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1668355

registered interest
date	08/11/2023
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	Department of Health and Social Care: Civil Servants
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 3,310 total headcount figure for permanent civil servants excluding agency workers working for his Department as of 31 March 2023, as detailed in Cabinet Office statistics entitled Permanent and temporary civil servants by sex, age band and department: 2023, published on 31 October 2023, what that figure was on 31 March (a) 2011, (b) 2016 and (c) 2020.
tabling member constituency	Islington South and Finsbury
tabling member printed	Emily Thornberry
uin	739
answer	answer is ministerial correction date of answer 22/11/2023 answer text <p>On 2 October 2023, the Chancellor announced an immediate cap on civil servant headcount across Whitehall to stop any further expansion, increase efficiencies and boost productivity.</p><p>The Civil Service grew to manage the impact of the COVID-19 pandemic and the illegal war in Ukraine, but it is right that we reduce the size of the Civil Service over time as we drive up productivity and deliver efficiencies.</p><p>The following table shows the total headcount figure for permanent civil servants working for the Department, excluding agencies:</p><table><tbody><tr><td><p>31 March 2011</p></td><td><p>31 March 2016</p></td><td><p>31 March 2020</p></td></tr><tr><td><p>Total Departmental headcount</p></td><td><p>2615</p></td><td><p>1952</p></td><td><p>1741</p></td></tr></tbody></table> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 22/11/2023 16:16:12 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1536 label Biography information for Emily Thornberry

1668481

registered interest
date	08/11/2023
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	Semaglutide
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 he has made of the total number of patients in England that NHS weight management services has capacity to provide semaglutide treatment for in the next 12 months.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	885
answer	answer is ministerial correction date of answer 23/11/2023 answer text <p>Guidance from the National Institute for Health and Care Excellence (NICE) recommends that Wegovy (semaglutide) should only be used in the National Health Service within a specialist weight management service, including but not limited to tier 3 and 4 services. NHS specialist weight management services are generally hospital based. We do not have an estimate of the capacity of these services to provide semaglutide treatment for in the next 12 months.</p><p>On 7 June 2023, the Government announced pilots to explore ways to make obesity drugs safely available to more patients living with obesity outside of hospital settings. If successful, these pilots could increase the number of patients who can benefit from these treatments.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 23/11/2023 13:24:02 answering member 4117 label Biography information for Andrea Leadsom previous answer version 1054 answering member constituency South Northamptonshire answering member printed Andrea Leadsom answering member 4117 label Biography information for Andrea Leadsom
tabling member	4603 label Biography information for Preet Kaur Gill

1668501

registered interest
date	08/11/2023
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: Research
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 NHS England has made on expanding the scope of the National Contract Value Review to include (a) early phase studies and (b) advanced therapy medicinal products.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	865
answer	answer is ministerial correction date of answer 21/11/2023 answer text <p>NHS England has made progress on expanding the scope of the National Contract Value Review (NCVR) by implementing Stage 2 from October 2023, which eliminates local negotiation with National Health Service organisations, improving commercial study setup timelines. NHS England and the Devolved Administrations are committed to extending NCVR to include the setup of Early Phase (phase I and IIa) and Advanced Therapeutic Medicinal Products (ATMPs) studies. Work has begun to introduce NCVR in a limited number of ATMP studies to test and refine the process.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 21/11/2023 12:47:25 answering member 4044 label Biography information for Andrew Stephenson previous answer version 1425 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4504 label Biography information for Wes Streeting

1668511

registered interest
date	08/11/2023
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	Letrozole: Shortages
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 tackle shortages of Letrozole.
tabling member constituency	Stockton South
tabling member printed	Matt Vickers
uin	978
answer	answer is ministerial correction date of answer 20/11/2023 answer text <p>A team within the Department deals specifically with medicine supply problems arising both in the community and in hospitals. It has well-established procedures to deal with medicine shortages, whatever the cause, and works closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England and others operating in the supply chain to help prevent shortages and to ensure that the risks to patients are minimised when shortages do arise.</p><p>The team is aware of recent supply constraints affecting letrozole, however, other suppliers remain in stock and can support the gap in the market. Therefore, pharmacies should be able to obtain letrozole via their usual wholesaler routes. In addition, there are currently no supply constraints with the branded medicine of letrozole 2.5mg tablets, Femara.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 20/11/2023 16:05:59 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4844 label Biography information for Matt Vickers

1668532

registered interest
date	08/11/2023
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: Research
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 on rolling out a national approach to costing and contracting for commercial clinical research undertaken in the NHS.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	866
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>NHS England’s National Contract Value Review (NCVR) provides costing and contracting for commercial clinical research undertaken in the National Health Service. Since its introduction in October 2022, over 600 studies have had a national review completed. The average time from initial costing submission to the date of the first participant consenting to take part in the study has reduced by 110 days or 36%. Stage 2 of NCVR was implemented in October 2023 and eliminates local negotiation at the point of costing and contracting and will further improve these timelines.</p><p>In addition, NHS England and the Devolved Administrations are committed to extending NCVR to include the setup of Early Phase (phase I and IIa) and Advanced Therapeutic Medicinal Products (ATMPs) studies. Work has begun to introduce NCVR in a limited number of ATMP studies to test and refine the process.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 29/11/2023 13:43:37 answering member 4044 label Biography information for Andrew Stephenson previous answer version 1426 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4504 label Biography information for Wes Streeting

1668535

registered interest
date	08/11/2023
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	Health and Social Care Leadership in England Review
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 he has made towards implementing the recommendations of the Messenger Review.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	867
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>“Leadership for a Collaborative and Inclusive Future” was published in June 2022 and made seven recommendations, which were accepted by the Government.</p><p>NHS England is leading on implementation of all seven recommendations with progress made on all the recommendations, working in partnership with Skills for Care where they apply to the social care workforce.</p><p>Work on recommendations is progressing at pace and Parliament will be updated as appropriate.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 29/11/2023 13:52:27 answering member 4044 label Biography information for Andrew Stephenson previous answer version 1082 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4504 label Biography information for Wes Streeting

1668617

registered interest
date	08/11/2023
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	Tobacco: Smuggling
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 help ensure that controls on tobacco do not encourage illicit trade in tobacco products.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	840
answer	answer is ministerial correction date of answer 28/11/2023 answer text <p>As set out in the command paper, Stopping the start: our new plan to create a smokefree generation, the Government is increasing investment for our enforcement agencies by £30 million per year from 2024/25 to 2028/29. This additional funding will boost agencies such as local trading standards, HM Revenue &amp; Customs and Border Force to enforce the new age of sale changes and to stamp out opportunities for criminals. The command paper is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/stopping-the-start-our-new-plan-to-create-a-smokefree-generation" target="_blank">https://www.gov.uk/government/publications/stopping-the-start-our-new-plan-to-create-a-smokefree-generation</a></p><p> </p><p>HM Revenue &amp; Customs and Border Force will also publish an updated Illicit Tobacco Strategy which will set out the Government’s plans to be at the forefront of tackling illegal activity and opportunities that criminals might seek to exploit.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 28/11/2023 16:50:33 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4471 label Biography information for Rachael Maskell

1668623

registered interest
date	08/11/2023
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	Electronic Cigarettes: Nicotine
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 make an assessment of the potential correlation between vaping and nicotine addiction in young people.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	846
answer	answer is ministerial correction date of answer 18/12/2023 answer text <p>The number of children vaping has tripled in the last three years. Due to highly addictive nicotine content and the unknown long-term harms, vaping carries risk of harm and addiction for children. We will continue to monitor the risks associated with vaping for children and adults, including the risks of nicotine addiction.</p><p>This is why on 4 October 2023, the Prime Minister announced that we will be cracking down on youth vaping, by consulting on measures to reduce the appeal, availability and affordability of vapes to children.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 18/12/2023 16:56:36 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4471 label Biography information for Rachael Maskell

1668651

registered interest
date	08/11/2023
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: Women
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they will take to address factors contributing to higher HIV transmission rates among marginalised women, such as sex workers, transgender women, and immigrants.
tabling member printed	Baroness Barker
uin	HL87
answer	answer is ministerial correction date of answer 20/11/2023 answer text <p>The HIV Action Plan is the cornerstone of our approach in England to drive forward progress and achieve our goal to end new HIV transmissions, AIDS and HIV-related deaths within England by 2030. A key principle of our approach is to ensure that all underserved populations benefit equally from improvements made in HIV outcomes, including marginalised women. This includes scaling up HIV testing in targeted, high-risk populations and increasing equitable access to and use of HIV pre-exposure prophylaxis (PrEP).</p><p>Initial analysis recently published by the UK Health Security Agency show that HIV opt-out testing in emergency departments in local authority areas with extremely high HIV prevalence has been particularly successful at reaching women with HIV testing. The HIV Action Plan Implementation Steering Group is developing a roadmap to help guide our efforts to improve equitable access, uptake and use of PrEP to meet the needs of key populations at significant risk of HIV, including heterosexual and transgender women, which is expected to be made available by the end of the year.</p><p>HIV Prevention England delivers a nationally co-ordinated programme of HIV prevention work designed to complement locally commissioned HIV prevention in areas with high HIV prevalence and for communities at risk of HIV transmission, with a particular focus on women, and includes the promotion of evidence-based HIV prevention interventions such as condom use.</p> answering member printed Lord Markham grouped question UIN HL88 question first answered 20/11/2023 14:15:20 answering member 4948 label Biography information for Lord Markham
tabling member	2501 label Biography information for Baroness Barker

1668662

registered interest
date	08/11/2023
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: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they have made representations to the Chief Executive of NHS England about the appropriateness of employing NHS staff who have supported calling for (1) a Jihad, or (2) the destruction of Israel.
tabling member printed	Lord Blencathra
uin	HL100
answer	answer is ministerial correction date of answer 22/11/2023 answer text <p>The Secretary of State has not made representations to the Chief Executive of NHS England about the appropriateness of employing National Health Service staff who have supported calling for a Jihad, or the destruction of Israel.</p> answering member printed Lord Markham question first answered 22/11/2023 12:42:18 answering member 4948 label Biography information for Lord Markham
tabling member	497 label Biography information for Lord Blencathra