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447240

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the cost to the NHS of alcohol misuse in each of the last five years.
tabling member constituency	Lewisham East
tabling member printed	Heidi Alexander
uin	23895
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>Figures of the cost to the National Health Service of alcohol misuse for each of the past five years is not available. The most recent estimate from 2014 is that alcohol costs the NHS around £3.5 billion per annum(1), just under half of which is due to alcohol related inpatient admissions to hospital.</p><p><br></p><p>(1)<em>Source: </em>“Alcohol and drugs prevention, treatment and recovery: why invest?”, Public Health England, <a href="http://www.nta.nhs.uk/uploads/why-invest-2014-alcohol-and-drugs.pdf" target="_blank">http://www.nta.nhs.uk/uploads/why-invest-2014-alcohol-and-drugs.pdf</a></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/01/2016 16:16:04 answering member 3918 label Biography information for Jane Ellison
tabling member	4038 label Biography information for Heidi Alexander

447241

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks: Consumption
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 effect on public health of rising levels of alcohol consumption in England.
tabling member constituency	Lewisham East
tabling member printed	Heidi Alexander
uin	23896
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>There has been a reduction in overall consumption in recent years which is welcome, but there is no room for complacency. Harms such as liver disease remain much too high.</p><br /><p>To help people understand how to keep health risks from alcohol consumption low, the United Kingdom Chief Medical Officers published new low risk alcohol guidelines on 8 January 2016.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/01/2016 16:08:49 answering member 3918 label Biography information for Jane Ellison
tabling member	4038 label Biography information for Heidi Alexander

447246

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Examiners: Death Certificates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 26 October 2015 to Question 12819, what progress he has made on introducing independent medical examiners to the death certification process.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	23901
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>We remain committed to the principle of medical examiners and will be setting out further information in due course.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 28/01/2016 16:03:24 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

447248

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to support the implementation of the UK Chief Medical Officer's proposed new alcohol guidelines, published in January 2016.
tabling member constituency	Lewisham East
tabling member printed	Heidi Alexander
uin	23897
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>The guidelines are currently out for consultation. They are available at:</p><br /><p><a href="https://www.gov.uk/government/consultations/health-risks-from-alcohol-new-guidelines" target="_blank">https://www.gov.uk/government/consultations/health-risks-from-alcohol-new-guidelines</a></p><br /><p>We will consider any next steps once we have feedback from the public on the guidelines.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/01/2016 17:02:24 answering member 3918 label Biography information for Jane Ellison
tabling member	4038 label Biography information for Heidi Alexander

447396

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the potential effect of the Access to Medical Treatments (Innovation) Bill on reducing the length of time it takes to bring a new drug to market.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	23994
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>The purpose of the Access to Medical Treatments (Innovation) Bill is to promote access to innovative medical treatments. It is not specifically designed to reduce the length of time it takes to bring a new drug to market. To which end work is being done in parallel, notably through the Accelerated Access Review, which explores options to speed up access to innovative drugs, devices and diagnostics for National Health Service patients. Sir Hugh Taylor, the independent chair of the review will make his recommendations in the spring.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 28/01/2016 16:12:14 answering member 4020 label Biography information for George Freeman
tabling member	4418 label Biography information for Justin Madders

447401

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will amend its A&E waiting times target to set a target time for patients to wait from their arrival at hospital to admission.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	24036
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>NHS England’s urgent and emergency care review is supporting the delivery of new ways of delivering urgent and emergency care to provide highly responsive, effective and personalised care as close to patients’ homes as possible and ensure people with more serious or life threatening emergency care needs are treated in centres with the very best expertise and facilities.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/01/2016 17:05:10 answering member 3918 label Biography information for Jane Ellison
tabling member	4518 label Biography information for Tulip Siddiq

447405

registered interest
date	25/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Zika Virus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps are being taken to ensure (a) pregnant women and (b) other people intending to visit South America and the Caribbean are aware of the risks posed by Zika virus.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	23943
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>Public Health England (PHE) and the National Travel Health Network and Centre (NaTHNaC) have been carefully monitoring the Zika virus outbreak in the Americas since it was first reported in Brazil during May 2015. When the Brazilian Ministry of Health announced a potential link between maternal Zika virus infection and microcephaly in December 2015, PHE and NaTHNaC published updated advice for travellers to South and Central America and the Caribbean, including specific advice for pregnant women. This advice continues to be updated regularly as more information becomes available.</p><br /><p>PHE has been and continues to liaise with the Royal College of Obstetricians and Gynaecologists, Association of British Neurologists and the Association of British Travel Agents who have published updates on their respective websites. The Foreign and Commonwealth Office has also updated its country travel advice pages with information about Zika virus.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/01/2016 16:01:12 answering member 3918 label Biography information for Jane Ellison
tabling member	1409 label Biography information for Mr Gregory Campbell

446814

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
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 ensure that pharmacists are trained to understand autism.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	23692
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>In 2015, new statutory guidance building on the 2010 Autism Strategy, and the 2014 Think Autism update, set out expectations for local authorities and the National Health Service in relation to autism training. It is the responsibility for the General Pharmaceutical Council and the Nursing and Midwifery Council, to ensure newly qualified pharmacists and health visitors are equipped with the knowledge, skills and attitudes to provide high quality patient care. The Department has worked the Royal College of Nursing, and Skills for Health and Skills for Care, to develop autism training material. Health Education England is also working with the Royal Colleges and other stakeholders to increase awareness and knowledge of autism for NHS health professionals.</p><br /><p>The Department has also provided financial support to the Royal College of General Practitioners’ clinical priorities programme on autism which is undertaking practical work on autism awareness and training for general practitioners (GPs). GPs should be aware of what the local arrangements are for making referrals for autism diagnosis and how to access appropriate post-diagnostic interventions.</p><br /><p>NHS England has commenced a programme to visit clinical commissioning groups (CCGs) to identify and share good practice in accessing timely autism diagnosis and post diagnostic support. NHS England with support from the Association of Directors of Adult Social Services is to visit a selection of areas to talk to CCGs and local authorities about their Autism Diagnostic Care Pathways. A report on the work will be completed by the end of April 2016.</p><br /><p>We know that people with autism can experience common mental health conditions such as depression and anxiety, as well as other mental illnesses. Over £400 million has been invested in Improving Access to Psychological Therapies to ensure access to talking therapies for those who need them, including those with autism.</p><br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 23693 23694 23696 23697 question first answered 28/01/2016 16:28:34 answering member 1201 label Biography information for Alistair Burt
tabling member	411 label Biography information for Mr Barry Sheerman

446815

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department issues on safeguards in hospitals for patients who are heavily medicated while they eat.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	23650
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>It is for health and social care providers to develop local nutrition and hydration policies and there are a number of best practice resources and guidelines available to help providers do this.</p><br /><p>Nursing staff understand the importance of proper nutrition and will follow guidelines in assessing patients for their ability to swallow safely. From this they can make judgements about a patient’s capability to eat and drink safely and adequately, which will include taking into account whether they are heavily medicated or not.</p><br /><p>The National Patient Safety Agency and the Royal College of Nursing published a series of factsheets in 2009, setting out the key characteristics of good nutritional care in healthcare environments.</p><br /><p><a href="http://www.nrls.npsa.nhs.uk/resources/?entryid45=59865" target="_blank">http://www.nrls.npsa.nhs.uk/resources/?entryid45=59865</a></p><br /><p>It includes the Council of Europe 10 key characteristics of good nutritional care in hospitals, which recommends that all patients are screened on admission to identify the patients who are malnourished or at risk of becoming malnourished; all patients are re-screened weekly; and all patients have a care plan which identifies their nutritional care needs and how they are to be met.</p><br /><p>The National Institute for Health and Care Excellence (NICE<em>) Quality standard for nutrition support in adults</em></p><br /><p><a href="http://www.nice.org.uk/Guidance/QS24" target="_blank">www.nice.org.uk/Guidance/QS24</a></p><br /><p>defines clinical best practice for adults in hospital and the community who are at risk of malnutrition. And NICE <em>Nutrition support in adults: Oral nutrition support, enteral tube feeding and parenteral nutrition</em></p><br /><p><a href="http://www.nice.org.uk/guidance/cg32" target="_blank">www.nice.org.uk/guidance/cg32</a></p><br /><p>offers best practice advice to help healthcare professionals correctly identify people in hospital and the community who need nutrition support, and enable them to choose and deliver the most appropriate nutrition support at the most appropriate time.</p><p><br> <br></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 28/01/2016 16:34:29 answering member 3988 label Biography information for Ben Gummer
tabling member	4036 label Biography information for Luciana Berger

446816

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
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 that people who receive a diagnosis of autism can access appropriate post-diagnostic interventions.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	23696
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>In 2015, new statutory guidance building on the 2010 Autism Strategy, and the 2014 Think Autism update, set out expectations for local authorities and the National Health Service in relation to autism training. It is the responsibility for the General Pharmaceutical Council and the Nursing and Midwifery Council, to ensure newly qualified pharmacists and health visitors are equipped with the knowledge, skills and attitudes to provide high quality patient care. The Department has worked the Royal College of Nursing, and Skills for Health and Skills for Care, to develop autism training material. Health Education England is also working with the Royal Colleges and other stakeholders to increase awareness and knowledge of autism for NHS health professionals.</p><br /><p>The Department has also provided financial support to the Royal College of General Practitioners’ clinical priorities programme on autism which is undertaking practical work on autism awareness and training for general practitioners (GPs). GPs should be aware of what the local arrangements are for making referrals for autism diagnosis and how to access appropriate post-diagnostic interventions.</p><br /><p>NHS England has commenced a programme to visit clinical commissioning groups (CCGs) to identify and share good practice in accessing timely autism diagnosis and post diagnostic support. NHS England with support from the Association of Directors of Adult Social Services is to visit a selection of areas to talk to CCGs and local authorities about their Autism Diagnostic Care Pathways. A report on the work will be completed by the end of April 2016.</p><br /><p>We know that people with autism can experience common mental health conditions such as depression and anxiety, as well as other mental illnesses. Over £400 million has been invested in Improving Access to Psychological Therapies to ensure access to talking therapies for those who need them, including those with autism.</p><br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 23692 23693 23694 23697 question first answered 28/01/2016 16:28:34 answering member 1201 label Biography information for Alistair Burt
tabling member	411 label Biography information for Mr Barry Sheerman