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  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what steps his Department is taking to improve the collection and reporting of data relating to the incidence of cancer of the unknown primary.

    Jane Ellison

    Information has recently been published by Public Health England’s National Cancer Intelligence Network (NCIN) about the routes taken by patients prior to a diagnosis of cancer of unknown primary (CUP), and the links between age and socio-economic deprivation and CUP. These publications increase our understanding of the epidemiology of CUP and allow clinical teams to benchmark their levels of CUP diagnoses.

    A survey of CUP registration and reporting practices in the United Kingdom, Ireland and Australia was recently conducted by the NCIN and the University of New South Wales. The results, which identified differences in CUP registration practice, are currently being analysed by the NCIN and will be used to develop a better understanding of historic data. The findings can also support and inform future standardisation of national and international registration guidance.

    Preliminary results from the CUP survey will be presented at the Cancer Outcomes Conference – the Power of Information 2014.

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what steps he is taking to reduce the incidence of patients with cancer of the unknown primary first presenting at accident and emergency.

    Jane Ellison

    NHS England expects that the treatment and care for patients with Cancer of Unknown Primary reflects patients’ needs and preferences and that services are provided taking into account National Institute for Health and Care Excellence (NICE) guidelines.

    Public Health England leads on developing a public health strategy for England which aims to tackle ‘upstream’ factors to reduce risks from cancer caused by tobacco, alcohol and obesity and to promote health through improved diets and exercise promotion. The National Health Service has a key role to play in supporting local authorities by commissioning smoking cessation services, specialist alcohol services, as well as through raising awareness of lifestyle risks with people who are in contact with NHS services and providing intensive support where needed.

    Alongside supporting Public Health England to increase symptom awareness amongst the general population, NHS England is also working to increase cancer symptom awareness amongst healthcare professionals, and to provide support to general practitioners in early diagnosis.

    In 2013-14 NHS England made £2.3 million available to support improved symptom awareness and early diagnosis. The majority of this funding was provided to strategic clinical networks which have the function of coordinating a more strategic approach to the development of cancer commissioning and provision in England. They also support early diagnosis through delivery of transparent data about performance in outcomes. For example, new indicators on stage of diagnosis of cancer and diagnosis through emergency routes are being introduced as part of the clinical commissioning group (CCG) outcomes indicator set in 2014-15. This will support CCGs to understand how their local communities are performing in relation to cancer outcomes.

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what steps he is taking to increase the amount of research undertaken into ways to detect the origin of primary cancer in those suffering from cancer of the unknown primary.

    Dr Daniel Poulter

    Research infrastructure funded by the Department’s National Institute for Health Research (NIHR) is currently hosting the following study:

    A multi-centre phase II trial to assess the efficacy of epirubicin, cisplatin and capecitabine in carcinomas of unknown primary: incorporating the prospective validation of molecular classifiers in diagnosis and classification and exploratory metabonomics.

    Overall NIHR investment in cancer research increased from £102 million in 2009-10 to £133 million in 2012-13. The NIHR welcomes funding applications for research into any aspect of human health, including cancer of unknown primary. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and the National Health Service, value for money and scientific quality.

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, whether the Government plans to respond to the recommendations set out in the report of the All Party Parliamentary Group on Skin on sunbed regulation published in 2014.

    Jane Ellison

    The Government has noted the report and is currently considering how to respond to the recommendations.

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what estimate he has made of the potential cost of extending the human papilloma virus vaccination programme to include all boys aged 12 and 13 years.

    Jane Ellison

    We have not made any estimate of extending the human papillomavirus (HPV) vaccination programme to include boys aged 12 and 13 years, as the Joint Committee on Vaccination and Immunisation has not yet completed its consideration of whether HPV vaccine should be offered to males.

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what the Government’s assessment is of the effectiveness of warning labels on alcoholic beverages regarding drinking during pregnancy; and what assessment he has made of the potential benefits of making such labels mandatory.

    Jane Ellison

    Research in the evidence around the effectiveness of alcohol harm reduction communications and related campaigns suggests that labelling and point of sale information can have an impact on consumption, in conjunction with broader campaigns to raise consumer awareness and education on the health risks linked to alcohol consumption.

    As part of the Public Health Responsibility Deal, alcohol retailers and producers have committed to putting an agreed warning or a pregnancy warning logo on 80% of labels on bottles and cans by the end of 2013. An independent market survey is underway to measure compliance. This level of coverage should allow the majority of consumers to see the pregnancy warning and logo.

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what assessment he has made of the importance of psychological support services for patients suffering from cancer of the unknown primary.

    Jane Ellison

    The National Institute for Health and Care Excellence (NICE) guidance manual: Improving Supportive and Palliative Care for Adults with Cancer (www.nice.org.uk/nicemedia/pdf/csgspmanual.pdf) provides a framework for the provision of psychological support in people with cancer – including cancer of unknown primary.

    The NICE clinical guideline for Depression with a chronic physical health problem (CG91) is also a useful resource.

    All patients should have systematic psychological assessment and have access to an appropriate psychological intervention from professionals competent to provide them.

  • David Simpson – 2014 Parliamentary Question to the Department of Health

    David Simpson – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Health, what steps his Department is taking to maintain and improve specialist services for children suffering from brittle bone disease.

    Dr Daniel Poulter

    The nature of brittle bone disease requires care across the healthcare system, the majority being provided in the community by a variety of therapists with involvement from a wide multi-disciplinary team. The provision of services for children with brittle bone disease in Northern Ireland will be a matter for the Northern Ireland Executive and the health service in Northern Ireland.

    In England, in the majority of cases the local clinical commissioning group (CCG) will decide on the level of provision of services, taking into account the needs of the population it serves. The CCG’s decisions are underpinned by clinical insight and knowledge of local healthcare needs.

    Complex childhood brittle bone services in England are commissioned by NHS England which has developed a specification for these services. This can be found at:

    www.england.nhs.uk/wp-content/uploads/2013/06/e13-child-osteo-imperfecta.pdf

  • David Simpson – 2014 Parliamentary Question to the Department of Health

    David Simpson – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Health, what recent progress he has made on ensuring that mental health has equal standing with physical health.

    Norman Lamb

    Mental health has been a priority for this Government for several years now. We made this commitment explicit in the Health and Social Care Act 2012 which, for the first time, creates equal status for mental and physical health across Government and for the NHS and social care.

    The Ministerial Advisory Group brings together individuals and organisations with a specific interest in the cross government mental health strategy No Health Without Mental Health and how it is delivered.

    The Mandate to NHS England 2014-15 makes clear that ‘everyone who needs it should have timely access to evidence-based services’, this will involve extending and ensuring more open access to programmes, in particular for children and young people, and for those out of work.

    Closing the Gap, our new mental health action plan, which has attracted widespread, cross-sector support, sets out our priorities for essential change in mental health, 25 areas where people can expect to see and experience the fastest changes. The document challenges the health and social care community to move further and faster to transform care and support; the public health community, alongside local government, to give health and wellbeing promotion and prevention the long-overdue attention it needs and deserves; and individuals and communities to shift attitudes in mental health.

    The Department of Health is leading an information revolution around mental health. The new national Mental Health Intelligence Network will draw together comprehensive information about mental health and wellbeing.

    The new Crisis Care Concordat, signed by more than 20 national organisations, is a commitment for all agencies involved in supporting someone in a crisis to work together to improve the system of care and support so people in crisis are kept safe and helped to find the support they need. All the signatories have pledged to work together and our expectation is that, in every locality in England, local partnerships of health, criminal justice and local authority agencies will agree and commit to local Mental Health Crisis Declarations.

    System partners are also taking responsibility for the drive for parity. Public Health England (PHE) has made a commitment to addressing parity of esteem through prioritising mental health and working to embed it throughout all PHE programmes. Greater attention is needed to mental health throughout the public health system and PHE seeks to enable and support this through its leadership and delivery of a Wellbeing and Mental Health programme. It is supporting local authorities and other partners to give greater attention to mental health within the public health system.

    PHE was established on 1 April 2013 with the mission to protect and improve the nation’s health and to address inequalities through working with national and local government, the NHS, industry and the voluntary and community sector. PHE is an operationally autonomous executive agency of the Department of Health.

    PHE has made a commitment to addressing parity of esteem through prioritising mental health and working to embed it throughout all its programmes. Greater attention is needed to mental health throughout the public health system and PHE seeks to enable and support this through its leadership and delivery of a Wellbeing and Mental Health programme. It is supporting local authorities and other partners to give greater attention to mental health within the public health system.

    Their approach centres on the following five main objectives:

    1. Promoting good mental health and improving population wellbeing;

    2. Preventing mental health problems and preventing suicide and self-harm;

    3. Supporting people living with and recovering from mental illness;

    4. Tackling inequalities and improving the wider determinants of wellbeing and mental health; and

    5. Enabling and embedding wellbeing and mental health across the public health system.

    PHE has embraced the principles of Parity of Esteem and from the outset and all through transition, there has been a commitment by PHE to ensure mental health is a core part of the new public health system and PHE’s work. Even though there was no central national resource attached to mental health to be transferred into PHE, they have invested in establishing a presence for mental health across their work and they continue to embed population mental health and wellbeing across public health.

    Health Education England is developing training programmes that will enable all healthcare employers to ensure that their staff have a greater awareness of mental health problems and how they may affect their patients. This will include understanding the links between patient’s physical and mental health, so that staff know what actions they can take to ensure that patients receive appropriate support for both their mental and physical health care needs.

  • David Simpson – 2014 Parliamentary Question to the Department for Communities and Local Government

    David Simpson – 2014 Parliamentary Question to the Department for Communities and Local Government

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Communities and Local Government, what steps his Department is taking to assist homeowners facing problems paying their mortgages and to provide practical advice and support.

    Kris Hopkins

    The Council of Mortgage Lenders reported 28,900 repossessions in 2013, down from 33,900 in 2012 and the lowest level since 2007. It has revised down its forecasts for 2014 to 28,000. The Government is not complacent, but believes this fall in repossessions is a consequence of improved arrears management by lenders and action the Coalition Government has taken to tackle the deficit and keep interest rates down.

    Homeowners struggling with mortgage payments should take action as soon as possible by discussing their situation with their lender or contacting money advice experts such as Citizens Advice, Shelter, StepChange or National Debtline for free and independent advice on taking control of their finances.

    Government support is available in the form of Support for Mortgage Interest, paid as part of DWP benefits to help eligible out-of-work households meet their monthly mortgage interest payments. The Budget in March this year extended the enhancements to the Support for Mortgage Interest scheme (a shortened 13 week waiting period and an increased capital limit of £200,000), until 31 March 2016.

    Within England the Government continues to ensure the provision of free on-the-day legal advice (the Housing Possession Court Duty Scheme) to assist households at possession hearings. We are providing £470 million of funding in the current Spending Review period to prevent and tackle homelessness and repossessions.