Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, pursuant to the Answer of 9 July 2015 to Question 5351, what mechanisms are in place to assess whether the dietary and other standards set out in the service specifications for pancreatic cancer are being met.

The standards set for pancreatic cancer are reviewed in two ways:

- By local commissioning teams to check compliance against the service review with each provider. This is a formal process and providers not meeting the key requirements are required to produce an action plan. This includes compliance with multi-disciplinary team membership.

- Where Cancer Peer Review applies to a service, providers are assessed and measures that are not met are followed up with the Trust Board.

Some of the areas referred to in the service specification are linked services under the responsibility of clinical commissioning groups and are included so the relationships between different parts of the pathway are clear.