Asked by: Lord Kempsell (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they will take to ensure equity and quality in care and support across the entire cancer pathway, including (1) fairness and equity in diagnostics, (2) on time treatment, and (3) patients being offered conversations about the additional care and support they may need.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is taking steps to ensure equity and quality in care and support for patients is available across the entire cancer pathway. Reducing inequalities and variation in cancer diagnosis and treatment are a priority for the Government, as is increasing early cancer diagnosis, as this is a key contributor to reducing cancer health inequalities. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity. As part of this, we are increasing diagnostic capacity by rolling out community diagnostic centres across England, with capacity prioritised for cancer checks. Additionally, and 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.
The Department's ministers and officials frequently meet with key stakeholders within the cancer community, including discussions on support for patients and their families. The National Health Service provides personalised cancer care and support plans, to support both patients and their families at all stages of their cancer journey. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer, and maximise the potential of digital and community-based support.
General practice surgeries also conduct cancer care reviews at regular intervals after cancer diagnosis, to offer support with any needs patients may have. This includes providing access to other specialist-led services who work alongside patients’ medical teams, to support patients and their families, such as counsellors, rehabilitation specialists, or social prescribers, who can connect you to community groups or services for more support.
NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met, including for cancer patients. NHS England provides access to a personal health budget, which is an amount of NHS money that is allocated to support the health and wellbeing needs of a patient, if eligible.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress her Department has made on the Interim Delivery Plan for ME/CFS.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In August 2023, the Department published My Full Reality, a cross-Government interim delivery plan on myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), which sets out a number of actions to improve the experiences and outcomes for people with the condition through an expansion of research, better education of professionals, improvements in attitudes towards the condition, and improvements to service provision.
Alongside the publication of the interim Delivery Plan, we ran a public consultation to gather the views and experiences of healthcare professionals, organisations, and individuals with lived experiences of ME/CFS. The aim of the consultation is to build a picture of how well the interim delivery plan identifies and meets the needs of the ME/CFS community, and to understand where there are any gaps where further action may be necessary.
The consultation received well over 3,000 highly detailed responses, which are in the process of being analysed. The consideration and analysis of these responses is progressing steadily, and we are on track to publish a summary of the consultation responses shortly. The consultation responses, along with continued close engagement with stakeholders, will inform the development of the final delivery plan, which we aim to publish later this year.
Asked by: Marquess of Lothian (Conservative - Life peer)
Question to the Foreign, Commonwealth & Development Office:
To ask His Majesty's Government whether they have had discussions with international partners on implementing the recommendations for a common approach among relevant political, humanitarian and development actors, contained in the UN Special Coordinator Feridun Sinirlioğlu’s independent assessment on Afghanistan, dated 8 November 2023.
Answered by Lord Ahmad of Wimbledon - Minister of State (Foreign, Commonwealth and Development Office)
The Government is supportive of the recommendations within the UN Special Coordinator's Independent Assessment, viewing them as the best path for an Afghanistan at peace with itself and the international community. We engage regularly with international partners on this issue, including hosting a meeting in London of G7+ Special Representatives for Afghanistan in January to discuss the report in detail. Senior officials also attend the UN-convened meetings in Doha for Special Representatives as part of this process. Ministers and officials regularly discuss the report's recommendations with international partners, including during the Foreign Secretary's recent trip to Central Asia.
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 steps her Department is taking to help improve specialist services for patients diagnosed with myalgic encephalomyelitis.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning specialist myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), services that meet the needs of their population, subject to local prioritisation and funding. The process of commissioning services should take into account best practice guidance, such as the National Institute for Health and Care Excellence’s (NICE) guidance on ME and CFS diagnosis and management, published in October 2021.
In October 2023, the British Association of Clinicians in ME/CFS published the ME/CFS National Services Survey. This report provides insight into the services being delivered for adults, children, and young people with ME and CFS. The Department published My full reality: an interim delivery plan for ME/CFS in August 2023, which sets out a number of actions to improve the experiences and outcomes for people living with the condition, including better education of professionals and improvements to service provision.
Alongside the publication of the interim delivery plan, we ran a public consultation to build a picture of how well the interim plan meets the needs of the ME and CFS community, and to understand if there are any gaps where further action may be necessary. The Department is currently analysing over 3,000 responses to the consultation, and will publish a summary of the consultation responses in due course. Those consultation responses, along with continued close engagement with key stakeholders, will drive the development of the final cross-Government ME/CFS Delivery Plan, which will be published later this year.
Asked by: Lisa Nandy (Labour - Wigan)
Question to the Foreign, Commonwealth & Development Office:
To ask the Deputy Foreign Secretary, what recent steps his Department has taken to help support (a) governance reform and (b) humanitarian delivery in Lebanon.
Answered by Andrew Mitchell - Minister of State (Foreign, Commonwealth and Development Office) (Minister for Development)
The UK is supporting Lebanon's caretaker government's efforts to implement much-needed reforms. This is the only way to rebuild the confidence of the international community, stop more Lebanese falling into poverty and set the country on a path to sustainable economic progress. During the Foreign Secretary's visit to Lebanon in February, he reaffirmed the UK's commitment to Lebanon's stability. Since 2013 we have provided over £680 million in humanitarian and development assistance. Our funding addresses basic humanitarian needs, including access to healthcare, water, sanitation and shelter. We also support coordination of partners to optimise delivery, including in the conflict-affected south.
Asked by: Lord Alton of Liverpool (Crossbench - Life peer)
Question to the Foreign, Commonwealth & Development Office:
To ask His Majesty's Government what plans they have for a Minister from the Foreign, Commonwealth and Development Office to meet Hazara representatives to discuss the continuing violence and persecution facing their community in Afghanistan.
Answered by Lord Ahmad of Wimbledon - Minister of State (Foreign, Commonwealth and Development Office)
Ministers and officials engage regularly with a range of Afghans, including Hazaras. The Government is monitoring closely attacks against Hazaras in Afghanistan, including by Daesh (Islamic State Khorasan Province), and in December I [Lord Ahmad of Wimbledon] publicly condemned them. I have also raised attacks against Hazaras with the UN Assistance Mission in Afghanistan.
Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Foreign, Commonwealth & Development Office:
To ask the Deputy Foreign Secretary, what recent steps his Department has taken to help support the Sri Lankan authorities to meet UN sustainable development goal six on clean water and sanitation.
Answered by Anne-Marie Trevelyan - Minister of State (Foreign, Commonwealth and Development Office)
The UK Government supports programmes to improve water management and quality in Sri Lanka in line with UN Sustainable Development Goal six and the International Development White Paper's commitment to water, sanitation and hygiene services that are reliable, resilient, and inclusive. Through our work with the International Water Management Institute (IWMI), an international water management research organisation, the UK funds programmes to provide solutions to increasing water scarcity in Puttalam and Kilinochchi as well as implement community wetlands management systems that improve water management and quality across Sri Lanka.
Asked by: Andrew Bridgen (Independent - North West Leicestershire)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what steps his Department is taking to support small rural community projects in North West Leicestershire constituency.
Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
Asked by: Ian Byrne (Labour - Liverpool, West Derby)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase the proportion of people who receive treatment for cancer within 31 days of a decision to begin that treatment.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department is taking steps to reduce cancer diagnosis and treatment waiting times across England, including the time between an urgent general practice referral and the commencement of treatment for cancer for patients. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity. Additionally, 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.
To help achieve the cancer waiting times standards, NHS England is streamlining cancer pathways. This includes implementing non-symptom specific pathways for patients who present with non-specific symptoms, as well as timed cancer pathways focused on the most challenged pathways, such as lower gastrointestinal and skin cancer. The pathways aim to support improvements in operational performance and patient experience, as well as providing models to support sustainable improvement.
Furthermore, to improve cancer treatment we are maximising the pace of the roll-out of additional diagnostic capacity. We are currently delivering the second year of the three-year investment plan for establishing community diagnostic centres (CDCs). We are ensuring timely implementation of new CDC locations and upgrades to existing CDCs, with capacity prioritised for cancer diagnostics. As of April 2024, 160 CDCs are operational, and have delivered almost 8 million tests, checks, and scans since July 2021. Additionally, we are supporting advances in radiotherapy. Since 2016, we’ve invested £162 million into cutting-edge radiotherapy equipment to replace or upgrade over 100 radiotherapy treatment machines.
We are committed to delivering the best possible outcomes for patients, and our approach is seeing success. Almost 344,000 people received their first cancer treatment in the 12 months to March 2024. Further, 2023/24 is the best year so far for the Faster Diagnosis Standard (FDS), with the latest performance data showing that NHS England hit the FDS target for the second month in a row at 77.3%, above the standard of 75%. We have also reduced the 62 day or over cancer referral to treatment backlog, to pre-pandemic levels.
Asked by: Ian Byrne (Labour - Liverpool, West Derby)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase the proportion of people who are provided a cancer diagnosis within 28 days of their referral for testing.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department is taking steps to reduce cancer diagnosis and treatment waiting times across England, including the time between an urgent general practice referral and the commencement of treatment for cancer for patients. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity. Additionally, 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.
To help achieve the cancer waiting times standards, NHS England is streamlining cancer pathways. This includes implementing non-symptom specific pathways for patients who present with non-specific symptoms, as well as timed cancer pathways focused on the most challenged pathways, such as lower gastrointestinal and skin cancer. The pathways aim to support improvements in operational performance and patient experience, as well as providing models to support sustainable improvement.
Furthermore, to improve cancer treatment we are maximising the pace of the roll-out of additional diagnostic capacity. We are currently delivering the second year of the three-year investment plan for establishing community diagnostic centres (CDCs). We are ensuring timely implementation of new CDC locations and upgrades to existing CDCs, with capacity prioritised for cancer diagnostics. As of April 2024, 160 CDCs are operational, and have delivered almost 8 million tests, checks, and scans since July 2021. Additionally, we are supporting advances in radiotherapy. Since 2016, we’ve invested £162 million into cutting-edge radiotherapy equipment to replace or upgrade over 100 radiotherapy treatment machines.
We are committed to delivering the best possible outcomes for patients, and our approach is seeing success. Almost 344,000 people received their first cancer treatment in the 12 months to March 2024. Further, 2023/24 is the best year so far for the Faster Diagnosis Standard (FDS), with the latest performance data showing that NHS England hit the FDS target for the second month in a row at 77.3%, above the standard of 75%. We have also reduced the 62 day or over cancer referral to treatment backlog, to pre-pandemic levels.