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1011610

registered interest
date	21/11/2018
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	Lumacaftor/ivacaftor
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 ensure that cystic fibrosis sufferers have access to Orkambi.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	194005
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) and NHS England are in dialogue with Vertex Pharmaceuticals around access to their portfolio of cystic fibrosis medicines. It is critical that Vertex now re-engages fully with the NICE appraisal process and gives serious consideration to the portfolio deal offer that NHS England made at the end of July. This deal would provide immediate access for patients to all Vertex licensed medicines and future pipeline products once licensed and in advance of the individual NICE appraisals concluding.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2018 16:56:46 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

1011611

registered interest
date	21/11/2018
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	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will introduce a new 5-year survival target of 28 per cent by 2029 for (a) lung, (b) liver, (c) brain, (d) oesophageal, (e) pancreatic and (f) stomach cancer.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	194006
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Prime Minister announced ambitions for the National Health Service Long Term Plan that will see 55,000 more people surviving cancer for five years in England each year from 2028 and three quarters of all cancers detected at an early stage by 2028. To achieve these ambitions, we will need to make signification progress on survival across all cancers, including lung, liver, brain, oesophageal, pancreatic and stomach cancers.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2018 17:24:18 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

1001996

registered interest
date	05/11/2018
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	Health Services: Reciprocal Arrangements
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 progress has been made on securing healthcare agreements with the EU similar to those set out in EU Regulations (a) 883/2004 and (b) 987/2009.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	187987
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>The Withdrawal Agreement provides that reciprocal healthcare should continue until the end of the Implementation Period (until 31 December 2020) and provides longer-term rights for people covered by the Withdrawal Agreement.</p><p> </p><p>The United Kingdom Government remains focused on securing a broader agreement with the European Union on reciprocal healthcare rights as part of the UK’s future relationship with the EU. It has made clear in the White Paper of July 2018, ‘The Future Relationship Between The United Kingdom and the European Union’, that it is seeking agreement on reciprocal healthcare cover for state pensioners retiring to the EU or the UK, continued participation in the European Health Insurance Card scheme and cooperation on planned medical treatment.</p><p> </p><p>On Friday 26 October, the Government introduced The Healthcare (International Arrangements) Bill which will provide the Government with the powers that are needed to fund and effectively implement arrangements for UK nationals to obtain healthcare abroad after the UK exits the EU.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 13/11/2018 11:54:41 answering member 4095 label Biography information for Steve Barclay
tabling member	151 label Biography information for Tom Brake

994509

registered interest
date	25/10/2018
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	Department of Health and Social Care: Migrant Workers
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 citizens of non-UK EU countries work in (a) his Department, (b) its agencies and (c) its non-departmental public bodies.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	183818
answer	answer is ministerial correction date of answer 02/11/2018 answer text <p>The Department and the National Institute for Health and Care Excellence do not hold this information. Evidence of nationality is checked at the point of recruitment into the Civil Service as part of wider pre-employment checks, but there is no requirement on departments to retain this information beyond the point at which it has served its purpose.</p><p> </p><p>The Health Research Authority, Human Tissue Authority and the Human Fertilisation and Embryology Authority have nationality data available. However, due to low numbers we are able to provide this information due to the risk that individuals may be identified.</p><p> </p><p>The Department’s remaining agencies and non-departmental bodies hold nationality data and this has been included in the following table. Data is accurate as of 30 September. Contextual information to this data should be noted as it has a significant impact on the validity of the data held.</p><p> </p><table><tbody><tr><td><p>Organisation</p></td><td><p>Number of employees who are citizens of non-United Kingdom European Union countries</p></td><td><p>Contextual Information</p></td></tr><tr><td><p>Medicines and Health products Regulatory Agency</p></td><td><p>126</p></td><td><p>Not applicable</p></td></tr><tr><td><p>Public Health England</p></td><td><p>383</p></td><td><p>Nationality data is not held for 135 members of staff.</p></td></tr><tr><td><p>Care Quality Commission</p></td><td><p>94</p></td><td><p>Nationality data is not monitored once individuals have been verified at the recruitment stage. As a result, the actual number of EU nationals could differ. This also does not account for EU citizens married to UK nationals, or those who hold dual nationality.</p></td></tr><tr><td><p>NHS Digital</p></td><td><p>60</p></td><td><p>Not applicable</p></td></tr><tr><td><p>Health Education England</p></td><td><p>46</p></td><td><p>Not applicable</p></td></tr><tr><td><p>NHS Improvement</p></td><td><p>30</p></td><td><p>Nationality data is not held for 54.9% of staff.</p></td></tr><tr><td><p>NHS England</p></td><td><p>128</p></td><td><p>Nationality data is not held for 29.1% of staff as this is based on individuals wishing to disclose this information.</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/11/2018 13:09:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	151 label Biography information for Tom Brake

988628

registered interest
date	16/10/2018
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	Cancer
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 reduce geographical variation in (a) funding and (b) performance between and within Cancer Alliances.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	180311
answer	answer is ministerial correction date of answer 24/10/2018 answer text <p>In 2018/19, the National Cancer Programme established the National Support Fund for Cancer Alliances. The purpose of the National Support Fund is to address geographical variation in the transformation funding bids submitted by Cancer Alliances in 2017/18. The Fund is being used by Cancer Alliances to:</p><p>- improve, and sustain, performance against the 62-day cancer waiting-time standard; and</p><p>- underpin delivery of the relevant 2018/19 Planning Guidance priorities in a consistent way across the country.</p><p> </p><p>Alongside this, NHS England is providing an additional £10 million this financial year to improve and reduce variation in operational performance. This work will focus on:</p><p>- a nationwide initiative (particularly focused on urology) to grow capacity and support improvement activity across the county; and</p><p>- engaging with especially challenged areas to diagnose the root causes of their poor performance and to implement actions enabling the better management of additional patient demand.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2018 12:34:48 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

987999

registered interest
date	15/10/2018
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	Department of Health and Social Care: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether gagging clauses have been used in contracts between his Department and charities, voluntary sector organisations, social enterprises or companies with the intention of stopping any criticism of Ministers of his Department.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	179073
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Department has standard contract terms for procuring goods and services. These contract terms do not contain clauses that seek to prevent criticism of ministers.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2018 11:22:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	151 label Biography information for Tom Brake

982463

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	Pharmaceutical Price Regulation Scheme
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 ensure that the next Pharmaceutical Price Regulation Scheme considers combination treatments for cancer to be cost-effective.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	175794
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>The Government is committed to supporting the United Kingdom life sciences industry and ensuring that patients can access cost-effective, innovative cancer treatments and technologies at a price the National Health Service can afford. Discussions on a branded medicines voluntary agreement for 2019 onwards are ongoing and are constructive.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 175795 question first answered 16/10/2018 11:01:56 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

982464

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	Pharmaceutical Price Regulation Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the heads of agreement for the next Pharmaceutical Price Regulation Scheme will be published.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	175795
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>The Government is committed to supporting the United Kingdom life sciences industry and ensuring that patients can access cost-effective, innovative cancer treatments and technologies at a price the National Health Service can afford. Discussions on a branded medicines voluntary agreement for 2019 onwards are ongoing and are constructive.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 175794 question first answered 16/10/2018 11:01:56 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

982490

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	Mental Illness: Prescription 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 steps his Department is taking to ensure that the UK maintains an adequate supply of antipsychotic medications in the event of the UK leaving the EU without a deal.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	175805
answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>We understand that antipsychotic medications are vitally important to many people in this country. Our contingency plans include sensible mitigations for medicines that come to the United Kingdom from or via the European Union, such as precautionary stockpiling by suppliers, to ensure that the supply of antipsychotics and other essential medicines to patients is not disrupted.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 15/10/2018 11:16:18 answering member 4095 label Biography information for Steve Barclay
tabling member	151 label Biography information for Tom Brake

982499

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	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, pursuant to the Written Statement of 13 March 2018 on Spring Statement, HCWS540, how much of that funding he has allocated to (a) programmes, (b) administration and (c) staffing in his Department.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	175812
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>HM Treasury has allocated over £2 billion of additional funding to departments and the devolved administrations for European Union exit preparations so far. This breaks down as:</p><p> </p><p>- £412 million of additional funding over the spending review period for the Department for Exiting the European Union, Department for International Trade and the Foreign and Commonwealth Office at Autumn Statement 2016.</p><p> </p><p>- £286 million of additional funding for 2017-18. A full breakdown of which can be found in Supplementary Estimates 2017-18 which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/679738/PU2137_Supplementary_estimates_web.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/679738/PU2137_Supplementary_estimates_web.pdf</a></p><p> </p><p>- Over £1.5 billion of additional funding for 2018-19. A full breakdown of which can be found in the Chief Secretary’s Written Ministerial Statement, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-03-13/HCWS540/" target="_blank">HCWS540</a>, laid on 13 March 2018.</p><p> </p><p>The Department was allocated £21.1 million for costs arising as the United Kingdom leave the EU in the Spring Statement 2018. The final breakdown between programme and administration (including staffing) spend will be confirmed in the Supplementary Estimates.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 14:57:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	151 label Biography information for Tom Brake