Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that regions where (a) cancer outcomes are poorer and (b) research infrastructure is historically underfunded receive a fair share of national cancer research investment and clinical trial opportunities.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to funding health and care research via the National Institute for Health and Care Research (NIHR) across England, and to ensuring that the research we support is inclusive and representative of the populations we serve. We know that cancer survival rates are generally lower in people living in more deprived areas.
In 2024, the NIHR made equity, diversity, and inclusion a condition of funding for all domestic research awards. This means applicants must demonstrate how their research will contribute towards the NIHR’s mission to reduce health and care inequalities, with a focus on participant inclusion from diverse populations of the United Kingdom.
NIHR research infrastructure has national coverage across the whole of England. Our infrastructure schemes aim to build research capacity and capability across the country across all geographies and settings. In line with prior commitments, the Department has increased funding for research infrastructure schemes delivering cancer research outside the Greater South East, including Biomedical Research Centres, Clinical Research Facilities, and HealthTech Research Centres.
Through the NIHR Research Delivery Network (RDN), the NIHR supports 100% of National Health Service trusts in England to deliver research, operating across 12 regions throughout the country. From 2026/27, the RDN will adopt a new national funding model for NHS support costs and research delivery. This will be a consistent, nationally agreed funding distribution model across all regions of England and will reduce regional variations of health research delivery investment, and better enable clinical trial opportunities across all areas, including underserved areas and settings.
The NIHR also provides an online service called Be Part of Research which promotes participation in health and social care research by allowing users to search for relevant studies and register their interest. This makes it easier for people to find and take part in health and care research that is relevant to them.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential impact of expanding prehabilitation and rehabilitation services in cancer care on (a) NHS costs and (b) patient outcomes.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department and NHS England are taking a number of steps to support systems to deliver cost-effective, lifesaving prehabilitation and rehabilitation services. Local planning for prehabilitation and rehabilitation services is devolved to National Health Service trusts and Cancer Alliances in their locality.
NHS England has highlighted the positive impact of efficient prehabilitation and rehabilitation on cancer outcomes and the potential for them to lead to cost savings. The PRosPer Cancer Prehabilitation and Rehabilitation learning programme, launched in partnership between NHS England and Macmillan Cancer support, aims to support allied health professionals and the wider healthcare workforce in developing their skills in providing personalised care, prehabilitation, and rehabilitation in the cancer pathway.
The forthcoming National Cancer Plan will look at how we can improve patient outcomes and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care, including prehabilitation and rehabilitation services where appropriate.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the National Cancer Plan will include measures to expand innovations in cancer screening initiatives to ensure more people from deprived areas are encouraged to participate.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Early diagnosis is a key focus of the National Cancer Plan, which will build on the shifts in care set out in the 10-Year Health Plan, to diagnose cancers earlier. Through the 10-Year Health Plan, we will make it easier for people to access cancer screening, diagnostics, and treatment in patients’ local areas, backed by the latest technology to drive up this country’s cancer survival rates. We will increase participation in screening programmes by taking innovative approaches like self-sampling for cervical screening and digital booking.
The National Cancer Plan, to be published later this year, will include further details on how we will speed up diagnosis, as well as how we will prioritise screening programmes and improve participation, including participation from people in deprived areas.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans his Department has to implement automatic enrolment into stop smoking support at (a) A&E departments, (b) cancer screening appointments, (c) mental health services and (d) other NHS touchpoints (i) across Yorkshire and (ii) nationally.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in our 10-Year Health Plan for England, we are committed to ensuring all hospitals integrate ‘opt-out’ smoking cessation interventions into routine care. As part of the NHS Long Term Plan, NHS England has prioritised and put new funding out to integrated care boards (ICBs), which includes Humber and Yorkshire ICB, South Yorkshire ICB and West Yorkshire ICB, for the rollout of tobacco dependence services in hospital settings, including acute and mental health inpatient settings and maternity services. Future funding decisions are subject to the Spending Review process.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of support for women in making informed choices about (a) hormonal and (b) non-hormonal treatment options for (i) menstrual and (ii) reproductive health.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises the importance of women and girls being able to access adequate information and care for menstrual health conditions and reproductive health.
The women’s health area on the National Health Service website brings together over 100 health topics including pages on heavy periods, endometriosis, adenomyosis, and contraception. This provides women with information on hormonal and non-hormonal treatment options for menstrual health conditions, and information on the different types of hormonal and non-hormonal contraception methods, including where to get them and how well they work at preventing pregnancy.
NHS England has also developed a shared decision tool to help women and general practitioners make decisions about the best treatments for heavy menstrual bleeding. This is available at the following link:
Clinical guidelines also support healthcare professionals to provide evidence-based care. The National Institute for Health and Care Excellence has published guidelines on a range of women’s health topics, including heavy menstrual bleeding, endometriosis, and contraception, and has also published a guideline on shared decision making.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to (a) reduce the sex and gender gap in participants for (i) healthcare research and (ii) clinical trials and (b) ensure that sex and gender dimensions are accounted for in the development of medical (A) treatments and (B) interventions.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department funds health and care research primarily through the National Institute for Health and Care Research (NIHR). The NIHR has made research inclusion a condition of its funding. Applicants to domestic research programmes are required to demonstrate how inclusion is being built into all stages of the research lifecycle, with significant emphasis on how participant selection is considered. Before the end of March 2026, this will also be required for global health research and infrastructure awards.
The NIHR is developing a sex and gender policy to be implemented subsequently in 2025, to ensure that NIHR research accounts for sex and gender across every stage of the research cycle, allowing for a greater understanding of how men and women might be impacted differently by the same health condition, treatment, or intervention.
The Department is also developing a new research and development innovation strategy to accelerate the development of equitable, transformational medical technology solutions. Part of the aims of this work are to eliminate sex bias in medical technology research and development, ensuring that innovations are effective and accessible for all.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help raise awareness of cervical cancer; and whether he is taking steps with the Secretary of State for Foreign, Commonwealth and Development Affairs to help raise awareness of cervical cancer in other countries.
Answered by Andrew Gwynne
NHS England runs Help Us Help You campaigns to increase knowledge of cancer symptoms and address barriers to acting on them, to encourage people to come forward as soon as possible to see their general practitioner. The campaigns focus on a range of symptoms, encouraging body awareness to help people spot symptoms across a wide range of cancers at an early point.
Department of Health and Social Care officials work closely with colleagues in the Foreign, Commonwealth and Development Office and with Gavi, the Vaccine Alliance, to raise awareness of cervical cancer in lower and middle income countries. For example, the Government has committed £1.65 billion to Gavi from 2021 to 2025, which provides the human papillomavirus vaccine to help protect the most vulnerable girls from the leading cause of cervical cancer.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that women with spinal cord injuries receive adequate (a) breast feeding assistance, (b) breast feeding assistance and (c) other postnatal support.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will prioritise women’s health, placing women’s equality at the heart of our agenda and ensuring women’s health is never again neglected. Spinal cord injury centres provide life-long services and support, providing ongoing advice and management for those under their care. They provide advice to general maternity services in managing pregnancy in line with individual need, as well as information, advice, and support to women regarding the practical elements of breast feeding, as required.
The Three-Year Delivery plan for Maternity and Neonatal services sets out the vision for women to experience personalised, joined-up, high-quality care right through to the postnatal period with handover to health visiting services and general practices (GPs). According to NHS England guidance, all women who have given birth should be offered a check-up with their GP six to eight weeks after giving birth. The check-up will cover a range of topics such as mental health, physical recovery, breastfeeding, and support with family planning. Women should be provided with practical support and information that reflects how they choose to feed their babies. Providers should ensure that, for women with spinal cord injuries, care is tailored to their individual needs.
NHS England is also rolling out perinatal pelvic health services to reduce rates of perineal tears, and maternal mental health services to provide additional mental health support and improve outcomes for women.
The Department is working closely with 75 local authorities across England, including Sheffield, to improve their infant feeding services, including breastfeeding support, through the Family Hubs and Start for Life programme. These services are helping families to access face-to-face and virtual infant feeding support whenever they need it, and in a location that suits them. This could be at home, in their family hub, or in a hospital setting.
At a national level, families across the United Kingdom can access round-the-clock support and advice on breastfeeding through the National Breastfeeding Helpline.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure access to (a) comprehensive healthcare guidance and (b) specialised gynaecological support for people with spinal cord injury including (i) management of menstruation, (ii) contraception options and (iii) safe pregnancy care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England Specialised Commissioning has a Clinical Reference Group (CRG) for specialised women’s services that provides clinical advice and leadership for complex obstetrics and maternity, and complex gynaecology and fertility preservation services. Specialist gynaecological services are commissioned in line with the service specification published by the CRG.
Furthermore, there is a CRG for rehabilitation and complex disability and spinal cord injury services. Specialist services for spinal cord injuries are commissioned in line with the service specification published by the CRG. The National Institute for Health and Care Excellence also has guidance on the assessment and early management of spinal cord injuries, which is available at the following link:
https://www.nice.org.uk/guidance/ng41.
Spinal cord injury centres provide life-long services and support, providing ongoing advice and management for those under their care. The service provides advice to general maternity services in managing pregnancy in line with individual need.
We recognise that having a spinal cord injury can create additional challenges for women and girls when it comes to managing their period. Women with spinal cord injuries are provided with menstruation and contraception information and advice during their first inpatient episode of care, and details are included in their discharge plan, which is shared with their general practitioner (GP) or primary care team. Through the spinal cord injury centres and voluntary sector, women have access to female discussion forums.
Both the Multidisciplinary Association of Spinal Cord Injury Professionals and the Spinal Injuries Association have provided free webinars for staff and those with spinal cord injuries, called Menstruation to Menopause.
The Royal College of General Practitioners (RCGP) has published a Women’s Health Library, which brings together educational resources and guidelines on women’s health from the RCGP, the Royal College of Obstetricians and Gynaecologists, and the Faculty of Sexual and Reproductive Healthcare. This resource is continually updated to ensure GPs and other primary healthcare professionals have the most up-to-date advice, to provide the best care for their patients.
The Government will continue to work with the NHS as it delivers its three-year maternity and neonatal plan to grow our maternity workforce, develop a culture of safety, and ensure women and babies receive safe, compassionate care. In the three-year delivery plan for maternity and neonatal services, NHS England set out their ambition that all women should receive personalised, joined-up, high-quality care during pregnancy, birth, and the postnatal period, including access to specialist care when required. Providers should ensure that women with spinal cord injuries have a personalised care and support plan that is tailored to their specific needs and choices and made in conjunction with appropriate specialist input.
Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to increase access to (a) preventative care, (b) diagnosis and (c) long term management strategies for women with spinal cord injury who are at increased risk of (i) uterine prolapse and (ii) osteoporosis.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will prioritise women’s health, placing women’s equality at the heart of our agenda and ensuring women’s health is never again neglected. Symptoms of uterine prolapse can usually be improved with pelvic floor exercises and lifestyle changes, but sometimes medical treatment is needed. The National Institute for Health and Care Excellence (NICE) has produced guidance on the management of pelvic organ prolapse in women, which is available at the following link:
https://www.nice.org.uk/guidance/ng123
For patients who need surgery for uterine prolapse, NHS England’s Specialised Commissioning Clinical Reference Group (CRG) for specialised women’s services has produced a service specification for specialised complex surgery for urinary incontinence and vaginal and uterine prolapse, which is available at the following link:
MSK conditions, such as osteoporosis, disproportionately impact women. One in three women will experience an osteoporotic fracture in their lifetime, compared to one in five men. Women are more at risk of developing osteoporosis due to hormone changes that happen at menopause, and which directly affect bone density.
For all people, including those with spinal injuries, regular exercise and healthy eating are important factors in preventing osteoporosis. Weight-bearing exercise and resistance exercise can improve bone density and help to prevent osteoporosis. Eating foods rich in calcium and vitamin D, or taking vitamin D supplements, is also an important way people can maintain their bone health and reduce their risk of osteoporosis.
The drug Raloxifene is also recommended by the NICE for the primary prevention of osteoporotic fragility fractures in postmenopausal women. In addition, the Government is committed to expanding access to Fracture Liaison Services, a globally recognised secondary fracture prevention model for those with osteoporosis, which can reduce the risk of refracture by up to 40%. With NHS England, we are considering a range of options to identify the most effective ways of improving the quality of, and access to, the Fracture Liaison Service model and the interventions it provides.
To support early diagnosis of osteoporosis, including in those with spinal cord injuries, the Government is investing £1.5 billion of capital funding in 2025/26 for new surgical hubs and diagnostic scanners to build capacity for over 30,000 additional procedures and over 1.25 million diagnostic tests as they come online.
Specialist services for spinal cord injuries are commissioned in line with the service specification published by NHS England’s Specialised Commissioning CRG. Spinal cord injury centres provide life-long services and support, providing ongoing advice and management for those under their care. Through the spinal cord injury centres and voluntary sector, women have access to female discussion forums.