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595712

registered interest
date	07/10/2016
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Sub-Saharan Africa: Politics and Government
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, what diplomatic steps he is taking to address the humanitarian crisis in sub-Saharan Africa.
tabling member constituency	Caithness, Sutherland and Easter Ross
tabling member printed	Dr Paul Monaghan
uin	47449
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Her Majesty's Government is committed to addressing humanitarian crises in Africa through a number of means, including working bilaterally with African countries and through supporting multilateral bodies such as the European Union, United Nations, the International Financial Institutions and the African Union. The UK is also a leading donor in responding to crisis in the region; last year the Department for International Development spent £522m on humanitarian assistance across Africa, including South Sudan, Nigeria and in response to El Nino effects in Ethiopia and Southern Africa.</p><p>We also remain an active partner of the African Union, supporting the organisation to deliver its responsibility for peace and security on the continent, and in its role as the first responder to crisis. In addition,</p><p>Ministerial colleagues and I undertake regular visits to the region where prevention and responses to humanitarian crises are frequently discussed.</p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood question first answered 17/10/2016 16:56:28 answering member 1487 label Biography information for Mr Tobias Ellwood
tabling member	4383 label Biography information for Dr Paul Monaghan

595720

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Physiology: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to introduce financial incentives for physiological services to engage with and achieve IQIPS accreditation.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	47534
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47464 47533 47535 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
tabling member	197 label Biography information for Jim Fitzpatrick

595723

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Audiology: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the progress of audiology services achieving IQIPS accreditation; and what plans he has to ensure that audiology services in NHS trusts and communities give priority to registering with IQIPS.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	47533
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47464 47534 47535 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
tabling member	197 label Biography information for Jim Fitzpatrick

595726

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Audiology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he plans to introduce mandatory accreditation of audiology services in England.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	47535
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47464 47533 47534 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
tabling member	197 label Biography information for Jim Fitzpatrick

595731

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many newly qualified GPs are waiting to be added to the national list for medical performers.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	47437
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>NHS England advises that, currently, there are approximately 720 applications for general practitioner (GP) trainees to be added to the performers list.</p><p> </p><p>The processing of applications to join the National Performers List was taken over by Capita in September 2015, and there have been some delays in Capita’s processing of applications. NHS England is working closely with Capita to identify all cases which may be affected by delays in processing applications, and those identified are being investigated and urgent cases prioritised. NHS England expects all GP trainees to be on the performers list by the end of October when their grace period for inclusion ends.</p><p> </p><p>The decision to admit a GP trainee to the performer list is the sole responsibility of NHS England rather than Capita. There have been some instances where Capita have informed GPs that they cannot practice because their application to the performer list has not been completed. Where we are aware of such instances, those GPs have been contacted by NHS England and provided with the correct advice relating to their individual circumstances. Where necessary, NHS England has taken further action to expedite the performers’ list process.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47438 question first answered 17/10/2016 16:05:50 answering member 4080 label Biography information for David Mowat
tabling member	410 label Biography information for Jon Trickett

595734

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Audiology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many audiology services there are in England.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	47464
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47533 47534 47535 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
tabling member	197 label Biography information for Jim Fitzpatrick

595738

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pancreatic Cancer: Mortality Rates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce mortality rates for people diagnosed with pancreatic cancer.
tabling member constituency	Glasgow North West
tabling member printed	Carol Monaghan
uin	47270
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>NHS services for pancreatic cancer have been significantly improved in recent years. This includes clearer diagnostic pathways; decision making by specialist multi-disciplinary teams; and the centralisation of pancreas surgery within specialist teams.</p><p>However, we know more needs to be done. The Independent Cancer Taskforce’s report,<em> Achieving World-Class Outcomes a Cancer Strategy for England 2015 – 2020</em>, notes that whilst survival to date has improved significantly for some cancers, for other cancers, including pancreatic cancer, it has remained stubbornly low.</p><p>An implementation plan, <em>Achieving World-Class Cancer Outcomes: Taking the strategy forward</em>, was published on 12 May 2016 and we hope to see great progress as it is delivered.</p><p>We know earlier diagnosis of cancer makes it more likely that patients will receive effective treatments so we have committed funding of up to £300 million a year by 2020 to implement recommendation 24 of the report that by 2020, everyone referred with a suspicion of cancer will receive either a definitive diagnosis or the all-clear within 28 days.</p><p>In addition, NHS England has published a service specification for pancreatic cancer which clearly defines what it expects to be in place for providers to offer evidence-based, safe and effective pancreatic cancer services. This service specification has been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe core and developmental service standards.</p><p>The full service specification can be found at:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a02-cncr-panc.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/06/a02-cncr-panc.pdf</a></p><p>The National Institute for Health and Care Excellence (NICE) published updated guideline, <em>Suspected cancer: recognition and referral</em>, in June 2015, to ensure that it reflects latest evidence and can continue to support general practitioners (GPs) to identify patients, including children and young people and urgently refer them as appropriate. NICE noted that 5,000 more lives could be saved each year in England if GPs followed the new guideline, which encourage GPs to think of cancer sooner and lower the referral threshold.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:17:50 answering member 4080 label Biography information for David Mowat
tabling member	4443 label Biography information for Carol Monaghan

595740

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many UK medical students entered undergraduate training in each year since 2000.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Poulter
uin	47254
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Information on the number of United Kingdom medical students is not held centrally; this is collected by the Higher Education Funding Council for England (HEFCE).</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 17:00:03 answering member 1542 label Biography information for Philip Dunne
tabling member	3932 label Biography information for Dr Dan Poulter

595746

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Papillomavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many complaints his Department received in relation to vaccination against human papilloma virus in each month of 2016.
tabling member constituency	Bassetlaw
tabling member printed	John Mann
uin	47258
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) collects reports of suspected side effects to vaccines and medicines via the Yellow Card Scheme. It is important to note that a report of a suspected side effect does not necessarily mean the vaccine or medicine was the cause of the reported event, and coincidental illness can also be a factor. Such reports remain under continual review by the MHRA in order to detect possible new risks.</p><p> </p><p>The MHRA has received 198 United Kingdom spontaneous suspected adverse reaction reports temporally-associated with human papillomavirus (HPV) vaccine between 1 January 2016 and 9 October 2016. Table 1 below provides a breakdown of these reports by month.</p><p> </p><table><tbody><tr><td><p>Month</p></td><td><p>Number of reports</p></td></tr><tr><td><p>January</p></td><td><p>16</p></td></tr><tr><td><p>February</p></td><td><p>22</p></td></tr><tr><td><p>March</p></td><td><p>24</p></td></tr><tr><td><p>April</p></td><td><p>23</p></td></tr><tr><td><p>May</p></td><td><p>33</p></td></tr><tr><td><p>June</p></td><td><p>26</p></td></tr><tr><td><p>July</p></td><td><p>15</p></td></tr><tr><td><p>August</p></td><td><p>7</p></td></tr><tr><td><p>September</p></td><td><p>32</p></td></tr><tr><td><p>October to date (9 October 2016)</p></td><td><p>0</p></td></tr></tbody></table><p> </p><p> </p><p>More than 9 million doses of HPV vaccine have been given in the UK, with close to 90% of eligible teenagers vaccinated. As with all vaccines, safety remains under continual review, and HPV vaccine has a very good safety record.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 17/10/2016 16:44:04 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1387 label Biography information for Lord Mann

595748

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure consistency of provision in the quality of care in mental health services across England.
tabling member constituency	Bradford East
tabling member printed	Imran Hussain
uin	47291
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Mental health is one of the six core clinical areas to be covered by NHS England’s new CCG Improvement and Assessment Framework. NHS England is working to ensure that this will provide as broad a view as possible of how well commissioners are supporting and driving improvement in mental health.</p><p> </p><p>A dashboard for mental health will be published this autumn, containing a set of standard indicators to articulate progress in mental health services at a national level and allow benchmarking of services across the country.</p><p> </p><p>NHS England will continue to ensure that mental health is represented within the full suite of levers and incentives at its disposal including Commissioning for Quality and Innovation payment framework (CQUINs), Quality Premium, the NHS Standard Contract and within the design of new models of care. The Technical Guidance for NHS planning covering 2017/18 and 2018/19 that accompanied the publication of the main NHS Planning Guidance earlier this autumn included a number of draft proposals for specific mental health CQUINs:</p><p> </p><p>- Improving services for people with Mental Health needs who present to A&amp;E;</p><p>- Improving physical health care for people with Severe Mental Illnesses; and</p><p>- Improving transitions for children and young people.</p><p> </p><p>The Quality Premium is based on measures that cover a combination of national and local priorities, and on delivery of the fundamentals of commissioning. The Premium is paid to clinical commissioning groups (CCGs) in 2018/19 and 2019/20 reflects the quality of the health services commissioned by them in 2017/18 and 2018/19. There will be six mandated indicators including a mental health indicator.</p><p> </p><p>Mental health service providers are responsible for the consistency and quality in the services that they provide. Services in England are regulated by the Care Quality Commission which introduced a new regulation and inspection regime in 2014. CCGs are expected to increase their spending on mental health in line with overall growth in their baseline allocations.</p><p> </p><p> </p><p> </p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46870 question first answered 17/10/2016 16:59:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4394 label Biography information for Imran Hussain