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1011648

registered interest
date	21/11/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 1 October 2018 to Question 175904 on colorectal cancer, whether NHS England has a timeframe for lowering the screening age to 50.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	194051
answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>NHS England is currently prioritising the introduction of the faecal immunochemical test at 120μg/g to the current eligible cohort, and plans for lowering the age eligibility will be confirmed as part of the National Health Service long term plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/11/2018 17:48:39 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

986395

registered interest
date	12/10/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Prime Minister's remarks in her conference speech on 3 October 2018 on improving early diagnosis of cancer, if his Department will develop a fully funded plan to address NHS staff shortages in services that diagnose bowel cancer.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	178460
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Health Education England published its first ever Cancer Workforce Plan in December 2017, which commits to the expansion of capacity and skills including an ambition to increase improved working practices, attracting qualified people back to the National Health Service through domestic and international recruitment. This will include 200 additional clinical endoscopists (in addition to 200 already committed to), 316 more gastroenterologists and 94 full time equivalent additional histopathologists to support an increase in the capacity for earlier diagnosis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/10/2018 13:31:02 answering member 4067 label Biography information for Steve Brine
tabling member	207 label Biography information for Sir Vince Cable

985786

registered interest
date	11/10/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that pathology and endoscopy staff are supported to deal with an increase in demand for services as a result of lowering the bowel cancer screening age to 50.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	178359
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>We are considering how best to extend bowel cancer screening to men and women from age 50, including workforce implications. However, Health Education England published its first ever Cancer Workforce Plan in December 2017, which commits to the expansion of capacity and skills including an ambition to increase improved working practices, attracting qualified people back to the National Health Service through domestic and international recruitment. This will include 200 additional clinical endoscopists (in addition to 200 already committed to), 316 more gastroenterologists and 94 full time equivalent additional histopathologists to support an increase in the capacity for earlier diagnosis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/10/2018 11:20:24 answering member 4067 label Biography information for Steve Brine
tabling member	4505 label Biography information for Peter Kyle

982929

registered interest
date	08/10/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when his Department plans to roll-out the Bowel Cancer screening programme using the faecal immunochemical home test for people aged 50 years and over.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	175904
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>In August 2018 Ministers agreed to the United Kingdom National Screening Committee’s recommendation to offer bowel cancer screening in England at the earlier age of 50.</p><p> </p><p>NHS England is committed to the implementation of the Faecal Immunochemical Test, to individuals aged 60 at the threshold of 120ug/g, within the National Health Service Bowel Cancer Screening Programme and, as set out by the Prime Minister in her speech on 3 October 2018, is now considering how to transition towards lowering the screening age as part of the NHS Long Term Plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/10/2018 16:44:32 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

944723

registered interest
date	19/07/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the provision of systematic screening for Lynch Syndrome for people diagnosed with bowel cancer in (a) Barnsley, (b) South Yorkshire and (c) Yorkshire.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	166180
answer	answer is ministerial correction date of answer 24/07/2018 answer text <p>In February 2017, testing for Lynch syndrome was recommended by the National Institute for Health and Care Excellence (NICE) as important in identifying genetic predisposition to bowel cancer, which could lead to better outcomes for patients through earlier diagnosis and treatment. The NICE guideline does not carry a funding direction and therefore commissioners, clinical commissioning groups (CCGs) and NHS England, need to consider the implementation of the guidance alongside other priorities and any financial impact on pathology services and genetic testing services. Also, the NICE guidance recommends, but does not mandate, how healthcare professionals should apply the guidance to those diagnosed with bowel cancer.</p><p> </p><p>Barnsley, alongside other CCGs in the area, currently use a testing service in Leeds. It is not commissioned as it is being provided free of charge as part of a pilot piece of work. Referrals are made where hospital clinicians judge this to be appropriate. However, the Cancer Alliance is looking at future options in the expectation that the free provision in Leeds may stop once the current pilot ends.</p><p> </p><p>NHS England will be working with CCG pathology service commissioners during 2018/19 to determine whether they can jointly develop a policy proposition relating to genetic testing for Lynch syndrome that takes into account the NICE guideline and helps to ensure that patients and their families receive the test where appropriate.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/07/2018 10:48:48 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

927862

registered interest
date	20/06/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 28 February 2018 to Question 128624 on colorectal cancer: screening, whether (a) the Clinical Reference Group has submitted the Preliminary Policy Proposal and (b) that policy has been reviewed by the Clinical Panel; and whether any further steps in the clinical build phase have been completed to assess Lynch syndrome testing.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	155935
answer	answer is ministerial correction date of answer 25/06/2018 answer text <p>In line with NHS England’s methods of development and approval of national clinical policies for directly commissioned specialised services, the Medical Genetics Clinical Reference Group has reviewed Lynch syndrome testing. As part of the review process, it was identified that the commissioning of services for people diagnosed with Lynch syndrome, does not sit solely with NHS England but also with clinical commissioning groups (CCGs).</p><p> </p><p>NHS England will be working with CCG pathology service commissioners to determine whether they can jointly develop a policy position relating to genetic testing and the National Institute for Health and Care Excellence guidance on testing for Lynch syndrome. NHS England will be considering this issue as part of the relevant work programmes during 2018/19.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/06/2018 14:19:15 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

926857

registered interest
date	19/06/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the relevant Clinical Reference Group plans to make its decision in relation to NICE guidance on testing for Lynch syndrome.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	155379
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>As part of their work programmes during 2018/19, NHS England will be working with clinical commissioning groups pathology service commissioners to determine whether they can jointly develop a policy position relating to genetic testing and the National Institute for Health and Care Excellence guidance on testing for Lynch syndrome. A specific date has not yet been set for this.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/06/2018 11:18:43 answering member 4067 label Biography information for Steve Brine
tabling member	4648 label Biography information for Laura Smith

923383

registered interest
date	13/06/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much of the Public Health England budget has been spent on bowel cancer screening awareness campaigns in each year since 2010.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	153248
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>Public Health England (PHE) has not funded any bowel cancer screening awareness campaigns.</p><p> </p><p>PHE’s Be Clear on Cancer campaigns aim to raise the public’s awareness of signs and symptoms of cancer, and are an important step in helping to diagnose cancers earlier. In 2017, PHE collaborated with Cancer Research UK (CRUK) to deliver a jointly-branded, Be Clear on Cancer/CRUK pilot screening campaign in the North West of England to promote the uptake of bowel screening. The campaign was funded by CRUK.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/06/2018 16:14:29 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

919170

registered interest
date	07/06/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to eliminate regional variations in the provision of Lynch Syndrome testing for people with bowel cancer.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	151040
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>Testing for Lynch syndrome has been recommended by the National Institute for Health and Care Excellence (NICE) as important in identifying genetic predisposition to bowel cancer, which could lead to better outcomes for patients through earlier diagnosis and treatment. Whilst Lynch testing is being carried out in some areas, we are aware that the NICE guideline is not being followed by all clinical commissioning groups (CCGs) meaning that some patients and their families are not receiving the test.</p><p> </p><p>The NICE guideline does not carry a funding direction and therefore commissioners (CCGs and NHS England) need to consider the implementation of the guidance alongside other priorities and any financial impact on pathology services and genetic testing services. Also, the NICE guidance recommends, but does not mandate, how healthcare professionals should apply the guidance to those diagnosed with bowel cancer. It is for the clinician to take this information into account (alongside individual circumstances and medical history) when determining the best course of action for the patient.</p><p> </p><p>NHS England will be working with CCG pathology service commissioners during 2018/19 to determine whether we can jointly develop a policy position relating to genetic testing for Lynch syndrome that takes in to account the NICE guidance and helps to ensure that patients and their families receive the test where appropriate.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/06/2018 11:14:37 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

918596

registered interest
date	06/06/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average cost to the public purse has been per person for Lynch Syndrome testing for people diagnosed with bowel cancer over the last twelve months.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	150554
answer	answer is ministerial correction date of answer 11/06/2018 answer text <p>This information is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/06/2018 15:06:32 answering member 4067 label Biography information for Steve Brine
tabling member	242 label Biography information for Sir Christopher Chope