Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
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 ensure that all people diagnosed with pancreatic cancer who are eligible for clinical trials are able to access those trials.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government has set out a vision for the Future of UK Clinical Research Delivery, which aims to create a patient-centred, pro-innovation, and digitally enabled clinical research environment. Key to achieving this vision is increasing participation in research to ensure that the research we support is inclusive and representative of the populations we serve.
The Department-funded National Institute for Health and Care Research (NIHR) funds research and research infrastructure which supports patients and the public to participate in high-quality research. For example, in financial year 2022/23, the NIHR Clinical Research Network supported 41 pancreatic cancer studies and recruited 1,004 participants to these studies.
In addition, the NIHR provides an online service called Be Part of Research which promotes participation in health and social care research by allowing users to search for relevant studies and register their interest. This makes it easier for people to find and take part in health and care research that is relevant to them.
When designing research studies, researchers consider inclusion and exclusion criteria carefully to ensure they are not unnecessarily excluding specific groups who would benefit from the outcome of their study. However, we are aware that inclusion and exclusion criteria can disproportionally exclude individuals from specific groups, for example older adults or pregnant women.
The Health Research Authority (HRA) is developing guidance to improve practices in this area. We are not aware that people with pancreatic cancer are routinely being excluded from studies, however, we know that sometimes people are automatically excluded from taking part, and this can be for good reasons. The guidance produced by the HRA will help researchers to consider if these people and any other groups of people may be unnecessarily excluded, and consider putting measures in place to address this.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions she has had with NHS England on the impact of staffing on the (a) National Cancer Patient Experience Survey programme and (b) collection of data on people with pancreatic cancer.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
We are not aware of an impact of staffing on the National Cancer Patient Experience Survey programme, or on the collection of data on people with pancreatic cancer.
The Department is working closely with NHS England to make sure we have the right workforce with the right skills, across the country. In 2023, the National Health Service published the first ever Long Term Workforce Plan, backed by over £2.4 billion of Government funding, to deliver the biggest training expansion in NHS history. Regarding cancer specifically, the number of staff in the cancer workforce has increased by 50% since 2010.
The 2022 National Cancer Patient Experience survey showed respondents’ average rating of care was 8.8 out of 10, with zero being very poor and 10 very good. 75.5% of respondents said they definitely received the right amount of support for their overall health and wellbeing from hospital staff.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
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 that cancer waiting time targets are met in (a) Birmingham Erdington constituency and (b) England.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Reducing cancer treatment waiting times is a priority for the Government. The Department is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care. The Government 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.
In the 2023/24 Operational Planning Guidance, NHS England announced it is providing over £390 million in cancer service development funding to cancer alliances to support delivery of the strategy and the operational priorities for cancer which includes increasing and prioritising diagnostic and treatment capacity for cancer.
Additionally, the Government published the Major conditions strategy case for change and our strategic framework on 14 August 2023 which sets out our approach to making the choices over the next five years that will deliver the most value in facing the health challenges of today and of the decades ahead, including for cancer.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment her Department has made of the potential merits of publishing a dedicated cancer strategy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
On 24 January 2023, the Government announced plans to publish the Major Conditions Strategy, which will focus on tackling the six major conditions groups: cancers, mental ill-health, cardiovascular disease including stroke and diabetes, dementia, chronic respiratory diseases, and musculoskeletal disorders, that account for around 60% of ill-health and early death in England. Addressing cancer together with other major conditions will allow the Department and NHS England to focus on similarities in approach, ensuring care is better centred around the patient.
Following the call for evidence for a 10-year cancer plan in 2022, the Department received over 5,000 submissions. These findings are being fed into the development of the Major Conditions Strategy.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of pancreatic cancers were diagnosed at an early stage in the most recent year for which information is available.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Latest figures from NHS Digital for cancers diagnosed between January and December 2021 show that 25% of pancreatic cancers were diagnosed at Stage 1 and 2.
NHS England is developing new dedicated urgent diagnostic pathways for these patients so that every cancer patient with concerning, but non-specific symptoms, gets the right tests at the right time in as few visits as possible. There are now 113 of these pathways live, which are seeing more than 5,500 patients per month.
NHS England is also providing a route into pancreatic cancer surveillance for those at high-risk due to family history or at-risk genetic mutations and have formed an expert group to consider a pathway for Hepato-Pancreato-Biliary cancers, including pancreatic cancer.
NHS England is funding a new audit into pancreatic cancer to increase the consistency of access to treatments and to stimulate improvements in cancer treatment and outcomes for patients. The Royal College of Surgeons began work on this audit in October 2022 and the first report is expected in October 2024. In addition to this, the Getting it Right First-Time team in NHS England is undertaking a deep dive into pancreatic cancer, which will highlight actions National Health Service providers need to take to improve services, as well as gathering examples of good practice to share.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
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 rate of diagnosis of pancreatic cancers at an early stage.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Latest figures from NHS Digital for cancers diagnosed between January and December 2021 show that 25% of pancreatic cancers were diagnosed at Stage 1 and 2.
NHS England is developing new dedicated urgent diagnostic pathways for these patients so that every cancer patient with concerning, but non-specific symptoms, gets the right tests at the right time in as few visits as possible. There are now 113 of these pathways live, which are seeing more than 5,500 patients per month.
NHS England is also providing a route into pancreatic cancer surveillance for those at high-risk due to family history or at-risk genetic mutations and have formed an expert group to consider a pathway for Hepato-Pancreato-Biliary cancers, including pancreatic cancer.
NHS England is funding a new audit into pancreatic cancer to increase the consistency of access to treatments and to stimulate improvements in cancer treatment and outcomes for patients. The Royal College of Surgeons began work on this audit in October 2022 and the first report is expected in October 2024. In addition to this, the Getting it Right First-Time team in NHS England is undertaking a deep dive into pancreatic cancer, which will highlight actions National Health Service providers need to take to improve services, as well as gathering examples of good practice to share.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
Question to the Department for Transport:
To ask the Secretary of State for Transport, what assessment he has made of the potential impact of ending Birmingham’s Highways PFI contract earlier than planned on future infrastructure planning in that city.
Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)
The Government has funded Birmingham City Council’s Highways Maintenance contract at £50.3 million a year for 13 years and will continue to do so, maintaining the current level of funding to the council at £50 million a year for the remainder of the current spending review period until 2023/24.
After this time, West Midlands Combined Authority (WMCA) will become eligible for an additional share of the £8.3 billion as the £151 million for WMCA did not previously include an allocation for Birmingham City Council’s roads. This is part of the £2.2 billion wider funding for East Midlands and West Midlands.
This is in addition to the £1bn of CRSTS funding to WMCA up to 2026/27, and CRSTS 2 indicative funding of over £2.6billion over 5 years from 2027/28 to 2031/32.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
Question to the Department for Transport:
To ask the Secretary of State for Transport, pursuant to the Answer of 30 November 2023 to Question 4015 on Roads: Midlands, if he will make a comparative estimate of the (a) additional funding for the West Midlands and East Midlands referenced in that Answer and (b) impact of shortening Birmingham's Highways PFI contract to one year on the funding available for highways maintenance.
Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)
The Government has funded Birmingham City Council’s Highways Maintenance contract at £50.3 million a year for 13 years and will continue to do so, maintaining the current level of funding to the council at £50 million a year for the remainder of the current spending review period until 2023/24.
After this time, West Midlands Combined Authority (WMCA) will become eligible for an additional share of the £8.3 billion as the £151 million for WMCA did not previously include an allocation for Birmingham City Council’s roads. This is part of the £2.2 billion wider funding for East Midlands and West Midlands.
This is in addition to the £1bn of CRSTS funding to WMCA up to 2026/27, and CRSTS 2 indicative funding of over £2.6billion over 5 years from 2027/28 to 2031/32.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what recent assessment his Department has made of the adequacy of levels of neighbourhood policing.
Answered by Chris Philp - Minister of State (Home Office)
This Government is giving policing the resources it needs to police local communities and fight crime. At the end of March 2023, we successfully delivered our commitment to recruit 20,000 additional officers in England and Wales, which means we now have the highest number of officers on record.
Decisions about how these officers are deployed are for Chief Constables, who are accountable to locally elected Police and Crime Commissioners and mayors with these functions.
Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)
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 support the (a) recruitment and (b) retention of General Practice Nurses.
Answered by Neil O'Brien
The Government has committed to increasing the primary care workforce. We are on track to reach 50,000 additional nurses, with over 46,000 more nurses in July 2023 compared with September 2019, including nurses in general practice. We are working to achieve the 50,000 nurses target by improving retention as well as by diversifying our training pipeline and ethically recruiting internationally.
In July 2022, Chief Nursing Officer Ruth May and Em Wilkinson-Brice, National Director of People at NHS England, wrote to trusts to set out the principles and high impact actions that will support the retention of nurses and midwives.
The NHS Long Term Workforce Plan sets out the ambition to increase adult nursing training places by 92%, taking the number of total places up to nearly 38,000 by 2031/32. To support this ambition, we will increase training places to nearly 28,000 in 2028/29.