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1129970

	registered interest
	date	05/06/2019
	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	Smoking: Children
	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 his policy paper, Smoke-free generation: tobacco control plan for England, published on 18 July 2017, what progress he has made on achieving the target to reduce the number of 15 year olds who regularly smoke from eight per cent to three per cent or less.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	260564
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The Government has a strong track record of reducing harm caused by tobacco, based on a comprehensive approach to tobacco control aimed at preventing young people from taking up smoking and encouraging existing smokers to quit, including bans on smoking in public places, and on promotion and advertising of tobacco products.</p><p>The latest available date shows that the proportion of 15-year olds who regularly smoke was 7% in 2016, down from 8% in 2014. An update of this data will be published on 25 July 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 16:00:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1129995

	registered interest
	date	05/06/2019
	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: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the timeframe is for the roll-out of the national screening programme for cancer; and how many patients will initially be included in that programme.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	260532
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The National Health Service provides three national cancer population-based screening programmes as part of the Section 7a Public Health services, commissioned by NHS England on behalf of the Secretary of State.</p><p>During 2018, the NHS screened 3.2 million women for cervical abnormalities; 2.6 million people for bowel cancer; and 2.1 million women for breast cancer.</p><p>The NHS Long Term Plan commits to modernising the Bowel Cancer screening programme to detect more cancers earlier by lowering the starting age for bowel screening from 60 to 50 over time and replacing the guaiac Faecal Occult Blood Test kit with the more sensitive Faecal Immunochemical Test for haemoglobin from summer 2019. It also confirmed that using human papillomavirus testing as the primary screen for cervical cancer will be implemented across England by 2020.</p><p><strong><em> </em></strong></p><p><strong><em> </em></strong></p><p><strong><em> </em></strong></p><p><strong><em> </em></strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 16:16:17 answering member 4455 label Biography information for Seema Kennedy
	tabling member	252 label Biography information for Dr David Drew

1129996

	registered interest
	date	05/06/2019
	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: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to tackle the decline in the number of women taking up (a) breast and (b) cervical cancer screening.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	260533
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>Professor Sir Mike Richards has published his interim independent review of national cancer screening programmes in England.</p><p>The interim report makes two recommendations: that local systems across the country take immediate action to address the decline in screening uptake by implementing interventions for which a clear evidence base already exists; and that national stakeholders should ensure IT systems for general practitioner registrations and screening are fit for purpose.</p><p>The report notes that in order to encourage uptake in harder to reach groups, the Government needs to build the evidence base for other emerging interventions, paying particular attention to novel approaches that have been introduced locally and appear to be successful. Evaluation would be needed to determine whether they can be replicated on a wider scale. Professor Sir Mike Richards has committed to gathering further evidence on these and other interventions as the review progresses and will include specific work with faith and ethnic groups, experts on physical and learning disabilities and with LGBT+ communities on their specific concerns about screening, with a particular focus on the transgender community.</p><p>The Government awaits the final recommendations which will be reported in the summer 2019, and will consider these carefully, alongside the recommendations from the recent reports published by the Public Accounts Committee, the National Audit Office's investigation into screening and the national Cancer Strategy.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 15:43:04 answering member 4455 label Biography information for Seema Kennedy
	tabling member	252 label Biography information for Dr David Drew

1129997

	registered interest
	date	05/06/2019
	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: 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 he plans to clarify governance arrangements for cancer screening between the NHS, Public Health England and his Department.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	260534
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>Officials from the Department and Public Health England have engaged with Professor Sir Mike Richards to ensure that his ongoing review gives consideration to the governance of all screening programmes.</p><p>The Terms of Reference for Professor Sir Mike Richards' Review include making recommendations, if needed, on how NHS England interacts with Public Health England and the Department to translate screening policy into implementation and on how screening programmes should be commissioned, delivered, performance managed and quality assured in the future.</p><p>Professor Sir Mike Richards published an interim report on 24 May on his emerging findings of the independent review of national screening programmes in England. However, the Government awaits the final recommendations which will be reported in summer 2019, and will consider these carefully, alongside the recommendations from the recent reports published by the Public Accounts Committee, the National Audit Office's investigation into screening and the national Cancer Strategy.</p><p>The findings of the review will be taken forward as part of the NHS Long Term Plan.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 16:13:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	252 label Biography information for Dr David Drew

1130080

	registered interest
	date	05/06/2019
	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	Musculoskeletal Disorders: Health Services
	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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made on the commitment to build on work already undertaken to ensure that patients have direct access to MSK First Contact Practitioners; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	260649
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>To support the 2018/19 mobilisation of first contact practitioner (FCP) services for musculoskeletal (MSK) conditions, 98% of sustainability and transformation plans identified pilot sites for FCP services and 98% of those sites were operational by 31 March 2019. The NHS Long Term Plan’s commitment is to build on this work of piloting FCP services across England.</p><p> </p><p>Further progress to be delivered in 2019/20 includes the development of a national mobilisation plan for local systems to roll out this service for patients across the country. To support successful mobilisation by local systems, the specification for FCP services for MSK conditions has recently been published and can be found via the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2019/05/elective-care-high-impact-interventions-first-contact-practitioner-msk-services-specification.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2019/05/elective-care-high-impact-interventions-first-contact-practitioner-msk-services-specification.pdf</a></p><p>All adults in England will have direct access to MSK FCP by 2023/24, across all Primary Care Networks. This will enable patients to see the right professional first time, first place without needing a general practitioner (GP) referral.</p><p> </p><p>NHS England published a five-year framework for GP contract reform this year which has committed to invest £891 million to fund an additional 20,000 workforce across five staff groups including MSK FCPs to support general practice.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 15:43:37 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4244 label Biography information for Jonathan Ashworth

1130081

	registered interest
	date	05/06/2019
	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	Lung Diseases: 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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made on the commitment to build on the Right Care programme to reduce variation in quality of spirometry testing across the country; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	260650
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>As set out in the Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist systems, which will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and Improvement will then publish a national implementation plan in the autumn.</p><p>As set out in the NHS Planning Guidance, all systems will work with the NHS RightCare programme to implement national priority initiatives for respiratory conditions in 2019/20.</p><p>Action will include:</p><p>- Expanding the pioneering lung health checks trialled in Manchester and Liverpool, which will identify more cancers quickly and detect other conditions including chronic obstructive pulmonary disease (COPD); and</p><p> </p><p>- Rolling out the NHS RightCare COPD pathway nationally through clinical commissioning groups. This includes timely access to pulmonary rehabilitation as part of the optimal treatment pathway. The pathway provides a set of resources to support local health economies to concentrate their improvement efforts to address variation and improve population health.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 15:31:14 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4244 label Biography information for Jonathan Ashworth

1130086

	registered interest
	date	05/06/2019
	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	Opioids: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the quality of care and therapy provision for people with opioid addiction.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	260568
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The Care Quality Commission (CQC) routinely carries out reviews of substance misuse services. In their most recent assessment the CQC rated the majority of residential substance misuse centres and community substance misuse centres as good or outstanding.</p><p>Public Health England (PHE) has published a comprehensive review of the evidence on the drug misuse treatment system in England. In comparison with other countries and the international research, it shows the system is performing well but there are some areas where we can improve. Although the review covers drug treatment effectiveness, it does not address the quality of care and therapy. The review is available to view at the following link:</p><p><a href="https://www.gov.uk/government/publications/drug-misuse-treatment-in-england-evidence-review-of-outcomes" target="_blank">https://www.gov.uk/government/publications/drug-misuse-treatment-in-england-evidence-review-of-outcomes</a></p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 16:11:01 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly

1130123

	registered interest
	date	05/06/2019
	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	Public Health: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential effect on the delivery of local authority public health services of not increasing public health funding in the next spending review; and if he will make a statement.
	tabling member constituency	Brighton, Kemptown
	tabling member printed	Lloyd Russell-Moyle
	uin	260714
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>Future funding for local authorities’ public health responsibilities will be considered carefully in the next spending review, taking full account of the available evidence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 15:32:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4615 label Biography information for Lloyd Russell-Moyle

1130127

	registered interest
	date	05/06/2019
	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	Genito-urinary Medicine
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to support local authority sexual health services in the event that public health funding is not increased as part of the spending review.
	tabling member constituency	Brighton, Kemptown
	tabling member printed	Lloyd Russell-Moyle
	uin	260716
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>Public health funding for 2020 onwards, including for sexual health services, will be considered carefully in the next spending review, in the light of all the available evidence. Local authorities have been mandated to commission comprehensive open access sexual health services and are best placed to understand and meet the public health needs of their local communities.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 15:35:34 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4615 label Biography information for Lloyd Russell-Moyle

1129601

	registered interest
	date	04/06/2019
	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	Homerton University Hospital NHS Foundation Trust
	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 trends in the number of symptomatic breast appointments at Homerton University Hospital NHS Foundation Trust in each of the last five years.
	tabling member constituency	East Ham
	tabling member printed	Stephen Timms
	uin	259828
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>NHS England publishes monthly National Health Service trust level cancer performance data. The following tables show referrals and performance for Homerton University Hospital NHS Foundation Trust and nationally in March in each of the last five years against this standard.</p><p> </p><p>Number of referrals for two week wait breast symptomatic (where cancer not initially suspected) from general practitioner (GP) urgent referral to first consultant appointment 93% standard in March in each of the last 5 years at Homerton University Hospital NHS Foundation Trust and nationally.</p><table><tbody><tr><td><p>-</p></td><td><p>March 2015</p></td><td><p>March 2016</p></td><td><p>March 2017</p></td><td><p>March 2018</p></td><td><p>March 2019</p></td></tr><tr><td><p>Homerton University Hospital NHS Foundation Trust</p></td><td><p>91</p></td><td><p>115</p></td><td><p>128</p></td><td><p>125</p></td><td><p>154</p></td></tr><tr><td><p>National</p></td><td><p>20,100</p></td><td><p>19,600</p></td><td><p>21,000</p></td><td><p>16,800</p></td><td><p>17,300</p></td></tr></tbody></table><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 15:45:22 answering member 4455 label Biography information for Seema Kennedy
	tabling member	163 label Biography information for Sir Stephen Timms