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983065

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	Palliative Care: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much money has been spent from the public purse on palliative care services for children in (a) Wirral (b) the North West and (c) the South East in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176002
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres </ins><del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:43 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77457 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983067

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	Palliative Care: Children
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 adequacy of provision of children's palliative care in (a) the north west and (b) Wirral in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176004
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:04 question first ministerially corrected 18/10/2018 10:54:25 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77456 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983068

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	Hospices: Children
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 trends in the level of funding for the children's hospice grant in the (a) north west and (b) Wirral.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176005
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:12 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77459 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983069

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	Palliative Care: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of children requiring palliative care in the (a) Wirral and (b) north west in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176006
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:53:56 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77460 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983102

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	NHS: Disclosure of Information
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 make NHS data by clinical commissioning group available for analysis by (a) charities and (b) other bodies that represent patients.
tabling member constituency	Makerfield
tabling member printed	Yvonne Fovargue
uin	176258
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>National Health Service Data is available for charities and other bodies that represent patients to apply for via the Data Access Request Service at NHS Digital. This data can be filtered in a variety of methods, such as by clinical commissioning groups. Further information, including how to apply can be found at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/services/data-access-request-service-dars/data-access-request-service-dars-process" target="_blank">https://digital.nhs.uk/services/data-access-request-service-dars/data-access-request-service-dars-process</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:55:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4034 label Biography information for Yvonne Fovargue

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

983304

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	NHS: 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's is taking to ensure the adequate supply of unlicensed medicines for use in clinical trials in the event that the UK leaves the EU without a deal.
tabling member constituency	Darlington
tabling member printed	Jenny Chapman
uin	176241
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>The Government has issued guidance on preparations to ensure continuity of supply of licensed medicines in the unlikely event of a no-deal. We recognise fully the importance of Investigational Medicinal Products supply and are planning communications to those organisations running clinical trials – life science industries trade associations and member companies, umbrella organisations for research charities and university hospitals, and more widely.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:50:54 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3972 label Biography information for Baroness Chapman of Darlington

973176

registered interest
date	13/09/2018
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	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government's revised childhood obesity plan will make tackling noncommunicable diseases a priority.
tabling member constituency	Plymouth, Moor View
tabling member printed	Johnny Mercer
uin	174785
answer	answer is ministerial correction date of answer 10/10/2018 answer text <p>Obesity is a leading cause of serious non-communicable diseases such as type 2 diabetes, heart disease and some cancers. Many of the key measures in both chapters of our childhood obesity plan will have an impact on tackling obesity across all age groups. These include the soft drinks industry levy, sugar reduction and wider calorie reformulation programme, restricting promotions and calorie labelling in restaurants which will improve our eating habits and reduce the amount of sugar we consume.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/10/2018 12:39:22 answering member 4067 label Biography information for Steve Brine
tabling member	4485 label Biography information for Johnny Mercer

973210

registered interest
date	13/09/2018
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: North West
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 number of GP's has been in (a) the North West, (b) Merseyside, (c) Wirral and (d) Wallasey constituency in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	174631
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>The number of general practitioners (GPs) (headcount), excluding retainers, registrars and locums, for the North West, Merseyside and the Wirral is available in the attached table. Figures are not available for Wallasey. Due to changes in the data source, comparisons before and after 2015 should be treated with caution.</p><p> </p><p>The General Practice Forward View, published in April 2016, committed to strengthening the general practice workforce and increasing the number of doctors in general practice by 5,000 full time equivalents.</p><p> </p><p>NHS England Cheshire and Merseyside advises it has a number of schemes in place to increase the GP workforce. This includes international recruitment and GP retention programmes. There are currently seven GPs in the Wirral on the GP Retention Scheme which supports GPs to remain in practice who are only able to do a maximum of four clinical session per week and includes protected time for continuing professional development and educational support. NHS England Cheshire and Merseyside has also recently secured £323,000 additional funding for further retention schemes in the local area. In addition, the Wirral is being supported to develop a GP sessional register to encourage GPs who prefer locum working in the area to become part of the wider primary care team, with the intention that they will apply for permanent positions.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 174630 question first answered 09/10/2018 17:04:56 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ174631 data table.docx title PQ174630,631 attached document
tabling member	491 label Biography information for Dame Angela Eagle

973213

registered interest
date	13/09/2018
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	Cervical Cancer: Screening
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 11 September 2018 to Question 171297 on Cervical Cancer: Screening, what steps he is taking to increase take-up of cervical screening in the North West.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	174634
answer	answer is ministerial correction date of answer 10/10/2018 answer text <p>The Department, Public Health England (PHE) and NHS England continue to work together to understand the reasons for the decline in cervical screening uptake and to support the National Health Service and local authorities (LAs) to address them. This includes access to timely and useful data for benchmarking; providing evidence on best practices to increase uptake among women who wish to be screened; using governance levers to advise the NHS and LAs; and working in partnership with commissioners, providers and charities.</p><p> </p><p>In August 2018, PHE published Cervical Screening: ideas for helping to improve access and uptake; the guidance is available to view at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/cervical-screening-coverage-and-data/cervical-screening-ideas-for-improving-access-and-uptake" target="_blank">https://www.gov.uk/government/publications/cervical-screening-coverage-and-data/cervical-screening-ideas-for-improving-access-and-uptake</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/10/2018 12:51:31 answering member 4067 label Biography information for Steve Brine
tabling member	491 label Biography information for Dame Angela Eagle