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1060784

registered interest
date	13/02/2019
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	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, pursuant to the Answer of 12 February 2019 to Question 217578 on Breast Cancer: Screening, when the updated National Genomic Test Directory for cancer is due to be published.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	220890
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The updated National Genomic Test Directory for cancer will be issued by the end of February 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:12:44 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1060850

registered interest
date	13/02/2019
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	Air Pollution: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary State for Health and Social Care, what assessment he has made of the effect of toxic air on children’s health.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	220891
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>Poor air quality is the largest environmental risk to public health in the United Kingdom. Long-term exposure to air pollution can cause chronic conditions such as cardiovascular, respiratory diseases and cancer, leading to reduced life expectancy.</p><p> </p><p>Air pollution has a particular impact on children as they grow. There is evidence that the process of normal lung function growth in children is suppressed by long-term exposure to air pollution.</p><p> </p><p>The effects of air pollution on children’s health are being studied in research projects. The EXHALE Programme is a London study on air pollution and children’s lung health. The Committee on the Medical Effects of Air Pollutants has started work to consider the evidence for the effects of air pollution on adverse birth outcomes. The Royal College of Paediatrics and Child Health is working on a report on ‘Indoor Air Quality on Children and Young People’s Health across the Life Course’.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:13:48 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1058775

registered interest
date	11/02/2019
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	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, pursuant to the Answer of 8 February 2019 to Question 215178, if he will list the (a) 17 cancers where no staging data is available and (b) 67 cancers where some of the specific tumour morphologies are unstageable.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	219404
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>For cancers diagnosed up to, and including 2017, the Tumour, Node, Metastasis (TNM7) classification of Malignant Tumours - 7th edition staging system is used. There are 17 cancer sites which have no staging rules in TNM7. These are listed in the following table.</p><p> </p><table><tbody><tr><td><p>ICD Code</p></td><td><p>Site</p></td></tr><tr><td><p>C14</p></td><td><p>Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx</p></td></tr><tr><td><p>C33</p></td><td><p>Malignant neoplasm of trachea</p></td></tr><tr><td><p>C37</p></td><td><p>Malignant neoplasm of thymus</p></td></tr><tr><td><p>C39</p></td><td><p>Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs</p></td></tr><tr><td><p>C46</p></td><td><p>Kaposi's sarcoma</p></td></tr><tr><td><p>C70</p></td><td><p>Malignant neoplasm of meninges</p></td></tr><tr><td><p>C71</p></td><td><p>Malignant neoplasm of brain</p></td></tr><tr><td><p>C75</p></td><td><p>Malignant neoplasm of other endocrine glands and related structures</p></td></tr><tr><td><p>C77</p></td><td><p>Secondary and unspecified malignant neoplasm of lymph nodes</p></td></tr><tr><td><p>C78</p></td><td><p>Secondary malignant neoplasm of respiratory and digestive organs.</p></td></tr><tr><td><p>C79</p></td><td><p>Secondary malignant neoplasm of other and unspecified sites</p></td></tr><tr><td><p>C80</p></td><td><p>Malignant neoplasm without specification of site</p></td></tr><tr><td><p>C88</p></td><td><p>Malignant immunoproliferative diseases and certain other B-cell lymphomas</p></td></tr><tr><td><p>C92</p></td><td><p>Myeloid Leukaemia</p></td></tr><tr><td><p>C93</p></td><td><p>Monocytic Leukaemia</p></td></tr><tr><td><p>C95</p></td><td><p>Leukaemia of unspecified cell type</p></td></tr><tr><td><p>C96</p></td><td><p>Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue</p></td></tr></tbody></table><p> </p><p>This can be viewed on the Union for International Cancer Control (UICC) website at the following link:</p><p> </p><p><a href="https://www.uicc.org/sites/main/files/private/TNM_Classification_of_Malignant_Tumours_Website_15%20MAy2011.pdf" target="_blank">https://www.uicc.org/sites/main/files/private/TNM_Classification_of_Malignant_Tumours_Website_15%20MAy2011.pdf</a></p><p> </p><p>For the 67 cancers where some of the specific tumour morphologies are unstageable, data is not held in the requested format.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:27:45 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1055933

registered interest
date	06/02/2019
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	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 his Department is taking to ensure that the forthcoming NHS workforce implementation plan ensures that there are sufficient numbers of staff to diagnose and treat cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	217577
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key National Health Service interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/02/2019 17:29:09 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1055963

registered interest
date	06/02/2019
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	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, pursuant to the Answer of 7 January to Question 203875, when NHS England plans to make a decision on which tumour profiling tests will be available to guide adjuvant chemotherapy decisions in early breast cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	217578
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>The tumour profiling tests that are available to guide adjuvant chemotherapy decisions in early breast cancer will be included in the forthcoming updated National Genomic Test Directory for cancer. The forthcoming test directory will include the updated National Institute for Health and Care Excellence recommendations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:38:11 answering member 4067 label Biography information for Steve Brine previous answer version 101140 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

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

1052187

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, for which cancers is staging data not currently available; how he will measure progress to speeding up diagnosis for those cancers; and if he will make a statement.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215178
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>There are 17 cancer sites for which no staging system exists, and therefore staging data is not held. In total these sites have 16,700 diagnoses annually, accounting for about 5.5% of the total cancers diagnosed in England. There are a further 67 cancer sites where some of the specific tumour morphologies are unstageable, and these account for a further 4,900 diagnoses annually (1.6% of cases).</p><p> </p><p>The numbers presented above are an average based on diagnoses in 2014-2016.</p><p> </p><p>We are completely clear that new 75% early diagnosis ambition covers all cancers that are capable of being staged, and not just the ten currently included in the Public Health Outcomes Framework (PHOF) early diagnosis metric. We are keen to work with the hon. Member, Cancer Research UK and the charities representing some of the other cancers not currently included in the PHOF metric on how we best measure progress towards the ambition moving forwards. To that end NHS England is hosting a session on Monday 25 February to discuss progress towards the new early diagnosis ambition.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 12:44:13 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1052188

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	Bowel 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 the Government's announcement of 10 August 2018 that the age for bowel cancer screening in England will be lowered from 60 to 50, what the timetable is for implementing the lower screening age; and what assessment he has made of the effect that staff shortages in endoscopy and pathology services will have on the ability to deliver bowel cancer screening from age 50.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215179
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Plans are well underway to deliver the commitment in the NHS Long Term Plan to modernise the bowel cancer screening programme; faecal immunochemical testing at 120ug/g will be integrated into the programme from April 2019.</p><p> </p><p>NHS England has committed to, over time, lowering the starting age for bowel screening from 60 currently to 50. This is being discussed by NHS England, the Department and Public Health England, and the final timetable will take into account modelling and feedback received from the system (commissioners, providers and cancer alliances).</p><p> </p><p>For a safe, sustainable and high-quality service extended to age 50 years, there is a requirement to balance workforce requirements for the current commitments and Health Education England has pledged to fund the training of 400 clinical endoscopists by 2021 to significantly increase endoscopy capacity in England.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 215180 question first answered 07/02/2019 15:24:54 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin