Asked by: Lee Anderson (Reform UK - Ashfield)
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 raise awareness of the symptoms of bowel cancer.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is determined to cut waiting times and improve outcomes for all cancers, including bowel cancer. The National Cancer Plan was published on 4 February 2026, which will ensure that three in every four people diagnosed with cancer are either cancer‑free or living well five years after diagnosis.
Early diagnosis is a key priority and the plan commits to develop and deliver more proactive approaches to identifying people at risk of cancer through symptomatic case finding, additional support for general practitioners (GPs), and genomic testing. The Department will continue to support the Gateway C digital training platform, and a new generation of digital support tools will help to flag concerning symptoms or test results to GPs for all cancers. As part of this, NHS England will pilot an incentive which encourages the use of electronic safety netting to increase the number of people who complete checks for bowel cancer.
Further actions to improve early diagnosis of bowel cancer includes rolling out increased faecal immunochemical test sensitivity aimed at catching more cancers earlier. The programme, with lowered threshold and combined with increased uptake, will deliver 17,000 earlier diagnoses by 2035.
The NHS Bowel Cancer screening Programme already offers people aged 50 to 74 years old screening every two years. The programme is undergoing several updates to its standards aimed at improving coverage, accessibility, and early detection. This includes updated performance thresholds, and improved accessibility of bowel cancer screening kits.
The NHS Cancer Programme commissioned the Royal College of Surgeons to deliver new cancer clinical audits, which included an audit for bowel cancer, with the aim to strengthen cancer services by looking at all treatments and patient outcomes across England and Wales and reduce inequalities across the country.
Finally, on raising awareness, NHS England also runs national campaigns, most recently in early 2025, to increase knowledge of cancer symptoms, address barriers to acting on them, and to encourage people to see their GP as soon as possible if they notice a change in their health. The campaigns cover bowel cancer and have focused on increasing awareness of a range of symptoms, as well as encouraging general body awareness, to help people spot symptoms across a wide range of cancers at an earlier point.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 provide earlier diagnosis for bowel cancer.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is determined to cut waiting times and improve outcomes for all cancers, including bowel cancer. The National Cancer Plan was published on 4 February 2026, which will ensure that three in every four people diagnosed with cancer are either cancer‑free or living well five years after diagnosis.
Early diagnosis is a key priority and the plan commits to develop and deliver more proactive approaches to identifying people at risk of cancer through symptomatic case finding, additional support for general practitioners (GPs), and genomic testing. The Department will continue to support the Gateway C digital training platform, and a new generation of digital support tools will help to flag concerning symptoms or test results to GPs for all cancers. As part of this, NHS England will pilot an incentive which encourages the use of electronic safety netting to increase the number of people who complete checks for bowel cancer.
Further actions to improve early diagnosis of bowel cancer includes rolling out increased faecal immunochemical test sensitivity aimed at catching more cancers earlier. The programme, with lowered threshold and combined with increased uptake, will deliver 17,000 earlier diagnoses by 2035.
The NHS Bowel Cancer screening Programme already offers people aged 50 to 74 years old screening every two years. The programme is undergoing several updates to its standards aimed at improving coverage, accessibility, and early detection. This includes updated performance thresholds, and improved accessibility of bowel cancer screening kits.
The NHS Cancer Programme commissioned the Royal College of Surgeons to deliver new cancer clinical audits, which included an audit for bowel cancer, with the aim to strengthen cancer services by looking at all treatments and patient outcomes across England and Wales and reduce inequalities across the country.
Finally, on raising awareness, NHS England also runs national campaigns, most recently in early 2025, to increase knowledge of cancer symptoms, address barriers to acting on them, and to encourage people to see their GP as soon as possible if they notice a change in their health. The campaigns cover bowel cancer and have focused on increasing awareness of a range of symptoms, as well as encouraging general body awareness, to help people spot symptoms across a wide range of cancers at an earlier point.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 people living with bowel cancer can access suitable support.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government and the National Health Service are taking crucial steps to improve cancer experience for patients across England, including for bowel cancer.
NHS England aims to empower individuals with choice and control over their health and care through personalised care, focusing on promoting independence, good health, and well-being. This includes provision of information, empowering people to manage their care and the impact of their cancer. Where appropriate, every person diagnosed with bowel cancer will have access to personalised care, including a needs assessment, a care plan, and health and wellbeing information and support.
The recently published National Cancer Plan aims to redesign cancer services around people’s lives, not just around hospitals, recognising that more people are living for longer with and beyond cancer and need ongoing, coordinated support. We will ensure patients have a named neighbourhood lead to help coordinate their care locally, working alongside hospital specialists to provide continuity, reduce fragmentation, and make it easier for people to navigate services. More cancer care and support will be delivered closer to home, including a universal digital-first prehabilitation offer, expanded supportive oncology, greater use of virtual monitoring, and growing opportunities for treatment and follow-up in community settings where safe and appropriate.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 help support the (a) recruitment and (b) retention of adult social care workers.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
English local authorities have responsibility under the Care Act 2014 to meet social care needs and statutory guidance directs them to ensure there is sufficient workforce in adult social care.
The Government recognises the scale of the reforms needed to make the adult social care sector attractive and to improve recruitment and retention. That is why we plan to introduce the first ever Fair Pay Agreement in 2028, backed by £500 million of funding to improve pay and conditions for the adult social care workforce. This Fair Pay Agreement process will strengthen the voice of the workforce through unions, helping to secure fair pay and better conditions that truly reflect the value of their work.
The Department also launched the Adult Social Care Learning and Development Support Scheme in September 2024, providing funding for eligible care staff to complete training courses and qualifications, including the Level 2 Adult Social Care Certificate. The scheme is backed by up to £10 million this financial year.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking he is taking to help fill adult social care worker vacancies.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
English local authorities have responsibility under the Care Act 2014 to meet social care needs and statutory guidance directs them to ensure there is sufficient workforce in adult social care.
The Government recognises the scale of the reforms needed to make the adult social care sector attractive and to improve recruitment and retention. That is why we plan to introduce the first ever Fair Pay Agreement in 2028, backed by £500 million of funding to improve pay and conditions for the adult social care workforce. This Fair Pay Agreement process will strengthen the voice of the workforce through unions, helping to secure fair pay and better conditions that truly reflect the value of their work.
The Department also launched the Adult Social Care Learning and Development Support Scheme in September 2024, providing funding for eligible care staff to complete training courses and qualifications, including the Level 2 Adult Social Care Certificate. The scheme is backed by up to £10 million this financial year.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 social care support workers are (a) paid fairly and (b) supported in their roles.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are committed to transforming adult social care and supporting adult social care workers, turning the page on decades of low pay and insecurity. That is why we are introducing the first ever Fair Pay Agreement in 2028, backed by £500 million of funding to improve the pay and conditions for the adult social care workforce.
The Fair Pay Agreement process will see a new body formed to negotiate changes to pay, and terms and conditions for care workers, improving recruitment and retention and giving staff better recognition for their vital work.
Both employers and trade unions will sit on the body, and this initial investment will mean that by 2028, care workers will expect to see a boost in their yearly wages.
This will be the first ever agreement of its kind in the social care sector, and we anticipate that this collaborative approach will help to address the recruitment and retention crisis in the sector, in turn supporting the delivery of high-quality care and recognising care professionals for the important work that they do.
Over this Parliament, alongside our changes to the minimum wage and new measures in the Employment Rights Act, care workers will receive one of the biggest upgrades in their pay, rights, and conditions in a generation. We are also taking forward other significant reforms and improvements:
- expanding the Care Workforce Pathway, the first ever national career structure for adult social care;
- funding £12 million for eligible care staff to complete courses and qualifications, such as the Level 2 Adult Social Care Certificate; and
- the independent commission, chaired by Baroness Casey, on Adult Social Care launched by the Government, which we have asked to report in 2026, setting out the improvements that we can get on with within existing budgets.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 increase participation in the bowel cancer screening programme in Ashfield.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
Bowel cancer screening is delivered through the national NHS Bowel Cancer Screening Programme, which invites eligible people aged 50 to 74 years old every two years, with those aged over 74 years old able to request a test kit. Data for the programme is available at a Nottinghamshire level, and as of January 2026, the test kit return rate was 64.9%, compared with a national average of 54.3%. All individuals in Nottinghamshire with a positive test result were offered an appointment with a specialist screening practitioner within the 14‑day national standard.
NHS England Midlands has implemented a range of measures to increase participation in the screening programme across Nottinghamshire, including for residents of Ashfield. These measures include:
Asked by: Lee Anderson (Reform UK - Ashfield)
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 increase uptake for bowel cancer screenings.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
Coverage of bowel cancer screening has been increasing in recent years. In 2019, 60.5% of people took the offer up, while now it is 71.8%.
The bowel cancer screening programme has standards, including thresholds. The acceptable threshold is the lowest level of performance which screening services are expected to attain. The achievable threshold represents the level at which the screening service is likely to be running optimally.
The threshold levels have recently been reviewed, with changes taking effect from 1 April 2025. The new coverage thresholds for people aged between 60 and 74 years old is an acceptable level of more than or equal to 62%, and an achievable level of more than or equal to 76%.
To further increase coverage across England, NHS England is doing the following:
Asked by: Lee Anderson (Reform UK - Ashfield)
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 any (a) delays delays to CQC inspections and (b) changes in the level demand in the social care system does not affect the frequency of inspections of care homes.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is holding the Care Quality Commission (CQC) to account for its performance and has strengthened oversight following Dr Penny Dash’s review of the CQC’s operational effectiveness, including improvements in timeliness of assessments.
The CQC has pledged to respond rapidly to urgent and extreme risks, prioritising services registered for over a year without assessment or inspection and those with outdated ratings. From January 2026, this refreshed approach will enable the CQC to prioritise settings, including care homes.
In the 2024/25 financial year, the CQC completed 2,292 assessments of adult social care services. From 1 April 2025 to 22 March 2026, the CQC completed 3,546 assessments of adult social care services, an increase of 55%.
The CQC is piloting a number of initiatives to increase the number of assessments they can deliver in adult care per year to ensure care settings are inspected regularly, and these will be rolled out in the first half of the 2026/27 financial year.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that care homes are inspected regularly.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is holding the Care Quality Commission (CQC) to account for its performance and has strengthened oversight following Dr Penny Dash’s review of the CQC’s operational effectiveness, including improvements in timeliness of assessments.
The CQC has pledged to respond rapidly to urgent and extreme risks, prioritising services registered for over a year without assessment or inspection and those with outdated ratings. From January 2026, this refreshed approach will enable the CQC to prioritise settings, including care homes.
In the 2024/25 financial year, the CQC completed 2,292 assessments of adult social care services. From 1 April 2025 to 22 March 2026, the CQC completed 3,546 assessments of adult social care services, an increase of 55%.
The CQC is piloting a number of initiatives to increase the number of assessments they can deliver in adult care per year to ensure care settings are inspected regularly, and these will be rolled out in the first half of the 2026/27 financial year.