Asked by: Adam Jogee (Labour - Newcastle-under-Lyme)
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 (a) promote earlier detection of mouth cancer, (b) ensure (i) dentists, (ii) GPs and (iii) other frontline health professionals are trained to identify early warning signs and (c) reduce the time taken to (A) diagnose and (B) refer patients for treatment for mouth cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that cancer incidence, including mouth cancer incidence, is increasing. We know that more needs to be done to improve outcomes for patients with mouth cancer, including raising awareness of signs and symptoms and focusing on prevention, such as the introduction of the Tobacco and Vapes Bill.
Our forthcoming National Cancer Plan will have patients at its heart, and it will include further details on how we will speed up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately drive up this country’s cancer survival rates.
To support earlier and faster cancer diagnosis, we are now delivering additional checks, tests and scans at 170 community diagnostic centres.
Additionally, to help increase early detection of cancer, the Government has recently launched Jess’s Rule, an initiative that asks general practitioners (GPs) to think again if, after three appointments, they have been unable to diagnose a patient, or their symptoms have escalated.
We are also investing an additional £889 million in general practice, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This will help to ensure we have a well-trained and well-equipped primary care service that can take the time to provide quality care to patients around the country.
Dentists and other dental professionals, including hygienists, routinely check the soft tissues of a patient’s mouth for signs of cancer during dental visits and as part of the check-up will make an assessment and record an individual’s oral cancer risk. Dentists will prioritise patients at a higher risk of oral cancer for more frequent recall and review in line with National Institute for Health and Care Excellence guidance.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of the level of training provided to General Practitioners on (a) the treatment and (b) symptoms of Postural Tachycardia Syndrome .
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Royal College of General Practitioners (RCGP) provides education on postural tachycardia syndrome (PoTS) through its Syncope Toolkit, which includes an e-learning module, a podcast and a webinar. These resources cover diagnosis and management and include patient perspectives to improve clinical understanding. The toolkit is available to GPs via the RCGP e-learning platform.
As part of its Clinical Knowledge Summary (CKS) resources, the National Institute for Health and Care Excellence (NICE) has also published detailed guidance on the assessment and management of syncope and blackouts, which includes advice on PoTS. The purpose of CKSs is to provide primary care practitioners with quick, accessible, and evidence-based guidance on best practice for commonly occurring conditions.
The guidance is available at the following link:
https://cks.nice.org.uk/topics/blackouts-syncope/diagnosis/assessment/
PoTS is diagnosed by a combination of GPs and specialist clinicians. GPs can diagnose PoTS in many cases but, if they are unsure of symptoms or if symptoms are complex, they will refer patients to specialists for diagnosis. The RCGP’s Syncope Toolkit provides diagnostic information to GPs, including the use of the active stand test, to rule out other conditions and potentially diagnose PoTS more quickly.
Where patients are referred to secondary care for diagnosis, we are investing in additional capacity to deliver appointments to help bring waiting lists and times down. The Elective Reform Plan, published in January 2025, sets out the specific productivity and reform efforts needed to return to the constitutional standard, that 92% of patients to wait no longer than 18 weeks from Referral to Treatment, by March 2029.
By expanding community-based services for routine monitoring and follow up, employing artificial intelligence for productivity and investing in digital tools and data, as outlined in the 10-Year Health Plan, we can ensure that consultants’ time is reserved for complex cases of PoTS, including specialist diagnostic assessments.
While the Department recognises the significant challenges of PoTS diagnosis, responsibility for specific clinical pathways and specialist training rests with local NHS bodies.
Asked by: Nick Timothy (Conservative - West Suffolk)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to improve funding for speech and language (a) support and (b) specialists for children in (i) primary and (ii) secondary schools.
Answered by Georgia Gould - Minister of State (Education)
The department, in collaboration with NHS England, has extended the Early Language and Support for Every Child (ELSEC) programme, to strengthen early identification and intervention for children with speech, language and communication needs in early years settings and primary schools.
Under the Best Start in Life strategy, the department continues to invest in evidence-based initiatives such as the Nuffield Early Language Intervention, which has demonstrated significant impact on oral language and early literacy, particularly for disadvantaged pupils.
Recognising the critical role of speech and language therapists, the department is working closely with the Department of Health and Social Care and NHS England to improve access to community health services, including speech and language therapy, for children and young people with special educational needs and disabilities.
Asked by: Angus MacDonald (Liberal Democrat - Inverness, Skye and West Ross-shire)
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 gambling harm prevention campaigns reach rural and remote communities.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The introduction of the new statutory levy on gambling operators, which came into effect in April 2025, guarantees sustainable funding for the research, prevention, and treatment of gambling-related harms which is entirely independent of the influence of the gambling industry.
The Office for Health Improvement and Disparities (OHID), as the gambling harms prevention commissioner in England under the levy, acknowledges the role that public health and awareness-raising campaigns can play in preventing health harms, including harms associated with gambling.
OHID is working at pace to develop its gambling harms prevention programme, working closely with the gambling harms prevention commissioners in Scotland and Wales. OHID is considering the role of prevention campaigns in the future prevention programme at a national and Great Britain-wide level and will consider the reach of such activity across specific populations such as rural and remote communities. Further details will be confirmed before the end of this financial year.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 the cancer service specifications for teenagers and young adults published in 2023 are (a) funded and (b) implemented as part of the National Cancer Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 the National Cancer Plan for England provides age-appropriate information on the (a) signs and (b) symptoms of cancer for young people.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of psycho-oncology provision for teenagers and young adults with cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 support the faster diagnosis of teenagers and young adults with cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Fabian Hamilton (Labour - Leeds North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of people initially coded with (a) pre‑diabetes and (b) type 2 diabetes who were later found to have early or established type 1 diabetes in the most recent period for which data is available; and what steps his Department is taking with NHS England to help improve diagnostic accuracy in England.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Data is not collected centrally on the numbers or proportions of people initially coded with pre-diabetes or type 2 diabetes who were later found to have type 1 diabetes. The change of patient diagnosis would be reflected by a change of diagnosis code in clinical systems. However, the way that data extraction works for national audits means that it is not possible to track these types of changes.
Published data on diabetes registrations by GP practice can be found in the quarterly National Diabetes Audit (NDA) data release. This also contains data on care process and treatment target attainment as well as the number of new diagnoses by calendar year.
The latest quarterly report is available at the following link:
The NDA supports improvements in diagnosis by assessing whether people with diabetes are receiving the recommended diagnostic checks and to identify variations and shortfalls in care delivery against National Institute for Health and Care Excellence guidelines.
Asked by: Jonathan Davies (Labour - Mid Derbyshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the effectiveness of the Vaccine Damage Payment Scheme.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
I would like to reiterate my deepest sympathies to all those individuals who have experienced harm following vaccination, and to their families.
I recognise many of the concerns that campaigners have raised regarding the Vaccine Damage Payment Scheme (VDPS). Their input will shape our ongoing consideration of reforms to the scheme.
In parallel, the Department continues to work with the NHS Business Services Authority, the administrators of the VDPS, to take further steps to improve the scheme, including through processing claims at a faster rate.
I will keep Parliament updated, as appropriate.