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1131710

registered interest
date	12/06/2019
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	Blood 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, how many people who have been diagnosed with blood cancer were offered a holistic needs assessment in (a) 2016, (b) 2017 and (c) 2018.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263851
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Data is currently being analysed on the number of Holistic Needs Assessments (HNAs) being recorded by National Health Service trusts. This data only became required from April 2018 as part of the Public Health England Cancer Outcomes and Services Dataset therefore figures from before this date will be incomplete. A baseline survey of NHS trusts for January to March 2017 indicated that around 30% of blood cancer patients are offered an HNA. Since then, Cancer Alliances have been rolling out HNA along with other personalised care interventions, therefore it is expected that this figure will now be higher.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:33:40 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1131714

registered interest
date	12/06/2019
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: 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 is routinely offered to patients as part of the holistic needs assessment to help provide emotional and psychological support during and after a cancer diagnosis and treatment.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263855
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>When a person has a Holistic Needs Assessments (HNA) they are asked to identify any concerns from a checklist which will normally include emotional, relationship and spiritual concerns. People can of course, raise concerns at any time with their general practitioner or hospital team, not just when an HNA is being done. This should lead to actions being agreed in a personalised care and support plan that includes appropriate action to support the person with their psychosocial or mental health needs. For example:</p><p>- Signposting a person to peer support or cancer ‘buddies’ through patient groups, online forums etc;</p><p>- Signposting a person to a cancer support centre such as Maggie’s or a Macmillan Information centre;</p><p>- Providing training in relaxation techniques, problem solving and coping strategies;</p><p>- Referring a person to professional support in the form of emotional and basic psychological support from a clinical nurse specialist, or counselling from a trained professional such as a clinical psychologist; and</p><p>- Referring a person to professional support in the form of services for more serious mental health needs.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:23:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1131717

registered interest
date	12/06/2019
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: Children and Young People
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 times on average children and young people have seen their GP before being diagnosed with (a) cancer and (b) blood cancer in each of the last five years.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263858
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263859 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1131718

registered interest
date	12/06/2019
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: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average stage is of (a) cancer and (b) blood cancer diagnosed in children and young people.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263859
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263858 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1078523

registered interest
date	27/02/2019
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	Cervical 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, whether he plans to extend routine cervical screening to women aged 65 and over.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	226680
answer	answer is ministerial correction date of answer 04/03/2019 answer text <p>The National Health Service Cervical Screening Programme currently stops sending invitations for cervical screening after a woman reaches 65, unless they need ongoing surveillance or follow up. This is generally required if a woman has had an abnormal result in any of her three most recent tests or is recommended for early repeats owing to a previous abnormality.</p><p> </p><p>The natural history of cervical cancer means that it is unlikely that women of 65 and over who have been regularly screened and discharged from the programme will go on to develop the disease. We also know that screening becomes more uncomfortable after menopause.</p><p> </p><p>The United Kingdom National Screening Committee (UK NSC) recently reviewed a proposal about the care of women aged 64 exiting the programme. The outcome of this proposal will be published in the UK NSC’s minutes which will be available in six weeks at the following link:</p><p><a href="https://www.gov.uk/government/groups/uk-national-screening-committee-uk-nsc" target="_blank">https://www.gov.uk/government/groups/uk-national-screening-committee-uk-nsc</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/03/2019 17:00:29 answering member 4067 label Biography information for Steve Brine
tabling member	4378 label Biography information for Colleen Fletcher

1015146

registered interest
date	26/11/2018
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	Transplant Surgery
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 he has had with Cabinet colleagues on the effect of the UK leaving the EU on the transportation of donated (a) stem cells, (b) blood and (c) organs to the UK from countries within the EU.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	195656
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Secretary of State discusses a range of issues with Cabinet colleagues. Patient safety is paramount in the Government’s exit negotiations and maintaining continuity of supply of stem cells, blood and organs is a key part of ensuring patients continue to receive the safe high-quality care they need on day one of European Union exit and thereafter.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/11/2018 17:34:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

997797

registered interest
date	30/10/2018
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	Periods: Health Education
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 plans to take to develop a cross-departmental strategy on menstrual health management to tackle the stigma of periods.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	185614
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Public Health England (PHE) is in the process of developing a five year cross sectoral action plan for reproductive health. The action plan will be divided into the themes of reproductive choice (choosing if when and how to become pregnant) and reproductive wellbeing. Menstrual issues, including stigma surrounding heavy menstrual bleeding will be a focus of the strategy, specifically with regards to effective information and communication and workforce training.</p><p> </p><p>PHE is aligning the work with the recently published Royal College of General Practitioners (RCGP) publications on guidance for menstrual wellbeing. The guidance is available at the following link:</p><p> </p><p><a href="http://www.rcgp.org.uk/menstrualwellbeingtoolkit" target="_blank">http://www.rcgp.org.uk/menstrualwellbeingtoolkit</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/11/2018 16:37:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

997809

registered interest
date	30/10/2018
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	Blood Cancer: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress has been made on preparing hospitals in England to deliver CAR-T cell therapies for patients with blood cancer.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	185617
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>NHS England is working with the manufacturers and NHS providers to prepare the National Health Service to begin delivering Chimeric Antigen Receptor T Cell (CAR-T) therapy - the first in a wave of treatments in a new era of personalised medicine and part of the NHS’s long-term plan to upgrade cancer service. The first treatment that will be available to patient is tisagenlecleucel (Kymriah) as an option for treating children and young people up to 25 years old with B cell acute lymphoblastic leukaemia that is refractory, in relapsed post-transplant or in second or later relapse.</p><p> </p><p>NHS England anticipates that the National Institute for Health and Care Excellence will recommend this treatment for entry into the Cancer Drugs Fund in mid-November. If so, funding will be made immediately available, following a successful commercial deal with the manufacturer Novartis. We anticipate the first patients will begin their treatment in late November 2018. The phased implementation required by the manufacturer and the NHS means that full capacity to treat eligible patients will take some months to achieve and a National CAR-T Clinical Panel will convene in mid-November to assure equity of access and prioritise eligible patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/11/2018 11:11:35 answering member 4067 label Biography information for Steve Brine
tabling member	4378 label Biography information for Colleen Fletcher

993680

registered interest
date	23/10/2018
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	Cervical 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 the average time taken is for patients to receive their smear test results in each NHS trust area.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	182795
answer	answer is ministerial correction date of answer 26/10/2018 answer text <p>Data on the average time taken for patients to receive their smear test results in each National Health Service trust area are not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/10/2018 12:28:15 answering member 4067 label Biography information for Steve Brine
tabling member	4378 label Biography information for Colleen Fletcher

993683

registered interest
date	23/10/2018
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	Pathology
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 has made an assessment of the adequacy of staffing levels in Histopathology Departments in each NHS Trust in England.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	182796
answer	answer is ministerial correction date of answer 26/10/2018 answer text <p>Responsibility for staffing levels rests with individual National Health Service trusts and their boards who are best placed to decide how many staff they need to provide a given service, taking into account skill mix, efficiency and the needs of their local population.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 26/10/2018 11:49:11 answering member 4095 label Biography information for Steve Barclay
tabling member	4378 label Biography information for Colleen Fletcher