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Written Question
NHS: Software
Friday 26th 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, how much his Department has spent on contracts with NEC Software Solutions for centralising existing clinical registries.

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

The current contract with NEC Software Solutions for centralising the Medical Device Outcome Registry, National Joint Registry, and National Vascular Registry is £969,544. Further information is available at the GOV.UK contracts finder, at the following link:

https://www.contractsfinder.service.gov.uk/Notice/bb2b90d1-c52c-4388-9159-7e8b8dce3c32


Written Question
Prostate Cancer
Friday 19th April 2024

Asked by: Lord Bishop of St Albans (Bishops - Bishops)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what plans they have to expand public awareness campaigns for prostate cancer, following the prediction by the Lancet Commission of a surge in cases.

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

Prostate cancer is the most common cancer in men in the United Kingdom, and currently has no screening programme. The recently announced TRANSFORM trial aims to find the best way to screen for prostate cancer. This study is led by Prostate Cancer UK and supported by £42 million of Government funding.

In March 2024, NHS England implemented the Faster Diagnosis Standard (FDS), setting a target of a maximum 28 day wait from urgent suspected general practice or screening referral to patients being told they have cancer, or that cancer is ruled out. To achieve this target, NHS England is streamlining cancer pathways by introducing best-practice timed pathways for prostate cancer, so that those suspected of having prostate cancer receive a multi-parametric magnetic resonance imaging scan first, which ensures only those men most at risk of having cancer undergo an invasive biopsy. As well as diagnosing patients faster, NHS England is working to diagnose patients at an earlier stage, through the ambitions set out in the NHS Long-Term Plan, to diagnose 75% of cancers at stages one and two by 2028.

NHS England takes steps to raise awareness of prostate cancer, where there are opportunities to do so. For example, NHS England partners with Cancer Alliances, charities, and local representatives to reach people through projects in the heart of their communities. Cancer Alliances have also been undertaking action to alert at-risk groups about prostate cancer. This is determined at a local level, and so will vary depending on local needs and priorities.

The Government has made significant strides in enabling the use of artificial intelligence (AI) systems to support the diagnosis of many types of cancer, including prostate. The AI in Health and Care Award was established, aiming to accelerate the testing and development of AI technologies that align with the NHS Long Term Plan. The award represents a substantial investment in the future of healthcare technology, with £113 million already allocated to support 86 AI technologies. Three of these projects specifically relate to prostate cancer, one of which is the Paige prostate cancer detection tool, developed by the University of Oxford. This AI-based diagnostic software aids in the interpretation of pathology sample images, facilitating more efficient detection, grading, and quantification of cancer in prostate biopsies. The Chancellor’s recent budget announcement on 6 March 2024 includes a £3.4 billion investment to reform how the National Health Service works, including on the use of technologies such as AI.

Finally, although no specific assessment of the Lancet Commission published 4 April 2024 has been made, the Department will work with NHS England to review the details.


Written Question
Prostate Cancer
Friday 19th April 2024

Asked by: Lord Bishop of St Albans (Bishops - Bishops)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, what plans they have to use artificial intelligence systems to support the diagnosis of prostate cancer, as recommended by the Lancet Commission in research published on 4 April.

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

Prostate cancer is the most common cancer in men in the United Kingdom, and currently has no screening programme. The recently announced TRANSFORM trial aims to find the best way to screen for prostate cancer. This study is led by Prostate Cancer UK and supported by £42 million of Government funding.

In March 2024, NHS England implemented the Faster Diagnosis Standard (FDS), setting a target of a maximum 28 day wait from urgent suspected general practice or screening referral to patients being told they have cancer, or that cancer is ruled out. To achieve this target, NHS England is streamlining cancer pathways by introducing best-practice timed pathways for prostate cancer, so that those suspected of having prostate cancer receive a multi-parametric magnetic resonance imaging scan first, which ensures only those men most at risk of having cancer undergo an invasive biopsy. As well as diagnosing patients faster, NHS England is working to diagnose patients at an earlier stage, through the ambitions set out in the NHS Long-Term Plan, to diagnose 75% of cancers at stages one and two by 2028.

NHS England takes steps to raise awareness of prostate cancer, where there are opportunities to do so. For example, NHS England partners with Cancer Alliances, charities, and local representatives to reach people through projects in the heart of their communities. Cancer Alliances have also been undertaking action to alert at-risk groups about prostate cancer. This is determined at a local level, and so will vary depending on local needs and priorities.

The Government has made significant strides in enabling the use of artificial intelligence (AI) systems to support the diagnosis of many types of cancer, including prostate. The AI in Health and Care Award was established, aiming to accelerate the testing and development of AI technologies that align with the NHS Long Term Plan. The award represents a substantial investment in the future of healthcare technology, with £113 million already allocated to support 86 AI technologies. Three of these projects specifically relate to prostate cancer, one of which is the Paige prostate cancer detection tool, developed by the University of Oxford. This AI-based diagnostic software aids in the interpretation of pathology sample images, facilitating more efficient detection, grading, and quantification of cancer in prostate biopsies. The Chancellor’s recent budget announcement on 6 March 2024 includes a £3.4 billion investment to reform how the National Health Service works, including on the use of technologies such as AI.

Finally, although no specific assessment of the Lancet Commission published 4 April 2024 has been made, the Department will work with NHS England to review the details.


Written Question
Prostate Cancer
Friday 19th April 2024

Asked by: Lord Bishop of St Albans (Bishops - Bishops)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the Lancet Commission on prostate cancer, published 4 April 2024.

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

Prostate cancer is the most common cancer in men in the United Kingdom, and currently has no screening programme. The recently announced TRANSFORM trial aims to find the best way to screen for prostate cancer. This study is led by Prostate Cancer UK and supported by £42 million of Government funding.

In March 2024, NHS England implemented the Faster Diagnosis Standard (FDS), setting a target of a maximum 28 day wait from urgent suspected general practice or screening referral to patients being told they have cancer, or that cancer is ruled out. To achieve this target, NHS England is streamlining cancer pathways by introducing best-practice timed pathways for prostate cancer, so that those suspected of having prostate cancer receive a multi-parametric magnetic resonance imaging scan first, which ensures only those men most at risk of having cancer undergo an invasive biopsy. As well as diagnosing patients faster, NHS England is working to diagnose patients at an earlier stage, through the ambitions set out in the NHS Long-Term Plan, to diagnose 75% of cancers at stages one and two by 2028.

NHS England takes steps to raise awareness of prostate cancer, where there are opportunities to do so. For example, NHS England partners with Cancer Alliances, charities, and local representatives to reach people through projects in the heart of their communities. Cancer Alliances have also been undertaking action to alert at-risk groups about prostate cancer. This is determined at a local level, and so will vary depending on local needs and priorities.

The Government has made significant strides in enabling the use of artificial intelligence (AI) systems to support the diagnosis of many types of cancer, including prostate. The AI in Health and Care Award was established, aiming to accelerate the testing and development of AI technologies that align with the NHS Long Term Plan. The award represents a substantial investment in the future of healthcare technology, with £113 million already allocated to support 86 AI technologies. Three of these projects specifically relate to prostate cancer, one of which is the Paige prostate cancer detection tool, developed by the University of Oxford. This AI-based diagnostic software aids in the interpretation of pathology sample images, facilitating more efficient detection, grading, and quantification of cancer in prostate biopsies. The Chancellor’s recent budget announcement on 6 March 2024 includes a £3.4 billion investment to reform how the National Health Service works, including on the use of technologies such as AI.

Finally, although no specific assessment of the Lancet Commission published 4 April 2024 has been made, the Department will work with NHS England to review the details.


Written Question
Prostate Cancer
Friday 19th April 2024

Asked by: Lord Bishop of St Albans (Bishops - Bishops)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to recent research conducted by the Lancet Commission, what steps they plan to take to address the projected surge in prostate cancer cases.

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

Prostate cancer is the most common cancer in men in the United Kingdom, and currently has no screening programme. The recently announced TRANSFORM trial aims to find the best way to screen for prostate cancer. This study is led by Prostate Cancer UK and supported by £42 million of Government funding.

In March 2024, NHS England implemented the Faster Diagnosis Standard (FDS), setting a target of a maximum 28 day wait from urgent suspected general practice or screening referral to patients being told they have cancer, or that cancer is ruled out. To achieve this target, NHS England is streamlining cancer pathways by introducing best-practice timed pathways for prostate cancer, so that those suspected of having prostate cancer receive a multi-parametric magnetic resonance imaging scan first, which ensures only those men most at risk of having cancer undergo an invasive biopsy. As well as diagnosing patients faster, NHS England is working to diagnose patients at an earlier stage, through the ambitions set out in the NHS Long-Term Plan, to diagnose 75% of cancers at stages one and two by 2028.

NHS England takes steps to raise awareness of prostate cancer, where there are opportunities to do so. For example, NHS England partners with Cancer Alliances, charities, and local representatives to reach people through projects in the heart of their communities. Cancer Alliances have also been undertaking action to alert at-risk groups about prostate cancer. This is determined at a local level, and so will vary depending on local needs and priorities.

The Government has made significant strides in enabling the use of artificial intelligence (AI) systems to support the diagnosis of many types of cancer, including prostate. The AI in Health and Care Award was established, aiming to accelerate the testing and development of AI technologies that align with the NHS Long Term Plan. The award represents a substantial investment in the future of healthcare technology, with £113 million already allocated to support 86 AI technologies. Three of these projects specifically relate to prostate cancer, one of which is the Paige prostate cancer detection tool, developed by the University of Oxford. This AI-based diagnostic software aids in the interpretation of pathology sample images, facilitating more efficient detection, grading, and quantification of cancer in prostate biopsies. The Chancellor’s recent budget announcement on 6 March 2024 includes a £3.4 billion investment to reform how the National Health Service works, including on the use of technologies such as AI.

Finally, although no specific assessment of the Lancet Commission published 4 April 2024 has been made, the Department will work with NHS England to review the details.


Written Question
Health Services: Databases
Tuesday 9th April 2024

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what guidance her Department issues on the (a) adoption by and (b) use in the NHS of System One computer software.

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

Decisions on the procurement, adoption, and use of SystmOne are made locally as part of standard procurement procedures, which adhere to compliant procurement guidelines. No additional guidance has been provided by the Department on the adoption or usage of SystmOne in the National Health Service.


Written Question
Health Services: Data Protection
Friday 5th April 2024

Asked by: Baroness Manzoor (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they have taken to ensure that patient records and personal data are only accessible to those who need to view them, and to ensure connections between software systems in health facilities include suitable control measures for this risk.

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

National IT systems must ensure that users can be identified correctly, and are given appropriate access. This is achieved using identity verification capabilities, including creating a national digital identity for each authorised user.

Each local National Health Service organisation which requires access to the national IT systems is required to set up its own local Registration Authority (RA) which consists of people and processes who are trained to create identities and grant access for their staff to the national IT systems. NHS England has published the RA Policy requirements with which every local NHS organisation that has an RA must comply. This reflects current best practice for identity and access management as informed by the National Cyber Security Centre (NCSC) guidance.

The RA Policy also allows non-NHS health and care organisations providing direct care to run their own RA service. RA hosting is subject to meeting requirements and assessment criteria, which are soon to be published.

The RA process includes the use of RA codes, assigned to professional users’ smartcards to give them access to the correct information within national IT systems.

The RA codes which are assigned for a specific user will allow that user to create and process referrals appropriately depending on their job role.

Local organisations which have an RA function are required to have an RA audit policy and conduct annual audits on NHS Smartcard usage as part of their RA governance. RA Managers (those responsible for administering the RA function within an organisation) must implement a process to run the RA reports on a regular basis.


Written Question
Health Services: Databases
Wednesday 3rd April 2024

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether the NHS plans to expand the use of System One computer software.

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

The procurement of electronic patient record systems is conducted at an integrated care board or trust level, following specific procurement criteria. Consequently, decisions regarding software adoption and expansion will be made by National Health Service trusts. All procurement activity for patient record systems is conducted in compliance with regulations, which means that the outcome of future procurements cannot be known at this point.


Written Question
NHS: Software
Friday 16th February 2024

Asked by: Wes Streeting (Labour - Ilford North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many full-time equivalent staff have worked on (a) developing and (b) maintaining the My Planned Care platform since 2022-23.

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

My Planned Care was developed in 2021 and launched in February 2022. It is hosted by an NHS Commissioning Support Unit of behalf of NHS England.

My Planned Care waiting times are updated weekly, primarily through automated data management systems with minimal human resources. NHS England maintain the content as updated by each provider, which is part of a wider programme of work. It is estimated that between the waiting time weekly updates and the content maintenance, the resources utilised are less than 0.1 full-time equivalent per week.


Written Question
Breast Cancer: Screening
Thursday 8th February 2024

Asked by: Peter Gibson (Conservative - Darlington)

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 adequacy of availability of follow up MRI scans for women who have undergone mastectomies to tackle lobular breast cancer.

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

£2.3 billion was awarded at Spending Review 2021 to transform diagnostic services over the next three years. Most of this will help increase the number of community diagnostic centres up to 160 by March 2025, expanding and protecting elective planned diagnostic services. The remainder of the funding will increase capacity for imaging, including MRI scans, endoscopy as well as lung and mammography screening, and improve digital diagnostics.

Growth in the MRI asset base and increased use of MRI acceleration software is creating additional capacity for approximately 572,000 MRI examinations per annum within the NHS in England.

The Department and NHS England have taken steps to improve the treatment of invasive lobular breast cancer (ILBC) but are aware that more needs to be done. In September 2022, the National Cancer Audit Collaborating Centre announced funding from NHS England and the Welsh Government of £5.4 million to support delivery of six new national cancer audits. Two of these focus on breast cancer, one on primary and one on metastatic, and include ILBC.

Additionally, the National Institute for Health and Care Research (NIHR) supports breast cancer research funded by research partners in the charity and public sectors. Over the last five years, the NIHR Clinical Research Network has supported 10 ILBC-related studies.