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1693876

registered interest
date	05/03/2024
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	Bournemouth
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) she and (b) other Ministers plan to visit Bournemouth in the next six months.
tabling member constituency	Bournemouth East
tabling member printed	Mr Tobias Ellwood
uin	17081
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>Ministers regularly consider visits to health and care settings across the country. Any plans to visit specific locations will be notified to hon. Members in advance.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 11:08:13 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1487 label Biography information for Mr Tobias Ellwood

1693266

registered interest
date	04/03/2024
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	Alzheimer's Disease: 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 her Department is taking steps to expand testing for Alzheimer's to enable people to benefit at an early stage from new treatments (a) lecanemab and (b) other new treatments.
tabling member constituency	Chipping Barnet
tabling member printed	Theresa Villiers
uin	16636
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>NHS England is committed to improving diagnosis rates, and recovering to the national ambition for two thirds of people with dementia to have a formal diagnosis. This commitment is included in the operational planning guidance for 2023/24, giving clear direction for integrated care boards to prioritise dementia. The national ambition includes provision for a sub-type diagnosis.</p><p>NHS England has established a dedicated national programme team which co-ordinates the preparations for the potential roll out of new treatments, for use in the earlier stages of Alzheimer’s disease. These plans assume that, if these new treatments are approved by the regulators, significant additional diagnostic capacity including amyloid positron emission tomography and computed tomography (PET-CT) lumbar puncture and magnetic resonance imaging (MRI), will be needed both to identify patients who are most able to benefit, and to provide important safety monitoring for potential adverse effects during treatment.</p><p>The team at NHS England is taking concrete steps to ramp up preparations across the country and assess the additional scanning, treating, and monitoring capacity that will be needed. This encompasses securing additional diagnostic capacity including MRI, lumbar puncture, and PET-CT.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 09:42:45 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1500 label Biography information for Theresa Villiers

1693272

registered interest
date	04/03/2024
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 her timetable is for the introduction of the recommendations of the final evaluation report for the secondary care routine reflux cohort of the Cytosponge test.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	16637
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>On 26 February 2024, NHS England published the results of the cytosponge test pilot for secondary care routine reflux and Barrett’s surveillance cohort, which began in January 2021, and launched at 30 hospitals across England. The pilot tested over 8,500 patients with the capsule sponge test. Evaluation of a cohort of patients showed almost eight out of 10 patients, who completed a test, were discharged without the need for further testing, freeing up endoscopy capacity for higher risk patients and those referred for urgent tests for oesophageal cancer. Patients with positive results from the capsule sponge test who were referred on for an endoscopy had the highest prevalence of Barrett’s oesophagus, at 27.2%, compared to zero patients with negative results who completed an endoscopy.</p><p>A timetable for the introduction of the recommendations of the final evaluation report for the secondary care routine reflux cohort of the cytosponge test, is yet to be finalised and published.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 09:53:14 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1409 label Biography information for Mr Gregory Campbell

1692977

registered interest
date	01/03/2024
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	Defibrillators: Rural Areas
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 she is taking to increase access to defibrillators in rural communities.
tabling member constituency	North Shropshire
tabling member printed	Helen Morgan
uin	16521
answer	answer is ministerial correction date of answer 06/03/2024 answer text <p>The treatment and prevention of cardiovascular disease is a priority for the Government. We want people to have the best chance of survival from cardiac arrest, and rapid intervention is central to improving outcomes. This is why the Government wants to increase the number of publicly accessible automated external defibrillators. The Government has therefore announced the Community Automated External Defibrillators (AED) Fund, with a £1 million investment that will increase the number of AEDs within England. We want to ensure AEDs are located where they are needed most. Applications that are submitted for funding are assessed to ensure that each AED is installed in areas where there is a clear need for the device, such as high footfall areas or rural locations with extended ambulance response times. Priority will also be given to applications that are considered a cardiac health hotspot, with high levels of deprivation and low numbers of AEDs within the local area.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 06/03/2024 10:55:55 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4934 label Biography information for Helen Morgan

1693013

registered interest
date	01/03/2024
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
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 her Department is taking to help ensure equality in bowel cancer outcomes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	16467
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>The National Health Service is taking several steps to improve bowel cancer outcomes for patients across England. The NHS is working towards its Long Term Plan’s ambition of diagnosing 75% of all stageable cancers at stage one and two, by 2028. Achieving this will mean that an additional 55,000 people each year will survive their cancer for at least five years after diagnosis.  With progress made on reducing waiting times, cancer is being diagnosed at an earlier stage more often, with survival rates improving across almost all types of cancer.</p><p> </p><p>In 2023, NHS England’s Help Us Help You campaign urged people to take up the offer of bowel screening when invited, while gradually extending the screening offer from those aged 60 down to 50 years old, ensuring more people are diagnosed with bowel cancer at the earliest stage.</p><p> </p><p>The NHS is also now offering routine preventative bowel cancer screening to thousands of people in England with a genetic condition, Lynch syndrome, that increases their chance of developing bowel cancer and certain other cancers. This gives the NHS a better chance of finding cancers at a time when they can be more easily and effectively treated.</p><p> </p><p>Tackling disparities is important in improving all types of cancer outcomes. The Government is committed to its levelling up mission, to narrow the gap in healthy life expectancy by 2030 and increase healthy life expectancy by five years by 2035. Our approach will continue to focus on supporting people to live healthier lives, helping the NHS and social care provide the best treatment and care for patients, and tackling health disparities through national and system interventions such as the NHS’s Core20PLUS5 programme.</p><p> </p><p>The Office for Health Improvement and Disparities was set up to address health inequalities with a range of interventions, including accelerating prevention programmes, reducing digital exclusion, supporting general practice in deprived communities, and improving health literacy.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 13:58:23 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1693014

registered interest
date	01/03/2024
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	Gastrointestinal Cancer: 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, what steps her Department is taking to increase the number of patients with lower gastrointestinal cancers who receive their first treatment within 62 days of being urgently referred by their GP.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	16468
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>The Department is taking steps to reduce cancer treatment waiting times across England, including the time between an urgent general practice referral and the commencement of treatment for cancer for patients. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 related backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment.  Interventions include a pathway re-design to maximise capacity, including comprehensive faecal immunochemical test implementation to detect lower gastrointestinal cancers faster.</p><p>In the 2023/24 Operational Planning Guidance, NHS England announced that it is providing over £390 million in cancer service development funding to Cancer Alliances in each of the next two years, to support delivery of the strategy and the operational priorities for cancer, which includes increasing and prioritising diagnostic and treatment capacity.</p><p>Additionally, the Government published the Major Conditions Strategy Case for Change and Our Strategic Framework on 14 August 2023, which sets out our approach to making the choices over the next five years that will deliver the most value in facing the health challenges of today, and of the decades ahead, including for cancer.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 14:06:35 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1693015

registered interest
date	01/03/2024
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	Gastrointestinal 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 her Department is taking to improve the rate of early diagnosis of (a) bowel and (b) bowel-related cancers.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	16469
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>The Department is taking steps to improve the rate of early diagnosis for all cancers, including bowel and bowel-related cancers, and is working jointly with NHS England on implementing the delivery plan, for tackling the COVID-19 related backlogs in elective care. This includes plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment.</p><p>NHS England is working to meet the Faster Diagnosis Standard, which sets a target of 28 days from urgent referral by a general practitioner or screening programme to patients being told that they have cancer, or that cancer is ruled out. To achieve this target NHS England has: streamlined bowel cancer pathways by implementing faecal immunochemical testing triage for patients in primary and secondary care settings on a suspected cancer pathway; implemented non-symptom specific pathways for patients who present with non-specific symptoms, or combinations of non-specific symptoms, that can indicate several different cancers; and has opened community diagnostic centres across England, expanding diagnostic capacity and by prioritising this capacity for cancer services.</p><p>In 2023 the NHS England’s Help Us Help You campaign urged people to take up the offer of bowel screening when invited, and the screening offer for the bowel screening programme is being gradually extended from age 60 down to 50 years old by 2025, ensuring more people are screened and potentially diagnosed with bowel cancer at the earliest stage.  The National Health Service is also now offering routine preventative bowel cancer screening to thousands of people in England with a genetic condition, Lynch syndrome, that increases their chance of developing bowel cancer and other certain other cancers. This gives the NHS a better chance of finding cancers at a time when they can be more easily and effectively treated.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 14:13:52 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1693016

registered interest
date	01/03/2024
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	Gastrointestinal 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 her Department is taking to ensure that people with lower gastrointestinal cancers are diagnosed in line with the faster diagnosis standard.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	16470
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>The Department is taking steps to achieve the Faster Diagnosis Standard (FDS), which aims to ensure people with cancer or suspected cancer, including lower gastrointestinal (GI) cancers, are diagnosed or have cancer ruled out within 28 days of referral. The Department is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 related backlogs in elective care, which includes plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment.</p><p>To achieve the FDS target specifically, NHS England have implemented a timed pathway for lower GI cancer, by requiring faecal immunochemical testing (FIT) for patients in primary and secondary care settings on a suspected lower GI cancer pathway. FIT testing prevents patients from having unnecessary colonoscopies, freeing up capacity for these procedures, and ensuring the most urgent symptomatic patients are seen more quickly. Across 2022/2023, the proportion of lower GI referrals with a related FIT test rose from 24% to 69%.</p><p>NHS England is also implementing non symptom specific pathways (NSS) for patients who present with non-specific symptoms or combinations of non-specific symptoms that can indicate several different cancers, including symptoms that may indicate lower GI cancers.</p><p>In addition, at the 2021 Spending Review the Government awarded £2.3 billion to transform diagnostic services from 2022 to 2025, most of which will help increase the number of community diagnostic centres (CDCs) up to 160 by March 2025, prioritising CDCs for cancer services. General practice teams have also been given direct access to tests like computed tomography scans, magnetic resonance imaging, and ultrasounds helping to cut waiting times and speed up the diagnosis of, or ruling out of, cancer. This funding is also being used to expand endoscopy capacity within acute settings, and in CDCs.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 14:20:55 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1693031

registered interest
date	01/03/2024
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	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she has had discussions with social enterprises that employ front line staff on funding to cover lump sum payments.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	16491
answer	answer is ministerial correction date of answer 07/03/2024 answer text <p>The Department has not had recent discussions with social enterprises on funding to cover lump sum payments.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/03/2024 13:49:58 answering member 4044 label Biography information for Andrew Stephenson previous answer version 21828 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4444 label Biography information for Karin Smyth

1693032

registered interest
date	01/03/2024
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	NHS: Pay
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 her Department is taking to help ensure that the outcomes of applications for funding to cover one off lump sum payments for frontline NHS staff employed by social enterprises are decided by the end of the financial year.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	16492
answer	answer is ministerial correction date of answer 06/03/2024 answer text <p>The Department is working closely with NHS England to finalise the outcomes of the applications, and has committed to communicating these directly to the organisations, ahead of the end of the financial year.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 06/03/2024 10:53:28 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4444 label Biography information for Karin Smyth