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1702197

registered interest
date	18/04/2024
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	Strikes (Minimum Service Levels) Act 2023
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 her Department has made of the impact of the Strikes (Minimum Service Levels) Act 2023 on the ability of healthcare professionals to participate in industrial action.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	22623
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Strikes (Minimum Service Levels) Act 2023 allows for regulations to be laid in Parliament in the health sector. The Strikes (Minimum Service Levels: NHS Ambulance Services and the NHS Patient Transport Service) Regulations 2023 came into force on 8 December 2023.</p><p>As we set out in in our consultation response on minimum service levels in the ambulance sector, in our engagement with representatives from ambulance trusts, they indicated that establishing a minimum service level at the level specified in the regulations would require approximately 80% of an ambulance service’s resources on a typical shift. Therefore, if an employer chose to issue work notices during a strike, it is likely that a high proportion of all levels of paramedics, emergency care assistants, and other staff in the ambulance teams rostered to work on a strike would be named, and this would have a significant impact on the ability of employees to participate in strike action. The Department has consulted on whether to implement similar regulations for hospital services, and will set out its response in due course.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 23/04/2024 13:48:18 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1702199

registered interest
date	18/04/2024
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: Strikes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions she has had with healthcare professionals on minimum service levels during strikes in the NHS.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	22625
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>As part of the consultations on introducing minimum service levels in both ambulance and hospital services, the Department hosted workshops to which a wide range of representative groups were invited. This included employer and provider organisations, and unions representing healthcare professionals.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 23/04/2024 13:50:34 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1699131

registered interest
date	26/03/2024
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	Whooping Cough: 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 she is taking steps to ensure adequate supplies of pertussis vaccine in the context of the rise in instances in the Czech Republic.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	20743
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The UK Health Security Agency (UKHSA) centrally procures and manages the United Kingdom’s supply of the pertussis vaccine, for the routine national immunisation programmes. Due to the stockpiles maintained in the UK for the national programme, there is good supply available of all pertussis-containing vaccines for the routine immunisation programmes.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:47:34 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1697900

registered interest
date	21/03/2024
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	Ovarian 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 her Department plans to shorten the diagnostic pathway for ovarian cancer by allowing the CA125 blood test and ultrasound to be undertaken at the same time.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19930
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>The Department is supporting NHS England in developing Best Practice Timed pathways, to support the ongoing improvement effort to shorten diagnosis pathways, reduce variation, improve patient experience of care, and meet the Faster Diagnosis Standard. This standard ensures patients are told they have cancer, or that cancer is ruled out, within 28 days of urgent cancer referral from general practice or screening service.</p><p>In March 2023, NHS England published guidance for local health and care systems to implement a timed gynaecological cancer diagnostic pathway, including for ovarian cancer. The gynaecological pathway ensures that at day zero, when presenting with symptoms, an ultrasound and a minimum data set is obtained, which includes a full blood count. For patients with suspected ovarian cancer, the minimum dataset should also include tumour marker CA125, with confirmation of suspicious features of ovarian cancer on ultrasound.</p><p>The guidance further ensures that patients with persistent abdominal symptoms, raised CA125, and a normal pelvic scan should be referred through the non-specific symptoms rapid diagnostic centre pathway. Women over 50 years old with elevated CA125 and palpable mass or ascites, or both, or with a previous ultrasound with risk of malignancy, should be referred straight to a computed tomography scan.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 02/04/2024 15:37:44 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1697901

registered interest
date	21/03/2024
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	Ovarian 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 she is taking to reduce regional variations in early diagnosis of ovarian cancer.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19931
answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>Reducing inequalities and variation in cancer treatment is a priority for the Government, as is increasing early cancer diagnosis, as both are key contributors to reducing cancer health inequalities. The National Health Service is improving cancer pathways to get people diagnosed faster once referred, and is looking into alternative routes into the system, including non-specific symptom (NSS) pathways for patients who do not fit clearly into a single urgent cancer referral pathway, but who are at risk of being diagnosed with cancer. This will help support faster ovarian cancer diagnosis. 113 NSS pathways are currently operational, with more in development.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 28/03/2024 11:38:14 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1696676

registered interest
date	18/03/2024
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: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if she will make an assessment of the adequacy of (a) funding and (b) support available for research into non-invasive cancer monitoring technologies.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19142
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Research is crucial in tackling cancer, which is why the Department invests over £1 billion per year in health research through the National Institute for Health and Care Research (NIHR). NIHR research expenditure for all cancers was £121.8 million in 2022/23 and the NIHR spends more on cancer than any other disease group.</p><p>In terms of adequacy of funding, the NIHR funds research in response to proposals received from scientists, rather than allocating funding to specific disease areas. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.</p><p> </p><p>Regarding technologies, the NIHR’s Invention for Innovation (i4i) Programme is a translational research funding scheme aimed at supporting medical devices, such as non-invasive cancer monitoring technologies, and includes in vitro diagnostic devices and digital health technologies addressing an existing or emerging health or social care need. Further information is available at the following link:</p><p><a href="https://www.nihr.ac.uk/explore-nihr/funding-programmes/invention-for-innovation.htm" target="_blank">https://www.nihr.ac.uk/explore-nihr/funding-programmes/invention-for-innovation.htm</a></p><p>Additionally, in September 2023, the Office for Life Sciences Cancer Mission launched the £12 million NIHR i4i Cancer Mission: Early Cancer Diagnosis Clinical Validation and Evaluation Call, aiming to support the clinical validation and evaluation of breakthrough technologies that can increase the proportion of cancers that are detected earlier in the disease course and target health inequalities in cancer diagnosis.</p><p>The NIHR continues to welcome and encourage funding applications for research into any aspect of human health, including cancer monitoring technologies, and it is worth noting that all applications that were fundable in open competition, have been funded.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/03/2024 12:01:10 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1696677

registered interest
date	18/03/2024
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	Health: 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 her Department is taking to help encourage innovation in the development of healthcare technology for at home use.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19143
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>In February 2023, the Department published the MedTech strategy which outlined how we will work with key stakeholders, including technology developers and academia, to ensure the health and social care system can reliably access safe, effective, and innovative medical technologies. To accelerate the introduction of innovative medical solutions, we are working with stakeholders at pace to implement solutions to streamline and join-up the innovation adoption pathway, from providing clear signals to industry on the innovation we need, to reforming regulation, comparative assessment, and with clearer procurement pathways.</p><p> </p><p>In October 2023, the Government announced £30 million of investment in the Health Tech Adoption and Acceleration Fund. The fund is supporting integrated care systems to invest in the latest technology to help cut waiting lists, speed up diagnosis, and deliver new and improved ways to treat patients. Thanks to this fund, tens of thousands of patients at risk of kidney disease will be able to get tested from the comfort of their own homes. In February 2024, the Government announced eight innovative tech companies who will be supported to bring their devices to market through the Innovative Devices Access Pathway (IDAP). One of the technologies allows chemotherapy patients to self-test at home, using a finger-prick blood test, for neutropenic sepsis. Another is a smartphone app that delivers exercises, cognitive behaviour therapy, and targeted physical activity in a personally customisable format to help patients manage multiple sclerosis.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 19144 question first answered 26/03/2024 11:31:48 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1696679

registered interest
date	18/03/2024
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	Health: Technology
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 NHS is taking steps with (a) technology developers and (b) academia to help accelerate the introduction of innovative medical solutions.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19144
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>In February 2023, the Department published the MedTech strategy which outlined how we will work with key stakeholders, including technology developers and academia, to ensure the health and social care system can reliably access safe, effective, and innovative medical technologies. To accelerate the introduction of innovative medical solutions, we are working with stakeholders at pace to implement solutions to streamline and join-up the innovation adoption pathway, from providing clear signals to industry on the innovation we need, to reforming regulation, comparative assessment, and with clearer procurement pathways.</p><p> </p><p>In October 2023, the Government announced £30 million of investment in the Health Tech Adoption and Acceleration Fund. The fund is supporting integrated care systems to invest in the latest technology to help cut waiting lists, speed up diagnosis, and deliver new and improved ways to treat patients. Thanks to this fund, tens of thousands of patients at risk of kidney disease will be able to get tested from the comfort of their own homes. In February 2024, the Government announced eight innovative tech companies who will be supported to bring their devices to market through the Innovative Devices Access Pathway (IDAP). One of the technologies allows chemotherapy patients to self-test at home, using a finger-prick blood test, for neutropenic sepsis. Another is a smartphone app that delivers exercises, cognitive behaviour therapy, and targeted physical activity in a personally customisable format to help patients manage multiple sclerosis.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 19143 question first answered 26/03/2024 11:31:48 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1696681

registered interest
date	18/03/2024
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: Medical Equipment
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 her Department has made of the potential impact of (a) the breast cancer monitoring device and (b) other innovative medical devices on (i) early cancer detection rates and (ii) patient outcomes.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19145
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Department has not yet assessed the potential impact of breast cancer monitoring devices. This technology is at an early stage and further evidence is needed before we can assess whether it could be trialled in medical settings.</p><p>Improving the early diagnosis of cancer, including breast cancers, is a priority for the National Health Service. NHS England has an ambition to diagnose 75% of cancers at stage one or two by 2028, which will help tens of thousands of people live for longer. NHS England is working to meet the Faster Diagnosis Standard (FDS) 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.</p><p>In January 2022 the Department provided £10 million of funding for 28 new breast screening units and nearly 60 life-saving upgrades to services in the areas where they are most needed, so more women can be checked for signs of cancer, speeding up diagnosis and treatment.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 19146 question first answered 26/03/2024 11:35:55 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1696682

registered interest
date	18/03/2024
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	Breast 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 assessment she has made of the potential impact of breast cancer monitoring devices on global health outcomes.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	19146
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Department has not yet assessed the potential impact of breast cancer monitoring devices. This technology is at an early stage and further evidence is needed before we can assess whether it could be trialled in medical settings.</p><p>Improving the early diagnosis of cancer, including breast cancers, is a priority for the National Health Service. NHS England has an ambition to diagnose 75% of cancers at stage one or two by 2028, which will help tens of thousands of people live for longer. NHS England is working to meet the Faster Diagnosis Standard (FDS) 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.</p><p>In January 2022 the Department provided £10 million of funding for 28 new breast screening units and nearly 60 life-saving upgrades to services in the areas where they are most needed, so more women can be checked for signs of cancer, speeding up diagnosis and treatment.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 19145 question first answered 26/03/2024 11:35:55 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi