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1139669

registered interest
date	17/07/2019
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	Preventive Medicine: 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 funding he plans to make available for the delivery of the forthcoming green paper on prevention.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278539
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Specific spending commitments in the Green Paper will be met from existing budgets. The future of budgets outside of the NHS England resource settlement will be confirmed at the Spending Review.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:20:42 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire

1139670

registered interest
date	17/07/2019
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	Preventive Medicine: Finance
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 forthcoming green paper on prevention will include (a) a full analysis of the budget needed to implement the content of that paper and (b) an indication of the sources of funding to deliver the content of that paper.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278540
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The Green Paper ‘Advancing our health: prevention in the 2020s’ was published on 22 July 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 278541 278542 278544 question first answered 26/07/2019 12:04:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire

1139671

registered interest
date	17/07/2019
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	Preventive Medicine: Finance
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 forthcoming green paper on prevention will include a commitment to fully fund local authority public health services.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278541
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The Green Paper ‘Advancing our health: prevention in the 2020s’ was published on 22 July 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 278540 278542 278544 question first answered 26/07/2019 12:04:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire

1139672

registered interest
date	17/07/2019
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	Preventive Medicine
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 forthcoming green paper on prevention will include commitments on (a) HIV infection and (b) sexual health.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278542
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The Green Paper ‘Advancing our health: prevention in the 2020s’ was published on 22 July 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 278540 278541 278544 question first answered 26/07/2019 12:04:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire

1139673

registered interest
date	17/07/2019
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	Influenza: Vaccination
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 increase the take-up of the flu vaccination among people most at risk of flu.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278543
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Those most at risk from flu including people over 65, pregnant women, and those in clinical risk groups are offered annual vaccination. At-risk patients are targeted by the Public Health England and NHS England marketing campaign, Help Us Help You, which includes television, radio and advertising supported by public relations, digital search and partnership activity. Communications this year will include messages about a wider range of flu vaccines now available which offer better protection. Help Us Help You can be viewed at the following link:</p><p><a href="https://campaignresources.phe.gov.uk/resources/campaigns/81-help-us-help-you/overview" target="_blank">https://campaignresources.phe.gov.uk/resources/campaigns/81-help-us-help-you/overview</a></p><p>The annual flu letter is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/annual-national-flu-programme-2019-to-2020-1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/annual-national-flu-programme-2019-to-2020-1.pdf</a></p><p>Those eligible for flu vaccination can get the vaccine from their general practitioner, or in a scheme introduced in 2015/16, through local pharmacies, thus widening patient access. 80% of maternity service providers also offer vaccination to pregnant women.</p><p>As part of its assurance process NHS England works through its regional teams and clinical commissioning groups to ensure that practices with lowest uptake are contacted and action is taken to increase vaccination rates.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:41:43 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire

1139674

registered interest
date	17/07/2019
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	Preventive Medicine
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 Government plans to publish its green paper on prevention.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278544
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The Green Paper ‘Advancing our health: prevention in the 2020s’ was published on 22 July 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 278540 278541 278542 question first answered 26/07/2019 12:04:29 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire

1139684

registered interest
date	17/07/2019
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	Smoking: County Durham
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 adequacy of public health funding for smoking cessation services in County Durham.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	278474
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>Local authorities will receive over £3.1 billion in 2019/20 for use on public health. It is for local authorities themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties. Future funding for local authorities’ public health responsibilities will be considered carefully in the next spending review, taking full account of the available evidence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/07/2019 15:35:40 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1139685

registered interest
date	17/07/2019
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	Cancer: County Durham
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 Commissioner-based Cancer Waiting Times for May 2019 (Provisional), published on 11 July 2019, for what reason the NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group is not meeting the target for patients to receive their first cancer treatment within 62 days of an urgent GP referral.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	278475
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>Cancer is a priority for this Government and impetus has been given to ensuring that more patients are seen and treated for cancer. The drive to improve survival rates through earlier diagnosis, therefore, has meant that demand and activity have been rising for a number of years. This has resulted in more people being referred and diagnosed than ever before.</p><p>Improving diagnosis and ensuring better outcomes for patients diagnosed with cancer is a priority for Durham Dales, Easington and Sedgefield Clinical Commissioning Group (CCG), and County Durham is consistently better in terms of coverage than the national average for all three cancer screening programmes. The CCG is working collaboratively with colleagues from public health, primary care and secondary care on a strategic piece of work, with a view that a multi-disciplinary approach is necessary in order to address inequalities in cancer.</p><p> </p><p>The CCG has developed the Action Plan ‘County Durham Reducing Health Inequalities in Cancer Action Plan for 2018-19’.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/07/2019 14:29:17 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1139686

registered interest
date	17/07/2019
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: UK Notified Bodies
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 adequacy of the number of notified bodies to service medical devices under the terms of the Medical Devices Regulation.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	278523
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277763 277764 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4398 label Biography information for Chris Green

1139688

registered interest
date	17/07/2019
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	HIV Infection: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with (a) NHS England and (b) Bristol City Council on the routine commissioning of PrEP in Bristol.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	278545
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Pre-exposure prophylaxis (PrEP) is not currently a routinely commissioned service but is provided through the three year PrEP Impact Trial which ends in autumn 2020. Meanwhile, work is now starting to consider future commissioning for PrEP after the Trial has ended. No discussions have been held with Bristol City Council.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:26:43 answering member 4455 label Biography information for Seema Kennedy
tabling member	4433 label Biography information for Thangam Debbonaire