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867296

	registered interest
	date	20/03/2018
	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	What the timetable is for the implementation of the faecal immunochemical test for bowel cancer screening.
	tabling member constituency	Eastbourne
	tabling member printed	Stephen Lloyd
	uin	904478
	answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>The UK National Screening Committee has recommended that the faecal immunochemical test (FIT) be the primary screening test for bowel cancer and NHS England remains absolutely committed to implementing FIT in 2018/19.</p><p> </p><p>NHS England is working with Public Health England to finalise a number of practical arrangements around sensitivity, production and distribution of FIT kits, and diagnostic and pathology workforce capacity to ensure that when FIT is implemented, it is sustainable.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2018 17:31:43 answering member 4067 label Biography information for Steve Brine
	tabling member	3968 label Biography information for Stephen Lloyd

1668516

	registered interest
	date	08/11/2023
	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 national bowel screening programme, when he plans to next review that programme; and whether he has plans to raise the acceptable and achievable bowel screening target thresholds in line with breast screening targets.
	tabling member constituency	Sheffield, Brightside and Hillsborough
	tabling member printed	Gill Furniss
	uin	881
	answer	answer is ministerial correction date of answer 16/11/2023 answer text <p>The national bowel cancer screening programme in England is currently revising all standards and as a part of this process current thresholds will be reviewed. This review will consider the lowering of the screening age for bowel cancer from 60 to 50 years old.</p><p>The process for setting standards involves the meeting of experts as well as meeting with stakeholders and interested parties to ensure the standards are evidence based, acceptable and realistic. Full details on how these standards are set is available at the following link:</p><p>https://www.gov.uk/guidance/principles-of-population-screening/screening-standards</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 16/11/2023 17:07:15 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4571 label Biography information for Gill Furniss

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

1052188

	registered interest
	date	31/01/2019
	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	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 Government's announcement of 10 August 2018 that the age for bowel cancer screening in England will be lowered from 60 to 50, what the timetable is for implementing the lower screening age; and what assessment he has made of the effect that staff shortages in endoscopy and pathology services will have on the ability to deliver bowel cancer screening from age 50.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	215179
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Plans are well underway to deliver the commitment in the NHS Long Term Plan to modernise the bowel cancer screening programme; faecal immunochemical testing at 120ug/g will be integrated into the programme from April 2019.</p><p> </p><p>NHS England has committed to, over time, lowering the starting age for bowel screening from 60 currently to 50. This is being discussed by NHS England, the Department and Public Health England, and the final timetable will take into account modelling and feedback received from the system (commissioners, providers and cancer alliances).</p><p> </p><p>For a safe, sustainable and high-quality service extended to age 50 years, there is a requirement to balance workforce requirements for the current commitments and Health Education England has pledged to fund the training of 400 clinical endoscopists by 2021 to significantly increase endoscopy capacity in England.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 215180 question first answered 07/02/2019 15:24:54 answering member 4067 label Biography information for Steve Brine
	tabling member	4056 label Biography information for Nic Dakin

1487378

	registered interest
	date	07/07/2022
	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 guidance from the British Society of Gastroenterology, what steps he is taking to promote and support the universal use of Quantitative Faecal Immunochemical Testing for symptomatic bowel cancer patients.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	32518
	answer	answer is ministerial correction date of answer 14/07/2022 answer text <p>The guidance from the British Society of Gastroenterology recommends that faecal immunochemical testing (FIT) can be implemented safely in primary care. New contractual requirements for Primary Care Networks to support early cancer diagnosis were published in March 2022. The updated requirements have been designed to support the delivery of specific commitments aligned to National Health Service planning guidance and improving referral practice, including the use of FIT.</p><p>In addition, the use of FIT to reduce demand on endoscopy capacity has been incentivised in the GP Contract for 2022/23. From 1 April 2022, practices are financially incentivised for the proportion of lower gastrointestinal faster diagnosis standard referrals accompanied by a FIT result, to ensure that 80% of referrals on this pathway are accompanied by a FIT result.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 14/07/2022 16:02:48 answering member 3992 label Biography information for James Morris
	tabling member	3950 label Biography information for Dame Tracey Crouch

1086708

	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	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 NICE diagnostics guidance DG27, when NHS England plans to decide whether it will prioritise genetic testing for Lynch syndrome; and if he will make a statement.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	230720
	answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>Over the coming months NHS England will be working with clinical commissioning group pathology service commissioners to discuss the development of a joint policy proposition relating to testing for Lynch syndrome that takes into account the National Institute for Health and Care Excellence guidance and helps to ensure that patients and their families receive the genetic test where appropriate. As part of the development work we will explore how best to support implementation during 2019/20.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/03/2019 13:32:33 answering member 4067 label Biography information for Steve Brine
	tabling member	3930 label Biography information for Caroline Lucas

847778

	registered interest
	date	23/02/2018
	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, which health body will be responsible for making the final decision on the sensitivity threshold for the faecal immunochemical test when it is introduced into the bowel cancer screening programme due to be implemented in April 2018.
	tabling member constituency	Eastbourne
	tabling member printed	Stephen Lloyd
	uin	129454
	answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>It is expected that the faecal immunochemical test (FIT) will be implemented during 2018/19 as the primary screen test for the bowel cancer screening programme.</p><p> </p><p>The Department has asked NHS England to lead the implementation of FIT and work through the practical steps to enable them to commission the new service from National Health Service providers. This will include: the sensitivity threshold at which FIT will be set; and consequent planning for colonoscopy and pathology workforce capacity; the distribution of the test kits; laboratory set up; new information technology links with the FIT analysing machines; staff training and public information. NHS England will undertake this with expert advice, practical support, standard setting and quality assurance from Public Health England.</p><p> </p><p>As these practical steps are put into place, a more specific date in 2018 will be confirmed for the introduction of FIT as the primary screen test for the bowel cancer screening programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 129453 question first answered 05/03/2018 15:49:09 answering member 4067 label Biography information for Steve Brine
	tabling member	3968 label Biography information for Stephen Lloyd

845655

	registered interest
	date	20/02/2018
	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, which body is responsible for the governance and funding of testing for molecular features of Lynch syndrome in all people diagnosed with bowel cancer in accordance with NICE guidance, DG27, published in February 2017; and if he will make a statement.
	tabling member constituency	Oxford West and Abingdon
	tabling member printed	Layla Moran
	uin	128627
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>The commissioning of services for people diagnosed with Lynch Syndrome, including surveillance, generally sits with clinical commissioning groups (CCGs). CCGs are best placed to commission services to meet the needs of local populations, taking into account the best available evidence.</p><p> </p><p>Testing for Lynch syndrome in people with colorectal cancer is targeted using criteria based on family history and age of cancer onset to determine people at higher risk. New National Institute for Health and Care Excellence (NICE) diagnostic guidance recommends extending this offer to all people with colorectal cancer when they are first diagnosed. Offering tests to all people with colorectal cancer will need to be considered by NHS England as part of its service development process.</p><p> </p><p>Each year, a number of new drugs, medical devices, tests and treatments in specialised services are put forward to NHS England. The promising proposals are considered by experts in the field, including doctors, public health experts and lay people. These groups, established by NHS England, are known as Clinical Reference Groups (CRGs). The CRGs make detailed assessments of the new treatments, tests and devices through Policy Working Groups and make recommendations on their potential adoption in the NHS.</p><p> </p><p>The Medical Genetics CRG will consider the NICE diagnostic guidance and have been asked to submit a Preliminary Policy Proposal and to identify a Clinical Lead to oversee the development of the proposal.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 128624 question first answered 28/02/2018 13:11:28 answering member 4067 label Biography information for Steve Brine
	tabling member	4656 label Biography information for Layla Moran

1690797

	registered interest
	date	21/02/2024
	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	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, whether she has made an assessment of the impact of the decision to lower the age for bowel cancer screening on levels of bowel cancer.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	15027
	answer	answer is ministerial correction date of answer 26/02/2024 answer text <p>Evidence shows that screening people at a younger age would enable more bowel cancers to be picked up at an earlier stage, where treatment is likely to be more effective and survival chances improved. Based on the UK National Screening Committee’s (UK NSC) last review of the bowel cancer screening programme, since April 2021, the National Health Service in England has been gradually reducing the age for bowel screening from 60 years old down to 50 years old.</p><p> </p><p>Modelling work commissioned by the UK NSC at the time concluded that introducing the faecal immunochemical test (FIT) for home testing in the 50 to 74 year old age range, at as low a threshold as possible, would be the most cost effective approach. Work continues in this area to ensure that lowering the age of bowel cancer screening down to 50 years old is done with workforce planning and capacity. Further details of the evidence around screening at a younger age and the modelling work, is available at the following link:</p><p><a href="https://view-health-screening-recommendations.service.gov.uk/bowel-cancer/" target="_blank">https://view-health-screening-recommendations.service.gov.uk/bowel-cancer/</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/02/2024 10:11:01 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	1409 label Biography information for Mr Gregory Campbell

1647803

	registered interest
	date	26/06/2023
	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, whether his Department plans to reduce the FIT screening for bowel cancer threshold from 120 ug/g to 20ug/g.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	191086
	answer	answer is ministerial correction date of answer 29/06/2023 answer text <p>The Department and NHS England are working together to look at reducing the FIT screening threshold for Bowel cancer, including calculating the workforce capacity that would be needed.</p> answering member constituency Colchester answering member printed Will Quince question first answered 29/06/2023 10:54:15 answering member 4423 label Biography information for Will Quince
	tabling member	3950 label Biography information for Dame Tracey Crouch