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577010

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Zika Virus: USA
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what warnings they are giving to prospective UK visitors to the USA about the dangers of contracting Zika virus, and whether they will highlight the most dangerous areas in the USA.
	tabling member printed	Lord Blencathra
	uin	HL1607
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>Public Health England (PHE) and the National Travel Health Network and Centre (NaTHNaC) introduced a risk-based approach for countries reporting Zika infection ahead of cases reported from Florida in the United States of America. PHE and NaTHNaC issued travel guidance about Florida as soon as cases were announced. A copy of this guidance is attached. The first locally acquired cases of Zika were reported from Florida on 29 July 2016. The guidance advised pregnant women to consider postponing non-essential travel to Florida. Links to NaTHNaC’s detailed, site-specific advice allowed clinicians to have in-depth discussions of the transmission risks in Florida with potential travellers.</p><p>A high risk alert was issued as more information became available stating: “The risk in Miami-Dade county is considered high and pregnant women are advised to postpone non-essential travel to Miami-Dade county until after their pregnancy.” Advice on reducing the risk of sexual transmission of Zika infection was also issued, which is included within the attached guidance.</p><p>The situation is constantly under review and assessment, and travel and sexual transmission guidance is updated regularly as new information emerges from Florida.</p> answering member printed Lord Prior of Brampton question first answered 16/09/2016 11:05:48 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name PQ Zika Virus advice on NaTHNaC website HL1607.pdf title Zika advice
	tabling member	497 label Biography information for Lord Blencathra

576850

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the potential benefits of mobile surgical health theatres; and whether such centres are included in the Sustainability and Transformation Plans.
	tabling member constituency	St Albans
	tabling member printed	Mrs Anne Main
	uin	45270
	answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>Under the Directed Enhanced Services directions to NHS England, there is a Minor Surgery Scheme, the underlying purpose of which is to ensure that a wide range of minor surgical procedures are made available as part of the primary medical services provided throughout England. Minor surgery is also one of the additional services which are set out in the General Medical Services Contract Regulations. It is for local areas to decide whether they include the development of these centres in their Sustainability and Transformation Plan.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 14:41:24 answering member 4080 label Biography information for David Mowat
	tabling member	1568 label Biography information for Mrs Anne Main

576839

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Strokes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans his Department has further to centralise the delivery of acute stroke services in metropolitan areas.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	45318
	answer	answer is ministerial correction date of answer 12/09/2016 answer text <p>NHS England’s National Clinical Director (NCD) for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.</p><p> </p><p>To ensure there is equitable access to high quality hyper acute stroke care regardless of time of stroke or where a patient has their stroke, NHS England’s NCD for stroke continues to work with Clinical Networks, Urgent and Emergency Care Networks, clinical commissioning groups and the Sustainability and Transformation Plan footprints on how stroke care is best delivered to their local communities.</p><p> </p><p>In some places, this is ‘the London type model’ of focussing care in a small number of centres and equipping these to be able to deliver specialist care 24/7. In other parts of the country, centralisation of care into specialist centres is not feasible for geographical reasons. In these cases, alternative solutions (such as the use of telemedicine) have to be considered. Whatever the scenario, NHS England is fully committed to ensuring that all patients receive the best quality of care and the most up to date treatments.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 45317 question first answered 12/09/2016 14:30:19 answering member 4080 label Biography information for David Mowat
	tabling member	474 label Biography information for Mr Nigel Evans

576872

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Stem Cells: Transplant Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the average cost for each patient of second allogeneic haematopoietic stem cell transplants for relapsed disease in each of the last five years; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	45182
	answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>No such estimate has been made.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 14/09/2016 16:51:15 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

576873

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Stem Cells: Transplant Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the total number of patients who have received a second allogeneic haematopoietic stem cell transplant for relapsed disease in each of the last five years; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	45181
	answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>The information is not held in the format requested.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 14/09/2016 16:49:27 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

576871

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sepsis: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people by age have been diagnosed with sepsis in the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	45207
	answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>Public Health England does not hold data in the format requested.</p><p> </p><p>The Health and Social Care Information Centre (HSCIC) is able to provide a count of the number of Finished Discharge Episodes (FDEs) with a primary or secondary diagnosis of sepsis, split by age band for providers in England for the years between 2010-11 and 2014-15.</p><p> </p><p>Information is not held centrally on patients diagnosed in the primary care setting.</p><p> </p><p>Table 1: A count of the number of FDEs with a primary or secondary diagnosis of sepsis, by age band for providers in England for the years between 2010-11 and 2014-15.</p><table><tbody><tr><td><p>Age Bands</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td></tr><tr><td><p>0-4</p></td><td><p>18,417</p></td><td><p>20,080</p></td><td><p>22,915</p></td><td><p>23,840</p></td><td><p>26,725</p></td></tr><tr><td><p>5-9</p></td><td><p>577</p></td><td><p>648</p></td><td><p>790</p></td><td><p>853</p></td><td><p>1,010</p></td></tr><tr><td><p>10-14</p></td><td><p>446</p></td><td><p>415</p></td><td><p>523</p></td><td><p>461</p></td><td><p>635</p></td></tr><tr><td><p>15-19</p></td><td><p>814</p></td><td><p>778</p></td><td><p>926</p></td><td><p>980</p></td><td><p>1,094</p></td></tr><tr><td><p>20-24</p></td><td><p>1,220</p></td><td><p>1,246</p></td><td><p>1,490</p></td><td><p>1,770</p></td><td><p>1,899</p></td></tr><tr><td><p>25-29</p></td><td><p>1,373</p></td><td><p>1,499</p></td><td><p>1,843</p></td><td><p>2,032</p></td><td><p>2,478</p></td></tr><tr><td><p>30-34</p></td><td><p>1,510</p></td><td><p>1,701</p></td><td><p>2,142</p></td><td><p>2,540</p></td><td><p>2,924</p></td></tr><tr><td><p>35-39</p></td><td><p>1,697</p></td><td><p>1,849</p></td><td><p>2,230</p></td><td><p>2,319</p></td><td><p>2,601</p></td></tr><tr><td><p>40-44</p></td><td><p>2,213</p></td><td><p>2,403</p></td><td><p>2,711</p></td><td><p>2,988</p></td><td><p>3,223</p></td></tr><tr><td><p>45-49</p></td><td><p>2,775</p></td><td><p>3,123</p></td><td><p>3,661</p></td><td><p>3,937</p></td><td><p>4,385</p></td></tr><tr><td><p>50-54</p></td><td><p>3,462</p></td><td><p>3,890</p></td><td><p>4,459</p></td><td><p>4,942</p></td><td><p>5,702</p></td></tr><tr><td><p>55-59</p></td><td><p>4,130</p></td><td><p>4,829</p></td><td><p>5,694</p></td><td><p>6,115</p></td><td><p>6,826</p></td></tr><tr><td><p>60-64</p></td><td><p>6,162</p></td><td><p>6,835</p></td><td><p>7,592</p></td><td><p>7,893</p></td><td><p>8,706</p></td></tr><tr><td><p>65-69</p></td><td><p>6,624</p></td><td><p>7,790</p></td><td><p>9,619</p></td><td><p>10,805</p></td><td><p>12,079</p></td></tr><tr><td><p>70-74</p></td><td><p>7,766</p></td><td><p>8,667</p></td><td><p>9,623</p></td><td><p>10,458</p></td><td><p>12,066</p></td></tr><tr><td><p>75-79</p></td><td><p>8,955</p></td><td><p>9,815</p></td><td><p>10,654</p></td><td><p>11,793</p></td><td><p>13,862</p></td></tr><tr><td><p>80-84</p></td><td><p>9,427</p></td><td><p>10,079</p></td><td><p>11,009</p></td><td><p>11,584</p></td><td><p>13,789</p></td></tr><tr><td><p>85-89</p></td><td><p>8,340</p></td><td><p>8,756</p></td><td><p>9,088</p></td><td><p>9,739</p></td><td><p>11,876</p></td></tr><tr><td><p>90+</p></td><td><p>5,553</p></td><td><p>6,054</p></td><td><p>6,740</p></td><td><p>7,156</p></td><td><p>9,173</p></td></tr><tr><td><p>Unknown</p></td><td><p>420</p></td><td><p>558</p></td><td><p>576</p></td><td><p>617</p></td><td><p>719</p></td></tr></tbody></table><p><em>Source: </em>Hospital Episode Statistics (HES), NHS Digital</p><p><strong> </strong></p><p><em>Notes:</em></p><ol><li>Finished Discharge Episode - A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.</li><li>Number of episodes in which the patient had a primary or secondary diagnosis - The number of episodes where this diagnosis was recorded in any of the 20 primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</li><li>ICD-10 codes for Sepsis include – “A02.1 Salmonella sepsis, A20.7 Septicaemic plague, A21.7 Generalized tularaemia, A22.7 Anthrax sepsis, A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis, A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn, <br> The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together: A39.1 Waterhouse-Friderichsen syndrome, E35.1 Disorders of adrenal glands in diseases classified elsewhere.</li></ol><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 14/09/2016 16:44:19 answering member 1542 label Biography information for Philip Dunne
	tabling member	4131 label Biography information for Jim Shannon

576825

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the report of the Decision Support Unit commissioned by NICE, Assessing technologies that are not cost-effective at zero price, published in July 2014, what progress has been made on the appraisal of combination medicines; and how policy for dealing with such medicines has changed as a result of that report.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	45231
	answer	answer is ministerial correction date of answer 12/09/2016 answer text <p>The National Institute for Health and Care Excellence has advised that it is actively exploring with colleagues in the pharmaceutical industry what policy responses could be developed to deal with the issues that have been raised.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 12/09/2016 14:48:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4056 label Biography information for Nic Dakin

576855

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the annual cost to the NHS of dispensed but unused prescription drugs.
	tabling member constituency	Colchester
	tabling member printed	Will Quince
	uin	45086
	answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>Information is not held centrally on the annual cost or amount of dispensed but unused prescription drugs in the National Health Service.</p><p> </p><p>The Department commissioned the York Health Economics Consortium and the School of Pharmacy at the University of London to carry out research to determine the scale, causes and costs of waste medicines in England. The report, <em>Evaluation of the Scale, Causes and Costs of Waste Medicines</em>, was published on 23 November 2010. This found that the gross cost of unused prescription medicines in primary and community care in the NHS in England in 2009 was £300 million a year and that up to £150 million of this was avoidable.</p><p> </p><p>NHS England is currently working with the Department and the NHS Business Services Authority to consider how value can best be obtained from the use of medicines, both in terms of patient outcomes and financial implications. This work, along with the medicines optimisation programme, will help ensure best value for both taxpayers and patients.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 14/09/2016 14:06:55 answering member 4080 label Biography information for David Mowat
	tabling member	4423 label Biography information for Will Quince

576870

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Palivizumab
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answers of 22 January 2016 to Question 22462 and 28 June 2016 to Question 40748, when NHS England plans to publish findings from its review of individual funding requests for palivizumab; whether that review will include details of the number of individual funding requests submitted, accepted and declined; and what the reason is for the time taken to publish the findings from that review.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	45146
	answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>NHS England has advised that, due to issues with patient identifiable information, it has not been possible to analyse the information on individual funding requests (IFRs) for palivizumab in detail at this stage.</p><p> </p><p>However, NHS England has advised that 57 IFR requests were received between August 2015 and January 2016 and that 11 (19%) were approved and 16 (28%) were rejected as they were outside the age range criteria. The remaining 30 were declined for a range of conditions that are not normally associated with respiratory syncytial virus.</p><p> </p><p>NHS England has issued a circular to its specialised commissioning teams and to providers of neonatal services, congenital heart services and specialised respiratory services outlining its 2016 commissioning position.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 14/09/2016 16:50:49 answering member 1542 label Biography information for Philip Dunne
	tabling member	1604 label Biography information for Mr Virendra Sharma

576838

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Obesity: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reasons restrictions on advertising and promotional deals on unhealthy foods were not included in the Government's childhood obesity plan.
	tabling member constituency	Heywood and Middleton
	tabling member printed	Liz McInnes
	uin	45212
	answer	answer is ministerial correction date of answer 12/09/2016 answer text <p>In developing the plan we have been very open about the fact we considered a number of different policies and have focused on the ones that are likely to have the biggest impact on childhood obesity.</p><p> </p><p>The policies in the plan are informed by the latest research and evidence, including from the Scientific Advisory Committee on Nutrition report <em>Carbohydrates and Health</em>, Public Health England’s evidence package <em>Sugar reduction: the evidence for action</em>, other government departments, debates in this House and various reports from key stakeholders including the Health Select Committee.</p><p> </p><p>Evidence shows that current restrictions on the advertising of less healthy food and drink in the United Kingdom are amongst the toughest in the world.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 12/09/2016 14:50:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4342 label Biography information for Liz McInnes