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1088721

registered interest
date	14/03/2019
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	Primary Care Networks
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, what plans his Department has to ensure the integration of local authority-commissioned public health services within the new Primary Care Networks.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232537
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October</ins> 2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:05 answering member 4067 label Biography information for Steve Brine previous answer version 108779 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1088722

registered interest
date	14/03/2019
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	Primary Care Networks
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, what plans his Department has to ensure the integration of (a) sexual and reproductive health services and (b) contraception provision within the new Primary Care Networks.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232538
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October </ins>2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:21 answering member 4067 label Biography information for Steve Brine previous answer version 108780 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1088723

registered interest
date	14/03/2019
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	Primary Care Networks
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, whether the new Network Contract DES will require Primary Care Networks to collaborate with local authorities in delivering integrated care to local populations.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232539
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October</ins> 2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:13 answering member 4067 label Biography information for Steve Brine previous answer version 108781 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1088724

registered interest
date	14/03/2019
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	Primary Health Care: Females
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published 31 January 2019, whether his Department has plans to introduce a national service specification for women’s health including a focus on (a) sexual and reproductive health and (b) contraception.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232540
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>The recently published 2019/20 general practitioner (GP) Contract announced seven national service specifications that will be developed for the new Primary Care Networks:</p><p>- Structured Medications Review and Optimisation;</p><p>- Enhanced Health in Care Homes, to implement the vanguard model;</p><p>- Anticipatory Care requirements for high need patients typically experiencing several long term conditions, joint with community services;</p><p>- Personalised Care, to implement the NHS Comprehensive Model;</p><p>- Supporting Early Cancer Diagnosis;</p><p>- Cardiovascular Disease Prevention and Diagnosis; and</p><p>- Tackling Neighbourhood Inequalities.</p><p> </p><p>There are no current plans for an additional service specification on women’s health, as we would expect the health needs of all patients, including women, to be a key consideration in each of the seven service specifications. In addition, under the General Medical Services contract, GP practices must provide essential services that include the provision of appropriate ongoing treatment and care to all of their patients and onward referral where appropriate.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October </ins>2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:36:54 question first ministerially corrected 08/04/2019 09:34:51 answering member 4067 label Biography information for Steve Brine previous answer version 108777 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1086653

registered interest
date	11/03/2019
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	Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what comparative estimate he has made of the cost to the public purse of providing PET-CT scanning services through a (a) private contractor and (b) a NHS trust.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	230888
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The estimated total cost to National Health Service trusts and NHS foundation trusts of providing PET-CT scans <ins class="ministerial">is </ins><ins class="ministerial">approximately £90 million</ins><del class="ministerial">is £29.4 million</del>, with an average unit cost of <ins class="ministerial">approximately £900 </ins><del class="ministerial">£570</del> per examination<ins class="ministerial"> (this includes the cost of both the scan and a standard tracer)</ins>. Costs are not collected nationally by private contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:52:46 question first ministerially corrected 14/05/2019 10:51:18 answering member 4067 label Biography information for Steve Brine previous answer version 107807 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

1082557

registered interest
date	06/03/2019
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: 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 estimate his Department has made of the proportion of eligible adults who have received (a) abdominal aortic aneurysm, (b) bowel, (c) breast and (d) cervical screening in (i) Lambeth CCG (ii) Southwark CCG and (iii) England in each year since 2015.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	229212
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Abdominal aortic aneurysm screening coverage for Lambeth Clinical Commissioning Group (CCG), Southwark CCG and England in each year since 2015/16 can be seen in the following table.</p><p> </p><p>Abdominal aortic aneurysm screening coverage for Lambeth CCG, Southwark CCG and England, 2015/16 to 2017/18.</p><table><tbody><tr><td><p> </p></td><td><p>2015/16 % (tested)</p></td><td><p>2016/17 % (tested)</p></td><td><p>2017/18 % (tested)</p></td></tr><tr><td><p>Lambeth CCG</p></td><td><p>61.0 (627)</p></td><td><p>67.5 (664)</p></td><td><p>53.3 (582)</p></td></tr><tr><td><p>Southwark CCG</p></td><td><p>58.8 (550)</p></td><td><p>73.4 (680)</p></td><td><p>45.9 (435)</p></td></tr><tr><td><p>England</p></td><td><p>79.9 (227,442)</p></td><td><p>81.1 (228,441)</p></td><td><p>80.8 (230,543)</p></td></tr></tbody></table><p>Notes:</p><ol><li>Sources:<a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data</a></li></ol><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data</a></p><p> </p><ol start="2"><li>Total number of people screened is provided in brackets.</li></ol><p> </p><ol start="3"><li>Coverage is the percentage of the eligible population that is successfully screened within the year plus three months:</li></ol><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf</a></p><p> </p><p>Bowel cancer screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for bowel cancer screening is defined as the number of persons registered to a general practice who are screened adequately in the previous 30 months, which is the routine period in which bowel cancer screening takes place for an individual, divided by the number of eligible persons on the last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which an individual should attend for a bowel cancer screening.</p><p> </p><p>Breast screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for breast screening is defined as the number of women registered to a general practice screened adequately in the previous 36 months, which is the routine period in which breast screening takes place for an individual, divided by the number of eligible women on last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for breast screening.</p><p> </p><p>Cervical screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for cervical screening is defined as the number of women screened adequately in the previous 42 months (if aged 24-49) or 66 months (if aged 50-64) divided by the number of eligible women on last day of review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:30:38 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ229212 attached table.docx title PQ229212 attached table previous answer version 106920 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4510 label Biography information for Helen Hayes

1082558

registered interest
date	06/03/2019
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: Screening
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 National Audit Office report entitled Investigation into the management of Health Screening, published 1 February 2019, what steps his Department is taking to ensure NHS screening laboratories are sufficiently staffed.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	229213
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The National Health Service Long Term Plan sets out specific workforce actions developed by NHS Improvement and others to have positive impact for workforces, including the screening and diagnostic workforce. NHS Improvement and the Department will discuss these actions when the education and training budget for Health Education England is set in 2019. This includes a proposal to recruit an additional 1,500 clinical and diagnostic staff across seven priority specialisms between 2018 and 2021.</p><p> </p><p>With specific reference to the national cervical screening programme that includes NHS laboratories, the replacement of liquid based cytology with human papillomavirus (HPV) testing as the primary screen, has had a significant impact on the ability to maintain staff in the cervical screening programme’s laboratory workforce. The HPV pilot evaluation suggested that the need for a cytology workforce could reduce by as much as 85% when HPV testing is introduced as the primary screen during 2019.</p><p> </p><p>NHS England is undertaking a national procurement process to secure providers of laboratory services to deliver HPV primary screening across England. The outcome of the process will be known by the end of April 2019, with national coverage in place by December 2019.</p><p> </p><p>To maintain the service and accommodate current staffing levels a majority of existing HPV pilot sites and some non-pilot sites have already converted more of their cervical screening activity to HPV primary screening, freeing up cytology capacity.</p><p> </p><p>In addition, Professor Sir Mike Richards is leading a major review of national cancer screening programme pathways as part of the NHS Long Term Plan’s renewed drive to improve care and save lives. Professor Richards’ review is due to report in summer 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:00 answering member 4067 label Biography information for Steve Brine previous answer version 106922 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4510 label Biography information for Helen Hayes

1082564

registered interest
date	06/03/2019
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	Food: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the results of the consultation on mandating calorie labelling in the out-of-home sector will be published.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	229218
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>I refer the hon. Member to the answer I gave to the hon. Member for South West Bedfordshire (Andrew Selous MP) on 23 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-21/210542/" target="_blank">210542</a>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:52 answering member 4067 label Biography information for Steve Brine previous answer version 106926 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4505 label Biography information for Peter Kyle

1082590

registered interest
date	06/03/2019
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	Tobacco
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 20 February 2019 to Question 222001, when Public Health England plans to undertake an independent academic review of heated tobacco products.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	229155
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Under the Government’s Tobacco Control Plan for England, Public Health England (PHE) is committed to conducting an annual review of the evidence on e-cigarettes and other nicotine delivery systems until the end of the Parliament in 2022. This can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p><p> </p><p>The scope of these reviews includes heated tobacco products and PHE published an evidence review of e-cigarettes and heated tobacco products in February 2018. The review is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review" target="_blank">https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review</a></p><p> </p><p>The Government currently has no plans to conduct a separate review of heated tobacco products outside of the programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:31:49 answering member 4067 label Biography information for Steve Brine previous answer version 106923 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1604 label Biography information for Mr Virendra Sharma

1082133

registered interest
date	05/03/2019
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	Antimicrobials: Prices
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 Tackling Antimicrobial Resistance Action Plan 2019-2024, how delinking the price paid for antimicrobials from the volume sold will ensure that products produced by industry are affordable to the NHS.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	228682
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The 2016 United Nations political declaration on antimicrobial resistance (AMR) acknowledged the importance of delinking the cost of investment in research and development on AMR from the price and volume of sales to facilitate equitable and affordable access to new products and encouraged governments to explore innovative approaches.</p><p> </p><p>It is critical that the National Health Service makes the best use of its resources. Any payment model must therefore be based on a robust evaluation of the value that a new antimicrobial product brings to patients and the public as a whole. The assessment of how much value a new antibiotic brings is highly complex and will vary considerably from one product to another.</p><p> </p><p>In the United Kingdom, NHS England and the National Institute for Health and Care Excellence (NICE) are leading work to test innovative models that pay companies based primarily on a NICE led health technology assessment of their value to the NHS as opposed to the volumes used. This has the potential to both promote good antimicrobial stewardship and provide a much-needed incentive for the development of new antimicrobial agents that will, over time, provide value for the NHS.</p><p> </p><p>The test will be subject to robust evaluation before considering any wider change to purchasing policy. The UK represents only a small part of the global market for these drugs and we want to send a signal to the rest of the world that there are workable models to achieve the right sort of incentives for these vital medicines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 228683 question first answered 11/03/2019 18:32:38 answering member 4067 label Biography information for Steve Brine previous answer version 106924 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4385 label Biography information for Dr Philippa Whitford