Commons Sense

House of Commons · Ministerial Statement

Lung Cancer Screening

26 June 2023 · 18 other contributors

Opened by Steve Barclay Con North East Cambridgeshire

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Steve Barclay raised concerns about lung cancer screening in the House of Commons. A government minister responded. Other MPs also contributed.

Key points

  • The Minister announced an expansion of the national lung cancer screening programme in England for high-risk individuals aged 55 to 74.
  • The initiative aims to improve early detection rates, focusing on deprived communities.
  • Since 2019, a pilot programme has benefited around 2,000 people, leading to a significant increase in detected cases.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Government Statement

The Minister announced an expansion of the national lung cancer screening programme in England, which will target individuals aged between 55 and 74 who are at high risk due to smoking history. This initiative aims to improve early detection rates, particularly in deprived communities where patients often present with advanced-stage lung cancer. The pilot programme has already benefited around 2,000 people since its launch in 2019, leading to a significant increase in the number of cases detected at an earlier stage (stages one and two). When fully implemented, it is expected that the programme will annually identify between 8,000 and 9,000 lung cancer patients at an early stage. The minister highlighted additional investments such as £123 million for AI tools to expedite diagnoses and mentioned a national scheme to encourage smokers to switch to vaping and financial incentives for pregnant women to stop smoking.

Other contributors (18)
  • Wes Streeting Lab Ilford North

    Question

    The MP questioned whether the NHS workforce plan, yet to be released, explains why it will take seven years for the screening programme roll-out and how it could impact current NHS waiting lists.

    Minister reply

    No direct answer provided in the given text.

  • Wes Streeting Lab Ilford North

    Question

    The MP asked about the expected impact of the National Cancer Research Institute closure on cancer clinical trials and research.

    Minister reply

    No direct answer provided in the given text.

  • Wes Streeting Lab Ilford North

    Question

    Before I begin, I would like to pay tribute to Margaret McDonagh and James Brokenshire. Lung cancer patients in this country are less likely to survive than those in most European countries due to long wait times for GP appointments, scans, and treatment after diagnosis. The programme announced today will not be fully rolled out until 2030, which means no action is being taken now or in the next Parliament. There are workforce shortages and NHS strike action that impact service delivery. A report by the King’s Fund reveals that the NHS has fewer CT and MRI scanners than other advanced countries and lower numbers of clinical staff, leading to longer wait times during the pandemic.

    Minister reply

    On behalf of His Majesty's Government, I echo condolences for Margaret McDonagh and James Brokenshire. The programme aims to close health inequality gaps by targeting areas with high smoking rates and low survival rates. We aim to increase lung cancer survival from 15% to 40% in the next 18 months and eventually to 100%. NHS has seen record numbers of cancer patients over the last two years, and survival rates are improving across almost all types of cancer. The Government is spending more than £1 billion on research through the National Institute for Health and Care Research.

  • Steve Brine Con Winchester

    Question

    Although this nationally expanded programme cannot prevent lung cancer, will the Secretary of State confirm that we will stick by the principle of making every contact count? When people come forward for a lung risk assessment, we can offer emotional support where a problem has been detected, provide smoking cessation services to those who are still smoking, or just put our arms around people where there are comorbidities. When people come into contact with the health service, will we make every contact count for them?

    Minister reply

    Yes, my hon. Friend is right about using the opportunity of screening to pick up other conditions and work constructively to better empower patients on the prevention agenda.

  • Rachael Maskell Lab Co-op York Central

    Question

    Of course those most at risk must be fast-tracked into diagnostic services, but when we are 2,000 radiologists short, 4,000 radiographers short and 5,000 other health staff short in those diagnostic services, how can people get the diagnostic services they need? When will we have the workforce in place to service this policy?

    Minister reply

    Clearly, earlier detection reduces pressure on the workforce. We are investing in our community diagnostic programme with 108 community diagnostic centres open and delivering 4 million additional tests and scans. The £8 billion investment includes over £5 billion for capital programmes such as CT scanners.

  • Question

    Alongside the new lung screening programme, will my right hon. Friend commit to implementing in full the recommendations made by Dr Javed Khan in his review to address smoking as the leading cause of preventable cancer?

    Minister reply

    The Government are taking a range of measures including vaping support for smokers, financial incentives for pregnant women, tougher enforcement, and packaging inserts.

  • Dan Jarvis Lab Barnsley North

    Question

    Will the Secretary of State ensure that ex-miners in coalfield communities are considered in the roll-out of the new targeted programme given their higher risk of lung cancer?

    Minister reply

    The targeting of mining communities will be shaped by clinical advice and the Minister will flag this point for consideration.

  • Question

    What plans do the Government have to bring vital early detection screening to Medway towns, an area with high levels of deprivation and high smoking-attributed mortality rates?

    Minister reply

    The programme’s expansion aims to target communities at highest risk for lung cancer and Medway challenges will be taken into consideration.

  • Chris Bryant Lab Rhondda and Ogmore

    Question

    Will the Secretary of State guarantee an increase in radiographers and radiologists to ensure that patients receive timely treatment after diagnosis?

    Minister reply

    Through community diagnostic centres, additional tests and scans are being rolled out, and over £5 billion has been invested through the elective recovery programme.

  • Miriam Cates Con Penistone and Stocksbridge

    Question

    Will my right hon. Friend consider using new community diagnostic centres as radiotherapy treatment centres to reduce cancer treatment waiting times?

    Minister reply

    The capacity is being expanded through investment in diagnostic and surgical hubs, alongside looking at patient pathways for expedited treatments.

  • Richard Foord Lib Dem Honiton and Sidmouth

    Question

    Why will only 40% of people be subject to screening by 2025 and why must we wait until 2030 for widespread availability, considering that a significant number of lung cancer victims have not smoked?

    Minister reply

    The programme is being rolled out sustainably targeting deprived communities with the highest smoking prevalence; additional risk factors will be considered based on evidence.

  • Question

    How much will the national lung cancer screening programme cost and why can it not be paid for in its entirety from the profits of cigarette companies?

    Minister reply

    The additional cost over seven years is £1 billion; funding will be an issue for the Treasury.

  • Derek Twigg Lab Widnes and Halewood

    Question

    How much of the £1 billion will be used to bring in extra clinicians and staff needed for screening, given that only 77.8% of patients got an urgent referral within 62 days at a local hospital?

    Minister reply

    Significant work is going into faster diagnosis standards with additional diagnostic centres to boost capacity and address the backlog from the pandemic.

  • Edward Timpson Con Eddisbury

    Question

    Welcomes the announcement of a national targeted lung cancer screening programme and asks if screening trucks will continue in rural areas where health inequalities are high.

    Minister reply

    Acknowledges that community-based screening trucks were effective during the pilot phase, increasing accessibility and reducing the barrier to entry for patients who might otherwise find hospital visits daunting. Confirms this approach is crucial to improving participation rates.

  • Nick Smith Lab Blaenau Gwent and Rhymney

    Question

    Asks if the Treasury will require tobacco companies to fund part of the programme.

    Minister reply

    Confirms regular discussions with the Treasury on funding but notes that the Department of Health and Social Care has a budget exceeding £180 billion, already addressing various healthcare needs such as junior doctors' pay. Will consider any additional measures in context.

  • Suzanne Webb Con Stourbridge

    Question

    Welcomes the new programme and raises concern about young people using vapes without having smoked first, asking if the Government will continue to crack down on marketing vapes to children.

    Minister reply

    Acknowledges the importance of distinguishing vaping as a smoking cessation tool from its use by youth. Mentions efforts to tighten regulations and close loopholes, including a recent call for evidence.

  • Simon Clarke Con Middlesbrough South and East Cleveland

    Question

    Welcomes the announcement and requests that Jonathan Ferguson’s work at James Cook University Hospital be used as an example to inform best practices across other communities.

    Minister reply

    Commits to learning from Mr. Ferguson's innovative approaches, such as operating scanners for extended hours and utilizing mobile units in supermarket car parks, to enhance early detection and survival rates.

Shadow Comment

Wes Streeting

The Shadow Health Secretary criticised the Government's delayed action on lung cancer, noting that despite announcing an expansion of the screening programme, its full roll-out is not expected until 2030. He also pointed out issues with NHS workforce shortages and the potential impact on delivering such a programme. Streeting highlighted the challenges patients face in accessing timely care, including long waits for appointments and treatment delays beyond the recommended timeframes. The Labour MP further criticised the closure of the National Cancer Research Institute due to funding uncertainties and expressed concern over falling clinical trial numbers.

▸ Assessment & feedback
Summary accuracy