{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?houseId=1&max-date=2019-02-04&hansardHeading=Cervical+Cancer%3A+Screening", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?houseId=1&max-date=2019-02-04&hansardHeading=Cervical+Cancer%3A+Screening", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?houseId=1&max-date=2019-02-04&_metadata=all&hansardHeading=Cervical+Cancer%3A+Screening", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?_page=0&houseId=1&max-date=2019-02-04&hansardHeading=Cervical+Cancer%3A+Screening", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?houseId=1&max-date=2019-02-04&hansardHeading=Cervical+Cancer%3A+Screening", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?houseId=1&max-date=2019-02-04&hansardHeading=Cervical+Cancer%3A+Screening", "items" : [{"_about" : "http://data.parliament.uk/resources/1054864", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1054864/answer", "answerText" : {"_value" : "

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>

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>

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>

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>

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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2019-02-07", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-02-07T17:33:04.317Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-02-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "216351"} , {"_about" : "http://data.parliament.uk/resources/1054954", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1054954/answer", "answerText" : {"_value" : "

Public Health England is working to raise awareness of this disease and encourage women to attend cervical screening through the national \u2018Be Clear on Cancer\u2019 campaigns, which have been run in partnership with Cancer Research UK since 2011.<\/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>

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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2019-02-07", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-02-07T17:33:42.717Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-02-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4522", "label" : {"_value" : "Biography information for Rebecca Pow"} } , "tablingMemberConstituency" : {"_value" : "Taunton Deane"} , "tablingMemberPrinted" : [{"_value" : "Rebecca Pow"} ], "uin" : "909064"} , {"_about" : "http://data.parliament.uk/resources/1041627", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1041627/answer", "answerText" : {"_value" : "

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>

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>

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>

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>

https://legacyscreening.phe.org.uk/cervicalcancer-qa<\/a><\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2019-01-22", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-01-22T15:11:53.373Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-01-15", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/478", "label" : {"_value" : "Biography information for Lord Field of Birkenhead"} } , "tablingMemberConstituency" : {"_value" : "Birkenhead"} , "tablingMemberPrinted" : [{"_value" : "Frank Field"} ], "uin" : "208783"} , {"_about" : "http://data.parliament.uk/resources/1037085", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1037085/answer", "answerText" : {"_value" : "

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>

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>

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>

https://www.gov.uk/government/publications/uk-nsc-evidence-review-process<\/a><\/p>

<\/p>

NHS England is currently working to implement primary human papillomavirus screening in England.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2019-01-15", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-01-15T12:11:45.157Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-01-07", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "205920"} , {"_about" : "http://data.parliament.uk/resources/1037122", "AnsweringBody" : [{"_value" : "Women and Equalities"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1037122/answer", "answerText" : {"_value" : "

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>

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>

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>

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><\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4399", "label" : {"_value" : "Biography information for Victoria Atkins"} } , "answeringMemberConstituency" : {"_value" : "Louth and Horncastle"} , "answeringMemberPrinted" : {"_value" : "Victoria Atkins"} , "dateOfAnswer" : {"_value" : "2019-01-15", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-01-15T17:39:22.723Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "31"} , "answeringDeptShortName" : {"_value" : "Women and Equalities"} , "answeringDeptSortName" : {"_value" : "Women and Equalities"} , "date" : {"_value" : "2019-01-07", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "205928"} , {"_about" : "http://data.parliament.uk/resources/1020318", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1020318/answer", "answerText" : {"_value" : "

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\u2019s Cervical Cancer Trust.<\/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>

Jo\u2019s 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>

NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo\u2019s Trust in the Time to Screen campaign and the development of a new \u2018Be Clear on Cancer\u2019 campaign for early 2019 promoting uptake of cervical screening.<\/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>

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>

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>

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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2018-12-10", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "199347"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-12-10T15:34:24.923Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-12-05", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps he is taking to improve uptake of cervical screening.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1533", "label" : {"_value" : "Biography information for Dame Diana Johnson"} } , "tablingMemberConstituency" : {"_value" : "Kingston upon Hull North"} , "tablingMemberPrinted" : [{"_value" : "Diana Johnson"} ], "uin" : "199346"} , {"_about" : "http://data.parliament.uk/resources/1020321", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1020321/answer", "answerText" : {"_value" : "

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\u2019s Cervical Cancer Trust.<\/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>

Jo\u2019s 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>

NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo\u2019s Trust in the Time to Screen campaign and the development of a new \u2018Be Clear on Cancer\u2019 campaign for early 2019 promoting uptake of cervical screening.<\/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>

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>

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>

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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2018-12-10", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "199346"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-12-10T15:34:24.987Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-12-05", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1533", "label" : {"_value" : "Biography information for Dame Diana Johnson"} } , "tablingMemberConstituency" : {"_value" : "Kingston upon Hull North"} , "tablingMemberPrinted" : [{"_value" : "Diana Johnson"} ], "uin" : "199347"} , {"_about" : "http://data.parliament.uk/resources/1020322", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1020322/answer", "answerText" : {"_value" : "

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>

NHS England has invested over £200 million since 2016 to transform cancer services across England.<\/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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2018-12-10", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-12-10T15:25:09.577Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-12-05", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1533", "label" : {"_value" : "Biography information for Dame Diana Johnson"} } , "tablingMemberConstituency" : {"_value" : "Kingston upon Hull North"} , "tablingMemberPrinted" : [{"_value" : "Diana Johnson"} ], "uin" : "199348"} , {"_about" : "http://data.parliament.uk/resources/1020420", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1020420/answer", "answerText" : {"_value" : "

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>

In addition, the NHS Cervical Screening Programme\u2019s 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>

https://www.gov.uk/guidance/cervical-screening-education-and-training<\/a><\/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 \u2013 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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2018-12-10", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-12-10T15:43:37.293Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-12-05", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1533", "label" : {"_value" : "Biography information for Dame Diana Johnson"} } , "tablingMemberConstituency" : {"_value" : "Kingston upon Hull North"} , "tablingMemberPrinted" : [{"_value" : "Diana Johnson"} ], "uin" : "199349"} , {"_about" : "http://data.parliament.uk/resources/1019322", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1019322/answer", "answerText" : {"_value" : "

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\u2019s Cervical Cancer Trust.<\/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>

Jo\u2019s 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>

NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo\u2019s Trust in the Time to Screen campaign and the development of a new \u2018Be Clear on Cancer\u2019 campaign for early 2019 promoting uptake of cervical screening.<\/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>

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>

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>

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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2018-12-06", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-12-06T14:22:41.313Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-12-03", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4056", "label" : {"_value" : "Biography information for Nic Dakin"} } , "tablingMemberConstituency" : {"_value" : "Scunthorpe"} , "tablingMemberPrinted" : [{"_value" : "Nic Dakin"} ], "uin" : "198377"} ], "itemsPerPage" : 10, "next" : "http://eldaddp.azurewebsites.net/answeredquestions.text?_page=1&houseId=1&max-date=2019-02-04&hansardHeading=Cervical+Cancer%3A+Screening", "page" : 0, "startIndex" : 1, "totalResults" : 76, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} }