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  • Jim Shannon – 2015 Parliamentary Question to the Department of Health

    Jim Shannon – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2015-11-09.

    To ask the Secretary of State for Health, what steps he is taking to ensure that young women attend screening for cervical cancer.

    Jane Ellison

    The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy. The UK NSC reviews its recommendations on a three year basis or earlier if any new peer reviewed evidence emerges.

    The UK NSC is currently reviewing the evidence on whether human papillomavirus testing as primary screening for cervical disease should replace the currently used cytology test and whether faecal immunochemical testing could be used as the primary screening marker in the NHS Bowel Cancer Screening Programme. Public consultations on both reviews have just closed and the UK NSC is expected to make a recommendation to ministers later this month.

    The NHS Breast Screening Programme is currently carrying out a long-term trial to investigate extending current screening eligibility to women aged 47-49 and 71-73. Over two million women have taken part in a randomised control trial, with the impact on breast cancer mortality rates due to be reported in the early 2020s. The UK NSC will consider the research evidence when it is published.

    We are not aware of steps being taken by employers to enable staff to take time off work to attend cancer screening appointments. However, Macmillan has produced, “Your rights at work” an information leaflet on reasonable adjustments in the workplace for people who have or have had cancer.

    In 2011, the UK NSC recommended that bowel scope screening could be offered in addition to the homes testing kit as part of the NHS Bowel Cancer Screening Programme. Currently 76% of bowel scope screening centres in England are operational, and the Secretary of State’s commitment is to have this programme rolled out to all screening centres in England by the end of 2016. Health Education England has commissioned a training pilot for non-medical endoscopists (NMEs) to provide accelerated training in certain diagnostics procedures, with the aim of providing additional screening capacity. The pilot will commence in January 2016. A framework has also been developed to help NMEs demonstrate that they have achieved the competency levels required for their role.

    The NHS Screening Programmes have a dedicated team who oversee education, training and stakeholder information. This involves working closely with Royal Colleges, Professional bodies, stakeholder groups, NHS England, Health Education England and the Public Health England campaigns team. A vast range of educational resources exist which are free to NHS staff and cover all screening programme plus the theory and practice of screening. The team is currently expanding the range of taught courses and e-learning resources to make learning more accessible. Accessible patient information is available to educate users of the service and enable informed choices regarding screening. This is complemented by a comprehensive set of material on NHS Choices regarding all 11 NHS Screening Programmes. Patient information is constantly updated and users are involved in the reviews and evaluation of all materials.

    To increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected in spring 2016.

    In addition, the Department of Health Behavioural Insight team is developing a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening.

  • Jim Shannon – 2015 Parliamentary Question to the Department of Health

    Jim Shannon – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2015-11-09.

    To ask the Secretary of State for Health, what steps he is taking to increase the number of educational programmes on cancer screening.

    Jane Ellison

    The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy. The UK NSC reviews its recommendations on a three year basis or earlier if any new peer reviewed evidence emerges.

    The UK NSC is currently reviewing the evidence on whether human papillomavirus testing as primary screening for cervical disease should replace the currently used cytology test and whether faecal immunochemical testing could be used as the primary screening marker in the NHS Bowel Cancer Screening Programme. Public consultations on both reviews have just closed and the UK NSC is expected to make a recommendation to ministers later this month.

    The NHS Breast Screening Programme is currently carrying out a long-term trial to investigate extending current screening eligibility to women aged 47-49 and 71-73. Over two million women have taken part in a randomised control trial, with the impact on breast cancer mortality rates due to be reported in the early 2020s. The UK NSC will consider the research evidence when it is published.

    We are not aware of steps being taken by employers to enable staff to take time off work to attend cancer screening appointments. However, Macmillan has produced, “Your rights at work” an information leaflet on reasonable adjustments in the workplace for people who have or have had cancer.

    In 2011, the UK NSC recommended that bowel scope screening could be offered in addition to the homes testing kit as part of the NHS Bowel Cancer Screening Programme. Currently 76% of bowel scope screening centres in England are operational, and the Secretary of State’s commitment is to have this programme rolled out to all screening centres in England by the end of 2016. Health Education England has commissioned a training pilot for non-medical endoscopists (NMEs) to provide accelerated training in certain diagnostics procedures, with the aim of providing additional screening capacity. The pilot will commence in January 2016. A framework has also been developed to help NMEs demonstrate that they have achieved the competency levels required for their role.

    The NHS Screening Programmes have a dedicated team who oversee education, training and stakeholder information. This involves working closely with Royal Colleges, Professional bodies, stakeholder groups, NHS England, Health Education England and the Public Health England campaigns team. A vast range of educational resources exist which are free to NHS staff and cover all screening programme plus the theory and practice of screening. The team is currently expanding the range of taught courses and e-learning resources to make learning more accessible. Accessible patient information is available to educate users of the service and enable informed choices regarding screening. This is complemented by a comprehensive set of material on NHS Choices regarding all 11 NHS Screening Programmes. Patient information is constantly updated and users are involved in the reviews and evaluation of all materials.

    To increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected in spring 2016.

    In addition, the Department of Health Behavioural Insight team is developing a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening.

  • Jim Shannon – 2015 Parliamentary Question to the Department of Health

    Jim Shannon – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2015-11-09.

    To ask the Secretary of State for Health, what steps he is taking the encourage employers to enable staff to take time off work to attend cancer screening appointments.

    Jane Ellison

    The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy. The UK NSC reviews its recommendations on a three year basis or earlier if any new peer reviewed evidence emerges.

    The UK NSC is currently reviewing the evidence on whether human papillomavirus testing as primary screening for cervical disease should replace the currently used cytology test and whether faecal immunochemical testing could be used as the primary screening marker in the NHS Bowel Cancer Screening Programme. Public consultations on both reviews have just closed and the UK NSC is expected to make a recommendation to ministers later this month.

    The NHS Breast Screening Programme is currently carrying out a long-term trial to investigate extending current screening eligibility to women aged 47-49 and 71-73. Over two million women have taken part in a randomised control trial, with the impact on breast cancer mortality rates due to be reported in the early 2020s. The UK NSC will consider the research evidence when it is published.

    We are not aware of steps being taken by employers to enable staff to take time off work to attend cancer screening appointments. However, Macmillan has produced, “Your rights at work” an information leaflet on reasonable adjustments in the workplace for people who have or have had cancer.

    In 2011, the UK NSC recommended that bowel scope screening could be offered in addition to the homes testing kit as part of the NHS Bowel Cancer Screening Programme. Currently 76% of bowel scope screening centres in England are operational, and the Secretary of State’s commitment is to have this programme rolled out to all screening centres in England by the end of 2016. Health Education England has commissioned a training pilot for non-medical endoscopists (NMEs) to provide accelerated training in certain diagnostics procedures, with the aim of providing additional screening capacity. The pilot will commence in January 2016. A framework has also been developed to help NMEs demonstrate that they have achieved the competency levels required for their role.

    The NHS Screening Programmes have a dedicated team who oversee education, training and stakeholder information. This involves working closely with Royal Colleges, Professional bodies, stakeholder groups, NHS England, Health Education England and the Public Health England campaigns team. A vast range of educational resources exist which are free to NHS staff and cover all screening programme plus the theory and practice of screening. The team is currently expanding the range of taught courses and e-learning resources to make learning more accessible. Accessible patient information is available to educate users of the service and enable informed choices regarding screening. This is complemented by a comprehensive set of material on NHS Choices regarding all 11 NHS Screening Programmes. Patient information is constantly updated and users are involved in the reviews and evaluation of all materials.

    To increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected in spring 2016.

    In addition, the Department of Health Behavioural Insight team is developing a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening.

  • Jim Shannon – 2015 Parliamentary Question to the Department of Health

    Jim Shannon – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2015-11-09.

    To ask the Secretary of State for Health, when he next plans to review the effectiveness of cancer screening for women.

    Jane Ellison

    The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy. The UK NSC reviews its recommendations on a three year basis or earlier if any new peer reviewed evidence emerges.

    The UK NSC is currently reviewing the evidence on whether human papillomavirus testing as primary screening for cervical disease should replace the currently used cytology test and whether faecal immunochemical testing could be used as the primary screening marker in the NHS Bowel Cancer Screening Programme. Public consultations on both reviews have just closed and the UK NSC is expected to make a recommendation to ministers later this month.

    The NHS Breast Screening Programme is currently carrying out a long-term trial to investigate extending current screening eligibility to women aged 47-49 and 71-73. Over two million women have taken part in a randomised control trial, with the impact on breast cancer mortality rates due to be reported in the early 2020s. The UK NSC will consider the research evidence when it is published.

    We are not aware of steps being taken by employers to enable staff to take time off work to attend cancer screening appointments. However, Macmillan has produced, “Your rights at work” an information leaflet on reasonable adjustments in the workplace for people who have or have had cancer.

    In 2011, the UK NSC recommended that bowel scope screening could be offered in addition to the homes testing kit as part of the NHS Bowel Cancer Screening Programme. Currently 76% of bowel scope screening centres in England are operational, and the Secretary of State’s commitment is to have this programme rolled out to all screening centres in England by the end of 2016. Health Education England has commissioned a training pilot for non-medical endoscopists (NMEs) to provide accelerated training in certain diagnostics procedures, with the aim of providing additional screening capacity. The pilot will commence in January 2016. A framework has also been developed to help NMEs demonstrate that they have achieved the competency levels required for their role.

    The NHS Screening Programmes have a dedicated team who oversee education, training and stakeholder information. This involves working closely with Royal Colleges, Professional bodies, stakeholder groups, NHS England, Health Education England and the Public Health England campaigns team. A vast range of educational resources exist which are free to NHS staff and cover all screening programme plus the theory and practice of screening. The team is currently expanding the range of taught courses and e-learning resources to make learning more accessible. Accessible patient information is available to educate users of the service and enable informed choices regarding screening. This is complemented by a comprehensive set of material on NHS Choices regarding all 11 NHS Screening Programmes. Patient information is constantly updated and users are involved in the reviews and evaluation of all materials.

    To increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected in spring 2016.

    In addition, the Department of Health Behavioural Insight team is developing a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening.

  • Jim Shannon – 2015 Parliamentary Question to the Department of Health

    Jim Shannon – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2015-11-09.

    To ask the Secretary of State for Health, what steps he is taking to ensure that cancer communities are targeted towards all age groups and people with learning disabilities.

    Jane Ellison

    We understand the hon. Member is referring to cancer communications.

    Public Health England (PHE) runs a number of Be Clear on Cancer (BCoC) campaigns to encourage symptom recognition and earlier general practitioner (GP) presentation. The campaigns have been running since early 2011 and have covered a number of cancers nationally and regionally. Incidence increases with age for most cancers and BCoC targets men and women over 50, especially those from lower socioeconomic groups, as there is evidence that these individuals are more likely to delay seeing their GP. Although BCoC campaigns target people over 50, they do reach a much wider age group because of national media campaign activity.

    Specialist organisations are consulted on campaign development to ensure that communications are accessible and inclusive. These have included Mencap, the Foundation for People with Learning Disabilities, and EasyHealth, specifically targeting people with learning disabilities and using their networks to share information effectively. In addition, campaign materials are produced in alternative formats, including easy read. Disability and carer organisations are sent tailored briefing sheets and toolkits to ensure their members are aware of campaign messages and the availability of alternative formats. Following each campaign, PHE seeks feedback from the disability and carer organisations it has worked with to evaluate the success of the engagement and ensure improvements are made where possible.

    Locally, there are also a number of good examples where the National Health Service is tailoring its communications to ensure they are accessible to all groups, including those with learning disabilities. NHS England is exploring how these can be taken forward and built on at a national level. For example, easy read versions of cancer screening leaflets are available for people with learning disabilities.

  • Mrs Anne-Marie Trevelyan – 2015 Parliamentary Question to the Department of Health

    Mrs Anne-Marie Trevelyan – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Mrs Anne-Marie Trevelyan on 2015-11-09.

    To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England is taking to ensure that autism diagnosis waiting times for (i) children and (ii) adults in Northumberland meet NICE guidance.

    Alistair Burt

    The Department issued new statutory guidance in March this year for local authorities and National Health Service organisations to support the continued implementation of the 2010 Autism Strategy, as refreshed by its 2014 Think Autism update. This sets out what people seeking an autism diagnosis can expect from Local Authorities and NHS bodies.

    The Department has also discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups to discuss good practice in meeting the National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism, and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the NHS to be working towards meeting the recommendations.

    We are aware that Northumberland continues to make significant progress in improving access to services. A child will wait no longer between initial referral and treatment than 12 weeks and the majority are seen within nine weeks. Northumberland has also invested in adult autism diagnosis services and has an agreed programme with Northumberland, Tyne and Wear NHS Foundation Trust designed to deliver the NICE guidelines for adults by September 2016. Urgent cases are seen earlier and those on waiting lists, whose needs escalate, are given access to services as required. There is also a newly developed emotional health and wellbeing strategy for children and young people in Northumberland which will aim seek to identify children with autism at an earlier age and ultimately provide earlier treatment.

    NHS England is promoting the engagement services with children and young people. All children, young people and adults, including those with autism or a learning disability, who are receiving care from the NHS, should have the opportunity to provide feedback via the Friends and Family Test. There should also be consideration given to capturing the views of parents and carers. In addition, the autism statutory guidance mentioned above states that NHS bodies and NHS foundation trusts should look at people’s experiences of the autism diagnostic process locally and assure themselves that this is acceptable.

  • Poulter – 2015 Parliamentary Question to the Department of Health

    Poulter – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Poulter on 2015-11-09.

    To ask the Secretary of State for Health, what estimate he has made of the average frequency of evening and weekend work by junior doctors in the most recent period for which figures are available.

    Ben Gummer

    NHS Employers’ evidence to the Review Body on Doctors’ and Dentists’ Remuneration – “Reform of national contracts for consultant doctors and doctors and dentists in training”1 published in December 2014 during the hon. Member’s tenure as a Minister, included a profile of how the hours worked by doctors in training were spread across the week.

    We have evidence that hospital leaders consider the junior doctors’ contract to be a significant barrier to delivering more seven-day services. NHS Providers’ written evidence to the Review Body on Doctors’ and Dentists’ Remuneration on contract reform for consultants and doctors and dentists in training2 stated that the junior doctor contract is still a significant source of barriers to seven day working and reform of the junior doctor contract is also required to support trusts to deliver more seven-day services. In particular, the pay banding system for junior doctors needs to be reviewed. There were concerns from employers that the banding system is too complicated, can create “perverse incentives” for junior doctors and hospital management, and means that providing more seven-day services is unfeasible, since more junior doctors would be working outside core hours and receive premiums under the current banding system. NHS Providers also believe that more hours in a day and more days of the week need to be defined as core hours, as the current arrangement does not support the delivery of more seven-day services or reflect the needs and expectations of today’s patients.

    Future working patterns are for individual employers to determine. The evidence on doctors’ working patterns has not altered since the hon. Member was a Minister for Health.

    1 http://www.nhsemployers.org/your-workforce/pay-and-reward/pay/medical-pay/ddrb-evidence—in-detail/consultants-and-junior-doctors-contract-reform-submission-of-evidence-to-the-ddrb

    2 http://www.nhsproviders.org/resource-library/written-evidence-ddrb-special-remit/

  • Mrs Anne-Marie Trevelyan – 2015 Parliamentary Question to the Department of Health

    Mrs Anne-Marie Trevelyan – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Mrs Anne-Marie Trevelyan on 2015-11-09.

    To ask the Secretary of State for Health, what steps he is taking to (a) increase awareness of autism and (b) ensure that diagnosis times are improved.

    Alistair Burt

    The Department issued new statutory guidance in March this year for local authorities and National Health Service organisations to support the continued implementation of the 2010 Autism Strategy, as refreshed by its 2014 Think Autism update. This sets out what people seeking an autism diagnosis can expect from Local Authorities and NHS bodies.

    The Department has also discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups to discuss good practice in meeting the National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism, and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the NHS to be working towards meeting the recommendations.

    We are aware that Northumberland continues to make significant progress in improving access to services. A child will wait no longer between initial referral and treatment than 12 weeks and the majority are seen within nine weeks. Northumberland has also invested in adult autism diagnosis services and has an agreed programme with Northumberland, Tyne and Wear NHS Foundation Trust designed to deliver the NICE guidelines for adults by September 2016. Urgent cases are seen earlier and those on waiting lists, whose needs escalate, are given access to services as required. There is also a newly developed emotional health and wellbeing strategy for children and young people in Northumberland which will aim seek to identify children with autism at an earlier age and ultimately provide earlier treatment.

    NHS England is promoting the engagement services with children and young people. All children, young people and adults, including those with autism or a learning disability, who are receiving care from the NHS, should have the opportunity to provide feedback via the Friends and Family Test. There should also be consideration given to capturing the views of parents and carers. In addition, the autism statutory guidance mentioned above states that NHS bodies and NHS foundation trusts should look at people’s experiences of the autism diagnostic process locally and assure themselves that this is acceptable.

  • Edward Argar – 2015 Parliamentary Question to the Department of Health

    Edward Argar – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Edward Argar on 2015-11-09.

    To ask the Secretary of State for Health, what steps the Government is taking to support research into mesothelioma.

    George Freeman

    The Department’s National Institute for Health Research (NIHR) and the Medical Research Council welcomes funding applications for research into any aspect of human health, including mesothelioma. These applications are subject to peer review and judged in open competition. These funders together spent over £3 million on mesothelioma research in 2014/15.

    Following a themed call for mesothelioma research proposals, the NIHR has approved funding for two new projects (a total of about £0.5 million subject to contract) and a further two applications are currently under review.

  • Poulter – 2015 Parliamentary Question to the Department of Health

    Poulter – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Poulter on 2015-11-09.

    To ask the Secretary of State for Health, what estimate he has made of the expected average frequency of evening and weekend work by junior doctors under the proposed changes to junior doctors’ contracts.

    Ben Gummer

    NHS Employers’ evidence to the Review Body on Doctors’ and Dentists’ Remuneration – “Reform of national contracts for consultant doctors and doctors and dentists in training”1 published in December 2014 during the hon. Member’s tenure as a Minister, included a profile of how the hours worked by doctors in training were spread across the week.

    We have evidence that hospital leaders consider the junior doctors’ contract to be a significant barrier to delivering more seven-day services. NHS Providers’ written evidence to the Review Body on Doctors’ and Dentists’ Remuneration on contract reform for consultants and doctors and dentists in training2 stated that the junior doctor contract is still a significant source of barriers to seven day working and reform of the junior doctor contract is also required to support trusts to deliver more seven-day services. In particular, the pay banding system for junior doctors needs to be reviewed. There were concerns from employers that the banding system is too complicated, can create “perverse incentives” for junior doctors and hospital management, and means that providing more seven-day services is unfeasible, since more junior doctors would be working outside core hours and receive premiums under the current banding system. NHS Providers also believe that more hours in a day and more days of the week need to be defined as core hours, as the current arrangement does not support the delivery of more seven-day services or reflect the needs and expectations of today’s patients.

    Future working patterns are for individual employers to determine. The evidence on doctors’ working patterns has not altered since the hon. Member was a Minister for Health.

    1 http://www.nhsemployers.org/your-workforce/pay-and-reward/pay/medical-pay/ddrb-evidence—in-detail/consultants-and-junior-doctors-contract-reform-submission-of-evidence-to-the-ddrb

    2 http://www.nhsproviders.org/resource-library/written-evidence-ddrb-special-remit/