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1127486

registered interest
date	20/05/2019
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	Department of Health and Social Care: Brexit
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 officials in his Department have been seconded away from their normal duties to work on the UK's withdrawal from the EU; and what effect that secondment of staff has had on the effectiveness of his Department.
tabling member constituency	Tottenham
tabling member printed	Mr David Lammy
uin	256204
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>The number of individuals who have been transferred or seconded to work in preparations for the United Kingdom to leave the European Union in other Government departments is not recorded.</p><p>Across the Department, staff are working on a range of policy areas related to EU Exit. Communications, analytical and legal staff also provide advice as required. Staff may have been redistributed within their directorates to support or undertake work which involves preparations for EU Exit. Officials may also have reprioritised their work to include EU Exit work, whilst remaining in their primary roles.</p><p>The Department is continually reviewing workforce plans, reprioritising and assessing changing needs, including identification and cessation of non-priority work where appropriate. The Civil Service as a whole is working to ensure that EU Exit implementation is carried out to a high standard, without impacting public service delivery across the whole of Government.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/05/2019 13:40:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	206 label Biography information for Mr David Lammy

1127499

registered interest
date	20/05/2019
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	Nusinersen
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 his Department has held with (a) NICE, (b) NHS England and (c) Biogen on a Managed Access Agreement for SMA treatment Spinraza.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	256254
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.</p><p> </p><p>NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE’s Appraisal Committee’s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256255 question first answered 29/05/2019 10:38:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1127500

registered interest
date	20/05/2019
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	National Institute for Health and Care Excellence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when NICE will publish the outcome of the NICE Evaluation Committee meeting held on 6 March 2019.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	256255
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.</p><p> </p><p>NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE’s Appraisal Committee’s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256254 question first answered 29/05/2019 10:38:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1127539

registered interest
date	20/05/2019
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	Older People: Abuse
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 is taking steps to bring forward legislative proposals to reduce the abuse of older people in social care; and if he will make a statement.
tabling member constituency	Bridgend
tabling member printed	Mrs Madeleine Moon
uin	256269
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Government has no plans to bring forward legislation to reduce the abuse of older people in social care.</p><p>The Government is committed to preventing and reducing the risk of harm to people in vulnerable situations.</p><p>The Care Act 2014 statutory guidance states that local authorities should ensure that the services they commission are safe, effective and of high quality. Where it is suspected that an individual may be at risk of abuse or neglect local authorities have a duty to carry out proportionate enquiries.</p><p>Regulated providers have a key role in safeguarding adults. All professions are subject to employer checks and controls and employers in the health and care sector must satisfy themselves regarding the skills and competence of their staff and the Care Quality Commission monitors how well providers are doing this.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:21:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1490 label Biography information for Mrs Madeleine Moon

1127557

registered interest
date	20/05/2019
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	Social Services: Finance
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 the Chancellor of the Exchequer in advance of the spending review on increasing funding for social care services.
tabling member constituency	Birmingham, Ladywood
tabling member printed	Shabana Mahmood
uin	256277
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has regular discussions with the Chancellor of the Exchequer on a variety of issues.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:26:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3914 label Biography information for Shabana Mahmood

1127578

registered interest
date	20/05/2019
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: ICT
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 develop a national action plan to (a) provide all NHS hospitals with automated dispensing cabinets integrated with ePMA to improve patient safety and eradicate errors in medicine prescription and administration and (b) deliver on all other aspects of his Department's technology vision.
tabling member constituency	St Austell and Newquay
tabling member printed	Steve Double
uin	256369
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Funding has been identified (£68 million) to support the acceleration of the introduction of ePrescribing and Medicine Administration (ePMA) systems for which there is evidence to support benefit. Individual trusts are making their own determinations of requirements for technology such as automated cabinets and are introducing as required locally. Work to integrate such systems with ePMA has started and will be reinforced with the advent of medication messaging standards as these are developed.</p><p>The Government has created NHSX, a joint unit between the Department, NHS England and NHS Improvement, to deliver the Secretary of State for Health and Social Care's Technology Vision and build on the Long Term Plan for the NHS. NHSX will combine all the levers of policy, implementation and change to allow a single-minded focus on giving the National Health Service the technology that patients and clinicians need.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4452 label Biography information for Steve Double

1127580

registered interest
date	20/05/2019
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	Child Rearing
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 the Government is taking to invest in evidence-based parenting support.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	256283
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Becoming a parent is an important period and opportunity to offer evidence-based advice and support whilst creating opportunities to support a child’s very early development.</p><p>Through our new workforce of Mental Health Support Teams, staffed by a new role of Education Mental Health Practitioners, we are providing new capacity for addressing the needs of children and young people with mild to moderate mental health issues. The first cohort of trainees started in early 2019 and the first wave of trailblazer areas will become operational during 2019. The Support Teams will provide evidence-based interventions, which may include family-based behaviour change interventions, which can be successfully delivered to help reduce child conduct problems.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/05/2019 14:24:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1127581

registered interest
date	20/05/2019
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	Cystic Fibrosis: Drugs
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 timetable is for the conclusion of negotiations between NHS England, NICE and Vertex on access to (a) Orkambi and (b) Symkevi for people with cystic fibrosis.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	256233
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>NHS England provided an update to the Health and Social Care Committee (HSCC) of the House of Commons on 23 May 2019, which can be found at the following link:</p><p><a href="https://www.parliament.uk/documents/commons-committees/Health/Correspondence/2017-19/19-05-23-NHS-England-update-availability-of-Orkambi-on-the-NHS.pdf" target="_blank">https://www.parliament.uk/documents/commons-committees/Health/Correspondence/2017-19/19-05-23-NHS-England-update-availability-of-Orkambi-on-the-NHS.pdf</a></p><p>This update informed the HSCC that a revised and improved offer had been made to Vertex Pharmaceuticals. Discussions between Vertex, NHS England and the National Institute for Health and Care Excellence (NICE) are ongoing.</p><p>The Government fully supports NICE and NHS England in seeking to ensure access for patients to effective and innovative medicines at a price that represents value to the National Health Service, and expects companies to engage realistically with NHS England and NICE regarding pricing issues. Where companies engage positively and show appropriate flexibility, it is possible to find a way to enable access to important treatments in a way that is also cost effective for the NHS.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 29/05/2019 11:10:57 answering member 4455 label Biography information for Seema Kennedy
tabling member	478 label Biography information for Lord Field of Birkenhead

1127586

registered interest
date	20/05/2019
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: Public Appointments
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 NHS staff appointments are awaiting ministerial sign-off.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	256286
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Ministers do not sign-off National Health Service staff appointments. These are managed locally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/05/2019 14:01:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4093 label Biography information for Stephen McPartland

1127588

registered interest
date	20/05/2019
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	Health Centres: Skellingthorpe
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 the planned closure of Skellingthorpe Health Centre on local provision of health services.
tabling member constituency	Lincoln
tabling member printed	Karen Lee
uin	256372
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Lincolnshire Clinical Commissioning Group has received an application from the Glebe Practice regarding the proposed closure of its branch surgery in Skellingthorpe. It will be carrying out a public consultation and an equality impact assessment will be presented to the Primary Care Commissioning Committee prior to any decision being made.</p><p>When a general practitioner practice closes, patients are informed and advised to register at other local practices of their choice within the catchment area in which they live. In some instances, and in consultation with patients and patient groups, patients are allocated to other neighbouring practices with adequate capacity. Commissioners locally will work with their practices to ensure they are only allocated a volume of patients which they have capacity to manage appropriately and effectively.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 29/05/2019 10:54:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4664 label Biography information for Karen Lee