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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

1127486

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	Department of Health and Social Care: Brexit
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 officials in his Department have been seconded away from their normal duties to work on the UK's withdrawal from the EU; and what effect that secondment of staff has had on the effectiveness of his Department.
tabling member constituency	Tottenham
tabling member printed	Mr David Lammy
uin	256204
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>The number of individuals who have been transferred or seconded to work in preparations for the United Kingdom to leave the European Union in other Government departments is not recorded.</p><p>Across the Department, staff are working on a range of policy areas related to EU Exit. Communications, analytical and legal staff also provide advice as required. Staff may have been redistributed within their directorates to support or undertake work which involves preparations for EU Exit. Officials may also have reprioritised their work to include EU Exit work, whilst remaining in their primary roles.</p><p>The Department is continually reviewing workforce plans, reprioritising and assessing changing needs, including identification and cessation of non-priority work where appropriate. The Civil Service as a whole is working to ensure that EU Exit implementation is carried out to a high standard, without impacting public service delivery across the whole of Government.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/05/2019 13:40:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	206 label Biography information for Mr David Lammy

1127499

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	Nusinersen
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 his Department has held with (a) NICE, (b) NHS England and (c) Biogen on a Managed Access Agreement for SMA treatment Spinraza.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	256254
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.</p><p> </p><p>NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE’s Appraisal Committee’s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256255 question first answered 29/05/2019 10:38:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1127500

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	National Institute for Health and Care Excellence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when NICE will publish the outcome of the NICE Evaluation Committee meeting held on 6 March 2019.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	256255
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.</p><p> </p><p>NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE’s Appraisal Committee’s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256254 question first answered 29/05/2019 10:38:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

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

1127516

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
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 pathologists available to conduct post-mortem examinations for coroners.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	256259
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 256258 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

1127290

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	Blood: Contamination
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 13 May 2019 to Question 249855 on Blood: Contamination, whether any treatment is offered to donors whose blood donation tests are positive for infection.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	255657
answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS Blood and Transplant’s Clinical Support Team provides support and advice for any donor whose blood donation tests positive for infection.</p><p>The donor will be asked to discuss the result with one of NHS Blood and Transplant’s Clinical Support Team clinical staff and, with the donor’s consent, NHS Blood and Transplant’s Clinical Support Team will arrange a referral to their general practitioner or a specialist, who will discuss the need for any treatment with the donor.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2019 12:55:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	478 label Biography information for Lord Field of Birkenhead

1127292

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	Hormone Replacement Therapy
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 availability of (a) Evorel and (b) Femseven sequi patches.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	255686
answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The manufacturer of Evorel transdermal patches has confirmed that supplies of all presentations are currently available. However, they have stated that in some cases supplies are slightly lower than normal and therefore they are applying restrictions on orders as a precaution to ensure limited stock is maintained.</p><p>The Department is aware that the supplier of FemSeven Sequi patches is experiencing long term supply issues. As a result, they are expected to be out of stock until late 2019. We remain in regular contact with the company to resolve this as soon as possible.</p><p>Supplies of other hormone replacement therapy transdermal patches continue to remain available and patients affected have been advised to discuss these alternative treatment options with their clinician.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 14:48:55 answering member 4455 label Biography information for Seema Kennedy
tabling member	4418 label Biography information for Justin Madders

1127293

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	Mental Health Services
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 help ensure that advance decisions on mental health treatment are respected and adhered to.
tabling member constituency	Bermondsey and Old Southwark
tabling member printed	Neil Coyle
uin	255683
answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>Last year Professor Sir Simon Wessely, president of the Royal Society of Medicine, submitted his independent review of the Mental Health Act. The review made 154 recommendations – including the establishment of new statutory advance choice documents, so that people’s wishes and preferences carry far more legal weight.</p><p>We have accepted this recommendation.</p><p>The Government is currently considering the detailed recommendations of the review and will respond in due course. We remain committed to reforming mental health law and will develop and bring forward legislation when Parliamentary time allows.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 255684 question first answered 24/05/2019 12:35:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4368 label Biography information for Neil Coyle