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818982

registered interest
date	09/01/2018
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	Alcoholic Drinks: Labelling
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 likely effects of introducing warnings on alcoholic products at the point of sale on a link between alcohol and cancer and other health matters.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	121659
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Public Health England’s evidence review on the public health burden of alcohol found that alcohol health warning labels on alcoholic products can raise awareness of the messages they contain. However, the evidence review did not identify any studies which considered the specific impact of warnings at the point of sale on the link between alcohol and cancer and other health harms. The review is available at the following link:</p><p><a href="http://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review" target="_blank">www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:28:32 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

818990

registered interest
date	09/01/2018
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	Clinical Trials
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will consider the merits of introducing a national audit system for clinical trials; and if he will make a statement.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	121667
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p><strong></strong>All clinical trials of investigational medicinal products in the European Union are registered and information on the trial and a summary of results is made public in the EU clinical trials register, except for adult phase 1 trials which are considered commercially confidential.</p><p> </p><p>Good clinical practice (GCP) is a set of internationally-recognised ethical and scientific quality requirements that must be followed when designing, conducting, recording and reporting clinical trials that involve people. To ensure compliance with GCP, the Medicines and Healthcare products Regulatory Agency carries out inspections in the United Kingdom of organisations that are involved in clinical trials.</p><p> </p><p>The Government’s National Institute for Health Research (NIHR) which is the country’s largest public funder of health research and trials, has implemented a number of initiatives on publication of research results. The NIHR is the world’s first health research funder to publish comprehensive accounts of its commissioned research within its own publicly and permanently available journal series. The NIHR Journals Library comprises a suite of five open access peer-reviewed journals reporting results from a range of health research areas. The reports provide a full account of the research project, including methods and a full description of the results, and complement shorter articles submitted for publication in other peer-review journals, which the NIHR actively encourages researchers to do as part of their dissemination strategy. In addition – contracts for NIHR funding include requirements on publication of the results from NIHR funded and supported research.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/01/2018 14:41:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4433 label Biography information for Thangam Debbonaire

819008

registered interest
date	09/01/2018
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	Headaches
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of people who have been diagnosed with or received treatment for cluster headaches in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121685
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>This information is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:45:46 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819013

registered interest
date	09/01/2018
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	Tamoxifen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what advice the NHS provides on the use of Tamoxifen for menopausal women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121690
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for providing guidance on the prevention and treatment of ill health and the promotion of good health and social care for the National Health Service. NICE has provided recommendations on the use of tamoxifen in its clinical guideline on ‘Early and locally advanced breast cancer: diagnosis and treatment’ which is currently being updated. The guideline can be found at:</p><p><a href="https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy" target="_blank">https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy</a></p><p>The Breast Cancer Clinical Expert Group also issued guidance to Cancer Alliances for Provision of Breast Cancer Services, in August 2017. This guidance includes best practice for the provision of tamoxifen, and can be found at:</p><p><a href="http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf" target="_blank">http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:59:26 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819014

registered interest
date	09/01/2018
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	Depressive Illnesses
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 people were diagnosed with bipolar disorder in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121691
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The information requested is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:56:22 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819019

registered interest
date	09/01/2018
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	Pregnancy: Streptococcus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps to ensure the provision of routine Strep B testing for all pregnant women in the UK; and if he will make representations to the National Screening Committee to assess the adequacy of its guidelines on screening.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121696
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Following the United Kingdom National Screening Committee’s (UK NSC’s) meeting in February 2017, the Department accepted the UK NSC’s recommendation that a population-based screening programme for Group B Streptococcus (GBS) carriage should not be offered. This is because there is insufficient evidence to demonstrate that the benefits to be gained from screening would outweigh the harms. Guidance on early onset neonatal GBS and other neonatal disease is provided by the Royal College of Obstetricians and Gynaecologists is available at:</p><p><a href="https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg36/" target="_blank">https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg36/</a></p><p>The National Institute for Health and Care Excellence is available at:</p><p><a href="https://www.nice.org.uk/guidance/cg149/chapter/4-research-recommendations" target="_blank">https://www.nice.org.uk/guidance/cg149/chapter/4-research-recommendations</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 17/01/2018 14:48:03 answering member 4095 label Biography information for Steve Barclay
tabling member	4131 label Biography information for Jim Shannon

819021

registered interest
date	09/01/2018
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	Diabetes: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what priority has been accorded to the provision of diabetic pumps for children; and what discussions his Department has had with each of the devolved administrations on that provision.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121698
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population and are based on the available evidence and take into account national guidelines.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is responsible for producing guidelines for best practice of treatment and care. Treatments such as Continuous Subcutaneous Insulin Infusion (CSII) or ‘insulin pump' therapy may be brought into routine use in the National Health Service after their efficacy, safety, and cost-effectiveness have been appropriately demonstrated.</p><p> </p><p>Health is a devolved matter under the devolution settlements and thus it would be a matter for the devolved administrations to determine their use of diabetic pumps. Devolved administrations would be aware of guidance published by NICE on the use of CSII for children, and are able to follow these if they choose to do so.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 15:03:53 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819022

registered interest
date	09/01/2018
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	Mental 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, what steps the Government is taking to address the greater prevalence of mental health issues in Northern Ireland and to ensure parity of access to and provision of mental heath services across the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121699
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Health is a devolved matter in the United Kingdom. For Northern Ireland, the Northern Ireland Executive is responsible for the organisation and delivery of health and social care services and the protection and promotion of health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/01/2018 14:53:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

819054

registered interest
date	09/01/2018
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	Radiotherapy: Rural Areas
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 accessibility of radiotherapy in rural areas as a result of NHS England's plan to modernise radiotherapy services.
tabling member constituency	North Cornwall
tabling member printed	Scott Mann
uin	121731
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>NHS England is currently engaged in a public consultation to establish 11 radiotherapy networks across England. The aim of their proposals is to encourage radiotherapy providers to work together in networks and across organisational boundaries to concentrate expertise and improve pathways for patients requiring radical radiotherapy for the less common and rarer cancers. This will help to increase access to more innovative radiotherapy treatments, increase clinical trial recruitment and optimise utilisation of radiotherapy equipment, securing greater value for money. Once established, radiotherapy networks will be required to review service provision on a regular basis, explore the differential access rates across the geography and take account of specific issues relating to rural communities. They will also be required to consider how to address any shortcomings, including; outreach out-patient oncology clinics, preferential access to clinic appointments and treatments to allow for limited public transport, reviewing opportunities for better hospital transport and the use of telephone consultations when appropriate.</p><p> </p><p>The consultation period has been extended until 24 January 2018 and views can be fed into the online survey:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation/" target="_blank">https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:44:56 answering member 4067 label Biography information for Steve Brine
tabling member	4496 label Biography information for Scott Mann

819064

registered interest
date	09/01/2018
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	Eating Disorders: Mental 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, with reference to the report of the Parliamentary and Health Services Ombudsman, Ignoring the alarms: how NHS eating disorder services are failing patients, HC 634, what steps he is taking to address the gaps in provision of eating disorders specialists.
tabling member constituency	Dewsbury
tabling member printed	Paula Sherriff
uin	121741
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>For children and young people aged between eight and 18 years, the Government is investing £150 million to expand eating disorder services and staff – with 70 new or enhanced services already in place.</p><p> </p><p>The Government’s aim is for the National Health Service to meet the access and waiting time standard for children and young people with an eating disorder by 2020/21 so that 95% of children with an eating disorder will receive treatment within one week for urgent cases and within four weeks for routine cases. NHS England has published a Commissioning Guide that sets out its recommended staffing and training requirements for these services. This is available at:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/07/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/07/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf</a></p><p> </p><p>We are on track to meet the eating disorders waiting time target. 68.7% of children and young people are currently being seen within one week and 78.9% within four weeks (against target of 95% for both by 2020/21).</p><p> </p><p>For adults, NHS England is conducting a baseline audit to measure existing levels of investment, capacity and activity across inpatient and community services for adults with eating disorders.</p><p> </p><p>NHS England will develop evidence based treatment pathways across mental health services over the next five years in line with the recommendations of the Five Year Forward View for Mental Health. NHS England is working with the National Institute for Health and Care Excellence and the National Collaborating Centre for Mental Health to ensure that each pathway is fully informed by the available evidence and the views of experts by experience.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/01/2018 14:50:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4426 label Biography information for Paula Sherriff