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1133843

	registered interest
	date	21/06/2019
	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	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance has been issued to clinical commissioning groups on restricting access to operations until a person's medical condition worsens; and if he will make a statement.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	267717
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>It is for the local clinical commissioning group (CCG) to decide what services they commission for the people they are responsible for – this will mean making clinical judgements about the effectiveness and value of treatments, and the best allocation of resources. CCGs do this based on the healthcare needs of their local populations and clinical evidence, to ensure they are providing the best possible, sustainable care for their patients.</p><p> </p><p>Treatment decisions should always be made by doctors based on a patient’s individual clinical needs and informed by the National Institute for Health and Care Excellence’s (NICE) guidelines.</p><p> </p><p>NICE clinical guidelines make many recommendations spanning all stages of care from diagnosis to treatment of a condition. They represent best practice and are based on available evidence and developed through consultation. Health professionals and organisations are expected to take the guidance fully into account when deciding treatments.</p><p> </p><p>A fundamental principle of the National Health Service is that, for people who are ‘ordinarily resident’ in the United Kingdom, treatment is free at the point of need, regardless of the patient’s ability to pay. Patient payments, other than those limited forms permitted by Regulations (such as prescription charges, payments for some clinical activity undertaken by dentists, and visitor and migrant charges) are contrary to NHS policy.</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267718 question first answered 26/06/2019 15:37:04 answering member 1585 label Biography information for Stephen Hammond
	tabling member	432 label Biography information for Helen Jones

1133844

	registered interest
	date	21/06/2019
	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	Surgery: Private Sector
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance has been issued to NHS Trusts on charging for operations which were previously offered free on the NHS.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	267718
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>It is for the local clinical commissioning group (CCG) to decide what services they commission for the people they are responsible for – this will mean making clinical judgements about the effectiveness and value of treatments, and the best allocation of resources. CCGs do this based on the healthcare needs of their local populations and clinical evidence, to ensure they are providing the best possible, sustainable care for their patients.</p><p> </p><p>Treatment decisions should always be made by doctors based on a patient’s individual clinical needs and informed by the National Institute for Health and Care Excellence’s (NICE) guidelines.</p><p> </p><p>NICE clinical guidelines make many recommendations spanning all stages of care from diagnosis to treatment of a condition. They represent best practice and are based on available evidence and developed through consultation. Health professionals and organisations are expected to take the guidance fully into account when deciding treatments.</p><p> </p><p>A fundamental principle of the National Health Service is that, for people who are ‘ordinarily resident’ in the United Kingdom, treatment is free at the point of need, regardless of the patient’s ability to pay. Patient payments, other than those limited forms permitted by Regulations (such as prescription charges, payments for some clinical activity undertaken by dentists, and visitor and migrant charges) are contrary to NHS policy.</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267717 question first answered 26/06/2019 15:37:04 answering member 1585 label Biography information for Stephen Hammond
	tabling member	432 label Biography information for Helen Jones

1133888

	registered interest
	date	21/06/2019
	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	Drugs: Misuse
	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 effect of the change in the level of the Public Health Grant on the (a) quality of drug treatment services and (b) number of drug-related deaths in the 2015 to 2019 Spending Review period .
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	267731
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government is concerned by the number of drug-related deaths, which is largely caused by an ageing cohort of heroin users. We are supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths. In October, the Home Office announced that there would be a major independent review of drug misuse. This will look at a wide range of issues, including the system of support and enforcement around drug abuse, to better inform our thinking about what more can be done to tackle drug harms including deaths. The review shall inform our thinking about what more can be done to mitigate the harm caused through drug use.</p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including drug addiction. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. Public health funding for 2020 onwards, including for addiction services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p><strong> </strong></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267732 question first answered 26/06/2019 16:34:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	3973 label Biography information for Grahame Morris

1133889

	registered interest
	date	21/06/2019
	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	Drugs: Misuse
	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 change to the level of the Public Health Grant over the forthcoming 2019 Spending Review on the (a) quality of drug treatment services and (b) number of drug-related deaths.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	267732
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government is concerned by the number of drug-related deaths, which is largely caused by an ageing cohort of heroin users. We are supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths. In October, the Home Office announced that there would be a major independent review of drug misuse. This will look at a wide range of issues, including the system of support and enforcement around drug abuse, to better inform our thinking about what more can be done to tackle drug harms including deaths. The review shall inform our thinking about what more can be done to mitigate the harm caused through drug use.</p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including drug addiction. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. Public health funding for 2020 onwards, including for addiction services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p><strong> </strong></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267731 question first answered 26/06/2019 16:34:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	3973 label Biography information for Grahame Morris

1133890

	registered interest
	date	21/06/2019
	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: Death
	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 preventable deaths caused by heart disease; and whether he has made an assessment of whether improving screening for older people would (a) help tackle the number of deaths attributed to heart disease and (b) be cost-effective.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	267726
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Cardiovascular Disease (CVD) prevention initiatives report summarises a wide range of actions led by Public Health England (PHE) which will reduce preventable deaths from CVD. This can be viewed at the following link:</p><p><a href="http://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/" target="_blank">www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/</a></p><p>In February 2018 PHE published national ambitions on the secondary prevention of Atrial Fibrillation, High Blood Pressure and High Cholesterol. This can be viewed at the following link:</p><p><a href="https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/" target="_blank">https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/</a></p><p>People aged 40-74 without existing disease are eligible once every five years for an NHS Health Check, England’s CVD prevention programme. Modelling shows that the programme, is cost effective with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per Quality Adjusted Life Year of around £3,000, considerably lower than the National Institute for Health and Care Excellence’s threshold. The cost benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes and save at least 650 lives each year. A copy of the Economic Modelling for Vascular Checks is attached.</p><p>The United Kingdom National Screening Committee has not undertaken an assessment of the impact of routine screening for the elderly to prevent deaths due to heart disease. Therefore, the Committee has not made a recommendation on this issue.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267727 question first answered 26/06/2019 16:29:30 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Economic Modelling.pdf title Economic Modelling report
	tabling member	1604 label Biography information for Mr Virendra Sharma

1133891

	registered interest
	date	21/06/2019
	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: Screening
	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 effect of heart disease screening programmes for the elderly on (a) the incidence of preventable disease and (b) NHS costs.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	267727
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Cardiovascular Disease (CVD) prevention initiatives report summarises a wide range of actions led by Public Health England (PHE) which will reduce preventable deaths from CVD. This can be viewed at the following link:</p><p><a href="http://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/" target="_blank">www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/</a></p><p>In February 2018 PHE published national ambitions on the secondary prevention of Atrial Fibrillation, High Blood Pressure and High Cholesterol. This can be viewed at the following link:</p><p><a href="https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/" target="_blank">https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/</a></p><p>People aged 40-74 without existing disease are eligible once every five years for an NHS Health Check, England’s CVD prevention programme. Modelling shows that the programme, is cost effective with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per Quality Adjusted Life Year of around £3,000, considerably lower than the National Institute for Health and Care Excellence’s threshold. The cost benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes and save at least 650 lives each year. A copy of the Economic Modelling for Vascular Checks is attached.</p><p>The United Kingdom National Screening Committee has not undertaken an assessment of the impact of routine screening for the elderly to prevent deaths due to heart disease. Therefore, the Committee has not made a recommendation on this issue.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267726 question first answered 26/06/2019 16:29:30 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Economic Modelling.pdf title Economic Modelling report
	tabling member	1604 label Biography information for Mr Virendra Sharma

1133914

	registered interest
	date	21/06/2019
	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	Early Years Ministerial Group on Family Support
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the recommendations of the Inter Ministerial Group on early years family support have been agreed by his Department; and what further steps he has taken to improve early years family support.
	tabling member constituency	South Northamptonshire
	tabling member printed	Andrea Leadsom
	uin	267741
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Early Years Family Support Ministerial Group has been considering how the Government can improve the coordination and cost-effectiveness of early years (conception to age two) family support and identify gaps in available provision. The group has made recommendations to Secretaries of State which they are now considering.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/06/2019 16:22:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4117 label Biography information for Andrea Leadsom

1132780

	registered interest
	date	18/06/2019
	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	Food: Safety
	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 the Food Standards Agency is able to uphold food safety standards after the UK leaves the EU.
	tabling member constituency	Penistone and Stocksbridge
	tabling member printed	Angela Smith
	uin	266136
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Department is committed to ensuring that the Food Standards Agency (FSA) maintains the high standards of food safety and consumer protection that we currently enjoy in this country. Leaving the European Union does not change the FSA’s top priority which is to ensure that food in the United Kingdom remains safe and is what it says it is.</p><p> </p><p>One of FSA’s main priorities is to have a robust and effective regulatory regime which will mean business can continue as normal. All FSA’s exit plans are either complete or on schedule to deliver in time for day one of exit. As part of this, the Department has laid 18 EU Exit Statutory Instruments on behalf of the FSA to ensure that our high standards of food hygiene and safety will be maintained in a no deal scenario.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/06/2019 16:19:02 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1564 label Biography information for Angela Smith

1132825

	registered interest
	date	18/06/2019
	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: Diagnosis
	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 early detection of heart valve disease in primary care settings; and what assessment he has made of trends in the level of stethoscope usage in every NHS Health Check for people over 65 years old.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	266156
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The NHS Long Term Plan sets out the National Health Service’s commitment to provide greater access to echocardiography in primary care to improve the early detection of heart valve disease, and advises that people with heart failure and heart valve disease will be better supported by multi-disciplinary teams as part of primary care networks.</p><p>In relation to stethoscope usage, Public Health England has advised that the NHS Health Check does not currently include formal assessment of heart sounds. Therefore, stethoscopes are not used for this purpose in the programme.</p><p>The NHS Health Check is made up of three key components: risk assessment, risk awareness and risk management. During the risk assessment, standardised tests are used to measure key risk factors and establish the individual’s risk of developing cardiovascular disease. The outcome of the assessment is then used to raise awareness of cardiovascular risk factors, as well as inform a discussion on, and agreement of, the behavioural and medical approaches best suited to managing the individual’s health risk.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/06/2019 16:20:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4244 label Biography information for Jonathan Ashworth

1132865

	registered interest
	date	18/06/2019
	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	Health: Sustainable Development
	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 potential effect of the UK leaving the EU with no deal on his Department’s ability to achieve Sustainable Development Goal 3 in the UK.
	tabling member constituency	Islington South and Finsbury
	tabling member printed	Emily Thornberry
	uin	266128
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>Leaving the European Union, with or without a deal, will not affect our commitment to the Sustainable Development Goals. We remain committed to supporting the delivery of the Sustainable Development Goals, both domestically and internationally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/06/2019 10:34:47 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1536 label Biography information for Emily Thornberry