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449422

	registered interest
	date	01/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Zika Virus
	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 risk to the UK and Europe of the spread of the Zika virus.
	tabling member constituency	Linlithgow and East Falkirk
	tabling member printed	Martyn Day
	uin	25164
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>Public Health England (PHE) continue to monitor the situation closely and have provided revised travel advice and updated guidance to healthcare professionals on the management of patients returning from affected countries who present with symptoms. There is no evidence to suggest that the mosquitos that are known to carry Zika are established in the United Kingdom or could survive in our climate and therefore the risk to the UK population from Zika is very low. PHE is in regular contact with specialists in other European countries, as well as internationally, to make sure all necessary steps are being taken to protect the UK travelling public.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/02/2016 16:15:22 answering member 3918 label Biography information for Jane Ellison
	tabling member	4488 label Biography information for Martyn Day

447979

	registered interest
	date	26/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Viral Diseases: Offenders
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what health and social support is in place upon their release for individuals who are diagnosed with blood-borne virus while in prison or a secure institution.
	tabling member printed	Lord Dholakia
	uin	HL5473
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>NHS England, Public Health England (PHE) and the National Offender Management Service in their National Partnership Agreement have committed to support continuity of care for patients on transfer from custody to the community. This includes people diagnosed with blood-borne viruses (BBVs). The needs of such individuals will vary depending on the infection and whether they are receiving or need to receive treatment as well as the nature of the treatment itself.</p><p> </p><p>Ensuring patients leaving prison are registered with a general practitioner (GP) in the community is a key component of ensuring ongoing primary and specialist care. GPs are provided with a care summary record when the patient is discharged from prison. Patients are further supported by probation services, including Community Rehabilitation Companies who begin work ‘through the gate’ to support people leaving prisons in accessing accommodation, employment, welfare payments and education.</p><p> </p><p>PHE, the National Offender Management Service and NHS England published their Second National Partnership Agreement published in 2015. The scope of work described in the agreement includes “continuity of care through the prison gate into the community&quot;. A copy of the report has been attached.</p> answering member printed Lord Prior of Brampton question first answered 09/02/2016 16:44:03 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name National Partnership Agreement 2015-16.pdf title National Partnership Agreement 2015-16
	tabling member	2685 label Biography information for Lord Dholakia

448818

	registered interest
	date	28/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sugar: Taxation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether, in the light of the support from a range of health organisations, including the World Health Organization, they plan to reconsider a sugar tax as a part of the forthcoming childhood obesity strategy.
	tabling member printed	Lord Pendry
	uin	HL5598
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>As part of its review to identify possible actions to reduce sugar intakes and inform the Government’s thinking on sugar, Public Health England considered the current evidence around fiscal measures such as a tax on sugary foods and drinks. We are considering this alongside other evidence as we develop our childhood obesity strategy which will be launched shortly. It will look at everything, including sugar, that contributes to a child becoming overweight and obese. It will also set out what more can be done by all sides.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL5599 question first answered 09/02/2016 15:53:39 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	457 label Biography information for Lord Pendry

448819

	registered interest
	date	28/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sugar: Taxation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what assessment they have made of the extent of evidence and support, nationally and internationally, for a sugar tax as an element of tackling obesity, and why they do not support such a tax.
	tabling member printed	Lord Pendry
	uin	HL5599
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>As part of its review to identify possible actions to reduce sugar intakes and inform the Government’s thinking on sugar, Public Health England considered the current evidence around fiscal measures such as a tax on sugary foods and drinks. We are considering this alongside other evidence as we develop our childhood obesity strategy which will be launched shortly. It will look at everything, including sugar, that contributes to a child becoming overweight and obese. It will also set out what more can be done by all sides.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL5598 question first answered 09/02/2016 15:53:39 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	457 label Biography information for Lord Pendry

449396

	registered interest
	date	01/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Soft Drinks
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions (a) he and (b) the Minister for Public Health has had with Ministers in HM Treasury on the fiscal effect of an additional tax on soft drinks containing sugar.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	25043
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>There are ongoing discussions between the Department and other Government departments, including HM Treasury, to consider a range of options to reduce sugar consumption.</p><p> </p><p>We will be launching our childhood obesity strategy in due course. It will look at everything, including sugar, that contributes to a child becoming overweight and obese.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/02/2016 16:04:04 answering member 3918 label Biography information for Jane Ellison
	tabling member	1506 label Biography information for Andrew Gwynne

449429

	registered interest
	date	01/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sepsis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many cases of sepsis there were in each region of England in each of the last five years.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	25208
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis of sepsis for patients in each government office region of residence in England, in each year from 2010-11 to 2014-15 are provided below.</p><p> </p><p>These figures relate only to hospital admissions and do not include those patients who were diagnosed in a primary care setting, or those who attended hospital as an Outpatient.</p><p> </p><p>This is not a count of patients as the same patient may have had more than one episode of care within the same year.</p><p> </p><p>Count of FDEs<sup>1</sup> with a primary or secondary diagnosis<sup>2</sup> of sepsis<sup>3</sup> for patients in each government office region of residence for 2010-11 to 2014-15<sup>4. </sup>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p><p> </p><table><tbody><tr><td><p>Government office region</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>North East</p></td><td><p>4,798</p></td><td><p>5,074</p></td><td><p>5,655</p></td><td><p>6,275</p></td><td><p>7,388</p></td></tr><tr><td><p>North West</p></td><td><p>13,258</p></td><td><p>13,109</p></td><td><p>14,708</p></td><td><p>17,221</p></td><td><p>20,922</p></td></tr><tr><td><p>Yorkshire and The Humber</p></td><td><p>9,182</p></td><td><p>9,189</p></td><td><p>10,146</p></td><td><p>11,338</p></td><td><p>12,857</p></td></tr><tr><td><p>East Midlands</p></td><td><p>7,316</p></td><td><p>8,115</p></td><td><p>9,831</p></td><td><p>10,863</p></td><td><p>12,998</p></td></tr><tr><td><p>West Midlands</p></td><td><p>7,772</p></td><td><p>7,915</p></td><td><p>10,518</p></td><td><p>12,297</p></td><td><p>13,812</p></td></tr><tr><td><p>East of England</p></td><td><p>10,380</p></td><td><p>10,432</p></td><td><p>11,647</p></td><td><p>13,108</p></td><td><p>16,029</p></td></tr><tr><td><p>London</p></td><td><p>14,894</p></td><td><p>15,223</p></td><td><p>15,580</p></td><td><p>17,860</p></td><td><p>19,723</p></td></tr><tr><td><p>South East</p></td><td><p>13,945</p></td><td><p>15,344</p></td><td><p>16,604</p></td><td><p>19,239</p></td><td><p>21,378</p></td></tr><tr><td><p>South West</p></td><td><p>8,013</p></td><td><p>8,292</p></td><td><p>9,805</p></td><td><p>10,967</p></td><td><p>12,722</p></td></tr><tr><td><p>England - Not Otherwise Specified</p></td><td><p>48</p></td><td><p>83</p></td><td><p>75</p></td><td><p>84</p></td><td><p>102</p></td></tr><tr><td><p>Unknown/Non-England</p></td><td><p>2,275</p></td><td><p>8,239</p></td><td><p>9,716</p></td><td><p>3,570</p></td><td><p>3,841</p></td></tr><tr><td><p>Total</p></td><td><p>91,881</p></td><td><p>101,015</p></td><td><p>114,285</p></td><td><p>122,822</p></td><td><p>141,772</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p>The increasing incidence of sepsis is likely to be due to people living longer and more medical and surgical interventions being performed. People with series co-morbidities are more likely to survive their illness, and for a longer period of time than in previous decades, which leads to much of the hospital-acquired sepsis that now occurs.</p><p> </p><p><em>Notes:</em></p><p> </p><p><sup>1</sup>Finished Discharge Episode (FDE)<strong> - </strong>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.</p><p><sup>2</sup>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 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) 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.</p><p><sup>3</sup>ICD-10 codes for Sepsis - 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:<br> A39.1 Waterhouse-Friderichsen syndrome; E35.1 Disorders of adrenal glands in diseases classified elsewhere</p><p><sup>4</sup>Assessing growth through time (Admitted patient care) - HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p>Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1st April 2012 and 31st March 2013.</p><p><strong> </strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 09/02/2016 16:31:58 answering member 3988 label Biography information for Ben Gummer
	tabling member	4418 label Biography information for Justin Madders

447975

	registered interest
	date	26/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Screening: Prisoners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many prisoners have been tested for (1) hepatitis B, (2) hepatitis C, and (3) HIV, in each of the last three years.
	tabling member printed	Lord Dholakia
	uin	HL5469
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>Public Health England (PHE) collects data on people in prison tested for blood-borne viruses (BBVs) via the Sentinel Surveillance Study. This system does not currently receive reports from all prisons in England where testing occurs. Currently 28 prisons report data representing approximately 30% of the standing prison population in England so this data does not represent the total amount of testing currently happening in the prison estate.</p><p> </p><p>Table 1 shows data from this system on the total number of prisoners tested for BBVs in the calendar years 2012-2014. Similar information from this study for the year 2015 will not be available until mid-year 2016. NHS England also collects data on levels of testing for BBVs in prisons via the Health &amp; Justice Indicators of Performance (HJIPs). The numbers of tests for BBVs in these data are presented in Table 2. The higher number is due to the greater coverage of prisons by this dataset. NHS England data is not used for 2012, 2013 and 2014 is not available because HJIPs were only introduced last year.</p><p> </p><p> </p><p><strong><br> </strong></p><p> </p><p> </p> answering member printed Lord Prior of Brampton question first answered 09/02/2016 16:56:45 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Tables for HL5469.docx title Table 1 and Table 2 HL5469
	tabling member	2685 label Biography information for Lord Dholakia

447976

	registered interest
	date	26/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Screening: Prisoners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what percentage of prisoners they plan to test for blood-borne viruses in each of the next five years, in the light of the introduction of opt-out testing in prisons.
	tabling member printed	Lord Dholakia
	uin	HL5470
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>Public Health England (PHE) working in partnership with NHS England and the National Offender Management Service (NOMS) have been implementing opt-out testing for blood-borne viruses (BBVs) since 2013/14 through a phased implementation programme using ‘pathfinder prisons’ with plans for the programme to be available in every adult prison in England by the end of financial year 2016/17. All consenting eligible adult prisoners will be offered the opportunity to test.</p><p> </p><p>Prisoners eligible for testing include those not known to be infected with BBVs who have not been tested recently and/or who had risk behaviour since their last test. Therefore over the next five years and beyond, we plan to offer tests for BBVs to all adult prisoners who fall into these categories. Phased implementation of the BBV opt-out testing programme in prisons has been informed by evaluation of pathfinder prisons. Preliminary data from suggests a near doubling of BBV testing following the introduction of the opt-out testing policy. Offer, uptake and outcome of testing is being collected by both the Health &amp; Justice Indicators of Performance at prison level as well as through PHE’s sentinel surveillance study.</p> answering member printed Lord Prior of Brampton question first answered 09/02/2016 16:40:08 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2685 label Biography information for Lord Dholakia

450763

	registered interest
	date	04/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pharmaceutical Price Regulation Scheme
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the written statement of 5 January 2016, HCWS447, what the value is of the payment that will be made to his Department by the pharmaceutical industry in 2016 referred to in that statement.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	25939
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>The Department publishes the estimated United Kingdom and England Income from the Pharmaceutical Price Regulation Scheme (PPRS) payments on the GOV.UK website.</p><p> </p><p>This information is available to view at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/487575/payment_percentage_2016.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/487575/payment_percentage_2016.pdf</a></p><p> </p><p>Estimated UK and England income from PPRS payments</p><p> </p><table><tbody><tr><td><p>£ million</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td></tr><tr><td><p>UK</p></td><td><p>800</p></td><td><p>647</p></td></tr><tr><td><p>England</p></td><td><p>640</p></td><td><p>518</p></td></tr></tbody></table><p> </p><p> </p><p>Individual PPRS members make quarterly PPRS Payments to the Department in arrears. Each payment, which is based on a company’s quarterly sales report, is made one month after the end of each quarter of the calendar year.</p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 25938 question first answered 09/02/2016 14:24:39 answering member 4020 label Biography information for George Freeman
	tabling member	4418 label Biography information for Justin Madders

450773

	registered interest
	date	04/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pharmaceutical Price Regulation Scheme
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the written statement of 5 January 2016, HCWS447, in what month of 2016 his Department expects to receive the advance payment from the pharmaceutical industry referred to in that statement.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	25938
	answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>The Department publishes the estimated United Kingdom and England Income from the Pharmaceutical Price Regulation Scheme (PPRS) payments on the GOV.UK website.</p><p> </p><p>This information is available to view at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/487575/payment_percentage_2016.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/487575/payment_percentage_2016.pdf</a></p><p> </p><p>Estimated UK and England income from PPRS payments</p><p> </p><table><tbody><tr><td><p>£ million</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td></tr><tr><td><p>UK</p></td><td><p>800</p></td><td><p>647</p></td></tr><tr><td><p>England</p></td><td><p>640</p></td><td><p>518</p></td></tr></tbody></table><p> </p><p> </p><p>Individual PPRS members make quarterly PPRS Payments to the Department in arrears. Each payment, which is based on a company’s quarterly sales report, is made one month after the end of each quarter of the calendar year.</p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 25939 question first answered 09/02/2016 14:24:39 answering member 4020 label Biography information for George Freeman
	tabling member	4418 label Biography information for Justin Madders