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1132456

registered interest
date	17/06/2019
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	Smoking: 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 assessment he has made of the effectiveness of the annual Stoptober campaign in getting smokers (a) to switch to vaping and (b) to quit entirely.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	265442
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The primary objective of Stoptober is to generate quit attempts amongst smokers in England. Latest available data show that 16% of smokers in England reported making a Stoptober quit attempt in 2017.</p><p>Although switching to vaping is not the primary objective of the campaign, latest figures show that 42% of smokers who made a Stoptober quit reported using an e-cigarette in 2017.</p><p>In 2017, 8% of smokers making a Stoptober quit attempt reported still not smoking by early November. Public Health England does not measure beyond this point.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:14:18 answering member 4455 label Biography information for Seema Kennedy
tabling member	474 label Biography information for Mr Nigel Evans

1132457

registered interest
date	17/06/2019
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	Smoking: 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 steps his Department is taking to include the vaping industry in the annual Stoptober campaign; and if he will make a statement.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	265443
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Public Health England (PHE) is directed under the Tobacco Control Plan for England to include within quit smoking campaigns messages about the relative safety of e-cigarettes and to continue to provide smokers and the public with clear, evidence based and accurate information on the relative harm of nicotine, e-cigarettes, other nicotine delivery systems and smoked tobacco, to enable informed decision-making.</p><p>PHE has worked with the Independent British Vape Trade Association and its members to reassure smokers about the relative safety of e-cigarettes and to encourage smokers to switch.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:17:07 answering member 4455 label Biography information for Seema Kennedy
tabling member	474 label Biography information for Mr Nigel Evans

1132458

registered interest
date	17/06/2019
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	Smoking: 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, whether the findings by Public Health England that e-cigarettes are around 95 per cent less harmful to health than traditional cigarettes are reaching the target audience; and if he will make a statement.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	265444
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Government is committed to helping people to quit smoking by permitting innovative technologies that minimise the risk of harm, and through maximising the availability of safer alternatives to smoking. Public Health England continues to provide smokers and the public with clear, evidence based and accurate information on the relative harm of nicotine, e-cigarettes, other nicotine delivery systems and smoked tobacco, to enable informed decision-making. There were over 2.5 million e-cigarettes users in England in 2017, an increase from 1.6 million in 2014. Over half of those using e-cigarettes have quit smoking for good. Adult smoking prevalence in England is at its lowest level on record at 14.9%.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:13:22 answering member 4455 label Biography information for Seema Kennedy
tabling member	474 label Biography information for Mr Nigel Evans

1132459

registered interest
date	17/06/2019
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	Smoking: 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 assessment he has made of the merits of working with representatives of the vaping industry to help spread the Public Health England findings that e-cigarettes are 95 per cent less harmful than traditional cigarettes; and if he will make a statement.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	265445
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Public Health England (PHE) is directed under the Tobacco Control Plan for England to include within quit smoking campaigns messages about the relative safety of e-cigarettes and to continue to provide smokers and the public with clear, evidence based and accurate information on the relative harm of nicotine, e-cigarettes, other nicotine delivery systems and smoked tobacco, to enable informed decision-making.</p><p>PHE has worked with the Independent British Vape Trade Association and its members to reassure smokers about the relative safety of e-cigarettes and to encourage smokers to switch. This has broadened PHE’s reach to the audience of smokers.</p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:14:45 answering member 4455 label Biography information for Seema Kennedy
tabling member	474 label Biography information for Mr Nigel Evans

1132485

registered interest
date	17/06/2019
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	Mental Health Services
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 estimate his Department has made of the proportion of people who seek mental health support through the NHS qualifying to receive such support.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	265427
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>We have made no such estimate.</p><p>The Government is committed to ensuring that all those who need support with their mental health are able to access the services they require in a timely manner based on their clinical need.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/06/2019 15:56:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1132490

registered interest
date	17/06/2019
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	Chronic Fatigue Syndrome: Health Services
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 ensure the adequacy of provision of local (a) services and (b) for people with Chronic Fatigue Syndrome.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	265433
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>As with the vast majority of National Health Service care, the design and delivery of services for people with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is the responsibility of local clinical commissioning groups.</p><p> </p><p>The National Institute for Health and Care Excellence guideline ‘Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children’, published in 2007, sets out best practice for clinicians and commissioners in the diagnosis, treatment and support of patients with CFS/ME. The guidance can be found at the following link:</p><p><a href="http://www.nice.org.uk/guidance/cg53" target="_blank">www.nice.org.uk/guidance/cg53</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:11:40 answering member 4455 label Biography information for Seema Kennedy
tabling member	411 label Biography information for Mr Barry Sheerman

1132491

registered interest
date	17/06/2019
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	Anaesthetics: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to provide sedation services at all NHS Trust for children and young people with phobias to needles.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	265434
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The use of sedation services is a matter of clinical judgement. Training in engaging children and young people forms the basis of training in all paediatric specialties, for all grades of staff. Clinicians are trained to approach a child or young person in a sensitive, skilled and friendly manner and crucially, make a judgement as to how any procedure or treatment will be administered in the best interest of the child. Treatment decisions should always be made by doctors based on patients’ clinical needs.</p><p>The National Institute for Health and Care Excellence provides guidance on using sedation for diagnostic and therapeutic procedures. This covers the assessment, preparation, training and monitoring needed when using sedation in people aged under 19. This guidance can be found at the following link:</p><p><a href="https://www.nice.org.uk/Guidance/CG112" target="_blank">https://www.nice.org.uk/Guidance/CG112</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/06/2019 16:01:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	411 label Biography information for Mr Barry Sheerman

1132552

registered interest
date	17/06/2019
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 Services: Bradford
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 14 June to Question 261175 on Dental Services: Bradford, how many out of hours NHS dentists were available in (a) Shipley constituency and (b) Bradford district each day in April 2019.
tabling member constituency	Shipley
tabling member printed	Philip Davies
uin	265474
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The data is not held in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:06:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1565 label Biography information for Sir Philip Davies

1132580

registered interest
date	17/06/2019
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	Arthritis: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to NICE Guideline CG91, what steps he is taking to ensure that people with rheumatoid arthritis have access to (a) cognitive behavioural therapy and (b) other appropriate psychological interventions.
tabling member constituency	Lincoln
tabling member printed	Karen Lee
uin	265613
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) Guidance ‘Rheumatoid Arthritis in Adults: management’, published in July 2018, sets out best practice on the diagnosis, treatment, care support of people living with the condition. The guidance recommends patients with rheumatoid arthritis (RA) are managed by a multidisciplinary team and have access to non-pharmacological management including physiotherapy, occupational therapy and psychological support. Psychological interventions (for example, relaxation, stress management and cognitive coping skills) can be used to help adults with RA adjust to living with their condition. NICE has also published guidance on ‘Depression in adults with a chronic physical health problem: recognition and management’, which provides advice and guidance for the appropriate use of cognitive behavioural therapy in the management of a long-term condition. Both sets of guidance can be found via the following links:</p><p><a href="http://www.nice.org.uk/guidance/ng100" target="_blank">www.nice.org.uk/guidance/ng100</a></p><p><a href="http://www.nice.org.uk/guidance/cg91" target="_blank">www.nice.org.uk/guidance/cg91</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:01:38 answering member 4455 label Biography information for Seema Kennedy
tabling member	4664 label Biography information for Karen Lee

1132581

registered interest
date	17/06/2019
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	Arthritis: Diagnosis
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 ensure that primary care professionals are adequately trained to spot the early signs of rheumatoid arthritis.
tabling member constituency	Lincoln
tabling member printed	Karen Lee
uin	265614
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Royal College of General Practitioners’ (RCGP) curriculum statement, ‘Professional &amp; Clinical Modules’, makes clear the importance of a prompt diagnosis and treatment of inflammatory arthritis, such as rheumatoid arthritis (RA).</p><p>The condition is identified as a key area of clinical knowledge in the RCGP Advanced Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of GPs’ qualifying exams.</p><p>The National Institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:15:11 answering member 4455 label Biography information for Seema Kennedy
tabling member	4664 label Biography information for Karen Lee