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896327

registered interest
date	02/05/2018
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	Allergies
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 improve the detection and treatment of (a) food and (b) other allergies.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140721
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>No recent representations have been received.</p><p> </p><p>Allergic diseases are amongst the most common diseases of Western society, affecting up to 30% of the United Kingdom population at some time in their lives.</p><p> </p><p>Most allergy care takes place in primary care. People with a clear diagnosis, and mild but persistent symptoms, are usually managed in general practice. Some people with allergies, and the parents or carers of children and young people with allergies, also buy over-the-counter medicines from community or high-street pharmacies. However, if there is diagnostic doubt or symptoms of a more severe disease, general practitioners often consider referral for a specialist opinion</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) develops evidence based guidance to support clinicians in managing allergy and related disorders. NICE has published clinical guidelines guidance in this area covering food allergy in children and young people (2011); drug allergy (2014), anaphylaxis (2011); eczema (2007) and asthma (2017). In addition, NICE has produced a range of technology appraisals for drugs and interventions to relieve symptoms of the conditions as well as diagnostic assessment tools. All dedicated NICE allergy guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/blood-and-immune-system-conditions/allergies#pathways" target="_blank">www.nice.org.uk/guidance/conditions-and-diseases/blood-and-immune-system-conditions/allergies#pathways</a></p><p> </p><p>Clinical guidelines for asthma and eczema can be found at the following links:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/ng80" target="_blank">www.nice.org.uk/guidance/ng80</a></p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 140722 question first answered 14/05/2018 15:41:27 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

896328

registered interest
date	02/05/2018
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	Allergies
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 representations he has received from (a) charities, (b) medical professionals and (c) patient groups on the (i) detection and (ii) treatment of allergic diseases.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140722
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>No recent representations have been received.</p><p> </p><p>Allergic diseases are amongst the most common diseases of Western society, affecting up to 30% of the United Kingdom population at some time in their lives.</p><p> </p><p>Most allergy care takes place in primary care. People with a clear diagnosis, and mild but persistent symptoms, are usually managed in general practice. Some people with allergies, and the parents or carers of children and young people with allergies, also buy over-the-counter medicines from community or high-street pharmacies. However, if there is diagnostic doubt or symptoms of a more severe disease, general practitioners often consider referral for a specialist opinion</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) develops evidence based guidance to support clinicians in managing allergy and related disorders. NICE has published clinical guidelines guidance in this area covering food allergy in children and young people (2011); drug allergy (2014), anaphylaxis (2011); eczema (2007) and asthma (2017). In addition, NICE has produced a range of technology appraisals for drugs and interventions to relieve symptoms of the conditions as well as diagnostic assessment tools. All dedicated NICE allergy guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/blood-and-immune-system-conditions/allergies#pathways" target="_blank">www.nice.org.uk/guidance/conditions-and-diseases/blood-and-immune-system-conditions/allergies#pathways</a></p><p> </p><p>Clinical guidelines for asthma and eczema can be found at the following links:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/ng80" target="_blank">www.nice.org.uk/guidance/ng80</a></p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 140721 question first answered 14/05/2018 15:41:27 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

896329

registered interest
date	02/05/2018
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	Migraines
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 people who have suffered from migraine in each of the last five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140723
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>Information concerning the number of people diagnosed as suffering from migraine on an annual basis is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/05/2018 15:43:47 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

896330

registered interest
date	02/05/2018
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	Patients: Transport
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) undertaken and (b) commissioned on the effect of the length of distance a patient travelled to an A&E Department on the level of fatalities after admission.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140724
answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>No such research has been undertaken.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 09/05/2018 11:18:13 answering member 4095 label Biography information for Steve Barclay
tabling member	4244 label Biography information for Jonathan Ashworth

896331

registered interest
date	02/05/2018
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	Department of Health and Social Care: Food and Soft Drinks
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 (a) Ministers, (b) special Advisers and (c) senior officials of his Department have had with representatives of (i) the Food and Drink Federation, (ii) Coca-Cola, (iii) PepsiCo and (iv) the British Soft Drinks Association in each of the last 18 months; and what the subject of each of those meetings was.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140725
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>Details of all Ministerial and Special Adviser meetings with external stakeholders are published quarterly in arrears on the GOV.UK website at:</p><p> </p><p><a href="https://www.gov.uk/government/collections/ministerial-gifts-hospitality-overseas-travel-and-meetings" target="_blank">https://www.gov.uk/government/collections/ministerial-gifts-hospitality-overseas-travel-and-meetings</a></p><p> </p><p><a href="https://www.gov.uk/government/collections/special-advisers-gifts-hospitality-and-media" target="_blank">https://www.gov.uk/government/collections/special-advisers-gifts-hospitality-and-media</a></p><p> </p><p>In addition, details of meetings between officials from the Department and representatives from the Food and Drink Federation, Coca-Cola, PepsiCo and the British Soft Drinks Association in the last 18 months are provided in the table below. These dates are not mutually exclusive and a number show meetings at which more than one organisation was in attendance. Discussions, a number of which were led by Public Health England, have included the soft drinks industry levy, sugar reduction and the wider reformulation programme.</p><p> </p><table><tbody><tr><td><p>Organisation</p></td><td><p>Date</p></td></tr><tr><td rowspan="14"><p>Food and Drink Federation</p></td><td><p>5 December 2016</p></td></tr><tr><td><p>6 March 2017</p></td></tr><tr><td><p>17 July 2017</p></td></tr><tr><td><p>24 August 2017</p></td></tr><tr><td><p>30 August 2017</p></td></tr><tr><td><p>1 November 2017</p></td></tr><tr><td><p>3 November 2017</p></td></tr><tr><td><p>12 December 2017</p></td></tr><tr><td><p>19 December 2017</p></td></tr><tr><td><p>9 February 2017</p></td></tr><tr><td><p>5 March 2018</p></td></tr><tr><td><p>14 March 2018</p></td></tr><tr><td><p>11 April 2018</p></td></tr><tr><td><p>26 April 2018</p></td></tr><tr><td rowspan="3"><p>Coca Cola</p></td><td><p>17 July 2017</p></td></tr><tr><td><p>9 January 2018</p></td></tr><tr><td><p>9 February 2018</p></td></tr><tr><td rowspan="8"><p>PepsiCo</p></td><td><p>17 July 2017</p></td></tr><tr><td><p>19 September 2017</p></td></tr><tr><td><p>1 November 2017</p></td></tr><tr><td><p>3 November 2017</p></td></tr><tr><td><p>27 November 2017</p></td></tr><tr><td><p>9 February 2018</p></td></tr><tr><td><p>5 March 2018</p></td></tr><tr><td><p>7 March 2018</p></td></tr><tr><td rowspan="9"><p>British Soft Drinks Association</p></td><td><p>9 December 2016</p></td></tr><tr><td><p>22 March 2017</p></td></tr><tr><td><p>17 July 2017</p></td></tr><tr><td><p>27 July 2017</p></td></tr><tr><td><p>7 September 2017</p></td></tr><tr><td><p>1 November 2017</p></td></tr><tr><td><p>18 January 2018</p></td></tr><tr><td><p>9 February 2018</p></td></tr><tr><td><p>5 March 2018</p></td></tr></tbody></table><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/05/2018 15:46:37 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

896332

registered interest
date	02/05/2018
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	NHS: Buildings
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 Ministers of his Department have had with the insurance industry on cover for NHS buildings in the last three years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140726
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>We are not aware of any such discussions.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 14/05/2018 16:26:43 answering member 4095 label Biography information for Steve Barclay
tabling member	4244 label Biography information for Jonathan Ashworth

896333

registered interest
date	02/05/2018
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	Hospitals: Domestic Visits
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which hospitals he has visited in an official capacity since 2016-17; and what the date of each such visit was.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140727
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>Since the response from the previous Minister of State (Mr Philip Dunne MP) of 21 December 2017 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017-12-18/120103/" target="_blank">120123</a>, my Rt. hon. Friend the Secretary of State has visited the following hospitals.</p><p> </p><table><tbody><tr><td><p>Date</p></td><td><p>Hospitals</p></td></tr><tr><td><p>21 December 2017</p></td><td><p>Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham Women’s Hospital NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust</p></td></tr><tr><td><p>4 January 2018</p></td><td><p>The Hillingdon Hospitals NHS Foundation Trust, West London Mental Health NHS Trust</p></td></tr><tr><td><p>18 January 2018</p></td><td><p>The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norfolk and Suffolk NHS Foundation Trust</p></td></tr><tr><td><p>19 January 2018</p></td><td><p>Southend University Hospital NHS Foundation Trust, Essex Partnership University Hospital NHS Foundation Trust, Mid Essex Hospital Services NHS Trust</p></td></tr><tr><td><p>1 February 2018</p></td><td><p>Western Sussex Hospitals NHS Foundation Trust, Sussex Partnership NHS Foundation Trust Brighton and Sussex University Hospitals NHS Trust, East Sussex Healthcare NHS Trust</p></td></tr><tr><td><p>2 February 2018</p></td><td><p>Maidstone and Tunbridge Wells NHS Trust Surrey and Sussex NHS Healthcare Trust, Surrey and Borders Partnership NHS Foundation Trust</p></td></tr><tr><td><p>15 February 2018</p></td><td><p>George Eliot Hospital NHS Trust Kettering General Hospital NHS Foundation Trust, Northamptonshire Healthcare NHS Foundation Trust, Northampton NHS Trust</p></td></tr><tr><td><p>16 February 2018</p></td><td><p>Bedford Hospital NHS Trust, Milton Keynes University Hospital NHS Foundation Trust, Luton and Dunstable University Hospital NHS Foundation Trust</p></td></tr><tr><td><p>1 March 2018</p></td><td><p>Coventry and Warwickshire Partnership NHS Trust, University Hospitals Coventry and Warwickshire NHS Trust</p></td></tr><tr><td><p>2 March 2018</p></td><td><p>University Hospitals of Leicester NHS Trust, Leicestershire Partnership NHS Trust Royal Free London NHS Foundation Trust, University College London Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>8 March 2018</p></td><td><p>Barts Health NHS Trust</p></td></tr><tr><td><p>15 March 2018</p></td><td><p>Royal Brompton and Harefield NHS Foundation Trust, Chelsea and Westminster Hospital NHS Foundation Trust</p></td></tr><tr><td><p>16 March 2018</p></td><td><p>Nottingham University Hospitals NHS Trust, Derby Teaching Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>29 March 2018</p></td><td><p>Great Ormond Street Hospital for Children NHS Foundation Trust, Moorfields Eye Hospital NHS Foundation Trust, Central and Northwest London NHS Foundation Trust</p></td></tr><tr><td><p>26 April 2018</p></td><td><p>West Suffolk NHS Foundation Trust</p></td></tr><tr><td><p>27 April 2018</p></td><td><p>Wye Valley NHS Trust Gloucestershire Care Services NHS Trust, Royal United Hospitals Bath NHS Foundation Trust</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/05/2018 11:12:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth

895315

registered interest
date	01/05/2018
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	Health Services: Learning Disability
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 that different health care providers communicate with each other to ensure the delivery of care to patients with learning difficulties.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140106
answer	answer is ministerial correction date of answer 08/05/2018 answer text <p>Under the Accessible Information Standard, all relevant organisations must ensure that information about individuals’ information and communication support needs is shared through existing data sharing processes where the consent of the individual to do so has been obtained. Such information should be included as part of referrals within and between organisations, including but not limited to referrals from primary into secondary care, transfers and handovers between wards or units, and discharge from an inpatient setting into the community.</p><p> </p><p>The scope of the Standard extends to individuals who have information and/or communication support needs which are related to, or caused by, a disability, impairment or sensory loss, including those with a learning disability. Individuals who may have difficulty in reading or understanding information for other reasons such as a learning difficulty, as distinct from a learning disability, are excluded from the Standard’s scope.</p><p> </p><p>In the revised Standard specification, which was issued in August 2017, organisations are now recommended, but not required, to include individuals with a learning difficulty within the scope of their activities as part of the Standard.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 08/05/2018 16:32:25 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth

895419

registered interest
date	01/05/2018
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	Drugs and Vaccination
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 his Department’s consultation entitled Cost effectiveness methodology for vaccination programmes, published in February 2018, how many medicines and vaccines were approved for funding in England in each of the last five years with a cost per QALY of greater than £15,000; what the names of those medicines and vaccines were; and how many patients have received those medicines and vaccines.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140107
answer	answer is ministerial correction date of answer 08/05/2018 answer text <p>In relation to vaccines approved for funding in each of the last five years, a cost per quality-adjusted life year threshold of £20,000 has been used not £15,000.</p><p> </p><p>An assessment has been produced of the impact on the price that we would be willing to pay for existing vaccine programmes were we to adopt recommendations in the Cost Effectiveness Methodology for Immunisation Programmes and Procurement report that is currently out for consultation. One of these recommendations is to change the threshold from £20,000 to £15,000. This assessment is based on commercially confidential information, therefore the requested information cannot be provided.</p><p> </p><p>The information requested in relation to medicines could only be obtained at disproportionate cost.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/05/2018 16:12:26 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

895423

registered interest
date	01/05/2018
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	Drugs and Vaccination
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 on (a) patients and (b) public health of reducing the cost per QALY threshold in England to £15,000 for medicines and vaccines; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	140108
answer	answer is ministerial correction date of answer 08/05/2018 answer text <p>For vaccines, the Department is currently consulting on the Cost Effectiveness Methodology for Immunisation Programmes and Procurement (CEMIPP) report which was produced by the independent CEMIPP group. This is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/consultations/cost-effectiveness-methodology-for-vaccination-programmes" target="_blank">https://www.gov.uk/government/consultations/cost-effectiveness-methodology-for-vaccination-programmes</a></p><p> </p><p>The CEMIPP group was set up to look at the methodology for determining the cost-effectiveness of new and existing immunisation programmes and to make recommendations on if and how methodology could be improved. This report included a recommendation that the cost per quality-adjusted life year threshold for vaccines should change from £20,000 to £15,000.</p><p> </p><p>An assessment of what impact this, and a number of other recommendations in the CEMIPP report, might have on the cost effectiveness of existing vaccination programmes has been produced. This is based on commercially confidential information.</p><p> </p><p>In addition, the Department has considered the impact of changing the National Institute for Health and Care Excellence thresholds for medicines on patients. This is also based on commercially sensitive information.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/05/2018 16:04:19 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth