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887053

registered interest
date	19/04/2018
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	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 assessment he has made of the potential savings to be accrued to the public purse of the return of unused medicines to the NHS.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	136621
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>The Department has made no assessment of the potential savings to be accrued to the public purse from the return of unused medicines to the National Health Service.</p><p> </p><p>The Department is concerned about wastage from unused medicines and is keen to minimise unnecessary extra costs. However, it does not promote the reuse of medicines that have left the pharmacy and been returned to a pharmacy by patients, as it is not possible to guarantee the quality of a returned medicine on physical inspection alone. When medicines are returned from patients’ homes, there is no way of knowing how the medicines have been stored or handled.</p><p> </p><p>The Royal Pharmaceutical Society publication, ‘Medicines Ethics and Practice - The professional guide for pharmacists (July 2017)’ states, “patients should be advised that unused, unwanted medicines should be returned to a pharmacy for safe disposal”</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/04/2018 15:32:09 answering member 4067 label Biography information for Steve Brine
tabling member	4603 label Biography information for Preet Kaur Gill

887072

registered interest
date	19/04/2018
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	Autism: 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 assessment he has made of the effectiveness of Government programmes that assist low-income families who are supporting children with autism.
tabling member constituency	Manchester, Gorton
tabling member printed	Afzal Khan
uin	136640
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>No recent assessment has been made by this Department of the effectiveness of Government programmes in specifically assisting low-income families with autistic children.</p><p> </p><p>The special educational needs and disability (SEND) reforms in the Children’s and Families Act 2014 have brought benefits for all autistic children and young people and their families by providing for a system of support across education, health and social care to ensure that services are organised with the needs and preferences of the child and their family at the centre of the process.</p><p> </p><p>Reforms introduced by the Act include the publication of local offers of SEND services by local authorities, the introduction of streamlined education, health and care needs assessments and Education, Health and Care Plans, which set out in one place the support from education, health and care services children and young people will receive.</p><p> </p><p>Since May 2016, Ofsted and the Care Quality Commission have been inspecting local areas on their effectiveness in fulfilling their new duties for children with SEND. All 152 local areas in England will be inspected over a period of five years.</p><p> </p><p>We have included autism indicators on diagnosis and post-diagnostic outcomes in the Mental Health Services Dataset, with data collected from 1 April 2018. This will bring more transparency to the process, provide more accurate data on performance nationally and help drive up performance.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/04/2018 12:51:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4671 label Biography information for Afzal Khan

887073

registered interest
date	19/04/2018
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: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to respond to the Green Paper on Transforming children and young people’s mental health provision.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	136641
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>We plan to publish a Government response to the consultation on the Green Paper ahead of summer recess.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/04/2018 12:54:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1506 label Biography information for Andrew Gwynne

887080

registered interest
date	19/04/2018
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: Medical Equipment
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 options for procuring glucose monitoring devices for people with diabetes in order to ensure that those devices are procured effectively.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	136648
answer	answer is ministerial correction date of answer 25/04/2018 answer text <p>Whilst the National Health Service is committed to providing access to new drugs and medical technologies, it is the responsibility of clinical commissioning groups (CCGs) to determine how funds are allocated for their local population. CCGs are responsible for commissioning diabetes services. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence, and take into account national guidelines. This would apply to glucose monitoring devices, which would need to be both licensed and assessed for clinical and cost-effectiveness.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/04/2018 10:56:42 answering member 4067 label Biography information for Steve Brine
tabling member	481 label Biography information for Sir George Howarth

887120

registered interest
date	19/04/2018
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	NHS: Databases
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 potential merits of ring-fencing part of the rebate paid by the pharmaceutical industry in the next iteration of the Pharmaceutical Price Regulation Scheme for the purposes of investing in NHS data infrastructure.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	136685
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>Under the current Pharmaceutical Price Regulation Scheme (PPRS) all payments go back into spending on improving patients’ health and care. Following normal Government accounting rules, there is no separately identified ring-fenced funding stream associated with the PPRS payment.</p><p> </p><p>Informal discussions have already begun with industry regarding future medicines pricing arrangements. Formal negotiations will begin shortly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/04/2018 15:32:53 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb

887152

registered interest
date	19/04/2018
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: Sodium Valproate
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 funding required to raise awareness of the potential health risks for women of child-bearing age of taking Sodium Valproate.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	136717
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has been working in partnership with the Department, professional bodies and the healthcare system to bring together a package of measures to raise awareness of the significant risks associated with sodium valproate in pregnancy and to support healthcare professionals in changing prescribing behaviour and therefore reducing the harms from valproate in women of child-bearing age. All parties involved are fully committed to the implementation of the new regulatory position using the existing funds of each relevant organisation.</p><p> </p><p>The new measures include updated educational materials for healthcare professionals and patients and will be communicated through the MHRA bulletin and letters to healthcare professionals through the National Health Service Central Alerting System. The information cascade will be supported by messages from professional bodies, charities and patient groups to their constituents and reinforced through changes to clinical guidelines and improved alerts on General Practitioner prescribing systems.</p><p> </p><p>The effectiveness of the new measures in changing prescribing of valproate will be closely monitored. Relevant data will be published and there will be ongoing follow up to ensure that the harms to the child from valproate in pregnancy are minimised.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 27/04/2018 12:52:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4637 label Biography information for James Frith

887197

registered interest
date	19/04/2018
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	Speech and Language Therapy: Children and Young People
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 ensure that every child and young person who stammers will be able to access speech and language therapy when needed; and if he will make a statement.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	136761
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>The universal Healthy Child Programme includes a number of child development reviews at specific ages. The review at age 2 – 2½ is a crucial stage when problems such as speech and language delay or behavioural issues become visible and can be addressed by the health visitor before the child starts school.</p><p> </p><p>Clinical commissioning groups and local authorities have a legal duty to make joint arrangements for assessing the needs of children likely to have special educational needs.</p><p> </p><p>Since May 2016, Ofsted and the Care Quality Commission have been inspecting local areas on their effectiveness in fulfilling these new duties.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/04/2018 11:19:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4603 label Biography information for Preet Kaur Gill

887225

registered interest
date	19/04/2018
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	Speech and Language Therapy: 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 assessment he has made of recent trends in waiting times to access children’s speech and language therapy services.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	136789
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>No assessment has been made of recent trends in waiting times to access children’s speech and language therapy services as this data is not reported centrally. There are no mandated referral to treatment times for speech and language therapy services. Local commissioners have responsibility for assessing the needs of their local population, and arranging services to meet those needs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/04/2018 10:43:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	301 label Biography information for Richard Burden

887226

registered interest
date	19/04/2018
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	Speech and Language Therapy
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 discussions he has had with the Secretary of State for Education on the role of speech and language therapy services in developing communication and literacy skills.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	136790
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The Department of Health and Social Care are working with the Department for Education and Public Health England to enable early years professionals to identify and support children’s early speech, language and communication needs. In an exchange of letters with the former Minister of State for Children and Families (Robert Goodwill MP) last November, the Department agreed to ensure that we and Public Health England prioritise the required activities to support the social mobility action plan launched in December 2017. Detailed work is ongoing between the Department for Education and Public Health England.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/04/2018 10:54:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	301 label Biography information for Richard Burden

887230

registered interest
date	19/04/2018
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	Dental Services: Fees and Charges
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 effect of the increase in NHS dental charges from 1 April 2018 on people’s (a) ability to pay for such services and (b) decision to access such services.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	136794
answer	answer is ministerial correction date of answer 26/04/2018 answer text <p>Prior to the decision to uplift patient charges, the Department undertook an equality analysis and impact assessment. These have been published and can be found at the following link:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/336/resources" target="_blank">http://www.legislation.gov.uk/uksi/2018/336/resources</a></p><p> </p><p>The current exemption and charge remission arrangements are intended to ensure that individuals are not deterred from obtaining any necessary treatment on financial grounds.</p><p> </p><p>There has been no change to the exemption arrangements as a result of current increases to National Health Service dental charges. NHS dental treatment remains free for those under the age of 18, those under the age of 19 and in full-time education, pregnant women, those who have had a baby in the previous 12 months and those on low incomes.</p><p> </p><p>In addition, adults who are not in receipt of qualifying benefits, but are on a low income, may qualify for full or partial help with charges through the NHS Low Income Scheme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/04/2018 10:19:38 answering member 4067 label Biography information for Steve Brine
tabling member	301 label Biography information for Richard Burden