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1007096

registered interest
date	14/11/2018
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	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 steps his Department is taking to prevent system errors occurring in the correspondence sent to women relating to cervical cancer screening.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	191469
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Following the recent cervical screening incident, announced on 15 November 2018, Capita has confirmed they have put in place daily audits to ensure all women’s files are accounted for and are looking at how automated processes can be used to reduce errors. Additionally, the checks within the Capita call and recall service have been upgraded at every stage of the process and Capita has appointed an independent audit team to carry out a detailed review into operation systems and processes in Primary Care Support England.</p><p> </p><p>I laid a Written Ministerial Statement on 15 November, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-11-15/HCWS1086/" target="_blank">HCWS1086</a>, explaining the incident and the steps being taken to address it, offering reassurances to the women affected. All individual women affected have been written to directly and Capita has issued an apology.</p><p> </p><p>NHS England has set up a multiagency clinical panel to manage the response to the incident and, separately, has announced an independent expert review into cancer screening programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:18:02 answering member 4067 label Biography information for Steve Brine previous answer version 85823 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4363 label Biography information for Kate Hollern

1007099

registered interest
date	14/11/2018
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	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, how many women later died after missing an early cervical cancer screening as a result of not being sent a letter notifying them of the early screening.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	191470
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>To date no serious harm has been identified following the recent serious incident whereby a number of cervical screening invitations, reminders and results letters were not sent to women. All women affected by this incident have been written to and the file of any woman needing a follow up is being checked to ensure they have been referred appropriately. Assessments of harm as a result of not being sent a letter are ongoing.</p><p> </p><p>The public health advice from Public Health England is that the risk posed by missing these letters remains low.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:19:34 answering member 4067 label Biography information for Steve Brine previous answer version 85825 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4363 label Biography information for Kate Hollern

1007152

registered interest
date	14/11/2018
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	Postnatal Care
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 include a maternal six-week check in the new General Medical Services contract; and when the current negotiations will conclude.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	191473
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The inclusion of a requirement to carry out the six-week maternal postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The negotiations are expected to be concluded before the end of the year. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:25:47 answering member 4067 label Biography information for Steve Brine previous answer version 85824 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

1007175

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
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 patients with chronic obstructive pulmonary disease have been referred for pulmonary rehabilitation in accordance with NICE guidelines in the most recent period for which figures are available; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191255
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>National Institute for Health and Care Excellence (NICE) Guidelines state that “Pulmonary rehabilitation should be made available to all appropriate people with chronic obstructive pulmonary disease (COPD) including those who have had a recent hospitalisation for an acute exacerbation” <sup>1</sup>.</p><p> </p><p>NHS England supports the national Asthma and COPD Audit Programme – led by the Royal College of Physicians – which provides data on a range of indicators to show opportunities for improving COPD outcomes. The audit shows that 13% of people with COPD are referred to pulmonary rehabilitation services<sup>2</sup>. A continuous clinical audit of service provision and delivery of pulmonary rehabilitation is due to start in March 2019.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Chronic obstructive pulmonary disease in over 16s: diagnosis and management Clinical guideline Published 23 June 2010 <a href="http://www.nice.org.uk/guidance/cg101" target="_blank">www.nice.org.uk/guidance/cg101</a></p><p> </p><p><sup>2</sup><a href="https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream" target="_blank">https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:24:39 answering member 4067 label Biography information for Steve Brine previous answer version 85821 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1007176

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
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 ensure that all patients diagnosed with chronic obstructive pulmonary disease have access to community rehabilitation in accordance with NICE guidelines; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191256
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Pulmonary rehabilitation (PR) is one of the most effective treatments for chronic obstructive pulmonary disease (COPD). The Department supports the National Health Service to increase access to PR and improve the quality of care for people with long-term respiratory conditions.</p><p> </p><p>Respiratory disease is clinical priority in the NHS Long Term Plan. A working group has been developing policy proposals with the aim of delivering specific improvements in respiratory disease. One of the areas under review is the current service provision for PR services in England.</p><p> </p><p>The NHS RightCare COPD pathway, which is now being rolled out nationally through clinical commissioning groups, includes timely access to PR as part of the optimal treatment pathway.</p><p> </p><p>NHS England is working with NHS Improvement, Public Health England and the third sector to ensure all components of the COPD pathway including identification, diagnosis, treatment and management of respiratory conditions are coordinated across the health system.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:21:40 answering member 4067 label Biography information for Steve Brine previous answer version 85827 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1005689

registered interest
date	12/11/2018
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	Dental Services: Babies
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 support the British Society of Paediatric Dentistry campaign to encourage parents to take their children to the dentist before they are one year old.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	190425
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Government is committed to improving dental health in children, as set out in the Government’s policy paper ‘Prevention is better than cure : our vision to help you live well for longer’ published on 5 November 2018 which is available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/753688/Prevention_is_better_than_cure_5-11.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/753688/Prevention_is_better_than_cure_5-11.pdf</a></p><p> </p><p>The Department welcomes campaigns such as the one by the British Society of Paediatric Dentistry. Early attendance to dental practices, as well as good oral hygiene, are key to laying the foundations for a lifetime of good oral health in children.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:45:16 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1005764

registered interest
date	12/11/2018
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	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, what recent assessment he has made of the effectiveness of NHS and medical professional body guidelines on the prescription of medicinal cannabis in ensuring the eligibility for prescription of patients for whom that treatment might be advantageous.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	190361
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Medical Director of NHS England, Professor Steve Powis, and the Chief Medical Officer, Professor Dame Sally Davies, have written to relevant clinicians to coincide with the coming into force of the rescheduling of cannabis-based medicinal products. The guidance in this letter, which signposts interim clinical advice commissioned from the British Paediatric Neurology Association and the Royal College of Physicians, is in line with normal clinical practice. The decision to prescribe cannabis-based products for medicinal use will be made on a case-by-case basis, based on clinical need and in-line with existing governance procedures for prescribing unlicensed medicines.</p><p> </p><p>The Department has commissioned the National Institute for Health and Care Excellence to produce clinical guidance by October 2019, which will update and replace the interim advice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:47:21 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1003581

registered interest
date	09/11/2018
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	Public Health: Finance
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 recent reductions to the local authority public health grant on health inequalities at a (a) regional and (b) socio-economic group level.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	189625
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Local authorities are responsible for setting their own priorities and are accountable to their electorates for their decisions. The 2015 Spending Review made available £16 billion for funding for local authorities’ health improvement functions in England over the five year period. As a condition of the grant they receive, local authorities must have due regard to reducing inequalities in outcomes from the health services they arrange.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:33:49 answering member 4067 label Biography information for Steve Brine
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1003582

registered interest
date	09/11/2018
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	Public Health: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the report entitled Taking our health for granted: plugging the public health grant funding gap, published in October 2018, what assessment he has made of the implications for his policies of that report's finding that the reduction in public health spending per person will be 23.5% between 2014-15 and 2019-20.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	189626
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The 2015 Spending Review made available £16 billion of funding for local authorities’ health improvement functions in England over the five year period. Future funding for local authorities’ public health responsibilities will be a matter for the next Spending Review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:32:11 answering member 4067 label Biography information for Steve Brine
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1003650

registered interest
date	09/11/2018
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	Antimicrobials: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to paragraph 6.10 of the UK Five Year Antimicrobial Resistance Strategy 2013 to 2018, published in September 2013, when he plans to publish the evaluation report.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	189732
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The United Kingdom Five Year Antimicrobial Resistance Strategy (2013-18) contained a commitment to assess the effectiveness of its implementation plan at the end of the five-year period. The Department commissioned the London School of Hygiene and Tropical Medicine to undertake a full evaluation of the strategy’s implementation.</p><p> </p><p>The evaluation is nearing completion. A final draft report will be submitted to the Department shortly and will be sent out for independent peer-review. The completed report will be put in the public domain next year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:27:51 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire