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823441

registered interest
date	16/01/2018
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
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 hospitals have a GP co-located on site to provide triage services for patients.
tabling member constituency	North Swindon
tabling member printed	Justin Tomlinson
uin	122919
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>NHS Improvement report that in December 2017 (2017-18 Quarter 3), 134 out of 136 (98.5%) trusts with a Type 1 accident and emergency department have primary care streaming in place. This is an improvement from the November 2017 (Quarter 2) position of 91% (125/136) and the July 2017 (Quarter 1) position of 30% (41/136).</p><p> </p><p>There are two trusts still to implement primary care streaming (Isle of Wight NHS Trust and Great Western Hospitals NHS Foundation Trust). NHS Improvement are working with these trusts on implementation.</p><p> </p><p>Birmingham Women and Children’s NHS Foundation Trust and Dorset County Hospital NHS Foundation Trust are exempt based on local requirements.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 17:48:52 answering member 4095 label Biography information for Steve Barclay
tabling member	4105 label Biography information for Justin Tomlinson

823522

registered interest
date	16/01/2018
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	Life Sciences
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 are being taken to update and evolve value assessments of drugs, medical devices and diagnostics, as recommended in the Life Sciences Industrial Strategy.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	122991
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is committed to playing its part in delivering the vision set out in the Life Sciences Industrial Strategy. Ensuring that appraisals are fit for purpose in a fast-changing sector is critical. NICE has recently taken steps to do this by introducing changes to its processes to support faster access to the most effective treatments, while addressing affordability issues. In addition, NICE has recently consulted on further changes to streamline its technology appraisal processes so that it is better able to develop new guidance on innovative drugs and medical technologies.</p><p> </p><p>As set out in the response to the Accelerated Access Review, we are also introducing a new Accelerated Access Pathway, to streamline regulatory and market access decisions for a small number of products, getting breakthrough products that we believe will be truly transformative to patients even more quickly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/01/2018 16:38:26 answering member 4067 label Biography information for Steve Brine
tabling member	104 label Biography information for Crispin Blunt

823676

registered interest
date	16/01/2018
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 Visitors
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 increase the number of health visitors.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	123130
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Health visiting services have been developed to improve health outcomes for children and families and reduce inequalities. Since October 2015 local authorities have been responsible for the commissioning of these services for zero to five year olds and, as such, they determine the required numbers of health visitors to meet local needs.</p><p> </p><p>Over 800 new training places were made available in 2016/17 to continue to develop the health visitor workforce.</p><p> </p><p>We no longer hold data centrally on the number of health visitor posts there are in England, or the number of vacancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 123131 question first answered 24/01/2018 16:42:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	116 label Biography information for Lord Soames of Fletching

823677

registered interest
date	16/01/2018
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 Visitors
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 health visitor positions there are in England; and how many of those positions are vacant.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	123131
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Health visiting services have been developed to improve health outcomes for children and families and reduce inequalities. Since October 2015 local authorities have been responsible for the commissioning of these services for zero to five year olds and, as such, they determine the required numbers of health visitors to meet local needs.</p><p> </p><p>Over 800 new training places were made available in 2016/17 to continue to develop the health visitor workforce.</p><p> </p><p>We no longer hold data centrally on the number of health visitor posts there are in England, or the number of vacancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 123130 question first answered 24/01/2018 16:42:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	116 label Biography information for Lord Soames of Fletching

823739

registered interest
date	16/01/2018
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	Huntington's Disease: 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 steps the Government is taking to ensure people with Huntington's disease have appropriate access to emerging treatment methods.
tabling member constituency	Brigg and Goole
tabling member printed	Andrew Percy
uin	123184
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Patients with Huntington's disease have access to a range of services including the services of their general practitioner, associated health professionals neurology services, occupational therapy, speech and language therapy, local mental health services for sufferers and their families, palliative care where appropriate and online resources, including factsheets.</p><p> </p><p>A new drug for treatment of Huntington’s disease was recently trialed in humans for the first time, in groundbreaking research supported by the Department’s National Institute for Health Research (NIHR). Early results suggest that the new drug, known as IONIS-HTTRx, can successfully silence the faulty gene, lowering levels of the harmful huntingtin protein in the nervous system and slowing progression of the illness. The study was supported by the NIHR University College London Hospitals (UCLH) Biomedical Research Centre, the NIHR UCLH Clinical Research Facility and the NIHR Clinical Research Network. The research team now intends to move quickly to a larger trial to further confirm their findings.</p><p> </p><p>The Accelerated Access Review (AAR) was launched to make recommendations to the Government on speeding up access for National Health Service patients to innovative and cost-effective new medicines, diagnostics, medical technologies and digital products. On 3 November 2017, the Government published its response to the AAR. The response sets out how the Government will work with industry and healthcare organisations to implement the recommendations made by the review. The response is available online at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/accelerated-access-review-response" target="_blank">https://www.gov.uk/government/publications/accelerated-access-review-response</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/01/2018 16:40:01 answering member 4067 label Biography information for Steve Brine
tabling member	3939 label Biography information for Andrew Percy

820660

registered interest
date	11/01/2018
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: Sick Leave
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the latest rate of absence through sickness of NHS staff; and what were the comparable figures for each of the last 20 years.
tabling member printed	Lord Clark of Windermere
uin	HL4630
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The latest rate of sickness of National Health Service staff is 4.16% (2016/17). Comparable figures from 2009/10, extracted from the Electronic Staff Record (ESR), are shown in the following table and is information collected from ESR by NHS Digital. Sickness absence data collected by the Department before 2009 used a different methodology and are not comparable. Sickness absence figures for 2017/18 will be published in July 2018.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Sickness absence rate (%)</p></td></tr><tr><td><p>2009-10</p></td><td><p>4.40</p></td></tr><tr><td><p>2010-11</p></td><td><p>4.16</p></td></tr><tr><td><p>2011-12</p></td><td><p>4.12</p></td></tr><tr><td><p>2012-13</p></td><td><p>4.24</p></td></tr><tr><td><p>2013-14</p></td><td><p>4.06</p></td></tr><tr><td><p>2014-15</p></td><td><p>4.25</p></td></tr><tr><td><p>2015-16</p></td><td><p>4.15</p></td></tr><tr><td><p>2016-17</p></td><td><p>4.16</p></td></tr></tbody></table><p> </p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 16:07:15 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	525 label Biography information for Lord Clark of Windermere