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1005631
star this property registered interest false more like this
star this property date less than 2018-11-12more like thismore than 2018-11-12
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Haematological Cancer more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what assessment they have made of the level of spending on treatment for and research into blood cancer in other countries compared to the UK. more like this
star this property tabling member printed
Lord Mendelsohn more like this
star this property uin HL11402 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-26more like thisremove minimum value filter
star this property answer text <p>NHS England does not hold information on the level of spending on blood cancer treatment in other countries.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-26T13:00:38.673Zmore like thismore than 2018-11-26T13:00:38.673Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
4286
star this property label Biography information for Lord Mendelsohn more like this
1005632
star this property registered interest false more like this
star this property date less than 2018-11-12more like thismore than 2018-11-12
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Medical Treatments: Expenditure more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 5 November (HL10893), what data they hold on on the amount spent by the NHS on (1) treatment, and (2) drugs for different health conditions. more like this
star this property tabling member printed
Lord Mendelsohn more like this
star this property uin HL11403 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-26more like thisremove minimum value filter
star this property answer text <p>The information is not collected centrally in the format requested.</p><p>NHS Improvement collect and publish reference costs data which are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year rather than the total amount spent on treatment.</p><p>As a subset of these reference costs, data is collected about high cost drugs only.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-26T13:01:30.487Zmore like thismore than 2018-11-26T13:01:30.487Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
4286
star this property label Biography information for Lord Mendelsohn more like this
1006649
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading HIV Infection more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what consideration they are giving to the needs of people living with HIV as part of their development of a long-term plan for the NHS. more like this
star this property tabling member printed
Lord Black of Brentwood more like this
star this property uin HL11429 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>Following the announcement in June 2018, the Prime Minister has asked the National Health Service to develop a long term plan for the service. The plan will set out how the NHS will develop over the coming years, underpinned by a five-year funding offer which will see the NHS budget grow by over £20.5 billion a year in real terms by 2023-24. It provides an excellent opportunity to look at how HIV and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-27T15:31:11.407Zmore like thismore than 2018-11-27T15:31:11.407Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
4171
star this property label Biography information for Lord Black of Brentwood more like this
1006668
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Cancer: Screening more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government which cancers have been recommended by NICE for molecular testing; and of those cancers, for which biomarkers in relation to (1) prognostic tests, and (2) theranostic or treatment predictive tests. more like this
star this property tabling member printed
Lord Freyberg more like this
star this property uin HL11448 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>The National Institute for Health and Care Excellence (NICE) recommends molecular testing for the following cancers:</p><p>- Acute myeloid leukaemia;</p><p>- Bladder;</p><p>- Brain;</p><p>- Breast;</p><p>- Chronic lymphocytic leukaemia;</p><p>- Chronic myeloid leukaemia;</p><p>- Colorectal;</p><p>- Non-small-cell lung cancer;</p><p>- Melanoma;</p><p>- Oesophago-gastric;</p><p>- Ovarian, fallopian tube and peritoneal;</p><p>- Pancreatic;</p><p>- Prostate;</p><p>- Upper aerodigestive tract; and</p><p>- Unknown primary origin.</p><p>NICE refers to the following companion diagnostic biomarkers in its guidance:</p><p>- c-Kit (CD117);</p><p>- HER2;</p><p>- KRAS;</p><p>- EGFR-TK;</p><p>- Philadelphia chromosome;</p><p>- BRAF V600;</p><p>- ALK;</p><p>- BRCA;</p><p>- p53;</p><p>- PD-L1;</p><p>- RAS;</p><p>- BCR-ABL1;</p><p>- FLT3;</p><p>- ROS1;</p><p>- BRCA1 (germline); and</p><p>- Somatostatin receptor-positive.</p><p> </p><p>Tests that are primarily used for diagnosis, monitoring or screening often provide prognostic information. Consequently, there are a large number of biomarkers, many of which are used in standard testing practice and so are not specifically referred to in NICE guidance. Multiple and combinations of biomarkers are often used to provide prognostic information and companies developing tests often create their own combinations.</p><p>As many tests look for multiple biomarkers for a single purpose and many tests in standard practice provide prognostic information, NICE is unable to provide categorical information on prognostic tests.</p>
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-27T15:29:48.607Zmore like thismore than 2018-11-27T15:29:48.607Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
2593
star this property label Biography information for Lord Freyberg more like this
1006669
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Cancer: Screening more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government which NHS England trusts currently carry out cancer tests in compliance with NICE guidelines; and in relation to which cancers. more like this
star this property tabling member printed
Lord Freyberg more like this
star this property uin HL11449 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>NHS England does not hold this information.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property grouped question UIN
HL11450 more like this
HL11451 more like this
star this property question first answered
less than 2018-11-27T15:48:20.66Zmore like thismore than 2018-11-27T15:48:20.66Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
2593
star this property label Biography information for Lord Freyberg more like this
1006670
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Cancer: Screening more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government which NHS England trusts, if any, have secured funding to test for cancers clinically beyond the NICE guidelines, including through use of theranostic tests and somatic gene panels that can report back to patients within a clinically actionable time frame; and in relation to which cancers. more like this
star this property tabling member printed
Lord Freyberg more like this
star this property uin HL11450 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>NHS England does not hold this information.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property grouped question UIN
HL11449 more like this
HL11451 more like this
star this property question first answered
less than 2018-11-27T15:48:20.707Zmore like thismore than 2018-11-27T15:48:20.707Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
2593
star this property label Biography information for Lord Freyberg more like this
1006671
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Cancer: Screening more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what assessment they have made of the main reasons for non-compliance with NICE guidelines for testing for cancer by NHS England trusts. more like this
star this property tabling member printed
Lord Freyberg more like this
star this property uin HL11451 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>NHS England does not hold this information.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property grouped question UIN
HL11449 more like this
HL11450 more like this
star this property question first answered
less than 2018-11-27T15:48:20.737Zmore like thismore than 2018-11-27T15:48:20.737Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
2593
star this property label Biography information for Lord Freyberg more like this
1006672
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Cancer: Screening more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what progress they have made towards the Cancer Task Force’s recommendation for a national molecular pathology service; and when they anticipate to implement this fully in relation to adult cancer diagnosis and care. more like this
star this property tabling member printed
Lord Freyberg more like this
star this property uin HL11452 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>In 2015, the Independent Cancer Taskforce Report highlighted limited access to molecular diagnostics across the National Health Service and limited use of technology to systematically identify patients with cancer and suggested that this has resulted in the NHS falling behind other countries in the delivery of high-quality, cost-effective cancer care.</p><p>To address this, building on the world leading 100,000 Genomes Project and the existing infrastructure, NHS England announced in October 2018 that over the next 18 months work to mobilise the NHS Genomic Medicine Service (GMS) would get underway. The GMS will bring together existing clinical genetics services and the new genomic laboratory infrastructure to provide seamless service delivery for patients with rare and inherited disease and cancer.</p> more like this
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-27T15:48:42.947Zmore like thismore than 2018-11-27T15:48:42.947Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
2593
star this property label Biography information for Lord Freyberg more like this
1006695
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Eating Disorders more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government, following the recommendations of the Parliamentary and Health Service Ombudsman, what steps they are taking to ensure that information about the (1) number, and (2) duration of training posts in eating disorders for Foundation grade doctors is collected and scrutinised at the national level by Health Education England; and whether this will include how such junior doctors are taught and assessed against a relevant part of their nutrition curriculum. more like this
star this property tabling member printed
Baroness Parminter more like this
star this property uin HL11475 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>In response to the Parliamentary and Health Service Ombudsman report, NHS England has convened a working group with NHS Improvement, Health Education England (HEE), the Department and other partners to co-ordinate actions being taken in response to the recommendations, taking them into account in planning for improvements to adult eating disorder services.</p><p>Foundation training covers core generic skills which will include nutrition and all its facets, one of which is eating disorders. Currently, around 47% of foundation programmes in England offer four-month posts in psychiatry, and management of eating disorders and associated conditions is included in the curriculum and learning objectives for such posts.</p><p>The Foundation Programme ensures that newly qualified doctors demonstrate their ability to learn in the workplace, develop their clinical and professional skills in the workplace in readiness for core, specialty or general practice training.</p><p>Increasing psychiatry posts and training opportunities in foundation is part of HEE’s current review of the Foundation Programme. There are quality management systems in place to monitor HEE’s performance against those objectives.</p><p><strong> </strong></p>
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-27T15:51:18.35Zmore like thismore than 2018-11-27T15:51:18.35Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
4178
star this property label Biography information for Baroness Parminter more like this
1006701
star this property registered interest false more like this
star this property date less than 2018-11-13more like thismore than 2018-11-13
star this property answering body
Department of Health and Social Care remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading NHS: Standards more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what assessment they have made of the progress of NHS programmes for reducing variation in (1) the Getting It Right First Time programme, and (2) NHS RightCare; and what additional funding, if any, will be allocated to expand such improvement initiatives as part of NHS England’s long-term plan. more like this
star this property tabling member printed
Lord Warner more like this
star this property uin HL11481 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-11-27more like thismore than 2018-11-27
star this property answer text <p>The Getting It Right First Time (GIRFT) programme aims to improve the quality of surgical and medical care within the National Health Service by working with frontline clinicians to identify and reduce unwarranted variations in service delivery and clinical practice. Since it was set up in 2016, the programme has been expanded to clinically review 35 surgical and medical specialties.</p><p>In terms of tracking progress, the programme measures quality improvement in key outcomes or practices. Since 2016/17, the programme has delivered quality and efficiency improvements, shortening waiting times for surgery, reducing costly cancellations and delays to elective procedures, aiding trusts to meet performance targets, and reducing spend on costly consultancy services.</p><p>Since its establishment as a national programme in 2016, NHS RightCare has actively worked with every health system in England to transform services over a wide range of pathways and reduce unwarranted variation. NHS RightCare underpins its activity with robust evaluation to understand the change and impact of local projects through robust planning and modelling. Nationally, this ensures the programme can report on change in reducing variation in terms of finance, activity and health outcomes via the Clinical Commissioning Group Improvement Assessment Framework.</p><p> </p><p>The Prime Minister has asked the NHS to develop a long-term plan for the service, setting out how the NHS will develop over the coming years supported by the significant additional funding. This provides an excellent opportunity to look at how reducing variation can be accelerated over the next decade. The plan is currently in development and will be published later in the year.</p>
star this property answering member printed Lord O'Shaughnessy more like this
star this property question first answered
less than 2018-11-27T15:55:10.453Zmore like thismore than 2018-11-27T15:55:10.453Z
star this property answering member
4545
star this property label Biography information for Lord O'Shaughnessy more like this
star this property tabling member
1732
star this property label Biography information for Lord Warner more like this