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100195

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to simplify the provision and commissioning of secondary care; and if he will make a statement.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	211309
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In considering the commissioning and provision of secondary care, it is for commissioners and clinicians locally to design and deliver the models of care that are going to provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England has published a Five Year Forward View which describes the vision for the future of the NHS, including increasing the involvement of General Practitioners in the provision of services traditionally placed in secondary care through ‘Multispecialty Community Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:11:44 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England- Five Year Forward View.pdf title NHS England- Five Year Forward View
	tabling member	4025 label Biography information for Mrs Pauline Latham

147558

	registered interest
	date	10/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to develop and support the cancer screening programme.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	214020
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>The NHS Cancer Screening Programmes screen millions of people each year in order to detect cancer or abnormalities which could develop into cancer if left undetected and untreated. They are supported by a national co-ordinating team and regional quality assurance teams in Public Health England (PHE).</p><p> </p><p> </p><p> </p><p>On the specific programmes, NHS England and PHE are working together to set up screening centres for Bowel Scope Screening (BSS) for 55 year-olds as an addition to the current NHS Bowel Cancer Screening Programme. Our commitment is to have BSS rolled out to 60% of screening centres in England by the end of March 2015, and to all screening centres in England by the end of 2016. In addition, as part of the original programme, PHE are piloting a new form of home testing kit (faecal immunochemical testing - FIT) which is easier to use and potentially more accurate than the current faecal occult blood (FOB) test used in the programme.</p><p> </p><p> </p><p> </p><p>The NHS Breast Cancer Screening Programme has developed considerably with the use of digital mammography in screening clinics and the extensions to the age range for screening women, including the current randomised controlled trial screening 47-49 and 71-73 year-old women. Around 97.1% of women who have had invasive breast cancer detected by screening are alive five years later and over three quarters of the women whose cancer is detected by the programme do not need chemotherapy.</p><p> </p><p> </p><p> </p><p>The NHS Cervical Screening Programme is currently piloting the use of human papillomavirus (HPV) testing as the primary screen for cervical disease in order to achieve better, more personalised outcomes for women. Through early detection and treatment the NHS Cervical Screening Programme can prevent around 75% of cervical cancers developing; where an early cancer is found, women with cervical cancer diagnosed by screening have a better chance of being cured than those who present with symptoms.</p><p> </p><p> </p><p> </p><p>All NHS screening programmes are based on National Screening Committee recommendations using the best evidence available.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/11/2014 14:08:12 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham

147560

	registered interest
	date	10/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to support the National Awareness and Early Diagnosis Initiative.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	214021
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Through <em>Improving Outcomes: A Strategy for Cancer </em>(2011), the Government has invested an additional £750 million in improving cancer services, including over £450 million supporting earlier diagnosis. Earlier diagnosis is an essential element in delivering against the Government’s ambition to save an additional 5,000 lives from cancer per year by 2014-15.</p><p> </p><p> </p><p> </p><p>Through the National Awareness and Early Diagnosis Initiative, the Department continues to work in partnership with Public Health England (PHE), NHS England, Cancer Research UK, Macmillan Cancer Support and other public and voluntary sector organisations to support centrally led Be Clear on Cancer symptom awareness campaigns and work to support general practitioners and primary care.</p><p> </p><p> </p><p> </p><p>We know that diagnosis at an early stage of a cancer’s development leads to improved survival chances. An indicator on the proportion of cancers diagnosed at an early stage is therefore a useful proxy for assessing improvements in cancer survival rates. This is why the Public Health Outcomes Framework (PHOF) includes an indicator on the proportion of cancers diagnosed at stages 1 and 2. <br> <br></p><p> </p><p>PHE has published the proportion of cancers diagnosed at stages 1 or 2 as part of PHOF. This has also been published as part of the Clinical Commissioning Group Outcome Indicator Set. PHE’s National Cancer Intelligence Network is using these staging data to examine the impact of the Be Clear on Cancer campaigns on any shift in the stage at diagnosis.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 214022 question first answered 18/11/2014 16:00:23 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham

147561

	registered interest
	date	10/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make it an objective of his Department to reduce late stage (3 and 4) cancer diagnosis and increase the proportion of cancers diagnosed at early stage (1 and 2).
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	214022
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Through <em>Improving Outcomes: A Strategy for Cancer </em>(2011), the Government has invested an additional £750 million in improving cancer services, including over £450 million supporting earlier diagnosis. Earlier diagnosis is an essential element in delivering against the Government’s ambition to save an additional 5,000 lives from cancer per year by 2014-15.</p><p> </p><p> </p><p> </p><p>Through the National Awareness and Early Diagnosis Initiative, the Department continues to work in partnership with Public Health England (PHE), NHS England, Cancer Research UK, Macmillan Cancer Support and other public and voluntary sector organisations to support centrally led Be Clear on Cancer symptom awareness campaigns and work to support general practitioners and primary care.</p><p> </p><p> </p><p> </p><p>We know that diagnosis at an early stage of a cancer’s development leads to improved survival chances. An indicator on the proportion of cancers diagnosed at an early stage is therefore a useful proxy for assessing improvements in cancer survival rates. This is why the Public Health Outcomes Framework (PHOF) includes an indicator on the proportion of cancers diagnosed at stages 1 and 2. <br> <br></p><p> </p><p>PHE has published the proportion of cancers diagnosed at stages 1 or 2 as part of PHOF. This has also been published as part of the Clinical Commissioning Group Outcome Indicator Set. PHE’s National Cancer Intelligence Network is using these staging data to examine the impact of the Be Clear on Cancer campaigns on any shift in the stage at diagnosis.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 214021 question first answered 18/11/2014 16:00:23 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham

443795

	registered interest
	date	11/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what steps he is taking to reduce waiting times for colonoscopy to detect bowel cancer.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	21838
	answer	answer is ministerial correction date of answer 19/01/2016 answer text <p>Helping more people survive cancer is a key priority for this Government.</p><br /><p>We expect the National Health Service to look urgently at any dips in local performance and take action to make sure all patients get access to cancer treatment as quickly as possible. NHS England has set up a taskforce to look at what should be done to ensure cancer waiting times standards are met.</p><br /><p>Specifically for colonoscopy for bowel cancer, the NHS has committed to train an extra 250 gastroenterologists by 2020. In addition, Health Education England has pledged to fund the training of 200 non-medical endoscopists to significantly increase endoscopy capacity in England. The first cohort will begin training at the end of January 2016. NHS England’s Sustainable Improvement Team (formerly NHS Improving Quality) is working intensively with trusts that have significant endoscopy waiting lists, in order to improve performance. The learning from this will be shared widely.NHS England is also exploring ways to improve endoscopy performance through pricing changes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/01/2016 15:51:54 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham

443797

	registered interest
	date	11/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what assessment he has made of the (a) frequency of false (i) positives and (ii) negatives from the National Screening Programme for bowel cancer and (b) the effect of such false positives and negatives on waiting times for colonoscopy.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	21837
	answer	answer is ministerial correction date of answer 19/01/2016 answer text <p>The National Bowel Screening Programme has been received positively since it commenced in 2006 and has seen a steady rise in participation achieving over 55% engagement over the last three years.</p><br /><p>Table: Bowel screening engagement of the last three years</p><table><tbody><tr><td rowspan="2"><p><br></p></td><td colspan="3"><p>Year</p></td></tr><tr><td><p>2011 - 2012</p></td><td><p>2012 - 2013</p></td><td><p>2013 - 2014</p></td></tr><tr><td><p>Invited</p></td><td><p>3,623,950</p></td><td><p>3,839,325</p></td><td><p>3,976,616</p></td></tr><tr><td><p>Screened</p></td><td><p>1,996,701</p></td><td><p>2,246,893</p></td><td><p>2,206,435</p></td></tr><tr><td><p>Abnormal</p></td><td><p>41,707</p></td><td><p>40,983</p></td><td><p>40,698</p></td></tr><tr><td><p>Uptake</p></td><td><p>55.10%</p></td><td><p>58.52%</p></td><td><p>55.49%</p></td></tr></tbody></table><br /><p>The programme expects that engagement will continue to increase following a positive recommendation from the UK National Screening Committee to use Faecal Immunochemical Test (FIT) as the primary screen test for bowel cancer. FIT has seen an increase in participation especially amongst men and in deprived areas as well as help reduce the number of deaths from bowel cancer.</p><br /><p>Following a positive screening test approximately half (50%) of the patients, at colonoscopy will have either bowel cancer or adenomas that require surgical intervention. An additional 25% of patients will have another disease affecting the colon and may require medical attention outside of the bowel screening programme, with the remaining 25% of colonoscopies having no medical reason for a positive result.</p><br /><p>Bowel screening has increased colonoscopy work and has subsequently helped to improve the quality of this service. False negatives from the screening test have no direct impact on the waiting times since colonoscopy is not undertaken.</p><br /><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 21839 question first answered 19/01/2016 16:12:18 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham

443798

	registered interest
	date	11/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, pursuant to the Answer of 9 December 2015 to Question 18808, what assessment he made of the conclusion by the Independent Cancer Taskforce in its 2015 report entitled Achieving world class outcomes for cancer: A strategy for England 2015-2020 that faecal immunochemical testing has extremely poor rates of detection for precancerous polyps.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	21788
	answer	answer is ministerial correction date of answer 19/01/2016 answer text <p>The UK National Screening Committee (UK NSC) recently consulted on the use of Faecal Immunochemical testing (FIT) as an alternative screen test for bowel cancer. Both the UK NSC and the Independent Cancer Taskforce are supportive of the initial results of the FIT pilot, which indicates that this test is more acceptable to the screened population with a significant increase in participation (10%). The UK NSC has published its minutes from the November meeting and recommends a change to use FIT as the primary test to be used in the National Health Service Bowel Cancer Screening Programme.</p><br /><p>We are considering the UK NSC’s recommendation.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/01/2016 16:04:21 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham