Canlyniadau 41–60 o 3366 ar gyfer speaker:Lord Markham

Written Answers — Department of Health and Social Care: Drugs: Prices (21 Mai 2024)

Lord Markham: Since April 2020, NHS England has agreed to 37 commercial agreements that have resulted in non-uniform pricing by medicine, via either the Cancer Drugs Fund, or through bespoke commercial deals to support routine commissioning.

Written Answers — Department of Health and Social Care: Drugs: Prices (21 Mai 2024)

Lord Markham: NHS England has successfully secured patient access to a number of innovative medicines under its policy of uniform pricing. European industry data from April 2023 showed that for every four treatments available in Europe, there is an additional medicine available in England, and a quarter more cancer drugs available in England compared to the European average.

Written Answers — Department of Health and Social Care: Cambridge University Hospitals NHS Foundation Trust: Transgender People (21 Mai 2024)

Lord Markham: Cambridge University Hospital does not recognise the wording provided in the question as belonging to their chaperone’s guidance. The Government has been clear about the importance of biological sex, and the importance of respecting the privacy, dignity, and safety of all patients. Our proposed changes to the NHS Constitution reinforce the National Health Services’ commitment to...

Written Answers — Department of Health and Social Care: Doctors: Labour Turnover (21 Mai 2024)

Lord Markham: The NHS Long Term Workforce Plan has a strong focus on retention, but is not starting from scratch. It builds on measures put in place though the NHS People Promise and NHS People Plan, to improve organisational culture, and the workplace experience of staff across the National Health Service. The learning from the NHS National Retention Programme is that single retention interventions rarely...

Written Answers — Department of Health and Social Care: Doctors: Training (21 Mai 2024)

Lord Markham: The Government continues to keep the number of medical speciality training places it funds under review, and has taken significant action to expand places over recent years. In January 2023, Health Education England, now part of NHS England, announced that nearly 900 additional medical specialty training posts had been created for that year, including more than 500 in the key areas of mental...

Written Answers — Department of Health and Social Care: General Practitioners: Employment (21 Mai 2024)

Lord Markham: There is no centrally held data on the number of general practice vacancies. The Government remains committed to growing the number of doctors working in general practice. NHS England has made available a number of recruitment schemes, including the Targeted Enhanced Recruitment Scheme and the Return to Practice Programme. The headcount of doctors working in general practice in March 2024 was...

Written Answers — Department of Health and Social Care: Breast Cancer: Ethnic Groups (21 Mai 2024)

Lord Markham: Reducing inequalities and improving breast cancer outcomes for ethnic minority 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...

Written Answers — Department of Health and Social Care: Cancer: Health Services (21 Mai 2024)

Lord Markham: The information is not available, as the data is not collected in the format requested.

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: NHS England’s national bladder and bowel health project is delivering better care for people with inflammatory bowel disease, with a focus on developing clinical pathways. Additionally, NHS England aims to reduce variation in care for people with inflammatory bowel disease through its Getting It Right First Time gastroenterology programme. To raise awareness of IBD among GPs and other...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: The noble Lord is correct. I spent time with the clinical lead in this area this morning; there is a Getting It Right First Time pathway and it is clear that the initial cohort of 25 hospitals have shown real progress in this area. That is being rolled out across the pathway—we have now had cohorts 2 and 3 doing it—so we should see those improvements happen across the board. However, it...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: I think there are two things. One is the CDC programme; the 160 centres and 7 million tests that we have rolled out are now very much helping in that space. However, it is also about making sure that the right people get the tests. On the question of awareness as well, we now have these faecal tests—a bit like bowel cancer screening—which can tell with 90% sensitivity whether you have...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: For the benefit of the House, I would say they are often confused. Irritable bowel syndrome is suffered by about 10% of the population while inflammatory bowel disease—we are talking about Crohn’s disease and colitis—is suffered by less than 1% of the population. The key thing is trying to understand the difference between the two; as I say, we have this poo test, for want of a better...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: The noble Lord is correct. This is an area where we still need more knowledge. We have spent about £34 million in research in this space over the last few years, but there is still a lot that we are learning. I can say freely that if there are good research projects there, the resources are available to make sure that they are funded, because we need to learn more in this space.

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: As described by the clinical lead in this, these really are game changers, so getting them back is key. I do not have the figures to hand as to the amount that they get a response from but, in the case of the bowel cancer screening, many of us will be aware that there has been a whole programme which has been very successful in getting those poo tests measured and responded to. We need to...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: The long-term workforce plan sets this out. We are getting a good response in terms of filling up the places. We have about 98% or 99% of the training places filled. The challenge is that this service, more than anything else, suffers from the highest burnout. That is the area where we are struggling to fill the places. Therefore, we are trying to ensure that this scarce resource is used by...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: We had a very good debate on this a couple of weeks ago. All noble Lords accepted that it was a bit of a Cinderella service at the moment, but vitally important to a lot of people’s everyday well-being, so I am happy to do that.

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: The Getting It Right pathway was very much informed from that best practice around the world and, in the last year, NICE has approved four new drug treatments. We are trying to look at the best medicines around the world. One of them, risankizumab, has resulted in a 44% reduction in the disease—so, yes, we are trying to learn from the best in the world.

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: First off, it is trying to learn the lessons: the best parallel that I have so far is around the bowel cancer screening and that faecal screening programme. The real thing here is the difference between the 10% of the population who suffer from irritable bowel syndrome, a lot of which is diet-based in terms of the cure, and the 1% which really is serious in terms of inflammatory bowel...

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: The noble Baroness makes an important point. In this and other areas, we are guided by the science; we have been guided by the science on the advice to date. I will go back and ask for the latest thinking on that, and get back in detail in writing to the noble Baroness, but, generally, being guided by the science will be the approach.

Inflammatory Bowel Disease - Question (20 Mai 2024)

Lord Markham: These are all areas we are trying to find out about, such as Crohn’s and colitis. The trouble is that this whole area has a big field within it. The honest answer is that it is not absolutely understood, hence the need for research on what is causing this in the first place. As I say, we have spent quite a bit on research, but more needs to be spent on understanding the real issues. If the...


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