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Written Question
Obesity: Health Services
Friday 17th May 2024

Asked by: Lord McColl of Dulwich (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what is the total cost of treating patients who are obese and overweight; and what are the associated costs of treating (1) type 2 diabetes, (2) cardiovascular disease, (3) cerebrovascular disease, (4) musculoskeletal diseases including joint replacers, (5) cancer, and (6) dementia.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The department has reviewed and uses cost estimates published by Frontier Economics in 2022.

A study by Frontier Economics estimated that in 2021 obesity related ill-health cost the National Health Service £6.5 billion annually. This estimate includes costs associated with the following obesity related diseases: colorectal cancer; oesophageal cancer; kidney cancer; ovarian cancer; pancreatic cancer; coronary heart disease; stroke; type 2 diabetes; hypertension; knee osteoarthritis; endometrial cancer, and breast cancer.

The disease costs associated with obesity are calculated from the total annual costs per case, as shown in the following table:

Disease

Cost per case per year (2021)

(1) Type 2 diabetes

£ 827.33

(2) Cardiovascular disease - Coronary heart disease (CHD)

£ 1,557.25

(2) Cardiovascular disease - Stroke

£ 247.55

(2) Risk of Cardiovascular disease - Hypertension

£ 453.91

(4) Musculoskeletal disease - Knee Osteoarthritis

£ 27,798.40

(5) Cancer - Colorectal cancer

£ 520.13

(5) Cancer - Oesophageal cancer

£ 545.06

(5) Cancer - Kidney cancer

£ 1,662.88

(5) Cancer - Ovarian cancer

£ 14,990.93

(5) Cancer - Pancreatic cancer

£ 7,447.27

(5) Cancer - Endometrial cancer

£ 520.13

(5) Cancer - Breast cancer

£ 545.06

The annual costs per case includes direct health-care costs including hospital care (both inpatient and outpatient), primary care, and medication, and they are not exclusively related to obesity associated cases. Indirect and social care costs are not included, which means the exclusion of these costs will probably underestimate total costs of disease events overall.


Written Question
Cancer: North East
Monday 13th May 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of findings from the Royal College of Radiologists, published in May, showing a regional disparity in wait times for cancer treatment in 2023, with 11 per cent of patients in England waiting more than 31 days for treatment after the decision to treat had been confirmed, compared to 19 per cent of patients in the North East and Yorkshire.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.

We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.

The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.

The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.

We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.


Written Question
Radiotherapy: Staff
Monday 13th May 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to ensure that the 15 per cent shortfall in clinical oncologists, as estimated in the Royal College of Radiologists workforce census, does not impact the operational performance of radiotherapy services.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.

We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.

The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.

The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.

We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.


Written Question
Radiotherapy: Waiting Lists
Monday 13th May 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the proportion of cancer patients currently waiting more than 31 days for radiotherapy treatment.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.

We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.

The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.

The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.

We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.


Scheduled Event - 2 May 2024, 11 a.m.
View Source
Lords - Oral questions - Main Chamber
Assessment of NHS England London stating that “anyone with ovaries can get ovarian cancer” in a social media post rather than referring to "women"
MP: Baroness Hayter of Kentish Town
Lords Chamber
NHS England: Ovarian Cancer - Thu 02 May 2024
Department of Health and Social Care

Mentions:
1: Baroness Hayter of Kentish Town (Lab - Life peer) Government what assessment they have made of NHS England London stating that “anyone with ovaries can get ovarian - Speech Link
2: Baroness Burt of Solihull (LD - Life peer) and non-binary people who would be missed out if we did not spell out that trans men can still get ovarian - Speech Link
3: Lord Patel (XB - Life peer) So it is correct that only people with ovaries can develop ovarian diseases, including ovarian cancer - Speech Link


Commons Chamber
Oral Answers to Questions - Tue 23 Apr 2024
Department of Health and Social Care

Mentions:
1: Theresa Villiers (Con - Chipping Barnet) Will the Secretary of State support Breast Cancer Now’s campaign to improve the uptake of breast cancer - Speech Link
2: Victoria Atkins (Con - Louth and Horncastle) Members on both sides of the House, for further research into lobular breast cancer, because although - Speech Link
3: Ruth Cadbury (Lab - Brentford and Isleworth) At my last surgery, a young woman told me that, thanks to the delay in her GP diagnosing her ovarian - Speech Link


Commons Chamber
Hospice Funding - Mon 22 Apr 2024
Department of Health and Social Care

Mentions:
1: Sally-Ann Hart (Con - Hastings and Rye) Both my parents died of cancer, and I will always be grateful for the amazing care that they received - Speech Link
2: Jim Shannon (DUP - Strangford) We have a Marie Curie hospice in Belfast that gives excellent care to those who have cancer. - Speech Link
3: Peter Gibson (Con - Darlington) It has received some non-recurrent funding through the cancer charities relief fund, but may be unable - Speech Link
4: Jim Shannon (DUP - Strangford) She was not feeling well, and the doctor told her that she had only four weeks to live—she had cancer - Speech Link
5: Andrew Gwynne (Lab - Denton and Reddish) It was 30 years ago that I lost my mum to ovarian cancer—I was 19. - Speech Link


Departmental Publication (Policy and Engagement)
Department for Business and Trade

Apr. 18 2024

Source Page: The Smart Data Roadmap: action the government is taking in 2024 to 2025
Document: (PDF)

Found: A recent study, funded by Cancer Research UK found that analysis of loyalty card data , from two UK


Scottish Government Publication (FOI/EIR release)
Population Health Directorate

Apr. 16 2024

Source Page: CA125 blood test for Ovarian Cancer: FOI release
Document: CA125 blood test for Ovarian Cancer: FOI release (webpage)

Found: CA125 blood test for Ovarian Cancer: FOI release