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1052440

registered interest
date	01/02/2019
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	Pregnancy: Mental 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, pursuant to the Answer of 31 January to Question 213465 on Pregnancy: Mental Health Services, what steps is he taking to develop proposals for a six week post-natal maternal health check for all mothers.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	215613
answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>NHS England is undertaking further work to establish a clear picture of current practice in this area. The potential for a six week post-natal maternal health check for all mothers is subject to this work. If taken forward, the check could be introduced from April 2020.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/02/2019 15:14:16 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

1052184

registered interest
date	31/01/2019
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 he will take to benchmark progress against the target for increasing the proportion of cancers diagnosed at stages one or two from half to three-quarters by 2028, as announced in the NHS Long Term Plan.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215175
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan included an ambition that 55,000 more people who are diagnosed with cancer in 2028 will survive for five years. Early diagnosis is a major determinant of cancer survival and NHS England have deliberately set the early diagnosis ambition – to diagnose 75% of cancers at stage 1 and 2 by 2028 - at a level which, under most scenarios, would be more than sufficient to meet the survival ambition. During the development of the plan, clinicians and stakeholders agreed that we should set a stretching ambition to ensure we improve the rate of diagnosis across all cancers, so many more people will survive.</p><p> </p><p>The NHS Long Term Plan sets out a number of key steps to achieve this ambition, including through raising greater awareness of symptoms of cancer, accelerating access to diagnosis and treatment and maximising the number of cancers that we identify through screening. Meeting this ambition will also require the National Health Service to harness new technological advances to target at risk patients more effectively; directing our research and innovation effort to the areas where the data tells us we can have the biggest impact; and mobilising the NHS so that we can adopt proven new approaches more quickly.</p><p> </p><p>Following the publication of the NHS Long Term Plan, the National Implementation Framework, to be published in the spring, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed national implementation plan in the autumn.</p><p> </p><p>We will continue to work closely with key partners and stakeholders and other voluntary sector partners, as we support the NHS to deliver the commitments set out in the Long Term Plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 215176 215177 question first answered 07/02/2019 13:50:19 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1052185

registered interest
date	31/01/2019
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 estimate he has made of the number of people that will be diagnosed with cancer at stages one or two by 2028 if the 75 per cent early diagnosis target is met.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215176
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan included an ambition that 55,000 more people who are diagnosed with cancer in 2028 will survive for five years. Early diagnosis is a major determinant of cancer survival and NHS England have deliberately set the early diagnosis ambition – to diagnose 75% of cancers at stage 1 and 2 by 2028 - at a level which, under most scenarios, would be more than sufficient to meet the survival ambition. During the development of the plan, clinicians and stakeholders agreed that we should set a stretching ambition to ensure we improve the rate of diagnosis across all cancers, so many more people will survive.</p><p> </p><p>The NHS Long Term Plan sets out a number of key steps to achieve this ambition, including through raising greater awareness of symptoms of cancer, accelerating access to diagnosis and treatment and maximising the number of cancers that we identify through screening. Meeting this ambition will also require the National Health Service to harness new technological advances to target at risk patients more effectively; directing our research and innovation effort to the areas where the data tells us we can have the biggest impact; and mobilising the NHS so that we can adopt proven new approaches more quickly.</p><p> </p><p>Following the publication of the NHS Long Term Plan, the National Implementation Framework, to be published in the spring, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed national implementation plan in the autumn.</p><p> </p><p>We will continue to work closely with key partners and stakeholders and other voluntary sector partners, as we support the NHS to deliver the commitments set out in the Long Term Plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 215175 215177 question first answered 07/02/2019 13:50:19 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1052186

registered interest
date	31/01/2019
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, whether he plans to set targets for individual cancer types as part of the aim set out in the NHS Long Term Plan to diagnose 75 per cent of cancers at stages one or two by 2028.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215177
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan included an ambition that 55,000 more people who are diagnosed with cancer in 2028 will survive for five years. Early diagnosis is a major determinant of cancer survival and NHS England have deliberately set the early diagnosis ambition – to diagnose 75% of cancers at stage 1 and 2 by 2028 - at a level which, under most scenarios, would be more than sufficient to meet the survival ambition. During the development of the plan, clinicians and stakeholders agreed that we should set a stretching ambition to ensure we improve the rate of diagnosis across all cancers, so many more people will survive.</p><p> </p><p>The NHS Long Term Plan sets out a number of key steps to achieve this ambition, including through raising greater awareness of symptoms of cancer, accelerating access to diagnosis and treatment and maximising the number of cancers that we identify through screening. Meeting this ambition will also require the National Health Service to harness new technological advances to target at risk patients more effectively; directing our research and innovation effort to the areas where the data tells us we can have the biggest impact; and mobilising the NHS so that we can adopt proven new approaches more quickly.</p><p> </p><p>Following the publication of the NHS Long Term Plan, the National Implementation Framework, to be published in the spring, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed national implementation plan in the autumn.</p><p> </p><p>We will continue to work closely with key partners and stakeholders and other voluntary sector partners, as we support the NHS to deliver the commitments set out in the Long Term Plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 215175 215176 question first answered 07/02/2019 13:50:19 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1052197

registered interest
date	31/01/2019
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	Elton John AIDS Foundation: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, from which budget the £1.5 million in Government funding to the Elton John AIDS Foundation is coming from.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	215235
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>The £1.5 million funding for the Elton John AIDS foundation will be allocated from the Department’s core budget.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:35:05 answering member 4067 label Biography information for Steve Brine
tabling member	4505 label Biography information for Peter Kyle

1052329

registered interest
date	31/01/2019
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	Pneumococcal Diseases: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to implement the recommendations of the Joint Committee on Vaccination and Immunisation (JCVI) on reducing the dosage of pneumococcal vaccine from three to two.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	215204
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>The Joint Committee on Vaccination and Immunisation advice on infant pneumococcal vaccination is being given full consideration and will take into account all the relevant information, including the potential public health implications such as impact on cases of pneumococcal disease, before a decision is made on whether to implement it.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:30:32 answering member 4067 label Biography information for Steve Brine
tabling member	4385 label Biography information for Dr Philippa Whitford

1052341

registered interest
date	31/01/2019
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: 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 page seven of the National Audit Office's 30 January 2019 report on the management of health screening, whether his Department is taking steps to improve the performance of the National Health Application and Infrastructure Services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215169
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>NHS England has asked Sir Mike Richards to lead a review to improve the delivery of the screening programmes, and will consider how current IT systems support the ambitions of the cancer screening programmes.</p><p> </p><p>In the meantime, Capita, NHS Digital and NHS England are working to remove the reliance on National Health Application and Infrastructure Services by introducing new systems using spine data. These are expected to be delivered by spring 2020.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:10:59 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1052345

registered interest
date	31/01/2019
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: 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 page 7 of the National Audit Report's investigation into the management of health screening, published on 30 January 2019, what steps his Department is taking to ensure that all adult screening programmes meet their standard coverage target set by his Department in 2017-18.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215170
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>The Department holds NHS England to account for the delivery of all adult screening programmes through regular Section 7a accountability meetings where the three organisations review all the key performance indicators for the functions of the S7a agreement including screening coverage data, with a focus on review to any service improvement initiatives and mitigating actions NHS England has put in place where there is underperformance.</p><p> </p><p>NHS England agrees contracts with providers of adult screening programmes to deliver the targets set by the Department, and NHS England manage these contracts to deliver the required performance. National and local levels of performance are measured to reduce variation in local levels of performance.</p><p> </p><p>NHS England also works closely with Public Health England and the Department and charities on campaigns to boost the proportion of the eligible population that attend for screening. These campaigns aim to increase awareness of the importance of screening.</p><p> </p><p>The Long Term Plan published in January sets an agenda to improve uptake of screening and ensure that all screening and vaccination programmes are designed to support a narrowing of health inequalities.</p><p> </p><p>Furthermore, NHS England announced in November 2018 that Professor Sir Mike Richards will lead a review of the national cancer screening programmes. The review, expected to report by summer 2019 will include recommendations about how best to maximise uptake of screening, and iron out variation in uptake rates between different geographical areas and different population groups.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:33:57 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1052347

registered interest
date	31/01/2019
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: 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 page 7 of the National Audit Report's investigation into the management of health screening, published on 30 January 2019, what steps his Department is taking to improve the coverage of adult health screening programmes provided by clinical commissioning groups, in particular for (a) abdominal aortic aneurysm and (b) bowel screening.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215171
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>As part of the NHS Long Term Plan published on 7 January 2019, the Government is investing £487 million in healthcare technology to improve patient care and reduce staff workload. The plan is underpinned by a five-year funding offer, which will see the National Health Service budget grow by over £20 billion a year in real terms by 2023-24.</p><p> </p><p>The NHS Long Term Plan expects the NHS to ensure all screening programmes are designed to support a narrowing of health inequalities and NHS England is taking major steps to make sure the delivery, performance and oversight of screening services meet the high standard NHS patients rightly expect.</p><p> </p><p>- National abdominal aortic aneurysm screening coverage in 2017/18 was 5.5 percentage points (80.5%) above the acceptable standard, however commissioners continue to work with providers where performance dips below standard to improve coverage.</p><p> </p><p>- The bowel screening programme coverage in 2017/18 was 59.6% against a standard target of 60%. NHS England is working closely with key partners including Public Health England to shortly implement the change in the current test used within the Bowel Cancer Screening Programme from the gFOB test to Faecal Immunochemical Test. Evidence shows that this new test is more accurate and will result in improved uptake rates.</p><p> </p><p>NHS England is working with clinical commissioning groups and screening units to maximise coverage of eligible men and women in their target population who are not registered with a general practitioner and subsequently not called for screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:32:37 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1052360

registered interest
date	31/01/2019
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	Breast 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 page 7 of the National Audit Report's investigation into the management of health screening, published on 30 January 2019, how his Department plans to ensure that the standard for repeat breast screenings which guarantees an appointment within 36 months of a previous appointment is met with 100 per cent success.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215172
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>The NHS Breast Screening Programme minimum standard is that 90% of women should be re-invited within 36 months of their previous screen.</p><p> </p><p>The Department delegates NHS England to commission breast screening providers to work to the agreed national service specifications and provides supporting guidance produced by Public Health England (PHE) to ensure standards are met.</p><p> </p><p>Improvements to the current repeat breast screening interval (round length) to meet national standards require providers to balance ever changing parameters, such as the eligible population, availability of breast screening workforce, estates and the logistics of the mobile units, used for mammography.</p><p> </p><p>PHE is addressing the current workforce issue through supporting key stakeholders including Health Education England, the Royal College of Radiologists, and the Society and College of Radiographers to assist in workforce recruitment and retention of Radiographers and Radiologists. NHS England, at local level, is using the framework of the National Health Service contract to work with providers and PHE to also improve this standard.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:16:24 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger