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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

988647

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	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, if he will review the NICE appraisal methodology to take account of current challenges to combination treatments under the renegotiation of the pharmaceutical price regulation scheme; and if he will make a statement.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	180156
answer	answer is ministerial correction date of answer 24/10/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for the methods and processes it uses in the development of its recommendations and guidance. NICE has been able to recommend a number of combination treatments for use on the National Health Service through its technology appraisal programme.</p><p>The Government is committed to supporting the United Kingdom life sciences industry and ensuring that patients can access cost-effective innovative medicines and technologies at a price the NHS can afford. Whilst the formal negotiations are confidential, 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 question first answered 24/10/2018 16:59:04 answering member 4067 label Biography information for Steve Brine
tabling member	3930 label Biography information for Caroline Lucas

988658

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	Health Services: Migrants
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 Written Ministerial Statement of 11 October 2018 on Immigration Health Surcharge, whether his Department has plans to publish the review of the evidence on the average cost to the NHS of treating surcharge payers.
tabling member constituency	Manchester, Gorton
tabling member printed	Afzal Khan
uin	180308
answer	answer is ministerial correction date of answer 24/10/2018 answer text <p>The Immigration (Health Charge) (Amendment) Order 2018 was introduced in Parliament on Thursday 11 October 2018 alongside a published impact assessment which is available at the following link:</p><p> </p><p><a href="http://www.legislation.gov.uk/ukdsi/2018/9780111172995" target="_blank">http://www.legislation.gov.uk/ukdsi/2018/9780111172995</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/10/2018 12:59:41 answering member 4095 label Biography information for Steve Barclay
tabling member	4671 label Biography information for Afzal Khan

988720

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	Breast Cancer: East Sussex
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 his Department has made of the adequacy of the provision of specialised nursing care for people with secondary breast cancer in (a) East Sussex and (b) Brighton and Hove.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	180266
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>Service models, for the provision of specialised nursing care for people with secondary breast cancer, are a matter for local trusts. East Sussex and Brighton and Hove both offer excellent care for those living with a secondary breast cancer diagnosis. East Sussex offers a well-established, integrated specialist nursing service for all people with breast cancer. The service consists of four Macmillan Breast Care Clinical Nurse Specialists (CNS) clinically led by a Macmillan Nurse Consultant. They employ an integrated service model where each CNS is equally skilled in caring for patients with breast cancer at all stages of their care, and patients are signposted to other group and individual support services such as their Cancer Counselling Service. The Brighton and Sussex Cancer Centre is one of the few in the United Kingdom which has a specifically designated metastatic breast care nurse and the Cancer Alliance is seeking to share their experience with the rest of the region.</p><p> </p><p>In the Cancer Workforce Plan for England, published in December 2017, Health Education England (HEE) set out the case for the need to target additional training support for several priority professions, including clinical radiology, histopathology, oncology and diagnostic and therapeutic radiography. During HEE’s follow-up work to phase 1 of the Cancer Workforce Plan, the cancer nurse workforce will also be reviewed. Health Education England will support the expansion of Cancer Nurse Specialists so that every patient has access to a CNS or other support worker by 2021. We plan to work with partners like East Sussex, Brighton and Hove, Cancer Alliances and Macmillan to identify and develop clear career pathways into the CNS role as part of a wider review of the contribution nurses can make to cancer.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/10/2018 16:14:47 answering member 4067 label Biography information for Steve Brine
tabling member	4505 label Biography information for Peter Kyle

988726

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	General Practitioners: Data Protection
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 subject access requests have been made to GP surgeries since the introduction of the General Data Protection Regulation.
tabling member constituency	Warrington South
tabling member printed	Faisal Rashid
uin	180307
answer	answer is ministerial correction date of answer 24/10/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2018 12:35:34 answering member 4067 label Biography information for Steve Brine
tabling member	4670 label Biography information for Faisal Rashid

987735

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	Eating Disorders
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 (a) eating disorder units and (b) GPs throughout the country on the use of weight metrics to diagnose eating disorders; and if he will support the #DumpTheScales campaign.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	179097
answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>I have not met with eating disorder units or discussed eating disorders with general practitioners to date.</p><p> </p><p>National Institute for Health and Care Excellence (NICE) guidelines published in May 2017 state:</p><p>- Initial assessments in primary and secondary mental health care: Do not use single measures such as Body Mass Index (BMI) or duration of illness to determine whether to offer treatment for an eating disorder; and</p><p>- Inpatient and day patient treatment: Do not use absolute weight or BMI as a threshold when deciding whether to admit people with an eating disorder to day patient or inpatient care.</p><p> </p><p>Commissioners and health professionals including general practitioners are expected to follow NICE guidelines when diagnosing and treating eating disorders. The NICE guidelines on eating disorders can be found on the NICE website at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng69" target="_blank">https://www.nice.org.uk/guidance/ng69</a></p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 18/10/2018 16:17:00 answering member 4070 label Biography information for Matt Hancock
tabling member	308 label Biography information for Mr Jim Cunningham

987748

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	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 plans his Department has to ensure that there is a secure medicine supply for hospitals in (a) England and (b) Sheffield in the event that the UK leaves the EU without a deal.
tabling member constituency	Sheffield, Hallam
tabling member printed	Jared O'Mara
uin	179315
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>On 23 August 2018, the Department wrote to a number of pharmaceutical companies that supply the United Kingdom with medicines from, or via, the European Union/European Economic Area, asking them to ensure they have a minimum of six weeks’ additional supply in the United Kingdom, over and above their business as usual operational buffer stocks, by 29 March 2019 in the event of the UK leaving the EU without a deal.</p><p> </p><p>Since writing to pharmaceutical companies, we have received good engagement from the industry who share our aims in ensuring continuity of medicines supply is maintained for patients across the UK. The Department continues to work closely with these companies to ensure that their UK stockpiles of medicines are sufficient to cope with any potential delays at the border that may arise in the short term in a no-deal Brexit scenario.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/10/2018 16:25:37 answering member 4095 label Biography information for Steve Barclay
tabling member	4661 label Biography information for Jared O'Mara

987753

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	Cannabis: Misuse
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 establish a duty for his Department to routinely monitor the potency of street cannabis; what assessment he has made of the implications for Government policy of the research by Kings College in (a) 2005, (b) 2008 and (c) 2016 on the potency of street cannabis; and if he will make a statement.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	179178
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Government has no plans to establish a duty on the Department to monitor the potency of street cannabis. The National Crime Agency monitors the strengths of all illicit drugs seized, including cannabis. The Government has noted the reports from King’s College London on the strength of cannabis with interest and remains vigilant as to changing patterns of drug use, as part of its Drug Strategy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:57:33 answering member 4067 label Biography information for Steve Brine
tabling member	3930 label Biography information for Caroline Lucas

987789

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	NHS: Finance
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 funding his Department has allocated to the purchase of new (a) reserves of blood stocks and tissues, (b) ventilated beds and (c) non-porous bags for the storage and transportation of corpses in (i) 2019-20, (ii) 2018-19, (iii) 2017-18 and (iv) 2016-17.
tabling member constituency	Islington South and Finsbury
tabling member printed	Emily Thornberry
uin	179167
answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>The Department does not allocate funding for blood stocks and tissues ventilated beds or non-porous bags for the storage and transportation of corpses.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 18/10/2018 16:16:15 answering member 4070 label Biography information for Matt Hancock
tabling member	1536 label Biography information for Emily Thornberry

987797

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	Mental Illness: Carers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether support is provided for unpaid carers who suffer from mental ill-health as a result of caring; and if he will make a statement.
tabling member constituency	Bethnal Green and Bow
tabling member printed	Rushanara Ali
uin	179225
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Government is committed to supporting carers to provide care as they would wish, and to do so in a way that supports their own health and wellbeing. In June 2018, the Department published the Carers Action Plan (CAP), which sets out a cross-Government programme of targeted work to support carers over the next two years.</p><p> </p><p>The CAP highlighted the work that NHS England and the Care Quality Commission have been doing to work with frontline primary care staff, commissioners, carers and carer representative organisations to develop a framework of quality markers that can be used by doctors’ surgeries to demonstrate how effective they are in recognising and supporting carers. The framework sets a clear ambition to improve carers’ health and promote positive wellbeing and reduce carer crisis and family breakdown.</p><p> </p><p>NHS mental health services are available for carers with mental health needs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2018 16:22:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4138 label Biography information for Rushanara Ali