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419536

	registered interest
	date	17/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Incontinence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with NHS England regarding the (a) commissioning of continence services and (b) guidelines for continence services.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	10617
	answer	answer is ministerial correction date of answer 12/10/2015 answer text <p>My Rt. hon. Friend the Secretary of State meets representatives from NHS England on a regular basis to discuss a wide range of issues, including the commissioning of local NHS services.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/10/2015 11:01:41 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

419533

	registered interest
	date	17/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Urinary System: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many catheter associated urinary tract infection related deaths there were in the last three years.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	10618
	answer	answer is ministerial correction date of answer 12/10/2015 answer text <p>This information is not available in the format requested.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/10/2015 10:57:21 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

419535

	registered interest
	date	17/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Urinary System: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people were admitted to hospital as an emergency case with acute retention of urine due to a blocked Foley catheter in the last three years.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	10620
	answer	answer is ministerial correction date of answer 12/10/2015 answer text <p>The requested information is not available centrally as Hospital Episode Statistics cannot identify blocked catheters or the type of catheter in use.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/10/2015 10:58:44 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

433989

	registered interest
	date	03/12/2015
	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 raise public awareness of multiple myeloma and the risks presented by late diagnosis of acute myeloid leukaemia.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	18669
	answer	answer is ministerial correction date of answer 11/12/2015 answer text <p>Public Health England’s ‘Be Clear on Cancer’ campaigns do not currently include multiple myeloma.</p><br /><p>A number of factors are taken into account when deciding which campaigns to develop and run, with one of the main criteria being the scope to save lives through earlier diagnosis and whether the cancer has a clear early sign or symptom that the general public can act upon should it arise.</p><br /><p>We appreciate that this means that there are a number of cancers, besides Myeloid Leukaemia, that are not covered by ‘Be Clear on Cancer’ specifically. Given this, Public Health England is looking at developing an approach to raise awareness of generic symptoms that can indicate a wider number of cancers and the need to visit the doctor promptly with these symptoms. This work is currently in development, with the help of a number of experts, including clinicians and charities.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/12/2015 11:47:28 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

433998

	registered interest
	date	03/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Multiple Myeloma
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether an assessment has been made of the barriers preventing multiple myeloma patients accessing the most innovative treatments.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	18708
	answer	answer is ministerial correction date of answer 11/12/2015 answer text <p>No specific assessment has been made of the barriers affecting access to the most innovative treatments for patients with multiple myeloma.</p><br /><p>It is essential that a robust process is in place to ensure that patients get rapid access to the most innovative drugs that represent value for money to the National Health Service. The Cancer Drugs Fund has helped over 84,000 people to access the life-extending drugs they need, and NHS England and the National Institute for Health and Care Excellence are currently consulting on the future shape of the Fund to put it on a more sustainable footing.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/12/2015 12:18:24 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

78022

	registered interest
	date	15/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Respiratory System: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England plan to take to reduce premature mortality from respiratory disease.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	205718
	answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>The NHS Outcomes Framework 2014-15 sets out the Department’s priority areas for the National Health Service and includes reducing deaths from respiratory disease as a key indicator. In addition to this, the Mandate sets out the requirements for NHS England to improve outcomes in a range of areas, including preventing premature deaths from the biggest killers (including respiratory) and supporting people with long term physical and mental health conditions.</p><p> </p><p><em>Living Well for Longer: National Support for Local Action to Reduce Premature Mortality</em>, launched in April, sets out what the health and care system will do to achieve the Government’s ambition to be amongst the best in Europe at reducing levels of premature mortality. It brings together in one place the national actions taken by the Department of Health and wider Government, NHS England and Public Health England, in prevention, early diagnosis and treatment, focusing on the five big killers, including lung disease, and shows how they will support local leadership and interventions.</p><p> </p><p>The Department has supported a number of initiatives to help improve outcomes for people with respiratory disease. In July 2011, it published an outcomes strategy for people with chronic obstructive pulmonary disease (COPD) and asthma in England, which sets out six high-level objectives to improve outcomes in these areas through high quality prevention, detection, treatment and care services. The Department has also supported the publication of a good practice guides on services for adults with asthma, which was published in 2012.</p><p> </p><p>The National Institute for Health and Care Excellence has published Quality Standards for COPD and for asthma setting out the markers of high-quality, cost-effective care and the implementation of these will also raise the standard of care people with these conditions receive.</p><p> </p><p>The Department has collaborated with the National Review of Asthma Deaths which is examined the circumstances surrounding deaths from asthma from 1 February 2012 to 30 January 2013 and reported on its findings in May of this year. Lessons learnt about the factors that contribute to asthma deaths will inform the NHS about what constitutes good care, and encourage the development of appropriate services for people with asthma.</p><p> </p><p>Public Health England recently ran a local pilot campaign in Oldham and Rochdale to raise awareness amongst the public about the importance of visiting their general practitioner with symptoms of breathlessness.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 14:13:24 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith

93569

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he plans to take to protect the future of local breast network groups should his Department's proposal for discontinuing the National Cancer Peer Review programme from 2015 go ahead.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	210723
	answer	answer is ministerial correction date of answer 22/10/2014 answer text <p>The National Cancer Peer Review (NCPR) programme is currently under review by NHS England and a number of options are being considered. The provision of site specific networks, such as those for breast cancer, is written into the national cancer peer review requirements, therefore the future of local breast network groups will be decided as part of the review of the NCPR programme. As yet however, no decision has been made.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 210989 question first answered 22/10/2014 15:15:00 answering member 3918 label Biography information for Jane Ellison
	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

178539

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of the capacity of NHS trusts to provide breast radiology services.
	tabling member constituency	Crawley
	tabling member printed	Henry Smith
	uin	223767
	answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>NHS England has been working with Public Health England, the Royal College of Radiologists (RCR) and The British Society of Breast Radiology on this matter. The RCR is planning to undertake a survey this spring of all breast imaging services to evaluate the current and future workforce and service needs. We will work with Health Education England to support workforce development and change as needed for this area of radiology.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/02/2015 17:40:50 answering member 3918 label Biography information for Jane Ellison
	tabling member	3960 label Biography information for Henry Smith