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891378

registered interest
date	25/04/2018
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	Cerebral Palsy: 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, if he will make available on the NHS, Selective Dorsal Rhizotomy procedures to reduce spasticity in lower limbs; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	137896
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>NHS England does not currently routinely commission Selective Dorsal Rhizotomy surgery and published a policy in 2014 based on the clinical evidence available at that time, which did not demonstrate the benefits of surgery over and above other non-surgical treatment options (such as intensive physiotherapy).</p><p> </p><p>However, given the continued clinical and patient interest in the procedure, NHS England invested in a Commissioning through Evaluation (CtE) scheme which has gathered new ‘real world’ evidence from 140 children undergoing surgery in selected centres in England. The interim results of this scheme, independently evaluated by the National Institute for Health and Care Excellence, together with an updated review of the published evidence of clinical effectiveness, have been used to support the drafting of an updated policy proposition which will be considered as part of NHS England’s relative prioritisation process for investments in specialised care in May 2018.</p><p> </p><p>If appropriate, there may also be an opportunity to further review the policy once the full evaluation is available from the CtE scheme in autumn 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/04/2018 13:18:02 answering member 4067 label Biography information for Steve Brine
tabling member	253 label Biography information for Mr Laurence Robertson

891381

registered interest
date	25/04/2018
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	Gambling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of people who have received counselling or other treatment for an addiction to gambling in the last six months.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	137977
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>Information on the number of people who have received counselling or treatment for an addiction to gambling is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/04/2018 13:11:51 answering member 4067 label Biography information for Steve Brine
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

891440

registered interest
date	25/04/2018
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	GP at Hand
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 patients are registered with the GP at Hand service.
tabling member constituency	Leigh
tabling member printed	Jo Platt
uin	138110
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The Lille Road Health Centre, which is the practice all patients registered with the GP at Hand service are associated with, has a registered list of 24,652 as of March 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/04/2018 13:21:49 answering member 4067 label Biography information for Steve Brine
tabling member	4673 label Biography information for Jo Platt

891454

registered interest
date	25/04/2018
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	Primary Health Care: Internet
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 in response to the Care Quality Commission report, The state of care in independent online primary health services.
tabling member constituency	East Yorkshire
tabling member printed	Sir Greg Knight
uin	137959
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The Department is working with the Care Quality Commission to consider what further action is needed following this report, to ensure we are striking a balance between the provision of safe, effective and high-quality care whilst not stifling innovation.</p><p> </p><p>A cross-regulatory forum has been set up to consider the issues online providers pose for the regulatory model. In addition, NHS England’s clinical safety group will review the recommendations in the report and determine further action for current online services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/04/2018 13:23:42 answering member 4067 label Biography information for Steve Brine
tabling member	1200 label Biography information for Sir Greg Knight

891518

registered interest
date	25/04/2018
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	Spinal Injuries
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 23 April 2018 to Question 136434 on spinal injuries, what steps his Department is taking to submit the fully costed breakdown of the £855 million in efficiency savings from the NHS Continuing Health Care budget as recommended in paragraph 5 of the 13th Report of the Public Accounts Committee, NHS Continuing Healthcare Funding, HC 455, published on 17 January 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	138017
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The Government published its response to the Public Accounts Committee January 2018 report and recommendations on NHS Continuing Healthcare Funding in March 2018.</p><p> </p><p>Continuing Healthcare expenditure (after efficiencies) is forecast to increase over the period to 2020/21, and the identified efficiency opportunity is not predicated on changes to the National Framework in respect of eligibility or on limiting the care packages available.</p><p> </p><p>How any efficiency is delivered in practice will be determined by clinical commissioning groups (CCGs) locally, consistent with their statutory duties and national guidance in respect of access to Continuing Healthcare. National modelling based on variations in Continuing Healthcare expenditure and practice suggests the following notional efficiency opportunities in 2020/21, amounting to circa £855 million, which it is anticipated will inform local commissioning decisions:</p><p> </p><p>- NHS England working with the Department to provide clarity around the National Framework and improving the way CCGs deliver the National Framework. This includes interventions such as improved data and benchmarking information and reducing the number of Continuing Healthcare assessments in an acute hospital setting – (circa £361 million);</p><p>- Improving the commissioning of care packages – (circa £122 million);</p><p>- Improving Continuing Healthcare processes including the supporting of staff with training and development – (circa £79 million); and</p><p>- CCGs locally delivered improvement initiatives – (circa £293 million).</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:38:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

891520

registered interest
date	25/04/2018
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	Liothyronine
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 his Department has made of the (a) affordability and (b) NHS procurement options for Liothyronine T3.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	138020
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The costs of branded medicines are controlled by the Pharmaceutical Price Regulation Scheme and the statutory scheme for branded medicines. Liothyronine is an unbranded generic medicine. For unbranded generic medicines, the Department encourages competition between suppliers to keep prices down. In primary care, community pharmacies are incentivised to source products at the lowest possible cost and in secondary care, competitive tenders ensure value-for-money to the National Health Service.</p><p> </p><p>Liothyronine is currently the subject of an investigation by the Competition and Markets Authority, which has provisionally found that the single supplier of the product abused its dominant position to overcharge the NHS by millions of pounds for liothyronine tablets. A provisional decision does not necessarily lead to an infringement decision. Where companies have breached competition law, the Department will seek damages and invest that money back into the NHS.</p><p> </p><p>Liothyronine was included in NHS England guidance last year; ‘Items which should not routinely be prescribed in primary care’ because more cost effective products than liothyronine are available. That guidance recommends that:</p><p>- prescribers in primary care should not initiate liothyronine for any new patient;</p><p>- individuals currently prescribed liothyronine should be reviewed by a consultant NHS endocrinologist with consideration given to switching to levothyroxine where clinically appropriate; and</p><p>- a local decision, involving the Area Prescribing Committee (or equivalent) informed by National guidance (e.g. from the National Institute of Health and Care Excellence or the Regional Medicines Optimisation Committee), should be made regarding arrangements for on-going prescribing of liothyronine. This should be for individuals who, in exceptional circumstances, have an on-going need for liothyronine as confirmed by a consultant NHS endocrinologist.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/04/2018 13:15:19 answering member 4067 label Biography information for Steve Brine
tabling member	3917 label Biography information for Lord Walney

891525

registered interest
date	25/04/2018
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: Sick Leave
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 and what proportion of his Department's staff have had days off sick because of mental illness or stress in each of the last three years; and how many days off that amounted to in each of those years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	138036
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>Departmental information systems do not record sickness absence relating to stress as a distinct category. Within the broader category that includes all mental health issues, the following table shows how many and the proportion of staff who have had days off sick and the total working days lost within that category in each of the last three years.</p><p> </p><table><tbody><tr><td><p>Category</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td></tr><tr><td><p>Number of staff members who had days off sick due to mental illness</p></td><td><p>88</p></td><td><p>82</p></td><td><p>44</p></td></tr><tr><td><p>Proportion of staff who had days off due to mental illness</p></td><td><p>4%</p></td><td><p>4%</p></td><td><p>2%</p></td></tr><tr><td><p>Total days lost due to mental illness</p></td><td><p>2,194</p></td><td><p>1,852</p></td><td><p>1,832</p></td></tr></tbody></table><p> </p><p>Note:</p><p>Data as at 31 December for each year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:40:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

891530

registered interest
date	25/04/2018
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	Roads: Repairs and Maintenance
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 has taken to reduce the number of potholes on the NHS estate.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	138042
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The data requested is not collected centrally.</p><p> </p><p>National Health Service organisations are locally responsible for the condition of their roads and car parks, which will includes potholes and are expected to keep their estate in an appropriate condition.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 138041 138454 question first answered 30/04/2018 14:33:18 answering member 4095 label Biography information for Steve Barclay
tabling member	4244 label Biography information for Jonathan Ashworth

891534

registered interest
date	25/04/2018
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	Hereditary Diseases
house id	1
legislature	25259 pref label House of Commons
question text	to ask the Secretary of State for Health and Social Care, what lessons have been learned from the 100,000 Genome Project which will help when deciding what genetic diseases should be screened for at birth.
tabling member constituency	Bristol North West
tabling member printed	Darren Jones
uin	138095
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The 100,000 Genomes Project is focussed on recruiting patients, including children, with rare diseases (and their family members) and those with common cancers. These are areas where whole genome sequencing may offer the best opportunity to diagnose disease. From the Project’s pilot phase we have found actionable findings in 20-25% of rare disease patients.</p><p> </p><p>The scope of the project does not include screening at birth. The Chief Medical Officer, in her annual report Generation Genome, recommended that that the National Screening Committee conducts a systematic evaluation of the opportunities offered by genomics for present and potential screening practices.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:41:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4621 label Biography information for Darren Jones

890275

registered interest
date	24/04/2018
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	Lipoedema
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 cost of Lipedema to the (a) NHS and (b) economy in lost working days in the last twelve months.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	137380
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The Department has made no estimate on the cost of Lipedema to the National Health Service and to the economy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/04/2018 13:15:08 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton