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Written Question
Breast Cancer: Screening
Tuesday 23rd 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 recent assessment she has made of trends in the level of uptake for breast cancer screenings amongst ethnic minority women.

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

The national breast screening programme does not currently have the capability to routinely cross reference patient’s ethnicity data with uptake data. NHS England has started work to improve its data collection capabilities as part of the development of the new screening IT system, through the Digital Transformation of Screening programme. This will support the collection of population-level data on protected characteristics such as ethnicity, to support services in improving uptake.

More widely, NHS England has developed a national plan to improve uptake, including interventions to address inequalities and screening barriers. This includes ensuring appointments are as convenient as possible, and efforts are focused on areas and groups with low uptake.


Written Question
Breast Cancer: Ethnic Groups
Monday 22nd 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 steps she is taking to help ensure the Major Conditions Strategy improves breast cancer outcomes for ethnic minority women.

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

Reducing inequalities and improving breast cancer outcomes for ethnic minority women, including black women, is a priority for the Government. To support this work, NHS England has commissioned six new cancer clinical audits, which 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, including metastatic breast cancer. The Royal College of Surgeons began work on this audit in October 2022, and the first outcomes are expected in September 2024.

NHS England is also leading a programme of work to tackle healthcare inequalities centred around five clear priorities, which are set out in operational planning guidance for the health system. The Core20PLUS5 approach for adults has been rolled out as an NHS England framework to focus action on reducing inequalities on issues within the National Health Services’ direct influence, which are major contributors to inequalities in life expectancy through major conditions like cancer, cardiovascular disease, respiratory disease, and others, or Long-Term Plan priorities where stark inequalities are evident, such as maternity or severe mental illness.

The key actions for systems as highlighted in NHS England’s planning guidance for 2024/25 is to continue to deliver against the five strategic priorities for tackling health inequalities. Additionally, by the end of June 2024, NHS England aims to publish joined-up action plans to address health inequalities, and implement the Core20PLUS5 approach.

Improving earlier diagnosis of cancers, including breast cancer, is also a priority for the Government. The NHS has an ambition to diagnose 75% of cancers at stage 1 or 2 by 2028, which will help tens of thousands of people live for longer. Additionally, the new cancer standards developed and supported by cancer doctors and implemented in October 2023, will ensure patients are diagnosed faster, and that treatment starts earlier. In the 2023/24 Operational Planning Guidance, NHS England announced that it is providing over £390 million in cancer service development funding to Cancer Alliances in each of the next two years, to support the delivery of the strategy and the operational priorities for cancer, which includes increasing and prioritising diagnostic and treatment capacity.

Whilst the Major Conditions Strategy does not seek to describe everything that is being done, or could be done, to meet the challenges of individual conditions in silo, it instead focuses on the changes likely to make the most difference across the six groups of major conditions, including cancer.


Written Question
Breast Cancer: Ethnic Groups
Monday 22nd 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 steps her Department is taking to improve breast cancer outcomes amongst Black women.

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

Reducing inequalities and improving breast cancer outcomes for ethnic minority women, including black women, is a priority for the Government. To support this work, NHS England has commissioned six new cancer clinical audits, which 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, including metastatic breast cancer. The Royal College of Surgeons began work on this audit in October 2022, and the first outcomes are expected in September 2024.

NHS England is also leading a programme of work to tackle healthcare inequalities centred around five clear priorities, which are set out in operational planning guidance for the health system. The Core20PLUS5 approach for adults has been rolled out as an NHS England framework to focus action on reducing inequalities on issues within the National Health Services’ direct influence, which are major contributors to inequalities in life expectancy through major conditions like cancer, cardiovascular disease, respiratory disease, and others, or Long-Term Plan priorities where stark inequalities are evident, such as maternity or severe mental illness.

The key actions for systems as highlighted in NHS England’s planning guidance for 2024/25 is to continue to deliver against the five strategic priorities for tackling health inequalities. Additionally, by the end of June 2024, NHS England aims to publish joined-up action plans to address health inequalities, and implement the Core20PLUS5 approach.

Improving earlier diagnosis of cancers, including breast cancer, is also a priority for the Government. The NHS has an ambition to diagnose 75% of cancers at stage 1 or 2 by 2028, which will help tens of thousands of people live for longer. Additionally, the new cancer standards developed and supported by cancer doctors and implemented in October 2023, will ensure patients are diagnosed faster, and that treatment starts earlier. In the 2023/24 Operational Planning Guidance, NHS England announced that it is providing over £390 million in cancer service development funding to Cancer Alliances in each of the next two years, to support the delivery of the strategy and the operational priorities for cancer, which includes increasing and prioritising diagnostic and treatment capacity.

Whilst the Major Conditions Strategy does not seek to describe everything that is being done, or could be done, to meet the challenges of individual conditions in silo, it instead focuses on the changes likely to make the most difference across the six groups of major conditions, including cancer.


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: 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
Royal Free Hospital: Maternity Services
Monday 18th March 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 her Department has undertaken an impact assessment on the potential impact of closing maternity services at the Royal Free Hospital.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The Department has not undertaken such an assessment. The North Central London Integrated Care Board has conducted an impact assessment on the proposals as part of its consultation on proposed changes to maternity, neonatal, and children’s surgical services in North Central London, which is due to close on 17 March 2024. This impact assessment is available at the following link:

https://nclhealthandcare.org.uk/wp-content/uploads/2023/12/ALT-TEXT_Maternity-Neonates-IIA-1.pdf


Written Question
National Security Online Information Team
Thursday 14th March 2024

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Department for Science, Innovation & Technology:

To ask the Secretary of State for Science, Innovation and Technology, what the (a) role and (b) annual cost is of the Counter Disinformation Unit.

Answered by Saqib Bhatti - Parliamentary Under Secretary of State (Department for Science, Innovation and Technology)

In October 2023 the Counter Disinformation Unit became the National Security and Online Information Team (NSOIT). The name more accurately reflects the team’s revised remit and function, which is to tackle the greatest national security risks facing the UK from mis and disinformation, specifically looking at threats posed by foreign states, risks to elections and from the use of AI and deepfakes. This revised remit is kept under regular review.

It would not be appropriate to publicly comment on NSOIT’s funding levels, as doing so would give malign actors insight into the scale of the Government’s capabilities in this area. Nevertheless, DSIT continues to account to parliament for the use of public funds in relation to the NSOIT and other teams within the department.


Written Question
Members: Correspondence
Monday 11th March 2024

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Department for Levelling Up, Housing & Communities:

To ask the Secretary of State for Levelling Up, Housing and Communities, when the Government plans to respond to the letter of 29 November 2023 from the Hon. Member for Brent Central to the Prime Minister on Islamophobia.

Answered by Lee Rowley - Minister of State (Minister for Housing)

A response to the Hon Member’s letter was issued by my Hon Friend Baroness Penn on 1 March 2024.


Written Question
Personal Independence Payment: Syndactyly
Monday 29th January 2024

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what data his Department holds on the number of people with syndactyly that are in receipt of the Personal Independence Payment.

Answered by Mims Davies - Minister of State (Department for Work and Pensions)

The information requested is not readily available and to provide it would incur disproportionate cost. Personal Independence Payment (PIP) is based on the needs arising from a long-term health condition or disability, not the health condition or disability itself.


Written Question
Counter-terrorism: Finance
Tuesday 19th December 2023

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Home Office:

To ask the Secretary of State for the Home Department, what his Department's budget for delivery of Prevent by local authorities in London was in (a) 2019/20, (b) 2020/21, (c) 2012/22 and (d) 2022/23.

Answered by Tom Tugendhat - Minister of State (Home Office) (Security)

The Home Office spent the below on local authority Prevent delivery in London between financial years (19-20)-(22-23):

19/20 - £6,151,499m

20/21 – £5,394,112m

21/22 – £4,927,145m

22/23 – £4,461,433m

The Home Office spent the below on non-police led aspects of Prevent:

19/20 - £50,642,350

20/21 - £36,328,208

21/22 - £46,408,802

23/23 - £35,686,580

The Home Office has an annual budget for Prevent local delivery which is set nationally, not by region.

The Home Office has an annual budget for Prevent local delivery which is set nationally. The annual budget for financial years (2019-20)-(2022-23) are set out below:

19/20 - £12,4m

20/21 - £11,622,500m

21/22 - £10,940m

22/23 - £11m

The Home Office allocated the below funding on non-police led aspects of Prevent:

19/20 - £51,816,427

20/21 - £50,330,318

21/22 - £52,778,437

22/23 - £48,744,261