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1127468

registered interest
date	20/05/2019
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	Health Professions: Recruitment
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 increase the number of (a) school nurses and (b) health visitors.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	256319
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>From April 2013, local authorities have been responsible for public health locally, including commissioning public health services for school aged children in their areas. In October 2015 responsibility for zero to five commissioning was also transferred to local authorities.</p><p>It is therefore for local authorities to assess the health needs of their populations and commission the appropriate health visiting and school nursing services and workforce, based around local needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:45:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1127515

registered interest
date	20/05/2019
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	Pathology: Vacancies
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 tackle the shortage of pathologists that can carry out post-mortem examinations for coroners.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	256258
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Most post-mortem examinations are carried out by pathologists who specialise in histopathology. However, post-mortems are not a requirement of the Certificate of Completion of Training in histopathology, therefore, the number of histopathologists who are qualified to carry out post-mortem examinations for coroners is not held centrally.</p><p>Overall, in January 2019, there were 1,206 full time equivalent (FTE) consultant histopathologists in the National Health Service in England. This represents a 10% (119 FTE) increase compared to January 2010.</p><p>Health Education England has committed to attract and retain more histopathologists by 2021 as part of its Cancer Workforce Plan for England published in December 2017. In 2019, 100% of specialist histopathology training places were filled.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256259 question first answered 23/05/2019 14:54:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4109 label Biography information for Jeremy Lefroy

1127283

registered interest
date	17/05/2019
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: 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 encourage fairer pricing by pharmaceutical companies for drugs supplied to the NHS.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	255651
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The 2019 Voluntary Scheme for Branded Medicines Pricing and Access, and the statutory scheme for branded medicines pricing, work together to control the cost of branded medicines to the National Health Service and ensure it stays within affordable limits.</p><p> </p><p>The 2019 Voluntary Scheme began on 1 January 2019 and will run for five years until the end of 2023. The Voluntary Scheme aims to provide stability and predictability for all parties in terms of the United Kingdom’s branded medicines expenditure and the medicines pricing and access environment for the period 2019 to 2023. It also aims to achieve a balance between patient access, affordability and supporting the development of innovative new medicines, including support for small companies.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/05/2019 14:30:06 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1127317

registered interest
date	17/05/2019
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	Bowel 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 he is taking to reduce the number of young people developing bowel cancer.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	255652
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>Obesity and poor diet are risk factors for bowel cancer in young people.</p><p>The second chapter of the world-leading childhood obesity plan was published in June 2018. This builds on the real progress made since the publication of chapter one in 2016, particularly in reformulation of the products our children eat and drink most. In chapter two we have set a bold ambition to halve childhood obesity by 2030 and significantly reduce the gap in obesity between children from the most and least deprived areas by 2030.</p><p>Many of the measures in both chapters of the 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><p>‘Childhood obesity: a plan for action, chapter 2’ is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action-chapter-2" target="_blank">www.gov.uk/government/publications/childhood-obesity-a-plan-for-action-chapter-2</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/05/2019 14:24:08 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1127327

registered interest
date	17/05/2019
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	Diffuse Intrinsic Pontine Glioma
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 access to NHS support for sufferers of diffuse intrinsic pontine glioma.
tabling member constituency	Sheffield, Brightside and Hillsborough
tabling member printed	Gill Furniss
uin	255692
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>No specific assessment has been made by the Department at this time.</p><p>Care for children with Diffuse Intrinsic Pontine Glioma (DIPG) is co-ordinated and provided by Children’s Cancer Principal Treatment Centres (PTCs) working in conjunction with Paediatric Oncology Shared Care Units. Children’s Cancer PTCs are responsible for planning and delivering treatment for children with DIPG as well as ensuring these children can access wider support services such as psychology services, specialist play services and other therapies.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/05/2019 14:25:19 answering member 4455 label Biography information for Seema Kennedy
tabling member	4571 label Biography information for Gill Furniss

1127334

registered interest
date	17/05/2019
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	Isotretinoin: Side Effects
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 potential health risks and psychiatric side-effects of the drug Roaccutane.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255661
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1127095

registered interest
date	16/05/2019
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	Retinoblastoma: 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 steps his Department is taking to ensure that GPs are trained to identify retinoblastoma in young children.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255295
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Each individual medical school sets its own undergraduate medical curriculum. These have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained.</p><p>The curricula for postgraduate specialty training is set by individual royal colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners sets the curriculum for general practitioners (GPs). In order to demonstrate the core competences in the care of children and young people, the curriculum sets out that GPs should be aware of the early presenting symptoms of childhood cancers and possible differentials, such as retinoblastoma.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255296 question first answered 21/05/2019 16:18:23 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1127100

registered interest
date	16/05/2019
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	Retinoblastoma: 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 steps his Department is taking to ensure that optometrists are trained to identify retinoblastoma at an early stage in young children.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255296
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Each individual medical school sets its own undergraduate medical curriculum. These have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained.</p><p>The curricula for postgraduate specialty training is set by individual royal colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners sets the curriculum for general practitioners (GPs). In order to demonstrate the core competences in the care of children and young people, the curriculum sets out that GPs should be aware of the early presenting symptoms of childhood cancers and possible differentials, such as retinoblastoma.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255295 question first answered 21/05/2019 16:18:23 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1127103

registered interest
date	16/05/2019
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	Dementia
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 potential merits of implementing the recommendations of the Alzheimer’s Society’s report entitled, Dementia Fund, published in May 2019.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	255383
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The Government has committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform and will bring forward ideas for including an element of risk pooling in the system, which will help to protect people from the highest costs. We are committed to ensuring everyone has access to the care and support they need, based on a principle of shared responsibility.</p><p>One of the important elements of the dementia fund proposal was greater use of Personal Health Budgets (PHBs). PHBs are one way to give people with long-term health conditions and disabilities more choice and control over the money spent on meeting their health and wellbeing needs. We have committed to exploring possible new rights to have PHBs to a further five areas across 2019-20 including dementia.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/05/2019 11:08:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4653 label Biography information for Stephen Morgan

1127107

registered interest
date	16/05/2019
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	Chemical Weapons: Salisbury
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 commission a review of the public health response to the Salisbury and Amesbury Novichok incidents in 2018 to inform future policy on the protection of public health.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	255256
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Public Health England, NHS England and the Department have carried out post-incident reviews into their response to the Salisbury and Amesbury Novichok incidents. These were subsequently discussed within the Department in September of last year.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 16:24:19 answering member 4455 label Biography information for Seema Kennedy
tabling member	242 label Biography information for Sir Christopher Chope