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457039

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Members: Correspondence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he plans to respond to the letter from the Right hon. Member for Enfield North, dated 28 January 2016, on the Enfield Clinical Commissioning Group.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	29392
answer	answer is ministerial correction date of answer 10/03/2016 answer text <p>My Rt. hon. Friend the Secretary of State for Health responded to the Rt hon. Member’s letter on 25 February.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/03/2016 14:33:29 answering member 3918 label Biography information for Jane Ellison
tabling member	166 label Biography information for Joan Ryan

457041

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the effectiveness of NHS guidance to clinical commissioning groups on their responsibility to manage conflicts of interest when commissioning and providing services.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	29394
answer	answer is ministerial correction date of answer 08/03/2016 answer text <p>NHS England updated existing guidance for managing conflicts of interest in December 2014, when NHS England issued revised statutory guidance, which prescribed stronger assurance measures in light of the development of primary care co-commissioning. This came into force from April 2015.</p><p> </p><p>In light of comments from stakeholders and the recent National Audit Office report “Managing conflicts of interest in NHS Clinical Commissioning Groups”, as well as findings from the audit of the management of conflict of interest that was undertaken in the autumn by NHS England’s internal auditors, NHS England is in the process of further updating this statutory guidance.</p><p> </p><p>NHS England has engaged with NHS Clinical Commissioners in respect of conflicts of interest in the commissioning of services by clinical commissioning groups (CCGs) to positive effect.</p><p> </p><p>It has also engaged with around 80% of the Audit chairs for the CCGs- the feedback and discussion received on behalf of both these groups will feed into the Revised Statutory Guidance which will be published and discussed at the next NHS England board meeting on 31 March. This will launch the official public consultation (which will also take into consideration views from British Medical Journal and Monitor).</p><p> </p><p>The final guidance will then be presented to the May NHS England board meeting and will be published on the NHS England website.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 29393 question first answered 08/03/2016 16:57:13 answering member 4020 label Biography information for George Freeman
tabling member	166 label Biography information for Joan Ryan

457042

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: North West
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which hospitals in Merseyside and Cheshire carry out planned surgical procedures at weekends.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	29410
answer	answer is ministerial correction date of answer 07/03/2016 answer text <p>The information is shown in the table below. An elective procedure is a non-urgent procedure that is planned in advance, not all elective procedures are surgical.</p><p> </p><p> </p><p>The following National Health Service and independent sector hospitals in Merseyside and Cheshire<sup>1</sup> reported elective procedures at weekends.</p><p> </p><table><tbody><tr><td><p>Provider</p></td></tr><tr><td><p>Aintree University Hospital NHS Foundation Trust</p></td></tr><tr><td><p>Alder Hey Children's NHS Foundation Trust</p></td></tr><tr><td><p>BMI - The South Cheshire Private Hospital</p></td></tr><tr><td><p>Countess of Chester Hospital NHS Foundation Trust</p></td></tr><tr><td><p>East Cheshire NHS Trust</p></td></tr><tr><td><p>Fairfield Hospital</p></td></tr><tr><td><p>Liverpool Community Health NHS Trust</p></td></tr><tr><td><p>Liverpool Heart and Chest Hospital NHS Foundation Trust</p></td></tr><tr><td><p>Liverpool Women's NHS Foundation Trust</p></td></tr><tr><td><p>Mid Cheshire Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Nuffield Health, The Grosvenor Hospital, Chester</p></td></tr><tr><td><p>Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td></tr><tr><td><p>Southport and Ormskirk Hospital NHS Trust</p></td></tr><tr><td><p>Spire Cheshire Hospital</p></td></tr><tr><td><p>Spire Liverpool Hospital</p></td></tr><tr><td><p>Spire Murrayfield Hospital</p></td></tr><tr><td><p>Spire Regency Hospital</p></td></tr><tr><td><p>St Helens and Knowsley Hospitals NHS Trust</p></td></tr><tr><td><p>The Clatterbridge Cancer Centre NHS Foundation Trust</p></td></tr><tr><td><p>The Walton Centre NHS Foundation Trust</p></td></tr><tr><td><p>Warrington and Halton Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Wirral University Teaching Hospital NHS Foundation Trust</p></td></tr><tr><td><p>Wrightington, Wigan and Leigh NHS Foundation Trust</p></td></tr></tbody></table><p> </p><p><em>Source: Hospital Episode Statistics, Health and Social Care Information Centre</em></p><p> </p><p><em>Notes:</em></p><p> </p><ol><li>Merseyside and Cheshire has been interpreted as two Area Teams. This indicates the area team within which the organisation providing treatment was located. This data is limited to providers in the area teams:</li></ol><p>Q44 - Cheshire, Warrington and the Wirral Area Team</p><p>Q48 - Merseyside Area Team</p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/03/2016 16:52:00 answering member 3918 label Biography information for Jane Ellison
tabling member	429 label Biography information for Derek Twigg

457043

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Agency Nurses: North West
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many agency nurses were employed by each hospital trust in Merseyside and Cheshire in each year since 2010.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	29412
answer	answer is ministerial correction date of answer 07/03/2016 answer text <p>The Department does not collect this data centrally.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 07/03/2016 15:35:54 answering member 3988 label Biography information for Ben Gummer
tabling member	429 label Biography information for Derek Twigg

457044

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has made an assessment of the proportion of GPs on the executive bodies of clinical commissioning groups who have a financial interest in the services they are commissioning.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	29395
answer	answer is ministerial correction date of answer 08/03/2016 answer text <p>The National Audit Office recently estimated that in 2014-15 there were 3,150 governing body members in total across the clinical commissioning group (CCG) sector. Of these, 1,300 (41%) were also general practitioners, who make decisions about local health services and may potentially be paid by their CCG for providing these services. It is expected that all CCGs should follow the published guidance on managing conflicts of interest.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 08/03/2016 16:54:09 answering member 4020 label Biography information for George Freeman
tabling member	166 label Biography information for Joan Ryan

457045

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Innovative Medicines and Medical Technology Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable is for the publication of the findings of the Accelerated Access Review.
tabling member constituency	Charnwood
tabling member printed	Edward Argar
uin	29388
answer	answer is ministerial correction date of answer 08/03/2016 answer text <p>Sir Hugh Taylor published his interim report to the review on 27 October 2015. The review will conclude with Sir Hugh’s final recommendations to Government which are expected in spring 2016.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 08/03/2016 11:35:13 answering member 4020 label Biography information for George Freeman
tabling member	4362 label Biography information for Edward Argar

457047

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eyesight
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been diagnosed with (a) dry eye syndrome and (b) watering eyes in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	29440
answer	answer is ministerial correction date of answer 07/03/2016 answer text <p>Information is not available on the number of people diagnosed and treated in primary care with dry eye syndrome or watering eyes. It is also not possible to identify those treated in secondary care for dry eye syndrome specifically.</p><p> </p><p>The table below, provided by the Health and Social Care Information Centre, shows the number of Finished Admission Episodes where there was a primary diagnosis of watering eyes in England for the years 2010/11 – 2014/15.</p><table><tbody><tr><td colspan="9"><p><strong> </strong></p></td></tr><tr><td><p><strong> </strong></p></td></tr><tr><td colspan="8"><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td colspan="5"><p>Finished Admission Episodes</p></td></tr><tr><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td></tr><tr><td><p>4,443<sup>1</sup></p></td><td><p>4,398</p></td><td><p>4,423</p></td><td><p>4,495</p></td><td><p>4,334</p></td></tr></tbody></table><p><sup>1</sup> These are not counts of people as the same person may have had more than one episode of care within the given time period.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 07/03/2016 15:24:51 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

457048

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Embryo Experiments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to ensure that information given to patients or donors explaining research to which they have consented on genome editing in human embryos by means of CRISPR-Cas9 will be publicly available.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	29426
answer	answer is ministerial correction date of answer 08/03/2016 answer text <p>The Department has not had any discussions with the Human Fertilisation and Embryology Authority (HFEA) after its authorisation of a licence for gene editing of human embryos by means of CRISPR-Cas9 about the process of ethical approval being granted for such a licence.</p><p> </p><p>The Francis Crick Institute, which made the licence application to the HFEA, is intending to place copies of the information given to patients or donors explaining this research on its website, once the final draft has been agreed.</p><p> </p><p>There is no statutory requirement for ethical approval to be in place before an HFEA research licence can be granted. However, the HFEA has developed guidance for its licensing committee that such approval should be in place before a licence is granted and research is allowed to proceed.</p><p> </p><p>In 2012, none of the three licences granted had ethical approval in place and a condition was therefore placed on each licence that licensed research could not proceed until such approval was in place. In 2013, five research licences were granted, all of which had ethical approval in place. In 2014, seven licences were granted, all of which had ethical approval in place. In 2015, one of the 15 licences granted did not have ethical approval in place and a condition was therefore placed on the licence that licensed research could not proceed until such approval was in place.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 29425 29427 question first answered 08/03/2016 16:59:09 answering member 4020 label Biography information for George Freeman
tabling member	1569 label Biography information for Robert Flello

457049

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Embryo Experiments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the guidance is on licences applied for to the Human Fertilisation and Embryology Authority being granted before receiving ethical approval; and what proportion of such licences have been so granted in each of the last three years.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	29427
answer	answer is ministerial correction date of answer 08/03/2016 answer text <p>The Department has not had any discussions with the Human Fertilisation and Embryology Authority (HFEA) after its authorisation of a licence for gene editing of human embryos by means of CRISPR-Cas9 about the process of ethical approval being granted for such a licence.</p><p> </p><p>The Francis Crick Institute, which made the licence application to the HFEA, is intending to place copies of the information given to patients or donors explaining this research on its website, once the final draft has been agreed.</p><p> </p><p>There is no statutory requirement for ethical approval to be in place before an HFEA research licence can be granted. However, the HFEA has developed guidance for its licensing committee that such approval should be in place before a licence is granted and research is allowed to proceed.</p><p> </p><p>In 2012, none of the three licences granted had ethical approval in place and a condition was therefore placed on each licence that licensed research could not proceed until such approval was in place. In 2013, five research licences were granted, all of which had ethical approval in place. In 2014, seven licences were granted, all of which had ethical approval in place. In 2015, one of the 15 licences granted did not have ethical approval in place and a condition was therefore placed on the licence that licensed research could not proceed until such approval was in place.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 29425 29426 question first answered 08/03/2016 16:59:09 answering member 4020 label Biography information for George Freeman
tabling member	1569 label Biography information for Robert Flello

457050

registered interest
date	02/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Meningitis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the Joint Committee on Vaccination and Immunisation plans to start its review on the use of Bexsero meningococcal B vaccine in the UK.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	29451
answer	answer is ministerial correction date of answer 07/03/2016 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) finalised its recommendations on the routine use of the meningococcal B vaccine Bexsero® at a meeting in February 2014. The JCVI published a final position statement on Meningococcal B vaccination in March 2014, which can be accessed at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/294245/JCVI_Statement_on_MenB.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/294245/JCVI_Statement_on_MenB.pdf</a>.</p><p> </p><p>The Meningococcal B vaccination was introduced from 1 September 2015 for those babies who are due to receive their primary immunisations starting at two months of age on or after 1 September 2015 (i.e. those born on or after 1 July 2015), with a one-off catch-up programme for those infants born from 1 May 2015 to 30 June 2015.</p><p><strong> </strong></p><p>The JCVI keeps all vaccination programmes under review and considers new evidence as it becomes available. The JCVI most recently received an update on the meningococcal B vaccination programme at the February 2016 meeting of the Committee, however, at this stage it is too early to fully assess the impact of the programme. The minutes of the February JCVI meeting will be published on March 16 2016.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/03/2016 16:55:01 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne