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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

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

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

828024

	registered interest
	date	22/01/2018
	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, whether his Department has plans to reduce the bowel cancer screening age; and if he will make a statement.
	tabling member constituency	Mitcham and Morden
	tabling member printed	Siobhain McDonagh
	uin	123984
	answer	answer is ministerial correction date of answer 30/01/2018 answer text <p>Using existing evidence and modelling techniques the United Kingdom National Screening Committee (UKNSC) is currently consulting on changes to the current bowel screening programme - whether bowel scope and Faecal Immunochemical Testing (FIT) can be offered as a combination or if FIT is robust enough to be the primary screen test from the age of 50 years.</p><p> </p><p>The three month consultation closes on 7 April with a recommendation at a subsequent meeting. Information about the consultation and how to participate is available at:</p><p><a href="https://legacyscreening.phe.org.uk/bowelcancer" target="_blank">https://legacyscreening.phe.org.uk/bowelcancer</a></p><p> </p><p>If any changes are to be made to an existing screening programme this will follow the UK NSC’s published evidence review process which can be viewed at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/uk-nsc-evidence-review-process" target="_blank">https://www.gov.uk/government/publications/uk-nsc-evidence-review-process</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/01/2018 14:27:14 answering member 4067 label Biography information for Steve Brine
	tabling member	193 label Biography information for Dame Siobhain McDonagh

846998

	registered interest
	date	22/02/2018
	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, whether a decision has been reached 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; and if he will make a statement.
	tabling member constituency	Eastbourne
	tabling member printed	Stephen Lloyd
	uin	129172
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>A decision is expected to be made in 2018/19 on the sensitivity threshold for the faecal immunochemical test (FIT) on its introduction to the bowel cancer screening programme.</p><p> </p><p>NHS England remains committed to the implementation of FIT testing within the NHS Bowel Cancer Screening Programme from 2018. During 2018, NHS England will finalise a number of practical steps to ensure when FIT is implemented it is sustainable. These steps include: working with Public Health England who will be ensuring that the practical arrangements for managing the production and distribution of FIT kits are in place and working with local providers to ensure sufficient workforce capacity is in place to deliver FIT and save lives.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/02/2018 14:45:19 answering member 4067 label Biography information for Steve Brine
	tabling member	3968 label Biography information for Stephen Lloyd

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

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