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1134113

registered interest
date	25/06/2019
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	Incinerators: Health Hazards
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 research on the effects on levels of public health of emissions of (a) PM2.5, (b) PM1 and (c) PM0.1 from waste incinerators (i) he has undertaken and (ii) has formed the basis of an assessment of the implications for his policies.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	268356
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Public Health England (PHE) has funded a study to further extend the evidence base on municipal waste incinerators (MWIs). The study found that emissions of particulate matter (PM<sub>10</sub>) from MWIs are low and make only a small contribution to ambient background levels. The report is available at the following link:</p><p><a href="http://pubs.acs.org/doi/abs/10.1021/acs.est.6b06478" target="_blank">http://pubs.acs.org/doi/abs/10.1021/acs.est.6b06478</a></p><p>No evidence was found of a link between exposure to PM<sub>10</sub>, which includes PM<sub>2.5</sub>, PM<sub>1</sub> and PM<sub>0.1</sub> emitted from MWIs and infant mortality, or the other birth outcomes investigated. Further information is available at the following link:</p><p><a href="https://doi.org/10.1016/j.envint.2018.10.060" target="_blank">https://doi.org/10.1016/j.envint.2018.10.060</a></p><p>The latest paper found no increased risk of congenital anomalies from exposure to PM<sub>10</sub> emissions, however living closer to the incinerators was associated with a very small increase in risk of some birth defects. As acknowledged by the authors, this finding may be because the study could not fully adjust for factors such as other sources of pollution around MWIs or deprivation. The report is available at the following link:</p><p><a href="https://www.sciencedirect.com/science/article/pii/S0160412019308104" target="_blank">https://www.sciencedirect.com/science/article/pii/S0160412019308104</a></p><p>PHE’s position remains that well run and regulated modern MWIs are not a significant risk to public health. PHE will review its advice in light of new substantial research on the health effects of incinerators published in peer reviewed journals. To date, PHE is not aware of any evidence that requires a change in their position statement. This statement can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/municipal-waste-incinerator-emissions-to-air-impact-on-health" target="_blank">https://www.gov.uk/government/publications/municipal-waste-incinerator-emissions-to-air-impact-on-health</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:28:30 answering member 4455 label Biography information for Seema Kennedy
tabling member	252 label Biography information for Dr David Drew

1134462

registered interest
date	25/06/2019
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	Alcoholic Drinks: Scotland
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 effect of the introduction of minimum unit pricing of alcohol in Scotland on the level of alcohol consumption in Scotland.
tabling member constituency	Coatbridge, Chryston and Bellshill
tabling member printed	Hugh Gaffney
uin	269105
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>No assessment has been made. NHS Scotland publishes annual reports on the impact of the Scottish Government’s alcohol strategy, a core element of which is minimum unit pricing. However, the Scottish Government will not publish its statutory report on the impact of minimum unit pricing (MUP) until five years post-implementation of the legislation, in 2023. The Government shall monitor the impact of MUP as robust evidence emerges.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/07/2019 13:24:47 answering member 4455 label Biography information for Seema Kennedy
tabling member	4614 label Biography information for Hugh Gaffney

1133996

registered interest
date	24/06/2019
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	Aston Hall Hospital: Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress has been made in compensating victims of historical abuse at Aston Hall, Derbyshire.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	268489
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>NHS Resolution is managing compensation claims related to Aston Hall on behalf of the Secretary of State. As the management of these claims is ongoing, it would not be appropriate to comment further at this stage.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:39:56 answering member 4455 label Biography information for Seema Kennedy
tabling member	4648 label Biography information for Laura Smith

1134002

registered interest
date	24/06/2019
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	Diabetes: 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 any plans to reintroduce blood glucose test strips on prescription for Type 2 diabetics.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	268495
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Blood glucose test strips are available on prescription for people with type 2 diabetes. However, it is for clinical commissioning groups to make decisions on the commissioning of health services that best meet the needs of their local population, taking into account local priorities and needs.</p><p>The National Institute for Health and Care Excellence has published guidance on the management of type 2 Diabetes in adults. This guideline states:</p><p>“1.6.13 Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless:</p><ul><li>the person is on insulin or</li><li>there is evidence of hypoglycaemic episodes or</li><li>the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or</li><li>the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on diabetes in pregnancy (<a href="http://www.nice.org.uk/guidance/ng3" target="_blank">http://www.nice.org.uk/guidance/ng3</a> ). There have been no recent changes to prescribing recommendations, although NHS England have recently consulted on proposals to prescribe test strips only that fall below a certain cost threshold.”</li></ul><p>More information is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng28/chapter/1-Recommendations#blood-glucose-management-2" target="_blank">https://www.nice.org.uk/guidance/ng28/chapter/1-Recommendations#blood-glucose-management-2</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:27:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4648 label Biography information for Laura Smith

1134003

registered interest
date	24/06/2019
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	Diabetes: 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, what steps he is taking to ensure all Type 2 diabetics have access to a glucose monitoring blood test every three months as standard.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	268496
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Clinical commissioning groups are responsible for commissioning diabetes services for their local populations. They are also expected to take National Institute for Health and Care Excellence guidelines into consideration when making their decisions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:28:39 answering member 4455 label Biography information for Seema Kennedy
tabling member	4648 label Biography information for Laura Smith

1134011

registered interest
date	24/06/2019
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	Genito-urinary Medicine
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 commit to bringing forward a national sexual health strategy.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	268500
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The development of a national sexual health strategy is a key recommendation in the Health and Social Care Committee’s report on sexual health, which was published on 2 June 2019. The Government is currently considering the report’s recommendations and will publish a formal response shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 13:09:35 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1134013

registered interest
date	24/06/2019
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	Hospitals: Listeria Monocytogenes
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 prevent listeria in food in hospitals.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	268501
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>On 17 June 2019, my Rt. hon. Friend the Secretary of State for Health and Social Care announced a root-and-branch review of all the food in hospitals, both food served, and food sold. This will look at the safety of food available to patients, visitors and staff, and provide healthier choices and improved nutrition.</p><p>National Health Service organisations have systems of due diligence in place to ensure that all their suppliers have appropriate registrations. The kitchens and other areas in the NHS used to store and process food are required to be registered and rated by the local authority and all staff involved in the preparation and handling of food are required to hold a level two food hygiene certificate. In addition to this, a food safety management system must be in place that outlines controls and processes for the safe delivery, handling and preparing of foods.</p><p>The Food Standards Agency (FSA) published comprehensive guidance for healthcare and social care organisations on managing listeria risk in vulnerable people in 2016. The FSA commissioned delivery of training to 557 key staff responsible for food safety in hospitals and 288 local authority Environmental Health Officers in a series of workshops and webinars in 2015.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:26:38 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1134014

registered interest
date	24/06/2019
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	Heart Diseases: 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 prevent heart disease in young people aged 17-30.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	268502
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The NHS Long Term Plan advises that cardiovascular disease (CVD) is largely preventable, through lifestyle changes and a combination of public health and National Health Service action on smoking and tobacco addiction, obesity, tackling alcohol misuse and food reformulation.</p><p>A key milestone in the CVD section of the NHS Long Term Plan is for the National Health Service to help prevent up to 150,000 heart attacks, strokes and dementia cases over the next 10 years. The NHS Long Term Plan sets out that where individuals are identified with high risk conditions, appropriate preventative treatments will be offered in a timely way, and the creation of a national CVD prevention audit for primary care will also support continuous clinical improvement. NHS England and NHS Improvement will continue to work closely with key partners and stakeholders, such as the British Heart Foundation, as it supports the NHS to deliver the commitments set out in the NHS Long Term Plan.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:31:43 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1134016

registered interest
date	24/06/2019
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	Arthritis: 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, when electrical stimulation for arthritis pain will be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	268504
answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>We are aware of recent research looking at electrical stimulation of the vagus nerve to treat patients with rheumatoid arthritis. This was a small pilot study of 14 people, and therefore research remains at an early stage. In order to be suitable for routine National Health Service use, larger scale clinical trials demonstrating the safety and efficacy of this treatment approach would need to be undertaken, and assessments of its cost effectiveness would also need to be considered.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:34:30 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1134028

registered interest
date	24/06/2019
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	Testicular Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how rates of testicular cancer diagnosis in the UK compare with ratse in other G20 countries over the last five years.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	268427
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Age-adjusted rates within the G20 for testicular cancer vary from 0.6 to 10.1 per 100,000 over the last five years. The United Kingdom value is 7.1 per 100,000. There are differences in data recording across the world which will at least partly account for the range of values seen.</p><p>The estimated incidence of testicular cancer in the G20 group in 2018 is published by the International Agency for Research on Cancer Global Cancer Observatory project. This can be viewed at the following link:</p><p><a href="http://gco.iarc.fr/" target="_blank">http://gco.iarc.fr/</a></p><p>Data for the European Union, based on the EU 28 countries, is available at the European Cancer Information System at the following link:</p><p><a href="https://ecis.jrc.ec.europa.eu/" target="_blank">https://ecis.jrc.ec.europa.eu/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:19:33 answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell