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1145978

	registered interest
	date	25/09/2019
	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	IVF: Single 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 discussions he has had with the NHS on NHS spending following media reports on 8 September 2019 that the NHS is to review the ban on single women receiving fertility treatment.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	291091
	answer	answer is ministerial correction date of answer 30/09/2019 answer text <p>The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</p><p>If there are concerns about provision of care, it is for NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</p><p>NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019.</p><p>The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable.</p><p>The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</p><p>NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</p><p>In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/09/2019 16:38:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1012495

	registered interest
	date	22/11/2018
	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	Lumacaftor/ivacaftor
	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 he has made on the acquisition of Orkambi for the NHS.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	194795
	answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) and NHS England are in dialogue with Vertex Pharmaceuticals around access to their portfolio of cystic fibrosis medicines. It is critical that Vertex now re-engages fully with the NICE appraisal process and gives serious consideration to the portfolio deal offer that NHS England made at the end of July. This deal would provide immediate access for patients to all Vertex licensed medicines and future pipeline products once licensed and in advance of the individual NICE appraisals concluding.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/11/2018 17:11:41 answering member 4067 label Biography information for Steve Brine
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1150221

	registered interest
	date	16/10/2019
	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	Epidemiology: Paediatrics
	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 implications for his Department's policies of the research by the University of Bristol published on 16 September 2019 in Paediatric and Perinatal Epidemiology; and whether he plans update his Department's guidance as a result of that research.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	1075
	answer	answer is ministerial correction date of answer 21/10/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) continuously monitors the safety of all medicines on the market in the United Kingdom. Following a recent European review of the available epidemiological data on the risk of neurodevelopmental disorders with use of paracetamol in pregnancy, the product information for paracetamol is already being updated to reflect the findings.</p><p>The MHRA has sought independent advice from its expert committees on this latest study which found an increased risk of neurocognitive effects in children born to women who took paracetamol during pregnancy. The expert committees advised that the new study adds to the existing body of evidence but does not provide any further insight into a possible causal association between in utero exposure to paracetamol and neurodevelopmental outcomes.</p><p>Patients should be advised that if necessary, paracetamol can be used during pregnancy. However, it should be used at the lowest possible dose that reduces symptoms and for the shortest time possible.</p><p>Pregnant women should speak to their doctor or midwife before taking any medicine, including paracetamol.</p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/10/2019 15:40:50 answering member 1481 label Biography information for Ms Nadine Dorries
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1038396

	registered interest
	date	09/01/2019
	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	Fertility: 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, what his policy is on whether decisions on the commissioning of fertility treatment should continue to be the responsibility of clinical commissioning groups.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	206861
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Government has no plans to change arrangements for the commissioning of National Health Service fertility services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/01/2019 17:16:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1122669

	registered interest
	date	24/04/2019
	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	Lumacaftor/ivacaftor
	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 his Department has made of the value of packs of Orkambi that have been disposed of while negotiations between NHS England and Vertex Pharmaceuticals are ongoing.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	247136
	answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>The Department has made no such estimate.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 13:18:10 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1122670

	registered interest
	date	24/04/2019
	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	X-rays
	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 whether hospitals frequently need to rely on the family members of patients to assist in x-ray procedures.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	247137
	answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>The Department has made no such assessment.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/05/2019 13:40:28 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1149549

	registered interest
	date	15/10/2019
	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	Non-surgical Cosmetic Procedures: 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 recent estimate he has made of (a) the number of under-18s who have had cosmetic fillers and Botox injections in the last year and (b) the cost to the NHS of correcting complications and mistakes involving those procedures; and if he will make it his policy to make it illegal for under-18s to be given injecting fillers.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	757
	answer	answer is ministerial correction date of answer 21/10/2019 answer text <p>The Department does not hold the information requested.</p><p>The Government is committed to improving the safety of cosmetic procedures through better training for practitioners, and clear information so that people can make informed decisions about their care.</p><p>The Department is working with stakeholders, including professional associations, to review industry standards of practice as part of the manifesto commitment to ensure there is “effective registration and regulation of those performing cosmetic interventions”. This work includes an assessment of the health risks and psychological impact of current access arrangements to injectable cosmetic procedures by children and young people.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/10/2019 15:40:04 answering member 1481 label Biography information for Ms Nadine Dorries
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1092106

	registered interest
	date	20/03/2019
	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	Intensive Care: Hampshire
	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 quality of critical care treatment in North Hampshire.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	234781
	answer	answer is ministerial correction date of answer 27/03/2019 answer text <p>The Care Quality Commission’s most recent report rated Basingstoke and North Hampshire Hospital critical care services as ‘good’ for providing safe, effective, responsive and well-led services. The service was outstanding for caring.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/03/2019 16:31:28 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1079345

	registered interest
	date	28/02/2019
	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	Electronic Cigarettes: 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 he is taking to address the findings of the Public Health England report entitled Vaping in England: evidence update summary February 2019 that the number of children who have tried e-cigarettes has doubled since 2014.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	227132
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>Public Health England’s (PHE) report ‘Vaping in England: evidence update summary February 2019’ found e-cigarette use among young people in Great Britain has increased only modestly in recent years.</p><p> </p><p>It found that, while experimentation with e-cigarettes among young people has increased in recent years, regular use remains low. Of the 2% of under 18s who used e-cigarettes weekly or more, the majority of those also smoked. Only 0.2% of young people who had never smoked used e-cigarettes regularly.</p><p> </p><p>The Government has put in place proportionate regulation of e-cigarettes to protect young people, including a minimum age of sale and tight restrictions on advertising. PHE continues to monitor the trends in vaping among young people alongside those in smoking, to ensure the Government is on track to achieve its ambition of a smoke-free generation. This can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:15:55 answering member 4067 label Biography information for Steve Brine
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1141282

	registered interest
	date	23/07/2019
	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	Electronic Cigarettes: 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 assessment he has made of the effect of the increased numbers of people vaping on (a) nicotine addiction, (b) incidences of increased blood pressure and (c) heart attack rates.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	281030
	answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>Public Health England (PHE) has published a series of reports on electronic cigarettes including the effects of vaping on health. The reports are available to view at the following link:</p><p><a href="https://www.gov.uk/government/collections/e-cigarettes-and-vaping-policy-regulation-and-guidance" target="_blank">https://www.gov.uk/government/collections/e-cigarettes-and-vaping-policy-regulation-and-guidance</a></p><p>While nicotine can contribute to raised blood pressure and cardiovascular risk, it is tar and carbon monoxide, which are the major sources of cardiovascular risk in cigarette smoke, producing nicotine vapour from a solution rather than by burning tobacco means that electronic cigarette vapour is free from almost all the toxic chemicals that accompany nicotine in cigarette smoke.</p><p>The Office for National Statistics has recorded the numbers of people using e-cigarettes since 2014 and the combined number of people using e-cigarettes and smoking has not increased since then. The proportion of people who smoke has decreased substantially in the same period.</p><p>PHE encourages people who both vape and smoke to stop smoking completely, because this greatly reduces health risks.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 05/08/2019 11:25:52 answering member 4380 label Biography information for Jo Churchill
	tabling member	4498 label Biography information for Mr Ranil Jayawardena