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1141997

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	Obesity: 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 plans he has to increase funding for research into the causes of obesity; and if he will make a statement.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	282406
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Department funds research through the National Institute for Health Research (NIHR). The NIHR has a large programme of work to look at the causes of obesity, in addition to research on prevention and treatment. The NIHR has invested £5 million over five years in an Obesity Policy Research Unit which has a programme of work to provide robust evidence and a deeper understanding of the causes of childhood obesity, including research on marketing, food environment and behaviour change.</p><p>The NIHR welcomes funding applications for research into any aspect of human health, including obesity; 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> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/09/2019 16:06:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4609 label Biography information for Eleanor Smith

1142002

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	Malnutrition
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 NHS England’s Commissioning Excellent Nutrition and Hydration 2015-2018 guidance, what progress he has made on the commissioning of a workforce to undertake the (a) identification, (b) prevention and (c) intervention to reduce the burden of malnutrition and dehydration.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	282411
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>It has not proved possible to respond to the hon. Member in the time available before Prorogation.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 17:46:01 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1142056

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	Advanced Therapy Medicinal Products
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 encourage innovation in gene and cell therapies and ensure that such therapies reach those patients who will benefit from such therapies.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	282440
answer	answer is ministerial correction date of answer 06/09/2019 answer text <p>The United Kingdom is a global leader in providing access to pioneering cell and gene therapies for treating diseases such as cancer, cystic fibrosis, heart disease and diabetes. Indeed, 24% of developers of advanced therapy medicinal products in Europe are headquartered in the UK. Last year the National Health Service was the first health system in Europe to agree full access for a revolutionary new CAR-T treatment, representing one of the fastest funding approvals in the history of our health service.</p><p>Together with the Cell and Gene Therapy Catapult we have nine specialist hospitals delivering approved CAR-T therapies as well as three Advanced Therapy Treatment Centres across the UK. These centres have been assigned £30 million by UK Research and Innovation - including project funding and an Apprenticeship Training Scheme.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 06/09/2019 11:11:41 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1142057

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	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, what recent assessment he has made of the potential merits of NICE modifying its Single Technology Appraisal ICER thresholds to recognise the value of treatments for severe and rare conditions that are not put through NICE’s Highly Specialised Technology pathway.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	282441
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is currently reviewing its technology appraisal and highly specialised technology evaluation methods. The methods review will include a review of a wide range of methods, including those relevant to severe and rare conditions.</p><p>The Voluntary Scheme for Branded Medicines Pricing and Access 2019 - an agreement between the Government and the Association of the British Pharmaceutical Industry - states that the standard cost effectiveness threshold used by NICE will be retained at the current range (£20,000 - £30,000 per Quality Adjusted Life Year).</p><p>In the current Single Technology Appraisal process there are several factors that may currently be considered by NICE committees when deliberating, including some that may affect the value of a treatment. NICE’s methods review will explore if these factors are still relevant for patients and the National Health Service, whether there is a need to modify the approach and whether any additional factors should be taken into account when making a recommendation on a technology.</p><p>The review will also consider other methods that are important for rare and severe conditions, including methods for measuring and valuing the health-related quality of life for people with rare diseases, dealing with uncertainty and sourcing different types of evidence. Proposals will be presented for six weeks of public consultation in the summer of 2020.</p><p>Furthermore, in parallel with the methods review, NICE is reviewing its highly specialised technologies topic selection criteria – to make them clearer, more specific, and more transparent and predictable.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 05/09/2019 14:57:57 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1142058

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	Gene Therapies
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 his Department has made of NICE’s ability to offer interim conditional reimbursement decisions to gene therapies that would allow for real-world evidence generation to supplement the evidence base.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	282442
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>It has not proved possible to respond to the hon. Member in the time available before Prorogation.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 17:51:06 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1140961

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	Nutrition
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 adequacy of the implementation of the guidance on Commissioning Excellent Nutrition and Hydration 2015 to 2018.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	280420
answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280421 280422 280423 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1140962

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	Nutrition
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 document entitled Guidance – Commissioning Excellent Nutrition and Hydration 2015 – 2018, published by NHS England in October 2015, how many commissioners have identified a local senior or executive champion to drive local work on nutrition and hydration and to make improvements.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	280421
answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280420 280422 280423 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1140963

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	Nutrition
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 number of commissioners that (a) reviewed existing service provision and (b) agreed improvement trajectories as set out in the NHS England Commissioning Excellent Nutrition and Hydration 2015 to 2018 guidance.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	280422
answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280420 280421 280423 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1140965

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	Nutrition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has plans to update the Commissioning Excellent Nutrition and Hydration 2015-2018 NHS England guidance.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	280423
answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280420 280421 280422 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith

1140979

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	Malnutrition
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 and what proportion of hospital admissions there were for adults with malnutrition as a (a) primary and (b) secondary condition in (i) England (ii) each Clinical Commissioning Group and (iii) each parliamentary constituency in each of the last ten years; and if he will make a statement.
tabling member constituency	Wolverhampton South West
tabling member printed	Eleanor Smith
uin	280427
answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>NHS Digital has provided a count of finished admission episodes (FAEs) in each of the last 10 years with a primary or secondary diagnosis of malnutrition for adult and child patients resident in England. This information is provided in the attached tables.</p><p>Information by clinical commissioning group and parliamentary constituency is too small to be meaningful and has not been provided in order to protect patient confidentiality.</p><p>Activity for adults in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.</p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td rowspan="2"><p>Total Admissions</p></td><td colspan="2"><p>Primary Diagnosis</p></td><td colspan="2"><p>Secondary Diagnosis</p></td></tr><tr><td><p>Admissions</p></td><td><p>Percentage</p></td><td><p>Admissions</p></td><td><p>Percentage</p></td></tr><tr><td><p>2008-09</p></td><td><p>11,953,809</p></td><td><p>348</p></td><td><p>0.0029%</p></td><td><p>2,545</p></td><td><p>0.0213%</p></td></tr><tr><td><p>2009-10</p></td><td><p>12,319,781</p></td><td><p>417</p></td><td><p>0.0034%</p></td><td><p>3,113</p></td><td><p>0.0253%</p></td></tr><tr><td><p>2010-11</p></td><td><p>12,629,229</p></td><td><p>485</p></td><td><p>0.0038%</p></td><td><p>3,843</p></td><td><p>0.0304%</p></td></tr><tr><td><p>2011-12</p></td><td><p>12,744,605</p></td><td><p>608</p></td><td><p>0.0048%</p></td><td><p>4,475</p></td><td><p>0.0351%</p></td></tr><tr><td><p>2012-13</p></td><td><p>12,837,889</p></td><td><p>626</p></td><td><p>0.0049%</p></td><td><p>4,564</p></td><td><p>0.0356%</p></td></tr><tr><td><p>2013-14</p></td><td><p>13,159,078</p></td><td><p>589</p></td><td><p>0.0045%</p></td><td><p>5,707</p></td><td><p>0.0434%</p></td></tr><tr><td><p>2014-15</p></td><td><p>13,554,017</p></td><td><p>683</p></td><td><p>0.0050%</p></td><td><p>6,268</p></td><td><p>0.0462%</p></td></tr><tr><td><p>2015-16</p></td><td><p>13,869,134</p></td><td><p>703</p></td><td><p>0.0051%</p></td><td><p>6,664</p></td><td><p>0.0480%</p></td></tr><tr><td><p>2016-17</p></td><td><p>14,078,269</p></td><td><p>732</p></td><td><p>0.0052%</p></td><td><p>7,132</p></td><td><p>0.0507%</p></td></tr><tr><td><p>2017-18</p></td><td><p>14,154,577</p></td><td><p>735</p></td><td><p>0.0052%</p></td><td><p>7,802</p></td><td><p>0.0551%</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p> </p><p>Activity for children in English NHS Hospitals and English NHS commissioned activity in the independent sector.</p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td rowspan="2"><p>Total Admissions</p></td><td colspan="2"><p>Primary Diagnosis</p></td><td colspan="2"><p>Secondary Diagnosis</p></td></tr><tr><td><p>Admissions</p></td><td><p>Percentage</p></td><td><p>Admissions</p></td><td><p>Percentage</p></td></tr><tr><td><p>2008-09</p></td><td><p>1,850,531</p></td><td><p>26</p></td><td><p>0.0014%</p></td><td><p>176</p></td><td><p>0.0095%</p></td></tr><tr><td><p>2009-10</p></td><td><p>1,894,664</p></td><td><p>40</p></td><td><p>0.0021%</p></td><td><p>134</p></td><td><p>0.0071%</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,928,249</p></td><td><p>43</p></td><td><p>0.0022%</p></td><td><p>180</p></td><td><p>0.0093%</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,449,122</p></td><td><p>38</p></td><td><p>0.0026%</p></td><td><p>157</p></td><td><p>0.0108%</p></td></tr><tr><td><p>2012-13</p></td><td><p>1,484,907</p></td><td><p>37</p></td><td><p>0.0025%</p></td><td><p>168</p></td><td><p>0.0113%</p></td></tr><tr><td><p>2013-14</p></td><td><p>1,964,359</p></td><td><p>25</p></td><td><p>0.0013%</p></td><td><p>185</p></td><td><p>0.0094%</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,984,768</p></td><td><p>37</p></td><td><p>0.0019%</p></td><td><p>193</p></td><td><p>0.0097%</p></td></tr><tr><td><p>2015-16</p></td><td><p>2,038,411</p></td><td><p>29</p></td><td><p>0.0014%</p></td><td><p>267</p></td><td><p>0.0131%</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,043,080</p></td><td><p>47</p></td><td><p>0.0023%</p></td><td><p>243</p></td><td><p>0.0119%</p></td></tr><tr><td><p>2017-18</p></td><td><p>2,020,591</p></td><td><p>57</p></td><td><p>0.0028%</p></td><td><p>263</p></td><td><p>0.0130%</p></td></tr></tbody></table><p> </p><p>Source: HES, NHS Digital</p><p>Notes:</p><p>1. A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p>2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.</p><p>3. ICD-10 codes used to define malnutrition are:</p><p><br> E40 Kwashiorkor;</p><p>E41 Nutritional marasmus E42 Marasmic kwashiorkor;</p><p>E43 Unspecified severe protein–energy malnutrition;</p><p>E44 Protein–energy malnutrition of moderate and mild degree;</p><p>E45 Retarded development following protein–energy malnutrition;</p><p>E46 Unspecified protein–energy malnutrition; and O25 Malnutrition in pregnancy.</p><p>5. Adult: the patient was 18 years old or greater at the start of the episode of care.</p><p>6. Child: the patient was under 18 years old at the start of the episode of care.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280428 question first answered 05/08/2019 11:45:32 answering member 4380 label Biography information for Jo Churchill
tabling member	4609 label Biography information for Eleanor Smith