§ Mr. Pawseyasked the Secretary of State for Social Services what has been the regional variation in the incidence of cervical cancer over the last five years; and if he will give, in total and by regional health authority, the number of (a) registrations and (b) deaths involving cervical cancer in each of those years.
§ Mrs. CurrieStatistics on the regional variation of the registrations of newly diagnosed cases of carcinoma of cervix uteri (ICD (9) 180) and of carcinoma in situ of cervix uteri (ICD (9) 233.1) for England and Wales for 1978 to 1982 are published in "Cancer Statistics", MBI Nos. 10–14 copies of which are in the Library. These show the numbers of registrations, the rate per 100,000 population and the standardised registration ratios at age under 75 for each regional health authority in tables 6, 7 and 8 respectively.
579WStatistics from 1981 to 1984 on the numbers of deaths with an underlying cause of carcinoma of cervix uteri and the standardised mortality ratios (SMR) by regional health authority are shown in table 5 and table 3 respectively "Mortality Statistics: area" DH5 No's 8–11. The number of deaths and the SMR's for 1985 are shown in the tables.
Number of deaths with underlying cause as Carcinoma of Cervix Uteri, (ICD1(9) 180), England and Wales, and Regional Health Authority (RHA) of usual residence, 1985 number of deaths England and Wales 1,957 Area of usual residence Wales 139 Northern RHA 147 Yorkshire RHA 177 Trent RHA 191 East Anglian RHA 59 North West Thames RHA 91 North East Thames RHA 130 South East Thames RHA 123 South West Thames RHA 86 Wessex RHA 92 Oxford RHA 73 South Western RHA 129 West Midlands RHA 185 Mersey RHA 148 North Western RHA 183 1 International Classification of Diseases 9th revision.
Standardised, Mortality Ratios (SMR) for Carcinoma of Cervix Uteri (ICD (9) 180) for 1985. Area Standardised, Mortality Ratios (100) England 98 Wales 123 Northern RHA 122 Yorkshire RHA 126 Trent RHA 108 East Anglian RHA 77 North West Thames RHA 70 North East Thames RHA 89 South East Thames RHA 82 South West Thames RHA 70 Wessex RHA 79 Oxford RHA 87 South Western RHA 97 West Midlands RHA 95 Mersey RHA 157 North Western RHA 116
§ Mr. Pawseyasked the Secretary of State for Social Services how the incidence of cervical cancer in the United Kingdom compares with that in other countries for which he has information available; and if he will make a statement.
§ Mrs. CurrieThe information given in the table is selected from Chapter 12 of "Cancer Incidence in Five Continents, Volume IV" published by the World Health Organisation and the International Agency for Research on Cancer. It is the latest information currently available. Data for other countries not shown may be found in the volume, a copy of which is in the Library. World Health Organisation expects to publish more up to date figures shortly.
580W
Age-standardised incidence rates (world standard) for carcinoma of cervix uteri ICD (8) 180, selected countries, per 100,000 population Country Rate Year Canada, Quebec 10.8 1973–77 United States of America, Seattle 11.0 1974–77 Japan, Fukuoka 19.4 1974–75 Finland 8.5 1971–76 France, Doubs 17.4 1977 Italy, Varese 11.7 1976–77 Norway 19.0 5973–77 United Kingdom, Birmingham 12.0 1973–76 United Kingdom, North Scotland 11.3 1973–77 Australia, New South Wales 12.5 1973–77 Note: For the majority of countries, data are only provided from registries covering regions within the country.
§ Mr. Dobsonasked the Secretary of State for Social Services when he expects to reply to the letter about cervical cancer policy sent to him by the hon. Member for Holborn and St. Pancras on 23 September.
§ Mrs. CurrieI replied to the hon. Member yesterday.
§ Mr. Dobsonasked the Secretary of State for Social Services when he expects to provide a substantive reply to the questions on cervical cancer by the hon. Member for Holborn and St. Pancras due for answer on 29 October.
§ Mrs. CurrieI am replying to the hon. Member today.
§ Mr. Maxwell-Hyslopasked the Secretary of State for Social Services what provision he proposes to make in his Department's estimates for 1987–88 for financing a three-yearly cervical smear test cycle as recommended by the British Medical Association.
§ Mrs. CurrieI refer my hon. Friend to my reply to my hon. Friend the Member for Rugby and Kenilworth (Mr. Pawsey) on 30 October at column237.
§ Mr. Dobsonasked the Secretary of State for Social Services if he will list those health authorities which have district-wide computerised cervical cancer call and recall schemes in operation.
§ Mrs. Currie[pursuant to her reply, 29 October 1986, c. 186]: Regional health authorities' outturn reports on short-term programmes showed that as at 31 March 1986 the following 33 health authorities had implemented computerised call and recall systems for cervical cancer screening:
581W
Barnet North Devon Barnsley North Manchester Brent Northumberland Bristol and Weston Plymouth Central Manchester Riverside Cheltenham and District Rochdale Chichester Rotherham Croydon Salford East Dorset South Bedfordshire Exeter South Manchester Frenchay Southmead Gloucester Stockport Haringey Torbay Harrogate West Dorset Hillingdon Worcester Mid-Downs Worthing North Bedfordshire
§ Mr. Dobsonasked the Secretary of State for Social Services if he will list those health authorities which do not have district-wide cervical cancer call and recall schemes in operation but which have plans to do so, giving the estimated date of introduction in each case.
§ Mrs. Currie[pursuant to her reply, 29 October 1986, c. 186]: In January this year all health authorities were required to give priority to implementing computerised call and recall systems for cervical cancer screening no later than March 1988. Of the 158 health authorities that had not implemented such systems as at 31 March 1986, 76 planned to do so during 1986–87 and 82 during 1987–88. The information by regional and district health authorities is as follows:
NORTHERN REGION
1986–87
- Darlington
- East Cumbria
- Gateshead
- Newcastle
- North Tees
- North Tyneside
- South Tees
- South Tyneside
- South West Durham
- Sunderland
- West Cumbria
1987–88
- Durham
- Hartlepool
- North West Durham
YORKSHIRE REGION
1986–87
- Airedale
- Bradford
- Dewsbury
- Huddersfield
- Leeds Western
- Northallerton
- Pontefract
- Scunthorpe
- Wakefield
1987–88
- Calderdale
- East Yorkshire
- Grimsby
- Hull
- Leeds Eastern
- Scarborough
- York
TRENT REGION
1986–87
- Bassetlaw
- Central Nottinghamshire
- Leicesterhsire
- Nottingham
1987/88
- Doncaster
- North Derbyshire
- North Lincolnshire
- Sheffield
- South Derbyshire
- South Lincolnshire
EAST ANGLIAN REGION
1986/87
- Norwich
- West Norfolk and Wisbech
1987/88
- Cambridge
582 - East Suffolk
- Great Yarmouth and Waveney
- Huntingdon
- Peterborough
- West Suffolk
NORTH WEST THAMES REGION
1987/88
- Ealing
- East Hertfordshire
- Harrow
- Hounslow and Spelthorne
- North Hertfordshire
- North West Hertfordshire
- Paddington and North Kensington
- South West Hertfordshire
NORTH EAST THAMES REGION
1986/87
- Barking, Havering and Brentwood
- Enfield
- Tower Hamlets
1987/88
- Basildon and Thurrock
- Bloomsbury
- City and Hackney
- Hampstead
- Islington
- Mid-Essex
- Newham
- North East Essex
- Redbridge
- Southend
- Waltham Forest
- West Essex
SOUTH EAST THAMES REGION
1987/88
- Bexley
- Brighton
- Bromley
- Camberwell
- Canterbury and Thanet
- Dartford and Gravesham
- Eastbourne
- Greenwich
- Hastings
- Lewisham and North Southwark
- Maidstone
- Medway
- South East Kent
- Tunbridge Wells
- West Lambeth
SOUTH WESR THAMES REGION
1986/87
- East Surrey
- Kingston and Esher
- Mid-Surrey
- North West Surrey
- Richmond, Twickenham and Roehampton
- South West Surrey
- West Surrey and North East Hampshire
1987/88
- Merton and Sutton
- Wandsworth
WESSEX REGION
1986/87
583W
- Basingstoke
- Bath
- Isle of Wight
- Portsmouth
- Salisbury
- Southampton
- Swindon
- Winchester
OXFORD RHGION
1986/87
- Aylesbury Vale
- Kettering
- Milton Keynes
- Northampton
- Wycombe
1987/88
- East Berkshire
- Oxfordshire
- West Berkshire
SOUTH WESTERN REGION
1987–88
- Cornwall and Isles of Scilly
- Somerset
WEST MIDLANDS REGION
1986–87
- Bromsgrove and Redditch
- Central Birmingham
- Coventry
- East Birmingham
- Herefordshire
- Kidderminster and District
- Mid Staffordshire
- North Birmingham
- North Staffordshire
- North Warwickshire
- Sandwell
- Solihull
- South Birmingham
- South East Staffordshire
- South Warwickshire
- Walsall
- West Birmingham
1987–88
- Dudley
- Rugby
- Shropshire
- Wolverhampton
MERSEY REGION
1986–87
- Chester
- Crewe
- Halton
- Liverpool
- Macclesfield
- Warrington
1987–88
- St. Helens and Knowsley
- Southport and Formby
- South Sefton
- Wirrall
NORTH WESTERN REGION
1986–87
- Bolton
- Bury
- Tameside and Glossop
1987–88
- Blackburn
- Blackpool
- Burnley
- Chorley
- Lancaster
- Oldham
- Preston
- Trafford
- West Lancashire
- Wigan