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1131994

registered interest
date	13/06/2019
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	Ovarian Cancer: Contraceptives
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 discussions he has had with the Royal College of Nursing on use of the contraceptive pill to reduce the chances of ovarian cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	264404
answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>No such discussions have taken place. Any treatment available on the National Health Service is in line with the appropriate clinical guidelines from the National Institute for Health and Care Excellence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/06/2019 10:32:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130951

registered interest
date	10/06/2019
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	Alzheimer's Disease: Chlamydia and Cold Sores
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 Royal College of Nursing on the relationship between herpes, chlamydia and Alzheimers.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262367
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>No discussions have been held with the Royal College of Nursing on the relationship between herpes, chlamydia and Alzheimer’s disease.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 10:54:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130954

registered interest
date	10/06/2019
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	Lung Cancer: Carbohydrates
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 Royal College of Nursing on the relationship between carbohydrates and lung cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262368
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>No such discussions have taken place.</p><p>The Scientific Advisory Committee on Nutrition (SACN) published a report on carbohydrates and health in July 2015. The SACN was asked to review the evidence on carbohydrates and colorectal, metabolic and oral health; it did not consider evidence in relation to lung cancer. The SACN has no plans to review the evidence on carbohydrates and health again in the near future.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 10:52:29 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130958

registered interest
date	10/06/2019
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: Private Sector
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 the accuracy of financial charges made by private clinics.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262369
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>It is not the role of the Department to ensure the accuracy of charges made by private clinics for patient self-funded treatment. Where patients feel that they may have been incorrectly charged for treatment provided privately they should make a complaint to the private clinic concerned, or if a subscriber to its independent healthcare sector complaints adjudication service</p><p><br> If a private provider provides services directly to the National Health Service it would be the responsibility of the commissioning party (clinical commissioning group or trust) to ensure that invoices for services are accurate.</p><p><br> <br></p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/06/2019 10:59:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1130961

registered interest
date	10/06/2019
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	Antibiotics: 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 discussions he has had with Royal College of Nursing on the effectiveness of antibiotics in children.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262370
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Ministers have discussions with the Royal College of Nursing on a range of subjects. We hold no record of meetings that have taken place specifically to discuss the effectiveness of antibiotics in children.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 10:53:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130971

registered interest
date	10/06/2019
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	Paralysis: Medical Equipment
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 has plans to make the bionic spine available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262371
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The bionic spine technology is at a very early stage of development. Research has yet to establish whether the bionic spine will be effective and safe for patients. We will, of course, continue to monitor it, along with other promising new treatments, as it develops.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:22:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130973

registered interest
date	10/06/2019
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	Cancer: Young People
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 tackle the rise in the incidence of cancer in young people under 25.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262372
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>Cancer incidence rates over the last ten years for people under 25 years old show a minimal increase in absolute numbers. Unlike with many adult cancers, lifestyle-related risk factors (such as smoking) do not influence a young person’s risk of developing cancer so cancers are less preventable. The small increase in incidence therefore reflects changes in demographics rather than relative risk of having cancer at any given age.</p><p>As such, our focus is on research and ensuring that children and young people get the very best treatment and care if they do develop cancer. The NHS Long Term Plan has a series of commitments to improve outcomes for all cancer patients, including children and young people with cancer. For example, the National Health Service will actively support children and young people to take part in clinical trials, so that participation among children remains high, and among teenagers and young adults rises to 50% by 2025. Also, from 2019, the NHS will begin to offer all children with cancer whole genome sequencing to enable more comprehensive and precise diagnosis, and access to more personalised treatments.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/06/2019 14:14:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130977

registered interest
date	10/06/2019
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	Medical Treatments
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 representatives of NICE on increasing the capacity for undertaking highly specialised technology evaluations.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262374
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Departmental officials regularly meet with National Institute for Health and Care Excellence (NICE) officials to discuss issues such as capacity for the development of guidance across all its guidance programmes, including as part of the annual business planning process. NICE does not operate a fixed capacity for the development of highly specialised technologies guidance and any topic that meets the topic selection criteria will be prioritised for guidance development.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:25:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1129342

registered interest
date	03/06/2019
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	Malnutrition: Older People
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 has made an assessment of the implications for his policies of the 2015 British Association for Parenteral and Enteral Nutrition and NIHR report entitled The Cost of Malnutrition in England and potential cost savings form nutritional interventions which found that half the £19.6 billion annual cost of malnutrition relates to care for people over 65.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	259221
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Government has made no such assessment.</p><p>The NHS England guidance ‘Commissioning Excellent Nutrition and Hydration (2015-2018)’ supports commissioners to develop strategies and address issues related to improvements in delivery and commissioning of nutrition and hydration needs in acute services and the community. The guidance has been developed in conjunction with key partners including the British Dietetic Association and the British Association for Parenteral and Enteral Nutrition.</p><p>In addition, the National Institute for Health and Care Excellence (NICE) is responsible for publishing clinical guidelines for the National Health Service. ‘Nutrition support for adults: oral feeding, enteral tube feeding and parenteral nutrition’ (NICE Clinical Guideline 32) provides advice to the NHS to help identify patients who are malnourished or at risk of malnutrition and was most recently reviewed by NICE in July 2017. Further information is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/qs24" target="_blank">https://www.nice.org.uk/guidance/qs24</a></p><p>Building on this guidance, further steps have been taken to support screening and recording of malnutrition in hospitals and other healthcare settings.</p><p>A 'Malnutrition Universal Screening Tool' ('MUST') has been developed by the Malnutrition Advisory Group. The tool is supported by governmental and non-governmental organisations, such as the Royal College of Nursing, and is the most commonly used screening tool in the United Kingdom. Further information is available at the following link:</p><p><a href="http://www.malnutritionselfscreening.org/self-screening.html" target="_blank">http://www.malnutritionselfscreening.org/self-screening.html</a></p><p>The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 set out the fundamental standards of care, which must be met by all providers of health and adult social care. Regulation 14 of that Act relates specifically to meeting nutritional and hydration needs. During inspections of health and adult social care services, the Care Quality Commission (CQC) asks five key questions of all care services: are they safe, are they effective, are they caring, are they responsive to people’s needs and are they well-led?</p><p>Under the Effective key question, the CQC seeks to understand how services support people to ensure that they eat and drink enough to maintain a balanced diet. If a malnourished patient presents at hospital, the CQC would expect a hospital trust to record it as a primary or secondary diagnosis in the Hospital Episode Statistics database and a safeguarding alert to be made, as well as a referral to a dietician.</p><p><br></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:23:08 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1129343

registered interest
date	03/06/2019
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	Malnutrition
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 and proportion of hospital admissions due to malnutrition in the next 10 years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	259222
answer	answer is ministerial correction date of answer 07/06/2019 answer text <p>There has been no central estimate of the potential number or proportion of hospital admissions due to malnutrition in the next 10 years.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/06/2019 14:43:39 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon