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381482

registered interest
date	16/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make available on the NHS telescopic tube technology for the diagnosis of cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2665
answer	answer is ministerial correction date of answer 24/06/2015 answer text <p>Endobronchial ultrasound-guided transbronchial needle aspiration is available on the National Health Service.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/06/2015 11:34:15 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

381484

registered interest
date	16/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cervical Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent steps he has taken to ensure availability of regular cervical cancer screening in women over 40.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2666
answer	answer is ministerial correction date of answer 24/06/2015 answer text <p>The Northern Ireland Executive is responsible for healthcare in Northern Ireland. The answer to this parliamentary question on cervical screening gives the position in England.</p><p> </p><p> </p><p> </p><p>The NHS Cervical Screening Programme in England offers screening to women aged 25 to 49 every three years, and women aged 50 to 64 every five years. Women aged over 65 should only be screened if they have not been screened since age 50 or if they have had recent abnormal results.</p><p> </p><p> </p><p> </p><p>Public Health England continues to work with NHS England to develop a system of performance improvement to increase screening coverage amongst all eligible age groups, particularly in disadvantaged communities. We fully support efforts to warn women aged 40 to 64 about the risks of missing their appointments, as it is important that women above vaccination age realise that cervical screening is the best way to prevent cervical cancer as abnormalities can be detected and treated at an earlier stage.</p><p> </p><p> </p><p> </p><p>In April 2012 the UK National Screening Committee (UK NSC) gave its support for a pilot to assess the value of using human papilloma virus (HPV) testing as primary screening for cervical disease, rather than the currently used cytology test. The pilot is establishing the feasibility of using HPV as the primary screen for cervical disease in order to achieve better outcomes for women, while minimising over-treatment and anxiety, and whether it is practical to roll out nationally. The UK NSC will be reviewing the evidence at its forthcoming meeting in summer 2015 on whether HPV as primary screening for cervical disease should replace the currently used cytology test.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/06/2015 11:44:31 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

381486

registered interest
date	16/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hearing Impairment: Medical Treatments
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 consider the use of new drugs and treatments for hearing loss and tinnitus.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2667
answer	answer is ministerial correction date of answer 23/06/2015 answer text <p>The National Institute for Health and Care Excellence (NICE) is responsible for developing technology appraisal guidance for the National Health Service on whether new and existing treatments represent an effective use of NHS resources. NHS commissioners are required to fund drugs and treatments recommended by NICE, normally within three months of the publication of final guidance.</p><p> </p><p> </p><p> </p><p>The Department is aware of a number of treatments for specific types of hearing loss, as well tinnitus, which are currently in development. The safety and efficacy of these treatments would need to be sufficiently demonstrated in clinical trials before they could become publically available and appropriate for consideration by NICE.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 23/06/2015 10:05:33 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

349594

registered interest
date	10/06/2015
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, if he will discuss with the British Medical Association and other medical bodies the treatment of leukemia with T-cells.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1793
answer	answer is ministerial correction date of answer 18/06/2015 answer text <p>The use of innovative T-cell therapies, including CAR-T cells, to treat specific forms of leukaemia is a rapidly developing field. Clinical trials have shown that CAR-T cell therapy has been effective in treating small numbers of patients where other forms of treatment have failed to be effective. The Department will maintain close dialogue with key medical groups as this technology develops.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 18/06/2015 16:09:58 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

349186

registered interest
date	09/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Anorexia: Medical Treatments
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 the British Medical Association and other medical bodies the use of electrical probes to help cure anorexia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1555
answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>It is for the National Institute for Health and Care Excellence to provide guidance to clinicians on the use of treatments for specific conditions.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 16/06/2015 14:25:36 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

349189

registered interest
date	09/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to ensure that breast cancer scans are made available for over 70s.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1558
answer	answer is ministerial correction date of answer 17/06/2015 answer text <p>The Northern Ireland Executive is responsible for healthcare in Northern Ireland. The answer to this parliamentary question on breast screening gives the position in England.</p><p> </p><p> </p><p> </p><p>The NHS Breast Screening Programme routinely invites women aged 50 to 70 for free breast screening every three years. Women over 70 can request free three yearly screening. More details on how to self-refer can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.cancerscreening.nhs.uk/breastscreen/over-70.html" target="_blank">http://www.cancerscreening.nhs.uk/breastscreen/over-70.html</a></p><p> </p><p> </p><p> </p><p>The breast screening age extension randomisation trial began in 2008 and is investigating extending the programme to women aged 71-73 as the risk of breast cancer continues to rise after the end of routine invitations. The 2014 International Agency for Research on Cancer review concluded that screening of women aged 70 to 74 resulted in a significant reduction in breast cancer mortality. This trial will report in the 2020s. More information regarding screening over the age of 70 can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.cancerscreening.nhs.uk/breastscreen/publications/l-02.html" target="_blank">http://www.cancerscreening.nhs.uk/breastscreen/publications/l-02.html</a>.</p><p> </p><p> </p><p> </p><p>Public Health England and the NHS Breast Screening Programme recognise and support campaign work to encourage women to be aware of breast cancer, over the age of 70, such as the ‘Be Clear on Cancer’ campaign which ran. An initial interim analysis has been undertaken to assess the number of women in this age range self-referring into the breast screening programme during the campaign period. Early preliminary results currently show that during the six weeks in February/March of 2014, in which period the campaign ran, a total of 21,607 women self-referred. This was compared to 9,175 women in the equivalent six week period in 2011<sup>1</sup>, when there was no campaign running.</p><p> </p><p> </p><p> </p><p><sup>1 </sup>2011 is used as a comparator due to there being a three year screening round – i.e. women are invited for breast screening every three years up to age 70 (after which they can self-refer)</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/06/2015 15:25:13 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

349191

registered interest
date	09/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Narcolepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been diagnosed with narcolepsy in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1735
answer	answer is ministerial correction date of answer 17/06/2015 answer text <p>The Department does not hold data on the number of people that have been diagnosed with narcolepsy in each of the last five years.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/06/2015 15:15:22 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

349194

registered interest
date	09/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Stem Cells
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the likely timescale for making available on the NHS treatment for heart disease using stem cells.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1738
answer	answer is ministerial correction date of answer 17/06/2015 answer text <p>The Department is aware of the research on the use of adult stem cells to treat heart disease and supports the development of regenerative medicine technologies. As this therapy is still in the clinical trial stage, it is not possible to make any meaningful estimate of when such treatments will be available on the National Health Service.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/06/2015 10:42:48 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

349195

registered interest
date	09/06/2015
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 the average waiting times for cancer (a) assessments and (b) operations was in the last 12 months for which figures are available.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1770
answer	answer is ministerial correction date of answer 17/06/2015 answer text <p>Average waiting times for cancer assessments and operations are not collected.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/06/2015 15:09:41 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

349196

registered interest
date	09/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Education
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 encourage people to adopt a healthy lifestyle involving regular exercise, a healthy diet, brain training, and social interaction.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1771
answer	answer is ministerial correction date of answer 17/06/2015 answer text <p>Public Health England (PHE) has a number of work programmes designed to support individuals to take action to reduce their rate of cognitive decline by adopting healthy lifestyles through stopping smoking, keeping physically active, drinking less, eating well and reducing their blood pressure.</p><p> </p><p> </p><p> </p><p>PHE publishes evidence-based dietary guidance and works with a wide range of partners to, help promote consumers adopt a healthy, balanced diet as part of an overall healthy lifestyle. This includes campaigns run through PHE’s flagship social marketing platform ‘Change4Life’.</p><p> </p><p> </p><p> </p><p>PHE published <em>Everybody Active Every Day</em> to provide a whole system approach to reducing inactivity and to support more children and adults achieving the levels of physical activity and muscle strengthening exercise recommended by the Chief Medical Officer.</p><p> </p><p> </p><p> </p><p>PHE has delivered a number of initiatives that consider social interaction as a key component of health and wellbeing for the population. These include: a comprehensive review of the evidence around ‘what works’ for using a community assets based approach for reducing social isolation and reducing the need for additional healthcare to improve the quality of life for older people; and intervention pilots via general practice referral followed by full-scale intervention of ‘what works’ for reducing social isolation, based on review of currently available literature.</p><p> </p><p> </p><p> </p><p>PHE has also published an evidence <a href="https://www.gov.uk/government/publications/health-and-wellbeing-a-guide-to-community-centred-approaches" target="_blank">guide to community-centred approaches</a> that will increase people's opportunities for social interaction. We are working with national partners and localities to increase the availability of such approaches and the importance of social interaction to health and wellbeing.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/06/2015 15:00:40 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon