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436264

	registered interest
	date	08/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Innovation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plan to respond to the Accelerated Access Review: Interim Report, published in October 2015; and if he will make a statement.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	19241
	answer	answer is ministerial correction date of answer 15/12/2015 answer text <br /><p>The Interim Report of Sir Hugh Taylor’s Accelerated Access Review (AAR) is a deliberately high level document that indicates direction of travel; as such, government will be responding to the AAR’s conclusions when its final recommendations are published early in the spring of 2016.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 15/12/2015 16:30:10 answering member 4020 label Biography information for George Freeman
	tabling member	3960 label Biography information for Henry Smith

105961

	registered interest
	date	03/11/2014
	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 results of pilots of flexible sigmoidoscopy screening for bowel cancer; and what plans he has for a nationwide rollout of such screening.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	212890
	answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>A randomised controlled trial funded by Cancer Research UK, the Medical Research Council and National Health Service Research and Development took place in 14 United Kingdom and six Italian centres, and evaluated screening for bowel cancer using a single Bowel Scope Screening (flexible sigmoidoscopy) between 55 and 64 years of age, removing small polyps by Bowel Scope Screening and providing full colonoscopy for &quot;high risk&quot; polyps. The study concluded that Bowel Scope Screening is a safe and practical test and, when offered only once between ages 55 and 64 years, confers a substantial and long lasting benefit. The UK National Screening Committee reviewed the evidence, and in April 2011 concluded that screening for bowel cancer using Bowel Scope Screening meets the United Kingdom National Screening Committee criteria for a screening test. In England its implementation will be managed by National Health Service Cancer Screening Programmes.</p><p> </p><p> </p><p> </p><p>As at 31 March 2014, 36.6% of Bowel Scope Screening centres in England were operational, exceeding the commitment of 30%<sup>1</sup>. As set out in the third annual report of <em>Improving Outcomes: A Strategy for Cancer</em> (December 2013), NHS England will work with Public Health England to help deliver the involvement of screening centres sufficient to meet the 60% commitment by March 2015 and to support preparatory steps in other screening centres to implement by the end of 2016.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, 20,603 examinations had taken place. 919 people had gone on to have a colonoscopy with 20 cancers being detected. A further 365 people have had an advanced adenoma found and removed.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>[1] <a href="https://www.gov.uk/government/news/latest-bowel-cancer-screening-technique-reaps-benefits" target="_blank">https://www.gov.uk/government/news/latest-bowel-cancer-screening-technique-reaps-benefits</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:54:15 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

427717

	registered interest
	date	10/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Leukaemia: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what comparative assessment his Department has made of the (a) cost and (b) effectiveness of stem cell transplants and tyrosine kinase inhibitor therapies as treatments for chronic myeloid leukaemia.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	15807
	answer	answer is ministerial correction date of answer 19/11/2015 answer text <p>As the treatments referred to are mutually exclusive, NHS England has no plans to carry out such an assessment. Patients will only be offered a transplant when they are unsuitable for tyrosine kinase inhibitor (TKI) treatment, or if this treatment has failed.</p><br /><p>Both imatinib (usually considered the first line option) and nilotinib are recommended by the National Institute for Health and Care Excellence as cost effective treatments for chronic myeloid leukaemia (CML). Dasatinib, bosutinib and ponatinib are only available for certain patients through the Cancer Drugs Fund.</p><p>In 2013, NHS England published a policy for the routine commissioning of allogeneic stem cell transplant for CML. This can be found at:</p><br /><p><a href="http://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/b04-haematp-stem-cll-transplt.pdf" target="_blank">www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/b04-haematp-stem-cll-transplt.pdf</a></p><p>This policy allows for transplant in patients whose CML is refractory to TKI treatment, or where the patient is TKI intolerant. It takes into account expert advice from the British Society for Blood and Marrow Transplantation.</p><p>Based on the clinical pathway of care, no specific assessment of cost or effectiveness comparing blood and marrow transplantation with TKI has been undertaken.</p><br /><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/11/2015 17:31:59 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

426559

	registered interest
	date	05/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children and Young People
	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 improve children and young people's mental health services.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	15092
	answer	answer is ministerial correction date of answer 12/11/2015 answer text <p>Children and young people’s mental health is a priority area for this Government. We are committed to delivering the vision set out in <em>Future in mind</em> through the launch of a major system-wide transformation programme working alongside our partners in Government and arm’s length bodies. This will improve access and make services more widely available across the country.</p><br /><p>To support this transformation, an additional£1.4 billion funding has been made available over the course of this Parliament for spending on children and young people’s mental health, of which we are spending £173 million this year, including £30 million on eating disorders. This will be used to improve community-based services so that young people are helped earlier and are less likely to need to go into hospital. It will also enable the expansion and extension of the Children and Young People’s Improving Access to Psychological Therapies programme so that a wider range of those who need it are able to access high quality and evidence-based interventions wherever they may live. All clinical commissioning groups have been asked to work with their partners to develop Local Transformation Plans to transform their local offer to improve children and young people’s mental health and wellbeing.</p><br /><p>A national programme of work will support local areas, including the extension and expansion of the use of evidence- based interventions, tackling stigma, improving data and information to inform greater transparency and accountability and developing a specialist and stronger workforce.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 12/11/2015 10:03:31 answering member 1201 label Biography information for Alistair Burt
	tabling member	3960 label Biography information for Henry Smith

451413

	registered interest
	date	03/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	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 quantity and quality of specialist therapeutic support available to children who have experienced abuse.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	903553
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>Children who have been abused may require a range of services to meet their needs. Local commissioners are responsible for assessing local need and ensuring the delivery of appropriate services. Local partners and NHS England need to work together to help children who have experienced abuse or neglect access appropriate care pathways and evidence-based care.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 09/02/2016 15:03:25 answering member 1201 label Biography information for Alistair Burt
	tabling member	3960 label Biography information for Henry Smith

720556

	registered interest
	date	13/04/2017
	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, when he expects the recently established cancer delivery plans to be published.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	70573
	answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>Currently there is no co-ordinated date for publication of cancer delivery plans.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 25/04/2017 15:32:03 answering member 4080 label Biography information for David Mowat
	tabling member	3960 label Biography information for Henry Smith

786830

	registered interest
	date	10/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	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 increase capacity in general practice in (a) Crawley constituency and (b) England.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	112399
	answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>In April 2016, the General Practice Forward View set out a package of investment in general practice. This included a number of reforms which will increase capacity in general practice through recruitment and retention of general practitioners (GPs) and the wider workforce, and investment in extended access to GP services and the Time for Care programme.</p><p> </p><p>By 2020 the Government has committed to 5,000 additional GPs and 5,000 other staff in general practice; and by March 2019 everyone having access to GP services, including sufficient routine appointments at evenings and weekends to meet locally determined demand.</p><p> </p><p>The Time for Care programme will spread awareness of innovations that will help release capacity in general practice and facilitate local change programmes to implement them. Examples of these innovations include active signposting and developing the team. It is estimated that most practices can expect to release about 10% of GP time. The Time for Care programme provides support for groups of practices to implement their choice of the actions. To date, this has covered 115 clinical commissioning groups, available to 3,974 practices.</p><p> </p><p>In 2016/17 £2,000,000 of funding was awarded to NHS Crawley Clinical Commissioning Group to improve local GP practice resilience and sustainability and improve access to local GP services for patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2017 12:25:28 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

746126

	registered interest
	date	28/06/2017
	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, when he expects the Cancer Transformation Fund to be made available to support the Cancer Recovery Package and the cancer stratified follow-up pathways.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	1543
	answer	answer is ministerial correction date of answer 04/07/2017 answer text <p>In December 2016, Cancer Alliances were invited to submit bids against a £200 million transformation fund (for 2017/18 and 2018/19) to support delivery of early diagnosis and implementation of the Recovery Package and stratified follow-up pathways. Based on an assessment of the bids, NHS England has decided to take a phased approach to releasing the funding over the course of 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/07/2017 11:22:52 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

92614

	registered interest
	date	10/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in England have been diagnosed with chronic spontaneous urticaria in each year since 2010.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	209936
	answer	answer is ministerial correction date of answer 17/10/2014 answer text <p>Information concerning the number of people with chronic spontaneous urticaria (also known as hives, welts or nettle rash) in England is not collected. However, the National Institute for Health and Care Excellence estimates that approximately 15% of people in the United Kingdom experience urticaria at some time in their lives and the lifetime prevalence of chronic urticaria is 0.5–1%.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 209937 question first answered 17/10/2014 12:05:07 answering member 1439 label Biography information for Norman Lamb
	tabling member	3960 label Biography information for Henry Smith

92615

	registered interest
	date	10/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have chronic spontaneous urticaria in England.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	209937
	answer	answer is ministerial correction date of answer 17/10/2014 answer text <p>Information concerning the number of people with chronic spontaneous urticaria (also known as hives, welts or nettle rash) in England is not collected. However, the National Institute for Health and Care Excellence estimates that approximately 15% of people in the United Kingdom experience urticaria at some time in their lives and the lifetime prevalence of chronic urticaria is 0.5–1%.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 209936 question first answered 17/10/2014 12:05:07 answering member 1439 label Biography information for Norman Lamb
	tabling member	3960 label Biography information for Henry Smith