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1135269

registered interest
date	27/06/2019
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	Medicine: Education
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 potential merits of allocating additional funding to increase the number of domestic medical student places to ensure that the NHS has adequate staff to meet demand.
tabling member constituency	Workington
tabling member printed	Sue Hayman
uin	270407
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Government has already committed to funding for universities to offer an extra 1,500 undergraduate medical school places for domestic students. The first 630 places were taken up in September 2018 and the remaining additional places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.</p><p>The interim NHS People Plan recognises that we will need more people working in the National Health Service over the next 10 years. We will review what further expansion in undergraduate medical places will be needed, in light of future plans made locally by sustainability and transformation partnerships and integrated care systems.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/07/2019 11:09:58 answering member 1585 label Biography information for Stephen Hammond
tabling member	4395 label Biography information for Baroness Hayman of Ullock

1135282

registered interest
date	27/06/2019
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	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, what recent steps he has taken to increase the rate of retention of GPs.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	270311
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>In January 2019 we announced in the NHS Long Term Plan that we are investing an extra £4.5 billion in primary and community care by 2024. This was followed by the five-year general practitioner (GP) contract, which will provide greater financial security and certainty for practices to plan ahead and will see billions of extra investment for improved access, expanded services at local practices, the development of primary care networks and longer appointments for patients who need them.</p><p>To address workload pressures and building on the success in expanding the wider workforce, the new five-year contract for general practice will see funding towards up to 20,000 extra staff working in GP practices, such as physiotherapists and pharmacists. This will help free up doctors to spend more time with the patients who need them.</p><p>The interim People Plan published in June 2019 set out the actions the National Health Service will take now to secure the right staff, leadership and culture it needs to deliver the Long Term Plan and high quality, safe care. A final People Plan will be published shortly after the conclusion of the Spending Review, once there is further clarity on education and training budgets. The final People Plan will set out a broader strategy for a sustainable general practice workforce, through both recruitment and retention programmes.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:31:31 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1135293

registered interest
date	27/06/2019
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: Legal Costs
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 of 24 June 2019 to Question 266123 on NHS: Legal Costs, how his Department differentiates between individual projects or cases; and what steps his Department takes to (a) ensure that public funds paid to those legal services providers is in respect of work actually done or carried out by those providers and (b) record the areas of law and jurisdictions of courts and tribunals in which the work is done.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	270315
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Department uses two main routes to engaging legal support.</p><p>- The Department’s Anti-Fraud Unit (AFU) engages external law firms through the Civil Litigation and Arbitration in Medicines and Pharmaceuticals Framework, as well as the Government Legal Department (GLD). The AFU utilises a case management system in order to differentiate between individual cases and checks are conducted against invoices and supporting documents submitted by each law firm, including GLD, to ensure these are reflective of their instructions.</p><p> </p><p>- Other business areas within the Department consult with the GLD on the resources available and should they not have the capacity then they will a conduct a competition for other Legal service providers using the Crown Commercial Services framework contract. GLD will ensure that deliverables are agreed and undertaken to the agreed quality before payments are made.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/07/2019 16:11:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1439 label Biography information for Norman Lamb

1135297

registered interest
date	27/06/2019
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	Infant Foods: Sugar
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 that producers of baby food do not routinely breach official guidelines on sugar levels.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	270255
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>European Commission Directive 2006/125/EC on processed cereal-based foods and baby foods sets maximum limits on the sugar content of processed cereal-based foods for infants and young children.</p><p> </p><p>It is the responsibility of food businesses to ensure they comply with the relevant legislation. Enforcement of food law is the responsibility of local authorities.</p><p> </p><p>Public Health England’s (PHE) review ‘Foods and drinks aimed at infants and young children: evidence and opportunities for action’ was published in June 2019. The Department is considering PHE’s advice and the opportunities for action to improve the nutritional quality of foods aimed at infants and young children.</p><p> </p><p>PHE’s review 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/812204/Foods_and_drinks_aimed_at_infants_and_young_children_June_2019.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/812204/Foods_and_drinks_aimed_at_infants_and_young_children_June_2019.pdf</a></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:34:58 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1135307

registered interest
date	27/06/2019
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	Care Homes: Closures
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 residential care homes that have closed in each year since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	270257
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Department does not hold data on the number of care home and home care provider closures since 2010.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 270258 question first answered 02/07/2019 16:05:13 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

1135308

registered interest
date	27/06/2019
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	Home Care Services: Closures
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 home care providers that have closed since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	270258
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Department does not hold data on the number of care home and home care provider closures since 2010.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 270257 question first answered 02/07/2019 16:05:13 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

1135314

registered interest
date	27/06/2019
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	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, pursuant to the Answer of 27 June 2019 to Question 266815 on Cannabis: Medical Treatments, how many prescriptions for the use of medicinal cannabis were issued in each of the last 12 months for which data is available.
tabling member constituency	Burton
tabling member printed	Andrew Griffiths
uin	270334
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>NHS England and NHS Improvement are using extant systems to monitor use of the newly rescheduled unlicensed cannabis-based products for medicinal use in England. In England, these systems monitor the number of items dispensed and associated costs in primary care and the volume of products used and associated cost in secondary care. NHS England and NHS Improvement Controlled Drug Accountable Officers are also collecting local intelligence in both the National Health Service and independent sector.</p><p>The NHS Business Services Authority is only able to provide information on prescriptions for cannabis-based medicines that have been dispensed and submitted to the NHS Business Services Authority. The NHS Business Services Authority does not hold information on prescriptions for cannabis-based medicines which have been issued but not fulfilled.</p><p>The following table shows the number of items for Nabilone and Sativex (licensed cannabis-based medicines) and unlicensed cannabis-based medicines that were prescribed on an NHS prescription, dispensed in the community and submitted to the NHS Business Services Authority for reimbursement since May 2018.</p><table><tbody><tr><td><p>Month</p></td><td><p>Nabilone</p></td><td><p>Sativex</p></td><td><p>Unlicensed cannabis-based medicines</p></td></tr><tr><td><p>May 2018</p></td><td><p>45</p></td><td><p>183</p></td><td><p> </p></td></tr><tr><td><p>June 2018</p></td><td><p>42</p></td><td><p>157</p></td><td><p> </p></td></tr><tr><td><p>July 2018</p></td><td><p>48</p></td><td><p>170</p></td><td><p>2*</p></td></tr><tr><td><p>August 2018</p></td><td><p>54</p></td><td><p>161</p></td><td><p> </p></td></tr><tr><td><p>September 2018</p></td><td><p>45</p></td><td><p>172</p></td><td><p>1*</p></td></tr><tr><td><p>October 2018</p></td><td><p>50</p></td><td><p>164</p></td><td><p> </p></td></tr><tr><td><p>November 2018</p></td><td><p>46</p></td><td><p>175</p></td><td><p>2</p></td></tr><tr><td><p>December 2018</p></td><td><p>49</p></td><td><p>181</p></td><td><p>1</p></td></tr><tr><td><p>January 2019</p></td><td><p>44</p></td><td><p>167</p></td><td><p>2</p></td></tr><tr><td><p>February 2019</p></td><td><p>36</p></td><td><p>159</p></td><td><p>1</p></td></tr><tr><td><p>March 2019</p></td><td><p>51</p></td><td><p>171</p></td><td><p>2</p></td></tr><tr><td><p>April 2019</p></td><td><p>49</p></td><td><p>156</p></td><td><p>0</p></td></tr><tr><td><p>May 2019</p></td><td><p>Data not yet available</p></td><td><p>Data not yet available</p></td><td><p>2</p></td></tr></tbody></table><p>Note: * These figures represent prescribing of unlicensed cannabis-based medicines imported on a Home Office licence.</p><p>The following table shows the same products listed above covering the same time period but this data relates to private prescribing on an FP10PCD where the forms have been submitted to the NHS Business Services Authority for reporting and monitoring purposes only.</p><table><tbody><tr><td><p>Month</p></td><td><p>Nabilone</p></td><td><p>Sativex</p></td><td><p>Epidiolex</p></td><td><p>Unlicensed cannabis-based medicines</p></td></tr><tr><td><p>May 2018</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p> </p></td></tr><tr><td><p>Jun 2018</p></td><td><p>0</p></td><td><p>3</p></td><td><p>0</p></td><td><p> </p></td></tr><tr><td><p>July 2018</p></td><td><p>0</p></td><td><p>2</p></td><td><p>0</p></td><td><p> </p></td></tr><tr><td><p>August 2018</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p> </p></td></tr><tr><td><p>September 2018</p></td><td><p>0</p></td><td><p>3</p></td><td><p>0</p></td><td><p> </p></td></tr><tr><td><p>October 2018</p></td><td><p>0</p></td><td><p>3</p></td><td><p>0</p></td><td><p> </p></td></tr><tr><td><p>November 2018</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>December 2018</p></td><td><p>0</p></td><td><p>6</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>January 2019</p></td><td><p>0</p></td><td><p>5</p></td><td><p>0</p></td><td><p>4</p></td></tr><tr><td><p>February 2019</p></td><td><p>0</p></td><td><p>3</p></td><td><p>1</p></td><td><p>2</p></td></tr><tr><td><p>March 2019</p></td><td><p>0</p></td><td><p>3</p></td><td><p>0</p></td><td><p>3</p></td></tr><tr><td><p>April 2019</p></td><td><p>1</p></td><td><p>2</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>May 2019</p></td><td><p>Data not yet available</p></td><td><p>Data not yet available</p></td><td><p>Data not yet available</p></td><td><p>1</p></td></tr></tbody></table><p> </p><p>Unlike NHS primary care where all dispensed prescriptions are processed centrally, this is not the case for secondary care. This information is collected by a third party and not routinely published.</p><p>Intelligence from NHS England and NHS Improvement Controlled Drugs Accountable Officers is that, up until the end of March 2019, five patients have had private prescriptions issued for a cannabis-based product for medicinal use in independent secondary/tertiary care in England.</p><p>145 patients have accessed Epidiolex though GW Pharma’s early access programmes ahead of a licensing decision by the European Medicines Agency.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:26:39 answering member 4455 label Biography information for Seema Kennedy
tabling member	3936 label Biography information for Andrew Griffiths

1135380

registered interest
date	27/06/2019
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	Heart Diseases: 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, whether his Department has made an assessment of the costs of untreated patients diagnosed with structural heart disease on the health and social care system; and how many of those patients have died while waiting for treatment in each year since 2010.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	270254
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The requested information is not centrally held by the Department.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:32:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	298 label Biography information for Steve McCabe

1135398

registered interest
date	27/06/2019
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	Chronic Fatigue Syndrome
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 oral contribution on 21 June 2018 Vol 643 c229WH, what steps his Department has taken to improve GP awareness of ME.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	270308
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>General practice is where most patients with chronic fatigue syndrome/myalgic encephalomyelitis are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners (GPs) Applied Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of GPs’ qualifying exams.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:33:49 answering member 4455 label Biography information for Seema Kennedy
tabling member	1397 label Biography information for Hywel Williams

1135399

registered interest
date	27/06/2019
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	Chronic Fatigue Syndrome: Exercise
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 ME clinics and treatment centres are aware of the risks of graded exercises to sufferers of ME.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	270309
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) guideline for ‘Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) (or encephalopathy): Diagnosis and management of CFS/ME in adults and children’, was published in 2007 to support clinicians in the diagnosis, treatment, care and support of people with ME. This sets outs evidence-based best practice for the management of people with the condition and assists commissioners in planning services for local populations. The guideline recommended graded exercise therapy as a safe and appropriate treatment for mild to moderate CFS/ME, in line with the best available evidence.</p><p>The NICE guideline acknowledges that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. Decisions concerning the appropriateness of treatments should be made by on a case by case basis, and in discussion with patients, and their families or carer, if appropriate.</p><p>On 20 September 2017, NICE announced its decision to undertake a full update of the guideline following a review of the latest available evidence on the diagnosis and management of CFS/ME and a public consultation. New guidance is expected in October 2020. More information on this update can be found at the following link:</p><p><a href="http://www.nice.org.uk/guidance/indevelopment/gid-ng10091" target="_blank">www.nice.org.uk/guidance/indevelopment/gid-ng10091</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:29:33 answering member 4455 label Biography information for Seema Kennedy
tabling member	1397 label Biography information for Hywel Williams