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1010186

registered interest
date	19/11/2018
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	National Institute for Health and Care Excellence: Fees and Charges
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 NICE recommendations: charging and appeal panels which closed on 14 September 2018, what assessment his Department has made of the potential effect on the sustainability of the smallest businesses of (a) charging for NICE appraisals and (b) charging for NICE appraisals at a discounted rate.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	192827
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The Government recently consulted on draft amendments to regulations that would enable the National Institute for Health and Care Excellence (NICE) to charge companies for the cost of developing technology appraisal and highly specialised technology evaluation recommendations relating to their products and to allow NICE to recruit appeal panel members representing the National Health Service from the devolved administrations.</p><p> </p><p>The consultation included a draft Impact Assessment and sought views on allowing NICE to charge small companies less and permit small companies to pay in instalments. The charging model in the consultation document proposed a 25% discount for small companies. The Government is currently analysing the responses and will publish its response in due course.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192828 question first answered 22/11/2018 15:08:39 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

1010187

registered interest
date	19/11/2018
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	National Institute for Health and Care Excellence: Fees and Charges
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 NICE recommendations: charging and appeal panels which closed on 14 September 2018, what discussions his Department has had with NICE on exempting the smallest companies from the proposed appraisal charges.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	192828
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The Government recently consulted on draft amendments to regulations that would enable the National Institute for Health and Care Excellence (NICE) to charge companies for the cost of developing technology appraisal and highly specialised technology evaluation recommendations relating to their products and to allow NICE to recruit appeal panel members representing the National Health Service from the devolved administrations.</p><p> </p><p>The consultation included a draft Impact Assessment and sought views on allowing NICE to charge small companies less and permit small companies to pay in instalments. The charging model in the consultation document proposed a 25% discount for small companies. The Government is currently analysing the responses and will publish its response in due course.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192827 question first answered 22/11/2018 15:08:39 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

1010188

registered interest
date	19/11/2018
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	SecurMed: Fees and Charges
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 European Medicines Verification Organisation’s report, NMVO’s Fee Models Status, published on 21 August 2018, what discussions his Department has had with the UK's National Medicines Verification Organisation on reducing the entrance fees for small companies in line with those of other European countries.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	192829
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>SecurMed, the not-for-profit company set up by stakeholders in the United Kingdom medicines supply chain, is responsible for setting the fee model and level of fees as the UK’s National Medicines Verification Organisation (NMVO). In their supervisory capacity, the Medicines and Healthcare products Regulatory Agency (MHRA) and the Department’s aim is to ensure that SecurMed is complying with the regulation in a fair and proportionate way. As part of that role, the MHRA and the Department have been involved in discussions with SecurMed to challenge and seek to influence the pricing model to ensure that the UK’s fee structure is fair and proportionate.</p><p> </p><p>The European Commission has confirmed that the fee model being used by SecurMed is in line with the majority of other member states NMVO’s across the European Union. It is based on the number of users and cost per connection where larger organisations, which are more likely to have multiple marketing authorisations, pay more. An annual fee waiver scheme exists for micro Marketing Authorisation Holders which is designed to support start-ups and help ensure there is not a barrier to market entry.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2018 17:48:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4061 label Biography information for Bill Esterson

993448

registered interest
date	23/10/2018
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	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	What assessment he has made of the proportion of children born in the UK with foetal alcohol spectrum disorders in each of the last five years.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	907231
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>Foetal alcohol syndrome disorders can have a significant impact on the early years development of children, their behaviours and their life chances.</p><p>Public Health England collects some data on fetal alcohol sydrome, but we recognise that this data does not reflect the range of fetal alcohol spectrum disorders (FASD), as these are very difficult to diagnose. That is why we are engaging experts and those affected by FASD to explore what more could be done to improve our understanding.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:44:55 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

983207

registered interest
date	08/10/2018
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: 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 steps the Government is taking to promote research and development in medical nutrition.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	176278
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>The Department funds health and care research through the National Institute for Health Research (NIHR). The NIHR funds research across a broad spectrum of areas related to nutrition to inform Government policy and clinical knowledge with a view to improving patient care and helping people stay well for longer.</p><p> </p><p>The NIHR welcomes funding applications for research into any aspect of human health, including medical nutrition. These 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. In all disease areas, the amount of NIHR funding depends on the volume and quality of scientific activity.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 09:50:11 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4061 label Biography information for Bill Esterson

911221

registered interest
date	24/05/2018
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	Foetal Alcohol Spectrum Disorder
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 number of children born each year in the UK suffering from Foetal Alcohol Spectrum Disorder.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	147888
answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>Public Health England collect and report information on individuals with foetal alcohol syndrome, however only those identified at birth are notified so it is recognised that this is a significant underestimation of the overall prevalence.</p><p> </p><p>The figures available relate to births in 2012-2016 and cover five regions in England only: the South West, East Midlands and South Yorkshire, Wessex, Thames Valley and the North, including North East and Cumbria, prevalence tables by region and year can be found <a href="http://www.eurocat-network.eu/prevdata/resultsPdf.aspx?title=A5&amp;allanom=false&amp;allregf=true&amp;allrega=true&amp;anomalies=83&amp;winx=1256&amp;winy=677" target="_blank">at</a> the following link:</p><p> </p><p><a href="http://www.eurocat-network.eu/prevdata/resultsPdf.aspx?title=A5&amp;allanom=false&amp;allregf=true&amp;allrega=true&amp;anomalies=83&amp;winx=1256&amp;winy=677" target="_blank">http://www.eurocat-network.eu/prevdata/resultsPdf.aspx?title=A5&amp;allanom=false&amp;allregf=true&amp;allrega=true&amp;anomalies=83&amp;winx=1256&amp;winy=677</a></p><p> </p><p>Rates vary from 0.00 per 10,000 - 0.16 per 10,000 births compared to a European prevalence of 0.54 per 10,000 births.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/06/2018 13:46:58 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

911223

registered interest
date	24/05/2018
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	Foetal Alcohol Spectrum Disorder
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 effectiveness of NHS services for sufferers of Foetal Alcohol Spectrum Disorder.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	147889
answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>The Government recognises that Fetal Alcohol Spectrum Disorder (FASD) can have a significant impact on the early years development of children and their life chances. Early intervention services can help reduce some of the effects of FASD and prevent some of the secondary disabilities that result. Responsibility for commissioning these services lies with clinical commissioning groups.</p><p> </p><p>The Government remains committed to tackling all alcohol-related harms and is developing a new alcohol strategy. Government officials are currently exploring what should be included in the strategy and aim to publish this early next year following discussions with stakeholders.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/06/2018 13:57:30 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson