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1003603

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Civil Proceedings
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much has been spent by (a) Health Education England and (b) Lewisham and Greenwich NHS Trust on (i) legal fees and (ii) other costs associated with defending legal action brought by Dr Chris Day.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	189610
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The Department is aware that Dr Chris Day took legal action against Health Education England (HEE) and Lewisham and Greenwich NHS Trust, between 2014-18, which was settled on the basis of him withdrawing the claim.</p><p> </p><p>HEE spent a total of £433,000.00 on legal fees and costs, which includes £55,000, which was previously agreed legal costs to Dr Chris Day.</p><p> </p><p>Lewisham and Greenwich NHS Trust spent a total of £285,500.00 plus VAT in legal fees and does not have any other associated costs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/11/2018 16:41:00 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1439 label Biography information for Norman Lamb

1003678

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Social Services: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether provisions will be made for sleep-in shift payments in the upcoming green paper on social care.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	189622
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>An ageing society means that we need to reach a longer-term sustainable settlement for social care. This is why the Government has committed to publishing a Social Care Green Paper setting out its proposals for reform. The Green Paper will cover a range of issues including funding, workforce, carers and commissioning. It is right that social care funding is agreed alongside the rest of the local government settlement at the forthcoming spending review.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/11/2018 16:40:05 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1511 label Biography information for Lord Austin of Dudley

1003701

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is reduce the number of working days lost as a result of musculoskeletal disorders; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189525
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189526 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	165 label Biography information for Clive Efford

1003707

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Ovarian Cancer: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to raise awareness of the symptoms of ovarian cancer to improve early detection.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	189804
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Public Health England (PHE) has run a number of ‘Be Clear on Cancer’ (BCOC) campaigns to help improve early detection of cancer. In 2014 PHE ran a regional ovarian cancer campaign in the North West of England, and in 2017 a pilot which focussed on a range of abdominal symptoms, such as diarrhoea, bloating and discomfort that can be indicative of a number of cancers, including ovarian cancer was carried out in the East and West Midlands. PHE is currently undertaking new data analysis and research to determine the future direction of BCOC activity in 2019/20 and will take into consideration the outcomes of these previous campaigns. PHE will also consult with NHS England on the timings and location of any future campaigns.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:18:06 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1003717

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Strokes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of stroke survivors are given a rehabilitation assessment before they are discharged; what steps he is taking to ensure that all patients receive that assessment; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189527
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Data from the Sentinel Stroke National Audit Programme for the year April 2017 to March 2018 (which covers England, Wales and Northern Ireland) shows that 83.8% of patients spend at least 90% of their hospital stay on a specialist stroke unit, all of which provide coordinated multidisciplinary care and rehabilitation and that almost everyone with a stroke disability received in-patient therapy assessment.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:04:25 answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1003735

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to monitor how effectively (a) sustainability and transformation partnerships, (b) integrated care systems, (c) clinical commissioning groups and (d) local authorities are supporting children's palliative care in accordance with their legal duties.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	189538
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Sustainability and transformation partnerships and integrated care systems are made up of bodies including local authorities and clinical commissioning groups, which retain statutory responsibility for providing health and care services for the populations they serve. These include a range of services involved in children’s palliative care.</p><p> </p><p>NHS England and the Department would expect all of these partners to be regularly talking to, and working with, relevant organisations given their remit to identify overall local need and to join up services.</p><p> </p><p>NHS England is also working with commissioners, clinicians, voluntary, community and social enterprise organisations and people with lived experience to refresh the children’s palliative and end of life care service specification and the commissioning pathway, to reflect collective responsibilities across health and social care. Work will continue on this until spring 2019. NHS England is also making available guidance across the sector to support good practice, including sharing examples.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/11/2018 16:37:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	298 label Biography information for Steve McCabe

1003770

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dental Health: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce levels of tooth decay in children in regions in which such decay is significantly above the national average.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	189662
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In England local authorities (LAs) are responsible for assessing the oral health needs of their local population, developing oral health strategies and commissioning oral health improvement programmes to meet the needs of their local population.</p><p> </p><p>In May 2018 Public Health England (PHE) published a stocktake which reported on oral health improvement programmes, commissioned by local authorities targeting children under five years old in England. Of the 95% of LAs who responded, the majority are commissioning oral health improvement programmes for under-fives. The stocktake can be viewed at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/707180/Oral_health_improvement_programmes_commissioned_by_local_authorities.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/707180/Oral_health_improvement_programmes_commissioned_by_local_authorities.pdf</a></p><p> </p><p>NHS England has launched ‘Starting Well: A Smile4Life Initiative’. This programme of dental practice-based initiatives aims to reduce oral health inequalities and improve oral health in children under the age of five. The programme has been launched in 13 high priority areas chosen on the basis of decay experience at a LA level and existing oral health improvement plans.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:06:07 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1003771

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dental Health: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what portion of the public health budget has been allocated to paediatric dentistry in each of the last five years.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	189663
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The public health budget does not fund NHS services. NHS services are funded through the National Health Service general budget which is held for dentistry by NHS England which is responsible for commissioning NHS dental services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:16:59 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1003775

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dental Health: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment the government has made of the effect of the (a) sugar tax and (b) ban on energy drinks for people under the age of 16 on improving child dental health.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	189666
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>There has been no specific assessment of the effect of the soft drinks industry levy or ending the sale of energy drinks to children on improving child dental health. These measures, together with other commitments in our childhood obesity plan, will have an impact on reducing sugar intake, a high consumption of which has been associated with a greater risk of tooth decay.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 189667 question first answered 14/11/2018 16:19:07 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1003830

registered interest
date	09/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	AAT Deficiency
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of treatments available through the NHS for Alpha-1 Antitrypsin Deficiency.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	189546
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) does not currently recommend any specific treatment for Alpha-1 Antitrypsin Deficiency (AATD).</p><p> </p><p>NHS England is engaging with NICE on the Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe AATD (ID856). NICE has not yet published final guidance and recently consulted on its draft guidance.</p><p> </p><p>NICE’s evaluation committee is due to meet again to consider its recommendations in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:15:02 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham