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1140530

	registered interest
	date	19/07/2019
	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	Preventive Medicine
	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 publish the prevention Green Paper before the summer recess.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	279415
	answer	answer is ministerial correction date of answer 24/07/2019 answer text <p>The Green Paper ‘Advancing our health: prevention in the 2020s’ was published on 22 July 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/07/2019 06:37:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1138817

	registered interest
	date	15/07/2019
	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	Health Services: Technology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many patient organisations are involved in the National Institute for Health and Care Excellence’s review of health technology assessment methods and processes.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	277170
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>There are three patient/lay representatives on the methods working group with a wide range of experience, covering a range of topic areas, reflecting the programmes under review. Two of the patient/lay representatives also belong to the Patients Involved in NICE coalition.</p><p>Patient groups will be involved in the review of each of the specific methodological areas as detailed in the paper presented to the NICE board on 17 July 2019. Experts in the area will be invited to participate in topic specific methods task and finish groups.</p><p>NICE has established a dedicated patient working group. There are six patient organisation representatives on the group, including those who belong to the Patients Involved in NICE coalition. The group will work directly with patient/carer groups to coordinate the patient perspective on both methods and process. A stakeholder workshop with patient groups was held in January 2019 that included representatives from 22 patient organisations.</p><p>The patient working group has recently disseminated a survey to patient umbrella groups to develop a clear understanding of the patient perspective on both methods and processes. The survey runs until 5pm on Monday 12 August 2019. It will be promoted via social media and sent directly to groups working with NICE. Patient organisations can communicate with representatives on the methods working group and patient working group outside of this survey.</p><p>Patient organisations will have the opportunity to comment directly on proposals during the public consultation in summer 2020.</p><p>NICE is implementing other opportunities to encourage more patient group involvement throughout the review via provision of a subscription based bulletin for updates and information (which people can subscribe to via their website) and exploring arrangements of additional engagement sessions (i.e. webinars), as and when appropriate.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277171 277172 question first answered 23/07/2019 16:34:14 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1138818

	registered interest
	date	15/07/2019
	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	Health Services: Technology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what opportunities patient organisations will have to make representations to the National Institute for Health and Care Excellence’s review of health technology assessment methods and processes.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	277171
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>There are three patient/lay representatives on the methods working group with a wide range of experience, covering a range of topic areas, reflecting the programmes under review. Two of the patient/lay representatives also belong to the Patients Involved in NICE coalition.</p><p>Patient groups will be involved in the review of each of the specific methodological areas as detailed in the paper presented to the NICE board on 17 July 2019. Experts in the area will be invited to participate in topic specific methods task and finish groups.</p><p>NICE has established a dedicated patient working group. There are six patient organisation representatives on the group, including those who belong to the Patients Involved in NICE coalition. The group will work directly with patient/carer groups to coordinate the patient perspective on both methods and process. A stakeholder workshop with patient groups was held in January 2019 that included representatives from 22 patient organisations.</p><p>The patient working group has recently disseminated a survey to patient umbrella groups to develop a clear understanding of the patient perspective on both methods and processes. The survey runs until 5pm on Monday 12 August 2019. It will be promoted via social media and sent directly to groups working with NICE. Patient organisations can communicate with representatives on the methods working group and patient working group outside of this survey.</p><p>Patient organisations will have the opportunity to comment directly on proposals during the public consultation in summer 2020.</p><p>NICE is implementing other opportunities to encourage more patient group involvement throughout the review via provision of a subscription based bulletin for updates and information (which people can subscribe to via their website) and exploring arrangements of additional engagement sessions (i.e. webinars), as and when appropriate.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277170 277172 question first answered 23/07/2019 16:34:14 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1138819

	registered interest
	date	15/07/2019
	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	Health Services: Technology
	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 will take to ensure the broadest number of patient groups can participate in the National Institute for Health and Care Excellence’s review of health technology assessment methods and processes.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	277172
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>There are three patient/lay representatives on the methods working group with a wide range of experience, covering a range of topic areas, reflecting the programmes under review. Two of the patient/lay representatives also belong to the Patients Involved in NICE coalition.</p><p>Patient groups will be involved in the review of each of the specific methodological areas as detailed in the paper presented to the NICE board on 17 July 2019. Experts in the area will be invited to participate in topic specific methods task and finish groups.</p><p>NICE has established a dedicated patient working group. There are six patient organisation representatives on the group, including those who belong to the Patients Involved in NICE coalition. The group will work directly with patient/carer groups to coordinate the patient perspective on both methods and process. A stakeholder workshop with patient groups was held in January 2019 that included representatives from 22 patient organisations.</p><p>The patient working group has recently disseminated a survey to patient umbrella groups to develop a clear understanding of the patient perspective on both methods and processes. The survey runs until 5pm on Monday 12 August 2019. It will be promoted via social media and sent directly to groups working with NICE. Patient organisations can communicate with representatives on the methods working group and patient working group outside of this survey.</p><p>Patient organisations will have the opportunity to comment directly on proposals during the public consultation in summer 2020.</p><p>NICE is implementing other opportunities to encourage more patient group involvement throughout the review via provision of a subscription based bulletin for updates and information (which people can subscribe to via their website) and exploring arrangements of additional engagement sessions (i.e. webinars), as and when appropriate.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277170 277171 question first answered 23/07/2019 16:34:14 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1138923

	registered interest
	date	15/07/2019
	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	Cancer: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to his oral statement of 1 July 2019, Official Report, column 929, on the NHS Long Term Plan: Implementation, what steps his Department is taking to achieve the target to diagnose 75 per cent of cancers at stage 1 and 2 for less survivable cancers.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	277173
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>To achieve the NHS Long Term Plan ambition, we are modernising our world-renowned cancer screening programmes by introducing faecal immunochemical testing into the NHS Bowel Cancer Screening Programme and human papillomavirus as the primary test in the NHS Cervical Screening Programme.</p><p>NHS England is establishing rapid diagnostic centres, which build on the 10 models piloted through the ‘Accelerate, Coordinate and Evaluate’ programme, which have focussed on diagnosing cancers where patients often present with non-specific symptoms and may go to their general practitioner (GP) many times before being sent for appropriate tests. These will be particularly important for the less-survivable cancers.</p><p>NHS England is extending lung health checks, targeting clinical commissioning groups with the lowest survival rates. In Greater Manchester introducing low dose CT health checks saw an almost five-fold reduction in stage 4 disease, with 80% of cancers diagnosed at an early stage.</p><p>There will also be efforts to continue to raise awareness cancer symptoms, lower the threshold for GP referrals and accelerate access to diagnosis and treatment.</p><p>As set out in the NHS Long Term Plan Implementation Framework, local systems are being asked to create their five-year strategic plans to deliver the commitments in the NHS Long Term Plan. Plans should be created by November 2019. System plans will then be aggregated, brought together with additional national activity and published as part of a national implementation plan by the end of 2019. These plans will include the less survivable cancers.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277174 question first answered 23/07/2019 16:37:26 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1138924

	registered interest
	date	15/07/2019
	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	Cancer: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to his oral statement of 1 July 2019, Official Report, column 929, on the NHS Long Term Plan: Implementation, if he will publish his plans to achieve the target to diagnose 75 per cent of cancers at stage 1 and 2 for less survivable cancers.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	277174
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>To achieve the NHS Long Term Plan ambition, we are modernising our world-renowned cancer screening programmes by introducing faecal immunochemical testing into the NHS Bowel Cancer Screening Programme and human papillomavirus as the primary test in the NHS Cervical Screening Programme.</p><p>NHS England is establishing rapid diagnostic centres, which build on the 10 models piloted through the ‘Accelerate, Coordinate and Evaluate’ programme, which have focussed on diagnosing cancers where patients often present with non-specific symptoms and may go to their general practitioner (GP) many times before being sent for appropriate tests. These will be particularly important for the less-survivable cancers.</p><p>NHS England is extending lung health checks, targeting clinical commissioning groups with the lowest survival rates. In Greater Manchester introducing low dose CT health checks saw an almost five-fold reduction in stage 4 disease, with 80% of cancers diagnosed at an early stage.</p><p>There will also be efforts to continue to raise awareness cancer symptoms, lower the threshold for GP referrals and accelerate access to diagnosis and treatment.</p><p>As set out in the NHS Long Term Plan Implementation Framework, local systems are being asked to create their five-year strategic plans to deliver the commitments in the NHS Long Term Plan. Plans should be created by November 2019. System plans will then be aggregated, brought together with additional national activity and published as part of a national implementation plan by the end of 2019. These plans will include the less survivable cancers.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277173 question first answered 23/07/2019 16:37:26 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1129076

	registered interest
	date	03/06/2019
	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	Cancer: Diagnosis
	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 ensure that NICE Guideline 12, for suspected cancers, is being adhered to.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	259195
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Department expects all clinicians to use the National Institute for Health and Care Excellence (NICE) guidelines to inform their clinical practice. NICE published an updated suspected cancer referral guideline in June 2015 which encourages general practitioners (GPs) to think of cancer sooner and lowers the threshold for referral.</p><p> </p><p>The NHS Long Term Plan reaffirms that all GPs should use the latest evidence-based guidance from NICE to identify children, young people and adults at risk of cancer. Primary care networks will be required to help improve early diagnosis of patients in their own neighbourhoods by 2023/24 (s3.57).</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:44:59 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1129078

	registered interest
	date	03/06/2019
	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	Cancer: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many people were diagnosed with cancer through the NICE Guideline 12 pathway in (a) 2016, (b) 2017 and (c) 2018.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	259196
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>In 2018, 2.2 million patients underwent cancer checks following urgent referral by their general practitioner. That was an increase of almost a quarter of a million on the 1.9 million people who were seen in 2017. The diagnosis figures for the years requested are as follows:</p><p> </p><p>2016: 143,122</p><p>2017: 148,955</p><p>2018: 160,275</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:45:28 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1129079

	registered interest
	date	03/06/2019
	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	Cancer: Diagnosis
	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 the ability of GPs and health professionals to understand and use NICE Guideline 12.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	259197
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Department expects all clinicians to use the National Institute for Health and Care Excellence (NICE) guidelines to inform their clinical practice. NICE published an updated suspected cancer referral guideline in June 2015 which encourages general ractitioners to think of cancer sooner and lowers the threshold for referral.</p><p>A report published by NICE in January 2018 on uptake of NICE cancer guidelines states: “The annual number of people being urgently referred to a specialist has increased since the publication of NICE’s guideline on suspected cancer: there were over 300,000 more urgent referrals in 2016/17 than in 2014/15.”</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:32:38 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1129080

	registered interest
	date	03/06/2019
	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	Cancer: Nurses
	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 Harding review will address the shortage of clinical nurse specialists for people undergoing cancer treatment.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	259198
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The NHS Long Term Plan set out that by 2021, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. All patients, including those with secondary cancers, will have access to the right expertise and support, including a clinical nurse specialist (CNS) or other support worker.</p><p>In the 2017 Cancer Patient Experience Survey, 91% of patients reported having access to a CNS.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:27:13 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin