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1141999

registered interest
date	25/07/2019
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	Dental Services: 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 recent assessment he has made of the adequacy of the (a) level and (b) quality of the provision of NHS dentistry services to children under the age of 12.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	282408
answer	answer is ministerial correction date of answer 03/09/2019 answer text <p>NHS England is responsible for commissioning primary care dental services to meet the needs of the local population and ensuring where there are shortages these are addressed.</p><p>Latest data from the GP Patient Survey shows that seven million children were seen by a dentist in the 12 month period ending 31 December 2018.</p><p>NHS England has developed two initiatives that are directly targeting children’s oral health. The Starting Well programme was established by NHS England to reach out to children not regularly being seen by a dentist in 13 high needs areas. NHS England has advised that here are currently over 200 practices participating in the programme.</p><p><strong> </strong></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 03/09/2019 16:18:59 answering member 4380 label Biography information for Jo Churchill
tabling member	4658 label Biography information for Alex Sobel

1142016

registered interest
date	25/07/2019
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	Loneliness: Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what research his Department has (a) commissioned and (b) evaluated on the potential effect of loneliness and social isolation on recovery rates from (i) cardiovascular disease, (ii) cancer and (iii) mental health conditions.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	282221
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>The Department is investing over £1 billion a year in health research through the National Institute for Health Research (NIHR). The NIHR’s research programmes provide a flexible source of funding. Applications are welcome for research into any aspect of human health, including research on the potential effect of loneliness and social isolation on recovery from Cardiovascular disease, cancer and mental health conditions; it is not usual practice to ring-fence funds for particular topics or conditions. 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><p> </p><p>The NIHR funds a number of research projects exploring the potential effect of loneliness and social isolation on recovery rates from cardiovascular disease, cancer and mental health conditions. Studies range in their focus, from specific vulnerable groups such as the elderly, those with mental health conditions or learning disabilities to the wider impact of social isolation and loneliness on an individual’s physical and mental health and well-being. The NIHR is funding two large studies focussing on improving the quality of life for people with serious mental health conditions, for example a £2.7 million study which includes testing a targeted, intervention to expand social networks of patients with psychosis and a £3.95 million study on immersive virtual reality as a treatment to help individuals with schizophrenia safely and confidently enter everyday situations. A current trial is testing an intervention to improve the physical and mental health outcomes for people who may be isolated due to a range of physical, psychological and social factors. Other studies, whose primary focus is not loneliness or social isolation, explore the effects of these within a broader context, for example a current study is researching the specific late effects of chemotherapy (such as hearing loss) and the associate impact on quality of life, including social isolation.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/09/2019 16:05:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1142040

registered interest
date	25/07/2019
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	Migraines: Medical Treatments
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 on demand for NHS services of self-administering treatments for migraine.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	282432
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>No assessment has made of the potential effect on demand for National Health Service services of self-administering treatments for migraine.</p><p> </p><p>Many patients with migraine can be successfully supported and managed through routine primary and secondary care pain management services and through the use of over-the -counter medicines. However, it is important that patients with the most serious pain management issues are able to access specialist care.</p><p> </p><p>The National Institute for Health and Care Excellence guideline, ‘Headaches: Diagnosis and management of headaches in young people and adults’, published in 2012 and updated in 2015, sets out evidence based best practice for healthcare professionals in the care, treatment and support of people who suffer from migraines.</p><p> </p><p>The guideline includes specific information on the management of migraines to either stop or prevent attacks, such as the prescribing of medications including analgesics, triptans and anti-emetics (as recommended in NICE's guideline on headaches in over 12s).</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 282433 question first answered 04/09/2019 15:59:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4603 label Biography information for Preet Kaur Gill

1142041

registered interest
date	25/07/2019
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	Migraines: Medical Treatments
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 ensure migraine sufferers are being given the option of self-administered treatments.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	282433
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>No assessment has made of the potential effect on demand for National Health Service services of self-administering treatments for migraine.</p><p> </p><p>Many patients with migraine can be successfully supported and managed through routine primary and secondary care pain management services and through the use of over-the -counter medicines. However, it is important that patients with the most serious pain management issues are able to access specialist care.</p><p> </p><p>The National Institute for Health and Care Excellence guideline, ‘Headaches: Diagnosis and management of headaches in young people and adults’, published in 2012 and updated in 2015, sets out evidence based best practice for healthcare professionals in the care, treatment and support of people who suffer from migraines.</p><p> </p><p>The guideline includes specific information on the management of migraines to either stop or prevent attacks, such as the prescribing of medications including analgesics, triptans and anti-emetics (as recommended in NICE's guideline on headaches in over 12s).</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 282432 question first answered 04/09/2019 15:59:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4603 label Biography information for Preet Kaur Gill

1142089

registered interest
date	25/07/2019
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	NHS: Pensions
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 senior staff left the NHS pension scheme in (a) 2015, (b) 2016, (c) 2017, (d) 2018 and (e) 2019; and how people leaving the scheme affects other members of the scheme.
tabling member constituency	Warwick and Leamington
tabling member printed	Matt Western
uin	282449
answer	answer is ministerial correction date of answer 03/09/2019 answer text <p>The NHS Pension Scheme records opt-out data based on staff occupation, for example, doctors or nurses, rather than seniority. It is not possible to identify ‘senior staff’ within the available data.</p><p>The following table presents scheme opt-out data provided by the NHS Business Services Authority, who administer the NHS Pension Scheme for England and Wales.</p><p> </p><table><tbody><tr><td><p>Scheme year</p></td><td><p>Number of active members electing to opt-out from scheme membership</p></td></tr><tr><td><p>2014-15</p></td><td><p>39,805</p></td></tr><tr><td><p>2015-16</p></td><td><p>35,538</p></td></tr><tr><td><p>2016-17</p></td><td><p>47,943</p></td></tr><tr><td><p>2017-18</p></td><td><p>44,890*</p></td></tr><tr><td><p>2018-19</p></td><td><p>43,309*</p></td></tr></tbody></table><p>Note: *Figures for years 2017-18 and 2018-19 are provisional.</p><p>Over the five-year period ending 31 March 2019, there was a total of 211,485 opt-out elections recorded. Due to auto-enrolment legislation the data will include a member who has opted-out twice within the five years.</p><p>Where a member elects to opt-out, it has no direct effect on the benefit entitlements of other members.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 03/09/2019 11:56:30 answering member 4021 label Biography information for Chris Skidmore
tabling member	4617 label Biography information for Matt Western

1142090

registered interest
date	25/07/2019
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: 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, what steps his Department is taking to reduce waiting times for children and young people's mental health services.
tabling member constituency	Warwick and Leamington
tabling member printed	Matt Western
uin	282450
answer	answer is ministerial correction date of answer 03/09/2019 answer text <p>We have introduced two waiting time standards for children and young people with particular conditions and the National Health Service is on track to meet both of these.</p><p> </p><p>The first aims for 95% of children (up to 19 years old) with eating disorders to receive treatment within a week for urgent cases and four weeks for routine cases. 80.6% of children and young people’s eating disorder patients started urgent treatment within one week and 82.4% of patients started routine treatment within four weeks in the period January – March 2019.</p><p> </p><p>The second aims for 50% of patients of all ages experiencing a first episode of psychosis to receive treatment within two weeks of referral. Nationally, the National Health Service is exceeding the target with 76.7% of patients starting treatment within two weeks in May 2019.</p><p> </p><p>As set out in the NHS Long Term Plan, NHS England is piloting four week waiting times in 12 areas across the country to establish how to achieve a four week waiting time for all children and young people’s community mental health services.</p><p> </p><p>Under the Plan, NHS England will also ensure that specific waiting times targets for emergency mental health services for all, including children and young people, will take effect from 2020.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 03/09/2019 14:22:20 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4617 label Biography information for Matt Western

1142103

registered interest
date	25/07/2019
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	Lumacaftor/ivacaftor
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 timescale is for NICE to make a decision on Orkambi.
tabling member constituency	Bermondsey and Old Southwark
tabling member printed	Neil Coyle
uin	282378
answer	answer is ministerial correction date of answer 03/09/2019 answer text <p>In July 2016 the National Institute for Health and Care Excellence (NICE) published guidance on Orkambi for treating cystic fibrosis in people 12 years and older who are homozygous for the F508del mutation. This guidance is scheduled for review this year (2019). If NICE updates the existing recommendations, and the company participates, updated guidance for these patients is expected late 2020/early 2021.</p><p>In March 2019, NICE received Ministerial referral to appraise Orkambi in people aged between 2 and 11 years old who are homozygous for the F508del mutation. NICE is in the process of inviting the company and other stakeholders to participate in this appraisal. If the company participates, NICE expects to be able to come to a decision on the use of Orkambi for this group of children in the autumn of 2020.</p><p>The Secretary of State for Health wrote to Vertex in August offering a further meeting again with Vertex, as soon as possible, to consider what the barriers are to an agreement and how the situation can be resolved. We continue to urge Vertex to accept NHS England’s generous offer. In the absence of an agreement NHS England and Improvement continue to explore other options.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 03/09/2019 16:47:18 answering member 4380 label Biography information for Jo Churchill
tabling member	4368 label Biography information for Neil Coyle

1142144

registered interest
date	25/07/2019
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: Drugs
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 remains committed to doubling the number of places on the PrEP Impact Trial; and what steps he is taking towards achieving that goal.
tabling member constituency	Bermondsey and Old Southwark
tabling member printed	Neil Coyle
uin	282380
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>Following my Rt. hon. Friend the Secretary of State for Health and Social Care’s announcement on 30 January that the number of places on the Pre-Exposure Prophylaxis (PrEP) Impact Trial would be doubled to 26,000, expansion of the trial is now underway across the country.</p><p>NHS England has committed to funding the PrEP drug and research costs of these additional places, in line with current arrangements. Around 80% of participating clinics have now confirmed they have the capacity to accept additional trial places and the majority of sites have also received approval from their Local Authority commissioners to proceed. In London, boroughs have so far agreed to accept 60% of the total number of additional places available to them. London local authority commissioners have been asked to confirm whether they can accept any further additional places. In addition, sexual health services not taking part in the trial have been given an opportunity to participate following trial expansion.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 04/09/2019 15:45:06 answering member 4380 label Biography information for Jo Churchill
tabling member	4368 label Biography information for Neil Coyle

1142309

registered interest
date	25/07/2019
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	Hospitals: Finance
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 sustainability and transformation plan at South Tyneside Hospital, what his Department's policy is on local authorities borrowing money from the Public Works Loan Board to pay for changes to local hospitals under sustainability and transformation plans.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	282359
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>The policy on National Health Service providers borrowing from local authorities is that they must seek value for money for taxpayers and the resulting capital expenditure incurred must be affordable within the Department’s capital budget.</p><p>Further details can be found in the NHS capital regime guidance at the following link:</p><p><a href="https://improvement.nhs.uk/resources/capital-regime-investment-and-property-business-case-approval-guidance-nhs-trusts-and-foundation-trusts/" target="_blank">https://improvement.nhs.uk/resources/capital-regime-investment-and-property-business-case-approval-guidance-nhs-trusts-and-foundation-trusts/</a></p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 04/09/2019 15:46:32 answering member 4021 label Biography information for Chris Skidmore
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1142384

registered interest
date	25/07/2019
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	Nurses: Training
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 additional funding for the NHS announced by the Prime Minister will be used to increase the number of nursing bursaries.
tabling member constituency	Hyndburn
tabling member printed	Graham P Jones
uin	282307
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>The education funding reforms announced in the 2015 Spending Review started to take effect from August 2017 and pre-registration nursing students began to access student loans rather than receiving a National Health Service bursary.</p><p>In January 2019, the NHS published its Long Term Plan which sets out a 10 year vision for healthcare in England. The NHS Interim People Plan, published on 3 June, sets out the immediate actions needed to grow the nursing workforce across all settings by over 40,000 in the next five years.</p><p>We will work with the NHS and the Higher Education Institution sector to improve awareness of the financial support packages available to all undergraduate and postgraduate healthcare students and how they can be accessed.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 04/09/2019 15:47:37 answering member 4021 label Biography information for Chris Skidmore
tabling member	3999 label Biography information for Graham P Jones