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Written Question
Members: Correspondence
Monday 29th April 2024

Asked by: Rosena Allin-Khan (Labour - Tooting)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, when she plans to respond to the correspondence of 18 March 2024 from the hon. Members for Tooting, Putney, Wimbledon, Mitcham and Morden, Richmond Park and Twickenham on children's cancer services in the South East.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.


Written Question
Electronic Cigarettes and Smoking
Monday 29th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential merits of harm reduction approaches for people using tobacco and vaping products to end their dependencies.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. Smoking is an addiction and there is no liberty in addiction. It causes harm to not only to the smoker but to the whole of society. That is why we have introduced the Tobacco and Vapes Bill, to create the first smokefree generation and enable us to further crack down on youth vaping. In addition, we are investing an additional £70 million per year, over five years, to support local authority commissioned stop smoking services. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703.

Quitting smoking completely, immediately, and permanently is the best thing a smoker can do for their health, and smokers are three times as likely to succeed with stop smoking services (SSS) when compared to an unsupported quit attempt. The National Institute for Health and Care Excellence (NICE) has published recommendations on supporting people who do not want, or are not ready, to stop smoking in one go, to reduce the harm from smoking. The NICE’s guidance advises that the health benefits from reducing smoking are unclear, but if smokers reduce their smoking now, they are more likely to stop smoking in the future.


Written Question
Insomnia: Exercise
Monday 29th April 2024

Asked by: Jim Shannon (Democratic Unionist Party - Strangford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she is taking steps to increase public awareness of the potential merits of regular exercise in reducing the effects of insomnia.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Being active can help prevent and manage chronic conditions and diseases, including coronary heart disease, stroke, type 2 diabetes, obesity, cancer, depression, and musculoskeletal conditions. It is also important for a range of other things, including energy balance, to maintain a healthy body weight, cognitive functioning, and sleep.

Our current focus is supporting people who are the most inactive to become more active, as this is where the greatest health gains can be achieved. This includes promoting easy and fun ways to get active through the Better Health social marketing campaign, including Couch to 5k, and Active 10 apps.


Written Question
Cancer: Health Services
Thursday 25th April 2024

Asked by: Navendu Mishra (Labour - Stockport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment she has made of performance against the 62-day referral to treatment cancer standard in England.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

In February 2024, 63.9% of patients, against the standard of 85%, received treatment within 62 days of an urgent suspected cancer or breast symptomatic referral or consultant upgrade, to a first definitive treatment for cancer. This is 1.6% higher than performance in January 2024, and 1.4% higher than the same time last year.

The pandemic and recent industrial action placed significant pressure on elective services, including cancer care. We are seeing record levels of referrals, with over 12,000 urgent referrals seen for suspected cancer per working day in February 2024.

As outlined in the 2024/25 NHS England Planning Guidance, NHS England is providing over £266 million in cancer service development funding to Cancer Alliances to support delivery of the operational priorities for cancer, which includes increasing and prioritising diagnostic and treatment capacity. The Government remains committed to continuing its recovery from the pandemic, and specifically, to reduce local and national waiting times for cancer treatment.


Written Question
Smoking
Thursday 25th April 2024

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 steps she is taking with Cabinet colleagues to help ensure that lobbying by the tobacco industry does not undermine future public health policies aimed at reducing smoking rates.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. Smoking is an addiction, and there is no liberty in addiction. It causes harm to not only the smoker, but to society as a whole. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

The UK is a party to the World Health Organization Framework Convention on Tobacco Control, and under Article 5.3 has an obligation to protect the development of public health policy from the vested interests of the tobacco industry. As a world leader in tobacco control, the Government takes this commitment very seriously. In 2023, the Department published guidance for Government engagement with the tobacco industry, which is available at the following link:

https://www.gov.uk/government/publications/protocol-for-engagement-with-stakeholders-with-links-to-the-tobacco-industry/guidance-for-government-engagement-with-the-tobacco-industry

The Department regularly publishes correspondence from, or to, those with links to the tobacco industry, and it is available at the following link:

https://khub.net/web/phe-national/public-library/-/document_library/v2WsRK3ZlEig/view/394794557


Written Question
Health: Men
Thursday 25th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment has she made of the potential merits of a men's health strategy for the economy.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Whilst no specific assessment has been made, we are already taking action to address the health issues that disproportionately impact men. This includes through policies announced on International Men’s Day, such as the appointment of a Men’s Health Ambassador, to raise the profile of men’s health issues. The Major Conditions Strategy will also focus on improving health outcomes linked to major condition areas like cancer, cardiovascular, and chronic respiratory diseases that disproportionately impact men.


Written Question
Pregnancy: Smoking
Thursday 25th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to encourage pregnant women to undertake smoking cessation programmes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is the number one entirely preventable cause of ill-health, disability, and death in this country. It is responsible for 80,000 yearly deaths in the United Kingdom, and one in four of all UK cancer deaths. Smoking in pregnancy increases the risk of stillbirth, miscarriage, and sudden infant death.

As set out in Stopping the Start: our new plan to create a smokefree generation, we are establishing a financially incentivised scheme to help pregnant smokers and their partners to quit smoking, with smoking cessation support. This evidence-based intervention will encourage pregnant women to give up smoking, and remain smokefree throughout pregnancy and beyond, helping to improve the health and wellbeing of both mother and baby.

The objective is to have all maternity trusts that wish to participate in the scheme signed up by the end of 2024, so that all pregnant women who smoke in participating areas will be offered the opportunity to join the incentive scheme by December 2024.

This financial incentive scheme builds upon the NHS Long Term Plan’s ambition to ensure that all pregnant smokers can access behavioural support to quit from within maternity services, as well as additional funding for mass marketing campaigns on stopping smoking.


Written Question
Smoking
Thursday 25th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to help increase the number of people participating in smoking cessation programmes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is the number one entirely preventable cause of ill-health, disability and death in this country. It is responsible for 80,000 yearly deaths in the United Kingdom and one in four of all UK cancer deaths. It costs our country £17 billion a year, £14 billion of which is through lost productivity alone. It puts a huge pressure on the National Health Service and social care, costing over £3 billion a year. Quitting smoking is the best thing a smoker can do for their health and smokers are three times as likely to succeed with stop smoking services (SSS) when compared to an unsupported quit attempt.

As announced in Stopping the start: our new plan to create a smokefree generation, published in October 2023, the Government is investing an additional £70 million per year for five years to support local authority-led SSS, around doubling current spend and supporting 360,000 people to set a quit date each year. To support engagement with SSS, and increase motivation to quit, we are spending an additional £15 million per year to fund national anti-smoking campaigns. We are also investing up to £45 million over two years to roll out our national ‘Swap to Stop’ scheme and establishing a financial incentives scheme to help pregnant smokers and their partners quit smoking with smoking cessation support.

Vaping is never recommended for children, and carries the potential harms of future addiction while their lungs and brains are still developing. The health advice is clear, vapes can be an effective tool to help smokers quit, but young people and those who have never smoked should not vape, or be encouraged to vape.


Written Question
Electronic Cigarettes: Research
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the implications for her policies of research by Professor Martin Schwendler and Dr Chiara Herzog on changes to epithelial cells caused by vaping.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Vaping is never recommended for children, and carries the potential harms of future addiction while their lungs and brains are still developing. The health advice is clear, vapes can be an effective tool to help smokers quit, but young people and those who have never smoked should not vape, or be encouraged to vape.

As stated by Cancer Research UK, this study contributes to our understanding of e-cigarettes, also known as vapes, but does not show that e-cigarettes cause cancer. Decades of research has proven the link between smoking and cancer, and studies have so far shown that e-cigarettes are far less harmful than smoking, and can help people quit. This paper does, however, highlight that vapes are not risk-free, and so we need additional studies to uncover their potential longer-term impacts on human health.


Written Question
Blood Cancer: Drugs
Wednesday 24th April 2024

Asked by: Jim Shannon (Democratic Unionist Party - Strangford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 March 2024 to Question 15636 on Blood Cancer: Drugs, on what date her Department first became aware of challenges presented by the appraisal of combination therapies; and what solutions her Department is considering with NHS England to ensure continued equal access to combination medicines for multiple myeloma across the UK.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

NHS England, the National Institute for Health and Care Excellence (NICE), and the Association of the British Pharmaceutical Industry (ABPI) worked closely with the Competition and Markets Authority (CMA) over a number of years on the CMA’s statement on combination therapies, published in November 2023.

The steps taken by the CMA provide a clear commercial position that means that deals involving multiple drugs licensed by different companies can now be agreed under specific circumstances. This has been welcomed by the ABPI as an opportunity to unlock the door to more transformative combination therapies on the National Health Service.