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1695646

registered interest
date	13/03/2024
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: 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 her Department's planned timetable is for its evaluation of the merits of using (a) 3D mammography and (b) other new cancer screening technologies.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	18491
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The UK National Screening Committee (UK NSC) is aware of research into the use of three-dimensional (3D) mammography and the growing interest to use artificial intelligence (AI) in the National Health Service breast screening programme. Guidance has been published on GOV.UK on the use of Tomosynthesis 3D imaging in a clinical trial setting as part of the NHS breast screening programme.</p><p> </p><p>The UK NSC had also worked with Health Technology Assessments to design an evaluation of existing AI in a prospective study to look at whether it could be used to read breast screening mammograms.</p><p> </p><p>There are currently no plans to adopt these technologies, but evidence to inform a UK NSC decision on the use of 3D mammography and AI in the NHS breast screening programme will be reviewed by the Committee when available.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 20/03/2024 17:19:59 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4412 label Biography information for Dr Lisa Cameron

1695647

registered interest
date	13/03/2024
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	Trastuzumab Deruxtecan
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if her Department will take steps to encourage the England-wide roll-out of the drug Enhertu to aid the treatment of people with breast cancer.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	18402
answer	answer is ministerial correction date of answer 18/03/2024 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing evidence-based guidance on whether new licensed medicines should be routinely funded by the National Health Service, based on an assessment of their costs and benefits.</p><p>The NICE published guidance in 2021 and 2023 recommending Enhertu (trastuzumab deruxtecan) for the treatment of NHS patients with HER2-positive breast cancer through the Cancer Drugs Fund, and it is now available to eligible NHS patients in line with the NICE’s recommendations.</p><p>The NICE is currently evaluating Enhertu for the treatment of metastatic HER2-low breast cancer, and published final draft guidance on 5 March 2024 that does not recommend it as a clinically and cost-effective use of NHS resources. Stakeholders have until 19 March 2024 to lodge an appeal against the NICE’s recommendations. The NICE currently expects to publish final guidance on 3 April 2024.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 18/03/2024 15:32:05 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1447 label Biography information for Andrew Rosindell

1695653

registered interest
date	13/03/2024
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	Abiraterone
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason abiraterone is not available for free through the NHS in England.
tabling member constituency	Colne Valley
tabling member printed	Jason McCartney
uin	18415
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The National Health Service in England funds abiraterone for eligible NHS patients in line with recommendations published by the National Institute for Health and Care Excellence (NICE). It has been recommended by the NICE for the treatment of metastatic hormone-relapsed prostate cancer before chemotherapy is indicated, and for castration-resistant metastatic prostate cancer previously treated with a docetaxel-containing regimen.</p><p>NHS England is in the process of considering a clinical policy proposal for the use of abiraterone as an off-label treatment option for patients newly diagnosed with high risk, non-metastatic, hormone-sensitive prostate cancer, or in whom prostate cancer has relapsed after at least 12 months without treatment. The policy proposal was sent out to stakeholder testing between the 30 November and 14 December 2023, and will now be considered by NHS England’s Clinical Priorities Advisory Group, who make recommendations on NHS England’s approach to commissioning services, treatments, and technologies, and considers which of these should be prioritised for investment.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 20/03/2024 11:29:52 answering member 4044 label Biography information for Andrew Stephenson
tabling member	3953 label Biography information for Jason McCartney

1695682

registered interest
date	13/03/2024
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	Public Health: Staff
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 she is taking to assess the adequacy of staffing levels in public health.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	18517
answer	answer is ministerial correction date of answer 18/03/2024 answer text <p>In October 2022, Health Education England carried out the fifth national census to capture the size and composition of the public health workforce in England. The scope of the 2022 census was expanded to include additional roles beyond specialists, including public health practitioners, advanced practitioners, specialist community public health nurses, including school nurses and health visitors, and public health apprentices. NHS England plans to conduct the next capacity review of the public health workforce in 2025, and will work with the Department to define the scope of the review.</p><p>The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the National Health Service and its partners need to take to deliver a health workforce that meets the needs of the population. This includes a commitment to provide 13% more public health specialist training places from 2023/24, and for the NHS to work with the Department to address demand and supply of the public health workforce in future years.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 18/03/2024 15:27:39 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1695683

registered interest
date	13/03/2024
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	Coronavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans she has to roll out the Covid 19 vaccination programme.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	18518
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government remains committed to protecting those most vulnerable to COVID-19 through vaccination, as guided by the independent Joint Committee on Vaccination and Immunisation (JCVI). On 7 February 2024, the JCVI published further advice on the United Kingdom’s COVID-19 vaccination programme. The JCVI advice is that a COVID-19 vaccine should be offered in spring 2024 to those at greatest risk of serious disease, and who are therefore most likely to benefit from vaccination. Those eligible are:</p><p> </p><p>- adults aged 75 years old and over;</p><p>- residents in a care home for older adults; and</p><p>- individuals aged six months old and over who are immunosuppressed, as defined in chapter 14a of the Green Book.</p><p> </p><p>The Government has accepted this advice, with the spring 2024 COVID-19 vaccination programme planned to start in the middle of April. The JCVI will continue to review the optimal timing and frequency of future COVID-19 vaccination beyond spring 2024, and will provide further advice in due course.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 20/03/2024 15:42:14 answering member 4492 label Biography information for Maria Caulfield
tabling member	4471 label Biography information for Rachael Maskell

1695684

registered interest
date	13/03/2024
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	Health: Screening and Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of offering a health check with annual vaccinations.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	18519
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The NHS Vaccine Strategy, Shaping the future delivery of NHS vaccination services, published in December 2023, sets out that vaccination is a public health opportunity to integrate the delivery of vaccinations with wider person-centred healthcare services, planned and delivered by neighbourhood teams. It advises integrated care systems (ICSs) to structure the delivery of vaccinations via the neighbourhood teams to maximise uptake of other preventative services, as well as vaccination uptake. There are no plans to make a specific assessment of the potential merits of offering a health check alongside annual vaccinations.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 20/03/2024 15:45:09 answering member 4492 label Biography information for Maria Caulfield
tabling member	4471 label Biography information for Rachael Maskell

1695685

registered interest
date	13/03/2024
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps she is taking to audit Pharmacy First; and whether she plans to consult the pharmacy professions on its future.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	18520
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>Pharmacy First was launched on 31 January 2024. The Department and NHS England will closely monitor the service. Additionally, the National Institute for Health and Care Research has commissioned a wrap-around evaluation of Pharmacy First, with a focus on antimicrobial resistance. There are no plans to change this service, which has only recently launched, but if any changes were proposed then we would consult Community Pharmacy England, as the representative body for all pharmacy contractors in England.</p><p>General practices (GPs) and their teams already refer patients to community pharmacies for a wide range of services. Pharmacy First, for minor illnesses, is built on the existing Community Pharmacy Consultation Service. NHS England has further engaged with GP representatives during the development and launch of Pharmacy First.</p><p>The Delivery plan for recovering access to primary care announced plans to significantly improve the digital infrastructure between GPs and community pharmacies. Pharmacy IT systems already generate automated emails to the patient’s GP following a consultation. We are taking this one step further for Pharmacy First. Later this year, pharmacy IT systems will send information about a Pharmacy First consultation directly into the GP’s workflow. This will be a first for the National Health Service, but will become the norm over time for other parts of the NHS, further reducing bureaucracy for GPs. Pharmacies will also have access to more parts of the patient’s GP record, and referrals will be streamlined.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 18521 18522 question first answered 20/03/2024 15:52:15 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4471 label Biography information for Rachael Maskell

1695686

registered interest
date	13/03/2024
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	General Practitioners: Pharmacy
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 she is taking to help ensure GPs are trained to engage with Pharmacy First.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	18521
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>Pharmacy First was launched on 31 January 2024. The Department and NHS England will closely monitor the service. Additionally, the National Institute for Health and Care Research has commissioned a wrap-around evaluation of Pharmacy First, with a focus on antimicrobial resistance. There are no plans to change this service, which has only recently launched, but if any changes were proposed then we would consult Community Pharmacy England, as the representative body for all pharmacy contractors in England.</p><p>General practices (GPs) and their teams already refer patients to community pharmacies for a wide range of services. Pharmacy First, for minor illnesses, is built on the existing Community Pharmacy Consultation Service. NHS England has further engaged with GP representatives during the development and launch of Pharmacy First.</p><p>The Delivery plan for recovering access to primary care announced plans to significantly improve the digital infrastructure between GPs and community pharmacies. Pharmacy IT systems already generate automated emails to the patient’s GP following a consultation. We are taking this one step further for Pharmacy First. Later this year, pharmacy IT systems will send information about a Pharmacy First consultation directly into the GP’s workflow. This will be a first for the National Health Service, but will become the norm over time for other parts of the NHS, further reducing bureaucracy for GPs. Pharmacies will also have access to more parts of the patient’s GP record, and referrals will be streamlined.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 18520 18522 question first answered 20/03/2024 15:52:15 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4471 label Biography information for Rachael Maskell

1695709

registered interest
date	13/03/2024
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	Acute Beds: North West
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 (a) cost per adult and (b) length of stay was for an acute hospital bed day in the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Cat Smith
uin	18493
answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18494 18495 18496 18497 question first answered 19/03/2024 17:15:13 answering member 4527 label Biography information for Helen Whately
tabling member	4436 label Biography information for Cat Smith

1695710

registered interest
date	13/03/2024
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	Acute Beds: North West
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 (a) cost per adult and (b) length of stay was for an acute hospital bed day in each acute trust within the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Cat Smith
uin	18494
answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18493 18495 18496 18497 question first answered 19/03/2024 17:15:14 answering member 4527 label Biography information for Helen Whately
tabling member	4436 label Biography information for Cat Smith