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1129760

registered interest
date	04/06/2019
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will place in the Library information on the number of people that have been diagnosed with early breast cancer in each Care Commissioning Group in England in the last year for which data is available.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	260034
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>A table showing the number of people diagnosed with early breast cancer (stages one and two), and the total people diagnosed with breast cancer, in 2017 in each clinical commissioning group is attached. Data are available from the following link:</p><p><a href="http://www.ncin.org.uk/publications/survival_by_stage" target="_blank">http://www.ncin.org.uk/publications/survival_by_stage</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 12/06/2019 16:25:00 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 260034 table formatted.docx title Breast cancer diagnoses by CCG 2017
tabling member	4382 label Biography information for Daniel Zeichner

1123827

registered interest
date	30/04/2019
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	Breast Cancer
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 annual check-ups for women with a history of breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	249290
answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>National Institute for Health and Care Excellence (NICE) requirements for breast cancer follow-up include annual mammography to all people with breast cancer until they enter the NHS Breast Screening Programme in England. People diagnosed with breast cancer who are already eligible for screening should have annual mammography for five years.</p><p>NICE requirements also include clinical follow-up for people who have had treatment for breast cancer, which is a written care plan that is agreed with a healthcare professional. These care plans should include details of surveillance mammography and signs and symptoms to look out for and to seek advice on.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/05/2019 15:57:17 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1122461

registered interest
date	23/04/2019
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the level of care and support available for women with breast cancer in (a) Merseyside, (b) North West England and (c) England in each of the last five years.
tabling member constituency	Liverpool, West Derby
tabling member printed	Stephen Twigg
uin	246436
answer	answer is ministerial correction date of answer 01/05/2019 answer text <p>The National Cancer Programme is committed to ensuring, where appropriate, every person diagnosed with cancer, including breast cancer, will have access to personalised care, including a needs assessment, a care plan and health and wellbeing information by 2021. This involves assessing the trends in the level of care and support available for all cancer patients, including breast cancer, at a Cancer Alliance level.</p><p>Cheshire and Merseyside Cancer Alliance have achieved full implementation of personalised stratified follow up for breast cancer patients, which includes supported self-management, holistic needs assessments, care planning and health and wellbeing information. Cheshire and Merseyside Cancer Alliance are also looking to improve personalised follow up for all cancers, including breast cancer, such as improving access to psychological care and access to care for, and prevention of, other consequences of treatment. The provision of support and care in the area covered by the Alliance has significantly improved (Alliance level results from the National Cancer Patients Experience Survey (2018)). Cancer patients in Cheshire and Merseyside rate their overall care as 8.9/10, with 92% reporting that they had access to a Clinical Nurse Specialist. For breast cancer patients, 98% of patients reported having access to a Clinical Nurse Specialist, and their overall rating of care was 9.1/10.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 01/05/2019 15:17:43 answering member 4455 label Biography information for Seema Kennedy
tabling member	167 label Biography information for Stephen Twigg

1122172

registered interest
date	18/04/2019
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of NHS Trusts in England are recording data on the number of patients with secondary breast cancer.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	245630
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>Information on the numbers of cancer patients that do not access emotional support services is not routinely collected.</p><p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. The new NHS Long Term Plan commitment is that all patients, including those with secondary cancers, will have access to the right expertise and support, including a CNS or other support worker by 2021.</p><p>Following publication of the Long Term Plan, Health Education England is working with NHS England and NHS Improvement to understand the longer-term workforce implications for further development of cancer services. My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding to lead a number of programmes to engage with key National Health Service interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p>The latest published dataset on the number of patients with secondary breast cancer is for 2016. All 140 NHS trusts who were expected to submit data on the number of patients with secondary breast cancer did so.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 245627 245629 question first answered 30/04/2019 13:05:52 answering member 4455 label Biography information for Seema Kennedy
tabling member	411 label Biography information for Mr Barry Sheerman

1111007

registered interest
date	10/04/2019
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	Breast Cancer
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 reduce rates of breast cancer in women with BRCA 1 and 2 genes.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	243438
answer	answer is ministerial correction date of answer 17/04/2019 answer text <p>NHS England commissions breast cancer screening services, according to the published national service specifications. The Breast Cancer Screening Programme service specification includes provision for the surveillance of high risk women for early detection of breast cancer (including those with the BRCA 1 and 2 genes) and timely referral to treatment as appropriate. Specifically, following an assessment by specialised services, and referral from a genetics or oncology service, high risk women who meet the eligibility criteria (as outlined in the published guidance) will be included in the screening programme at a younger age and according to different protocols to the general population.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/04/2019 12:18:14 answering member 4455 label Biography information for Seema Kennedy
tabling member	4079 label Biography information for Julian Sturdy

1086479

registered interest
date	11/03/2019
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government has made an estimate of the number of secondary breast cancer patients who do not have access to a clinical nurse specialist or other support worker.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	230735
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Young mothers with breast cancer should receive personalised care in line with the NHS England Long Term Plan commitments for personalised stratified follow up and personalised care, taking into account the particular needs of people in this situation.</p><p> </p><p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. Health Education England is also working to expand the number of CNSs and develop clear CNS competencies and routes into training. NHS England is committed to ensuring that more patients have access to a CNS or other specialist from diagnosis onwards to guide them through treatment options and ensure they receive appropriate information and support. 91% of patients reported having access to a CNS in the 2017 Cancer Patient Experience Survey. The new NHS Long Term Plan commitment is that all patients, including those with secondary cancers, will have access to the right expertise and support, including a CNS or other support worker by 2021. This will ensure access to personalised care, including needs assessment, a care plan and health and wellbeing information and support, and will be delivered in line with the NHS Comprehensive Model for Personalised Care.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230730 question first answered 19/03/2019 16:34:14 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1063828

registered interest
date	18/02/2019
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	Breast Cancer
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 statement on page 72 of the Independent Cancer Taskforce's Cancer Strategy for 2015-2020 that all NHS trusts should now be recording recurrent and secondary breast cancer patients, how many and what proportion of NHS trusts are undertaking such recording.
tabling member constituency	Oldham East and Saddleworth
tabling member printed	Debbie Abrahams
uin	222763
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. Health Education England is also working to expand the number of CNS and develop clear CNS competencies and routes into training.</p><p>The National Cancer Registration and Analysis Service (NCRAS) has mandated collection of breast cancer recurrence data in its Cancer Services and Outcomes Dataset (COSD) since 2013. Hospital trusts are also required to submit recurrence data in the Cancer Waiting Times (CWT) dataset. Data published on the NCRAS legacy website shows that of the 140 trusts that could be expected to be collecting data on breast cancer recurrence in 2016, 140 submitted data for 2016 diagnoses through the COSD or CWT data collection mechanisms. The NCRAS legacy website is available at the following link:</p><p><a href="http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/recurrence" target="_blank">http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/recurrence</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222762 question first answered 21/02/2019 14:58:17 answering member 4067 label Biography information for Steve Brine
tabling member	4212 label Biography information for Debbie Abrahams

1046031

registered interest
date	22/01/2019
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the funding required to ensure that all women with secondary breast cancer have access to (a) a clinical nurse specialist and (b) the required expertise and support.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	211253
answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. The new NHS Long Term Plan commitment is that all patients, including those with secondary cancers, will have access to the right expertise and support, including a CNS or other support worker by 2021. Following publication of the Long Term Plan, Health Education England will work with NHS England and NHS Improvement to understand the longer-term workforce implications for further development of cancer services. This will include work to expand the number of CNS and develop clear CNS competencies and routes into training.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 211254 question first answered 28/01/2019 11:11:02 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1020716

registered interest
date	06/12/2018
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, the number of patients in England who are currently receiving treatment for secondary breast cancer.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	199872
answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/12/2018 16:46:57 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1007777

registered interest
date	15/11/2018
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will introduce a secondary support package covering breast cancer care to include (a) access to a dedicated clinical nurse specialist, (b) an assessment of physical and emotional needs at (i) diagnosis and (ii) through treatment and referral and (c) signposting to tailored, specialist support services.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	191871
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The NHS Cancer Programme is working to improve access to cancer nurse specialists (CNSs) for all cancer patients when they need it, including those with secondary breast cancer.</p><p> </p><p>We are committed to rolling out the recovery package to every cancer patient by 2020. The recovery package is a set of four interventions designed to help patients and clinicians assess a patient’s holistic needs, including physical and emotional needs, at appropriate time points through their cancer journey, as needs do change especially when a person is diagnosed with secondary cancer. A personalised care and support plan to meets these needs should be agreed, ensuring signposting and referral to the right support and care services is made, and also helping to empower patients to independently manage their own health, with advice and support.</p><p> </p><p>NHS England is committed to giving more patients access to a CNS or other specialist from diagnosis onwards to guide them through treatment options and ensure they receive appropriate information and support. In their first Cancer Workforce Plan, which was published in December 2017, Health Education England committed to supporting the expansion of CNSs by developing national competencies and a clear route into training. This will ensure that every patient has access to a CNS or other support worker by 2021.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:20:10 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead