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1054864

registered interest
date	04/02/2019
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, with reference to page 8 of the January 2019 NAO report on the management of health screening, what steps he is taking to increase the proportion of women who receive the results of cervical screening tests within 14 days from 55 per cent to the target rate of 98 per cent.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	216351
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Prevention and early diagnosis of cancer are key priorities for this Government, and we are already working closely with NHS England and Public Health England to address the issues this useful report highlights.</p><p> </p><p>These include a national mitigation plan whereby a majority of existing HPV pilot sites have converted more of their cervical screening activity to human papilloma virus (HPV) primary screening. This has freed up cytology capacity which has been used for laboratories experiencing backlogs and therefore, samples have been transferred across the country. This has also been replicated amongst non-pilot sites who have converted to HPV primary screening when all other options for reducing their backlog have not proved successful.</p><p> </p><p>Most recently, a national resilience plan has been introduced whereby all existing laboratories have been given the opportunity to implement, as soon as possible, HPV primary screening prior to the conclusion of a procurement for new laboratory providers. Existing laboratory providers will continue this provision throughout the whole transitional period up to and following the commencement of the new service.</p><p> </p><p>As per the ministerial commitment, full geographical coverage of HPV primary screening within the NHS Cervical Screening Programme will be achieved by the end of December 2019.</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 future commissioning and delivery of cancer screening programmes in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 17:33:04 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1054954

registered interest
date	04/02/2019
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, what steps the Government is taking to encourage more women to attend cervical screening.
tabling member constituency	Taunton Deane
tabling member printed	Rebecca Pow
uin	909064
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Public Health England is working to raise awareness of this disease and encourage women to attend cervical screening through the national ‘Be Clear on Cancer’ campaigns, which have been run in partnership with Cancer Research UK since 2011.</p><p> </p><p>PHE is in the process of developing a new campaign that will promote the uptake of cervical screening. The campaign is scheduled to launch early in March.</p><p> </p><p>NHS England is also investing in initiatives to help ensure equality of access to screening and is investing more than £258 million this year to improve access to general practice and more than half the country is benefitting from improved access to all routine appointments (including cervical screening), at evening and/or weekends.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 17:33:42 answering member 4067 label Biography information for Steve Brine
tabling member	4522 label Biography information for Rebecca Pow

1041627

registered interest
date	15/01/2019
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	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 assessment he has made of the potential merits of enabling women under the age of 25 to undergo cervical screening.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	208783
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>Almost all cervical cancers are caused by the human papillomavirus (HPV) which is linked to the development of the disease. With the high uptake of the HPV vaccination in adolescent girls since 2008, there is little evidence for lowering the age of cervical screening, as those born since September 1994 will turn 25 this year and become eligible for routine screening.</p><p> </p><p>The United Kingdom National Screening Committee looked at the starting age for cervical screening in 2012 and recommended that screening should be offered from the age of 25. This was based on the evidence that screening below this age would in fact cause more harm than benefit.</p><p> </p><p>Younger women often undergo natural and harmless changes in the cervix that screening would identify as cervical abnormalities. In the vast majority of cases these abnormalities will resolve themselves without any need for treatment.</p><p> </p><p>A number of questions and answers have been written to help explain the rationale for starting screening at age 25 rather than 20. This document can be viewed at the following link:</p><p> </p><p><a href="https://legacyscreening.phe.org.uk/cervicalcancer-qa" target="_blank">https://legacyscreening.phe.org.uk/cervicalcancer-qa</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/01/2019 15:11:53 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1037085

registered interest
date	07/01/2019
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	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 steps he is taking to introduce an epigenetics-based test for cervical cancer on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	205920
answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>The United Kingdom National Screening Committee (UK NSC) has not reviewed the evidence for an epigenetics-based test within the cervical screening programme.</p><p> </p><p>It is important that any screening test introduced into a screening programme is based on robust published peer reviewed evidence demonstrating more good than harm. A change to the main screen test such as using epigenetics-based testing would be considered as a major programme modification to the cervical screening programme.</p><p> </p><p>Submissions to the UK NSC to consider a programme modification can be submitted throughout the year with more information available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/uk-nsc-evidence-review-process" target="_blank">https://www.gov.uk/government/publications/uk-nsc-evidence-review-process</a></p><p> </p><p>NHS England is currently working to implement primary human papillomavirus screening in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2019 12:11:45 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1037122

registered interest
date	07/01/2019
answering body	Women and Equalities
answering dept id	31
answering dept short name	Women and Equalities
answering dept sort name	Women and Equalities
hansard heading	Cervical Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Minister for Women and Equalities, if she will hold discussions with the Secretary of State for Health on making the NHS cervical screening programme available to women aged 18 years and over.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	205928
answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>The best independent evidence shows that routine screening of women under 25 actually does more harm than good. Cervical cancer in women under the age of 25 is very rare and younger women often undergo natural and harmless changes in the cervix that screening would identify as abnormalities, resulting in many false negatives.</p><p>We offer vaccination to girls to protect against the Human Papilloma Virus (HPV) which protects against 70 per cent of cervical cancers and which is expected to reduce the already low rates of cervical cancer in these young women and allow them to be protected for years to come.</p><p>Young women with symptoms of cervical cancer, largely unusual bleeding particularly after sex, should see their GP and be referred to a gynecologist if clinically appropriate.</p><p>My Rt Hon Friend the Minister for Women and Equalities has no plans to discuss this issue with the Secretary of State for Health and Social Care<em>.</em></p> answering member constituency Louth and Horncastle answering member printed Victoria Atkins question first answered 15/01/2019 17:39:22 answering member 4399 label Biography information for Victoria Atkins
tabling member	4131 label Biography information for Jim Shannon

1020318

registered interest
date	05/12/2018
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 steps he is taking to improve uptake of cervical screening.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199346
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK (CRUK) and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 199347 question first answered 10/12/2018 15:34:24 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020321

registered interest
date	05/12/2018
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, for what reason there has been a recent decline in the level of cervical screening attendance.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199347
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK (CRUK) and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 199346 question first answered 10/12/2018 15:34:24 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020322

registered interest
date	05/12/2018
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, how much funding his Department has allocated to schemes to increase cervical screening attendance in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199348
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Information on how much of the money allocated from the cervical screening budget to schemes to increase cervical screening attendance is not collected centrally by NHS England.</p><p> </p><p>NHS England has invested over £200 million since 2016 to transform cancer services across England.</p><p> </p><p>Next year, Public Health England will launch a national campaign to highlight the risks of cervical cancer, encourage all women to respond to their screening invitation and to encourage women to consider booking an appointment if they have missed previous invitations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:25:09 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020420

registered interest
date	05/12/2018
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 support his Department provides to women who are survivors of sexual violence to access cervical screening.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199349
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The NHS Cervical Screening programme encourages practices to be sympathetic and supportive to all women going through the procedure, in order to make it as comfortable as possible. All women undertaking their screening test have the support of a chaperone available. A female general practitioner/ nurse also undertakes the screening test.</p><p> </p><p>In addition, the NHS Cervical Screening Programme’s sample taker training guidance covers various barriers which sample takers should be considerate of, this includes guidance on women with fears of cervical screening following a history of sexual assault or rape. The guidance can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/cervical-screening-education-and-training" target="_blank">https://www.gov.uk/guidance/cervical-screening-education-and-training</a></p><p> </p><p>The Department has have been working with NHS England to develop a five-year Sexual Assault and Abuse Strategy, which aspires to ensure victims receive joined-up pathways of care over the course of their life time whenever they need it – this was published in April 2018. It will develop and improve integrated pathways of care for people that have experienced sexual assault and abuse.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:43:37 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1019322

registered interest
date	03/12/2018
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, with reference to the NHS Digital's publication, Cervical screening programme England 2017-18, published on 27 November 2018, what assessment he has made of the reasons for the change in the number of eligible women taking up such screening in the last 21 years.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	198377
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/12/2018 14:22:41 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin