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1129076

registered interest
date	03/06/2019
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: 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 his Department is taking to ensure that NICE Guideline 12, for suspected cancers, is being adhered to.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	259195
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Department expects all clinicians to use the National Institute for Health and Care Excellence (NICE) guidelines to inform their clinical practice. NICE published an updated suspected cancer referral guideline in June 2015 which encourages general practitioners (GPs) to think of cancer sooner and lowers the threshold for referral.</p><p> </p><p>The NHS Long Term Plan reaffirms that all GPs should use the latest evidence-based guidance from NICE to identify children, young people and adults at risk of cancer. Primary care networks will be required to help improve early diagnosis of patients in their own neighbourhoods by 2023/24 (s3.57).</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:44:59 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1129078

registered interest
date	03/06/2019
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: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people were diagnosed with cancer through the NICE Guideline 12 pathway in (a) 2016, (b) 2017 and (c) 2018.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	259196
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>In 2018, 2.2 million patients underwent cancer checks following urgent referral by their general practitioner. That was an increase of almost a quarter of a million on the 1.9 million people who were seen in 2017. The diagnosis figures for the years requested are as follows:</p><p> </p><p>2016: 143,122</p><p>2017: 148,955</p><p>2018: 160,275</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:45:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1129079

registered interest
date	03/06/2019
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: 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 assessment he has made of the ability of GPs and health professionals to understand and use NICE Guideline 12.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	259197
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Department expects all clinicians to use the National Institute for Health and Care Excellence (NICE) guidelines to inform their clinical practice. NICE published an updated suspected cancer referral guideline in June 2015 which encourages general ractitioners to think of cancer sooner and lowers the threshold for referral.</p><p>A report published by NICE in January 2018 on uptake of NICE cancer guidelines states: “The annual number of people being urgently referred to a specialist has increased since the publication of NICE’s guideline on suspected cancer: there were over 300,000 more urgent referrals in 2016/17 than in 2014/15.”</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:32:38 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1129080

registered interest
date	03/06/2019
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: Nurses
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 Harding review will address the shortage of clinical nurse specialists for people undergoing cancer treatment.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	259198
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The NHS Long Term Plan set out that by 2021, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. All patients, including those with secondary cancers, will have access to the right expertise and support, including a clinical nurse specialist (CNS) or other support worker.</p><p>In the 2017 Cancer Patient Experience Survey, 91% of patients reported having access to a CNS.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:27:13 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1109124

registered interest
date	02/04/2019
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	Dermatology
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 are being taken by (a) his Department, (b) NHS England and (c) NICE to ensure there is a NICE clinical guideline and quality standard in place for atopic dermatitis in adults.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	239946
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>NHS England is the principal commissioner of clinical guidelines and National Health Service related quality standards from the National Institute for Health and Care Excellence (NICE).</p><p> </p><p>NICE and NHS England have been in discussion about developing a clinical guideline and quality standard on atopic dermatitis (eczema) in adults. NHS England has recently consulted on a draft policy which included the prescribing of emollient bath and shower preparations for dry and pruritic skin conditions and will consider the appropriateness of referring a guideline on atopic dermatitis in adults to NICE after the consultation responses have been reviewed.</p><p> </p><p>Details of this can be seen in the consultation document at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf" target="_blank">https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239947 question first answered 10/04/2019 13:28:54 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1109125

registered interest
date	02/04/2019
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	Dermatology
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 supports the prioritisation of atopic dermatitis in adults as a topic for guideline development by NICE.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	239947
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>NHS England is the principal commissioner of clinical guidelines and National Health Service related quality standards from the National Institute for Health and Care Excellence (NICE).</p><p> </p><p>NICE and NHS England have been in discussion about developing a clinical guideline and quality standard on atopic dermatitis (eczema) in adults. NHS England has recently consulted on a draft policy which included the prescribing of emollient bath and shower preparations for dry and pruritic skin conditions and will consider the appropriateness of referring a guideline on atopic dermatitis in adults to NICE after the consultation responses have been reviewed.</p><p> </p><p>Details of this can be seen in the consultation document at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf" target="_blank">https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239946 question first answered 10/04/2019 13:28:54 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1109126

registered interest
date	02/04/2019
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	Dermatology
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 patient experience is at the heart of commissioning for adult atopic dermatitis services in England.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	239948
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The majority of patients with dermatological disorders are managed in primary and community care and the local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>The National Institute for Health and Care Excellence has published guidance on a number of dermatological conditions, including eczema, also known as atopic dermatitis, to support commissioners to plan and deliver services for local populations. ‘Atopic eczema in under 12’s: diagnosis and management’ includes recommendations that healthcare professionals should adopt a holistic approach at each consultation, taking into account severity of a condition and the impact this may have on quality of life.</p><p> </p><p>Healthcare professionals should be aware that all categories of severity of atopic eczema, even mild, can have a negative impact on psychological and psychosocial wellbeing and quality of life and that assessment of wellbeing should be carried out at every consultation. Furthermore, the guidance recommends using validated tools in the management of patients, such as Children's Dermatology Life Quality Index, Infants' Dermatitis Quality of Life Index or Dermatitis Family Impact questionnaire for quality of life. Where quality of life and psychosocial wellbeing has not improved despite treatment and improvement, patients should be referred for psychological advice. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, NHS England is taking action in range of areas to improve the care treatment and support provided to people with long term conditions. As part of this, it is continuing its expansion of Improving Access to Psychological Therapies (IAPT) services for adults with common mental health problems, with a focus on those with long-term conditions. IAPT services have now evolved to deliver benefits to people with long-term conditions, providing genuinely integrated care. By 2023/24, an additional 380,000 adults will be able to access IAPT services.</p><p> </p><p>No assessment has been made on the impact of atopic dermatitis on patient expenses, work days and mental health services. No meetings regarding atopic dermatitis have taken place in the last 12 months.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239949 239950 239951 question first answered 10/04/2019 13:36:32 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1109127

registered interest
date	02/04/2019
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	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many meetings his Department has had with (a) patient and (b) professional atopic dermatitis groups in the last 12 months.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	239949
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The majority of patients with dermatological disorders are managed in primary and community care and the local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>The National Institute for Health and Care Excellence has published guidance on a number of dermatological conditions, including eczema, also known as atopic dermatitis, to support commissioners to plan and deliver services for local populations. ‘Atopic eczema in under 12’s: diagnosis and management’ includes recommendations that healthcare professionals should adopt a holistic approach at each consultation, taking into account severity of a condition and the impact this may have on quality of life.</p><p> </p><p>Healthcare professionals should be aware that all categories of severity of atopic eczema, even mild, can have a negative impact on psychological and psychosocial wellbeing and quality of life and that assessment of wellbeing should be carried out at every consultation. Furthermore, the guidance recommends using validated tools in the management of patients, such as Children's Dermatology Life Quality Index, Infants' Dermatitis Quality of Life Index or Dermatitis Family Impact questionnaire for quality of life. Where quality of life and psychosocial wellbeing has not improved despite treatment and improvement, patients should be referred for psychological advice. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, NHS England is taking action in range of areas to improve the care treatment and support provided to people with long term conditions. As part of this, it is continuing its expansion of Improving Access to Psychological Therapies (IAPT) services for adults with common mental health problems, with a focus on those with long-term conditions. IAPT services have now evolved to deliver benefits to people with long-term conditions, providing genuinely integrated care. By 2023/24, an additional 380,000 adults will be able to access IAPT services.</p><p> </p><p>No assessment has been made on the impact of atopic dermatitis on patient expenses, work days and mental health services. No meetings regarding atopic dermatitis have taken place in the last 12 months.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239948 239950 239951 question first answered 10/04/2019 13:36:32 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1109128

registered interest
date	02/04/2019
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	Dermatology
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 support the provision of psychodermatology services across England.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	239950
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The majority of patients with dermatological disorders are managed in primary and community care and the local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>The National Institute for Health and Care Excellence has published guidance on a number of dermatological conditions, including eczema, also known as atopic dermatitis, to support commissioners to plan and deliver services for local populations. ‘Atopic eczema in under 12’s: diagnosis and management’ includes recommendations that healthcare professionals should adopt a holistic approach at each consultation, taking into account severity of a condition and the impact this may have on quality of life.</p><p> </p><p>Healthcare professionals should be aware that all categories of severity of atopic eczema, even mild, can have a negative impact on psychological and psychosocial wellbeing and quality of life and that assessment of wellbeing should be carried out at every consultation. Furthermore, the guidance recommends using validated tools in the management of patients, such as Children's Dermatology Life Quality Index, Infants' Dermatitis Quality of Life Index or Dermatitis Family Impact questionnaire for quality of life. Where quality of life and psychosocial wellbeing has not improved despite treatment and improvement, patients should be referred for psychological advice. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, NHS England is taking action in range of areas to improve the care treatment and support provided to people with long term conditions. As part of this, it is continuing its expansion of Improving Access to Psychological Therapies (IAPT) services for adults with common mental health problems, with a focus on those with long-term conditions. IAPT services have now evolved to deliver benefits to people with long-term conditions, providing genuinely integrated care. By 2023/24, an additional 380,000 adults will be able to access IAPT services.</p><p> </p><p>No assessment has been made on the impact of atopic dermatitis on patient expenses, work days and mental health services. No meetings regarding atopic dermatitis have taken place in the last 12 months.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239948 239949 239951 question first answered 10/04/2019 13:36:32 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin

1109129

registered interest
date	02/04/2019
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	Dermatology
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 the effect of the incidence of atopic dermatitis on (a) patients’ out of pocket expenses, (b) lost work days and (c) mental health services.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	239951
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The majority of patients with dermatological disorders are managed in primary and community care and the local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>The National Institute for Health and Care Excellence has published guidance on a number of dermatological conditions, including eczema, also known as atopic dermatitis, to support commissioners to plan and deliver services for local populations. ‘Atopic eczema in under 12’s: diagnosis and management’ includes recommendations that healthcare professionals should adopt a holistic approach at each consultation, taking into account severity of a condition and the impact this may have on quality of life.</p><p> </p><p>Healthcare professionals should be aware that all categories of severity of atopic eczema, even mild, can have a negative impact on psychological and psychosocial wellbeing and quality of life and that assessment of wellbeing should be carried out at every consultation. Furthermore, the guidance recommends using validated tools in the management of patients, such as Children's Dermatology Life Quality Index, Infants' Dermatitis Quality of Life Index or Dermatitis Family Impact questionnaire for quality of life. Where quality of life and psychosocial wellbeing has not improved despite treatment and improvement, patients should be referred for psychological advice. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, NHS England is taking action in range of areas to improve the care treatment and support provided to people with long term conditions. As part of this, it is continuing its expansion of Improving Access to Psychological Therapies (IAPT) services for adults with common mental health problems, with a focus on those with long-term conditions. IAPT services have now evolved to deliver benefits to people with long-term conditions, providing genuinely integrated care. By 2023/24, an additional 380,000 adults will be able to access IAPT services.</p><p> </p><p>No assessment has been made on the impact of atopic dermatitis on patient expenses, work days and mental health services. No meetings regarding atopic dermatitis have taken place in the last 12 months.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239948 239949 239950 question first answered 10/04/2019 13:36:32 answering member 4455 label Biography information for Seema Kennedy
tabling member	4056 label Biography information for Nic Dakin