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802162

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiology
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 NHS’ capacity to deliver 24-hour interventional radiology (image-guided surgery) services in each region.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	117849
answer	answer is ministerial correction date of answer 11/12/2017 answer text <p>The seven day services self-assessment survey completed by trusts in March 2017 included information on the availability of clinical interventions, including interventional radiology (IR), on a seven day basis for patients admitted to hospital in an emergency. The data showed that <ins class="ministerial">72.30%</ins><del class="ministerial">73.65%</del> of hospital trusts who responded to this survey (<del class="ministerial">109 </del> <ins class="ministerial">107</ins>out of 148 trusts) stated that IR was available for these patients seven days a week.</p><p> </p><p>Information on the twice yearly collection is available on the NHS England website at:</p><p><a href="https://www.england.nhs.uk/seven-day-hospital-services/progress" target="_blank">https://www.england.nhs.uk/seven-day-hospital-services/progress</a></p><p>National Health Service regions have access to this report and will be able to consider any variation.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 11/12/2017 17:57:45 question first ministerially corrected 26/01/2018 14:08:27 answering member 1542 label Biography information for Philip Dunne previous answer version 28792 answering member constituency Ludlow answering member printed Mr Philip Dunne answering member 1542 label Biography information for Philip Dunne
tabling member	298 label Biography information for Steve McCabe

797514

registered interest
date	29/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Thyroid Gland: Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what medicines NHS England has approved for patients with thyroid conditions
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	116477
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p><del class="ministerial">For unbranded generics the Government relies on completion to keep prices down which generally works well and has led to low prices of these medicines. We alert the Competition and Markets Authority (CMA) when we believe that competition does not work. In the case of liothyronine, the CMA is currently investigating Concordia’s potential abuse of its dominant position to overcharge the National Health Service for liothyronine.</del></p><p> </p><p><del class="ministerial">In primary care community pharmacies are incentivised to source products at the lowest possible cost by allowing them to retain the medicines margin (the difference between what the NHS reimburses a pharmacy for a product and how much the pharmacy purchases it for) up to £800 million in England. In secondary care, competitive tenders ensure value-for-money to the NHS.</del></p><p><ins class="ministerial"> <p><ins class="ministerial">NHS England is not responsible for approving medicines. The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for ensuring that medicines and medical devices work and are acceptably safe. The National Institute for Health and Care Excellence makes recommendations for the National Health Service on whether medicines and other treatments represent a clinically and cost effective use of NHS resources.</ins></p><p><ins class="ministerial"><strong> </strong></ins></p><p><ins class="ministerial">A list of medicines licensed by the MHRA for the treatment of thyroid conditions is attached. The list is split into two sections because thyroid conditions can be split into either those associated with an overactive thyroid (hyperthyroidism), or an underactive thyroid (hypothyroidism). The list contains only those medicines licensed for overactive and underactive thyroid. It should be noted that not all of the medicines listed will be available on the market at any one time. </ins></p></ins></p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2017 15:27:25 question first ministerially corrected 07/12/2017 18:20:31 answering member 4067 label Biography information for Steve Brine attachment 1 file name 2017 12 06 Thyroid medicines formatted.xls title List of thyroid medicines previous answer version 27995 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4478 label Biography information for Royston Smith

789103

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Prisons
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish the name of the commissioned provider for health services in each prison in England and Wales.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	113023
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>Since 2013, NHS England has been responsible for commissioning healthcare in all prisons in England. However, there are five prisons where primary healthcare services are commissioned by the Ministry of Justice (MOJ). In these five prisons some secondary healthcare services, including substance misuse and mental health, are commissioned by NHS England.</p><p> </p><p>Local Health Boards are responsible for commissioning healthcare services in public sector prisons in Wales.</p><p> </p><p>NHS England and the MOJ have provided the information in the attached table, which lists the healthcare provider for each prison in England and Wales.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/11/2017 15:53:27 question first ministerially corrected 01/12/2017 15:30:02 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name Revised PQ 113023 data table.docx title Commissioned Health providers for prisons previous answer version 23550 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ113023 data table.docx title PQ113023 attached table
tabling member	4666 label Biography information for Dr Paul Williams

782158

registered interest
date	01/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Action On Smoking and Health
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 4 September 2017 to Question 6854, whether his Department has provided funding from non-section 64 sources to the organisation Action on Smoking and Health in the 2017-18 financial year or any of the last 10 financial years.
tabling member constituency	Kettering
tabling member printed	Mr Philip Hollobone
uin	110843
answer	answer is ministerial correction date of answer 06/11/2017 answer text <p>In the past 10 years, the Department has paid Action on Smoking and Health (ASH) a total of £16,016.40 in non-grant funding for help in implementing additional strategies targeted at tackling health inequalities.</p><p> </p><p>Grant funding has also been given to ASH as <ins class="ministerial">in the attached table </ins><del class="ministerial">follows</del>. <ins class="ministerial">Any payment to ASH in respect of activity for 2017-18 will depend upon the outcome of a competitive process to secure support for delivery of the Tobacco Control Plan. </ins>The Department’s financial records do not provide the level of detail to confirm whether funding was made under the legal power Section 64 of the Health and Public Services Act 1968 for all of this period. However, local records can confirm <ins class="ministerial">only</ins> Section 64 has been used since the financial year 2012/13.</p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2017 17:30:52 question first ministerially corrected 08/11/2017 10:47:05 answering member 4067 label Biography information for Steve Brine attachment 1 file name Grant Funding to Action on Smoking and Health.docx title Grant Funding to ASH previous answer version 20537 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1537 label Biography information for Mr Philip Hollobone

778216

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tobacco: Packaging
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 effect of the introduction of plain cigarette packaging on smoking rates.
tabling member constituency	Brentwood and Ongar
tabling member printed	Alex Burghart
uin	110024
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>The Standardised Packaging of Tobacco Products Regulations 2015 came into force on 20 May 2016. The Government consulted on the introduction of standardised packaging and published an impact assessment, which included benefits to public health. The Government will review these regulations by <ins class="ministerial">2021</ins> <del class="ministerial">2020</del>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/11/2017 11:41:50 question first ministerially corrected 21/03/2018 13:09:21 answering member 4067 label Biography information for Steve Brine previous answer version 19960 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4613 label Biography information for Alex Burghart

777814

registered interest
date	25/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which prescription drugs had the highest increase in price to the NHS in the last 10 years for which data is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	109619
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>The table below shows the top five individual medicines <del class="ministerial">and chemicals</del> that have shown the highest increase in <ins class="ministerial">cost</ins> <del class="ministerial">price </del> over the last 10 years for Net Ingredient Cost (NIC) per prescription item <del class="ministerial">and NIC per quantity</del>. Prescription medicines<del class="ministerial">/chemicals</del> have only been included where there was prescribing in both 2006 and 2016.</p><p><ins class="ministerial">For any medicine listed, it does not necessarily mean that the price has increased. For example, the cost per prescription item will be higher if the quantity being prescribed per prescription item has increased.</ins></p><p>This is based on Prescription Cost Analysis (PCA) data. PCA data is based on analysis of all prescriptions dispensed in the community i.e. by community pharmacists and appliance contractors, dispensing doctors, and prescriptions submitted by prescribing doctors for items personally administered in England. PCA data do not cover drugs dispensed in hospitals, including mental health trusts, or private prescriptions.</p><p> </p><p>Costs vary over time due to numerous factors including medicines going off patent and becoming available generically, unlicensed medicines becoming licensed medicines, shortages, the level of competition for generic medicines, as well as centrally agreed pricing schemes such as the Pharmaceutical Price Regulation Scheme.</p><p> </p><p>The Department is working closely with the Competition and Markets Authority on a number of investigations into unwarranted price rises of unbranded generic medicines. Where companies have breached competition law, we will seek damages and invest that money back into the National Health Service.</p><p> </p><table><tbody><tr><td colspan="4"><p>The top five medicines with the highest increase in Net Ingredient<sup>1</sup> Cost per prescription item<sup>2</sup></p></td></tr><tr><td><p>Drug Name</p></td><td><p>2006</p></td><td><p>2016</p></td><td><p>Increase</p></td></tr><tr><td><p>Orfadin_Cap 10mg</p></td><td><p>£5,436.74</p></td><td><p>£20,030.86</p></td><td><p>£14,594.12</p></td></tr><tr><td><p>Cerezyme_I/V Inf 400u Vl (Dry)</p></td><td><p>£18,143.17</p></td><td><p>£30,397.85</p></td><td><p>£12,254.68</p></td></tr><tr><td><p>Chenodeoxycholic Acid_Cap 250mg</p></td><td><p>£88.57</p></td><td><p>£9,580.10</p></td><td><p>£9,491.54</p></td></tr><tr><td><p>Trientine Dihydroch_Cap 300mg (Old)</p></td><td><p>£218.58</p></td><td><p>£5,488.22</p></td><td><p>£5,269.64</p></td></tr><tr><td><p>Sod Benz_Liq Spec 400mg/5ml</p></td><td><p>£361.95</p></td><td><p>£4,352.92</p></td><td><p>£3,990.96</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>NIC is the basic cost of a drug. It does not take account of discounts, dispensing costs, fees or prescription charges income, so the amount the NHS spent will be slightly different.</p><p> </p><p><sup>2</sup>Prescriptions are written on a prescription form known as an FP10. Each single item written on the form is counted as a prescription item.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/11/2017 14:32:18 question first ministerially corrected 12/12/2017 13:55:12 answering member 4067 label Biography information for Steve Brine previous answer version 20077 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	534 label Biography information for Chris Ruane

776154

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the increase is in the (a) size of the mental health staff workforce and (b) number of professionally qualified clinical mental health staff employed since 2010.
tabling member constituency	Morecambe and Lunesdale
tabling member printed	David Morris
uin	109144
answer	answer is ministerial correction date of answer 26/10/2017 answer text <p>NHS Digital data shows that the number of National Health Service staff (full-time equivalent) working in Mental Health and Learning Disability trusts increased by 4,295 from July 2013 to July 2017, of these 2,156 are professionally qualified clinical mental health staff. The number of Improving Access to Psychological Therapies (IAPT) staff (headcount) increased by <del class="ministerial">2,278</del> <ins class="ministerial">2,728 </ins>between 2012 and 2015.</p><p> </p><p>Figures begin in 2012/13 due to the changes in services resulting from the dissolution of primary care trusts in 2012/13.</p><p>Source:</p><p>1. Health Education England (July 2017). Stepping forward to 2020/21: The mental health workforce plan for England.</p><p><a href="https://www.hee.nhs.uk/sites/default/files/documents/CCS0717505185-1_FYFV%20Mental%20health%20workforce%20plan%20for%20England_v5%283%29.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/documents/CCS0717505185-1_FYFV%20Mental%20health%20workforce%20plan%20for%20England_v5%283%29.pdf</a></p><p>2. NHS Digital, Monthly workforce statistics as at July.</p><p><a href="https://digital.nhs.uk/catalogue/PUB30100" target="_blank">https://digital.nhs.uk/catalogue/PUB30100</a></p><p>3. 2012 IAPT Workforce Census paragraph 5.1.</p><p><a href="https://www.uea.ac.uk/documents/246046/11919343/iapt-workforce-education-and-training-2012-census-report.pdf/907e15d0-b36a-432c-8058-b2452d3628de" target="_blank">https://www.uea.ac.uk/documents/246046/11919343/iapt-workforce-education-and-training-2012-census-report.pdf/907e15d0-b36a-432c-8058-b2452d3628de</a></p><p>4. The overall IAPT workforce number from the 2015 census was calculated as follows: sum of Low Intensity Therapy: Total Number of individuals (Staff in Post) on page 17 and High Intensity Therapy (HIT): Total Number of individuals (Staff in Post) on page 21. The 2015 IAPT workforce census is available at the following link:</p><p><a href="https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/09/adult-iapt-workforce-census-report-15.pdf" target="_blank">https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/09/adult-iapt-workforce-census-report-15.pdf</a></p><p>5. The overall IAPT workforce number from the 2014 census was calculated by adding total headcount for Cognitive behavioural therapy (CBT), non CBT HIT modalities and non-qualified counsellors and therapist, Table 4, page.11. The total funded establishment for whole-time equivalent psychological wellbeing practitioners was obtained from table 2, p. 9. The 2014 IAPT workforce census is available at the following link:</p><p><a href="http://www.ewin.nhs.uk/tools_and_resources/2014-adult-iapt-workforce-census-report." target="_blank">http://www.ewin.nhs.uk/tools_and_resources/2014-adult-iapt-workforce-census-report.</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/10/2017 13:56:22 question first ministerially corrected 01/12/2017 15:29:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 18029 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4135 label Biography information for David Morris

757686

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Measles: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the immunisation rate is for measles; and what steps the Government is taking to improve measles immunisation coverage.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	8870
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Protection against measles is provided in the combination measles, mumps and rubella vaccine (MMR).</p><p>The latest <del class="ministerial">England</del> vaccine coverage figures <ins class="ministerial">for the United Kingdom</ins> (January to March 2017) show that uptake of one dose of MMR vaccine at two years was 91.7% and at five years was 95.4%, exceeding the World Health Organisation’s elimination target. Uptake of two MMR doses at five years was 88.1%.</p><p> </p><p>In November 2016, a measles and rubella elimination strategy group was established to oversee the development of a United Kingdom-wide Measles and Rubella elimination strategy. This strategy will focus on sustaining very high coverage of MMR in children below five years of age and on providing opportunities for MMR catch-up to older population groups at risk for measles and/or rubella. Public Health England (PHE) continues to work with others to supply information for health professionals and the public on the benefits and risks associated with MMR.</p><p> </p><p>PHE and NHS England work closely with providers at a local level to target specific communities where uptake of the MMR vaccine is known to be poor.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 15:11:29 question first ministerially corrected 15/09/2017 14:52:33 answering member 4067 label Biography information for Steve Brine previous answer version 11365 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	318 label Biography information for Lord Spellar

754729

registered interest
date	20/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total number of repeat prescriptions issued by (a) high street and (b) internet pharmacies has been in each year since 2007 in (i) England and (ii) each local authority area.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	6406
answer	answer is ministerial correction date of answer 11/09/2017 answer text <p>The total number of repeat dispensing prescription items issued by wholly distance selling pharmacies, including internet pharmacies, and other community pharmacies, including those on the high street, for each year since April 2013 in England is detailed in the table below:</p><table><tbody><tr><td><p>Time Period</p></td><td><p>Repeat Dispensing Prescription Items for Distant Selling Pharmacies</p></td><td><p>Repeat Dispensing Prescription Items for Other Community Pharmacies</p></td><td><p>Yearly Total</p></td></tr><tr><td><p>2013 (Apr-Dec 2013)</p></td><td><p>625,157</p></td><td><p>49,222,450</p></td><td><p>49,847,607</p></td></tr><tr><td><p>2014 (Jan-Dec 2014)</p></td><td><p>1,076,060</p></td><td><p>73,769,909</p></td><td><p>74,845,969</p></td></tr><tr><td><p>2015 (Jan-Dec 2015)</p></td><td><p>1,482,942</p></td><td><p>84,411,853</p></td><td><p>85,894,795</p></td></tr><tr><td><p>2016 (Jan-Dec 2016)</p></td><td><p>2,001,326</p></td><td><p>95,730,820</p></td><td><p>97,732,146</p></td></tr><tr><td><p>2017 (Jan-May 2017)</p></td><td><p>930,753</p></td><td><p>42,216,958</p></td><td><p>43,147,711</p></td></tr><tr><td><p>Total</p></td><td><p>6,116,238</p></td><td><p>345,351,990</p></td><td><p>351,468,228</p></td></tr></tbody></table><p>The requested data is not provided before 2013 as the NHS Business Services Authority only holds prescription payment data for a period of 60 months, at which point it is destroyed in line with their records management policy. Also this coincides with NHS England becoming responsible for commissioning community pharmacy services from April 2013. As such, data is attached on repeat dispensing prescription items by NHS England local areas, rather than local authority areas.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2017 14:29:46 question first ministerially corrected 12/09/2017 09:25:45 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ6406 Repeats appendix FINAL.xlsx title Repeat prescriptions by NHS England area previous answer version 9595 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

753514

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Property Services: Income
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the income was of NHS Property Services Ltd in each of the last three years.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5853
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>A summary of income extracted from the audited accounts for NHS Property Services for the financial years 2014-15, 2015-16 and 2016-17 is set out in the following table.</p><table><tbody><tr><td><p> </p></td><td><p>Year ending 31 March 2015 (£ million)</p></td><td><p>Year ending 31 March 2016 (£ million)</p></td><td><p>Year ending 31 March 2017 (£ million)</p></td></tr><tr><td><p>Income</p></td><td><p>746</p></td><td><p>685</p></td><td><p><del class="ministerial"> 685 </del> <ins class="ministerial">792</ins></p></td></tr></tbody></table> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/07/2017 09:19:14 question first ministerially corrected 02/08/2017 09:51:57 answering member 1542 label Biography information for Philip Dunne previous answer version 6805 answering member constituency Ludlow answering member printed Mr Philip Dunne answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders