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1134462

registered interest
date	25/06/2019
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	Alcoholic Drinks: Scotland
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the effect of the introduction of minimum unit pricing of alcohol in Scotland on the level of alcohol consumption in Scotland.
tabling member constituency	Coatbridge, Chryston and Bellshill
tabling member printed	Hugh Gaffney
uin	269105
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>No assessment has been made. NHS Scotland publishes annual reports on the impact of the Scottish Government’s alcohol strategy, a core element of which is minimum unit pricing. However, the Scottish Government will not publish its statutory report on the impact of minimum unit pricing (MUP) until five years post-implementation of the legislation, in 2023. The Government shall monitor the impact of MUP as robust evidence emerges.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/07/2019 13:24:47 answering member 4455 label Biography information for Seema Kennedy
tabling member	4614 label Biography information for Hugh Gaffney

1134491

registered interest
date	25/06/2019
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	Health Services: British Nationals Abroad
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 potential effect on the provision of healthcare for UK citizens in the EU of the UK leaving the EU without a deal.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	269017
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Under current European Union-based entitlements, the United Kingdom pays for the healthcare costs of 180,000 UK nationals, mostly pensioners, in health systems across the EU. There are around 50 million UK tourist visits to the EU annually; the European Healthcare Insurance Card (EHIC) is used in around 0.5% of these visits. Moreover, approximately 50,000 posted workers are protected through the current arrangements.</p><p>The UK Government has proposed to EU Member States that, in a no-deal scenario, we should maintain the existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to UK nationals’ and EU citizens’ healthcare provision. The UK Government is working to put in place bilateral agreements with Member States to protect existing healthcare arrangements for UK nationals beyond exit day. For UK nationals that live in EU Member States, the UK cannot unilaterally guarantee the continuation of current arrangements, as this depends on decisions by Member States.</p><p>EU Member States such as Spain have made public commitments that they will enable resident UK nationals and visitors to access healthcare in the same way they do now, and we hope to reach such agreements with all Member States.</p><p>Although we are hopeful that we can agree reciprocal healthcare arrangements, as a responsible Government we have developed a multi-layered approach to minimise disruption to healthcare provision to UK nationals currently in or travelling to the EU Member States.</p><p>The UK Government has committed to fund healthcare for UK nationals (and others for whom the UK is responsible) who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p>Individuals are always responsible for ensuring they have sufficient healthcare insurance. Anyone who is living, working or studying in EU Member States should check the country specific guidance on GOV.UK and NHS.UK for updates.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:33:20 answering member 1585 label Biography information for Stephen Hammond
tabling member	1597 label Biography information for David Simpson

1134551

registered interest
date	25/06/2019
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: Veterans
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 veterans with mental health problems receive the treatment they need.
tabling member constituency	Motherwell and Wishaw
tabling member printed	Marion Fellows
uin	269084
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>As part of the Government’s continued commitment to the Armed Forces Covenant, veterans are able to access National Health Service-provided mainstream and bespoke evidence-based mental health services.</p><p>The NHS in England has developed two bespoke veterans’ services; the Transition, Intervention and Liaison Service, which supports serving personnel who need additional mental health support as they are leaving the Armed Forces and veterans who have mental health issues; and the Complex Treatment Service, that has been designed to support veterans with complex mental health issues, not limited to post-traumatic stress disorder, that have not improved with previous treatment.</p><p>In December last year, NHS England announced an extra £10 million to expand these services and seek ways to close the gaps in current mental health provision to meet the needs of those individuals that are nearing crisis. This expansion will increase capacity and help to ensure that specialist health support for veterans is available across a wider geographical area, helping many more vulnerable ex-Service Personnel, families and those in the criminal justice system.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 16:04:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4440 label Biography information for Marion Fellows

1134618

registered interest
date	25/06/2019
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	Public Health: Hertfordshire
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 (a) improve the quality of and (b) increase access to public health care in (i) Stevenage and (ii) Hertfordshire.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	269050
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Local authorities are responsible for assessing the public health needs of their local population, developing public health strategies and commissioning services to improve the health of their populations.</p><p>Local authorities have responsibility for the commissioning of public health services such as sexual health, stop smoking, drug and alcohol services and the NHS Health Check. Public Health England supports local authorities to do this through the provision of national public health campaigns, public health intelligence, evidence-based advice and guidance on what works in practice, commissioning support packs and service assessment and quality improvement frameworks.</p><p>At a local level, Public Health England East of England supports local authorities through a series of commissioner networks that share good practice, support sector led improvement and effective service delivery.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/07/2019 16:50:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	4093 label Biography information for Stephen McPartland

1134626

registered interest
date	25/06/2019
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: 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, what data his Department holds on Government expenditure on mental health provision for children and young people (a) under the age of 18; (b) from 18 to 25 years old in 2018-19.
tabling member constituency	High Peak
tabling member printed	Ruth George
uin	269148
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Information on spend on mental health provision for children and young people aged 0-25, by clinical commissioning group (CCG), is published by NHS England in the Mental Health Five Year Forward View Dashboard.</p><p>NHS England also publishes spend on specialised commissioning on mental health provision for children and young people.</p><p>For 2018/19, the latest figures show planned expenditure by CCGs of £727 million and for specialised commissioning planned expenditure of £376 million.</p><p>These figures do not distinguish between those aged under the age of 18 and those aged 18 years to 25 years old.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 16:02:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4662 label Biography information for Ruth George

1134627

registered interest
date	25/06/2019
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	Out-patients: Attendance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many NHS appointments have been missed in each of the last five years.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	269057
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Data for missed outpatient appointments in the years 2013-14 to 2017-18 is provided in the following table. This is a count of appointments, not people, as the same person may have had more than one appointment within the same time period:</p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of appointments</p></td><td><p>Did not attends (DNAs)</p></td><td><p>DNA’s as a % of total appointments</p></td></tr><tr><td><p>2013-14</p></td><td><p>101,844,824</p></td><td><p>7,095,839</p></td><td><p>7.0%</p></td></tr><tr><td><p>2014-15</p></td><td><p>107,188,423</p></td><td><p>7,442,949</p></td><td><p>6.9%</p></td></tr><tr><td><p>2015-16</p></td><td><p>113,298,661</p></td><td><p>7,519,829</p></td><td><p>6.6%</p></td></tr><tr><td><p>2016-17</p></td><td><p>118,578,912</p></td><td><p>7,938,009</p></td><td><p>6.7%</p></td></tr><tr><td><p>2017-18</p></td><td><p>119,378,895</p></td><td><p>7,984,183</p></td><td><p>6.7%</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics – NHS Digital</p><p>Information surrounding the cost of missed hospital appointments is not collected or held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269058 question first answered 03/07/2019 15:31:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4093 label Biography information for Stephen McPartland

1134628

registered interest
date	25/06/2019
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	Out-patients: Attendance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the annual cost to the public purse was of missed NHS appointments in each of the last five years.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	269058
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Data for missed outpatient appointments in the years 2013-14 to 2017-18 is provided in the following table. This is a count of appointments, not people, as the same person may have had more than one appointment within the same time period:</p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of appointments</p></td><td><p>Did not attends (DNAs)</p></td><td><p>DNA’s as a % of total appointments</p></td></tr><tr><td><p>2013-14</p></td><td><p>101,844,824</p></td><td><p>7,095,839</p></td><td><p>7.0%</p></td></tr><tr><td><p>2014-15</p></td><td><p>107,188,423</p></td><td><p>7,442,949</p></td><td><p>6.9%</p></td></tr><tr><td><p>2015-16</p></td><td><p>113,298,661</p></td><td><p>7,519,829</p></td><td><p>6.6%</p></td></tr><tr><td><p>2016-17</p></td><td><p>118,578,912</p></td><td><p>7,938,009</p></td><td><p>6.7%</p></td></tr><tr><td><p>2017-18</p></td><td><p>119,378,895</p></td><td><p>7,984,183</p></td><td><p>6.7%</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics – NHS Digital</p><p>Information surrounding the cost of missed hospital appointments is not collected or held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269057 question first answered 03/07/2019 15:31:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4093 label Biography information for Stephen McPartland

1134028

registered interest
date	24/06/2019
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	Testicular Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how rates of testicular cancer diagnosis in the UK compare with ratse in other G20 countries over the last five years.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	268427
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Age-adjusted rates within the G20 for testicular cancer vary from 0.6 to 10.1 per 100,000 over the last five years. The United Kingdom value is 7.1 per 100,000. There are differences in data recording across the world which will at least partly account for the range of values seen.</p><p>The estimated incidence of testicular cancer in the G20 group in 2018 is published by the International Agency for Research on Cancer Global Cancer Observatory project. This can be viewed at the following link:</p><p><a href="http://gco.iarc.fr/" target="_blank">http://gco.iarc.fr/</a></p><p>Data for the European Union, based on the EU 28 countries, is available at the European Cancer Information System at the following link:</p><p><a href="https://ecis.jrc.ec.europa.eu/" target="_blank">https://ecis.jrc.ec.europa.eu/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:19:33 answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell

1134030

registered interest
date	24/06/2019
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	Diabetes: Preventive Medicine
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 NHS Diabetes Prevention Programme.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	268428
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>A first progress report covering early implementation of the programme, including numbers of referrals and uptake in its first year, was published as a short report in Diabetic Medicine and is available at the following link:</p><p><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13562" target="_blank">https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13562</a></p><p>The analyses show that referral numbers and percentage uptake are in excess of prior modelled values. Characteristics of attendees also suggest that the programme is reaching those who are both at greater risk of developing type 2 diabetes and who typically access healthcare less effectively.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:22:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell

1134074

registered interest
date	24/06/2019
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	Incontinence: Products
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 continued smooth import and export of continence products and similar medical devices in the event of the UK leaving the EU without a deal; and if he will make a statement.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	268443
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>As in preparation for 29 March and 12 April, our contingency plans for 31 October will cover the National Health Service, social care and the independent sector and covers all medicines, medical devices and clinical consumables, supplies for clinical trials, vaccines and countermeasures, and organs and tissues for transplants.</p><p>The Department has continued to work closely with the devolved administrations, industry trade bodies and suppliers, the NHS and other key stakeholders. Prior to 29 March, the Department analysed the supply chains of 12,300 medicines, close to half a million product lines of medical devices and clinical consumables, vaccines used in national and local programmes, and essential non-clinical goods on which the health and care system relies. These analyses and assessments have been updated where necessary and will continue to be refined while a ‘no deal’ European Union exit remains a possibility. This work has informed our plans.</p><p>We are asking suppliers to analyse their supply chains and to make alternative plans if they anticipate disruption, including rerouting to alternative ports or using airfreight where necessary. Our contingency measures aim to support industry-led measures and, where required, act as a ‘last resort’ to be used only when a supplier’s alternative arrangements encounter difficulties, to ensure uninterrupted supply.</p><p>While we never give guarantees, we are confident that, if everyone – including suppliers, freight companies, international partners and the health and care system – does what they need to do, the supply of medicines and medical products should be uninterrupted in the event of a ‘no deal’ EU exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/06/2019 15:10:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	1538 label Biography information for Rosie Cooper