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1140794

registered interest
date	22/07/2019
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	Medicine: 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 recent assessment he has made of UK capacity in translational research.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	280239
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The Medical Research Council (MRC) covers basic through to translational research, with translational research and applied, clinical, public health and social care research funded by the Department via the National Institute for Health Research (NIHR).</p><p>The NIHR’s funding for research includes support for research infrastructure which is critically important in providing the resources, support and facilities that the National Health Service needs to conduct first-class research across the full pathway of discovery science to evaluation. The sustained, long-term funding to put in place through the NIHR infrastructure has been widely recognised as having transformed the health research environment in the United Kingdom. For example, there has been five-fold increase in early phase (phase I and phase II) trials since 2009 within the NIHR early translational research infrastructure in the NHS (2,842 phase I and phase II trials in 2017/18 compared to just 496 in 2009/10).</p><p>The MRC are also currently undertaking an evaluation of 10 years of MRC-funded translation research which is expected to be completed in September 2019.</p><p>The MRC and the NIHR also work in partnership through the Efficacy and Mechanism Evaluation programme which funds studies evaluating interventions with potential to make a step-change in the promotion of health, treatment of disease and improvement of rehabilitation or long-term care.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 26/07/2019 11:44:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1140805

registered interest
date	22/07/2019
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	Anaemia: Northern Ireland
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 patients in Northern Ireland were (a) diagnosed and (b) treated for iron deficiency anaemia in each of the last three years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	280245
answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>This data is not held. Healthcare is a devolved matter and data on diagnosis and treatment of specific conditions are a matter for the devolved administrations of Wales, Scotland and Northern Ireland respectively.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 05/08/2019 11:16:06 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1140806

registered interest
date	22/07/2019
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: Disadvantaged
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 effect of reductions in public health funding on health inequalities.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	280246
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Public health services can have a significant impact in improving the health of the population and reducing unfair differences between marginalised groups of people or communities.</p><p>The Government has made difficult choices to protect public services in the long term. We remain committed to securing five extra years of healthy, independent life by 2035 and reducing the gap between rich and poor with proposals set out in the Prevention Green Paper and a Long Term Plan for the National Health Service with a greater focus on prevention. We want everyone to have the same opportunity to have a long healthy life, whoever they are and whatever their social circumstances.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 280247 question first answered 25/07/2019 16:09:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1140807

registered interest
date	22/07/2019
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: Disadvantaged
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 effect of reductions in public health funding on the health and wellbeing of the most marginalised people in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	280247
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Public health services can have a significant impact in improving the health of the population and reducing unfair differences between marginalised groups of people or communities.</p><p>The Government has made difficult choices to protect public services in the long term. We remain committed to securing five extra years of healthy, independent life by 2035 and reducing the gap between rich and poor with proposals set out in the Prevention Green Paper and a Long Term Plan for the National Health Service with a greater focus on prevention. We want everyone to have the same opportunity to have a long healthy life, whoever they are and whatever their social circumstances.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 280246 question first answered 25/07/2019 16:09:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1140808

registered interest
date	22/07/2019
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: Expenditure
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 percentage change has been in the (a) NHS budget and (b) local authority public health grant in each year from 2013-14 to 2019-20.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	280248
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2013:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England funding increase %</p></td><td><p>Public Health Grant increase %</p></td></tr><tr><td><p>2013/14</p></td><td><p>First year of NHS England</p></td><td><p>5.5%</p></td></tr><tr><td><p>2014/15</p></td><td><p>3.6%</p></td><td><p>5%</p></td></tr><tr><td><p>2015/16</p></td><td><p>3.3%</p></td><td><p>24%<sup>1,2</sup></p></td></tr><tr><td><p>2016/17</p></td><td><p>5.5%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017/18</p></td><td><p>3.6%</p></td><td><p>-2.5%<sup>3</sup></p></td></tr><tr><td><p>2018/19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr><tr><td><p>2019/20</p></td><td><p>7.8%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1 </sup>2015-16 includes a £200 million in-year cut implemented in advance of Spending Review 2015.</p><p><sup>2 </sup>Spending Review 2015 baseline, includes the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 – 5 in October 2015.</p><p><sup>3 </sup>From 2017/18, includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:34:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1140869

registered interest
date	22/07/2019
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: Nottinghamshire
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 assessment he has made of the (a) availability and (b) waiting times for therapeutic services for mental health conditions in Nottinghamshire.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	280383
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Information on the availability of therapeutic services for mental health conditions delivered through the Improving Access to Psychological Therapies (IAPT) programme in Nottinghamshire clinical commissioning groups (CCGs)<sup>1</sup> is not collected.</p><p>Information on waiting times for such services in the Nottinghamshire CCGs in 2019 is in the following table.</p><table><tbody><tr><td><p>Month</p></td><td><p>Number of referrals finishing a course of treatment</p></td><td><p>Mean wait to enter treatment<sup>2</sup> (days)</p></td><td><p>Percentage of finishing referrals<sup>3</sup> seen within 6 weeks</p></td></tr><tr><td><p>January 2019</p></td><td><p>1,345</p></td><td><p>24.3</p></td><td><p>83</p></td></tr><tr><td><p>February 2019</p></td><td><p>1,290</p></td><td><p>24.8</p></td><td><p>81</p></td></tr><tr><td><p>March 2019</p></td><td><p>1,510</p></td><td><p>25.3</p></td><td><p>79</p></td></tr><tr><td><p>April 2019</p></td><td><p>1,280</p></td><td><p>27.4</p></td><td><p>76</p></td></tr></tbody></table><p>Source: NHS Digital, IAPT dataset</p><p>Notes:</p><p><sup>1</sup> NHS Bassetlaw CCG, NHS Mansfield and Ashfield CCG, NHS Newark and Sherwood CCG, NHS Nottingham City CCG, NHS Nottingham North and East CCG, NHS Nottingham West CCG and NHS Rushcliffe CCG.</p><p><sup>2</sup> Waiting time to enter treatment is calculated as the number of days between the referral received date and the first attended treatment appointment. Referral received date and the first treatment appointment dates do not necessarily occur in the same month.</p><p><sup>3</sup> In order to finish a course of treatment, a referral must have ended in the month with at least two treatment appointments having been attended in the course of the referral.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 16:13:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4663 label Biography information for Ben Bradley

1140903

registered interest
date	22/07/2019
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, when he will publish the adult commissioning guidance on adult eating disorder services.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	280277
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The NHS Mental Health Implementation Plan 2019/20 – 2023/24 published on 23 July 2019, states that publication of guidance on developing community-based services for adults with eating disorders is imminent.</p><p> </p><p>The guidance for commissioners and providers will aid the development of eating disorder services for adults and to inform sustainability and transformation plans for transforming community services for adults with eating disorders.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 16:08:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1591 label Biography information for Tim Farron

1140913

registered interest
date	22/07/2019
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	Maternal Mortality
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 implications for his policies of the MBRRACE-UK maternal deaths and morbidity statistics 2014-16 showing that (a) Asian women are nearly twice as likely, (b) mixed race women are twice as likely and (c) black women are five times as likely to die during or up to six weeks after pregnancy than white women.
tabling member constituency	Newport West
tabling member printed	Ruth Jones
uin	280405
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The NHS Long Term Plan takes a concerted and systematic approach to reducing health inequalities and addressing unwarranted variation in care. NHS England and NHS Improvement are leading the work through the Maternity Transformation Programme to support maternity services to provide high-quality maternity care for all women.</p><p>Targeted and enhanced continuity of carer can significantly improve outcomes for women from ethnic minorities. The NHS Long Term plan sets out that 75% of black women will receive continuity of carer from midwives by 2024.</p><p>The Department is also funding research to investigate the factors associated with the excess perinatal mortality experienced by black/black British and Asian/Asian British ethnic groups and identify the factors associated with the excess risk of maternal death for black and South Asian women.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 16:19:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4716 label Biography information for Ruth Jones

1140919

registered interest
date	22/07/2019
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, how many finished consultant episodes there were with a (a) primary and (b) secondary diagnosis of HIV infection in (i) England and (ii) each region in each year since 1989.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	280282
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Data on HIV diagnoses are not available by hospital consultant episode, or by primary and secondary diagnosis.</p><p>Public Health England (PHE) routinely collects data on people confirmed newly diagnosed with HIV care in the United Kingdom. Data on those newly diagnosed and resident in England and each PHE centre of residence from 1981 to 2017 are available to view at the following link:</p><p><a href="https://www.gov.uk/government/statistics/hiv-annual-data-tables" target="_blank">https://www.gov.uk/government/statistics/hiv-annual-data-tables</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:42:23 answering member 4455 label Biography information for Seema Kennedy previous answer version 131375 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4244 label Biography information for Jonathan Ashworth

1140924

registered interest
date	22/07/2019
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: Orthopaedics
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 the recent increase in diabetes-related amputations.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	280192
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Evidence suggests that multidisciplinary footcare teams (MDFTs) play a major role in a good diabetes footcare pathway and can significantly reduce amputations and subsequently the financial burden of diabetic foot disease.</p><p>The NHS Long Term Plan includes a commitment to “ensure that all hospitals in future provide access to MDFTs and diabetes inpatient specialist nursing teams to improve recovery and to reduce lengths of stay and future readmission rates”.</p><p>Since April 2017 NHS England has made £26 million available through the diabetes transformation funding to put in place 41 new or expanded MDFTs, reducing the risk of people with ulcers or other diabetes foot disease from having an amputation.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:37:09 answering member 4455 label Biography information for Seema Kennedy previous answer version 131374 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell