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1064306

registered interest
date	20/02/2019
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: Capital Investment
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 the capital budget was used to support radiotherapy in 2018; and what proportion of the capital budget will not be committed by the end of the 2018-19 financial year.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	223787
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Modernising radiotherapy services is crucial to our ambition to increase cancer survival rates and a number of strategic Departmental capital programmes have supported investment in 2018-19 in this area.</p><p>In 2018-19 around £106 million capital funding has been budgeted for the following radiotherapy related programmes:</p><p>- £46 million for the Linear Accelerator programme, part of £130 million of investment over three years; and</p><p>- £60 million for the Proton Beam Therapy programme, part of £250 million investment in two new centres by 2020-21.</p><p>This investment represents 1.8% of the total £5.983 billion 2018-19 capital Departmental Expenditure Limit.</p><p>The Department has also approved £29.4 million of capital investment in 2018-19 to Cancer Alliances to encourage local areas to find new and innovative ways to diagnose cancer earlier, improve the care for those living with cancer and ensure each cancer patient gets the right care for them.</p><p>In addition to this central programme, individual National Health Service provider organisations will also have made local capital investments to support radiotherapy from their own local capital programmes. The Department does not collect information at this level of granularity.</p><p>The Department’s overall capital budget is fully committed in 2018-19 and we work closely with NHS England, NHS Improvement and other delivery partners to ensure that it is utilised to maximum effect to support improvements in patient care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:44:40 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1064325

registered interest
date	20/02/2019
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	Microbiology
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 microbiota assessments as an adjunct to (a) physical examinations, and (b) mental health examination on the accuracy of medical diagnoses.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	223799
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Department funds research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including on the microbiome/microbota. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>The evidence on the use of microbiota to improve diagnosis for a range of conditions is currently the subject of active research. The NIHR has directly funded and supported research studies on the microbiota and microbiome totalling £23.8 million in since 2011/12.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/02/2019 14:52:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1064328

registered interest
date	20/02/2019
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	Social Services: Older People
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 local authorities have sufficient resources to meet demand for older people’s care; and what steps he is taking to reduce levels of variation in available care across regions of England.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	223802
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Government has given councils access to up to £3.6 billion more dedicated funding for adult social care in 2018-19 and up to £3.9 billion for 2019-20. As a result of these measures, funding available for adult social care is increasing by 9% in real terms from 2015-16 to 2019-20.</p><p> </p><p>The 2018 Autumn Budget also announced a further £410 million to improve social care for older people, people with disabilities and children is also available in 2019-20.</p><p> </p><p>Under the Care Act 2014, local authorities are required to shape their whole local markets to ensure that they are sustainable, diverse and offer high quality care and support for people in their local area. Councils have statutory duties to look after the vulnerable, elderly and disabled people in their area.</p><p> </p><p>At the earliest opportunity we will be publishing a Green Paper setting out our proposals to ensure the social care system is sustainable in the longer term.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 223804 question first answered 25/02/2019 14:56:58 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4046 label Biography information for Bridget Phillipson

1064330

registered interest
date	20/02/2019
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	Social Services: Older People
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 implications for its policies of the Coram Family and Childcare's survey on Older People's Care, published in December 2018, which found that over 4.3 million people aged 75 and over live in areas with inadequate social care to meet demand.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	223804
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Government has given councils access to up to £3.6 billion more dedicated funding for adult social care in 2018-19 and up to £3.9 billion for 2019-20. As a result of these measures, funding available for adult social care is increasing by 9% in real terms from 2015-16 to 2019-20.</p><p> </p><p>The 2018 Autumn Budget also announced a further £410 million to improve social care for older people, people with disabilities and children is also available in 2019-20.</p><p> </p><p>Under the Care Act 2014, local authorities are required to shape their whole local markets to ensure that they are sustainable, diverse and offer high quality care and support for people in their local area. Councils have statutory duties to look after the vulnerable, elderly and disabled people in their area.</p><p> </p><p>At the earliest opportunity we will be publishing a Green Paper setting out our proposals to ensure the social care system is sustainable in the longer term.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 223802 question first answered 25/02/2019 14:56:58 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4046 label Biography information for Bridget Phillipson

1064368

registered interest
date	20/02/2019
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	Endoscopy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer on 14 February to Question 219561 on Endoscopy: Recruitment, how many of the 202 clinical endoscopists have now completed their training and are able to undertake procedures in flexible sigmoidoscopy.
tabling member constituency	Nottingham North
tabling member printed	Alex Norris
uin	223842
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Trainees in Health Education England’s Clinical Endoscopy programme choose, depending on their trust’s requirements, to train in one endoscopy modality - either flexible sigmoidoscopy or upper gastrointestinal. Of the 202 clinical endoscopists, 66 candidates have already completed their training and are able to undertake flexible sigmoidoscopy with a further 46 currently in training. This will total 112 trained and able to perform flexible sigmoidoscopy. The remaining 90 are trained or training in a different modality and may receive further training by their trust in an additional modality, which may also include flexible sigmoidoscopy.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:44:25 answering member 4067 label Biography information for Steve Brine
tabling member	4641 label Biography information for Alex Norris

1064434

registered interest
date	20/02/2019
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	Medical Equipment: Regulation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the UK leaving the EU will affect the way in which medical technology is regulated in the UK; and what assessment he has made of the potential effect of the UK leaving the EU on the ability of UK citizens to travel abroad with dialysis machines.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	223959
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Government is committed to the safe and effective regulation of medical devices in the United Kingdom. We continue to strengthen safety while ensuring patients and the public have fast access to new, innovative devices.</p><p> </p><p>Subject to the ratification of the Withdrawal Agreement, there will be a two-year Implementation Period, during which the Medicines and Healthcare products Regulatory Agency (MHRA) would continue to be recognised as a European Union competent authority designated under the EU Directives for medical devices, and the regulatory framework would operate as it does now. Arrangements beyond the implementation period are subject to further negotiation.</p><p> </p><p>In a ‘no deal’ scenario, the UK’s current participation in the European regulatory network for medical devices would end, and the MHRA would take on the responsibilities for the UK market that are currently undertaken through the EU system.</p><p> </p><p>The UK is seeking bilateral agreements with individual Member States to secure the continuation of existing arrangements or the establishment of comparable ones.</p><p> </p><p>In the meantime, the Government continues to advise people who require treatment for pre-existing conditions, including dialysis users, to seek the advice of their doctor or specialist unit before making travel arrangements. They should also contact the chosen specialist administrator in their destination to ensure treatment received after 29 March 2019 would not be affected by a ‘no deal’ scenario.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/02/2019 14:47:22 answering member 1585 label Biography information for Stephen Hammond
tabling member	1436 label Biography information for Paul Farrelly

1064443

registered interest
date	20/02/2019
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	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of children under the age of 16 have had a (a) fatal and (b) non-fatal drug overdose in each of the last 10 years.
tabling member constituency	High Peak
tabling member printed	Ruth George
uin	223968
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The information in the format requested is not held centrally. The Office for National Statistics publishes an annual summary of all deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales. Data on deaths in those aged under 20 is grouped together. The reports are available at the following link:</p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations</a></p><p>NHS Digital collects Hospital Episode Statistics regarding intentional self-poisoning that resulted in a hospital admission, however to provide this information for the last ten years would incur disproportionate costs.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223972 question first answered 25/02/2019 17:33:35 answering member 4067 label Biography information for Steve Brine
tabling member	4662 label Biography information for Ruth George

1064447

registered interest
date	20/02/2019
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	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of children under the age of 18 that have had a (a) fatal and (b) non-fatal drug overdose in each of the last 10 years.
tabling member constituency	High Peak
tabling member printed	Ruth George
uin	223972
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The information in the format requested is not held centrally. The Office for National Statistics publishes an annual summary of all deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales. Data on deaths in those aged under 20 is grouped together. The reports are available at the following link:</p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations</a></p><p>NHS Digital collects Hospital Episode Statistics regarding intentional self-poisoning that resulted in a hospital admission, however to provide this information for the last ten years would incur disproportionate costs.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223968 question first answered 25/02/2019 17:33:35 answering member 4067 label Biography information for Steve Brine
tabling member	4662 label Biography information for Ruth George

1064481

registered interest
date	20/02/2019
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: British Nationals Abroad
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has publicised the potential changes to accessing and paying for (a) dialysis and (b) other medical treatment in the event that the UK leaves the EU without a deal.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	224033
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Government has published updated advice for United Kingdom persons resident in countries in the European Economic Area as well as for those wishing to travel to such countries after exit day with specific information on potential changes to access to reciprocal healthcare and precautions they may wish to take in a ‘no deal’ scenario.</p><p> </p><p>General information is available on the GOV.UK website and country-specific advice can be found under the relevant sections of NHS.UK as well. This includes guidance for those with pre-existing health conditions, including dialysis users, and suggestions on alternative arrangements they may wish to make, should existing arrangements such as the European Health Insurance Card scheme cease, which appears as a section under the profile of each individual country.</p><p> </p><p>The information provided on these pages will be updated in light of new developments and changing circumstances.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/02/2019 14:44:49 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1064484

registered interest
date	20/02/2019
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	Palliative Care: Pregnancy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what palliative care is available to mothers whose unborn baby receives a diagnosis of a life-limiting disability and wishes to carry her baby to full term; and what plans his Department has to increase the availability of such services.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	224036
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Government is working to improve the care and support for mothers whose unborn baby receive a diagnosis of a life-limiting disability and who wish to carry their baby to full term.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) ‘Guidance on End of Life Care for Infants, Children and Young People with Life Limiting Conditions’ describes the care and support that families of children with life-limiting conditions should expect to receive. The NICE Quality Standards set out that parents should be given information about emotional and psychological support including how to access it; and when their child is nearing the end of their life, they should be supported in developing an advance care plan for their baby.</p><p> </p><p>These standards are reflected in ‘A Perinatal Pathway for Babies with Palliative Care Needs’ produced by the charity Together for Short Lives and in the ‘National Bereavement Care Pathway’ (NBCP). In 2018, the Department provided £106,000 in funding, in addition to an initial £50,000, to Sands, the stillbirth and neonatal death charity, to work with other baby loss charities and Royal Colleges to produce the NBCP to reduce the variation in the quality of bereavement care provided by the National Health Service. The NBCP is currently being rolled out officially to 32 trusts and in October 2018, all the NBCP guidance materials and tools were published online.</p><p> </p><p>In addition, the Long Term Plan sets out steps that the NHS is taking to improve access to perinatal mental healthcare for mothers and fathers, and support for parents whose children are in neonatal services as well as new investment in local children’s palliative and end of life care services including children’s hospices.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/02/2019 16:13:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce