First elected: 7th May 2015
Left House: 30th May 2024 (Dissolution)
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 Rebecca Pow, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Rebecca Pow has not been granted any Urgent Questions
The Bill failed to complete its passage through Parliament before the end of the session. This means the Bill will make no further progress. A Bill to require the Secretary of State to undertake a public consultation on innovative technologies and energy consumption in households and commercial properties and to report on responses to that consultation and steps to be taken to encourage the development of innovative technologies to reduce energy consumption; and for connected purposes.
Climate Change (Net Zero UK Carbon Account) Bill 2017-19
Sponsor - Alex Chalk (Con)
Health and Social Care (National Data Guardian) Act 2018
Sponsor - Peter Bone (Ind)
Electric Vehicles (Standardised Recharging) Bill 2017-19
Sponsor - Bill Wiggin (Con)
Parental Bereavement (Leave and Pay) Act 2018
Sponsor - Kevin Hollinrake (Con)
Guardianship (Missing Persons) Act 2017
Sponsor - Kevin Hollinrake (Con)
My right hon. Friend the Secretary of State for Transport and I agree about the vital contribution of road and rail infrastructure to national and local economic growth and resilience. In the Spending Review, the government committed to £7.2 billion of transport investment in the South West, including projects with benefits for the Heart of the South West area such as the £2 billion investment to dual the A303. The government also confirmed that:
The Department has had no specific discussions about the establishment of a Marine Geospatial Innovation Centre but I am aware of discussions happening locally, building on a regional initiative to establish a Digital Innovation Centre in Taunton. The UK Hydrographic Office (UKHO) has been working with the Heart of the South West Local Enterprise Partnership, Taunton Deane Borough and Somerset County Councils, and local academia to scope the feasibility of developing a Marine Geospatial Innovation Centre. The Department is engaged in discussions led by the Defence Growth Partnership to better coordinate and enhance local and regional expertise. Both the UKHO and the Heart of the South West LEP have been engaged in these discussions.
Energy from waste (EfW) plays an important role in diverting waste from landfill sites, however we are working across Government to ensure that it does not compete with greater recycling, reuse and prevention.
EfW technologies, including EfW with combined heat and power, and waste gasification, are eligible for support under the Contracts for Difference (CfD) scheme. To date the CfD scheme has supported two EfW projects and nine waste gasification projects.
The Clean Growth strategy announced that up to £557 million will be available for future CfDs and that the next CfD auction is planned for spring 2019.
Apprenticeships are our priority for equipping people with the skills this country needs. Apprenticeship starts on the horticulture framework increased by almost 50% between 2009/10 and 2014/15 and there are 2 new trailblazer standards approved and 2 in development.
We are also reforming post-16 provision to ensure that it meets the needs of local labour markets and learners. We have asked Landex, the organisation which represents 36 FE colleges and universities offering land-based programmes and supports agri-food, land and animal science education and training, to undertake a review of post-16 land based provision in England.
This will draw on data and analysis of all land based provision through specialist and general further education colleges, and other providers, and will feed into local steering group discussions and deliberations and into the wider review process.
Their review will highlight national as well as local provision which serves particular sectors across the land based industries. It will take account of for example, the Agri-food industry and Agri-Tech strategy to identify skills needs, and potential gaps in provision, including for higher level skills.
UK Export Finance has supported five coal mining projects in Russia since 2011, as follows:
Exporter name | Buyer name | Financial year in which support agreed |
Joy Global (UK) Ltd | Siberian Coal & Energy Company | 2011/12 |
Joy Global (UK) Ltd | Mechel Mining OAO | 2011/12 |
Joy Global (UK) Ltd | Siberian Coal & Energy Company | 2012/13 |
Joy Global (UK) Ltd | Siberian Coal & Energy Company | 2012/13 |
Joy Global (UK) Ltd | Siberian Coal & Energy Company | 2012/13 |
UK Export Finance is currently providing support to five coal mining projects, as follows:
Exporter name | Buyer name |
Joy Global (UK) Ltd | Siberian Coal & Energy Company |
Joy Global (UK) Ltd | Mechel Mining OAO |
Joy Global (UK) Ltd | Siberian Coal & Energy Company |
Joy Global (UK) Ltd | Siberian Coal & Energy Company |
Joy Global (UK) Ltd | Siberian Coal & Energy Company |
As the Prime Minister stated in her Mansion House speech, the UK is committed to continuing cultural collaboration between the UK and EU. Where possible, the UK will continue to participate in EU programmes where there is mutual benefit to the UK and the EU, ultimately, this will be determined as part of the future partnership negotiations between the UK and the EU. The British Film Institute (BFI) and its partners offer extensive support to the film industry - from development and skills to distribution and audiences - and this will continue independently of Creative Europe.
We are responsible for ensuring that England’s historic environment is properly protected, promoted and conserved for the benefit of present and future generations. The principle way in which Government protects buildings of special architectural or historic interest is through the listing system.
In addition, our arm’s length bodies provide valuable support to those looking after heritage and we continue to work closely with them to protect buildings all over the country.
Throughout the year officials from DCMS have engaged with counterparts from local projects in the South West region over a variety of issues, including roll-out of superfast broadband, and will continue to do so.
Last week, both the Secretary of State and the Minister for Digital and the Creative Industries wrote to MPs concerning superfast broadband, and BDUK director Raj Kalia wrote to local bodies as well.
This is a matter for Her Majesty’s Chief Inspector, Amanda Spielman. I have asked her to write to the hon. Member and a copy of her reply will be placed in the Libraries of both Houses.
The apprenticeship funding rules set out eligible costs that the government will pay to support the training and assessment required to deliver an apprenticeship.
The funding rules do not set out the different skills required for each apprenticeship as these are different for every standard or framework. The knowledge, skills and behaviours required for each apprenticeship are set out in the standard and its assessment plan or in the framework that the apprentice undertakes. Where these include communication as an essential element of the skills needed for an apprentice to be competent, the costs of this training can be covered.
If an individual requires additional learning support that includes developing communication skills in order to successfully complete an apprenticeship, we will also pay up to £150 per month to support this.
The apprenticeship funding rules are published on GOV.UK: https://www.gov.uk/guidance/apprenticeship-funding-rules.
The Department publishes information on the number of pupils with special educational needs in each Pupil Referral Unit (PRU) by primary need type. This can be found in the underlying data of the “Special education needs in England” statistical releases found at the following link:
https://www.gov.uk/government/collections/statistics-special-educational-needs-sen.
In January 2018, 365 pupils in PRUs who were identified with special educational needs, had speech, language and communication needs as their primary type of need. This is 2.2% of the 16,730 pupils with special educational needs in PRUs. These figures relate to pupils on special educational needs support and those with a statement or Education, Health and Care Plan who are registered to local authority maintained PRUs and Academy or Free School alternative provision as their main educational provider.
The role of the Designated Senior Leads for Mental Health in schools will be to take a strategic overview of a school or college’s approach to children and young people’s mental health and wellbeing. The Department is currently working towards a procurement of training for Designated Senior Leads, to be provided from the 2019/20 academic year. This will set out the broad areas that the training should cover to enable leads to put in place whole school approaches that incorporate the promotion of good mental wellbeing and resilience amongst pupils and staff. Where a school puts a lead in place, their role should complement existing statutory roles, including the Special Educational Needs coordinator to ensure that all pupils get the right support to meet their needs.
To increase support, the Government is also funding new Mental Health Support Teams working in or near schools. The teams will include a new trained workforce which can provide treatment and support to help reduce mental health problems worsening or developing in the first place. These new teams will be tested in ‘trailblazer’ areas from January 2019.
The government is committed to ensuring that children and young people with speech, language and communication needs (SLCN) get the support they need to lead safe, fulfilling lives and to reach their potential.
The Special Educational Needs and Disabilities Code of Practice makes clear that local authorities, clinical commissioning groups and relevant others are responsible for commissioning specialist support locally using their high needs funding budgets. This includes support for SLCN. We have given an additional £250 million to high needs funding across 2018-19 and 2019-20 to help them fulfil these duties, on top of the £6 billion already provided for the high needs budget. Local authorities are required to develop and publish their local SEND offer based on an analysis of local need and we expect details of services for SLCN, including how they can be accessed, to be included.
My right hon. Friend, the Secretary of State for Education has set out his ambition to halve the 28% of children who finish their reception year without the early communication and reading skills they need to thrive by 2028. The Department for Education is working with the Department of Health and Social Care and Public Health England to support health visitors and early years practitioners to identify and support children’s early SLCN. We are investing £26 million to set up a network of English hubs, £20 million to provide professional development for early years practitioners, and £7.5 million to understand what works in partnership with the Education Endowment Foundation. We are investing £6.5 million in voluntary and charity sector grants supporting the home learning environment.
Where children are at risk of harm, it is particularly important that they are supported to communicate their needs. The statutory guidance 'Working together to safeguard children' (2018) is clear that special provision should be put in place to support dialogue with children who have communication difficulties. This child-centred approach is supported by the Children Act (1989) and emphasised further in the interim findings of the children in need review.
We have not had any recent discussions with my right hon. Friend, the Secretary of State for Health and Social Care about specific plans to develop a self-evaluation tool for commissioners of services for children and young people who have speech, language and communication needs. However, officials are in regular contact and we continue to work together to improve outcomes for children and young people with speech, language and communication needs. In our joint response to the ‘Bercow: Ten Years On’ report we outlined a number of commitments to ensure that these children and young people receive the support they need.
We are working closely with the Department of Health and Social Care and NHS England to establish a System Leadership Board for special educational needs and disabilities, which will focus on improving joint commissioning and working between education, health and social care partners at a local level. We will ensure that the board listens to the views of those with expertise in speech, language and communication.
The Government recognises the importance of early assessment and identification of pupil needs. The 2015 special educational needs and disability (SEND) code of practice sets out high expectations of schools and colleges about how they identify and meet the needs of pupils with SEND, including those with speech, language and communication needs. Schools should work closely with their local authority, and other providers, to commission specialist services directly, such as speech and language therapists.
The Department’s statutory guidance on exclusions is clear that schools should take appropriate steps to address the underlying causes of poor behaviour, which could include pupils’ SEND. This should include an assessment of whether appropriate provision is in place to support any SEND that a pupil may have to avoid exclusion, and that schools should consider the use of a multi-agency assessment. The full guidance can be found here: https://www.gov.uk/government/publications/school-exclusion.
For children who have been permanently excluded, the Department’s statutory guidance on alternative provision (AP) sets out that commissioners of AP should recognise any issues or barriers experienced by these pupils and carry out a thorough assessment of their needs. The full guidance can be viewed here: https://www.gov.uk/government/publications/alternative-provision.
Membership of the national leadership board has yet to be determined. We will ensure that the board takes on board the views of those with expertise in speech, language and communication needs.
Officials from the Department for Education (DfE) and the Department of Health and Social Care (DHSC) are in regular contact and are working together to implement the special educational needs and disabilities (SEND) reforms underpinned by the Children and Families Act 2014. Effective joint working between DHSC and DfE is at the heart of these reforms, at national and local level.
The recommendations of the ‘Bercow: Ten Years On’ report are very timely. They come at a time when we are considering the All Party Parliamentary Group on Autism’s report ‘Autism and education in England 2017’; and considering our response to Dame Christine Lenehan’s review of residential special schools, ‘Good Intentions, Good Enough?’
We shall consider all of these reports carefully and are committed to responding to Dame Christine Lenehan’s review. We will take that opportunity to set out how the government will continue working to achieve the vision of a reformed SEND system, underpinned by the Children and Families Act 2014.
As part of this we are engaging with the appropriate agencies including the Education and Skills Funding Agency and Ofsted.
The Post-16 Skills Plan set out our plan to reform technical education including the introduction of 15 new technical routes to skilled employment, new college-based training programmes (T Levels) based on employer-designed standards, and high quality T Level work placements.
Delivering these reforms will be transformational; and we are determined to ensure they are a success and achieve their overall aims: to transform technical education and create a high quality system that delivers the skills, knowledge and behaviours that employers and the country need.
The only way to deliver this challenge successfully is through genuine partnership between government, business experts/leaders and education professionals.
My officials have now carried out extensive testing of the current delivery plans, including in relation to work placement provision, in discussion with employers, providers and awarding organisations. Following that assessment, we have concluded that we will deliver a small number of T levels from September 2020, with all routes available as planned in September 2022.
Over the summer, we will continue to refine and develop our plans working with business and the providers, and we will provide an update on progress in the autumn.
Sixth form colleges which become 16-19 academies will be able to enter into funding agreements with the Skills Funding Agency (SFA), providing that they are enabled to do so at the time when the college becomes an academy. Applications from sixth form colleges which wish to hold SFA contracts will be considered in the light of forthcoming detailed guidance. This guidance will be published in February, and will set out the full criteria and process for sixth form colleges to apply to become academies as part of the post-16 area review process.
We are introducing reforms to ensure that sixth form colleges are providing high quality academic and technical education. We are reforming A levels and technical qualifications to ensure that young people are gaining the skills and knowledge they need to progress into employment, apprenticeships or further study.
We want A levels and technical qualifications to be robust and rigorous, so that they match the best education systems in the world and keep pace with universities’ and employers’ demands. A levels are therefore being reviewed to ensure that the qualifications equip students for higher education and to make them linear (i.e. with the exam at the end of two years), allowing more time for teaching and learning. In addition, all technical qualifications approved for inclusion in 16-19 performance tables now meet rigorous standards and are backed by employers.
The government has recently announced an ambitious plan for reforming technical and professional education which will simplify the skills system and work with employers to ensure that young people develop the skills most needed for the economy. To deliver the reforms, the Government will work closely with an independent panel, headed by Lord Sainsbury, former Minister of Science and Innovation.
Protecting our pollinators is a priority for this Government. They are an essential part of our environment and play a crucial role in food production.
Our National Pollinator Strategy sets out comprehensive measures to support pollinators and identifies actions for everyone, be they land managers, councils, or window-box gardeners, to do their bit.
The “Bees’ Needs” campaign (www.beesneeds.org.uk) is included in the Strategy and explains what action can be taken to provide food, shelter and nest sites for pollinators. It contains a series of information sheets providing practical advice to local authorities, businesses and gardeners about managing urban or industrial green spaces and gardens for bees and other pollinators.
Defra’s Pest Risk Analysis for the small hive beetle, including an assessment of its potential impact, has been published and can be found at www.nationalbeeunit.com/downloadDocument.cfm?id=945. The species risk analysis for the Asian hornet is also available online at www.nonnativespecies.org/downloadDocument.cfm?id=643.
With the establishment of the Asian hornet in south-west France and its spread into northern France alongside the Channel, as well as the presence of the small hive beetle in southern Italy, the National Bee Unit has increased the number of risk based exotic pest inspections. It routinely provides advice and training to beekeepers to raise awareness of the threat and the need for vigilance.
Protecting our country from plant and tree pests and diseases is important for our economy, the environment and our health. Defra is committed to protecting our borders from pests and building the resilience of our trees and plants.
We assess the impacts of pests and disease threats on trees and plants and take a risk-based approach to ensure that our response is directed towards priority pests and diseases and their respective pathways. We have produced a prioritised plant health risk register which is used to identify risks and agree priorities for action.
The Forestry Commission has a comprehensive monitoring and surveillance programme in place for tree pests and diseases in woodlands. Maps of the latest confirmed findings are available on its website:
www.forestry.gov.uk/pestsanddiseases
Defra has funded research to ‘Assess and address the impacts of ash dieback on UK woodlands and trees of conservation importance’. The published report includes a series of case studies on sites of ancient woodland and is available at:
http://publications.naturalengland.org.uk/publication/5273931279761408
Recent computer modelling has been carried out to assess the benefits of some of the works carried out under the Somerset Flood Action Plan. This indicates that, in a repeat of the weather seen in Winter 2013/14, closure of the A361 would be reduced to about three weeks instead of the nine to ten weeks in 2013/14, and the impact on the rail line from Bristol to Taunton across Northmoor would be reduced.
In terms of Hinkley C site development, licensed nuclear site operators are responsible for undertaking flood risk assessments and providing and maintaining control measures to ensure their sites remain safe from faults and damage arising from flooding. In addition Local Authorities must ensure that their off-site plan for a nuclear emergency is resilient to a range of weather conditions (e.g. those leading to, or involving, flooding or heavy snow).
Natural England estimates that 15% of ancient woodlandis located within national parks and 30% is located within areas of outstanding natural beauty (AONBs). In national parks, 29%of this woodland has site of special scientific interest (SSSI) status; in AONBs, 13% of this woodland has SSSI status.
We continue to have regular conversations with ministerial colleagues across Government on all aspects of exiting the EU, including agricultural policy.
The Agriculture Bill is part of the Government’s programme of critical legislation to deliver a smooth Exit from the European Union and seize the opportunities of a green Brexit. It will allow us to break from the EU’s Common Agricultural Policy and free farmers to continue producing world-class produce.
My predecessors in Government have made huge progress in improving British aid by creating an independent aid watchdog, introducing much tougher value-for-money controls and making DFID’s spending even more transparent.
The Government’s vision is to have one of the best infrastructure networks in the world for electric vehicles, and we want chargepoints to be accessible, affordable and secure. The Government’s grant schemes fund chargepoints at homes, workplaces and on residential streets. The £400m public-private Charging Infrastructure Investment Fund will add thousands more public chargepoints to the 17,000 already installed. The Automated and Electric Vehicles Act gives Government new powers to regulate the chargepoint market and improve the experience for consumers.
The UK was a leading participant in the April 2018 negotiations that led to the Initial International Maritime Organization Greenhouse Gas Strategy. The UK continues to play a leading role in efforts to address carbon emissions from international shipping.
Domestically, we will be launching our Clean Maritime Plan in Spring 2019. This will set out plans to address both greenhouse gas and pollutant emissions from shipping, and will underpin our long-term vision of zero emission shipping.
No such assessment has been made. Network Rail is currently assessing the case for further electrification of the rail network. It plans to publish a draft update to the industry electrification strategy in early 2016, taking into account the outcome of the review by Sir Peter Hendy of Network Rail’s programme of rail investment.
The Department has provided £2.8m funding to Somerset Council to upgrade transport links before construction begins. It will help guide the Council on the development of business cases for road, rail and public transport changes and on bidding for funding to support this, including seeking an appropriate contribution from third parties.
The Department for Transport continues to meet regularly with Somerset County Council to discuss a number of issues related to transport, including resilience. The Minister with responsibility for roads, my Hon Friend, the Hon Member for Harrogate and Knaresborough (Andrew Jones), recently sent a letter to all local highway authorities in England with respect to this including reminding councils of their duties in respect to clearing drains and gullies to prevent the risk of surface water flooding on the local road network . In addition the Department for Transport provided over £22 million, as part of the Government response to the flood events of 2013/14 and the Somerset Flood Action Plan. This funding helped in raising the main road into Muchelney and also installing four culverts at Beer Wall to reduce the risks of flooding and local communities being cut-off in the future.
Following flooding incidents in 2012-14,Network Rail iscurrently implementing a £31million package of schemes to improve the resilience of the Great Western route through the Thames Valley and the West of England. Work has already been completed at Whiteball Tunnel, near Taunton.
On 20 December 2018, the first wave of 25 trailblazer sites were announced which will trial the plans set out in the Green Paper, ‘Transforming children and young people’s mental health provision’, published in December 2017.
All trailblazer areas will build on support already in place and will work with other professionals such as speech and language therapists, including in support of delivering schools’ responsibilities for pupils with special educational needs and disabilities. The aim will be to improve identification of mental health needs, including through knowledge of the links between mental health and other needs children and young people have such as speech, language and communication needs, and to provide more comprehensive support for their full range of needs.
In addition, the NHS Long Term Plan sets out where extra National Health Service funding will be focused and how services will be designed.
We are discussing with the Royal College of Speech and Language Therapists ahead of implementation to establish the detail of the role they will play in the new system and the suitability of speech and language therapists becoming approved mental capacity professionals (AMCPs). We will continue to engage with the College regarding the AMCP role as well as on the statutory Code of Practice.
Subject to further consultation and development of the Code of Practice the government envisages that the professionals which could take on the role of AMCPs would include social workers, learning disability nurses, occupational therapists, psychologists and other suitable health and social care professionals as appropriate.
We are discussing with the Royal College of Speech and Language Therapists ahead of implementation to establish the detail of the role they will play in the new system and the suitability of speech and language therapists becoming approved mental capacity professionals (AMCPs). We will continue to engage with the College regarding the AMCP role as well as on the statutory Code of Practice.
Subject to further consultation and development of the Code of Practice the government envisages that the professionals which could take on the role of AMCPs would include social workers, learning disability nurses, occupational therapists, psychologists and other suitable health and social care professionals as appropriate.
Public Health England is working to raise awareness of this disease and encourage women to attend cervical screening through the national ‘Be Clear on Cancer’ campaigns, which have been run in partnership with Cancer Research UK since 2011.
PHE is in the process of developing a new campaign that will promote the uptake of cervical screening. The campaign is scheduled to launch early in March.
NHS England is also investing in initiatives to help ensure equality of access to screening and is investing more than £258 million this year to improve access to general practice and more than half the country is benefitting from improved access to all routine appointments (including cervical screening), at evening and/or weekends.
All 25 trailblazer sites will have new Mental Health Support Teams working in and near schools and colleges to support children and young people with mild to moderate mental health conditions.
Mental Health Support Teams will work in an integrated way with existing professionals including speech and language therapists, school counsellors, nurses, and the voluntary sector to treat those with mild to moderate mental health issues in school and will help children and young people with more severe needs to access the right support and provide a link to specialist NHS services.
We envisage that speech and language therapists will play a vital role in the new system of the Liberty Protection Safeguards, particularly in circumstances when the person is non-verbal or has communication support needs. We expect speech and language therapists would be consulted in appropriate cases in order to ascertain the wishes and feelings of the cared-for person.
We will use the statutory Code of Practice to describe the detail of when the involvement of Speech and Language Therapists can help and support the Liberty Protection Safeguards process. We will also use the statutory Code of Practice to detail the professionals who can become Approved Mental Capacity Professionals.
There have been no discussions with NHS Clinical Commissioners concerning speech and language therapy service specifications. Clinical commissioning groups have local responsibility for commissioning services to meet the needs of their local population, drawing on National Institute for Health and Care Excellence guidance to agree the specifications for communication support. The protection and safeguarding of children and young people from harm is of paramount importance to all parts for the health care system. All providers should have their own governance arrangements in place for responding to non-attendance at appointments.
Public Health England (PHE) is working in partnership with the Department for Education as part of the Social Mobility Action Plan for Education, to improve early language acquisition and reduce the ‘word gap’.
To support this work an Expert Advisory Group has been established. This group helps to shape and develop the work, providing insights and advice on latest research, policy imperatives and priority issues. This group comprises experts from a range of disciplines with expertise in speech and language. These experts can also inform the work on mental health prevention.
PHE has established a Special Interest Group which aims to deliver the best applied evidence to public mental health improvement and reduction of inequalities in children and young people in England.
The group has representation from research and academia, Government Departments, arm’s length bodies, local commissioners, public health professionals and young people.
The Community Services Data Set is developing in phases. At present it has the capacity to record coded assessments, and this facility is mainly used for the Ages and Stages Questionnaire, which assesses the development performance of children in a variety of areas, including communication. NHS Digital publishes data relating the Ages and Stages Questionnaire scores at 24, 27 and 30 months, including the children’s scores in the communication domain. NHS Digital continues to work with stakeholders from NHS England, Public Health England and elsewhere to understand further requirements around the Community Services Data Set, including in relation to outcomes.
When outcomes measures are included in the Community Services Data Set, these will be reflected in the Model Community Health Services site, which will be a resource providing metrics on services delivered in the community.
Public Health England (PHE) welcomes the Bercow Ten Years On Report and is working towards the recommendations for PHE.
The Special Interest Group will meet for the first time on 25 July with representation from research/ academia, Government Departments, arm’s length bodies, local commissioners, public health professionals and young people. The aim of the Special Interest Group will be to identify the best evidence for improving public mental health and reducing inequalities in children and young people in England.
The terms of reference and membership will be discussed at the first meeting and PHE will draw on expertise from a speech, language and communications expert to inform this work.
The Department will consider the implications of this independent report with all the relevant organisations for which there are recommendations, and respond in due course.
Officials from NHS England, the Department for Education and the Department for Health and Social Care, who are in regular contact on policy to support children with speech, language and communication needs, have been in discussion as to how best to respond to the recommendations of ‘Bercow: Ten Years On’, and will be engaging with all relevant organisations to develop a response.
In current NHS England commissioning practice, testing for Lynch syndrome in people with colorectal cancer is targeted using criteria based on family history and age of cancer onset to determine people at high risk.
New National Institute for Health and Care Excellence (NICE) guidance recommends extending this offer to all people with colorectal cancer when they are first diagnosed. Offering tests to all people with colorectal cancer will need to be considered by NHS England as part of its policy development process. Each year, a number of new drugs, medical devices, tests and treatments in specialised services are put forward to NHS England. The promising proposals are considered by experts in the field, including doctors, public health experts and lay people. These groups, established by NHS England, are known as Clinical Reference Groups (CRGs). The CRGs make detailed assessments of the new treatments, tests and devices through Policy Working Groups.
The NICE guidance has been sent to the Genetic Medicine CRG and they have been asked to submit a Preliminary Policy Proposal and to identify a Clinical Lead for progressing the proposal.
The commissioning of services for people already diagnosed with Lynch Syndrome, including surveillance, generally sits with clinical commissioning groups (CCGs). CCGs are best placed to commission services to meet the needs of local populations, taking into account the best available evidence.