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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

806112

	registered interest
	date	13/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, whether his Department has plans to reduce the screening age for bowel cancer to 50 years old.
	tabling member constituency	Bristol East
	tabling member printed	Kerry McCarthy
	uin	119313
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>Following the Ministerial approval of the United Kingdom National Screening Committee’s (UK NSC’s) recommendation to introduce Faecal Immunochemical Testing as the primary screen test in the NHS Bowel Cancer Screening Programme, the UK NSC commissioned the Sheffield School of Health and Related Research (ScHARR) to use existing evidence and modelling techniques to describe options for optimising bowel cancer screening. This includes at different cut off levels for the test and at various age ranges.</p><p> </p><p>The UK NSC will continue to work with ScHARR, and stakeholders, and will make a final recommendation in 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/12/2017 16:24:21 answering member 4067 label Biography information for Steve Brine
	tabling member	1491 label Biography information for Kerry McCarthy

757691

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, whether a decision has been made on what sensitivity threshold the faecal immunochemical test will be set at when it is introduced into the bowel cancer screening programme; and if he will make a statement.
	tabling member constituency	North Swindon
	tabling member printed	Justin Tomlinson
	uin	8797
	answer	answer is ministerial correction date of answer 11/09/2017 answer text <p>No final decision has been taken yet on the sensitivity threshold for the faecal immunochemical test on its introduction to the bowel cancer screening programme from April 2018.</p><p> </p><p>NHS England is working with partners in Public Health England and the Department to inform this decision and is working through its regional teams to assess capacity in relation to a number of thresholds. The Department is confirming the process for decision making, which is likely to conclude this autumn.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2017 14:23:13 answering member 4067 label Biography information for Steve Brine
	tabling member	4105 label Biography information for Justin Tomlinson

733055

	registered interest
	date	27/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, when the quantitive faecal immunochemical test will be available on the NHS as a DIY procedure.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	1524
	answer	answer is ministerial correction date of answer 04/07/2017 answer text <p>Faecal Immunochemical Testing will replace the original Faecal Occult Blood test as the first line test in bowel cancer screening in April 2018. Men and women aged 60 will be sent the self-sampling kit, requiring only one sample instead of three, to be used in the privacy of their own home.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/07/2017 10:55:52 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

786845

	registered interest
	date	10/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what steps his Department is taking to increase GP training to improve the detection of bowel cancer.
	tabling member constituency	Chippenham
	tabling member printed	Michelle Donelan
	uin	112382
	answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. The GMC has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice. Continuing professional and personal development for registered professionals employed in the National Health Service is a matter for employers and those individuals.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2017 12:26:31 answering member 4067 label Biography information for Steve Brine
	tabling member	4530 label Biography information for Michelle Donelan

756976

	registered interest
	date	04/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what assessment he has made of the capacity of the NHS to meet demand for diagnostic tests for bowel cancer.
	tabling member constituency	Oxford West and Abingdon
	tabling member printed	Layla Moran
	uin	7683
	answer	answer is ministerial correction date of answer 11/09/2017 answer text <p>NHS England and NHS Improvement regional teams are leading work to ensure that cancer waiting times standards are met. This involves continually assessing demand and capacity for diagnostic tests.</p><p> </p><p>In December 2016, NHS England announced that £200 million would be made available to Cancer Alliances over the next two years (2017/18 and 2018/19) to support delivery, including of early diagnosis. Cancer Alliances will be the driving force to deliver transformation of cancer services locally bringing together senior leaders from the region to effectively make decisions on the management of resources.</p><p> </p><p>Oxfordshire Clinical Commissioning Group carried out a procurement of local diagnostic services to enable wider provision in the community of colonoscopy, flexi-sigmoidoscopy and endoscopy services.</p><p>The majority of patients are being diagnosed and treated promptly against a backdrop of more people being referred and diagnosed than ever before. In 2016/17 the National Health Service carried out 21.4 million diagnostic tests, 7 million more than in 2010.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 7684 question first answered 11/09/2017 16:11:08 answering member 4067 label Biography information for Steve Brine
	tabling member	4656 label Biography information for Layla Moran

751795

	registered interest
	date	13/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what assessment he has made of the availability of bowel cancer screening for people under the age of 30.
	tabling member constituency	North Swindon
	tabling member printed	Justin Tomlinson
	uin	4837
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>No assessment has been made regarding availability of bowel cancer screening for people under the age of 30. Bowel screening is offered to men and women aged 60-74 years old with an average risk of developing the condition. High risk screening falls outside the United Kingdom National Screening Committee (UK NSC) remit; which is to offer whole population screening to asymptomatic people.</p><p> </p><p>Individuals with symptoms or those considered to be high risk should speak to their general practitioner.</p><p> </p><p>The UK NSC has an open process by which stakeholders and/or members of the public may submit a proposal to the Committee, providing robust peer reviewed evidence to support a change to an existing programme. This would include a modification such as a change to the screening age. Submissions relating to existing programmes are accepted throughout the year. More information about the UK NSC’s process is available on its website.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/07/2017 15:07:52 answering member 4067 label Biography information for Steve Brine
	tabling member	4105 label Biography information for Justin Tomlinson

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

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