable people to derive maximum benefit from caring for themselves or their families. NHS England and Improvement have been running the Help Us to Help You campaigns which educate the public on the ability of community pharmacies to help the public and patients with their needs relating to self-care and minor illness.</p><p>In 2016, Public Health England (PHE) introduced profession-led self-assessment for attainment of healthy living pharmacy (HLP) level 1 status. This was followed by the introduction of a quality payment for HLP level 1 status attainment. As a result, there has been an increase in the numbers achieving HLP status. There are now more than 9,500 community pharmacies already accredited as HLPs, each with qualified health champions promoting health and wellbeing messages, helping to prevent people from becoming ill and maintaining the health of those that are already ill in their communities.</p><p>PHE is developing an HLP framework for commissioners which can be used when commissioning public health services to ensure consistency of delivery across the country, due to be published in spring 2020. These services help to further increase the role of community pharmacy in prevention and improving health.</p><p>In terms of community pharmacies as a first point of contact, the HLP initiative is also relevant.‎ In addition, since December 2017, NHS England and NHS Improvement has been piloting the Digital Minor Illness Referral Service. This is a service that allows referrals from NHS 111 to community pharmacies for advice and support for minor illnesses and health concerns. The outcome for the patient, if they attend the pharmacy for a consultation with the pharmacist, may be either to receive advice alone or advice with access to medicines through a private sale of an over the counter medicine or potentially a medicine supply through a locally commissioned minor ailment scheme. In November 2018, the pilot was expanded to include London, Devon and the East Midlands., in addition to the North East.</p><p>Since 2016, the NHS Medicines Supply Advanced Service has been piloted. This is service manages a referral from NHS 111 to a community pharmacy where a patient has contacted NHS 111 because they need urgent access to a medicine or appliance that they have been previously prescribed on a National Health Service prescription.</p><p>Furthermore, the Department, with NHS England and NHS Improvement, has now begun negotiations with the Pharmaceutical Services Negotiating Committee to determine the new Community Pharmacy Contractual Framework for 2019/20 and beyond. These are confidential negotiations and as such we are unable to provide further detail at this time.</p><p><strong> </strong></p><p> </p> answering member printed Baroness Barran question first answered 25/06/2019 14:34:57 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern

1131485

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to build on the benefits of the Healthy Living Pharmacy framework and to increase the role of community pharmacies in the prevention of ill-health.
tabling member printed	Baroness Redfern
uin	HL16279
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Both the NHS Long Term Plan and the Prevention is Better than Cure vision document, published in November 2018, set out an ambition for community pharmacy to take on an expanded role to support the prevention of ill-health. In 2016, Public Health England (PHE) introduced profession-led self-assessment for attainment of Healthy Living Pharmacy (HLP) level 1 status. This was followed by the introduction of a quality payment for HLP level 1 status attainment within the community pharmacy contractual framework. As a result, there has been an increase in the numbers achieving HLP status. There are now 9,562 community pharmacies in England, meeting standards set out by Public Health England and delivering a wide range of lifestyle and public health interventions. For example, to support national Smile Month. 74,563 pharmacy staff across England have passed an assessment of knowledge on children’s dental health and have taken part in a mandatory campaign to reduce oral health inequalities, to improve oral health in children under five.</p><p>In line with this, the NHS Long Term Plan outlines an aim for voluntary sector partners, community pharmacists and general practitioner practices to work together to facilitate opportunities for the public to check on their health, through tests for high blood pressure and other high-risk conditions. The Department is now developing a Green Paper on Prevention to further work up this ambition and plans for delivering it. This will be published later this year.</p> answering member printed Baroness Barran question first answered 25/06/2019 14:35:18 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern