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1002558

	registered interest
	date	06/11/2018
	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	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 assessment he has made of the ability of the NHS long-term plan to (a) tackle the evolving challenges of cancer and (b) ensure that people are able to access personalised and tailored support after they have finished cancer treatment itself.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	188796
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The NHS Long Term Plan provides an excellent opportunity to look at how cancer and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 11:29:49 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

1017502

	registered interest
	date	30/11/2018
	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	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of (a) leukaemia, (b) non-Hodgkin lymphoma, (c) Hodgkin lymphoma and (d) myeloma cases were diagnosed at each cancer stage in each of the last five years.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	197620
	answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:38:39 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

765286

	registered interest
	date	06/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Transplant Surgery: Stem Cells
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will discuss with NHS England the necessity for a review of the care and support that patients receive after a stem cell transplant.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	105453
	answer	answer is ministerial correction date of answer 16/10/2017 answer text <p>Post-transplant care for patients is important. NHS England’s Specialised Commissioning team and Clinical Reference Group for Blood and Marrow Transplants (BMT) are undertaking work to map care needs post-100 days.</p><p> </p><p>There are no current plans to review the responsibilities of services commissioned by NHS England and clinical commissioning groups (CCGs) for BMT at this time. NHS England will be assessing BMT in more detail over the next 18 months and will take the opportunity to further support improved pathway planning and commissioning of services that it and CCGs fund.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/10/2017 16:36:57 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

765287

	registered interest
	date	06/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Transplant Surgery: Stem Cells
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reason responsibility for commissioning services following a stem cell transplant from NHS England to clinical commissioning groups after 100 days.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	105452
	answer	answer is ministerial correction date of answer 16/10/2017 answer text <p>The Manual for Prescribed Specialised Services describes which elements of specialised services are commissioned by NHS England and which are commissioned by clinical commissioning groups (CCGs):</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/10/prescribed-specialised-services-manual-2.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/10/prescribed-specialised-services-manual-2.pdf</a></p><p>Due to the small number of patients involved, the cost of the transplant episode and the small number of transplant experts, Blood and Bone Marrow Transplantation (BMT) is defined as a prescribed specialised service. NHS England is responsible for commissioning and funding the transplant related care which takes place 30 days before transplant and continues until 100 days post-transplant. After 100 days post-transplant, commissioning responsibility for the routine follow-up of patients switches from NHS England to CCGs, as outlined in the Manual.</p><p>In the event that transplant patients experience serious complications post-transplant, elements of their care would likely continue to be planned, organised and funded by NHS England specialised commissioning. For example, if a patient requires Extracorporeal Photopheresis which is a treatment for acute and chronic graft versus host disease following transplantation, NHS England commissions this care post-transplant.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/10/2017 16:39:07 answering member 4067 label Biography information for Steve Brine
	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

836016

	registered interest
	date	02/02/2018
	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
	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 emergency presentations there were of blood cancer; what proportion of those presentations were of all diagnoses of blood cancer; and what proportion those were of the total of all emergency presentations of cancer in each of the last five years for which figures are available.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	126371
	answer	answer is ministerial correction date of answer 08/02/2018 answer text <p>In 2015, the latest year for which data are available, the percentage of patients diagnosed after an emergency presentation in England for all blood cancers was 28% (7,626 of 26,869).</p><p> </p><p>There has been a fall in the percentage diagnosed through this emergency presentation route over the last 10 years for some of these cancers: chronic lymphocytic leukaemia (26% in 2006 down to 13% in 2015), multiple myeloma (37% down to 31%), and other haematological malignancies (37% down to 25%). The proportion over time in the other groups remained relatively stable.</p><p> </p><p>As a proportion of all emergency diagnoses, the proportion of blood cancers diagnosed as an emergency was 12% in 2011 and 13% in each of 2012-2015.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 126372 question first answered 08/02/2018 14:30:04 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

836017

	registered interest
	date	02/02/2018
	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
	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 has made an assessment of trends in the instances of blood cancer being diagnosed after an emergency admission; and if he will make a statement.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	126372
	answer	answer is ministerial correction date of answer 08/02/2018 answer text <p>In 2015, the latest year for which data are available, the percentage of patients diagnosed after an emergency presentation in England for all blood cancers was 28% (7,626 of 26,869).</p><p> </p><p>There has been a fall in the percentage diagnosed through this emergency presentation route over the last 10 years for some of these cancers: chronic lymphocytic leukaemia (26% in 2006 down to 13% in 2015), multiple myeloma (37% down to 31%), and other haematological malignancies (37% down to 25%). The proportion over time in the other groups remained relatively stable.</p><p> </p><p>As a proportion of all emergency diagnoses, the proportion of blood cancers diagnosed as an emergency was 12% in 2011 and 13% in each of 2012-2015.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 126371 question first answered 08/02/2018 14:30:04 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

836018

	registered interest
	date	02/02/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether diagnostic centres established as a result of the Cancer Strategy for England take specific account of blood cancer; and if he will make a statement.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	126373
	answer	answer is ministerial correction date of answer 08/02/2018 answer text <p>The wave two of the Accelerate, Coordination and Evaluation (ACE) programme is testing a new multi-disciplinary diagnostic centre approach to diagnosing patients with vague or unclear but concerning symptoms, often characteristic of hard to diagnose cancers like blood cancers. This approach aims to ensure that patients can receive a suite of tests, reducing the risk that patients receive multiple different referrals for the same problem. The ACE programme has established ten pilot Rapid Diagnostic Assessment Centres across five areas of the country.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2018 15:33:52 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith

836019

	registered interest
	date	02/02/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of people diagnosed with blood cancer have had access to a clinical nurse specialist in each of the last three years; and if he will make a statement.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	126374
	answer	answer is ministerial correction date of answer 08/02/2018 answer text <p>NHS England does not collect this information centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2018 14:39:50 answering member 4067 label Biography information for Steve Brine
	tabling member	3960 label Biography information for Henry Smith