Asked by: Sorcha Eastwood (Alliance - Lagan Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent engagement he has had with the blood cancer community on the significance of implementing a proxy measure for early diagnosis in blood cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department continues to support the National Health Service to diagnose and treat cancer as early and fast as possible. There have been improvements in the prognosis of blood cancer patients, with patients now living twice as long. However, we recognise that because of the damaged NHS this Government inherited, patients with cancers with non-specific symptoms such as blood cancer, are waiting too long for diagnosis and subsequent treatment.
There are no current plans to introduce a specific proxy staging measure or a corresponding national target to support the earlier diagnosis of blood cancers. However, the Department will continue to engage with blood cancer charities and key stakeholders to determine how to support the best outcomes for blood cancer patients.
At this time no current assessment has been made on the potential merits of a proxy measure for early diagnosis in unstageable blood cancers. However, we remain committed to making improvements across different cancer types and reducing disparities in cancer survival. Early cancer diagnosis is also a specific priority within the NHS’s wider Core20Plus5 approach to reducing healthcare inequalities. The NHS currently track early diagnosis in stageable blood cancers by combining the percentage of diagnoses within stage 1 or 2, as it would for any other stageable cancer.
Furthermore, to tackle late, emergency setting diagnoses of blood cancers, the NHS is implementing non-specific symptom (NSS) pathways for patients who present with symptoms such as weight loss and fatigue, which do not clearly align to a tumour type. There are currently 115 NSS services operating in England with blood cancers being one of the most common cancer types diagnosed through these pathways.
The National Disease Registration Service (NDRS), through the National Cancer Registration and Analysis Services, collects information on how many people in England have cancer. Blood cancer is included as a distinct category, labelled haematological neoplasms. The NDRS website also shows the number of people treated for different tumour types by treatment type, as well as survival rates, mortality rates, and data on urgent suspected cancer referrals. Further information is available at the following link:
https://digital.nhs.uk/ndrs/data/data-outputs/cancer-data-hub
The National Cancer Plan will include further details on improving outcomes for cancer patients in England, as well as speeding up diagnosis and treatment. It will ensure patients, including those with blood cancer, have timely access to the latest treatments and technology.
Asked by: Sorcha Eastwood (Alliance - Lagan Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will commit to engaging with the blood cancer community to agree on an appropriate measure for early diagnosis in blood cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department continues to support the National Health Service to diagnose and treat cancer as early and fast as possible. There have been improvements in the prognosis of blood cancer patients, with patients now living twice as long. However, we recognise that because of the damaged NHS this Government inherited, patients with cancers with non-specific symptoms such as blood cancer, are waiting too long for diagnosis and subsequent treatment.
There are no current plans to introduce a specific proxy staging measure or a corresponding national target to support the earlier diagnosis of blood cancers. However, the Department will continue to engage with blood cancer charities and key stakeholders to determine how to support the best outcomes for blood cancer patients.
At this time no current assessment has been made on the potential merits of a proxy measure for early diagnosis in unstageable blood cancers. However, we remain committed to making improvements across different cancer types and reducing disparities in cancer survival. Early cancer diagnosis is also a specific priority within the NHS’s wider Core20Plus5 approach to reducing healthcare inequalities. The NHS currently track early diagnosis in stageable blood cancers by combining the percentage of diagnoses within stage 1 or 2, as it would for any other stageable cancer.
Furthermore, to tackle late, emergency setting diagnoses of blood cancers, the NHS is implementing non-specific symptom (NSS) pathways for patients who present with symptoms such as weight loss and fatigue, which do not clearly align to a tumour type. There are currently 115 NSS services operating in England with blood cancers being one of the most common cancer types diagnosed through these pathways.
The National Disease Registration Service (NDRS), through the National Cancer Registration and Analysis Services, collects information on how many people in England have cancer. Blood cancer is included as a distinct category, labelled haematological neoplasms. The NDRS website also shows the number of people treated for different tumour types by treatment type, as well as survival rates, mortality rates, and data on urgent suspected cancer referrals. Further information is available at the following link:
https://digital.nhs.uk/ndrs/data/data-outputs/cancer-data-hub
The National Cancer Plan will include further details on improving outcomes for cancer patients in England, as well as speeding up diagnosis and treatment. It will ensure patients, including those with blood cancer, have timely access to the latest treatments and technology.
Asked by: Sorcha Eastwood (Alliance - Lagan Valley)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what steps her Department is taking to enable (a) private coaches, (b) education tutors and (c) other self-employed people to apply for an enhanced Disclosure and Barring Service certificate with the relevant barred list check, in line with Recommendation 4 of the Bailey Review.
Answered by Jess Phillips - Parliamentary Under-Secretary (Home Office)
On 9 April 2025, the Government published an update on its work to tackle child sexual abuse, available on GOV.UK: Tackling Child Sexual Abuse. As part of this, by the end of 2025, we will introduce secondary legislation to create the ability for self-employed individuals, working in sensitive roles with children and vulnerable adults, to access higher-level Disclosure and Barring Service (DBS) checks. This change will apply in England and Wales.
Asked by: Sorcha Eastwood (Alliance - Lagan Valley)
Question to the Home Office:
To ask the Secretary of State for the Home Department, whether her Department plans to introduce a legal requirement for people undertaking regulated activity to obtain an enhanced Disclosure and Barring Service certificate with a barred list check.
Answered by Jess Phillips - Parliamentary Under-Secretary (Home Office)
Outside of specific sectors such as health and education, where Disclosure and Barring Service (DBS) checks are mandated, the decision to carry out DBS checks lies with the employer. DBS checks apply in England and Wales; other parts of the UK have their own arrangements.
Whilst some sectors do set requirements for enhanced checks for some roles and/or settings where regulated activity takes place. Home Office legislation around regulated activity and DBS checks only provides eligibility for checks; it does not make them a requirement.
However, if an individual has been barred, then they will be committing a criminal offence if they knowingly engage, or seek to engage, in regulated activity with a vulnerable group from which they are barred. This is punishable by imprisonment and/or fine. The same is true for employers who knowingly employ somebody who is on the barred list. This is why employers are expected to undertake regular checks for those in regulated activity otherwise they risk committing that offence.