Became Member: 18th May 1990
Left House: 20th December 2024 (Retired)
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
These initiatives were driven by Baroness Cumberlege, and are more likely to reflect personal policy preferences.
A Bill to make provision for the regulation of food standards in hospitals.
Baroness Cumberlege has not co-sponsored any Bills in the current parliamentary sitting
Non-medical prescribers must work within their own level of expertise. This, together with the requirements of the roles in which different professions are employed, is reflected in the differences between the legal prescribing responsibilities of these professions. Regulators keep records of which healthcare professionals can prescribe, and employers have a responsibility to ensure that non-medical prescribers undertake the relevant training and development, so that their knowledge and skills remain up to date. This is to ensure clinicians work within their sphere of competence.
The Government is carefully considering the valuable work done by the Patient Safety commissioner and the resulting Hughes Report, which set out options for redress for those harmed by valproate and pelvic mesh. We will be providing an update to the Patient Safety Commissioner’s Report at the earliest opportunity.
The Government is clear that the regulatory oversight of health and care professions must be proportionate to the risks to the public. Statutory regulation of healthcare professionals should only be used where the risks to patient protection cannot be addressed through employer oversight, system regulation, or accredited voluntary registration.
Services offering diagnostic and screening procedures that use ultrasound to examine the body must register with the Care Quality Commission (CQC). Providers must demonstrate that they provide enough suitably qualified, competent, skilled, and experienced staff to meet the needs of the people using the service to comply with the CQC’s regulatory requirements to operate.
Some sonographers are qualified and registered to practice in another healthcare profession that is subject to statutory regulation. The Professional Standards Authority for Health and Social Care manages the Accredited Registers Programme which independently assesses organisations who operate voluntary registers for practitioners who are not regulated by law. Sonographers can register with the accredited Register of Clinical Technologists.
The Government keeps the healthcare professions subject to statutory regulation under review and recently ran a consultation seeking views on the criteria used to decide when regulation is necessary, and whether there are any unregulated professions that should be brought into statutory regulation. The Government will publish its response to the consultation in due course.
The Medical Device Outcome Registry (MDOR) will significantly improve the quality of data available to improve patient safety and outcomes in high-risk medical device procedures.
NHS England will monitor data quality in the MDOR via regular audits and feedback reports so they can make improvements and provide additional support where required. They are also expanding upon the Data Quality provider certification and award scheme currently active in the National Joint Registry. This is with a view to covering all registry procedures with a particular emphasis on collecting data on medical devices and consultants, Patient Reported Outcome Measures and patient feedback indicators. NHS England have mandated registry submission and will be monitoring compliance and ascertainment against Secondary Uses Service procedure data, to resolve any data completeness or quality issues.
MDOR has native barcode scanning, including Unique Device Identifier (UDI) barcodes, so will result in the whole of England having an available UDI scanning solution without having to implement a separate system. The registry will accept bulk uploads from existing providers’ solutions, including Scan4Safety, that meet the data quality and completeness requirements. The Outcomes and Registries programme will support provider adoption of digital solutions that enable medical device traceability on the electronic patient record. The aim is to have full data submission by NHS England and independent sector providers by the end of the year.
NHS England will be working with various Scan4Safety programme initiatives across England and the four nations, focussing upon medical device traceability and device-based procedures to enable scanning of device data into the patient record.
The Medical Device Outcome Registry (MDOR) will significantly improve the quality of data available to improve patient safety and outcomes in high-risk medical device procedures.
NHS England will monitor data quality in the MDOR via regular audits and feedback reports so they can make improvements and provide additional support where required. They are also expanding upon the Data Quality provider certification and award scheme currently active in the National Joint Registry. This is with a view to covering all registry procedures with a particular emphasis on collecting data on medical devices and consultants, Patient Reported Outcome Measures and patient feedback indicators. NHS England have mandated registry submission and will be monitoring compliance and ascertainment against Secondary Uses Service procedure data, to resolve any data completeness or quality issues.
MDOR has native barcode scanning, including Unique Device Identifier (UDI) barcodes, so will result in the whole of England having an available UDI scanning solution without having to implement a separate system. The registry will accept bulk uploads from existing providers’ solutions, including Scan4Safety, that meet the data quality and completeness requirements. The Outcomes and Registries programme will support provider adoption of digital solutions that enable medical device traceability on the electronic patient record. The aim is to have full data submission by NHS England and independent sector providers by the end of the year.
NHS England will be working with various Scan4Safety programme initiatives across England and the four nations, focussing upon medical device traceability and device-based procedures to enable scanning of device data into the patient record.
It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.
Whilst no recent changes have been made to the patient opt-out process, we are considering further engagement with the public, patients, service users, staff and stakeholders. This will include raising awareness of the opt-out system, with the aim of making the process simpler and more transparent and how tools such as a transparency statement could help patients understand how their data is used. We will provide further details in the data strategy for health and social care, due for publication in spring 2022.
In July 2021, we committed that the General Practice Data for Planning and Research programme will not access patient data until the following criteria has been met:
- the ability to delete data if patients choose to opt-out of sharing their data with NHS Digital, even if this is after their data has been uploaded;
- the backlog of opt-outs has been fully cleared;
- a trusted research environment has been developed and implemented by NHS Digital; and
- patients have been made more aware of the scheme through a campaign of engagement and communication.
NHS Digital is redesigning the programme with input from stakeholders to take account of these commitments and professional, public and stakeholder feedback. Data collection will begin when the National Data Guardian, the Royal College of General Practitioners and the British Medical Association are satisfied with the proposed arrangements. As part of our data strategy, we will engage on how the opt-out system works in practice, with the aim of making the process simpler and more transparent.
Patients can view how data is used through NHS Digital’s data release register. This shows monthly information on who data has been shared with, which data has been shared and for what specific purpose.
The Department engaged with HM Treasury on redress prior to cross-Government approval of the response to the Independent Medicines and Medical Devices Safety Review.
Data on how many people have registered such an opt-out is not held centrally. NHS Digital reports that the current number of registered national data opt-outs is 3,066,543.
NHS England and NHS Improvement have advised that there are currently no plans to undertake such a review. The National Institute for Health and Care Excellence COVID-19 rapid guideline: dialysis service delivery, sets out guidance for clinicians to maximise the safety of patients on dialysis during the pandemic, both at home and in dialysis units. It contains recommendations for providers to continue and maintain current home dialysis provision where possible and to consider the possibility of increasing provision for new incident patients. A copy of the guideline is attached.
NHS England and NHS Improvement are undertaking a national Renal Transformation Programme starting later in 2021. As part of this, ways to incentivise home dialysis will be considered, which may include use of tariffs or other commissioning levers.
NHS England and NHS Improvement are undertaking a national Renal Transformation Programme starting later in 2021. As part of this, ways to incentivise home dialysis will be considered, which may include use of tariffs or other commissioning levers.
No assessment has been made. NHS England collects data on cancer waiting times and these data are published on their website. The data comprises of organisational performance against operational standards that support waiting time commitments laid out in the NHS Constitution. These include the standard that 96% of patients should begin first definitive treatment for all cancers within a maximum of 31 days from diagnosis.
In April 2016 97.4% of patients waited 31 days from diagnosis to first definitive treatment for all cancers and 94.9% for urological cancers.
The data is collected at tumour group level and it is not possible to identify metastatic kidney cancer.
The National Institute for Health and Care Excellence (NICE) has confirmed that appraisals of cancer technologies started prior to 1 April 2016 will be considered using the updated NICE methods and processes which came into effect on 1 April 2016. Companies whose technologies fall under this scenario have been offered the opportunity to make a case for consideration within the Cancer Drugs Fund.
No formal assessment has been made.
Although cancer survival rates are at a record high and continue to improve, we know that we have to strive to be better. The independent Cancer Taskforce report, Achieving World-Class Cancer Outcomes: A strategy for England 2015-2020, published in July last year, recommends improvements across the cancer patient pathway. A copy of the report is attached.
NHS England is currently working with partners across the health system to deliver the Cancer Taskforce’s recommendations. An implementation plan, Achieving World-Class Cancer Outcomes: Taking the strategy forward, was published on 12 May 2016 and we hope to see great progress as it is delivered. A copy of the implementation plan is attached.
NHS England is leading a range of activities relating to the future of molecular diagnostics which over time will begin to inform new approaches to the prediction and prevention of disease as well as the application of new targeted therapies, in support of delivering the ambitions set out in the 5 Year Forward View. These include: the re-procurement of Genomics Local Laboratory Hubs; the establishment of a Task Force to oversee development of a new national strategy for cancer; and the coordination of the NHS contribution to the 100,000 Genomes Project which includes the building of a new molecular pathology network. In addition to this, NHS England is conducting analysis to clarify legacy arrangements for commissioning molecular diagnostics and identify future commissioning mechanisms.
Section 118 of the Health and Social Care Act sets out the terms of reference under which consultation for Tariff proposals should be undertaken. As the consultation is statutory it has to be undertaken as stated in the Act. In addition, the proposals were subject to consultation by virtue of section 69(7) of that Act.
NHS England is leading a range of activities relating to the future of molecular diagnostics which over time will begin to inform new approaches to the prediction and prevention of disease as well as the application of new targeted therapies, in support of delivering the ambitions set out in the 5 Year Forward View. These include: the re-procurement of Genomics Local Laboratory Hubs; the establishment of a Task Force to oversee development of a new national strategy for cancer; and the coordination of the NHS contribution to the 100,000 Genomes Project which includes the building of a new molecular pathology network. In addition to this, NHS England is conducting analysis to clarify legacy arrangements for commissioning molecular diagnostics and identify future commissioning mechanisms.
NHS England is leading a range of activities relating to the future of molecular diagnostics which over time will begin to inform new approaches to the prediction and prevention of disease as well as the application of new targeted therapies, in support of delivering the ambitions set out in the 5 Year Forward View. These include: the re-procurement of Genomics Local Laboratory Hubs; the establishment of a Task Force to oversee development of a new national strategy for cancer; and the coordination of the NHS contribution to the 100,000 Genomes Project which includes the building of a new molecular pathology network. In addition to this, NHS England is conducting analysis to clarify legacy arrangements for commissioning molecular diagnostics and identify future commissioning mechanisms.
The independent Cancer Taskforce has been set up to produce a new cross-system national cancer strategy to take us through the next five years to 2020, building on NHS England’s vision for improving cancer outcomes set out in the NHS Five Year Forward View. It has been set up in partnership with the cancer community and other health system leaders, and is chaired by the Chief Executive of Cancer Research UK.
The new strategy will set a clear direction covering the whole cancer pathway from prevention to end of life care, including molecular diagnostics. The Taskforce will produce a statement of intent this month, and the new strategy will be published in summer 2015.
The independent Cancer Taskforce has been set up to produce a new cross-system national cancer strategy to take us through the next five years to 2020, building on NHS England’s vision for improving cancer outcomes set out in the NHS Five Year Forward View. It has been set up in partnership with the cancer community and other health system leaders, and is chaired by the Chief Executive of Cancer Research UK.
The new strategy will set a clear direction covering the whole cancer pathway from prevention to end of life care, including molecular diagnostics. The Taskforce will produce a statement of intent this month, and the new strategy will be published in summer 2015.
Sections 7, 8(2), 14, 18-28 (with the exception of 26(8)(b)), 31, 39 and 40 of the Neighbourhood Planning Act 2017 have not yet been commenced.
A coming into force date for Section 7; Sections 18 – 31 and Sections 39 and 40 of the Neighbourhood Planning Act 2017 are yet to be confirmed.
A coming into force date for Section 8 (2) (Content of development plan documents) has not yet been confirmed.
A coming into force date for Section 7; Sections 18 – 31 and Sections 39 and 40 of the Neighbourhood Planning Act 2017 are yet to be confirmed.
A coming into force date for Section 8 (2) (Content of development plan documents) has not yet been confirmed.
A coming into force date for Section 7; Sections 18 – 31 and Sections 39 and 40 of the Neighbourhood Planning Act 2017 are yet to be confirmed.
A coming into force date for Section 8 (2) (Content of development plan documents) has not yet been confirmed.
A coming into force date for Section 7; Sections 18 – 31 and Sections 39 and 40 of the Neighbourhood Planning Act 2017 are yet to be confirmed.
A coming into force date for Section 8 (2) (Content of development plan documents) has not yet been confirmed.
Section 13 (1), (2) (Statement of community involvement) will be brought into force on 31 July 2018, as set out in the Neighbourhood Planning Act 2017 (Commencement No. 3) Regulations 2018.
My Department can confirm the following provisions from the Neighbourhood Planning Act 2017 have not been brought into force:
Section 6: Assistance in connection with neighbourhood planning
Section 7: Engagement by examiners with qualifying bodies
Section 13: Statements of community involvement
Section 8(2): Content of development plan documents
Sections 18 – 28 and 31: Temporary possession of land (except section 26(8)(b))
Sections 39 and 40: Other provisions relating to compulsory purchase