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917319

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	NHS Trusts: Fines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the total value of all fines levied by clinical commissioning groups (CCGs) against NHS trusts was for the financial year 2017-18; and what guidance his Department provides to (a) NHS England and (b) each CCG on how revenue raised through such fines should be used.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	150202
answer	answer is ministerial correction date of answer 11/06/2018 answer text <p>Information is not held centrally on the level of fines levied by clinical commissioning groups against National Health Service trusts during 2017/18.</p><p> </p><p>In terms of the use by commissioners of revenue withheld from providers through financial sanctions, guidance on this is set out in NHS England’s Contract Technical Guidance, at section 40.5 onwards. This guidance sets out how commissioners may use funding they retain as a result of the application of contractual sanctions, recommending that the commissioner considers whether it is possible to invest the withheld funding in a way that will help to rectify the performance problem.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/06/2018 15:04:06 answering member 4067 label Biography information for Steve Brine
tabling member	4595 label Biography information for Gareth Snell

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

917327

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 there are plans in place to undertake a localised population-based genetic research study in England; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150117
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The United Kingdom has a strong history of conducting cohort studies of this kind. The Department’s National Institute for Health Research welcomes funding applications for research into any aspect of human health, including localised population-based genetic research studies. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 12/06/2018 13:53:59 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

917331

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	Cancer Drugs Fund
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether discussions have taken place between NHS England and the pharmaceutical industry on the ongoing review of the operation of the Cancer Drugs Fund.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150121
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>We have been informed by NHS England that regular meetings are held with the Association of the British Pharmaceutical Industry where the Cancer Drugs Fund is discussed.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 15:22:00 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917332

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	Breast Cancer: 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 plans he has to invest in the mammography workforce to improve the rate and level of breast-screening provision.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150122
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>Health Education England published its first ever Cancer Workforce Plan in December 2017, which commits to the expansion of capacity and skills. This includes investing in 300 reporting radiographers by 2021 to support an increase in the capacity for earlier diagnosis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 15:22:49 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

917336

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	Public Health England
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 progress has been made on the Public Health England Action Plan.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150126
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>Public Health England (PHE) monitors and publishes key national and local indicators for HIV relating to ‘The Health promotion for sexual and reproductive health and HIV: strategic action plan, 2016-2019’ and PHE’s Action Plan for Promoting the health and wellbeing of gay, bisexual and other men who have sex with men.</p><p> </p><p>As part of these plans PHE has commissioned a National HIV Prevention Programme aimed at men who have sex with men and black African communities.</p><p> </p><p>In 2017, PHE published nationally collected data on testing in community settings to provide local areas with a more comprehensive picture.</p><p> </p><p>PHE supports the sharing of good practice across the country through our network of Centres, including approaches to increase testing outside sexual health clinics.</p><p> </p><p>In collaboration with local authorities, PHE commissioned the National HIV Self-Sampling Service. In addition, PHE commissioned HIV prevention projects by community organisations through the HIV Innovation Fund, and shares the resulting evidence and resources.</p><p> </p><p>PHE has also published findings from an evaluation of condom distribution schemes in England and developed a resource pack to support local commissioners and services to address sexualised drug use among men who have sex with men.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 11:27:33 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