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1150833

registered interest
date	21/10/2019
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	Cancer: Screening
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 increase the number of women attending breast and cervical cancer screening programmes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2721
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>Prevention, public health and early diagnosis are key priorities for this Government, but we acknowledge that more can be done. The recently published Independent Review of Adult Screening Programmes, conducted by Professor Sir Mike Richards, recommended that high priority should be given to wider implementation of evidence-based initiatives to increase uptake of screening programmes, including breast and cervical screening programmes. The Department, NHS England and Public Health England are now considering the findings of Professor Richards’ report and will publish an implementation plan early next year.</p><p>In the interim, NHS England is investing in initiatives to help ensure equality of access to screening. These include locally-targeted interventions such as text and general practitioner (GP) reminder letters. As part of the delivery of the GP Five Year Forward View, the NHS has invested more than £258 million to improve access to general practice including improved access to all routine appointments (including screening) at weekends and/or evenings.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 29/10/2019 12:42:00 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1150841

registered interest
date	21/10/2019
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	Human Papillomavirus: Northern Ireland
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 has he made of the potential merits of the introduction of HPV primary screening in Northern Ireland.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2729
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The Secretary of State for Health and Social Care has not had any direct discussion with the Department of Health in Northern Ireland on the introduction of human papillomavirus (HPV) primary screening in this jurisdiction.</p><p>The Northern Ireland Screening Committee has agreed a programme of work to be led by the Northern Ireland Public Health Agency during 2019/20 to inform the development of a policy paper on introducing HPV testing in Northern Ireland cervical screening for consideration by the Department of Health in Northern Ireland in 2020.</p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 2728 question first answered 28/10/2019 15:52:12 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1150846

registered interest
date	21/10/2019
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	Measles: Disease Control
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 reinstate the UK's World Health Organisation measles-free status.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2732
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>As a first step toward the World Health Organization reinstating the United Kingdom’s measles-free status, Public Health England (PHE) re-convened a multi-stakeholder measles and rubella elimination group, including NHS England, to develop a UK-wide strategy. The purpose of the strategy is to renew stakeholders’ commitment to elimination and re-focus efforts to ensure this will be sustained in the medium- and long-term. A multi-agency implementation board is taking forward the actions of the strategy working with key national and local stakeholders.</p><p>NHS England and General Practitioners Committee England also agreed the introduction of a new measles, mumps and rubella (MMR) catch-up programme for 10 and 11-year olds who have not received a completed course of vaccines via the routine immunisation programme.</p><p>In addition, NHS England is running a catch-up programme for those who missed out on MMR vaccination at the scheduled time to get vaccinated. PHE is also running the Value of Vaccines campaign to help share messages and information on vaccination at the following link:</p><p><a href="https://campaignresources.phe.gov.uk/resources/campaigns/94-value-of-vaccines/overview" target="_blank">https://campaignresources.phe.gov.uk/resources/campaigns/94-value-of-vaccines/overview</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 29/10/2019 12:40:53 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1150847

registered interest
date	21/10/2019
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	Vaccination: 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 recent assessment he has made of trends in the level of childhood vaccination rates.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2733
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>Public Health England monitors trends in the level of childhood vaccination rates.</p><p>Although vaccination rates remain high, England has seen a small decline in coverage since 2013. The most recent figures, published in September 2019, show vaccine coverage increased slightly or remained the same compared to the last quarter for all vaccines, with the exception of flu vaccine uptake, when measured in children aged one, two and five years old. This data can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2019-to-2020-quarterly-data" target="_blank">https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2019-to-2020-quarterly-data</a></p><p>Yearly flu childhood vaccination rates can be viewed at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/839350/Surveillance_of_influenza_and_other_respiratory_viruses_in_the_UK_2018_to_2019-FINAL.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/839350/Surveillance_of_influenza_and_other_respiratory_viruses_in_the_UK_2018_to_2019-FINAL.pdf</a></p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 29/10/2019 12:35:54 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1150848

registered interest
date	21/10/2019
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	Human Papillomavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress he has made on extending the HPV vaccine to boys.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2734
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>We extended the human papillomavirus vaccination programme to adolescent boys in year 8 from September 2019 and this is currently being rolled out across the country for the 2019-20 academic year.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 28/10/2019 15:46:38 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1150849

registered interest
date	21/10/2019
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	Vaccination
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 effect of levels of access to health services on vaccination rates.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2735
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>England has high coverage for most vaccines, with uptake levels for many vaccinations above 90%, but there has been a slow but steady decline in uptake over the past si years, which the Department and partners are working to address.</p><p>The factors that affect uptake of vaccinations are complex and vary over time and by locality. Public Health England, public health organisations and researchers have worked to understand the relative impact of factors that are believed to affect uptake rates at a local level. The issue of access to vaccines features in the National Audit Office investigation into pre-school vaccines report, published on 25 October 2019, and in the Royal Society for Public Health report “Moving the Needle” published in January 2019. Both reports highlight improving access as a key issue for increasing uptake of vaccinations.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 29/10/2019 12:35:15 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1150658

registered interest
date	18/10/2019
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	Cervical Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with members of the UK national screening committee on amending NHS guidelines to allow cervical smear test samples from under 25s to be examined if a GP requests an examination.
tabling member constituency	City of Chester
tabling member printed	Christian Matheson
uin	1906
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>A cervical smear may not be the most appropriate test for patients presenting with symptoms. The United Kingdom National Screening Committee (UK NSC) encourages all women who have concerns about their health or who present with symptoms to contact their general practitioner (GP), who will then decide on the most appropriate next steps and diagnostic tests.</p><p>There have been no discussions with members of the UK NSC in amending National Health Service guidelines to allow cervical smear test samples from under 25s to be examined if a general practitioner requests an examination.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 23/10/2019 16:59:11 answering member 4380 label Biography information for Jo Churchill
tabling member	4408 label Biography information for Christian Matheson

1150662

registered interest
date	18/10/2019
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	Autism: 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 reduce waiting times for (a) referral to a specialist for autism diagnosis and (b) an initial assessment for autism and autism spectrum disorders.
tabling member constituency	Canterbury
tabling member printed	Rosie Duffield
uin	1936
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length of time between referral and a first appointment to start an assessment should be no more than three months.</p><p> </p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account where waiting times exceed the NICE standard.</p><p> </p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that formulating a diagnosis is often complex and can involve different professionals and agencies.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2019 12:03:57 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4616 label Biography information for Rosie Duffield

1150683

registered interest
date	18/10/2019
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	Cannabis: Medical Treatments
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 prescriptions for medical cannabis have been issued on the NHS since the rescheduling of cannabis-based products.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	1918
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>Cannabis-based products for medicinal use were rescheduled on 1 November 2018 to allow clinicians on the General Medical Council’s ‘Specialist Register’ to prescribe cannabis-based products for medicinal use, where clinically appropriate and in the best interest of patients.</p><p>NHS England and NHS Improvement is using extant systems to monitor use of the newly rescheduled unlicensed cannabis-based products for medicinal use in England. In England, these systems monitor the number of items dispensed and associated costs in primary care and the volume of products used and associated cost in secondary care. NHS England’s and NHS Improvement’s Controlled Drug Accountable Officers are also collecting local intelligence in both the National Health Service and independent sector.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 23/10/2019 16:56:26 answering member 4380 label Biography information for Jo Churchill
tabling member	4465 label Biography information for Ronnie Cowan

1150684

registered interest
date	18/10/2019
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	Cannabis: Medical Treatments
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 prescriptions for medical cannabis were issued on the NHS from November 2017 to November 2018.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	1919
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>NHS England and Improvement is using extant systems to monitor use of the newly rescheduled unlicensed cannabis-based products for medicinal use in England. In England, these systems monitor the number of items dispensed and associated costs in primary care and the volume of products used and associated cost in secondary care. NHS England’s and NHS Improvement’s Controlled Drug Accountable Officers are also collecting local intelligence in both the NHS and independent sector.</p><p>The NHS Business Services Authority is only able to provide information on prescriptions for cannabis-based medicines that have been prescribed and submitted to the NHS Business Services Authority. It does not hold information on prescriptions for cannabis-based medicines which have been issued but not fulfilled.</p><p>The following table shows the number of items for Nabilone and Sativex (licensed cannabis-based medicines) and unlicensed cannabis-based medicines that were prescribed on an National Health Service prescription, dispensed in the community and submitted to the NHS Business Services Authority for reimbursement between November 2017 and November 2018.</p><table><tbody><tr><td rowspan="2"><p>Month</p></td><td colspan="2"><p>Licensed cannabis-based medicines</p></td><td rowspan="2"><p>Unlicensed cannabis-based medicines</p></td></tr><tr><td><p>Nabilone</p></td><td><p>Sativex</p></td></tr><tr><td><p>November 2017</p></td><td><p>44</p></td><td><p>174</p></td><td><p>0</p></td></tr><tr><td><p>December 2017</p></td><td><p>58</p></td><td><p>202</p></td><td><p>0</p></td></tr><tr><td><p>January 2018</p></td><td><p>54</p></td><td><p>171</p></td><td><p>0</p></td></tr><tr><td><p>February 2018</p></td><td><p>44</p></td><td><p>158</p></td><td><p>0</p></td></tr><tr><td><p>March 2018</p></td><td><p>47</p></td><td><p>182</p></td><td><p>0</p></td></tr><tr><td><p>April 2018</p></td><td><p>48</p></td><td><p>145</p></td><td><p>0</p></td></tr><tr><td><p>May 2018</p></td><td><p>45</p></td><td><p>183</p></td><td><p>0</p></td></tr><tr><td><p>June 2018</p></td><td><p>42</p></td><td><p>157</p></td><td><p>0</p></td></tr><tr><td><p>July 2018</p></td><td><p>48</p></td><td><p>170</p></td><td><p>2</p></td></tr><tr><td><p>August 2018</p></td><td><p>54</p></td><td><p>161</p></td><td><p>0</p></td></tr><tr><td><p>September 2018</p></td><td><p>45</p></td><td><p>172</p></td><td><p>1</p></td></tr><tr><td><p>October 2018</p></td><td><p>50</p></td><td><p>164</p></td><td><p>0</p></td></tr><tr><td><p>November 2018</p></td><td><p>46</p></td><td><p>175</p></td><td><p>2</p></td></tr><tr><td><p>Total</p></td><td><p>625</p></td><td><p>2,214</p></td><td><p>5</p></td></tr></tbody></table><p> </p><p>Unlike NHS primary care where all dispensed prescriptions are processed centrally for payment, this is not the case for secondary care. This information is collected by a third party and not routinely published.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 23/10/2019 17:00:08 answering member 4380 label Biography information for Jo Churchill
tabling member	4465 label Biography information for Ronnie Cowan