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997124

registered interest
date	29/11/2018
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	Housing: Health
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 promote public awareness of the the effect on people's health of poor quality indoor environments.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	184965
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>Public Health England (PHE) raises public awareness of the impacts of indoor air pollution by supporting activities that aim to change behaviour, such as the annual Clean Air Day, and is working with health partners, such as the National Institute for Health and Care Excellence, World Health Organization and Allergy UK, to improve the evidence on the health impacts of poor indoor air quality which will enhance advice to the public. PHE also promotes awareness about carbon monoxide through the use of blog posts, press releases and social media updates.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2018 16:28:25 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1002591

registered interest
date	06/11/2018
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	NHS: Drugs
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 plans to extend the expiration date of medicines to reduce waste; and if he will make a statement.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	188702
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Any change to the expiry date of a medicine requires an independent review of the stability study by the Medicines and Healthcare products Regulatory Agency (MHRA) or the European Medicine Agency in consultation with the MHRA. The MHRA is the Government agency responsible for ensuring that medicines and medical devices work and are acceptably safe.</p><p> </p><p>Companies can and often do extend the shelf life of their medicines once the product is on the market and additional stability data become available. The MHRA is not able to insist on lengthy shelf lives considering the time needed to complete stability studies as to do so would create additional delays with bringing new medicines to the market. It is not possible however to extend the expiry date of all medicines unilaterally in the absence of supporting stability data.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/11/2018 15:39:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

1002605

registered interest
date	06/11/2018
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	Knee Replacements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of elective knee replacement surgery has been outsourced to the private sector in the last three years.
tabling member constituency	Dewsbury
tabling member printed	Paula Sherriff
uin	188867
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>The proportion of elective knee replacement operations which have been commissioned by the National Health Service from the private sector in the last three years is shown in the following table. Figures represent the number of operations – not the number of patients – as some patients may have more than one operation.</p><p> </p><table><tbody><tr><td><p>Financial year</p></td><td><p>Proportion Carried out by Private Providers</p></td></tr><tr><td><p>2015-16</p></td><td><p>38%</p></td></tr><tr><td><p>2016-17</p></td><td><p>42%</p></td></tr><tr><td><p>2017-18</p></td><td><p>44%</p></td></tr></tbody></table> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 12/11/2018 17:26:14 answering member 4095 label Biography information for Steve Barclay
tabling member	4426 label Biography information for Paula Sherriff

1002606

registered interest
date	06/11/2018
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	General Practitioners: Vacancies
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 his Department has made of the role of nurse practitioners in filling shortages of General Practitioners.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	188809
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>In 2017, Professor Jane Cummings, the Chief Nursing Officer for England announced a career development programme was being developed for General Practice Nurses (GPNs). This programme took the form of an ‘action plan’ to recognise and develop the GPN role in transforming care and helping to deliver the National Health Service plan. The plan was published in 2017 and entitled The GPN 10 Point Plan. The GPN 10 Point plan uses an investment of £15 million from the GP Forward View funding allocation to support actions which will address the significant workforce challenges and support improvements in general practice nursing by 2020.</p><p> </p><p>Getting the skills mix right in general practice is critical in addressing workload pressures as well as in delivering appropriate patient care. This will mean bigger teams of staff, including nurse practitioners providing a wider range of care options for patients and freeing up more time for general practitioners to focus on those with more complex needs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/11/2018 17:22:35 answering member 4067 label Biography information for Steve Brine
tabling member	4046 label Biography information for Bridget Phillipson

1002617

registered interest
date	06/11/2018
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: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps through the new long-term NHS plan to (a) support people throughout and (b) improve their experience of (i) treatment and (ii) living with cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	188811
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>The NHS Long Term Plan provides an excellent opportunity to look at how cancer and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p><p> </p><p>The independent Cancer Taskforce identified establishing patient experience on a par with clinical effectiveness and safety and transforming our approach to support people living with and beyond cancer as strategic priorities in the report ‘Achieving World-class Cancer Outcomes: A Strategy for England, 2015-2020’. In December 2016, NHS England announced a fund of over £200 million available to Cancer Alliances over the next two years, specifically to support those areas of the strategy that they estimated would need significant investment, including to help patients living with and beyond cancer.</p><p> </p><p>As part of that programme of work, the Recovery Package is being commissioned and delivered in full or in part by many clinical commissioning groups and providers across England. NHS England’s aim is to accelerate the process to ensure full implementation by 2020 so the package will be available to all cancer patients across the country regardless of location. Alongside this, NHS England is building up a picture of current provision to help target future work to support rollout.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 188812 question first answered 12/11/2018 17:21:03 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1002618

registered interest
date	06/11/2018
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: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to support Cancer Alliances to continue delivering elements of the recovery package to improve long-term support for people who have had cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	188812
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>The NHS Long Term Plan provides an excellent opportunity to look at how cancer and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p><p> </p><p>The independent Cancer Taskforce identified establishing patient experience on a par with clinical effectiveness and safety and transforming our approach to support people living with and beyond cancer as strategic priorities in the report ‘Achieving World-class Cancer Outcomes: A Strategy for England, 2015-2020’. In December 2016, NHS England announced a fund of over £200 million available to Cancer Alliances over the next two years, specifically to support those areas of the strategy that they estimated would need significant investment, including to help patients living with and beyond cancer.</p><p> </p><p>As part of that programme of work, the Recovery Package is being commissioned and delivered in full or in part by many clinical commissioning groups and providers across England. NHS England’s aim is to accelerate the process to ensure full implementation by 2020 so the package will be available to all cancer patients across the country regardless of location. Alongside this, NHS England is building up a picture of current provision to help target future work to support rollout.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 188811 question first answered 12/11/2018 17:21:03 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1002649

registered interest
date	06/11/2018
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: Learning Disability
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 his Department is taking to ensure that NHS Doctors receive adequate training on learning disabilities.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	188830
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 there is a statutory responsibility on providers of health services to provide sufficient numbers of appropriately qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and or autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators. Since April 2015, newly appointed health care assistants, including those who will provide care and support to people with learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability. Medical education and training includes developing understanding of, and competency in, supporting people with a learning disability, as required in the curricula for medical training approved by the General Medical Council.</p><p> </p><p>In the Government’s response to the learning disabilities mortality review programme report, which we published on 12 September 2018, the Department and its partner organisations committed to a series of actions to increase uptake of learning disability training, including a commitment to consult on mandatory learning disability training for health and care staff, which will conclude by the end of March 2019. The Department is in the process of developing the consultation proposals, and are working with key stakeholders, including people with learning disabilities and autism and the groups that represent them, to shape the consultation proposals, including on how training would be delivered, and to identify the key questions to ask.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 188831 188832 question first answered 12/11/2018 13:48:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1002651

registered interest
date	06/11/2018
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: Learning Disability
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 his Department is taking to ensure that NHS Staff receive adequate training on learning disabilities.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	188831
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 there is a statutory responsibility on providers of health services to provide sufficient numbers of appropriately qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and or autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators. Since April 2015, newly appointed health care assistants, including those who will provide care and support to people with learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability. Medical education and training includes developing understanding of, and competency in, supporting people with a learning disability, as required in the curricula for medical training approved by the General Medical Council.</p><p> </p><p>In the Government’s response to the learning disabilities mortality review programme report, which we published on 12 September 2018, the Department and its partner organisations committed to a series of actions to increase uptake of learning disability training, including a commitment to consult on mandatory learning disability training for health and care staff, which will conclude by the end of March 2019. The Department is in the process of developing the consultation proposals, and are working with key stakeholders, including people with learning disabilities and autism and the groups that represent them, to shape the consultation proposals, including on how training would be delivered, and to identify the key questions to ask.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 188830 188832 question first answered 12/11/2018 13:48:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1002652

registered interest
date	06/11/2018
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: Learning Disability
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 his Department is taking to ensure that people with a learning disability have a role in the (a) development and (b) delivery of training for NHS doctors and nurses.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	188832
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 there is a statutory responsibility on providers of health services to provide sufficient numbers of appropriately qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and or autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators. Since April 2015, newly appointed health care assistants, including those who will provide care and support to people with learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability. Medical education and training includes developing understanding of, and competency in, supporting people with a learning disability, as required in the curricula for medical training approved by the General Medical Council.</p><p> </p><p>In the Government’s response to the learning disabilities mortality review programme report, which we published on 12 September 2018, the Department and its partner organisations committed to a series of actions to increase uptake of learning disability training, including a commitment to consult on mandatory learning disability training for health and care staff, which will conclude by the end of March 2019. The Department is in the process of developing the consultation proposals, and are working with key stakeholders, including people with learning disabilities and autism and the groups that represent them, to shape the consultation proposals, including on how training would be delivered, and to identify the key questions to ask.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 188830 188831 question first answered 12/11/2018 13:48:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1002675

registered interest
date	06/11/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish the decision on the future of the National Cancer Patient Experience Survey in relation to the National Data Guardian opt-out beyond 2018.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	188813
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>We are giving careful consideration to the application of the national data opt-out to the national cancer patient experience survey as stated in the Government’s response to the National Data Guardian Review July 2017 and other national patient experience surveys. This includes looking at the potential advantages and disadvantages of the national data opt-out not applying to these surveys beyond 2018/19.</p><p> </p><p>In spring 2018 we confirmed that for 2018/2019 the national data opt-out would not be applied to the national cancer patient experience survey and other patient experience surveys. A decision regarding application of the national data opt-out to these surveys beyond 2018/19 will be communicated in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 188814 question first answered 12/11/2018 15:40:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4056 label Biography information for Nic Dakin