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872221

registered interest
date	26/03/2018
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	Warrington Clinical Commissioning Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 12 March 2018 to Question 131390, who the person was who made the decision to appoint the Chief Officer of Warrington clinical commissioning group as the acting, interim, Chief Officer of Halton clinical commissioning group.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	134135
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>NHS England has advised that the appointment of the Chief Officer is made by the leadership team of the Clinical Commissioning Group. Accountable Officer status is then confirmed by Simon Stevens, Chief Executive (and Accounting Officer) of NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 13:58:38 answering member 4067 label Biography information for Steve Brine
tabling member	432 label Biography information for Helen Jones

872243

registered interest
date	26/03/2018
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	General Practitioners: Incentives
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of doctors who have been awarded bonuses by clinical commissioning groups limiting the number of patients they refer to hospital; and if he will make a statement.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	134157
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>NHS England confirms that no bonuses have been paid.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 13:59:45 answering member 4067 label Biography information for Steve Brine
tabling member	4649 label Biography information for Thelma Walker

872244

registered interest
date	26/03/2018
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	General Practitioners: Incentives
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of doctors who have been awarded bonuses by clinical commissioning groups for limiting the number of patients they refer for cancer screening; and if he will make a statement.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	134158
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>NHS England does not hold this information.</p><p> </p><p>NHS England does not support bonus payments to general practitioners for reducing referrals.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 13:52:44 answering member 4067 label Biography information for Steve Brine
tabling member	4649 label Biography information for Thelma Walker

872274

registered interest
date	26/03/2018
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 and Rare Diseases: 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 recent assessment he has made of the effectiveness of NICE appraisals for new treatments for rare (a) diseases and (b) cancers.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	134188
answer	answer is ministerial correction date of answer 03/04/2018 answer text <p>Most new drugs and significant licence indications are assessed by the National Institute for Health and Care Excellence (NICE) through its technology appraisal programme, through which NICE has been able to recommend a significant number of drugs for the treatment of rare cancers and other diseases for routine use on the National Health Service. NICE also operates a separate Highly Specialised Technology evaluation programme for the evaluation of a very small number of treatments for very rare diseases.</p><p>The methods and processes NICE uses in the development of its guidance are internationally respected, have been developed through extensive engagement with a full range of stakeholders, including the Department, and are regularly reviewed to ensure that they remain fit for purpose.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/04/2018 13:25:57 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith

872275

registered interest
date	26/03/2018
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	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 discussions he has had with (a) NHS England and (b) NICE on the development of (a) multi-indication pricing, (b) outcomes-based pricing and (c) annuity deals for new treatments.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	134189
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>The Department has regular and ongoing dialogue with NHS England and the National Institute for Health and Care Excellence on matters related to medicines pricing and patient access to new treatments. We will consider all relevant issues in upcoming discussions with the pharmaceutical industry on medicines pricing arrangements for 2019 onwards to succeed the current Pharmaceutical Price Regulation Scheme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 14:02:10 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith

872286

registered interest
date	26/03/2018
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	Hepatitis: Prisoners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of for Health and Social Care, what estimate he has been made of the number of prisoners infected with the hepatitis C virus in each prison in each of the last three financial years.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	134200
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>Performance in relation to the blood borne virus opt-out testing programme in adult prisons in England, which includes hepatitis B, C and HIV, is measured at the prison level by NHS England through data collected as part of the Health and Justice Indicators of Performance (HJIPs).</p><p> </p><p>For financial years 2015/16, 2016/17 and quarter one of 2017/18 (the most current period for which published data is available), 11.5, 10.5 and 18.8% of new receptions and transfers to prisons in England have been tested for infection with hepatitis C virus.</p><p> </p><p>HJIP data on the number of tests undertaken for hepatitis C virus has only been published for quarter one of financial year 2017/18. This data indicates that 8,797 tests were undertaken in prisons during that period.</p><p> </p><p>HJIP data on the number of prisoners diagnosed with hepatitis C virus has only been published for quarter one of financial year 2017/18. This data indicates that during this period 1,590 people tested positive for hepatitis C antibody, and of those 434 tested positive for hepatitis C virus as identified by polymerase chain reaction testing.</p><p> </p><p>HJIP data on the number of patients referred for treatment of hepatitis C virus has only been published for quarter one of financial year 2017/18. This data indicates that 226 prisoners were referred into specialist care during this period to have their infection treated</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 134201 134202 134203 question first answered 29/03/2018 13:47:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1604 label Biography information for Mr Virendra Sharma

872290

registered interest
date	26/03/2018
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	Hepatitis
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 Public Health England has to update the template, Hepatitis C: commissioning template for estimating disease prevalence, published in March 2014.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	134204
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>Public Health England is working on providing updated estimates of hepatitis C (HCV) prevalence and disease burden at the sub-national level, covering the 22 Operational Delivery Network (ODN) areas that deliver HCV treatments in England.</p><p> </p><p>The new ODN HCV profile tool will make use of a broad range of HCV indicator data, including: surveillance data on HCV prevalence in people who inject drugs; the size of this key at-risk population; treatment and diagnoses, and; severe HCV-related liver disease. Modelling work is underway to link these data sources in a local ODN-level epidemic model, which will provide more robust estimates of prevalence, proportion diagnosed, future disease burden and projected impact of treatment for each ODN.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 13:49:28 answering member 4067 label Biography information for Steve Brine
tabling member	1604 label Biography information for Mr Virendra Sharma

872361

registered interest
date	26/03/2018
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	Podiatry
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 provide education and advice on accessing podiatry services to patients considered at risk of falling.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	134275
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>Public Health England established the National Falls Prevention Coordination Group (NFPCG) in July 2016 in order to lead and coordinate falls prevention at a national level. The Group published a consensus statement in January 2017 which detailed key prevention interventions and strategic approaches to commissioning and a resource pack published in July 2018 aimed at commissioners and providers on falls prevention, bone health and healthy ageing.</p><p> </p><p>The NFPCG noted in its consensus statement that muscle weakness and poor balance are the main risk factors for falls and therefore the resource pack covers advice on preventing falls generally, rather than specifically focusing on access to podiatry services.</p><p> </p><p>The resource pack cites information sources and support for patients. Examples include NHS Choices ‘Are you at risk of falling?’ a simple online test for the user to work out if patients need to discuss their risk of falls with their general practitioner and an NHS England guide ‘A practical guide to healthy ageing’. The NHS England guide provides information on medicines reviews, exercise, preventing falls, general home safety, with tips to help older people stay both physically and mentally fit and independent, and pointers on when to seek medical support and advice.</p><p> </p><p>The consensus statement and resource pack are available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/falls-and-fractures-consensus-statement" target="_blank">https://www.gov.uk/government/publications/falls-and-fractures-consensus-statement</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 29/03/2018 11:07:37 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4532 label Biography information for Derek Thomas

872373

registered interest
date	26/03/2018
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, what drugs have been funded through the Cancer Drugs Fund this year; and how much funding remains in that Fund.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	134287
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>Since April 2017, there are currently 27 drugs in 42 indications that are funded by the Cancer Drugs Fund (CDF). A full list of current and previous CDF drugs can be viewed at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/cancer/cdf/cancer-drugs-fund-list/" target="_blank">https://www.england.nhs.uk/cancer/cdf/cancer-drugs-fund-list/</a></p><p> </p><p>The latest published spend for the first six months of 2017/18 implies a circa £76 million of unused funding for that period against the CDF. The quarterly activity report is a snapshot of CDF spend at a point in time and the spend figure will increase as more drugs are added to the fund. The link to the report can be found here:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2018/01/cdf-activity-update-Q2-2017-18.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2018/01/cdf-activity-update-Q2-2017-18.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 13:51:19 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith

872376

registered interest
date	26/03/2018
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: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether every patient diagnosed with cancer receives support from a clinical nurse specialist; and if he will make a statement.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	134290
answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>The Cancer Patient Experience Survey 2016 results show that 90% of respondents said that they were given the name of a clinical nurse specialist who would support them through their treatment. NHS England is working alongside Health Education England to expand the number of Clinical Nurse Specialists (CNS) and develop clear CNS competencies and routes into training. This will ensure every cancer patient has access to a CNS or other support worker by 2021.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/03/2018 13:56:27 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith