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917326

registered interest
date	05/06/2018
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	Genetics: 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 assessment (a) his Department and (b) Public Health England have made of the role of (i) genetic testing and (ii) population level genomic data to improve public health.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150116
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The United Kingdom National Screening Committee recently recommended that the use of Non-Invasive Prenatal Testing should be evaluated as an additional screening test in the antenatal screening programme for Down’s syndrome, Edwards’ syndrome and Patau syndrome. In addition to this, the use of next generation sequencing is currently being evaluated in the diagnostic pathway for babies found to be screen positive for cystic fibrosis.</p><p> </p><p>From October 2018, the National Health Service’s Genomic Medicine Service will, for the first time, be supported by a comprehensive directory of genomic tests for specified cancers and rare diseases that encompasses the entire testing repertoire from Whole Genomic Sequencing to tests for single genes, molecular markers and other functional genomic tests.</p><p> </p><p>This National Genomic Test Directory will be updated on an annual basis to keep pace with scientific and technological advances with a systematic review process in place to ensure continued value through the co-ordinated replacement of older tests with new and emerging approaches.</p><p> </p><p>The Test Directory will be updated annually, following advice from an expert scientific and clinical committee that will be established to operate in accordance with NHS England’s specialised services commissioning processes.</p><p> </p><p>The Chief Medical Officer for England’s annual report ‘Generation Genome’ provided a comprehensive overview of the role of clinical genomic testing and is being taken forward via the Minister-chaired National Genomics Board.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2018 15:36:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

917328

registered interest
date	05/06/2018
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	Genetics: Screening
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 rolling out population-wide genetic testing for mutations in the BRCA1 or BRCA2 genes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150118
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>In the Cancer Strategy for England, the independent Cancer Taskforce recommended that all women with non-mucinous epithelial ovarian cancer should be offered testing for BRCA1/BRCA2 at the point of diagnosis, and that all women under the age of 50 diagnosed with breast cancer should be offered testing for BRCA1/BRCA2 at the point of diagnosis.</p><p> </p><p>Testing women at the point of diagnosis can ensure access to the most relevant treatment and enable family members to understand their own risk and take preventative action where appropriate.</p><p> </p><p>As part of the National Health Service’s new Genomic Medicine Service, NHS England will publish a Test Directory to specify the genetic and genomic testing available in the NHS in England. The Test Directory will encompass the entire genetic and genomic testing repertoire, from Whole Genomic Sequencing to large panel tests and tests for single genes.</p><p> </p><p>The Test Directory will be updated annually, following advice from an expert scientific and clinical committee that will be established to operate in accordance with NHS England’s specialised services commissioning processes.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2018 15:36:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

917333

registered interest
date	05/06/2018
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	Medical Treatments: Innovation
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 products for the accelerated access pathway have now been selected; and when an announcement on such products is planned.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150123
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>We are currently in the process of appointing a new chair for the Accelerated Access Collaborative (AAC). Following this appointment, the AAC will meet to launch the Accelerated Access Pathway and will consider the first group of products as part of their discussions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:22:22 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917334

registered interest
date	05/06/2018
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	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 progress has been made to date on the Pre-Exposure Prophylaxis Impact Trial.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150124
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>As of the 1 June 2018, 7,406 participants are enrolled on the trial. Information on participating clinics and enrollment status is regularly updated on the Pre-Exposure Prophylaxis Impact Trial website, available at the following link:</p><p> </p><p><a href="https://www.prepimpacttrial.org.uk/join-the-trial" target="_blank">https://www.prepimpacttrial.org.uk/join-the-trial</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:24:59 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917335

registered interest
date	05/06/2018
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	HIV Infection
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 a recent assessment of the level of migrant access to HIV services; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150125
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>Data are not collected in the requested format as information on country of birth has not historically been captured for people accessing HIV care.</p><p> </p><p>Public Health England is currently in the process of validating country of birth data reported from the new HIV and AIDS Reporting System.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:35:02 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917337

registered interest
date	05/06/2018
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	HIV Infection
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 the Secretary of State for Education on inclusion of information about HIV in the Department for Education's sex and relationships education draft guidance.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150127
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>My Rt. hon. Friend the Secretary of State has met the Secretary of State for Education to discuss a range of issues of mutual interest.</p><p> </p><p>Officials in the Department of Health and Social Care and Public Health England are members of the cross-Government group convened by the Department for Education to inform the development of this guidance and discussions have included content around HIV infection.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:28:17 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917338

registered interest
date	05/06/2018
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	HIV Infection
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 Government plans to adopt a target to help eliminate HIV by 2030.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150128
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>As a way of stopping new HIV infections, the United Kingdom is committed to the United Nations 95-95-95 targets which state that by 2030: 95% of all people living with HIV will know their HIV status; 95% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy; and 95% of all people receiving antiretroviral therapy will have viral suppression.</p><p> </p><p>Further information is available in Public Health England’s report ‘Towards elimination of HIV transmission AIDS and HIV related deaths in the UK’, available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/hiv-in-the-united-kingdom" target="_blank">https://www.gov.uk/government/publications/hiv-in-the-united-kingdom</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:20:36 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917349

registered interest
date	05/06/2018
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	Ambulance Services
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 23 May 2018 to Question 144262, for what reason his Department decided to collect information on ambulance handover delays in England for three months of the year only; and what assessment he has made of the effect on the NHS and patients of (a) those ambulance handover delays and (b) not collating annual data on those ambulance handover delays.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	150066
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>NHS England is aware that hospital handover delays continue to present challenges to ambulance service operation. Hospital handover delay data were published as part of the NHS England Winter Daily Situation Reports and data continues to be collected and monitored to inform efforts to address delays.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 13/06/2018 15:16:40 answering member 4095 label Biography information for Steve Barclay
tabling member	4056 label Biography information for Nic Dakin

917381

registered interest
date	05/06/2018
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	Ibrutinib
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 have received Ibrutinib on the NHS for the treatment of relapsed or refractory chronic lymphocytic leukaemia since January 2017.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	150007
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The information requested is not available. The number of patients registered to receive treatment with ibrutinib for relapsed or refractory chronic lymphocytic leukaemia between 1 January 2017 and 31 May 2018 was 976. Patients registered to receive a treatment do not then necessarily go on to receive treatment with a drug.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:32:47 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith

917472

registered interest
date	05/06/2018
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	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 steps he is taking to tackle GP workload.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	150088
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>We are tackling general practitioner (GP) workload by investing in the Releasing Time to Care Programme and expanding the skill mix in general practice. The Releasing Time for Care Programme is designed to help practices implement change to release time more quickly and sustainably. As of October 2017 a series of workshops have reached around 4,800 participants, and survey responses suggest that attending the workshop has had an immediate and substantial effect on practices’ optimism.</p><p> </p><p>We are widening the skills mix by investing in the wider general practice workforce in extra mental health therapists, clinical pharmacists, general practice nurse development, training of current reception and clerical staff, training of physician associates, pilots of new medical assistant roles, and practice manager development nationwide to free up valuable GP time.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:33:45 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy