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House of Lords Official Report Vol. 792 Monday No. 163 2 July 2018 PARLIAMENTARYDEBATES (HANSARD) HOUSE OF LORDS OFFICIAL REPORT ORDEROFBUSINESS Introductions: Baroness Bryan of Partick and Baroness Barran .......................................383 Questions Health: Endoscopy and Bowel Cancer ...........................................................................383 Railways: Wales..............................................................................................................386 Royal Navy: Deployment ...............................................................................................389 UK Democratic System: Interference by Russia ............................................................391 Natural Environment and Rural Communities Act 2006 Committee Report Motion to Take Note.......................................................................................................393 European Council Statement........................................................................................................................431 Detainee Mistreatment and Rendition Statement........................................................................................................................445 Brexit: UK-EU Relations (EUC Report) Motion to Take Note......................................................................................................450 Lords wishing to be supplied with these Daily Reports should give notice to this effect to the Printed Paper Office. No proofs of Daily Reports are provided. Corrections for the bound volume which Lords wish to suggest to the report of their speeches should be clearly indicated in a copy of the Daily Report, which, with the column numbers concerned shown on the front cover, should be sent to the Editor of Debates, House of Lords, within 14 days of the date of the Daily Report. This issue of the Official Report is also available on the Internet at https://hansard.parliament.uk/lords/2018-07-02 The first time a Member speaks to a new piece of parliamentary business, the following abbreviations are used to show their party affiliation: Abbreviation Party/Group CB Cross Bench Con Conservative DUP Democratic Unionist Party GP Green Party Ind Lab Independent Labour Ind LD Independent Liberal Democrat Ind SD Independent Social Democrat Ind UU Independent Ulster Unionist Lab Labour LD Liberal Democrat LD Ind Liberal Democrat Independent Non-afl Non-affiliated PC Plaid Cymru UKIP UK Independence Party UUP Ulster Unionist Party No party affiliation is given for Members serving the House in a formal capacity, the Lords spiritual, Members on leave of absence or Members who are otherwise disqualified from sitting in the House. © Parliamentary Copyright House of Lords 2018, this publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 383 Introductions [2 JULY 2018] Health: Endoscopy and Bowel Cancer 384 House of Lords What plans do the Government have to provide training for the staff needed, and when will details of the Monday 2 July 2018 planned phased rollout of the FIT be published? 2.30 pm Lord O’Shaughnessy: I thank the noble Baroness Prayers—read by the Lord Bishop of Rochester. for raising that question and am sorry to hear about her mother. As she will know, bowel cancer is unfortunately the third-most prevalent cancer and the Introduction: Baroness Bryan of Partick second-biggest killer, and we need to go a long way to improve treatment. I have already mentioned the increase 2.37 pm in the number of endoscopists, and that will help. There are also plans to make sure that existing staff Pauline Christina Bryan, having been created Baroness within the cancer workforce have the necessary specialist Bryan of Partick, of Partick in the City of Glasgow, was skills. The size of the cancer workforce has increased introduced and made the solemn affirmation, supported over the last few years but there is a goal to dramatically by Baroness Hayter of Kentish Town and Baroness increase it further. We know that the test that the Chakrabarti, and signed an undertaking to abide by the noble Baroness mentioned is much more effective and Code of Conduct. can be administered much more easily. The rollout will take place from December this year. Introduction: Baroness Barran 2.43 pm Lord Winston (Lab): My Lords, there is an increasing interest in capsule endoscopy, which of course is less Diana Francesca Caroline Barran, MBE, having been invasive as it does not require an instrument to be put created Baroness Barran, of Bathwick in the City of Bath, down into the abdomen. However, it requires training, was introduced and took the oath, supported by Baroness which the medical literature clearly shows is insufficient. Butler-Sloss and Baroness Williams of Trafford, and Can the Minister indicate whether the NHS is planning signed an undertaking to abide by the Code of Conduct. to provide more training for the provision of capsule endoscopies? Also, what is the risk of a large number Health: Endoscopy and Bowel Cancer of false positive results with all these endoscopies? Question Lord O’Shaughnessy: I will have to write to the 2.47 pm noble Lord with an answer to his question about the Asked by Baroness Benjamin type of endoscopy he mentions, as I do not have the details of it. The risk of false positives is one reason To ask Her Majesty’s Government what plans that we have to be extremely careful with screening they have to respond to the increase in demand for programmes of all kinds, whether it is the faecal endoscopy services to prevent bowel cancer through immunochemical test or an endoscopy. As he knows, early diagnosis. whatever screening programmes are implemented, the National Screening Committee tries to reduce the Baroness Benjamin (LD): My Lords, I beg leave to number of false positives wherever possible. ask the Question standing in my name on the Order Paper and declare an interest as patron of Beating Bowel Cancer. Lord Patel (CB): My Lords, given that we have one of the poorest outcomes compared with other health TheParliamentaryUnder-Secretaryof State,Department services in the developed world and that the demographic of Health and Social Care (Lord O’Shaughnessy) (Con): changes that will occur in the population may well MyLords,theHealthEducationEnglandCancerWorkforce mean that one in two people will develop cancer, are Plan includes a commitment to invest in a further the Government aware of what determinants there are 200 clinical endoscopists by 2021 to support an increase for poor outcomes? What plans do they have to improve in capacity for earlier diagnosis. This builds on the them for cancer patients? existing commitment to train 200 clinical endoscopists by the end of 2018. The Health Education England training programme has already recruited 130 trainee Lord O’Shaughnessy: The noble Lord is quite right endoscopists against this target, with two further cohorts to point that out. While outcomes have improved, they planned this year. lag behind those of other countries, which we need to correct. The independent cancer taskforce set the goal Baroness Benjamin: I thank the noble Lord for that of saving 30,000 extra lives a year by a number of Answer. Around 16,000 people die from bowel cancer different routes. The one that I pick out in particular is each year—my mother was one of them—so early early diagnosis. We know that too many cancers are diagnosis is vital. I congratulate the Government on diagnosed at a late stage, so this year the NHS has introducing FIT,a test which will save lives, but endoscopy committed to increasing the proportion of cancers units are already struggling to cope with the increase diagnosed at stage 1 or stage 2, and we are spending in referrals because of inadequate funding and a lack £200 million in cancer alliances to support early diagnosis of highly trained NHS staff to carry out the procedures. in the community. 385 Health: Endoscopy and Bowel Cancer [LORDS] Railways: Wales 386 Baroness Neville-Rolfe (Con): My noble friend has Lord O’Shaughnessy: The noble Earl makes a good done much to bring the benefits of the digital revolution point. A cancer diagnosis can be a devastating piece of to the NHS. Are there digital solutions that might help news. One way of ameliorating that is through the to prevent bowel cancer and other cancers in the fight support of charities like Macmillan Cancer Support, against this dreadful disease in the coming months as well as through clinical nurse specialists who can and years? provide such support. Some 90% of people are seeing those nurses when they are diagnosed and our ambition Lord O’Shaughnessy: My noble friend is quite right is to see that percentage rise to 100% next year. to point out the potential of digital, particularly the analytical capability of artificial intelligence to look at Railways: Wales samples. That was one reason why the Prime Minister Question recently pledged to have 50,000 more early cancer diagnoses by 2033—a long-term goal—precisely because 2.55 pm the NHS is such a good place to use artificial intelligence Asked by Baroness Bloomfield of Hinton Waldrist to improve care. To ask Her Majesty’s Government what steps they are taking with the Welsh Government to Baroness Jolly (LD): My Lords, after a cancer improve railway connectivity within Wales. diagnosis, English patients have poorer outcomes than all but one of our European comparators. We welcome TheParliamentaryUnder-Secretaryof State,Department
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