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789042

	registered interest
	date	14/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	European Food Safety Authority
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to Article 49 of EU Regulation No 178/2002, whether the UK plans to seek participation with the European Food Standards Agency after the UK has left the EU.
	tabling member constituency	Aberavon
	tabling member printed	Stephen Kinnock
	uin	113028
	answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>Departments are currently working together to understand the impacts that withdrawal from the European Union will have across a number of sectors and cross-cutting areas, including the European Food Safety Authority. The European Food Safety Authority provides independent scientific advice and risk assessments covering a wide range of policy areas. Options for the future of risk assessment and scientific advice in the United Kingdom after the UK has left the EU are being considered by the Government. It will be our priority to maintain the UK’s high standards of food and feed safety, and to ensure we take a risk-based, proportionate approach when providing risk assessments.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2017 15:02:32 answering member 4067 label Biography information for Steve Brine
	tabling member	4359 label Biography information for Stephen Kinnock

789081

	registered interest
	date	14/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	European Monitoring Centre for Drugs and Drug Addiction
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to Article 13 of EU Council Regulation No 302/93, whether the UK plans to seek formal cooperation with the European Monitoring Centre for Drugs and Drug Addiction after the UK has left the EU.
	tabling member constituency	Aberavon
	tabling member printed	Stephen Kinnock
	uin	113030
	answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>As part of the negotiations, we are examining the European Union security measures we are currently part of, including alternative health security arrangements. We are seeking a strategic partnership to continue a close working relationship with our European partners. However, whilst negotiations are ongoing, we are not in a position to speculate on the United Kingdom’s future participation in individual organisations, which includes the European Monitoring Centre for Drugs and Drug Addiction.</p><p> </p><p>The UK is a world leader in tackling serious cross-border threats to health and has a well-developed health protection system, which includes the collection of data on drugs and drug usage, that is highly regarded by European partners. It is in everyone’s interests to continue to collaborate closely and to continue sharing of data and intelligence.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2017 15:07:46 answering member 4067 label Biography information for Steve Brine
	tabling member	4359 label Biography information for Stephen Kinnock

789281

	registered interest
	date	14/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	European Centre for Disease Prevention and Control
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the UK plans to seek to participate in the European Centre for Disease Prevention and Control after the UK leaves the EU.
	tabling member constituency	Aberavon
	tabling member printed	Stephen Kinnock
	uin	113115
	answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>As part of the negotiations, we are examining the European Union security measures we are currently part of, including alternative health security arrangements. We are seeking a strategic partnership to continue a close working relationship with our European partners. However, whilst negotiations are ongoing, we are not in a position to speculate on the United Kingdom’s future participation in individual organisations, which includes the European Centre for Disease Prevention and Control.</p><p> </p><p>The UK is a world leader in tackling serious cross-border threats to health and has a well-developed health protection system that is highly regarded by European partners. We use and benefit from a range of international information-sharing tools in the area of health security, which are by no means limited to EU mechanisms but include other channels such as the 2005 International Health Regulations. In addition, the UK already has good collaborative relationship with other international partners such as the World Health Organization. It is in everyone’s interests to continue to collaborate closely, and to maintain access to our intelligence, risk assessment, guidance and management advice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2017 15:03:45 answering member 4067 label Biography information for Steve Brine
	tabling member	4359 label Biography information for Stephen Kinnock

751337

	registered interest
	date	12/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Primary Care Support England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the administration by Primary Care Support England.
	tabling member constituency	Amber Valley
	tabling member printed	Nigel Mills
	uin	4641
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4636 4637 4642 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4136 label Biography information for Nigel Mills

751338

	registered interest
	date	12/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the administration by Primary Care Support England of GP salaries and pensions.
	tabling member constituency	Amber Valley
	tabling member printed	Nigel Mills
	uin	4642
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4636 4637 4641 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4136 label Biography information for Nigel Mills

751364

	registered interest
	date	12/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Pensions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average length of time was for Primary Care Support England to process a change in circumstances notified by a GP in relation to its pension scheme in 2016-17.
	tabling member constituency	Amber Valley
	tabling member printed	Nigel Mills
	uin	4636
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4637 4641 4642 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4136 label Biography information for Nigel Mills

751373

	registered interest
	date	12/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Pensions
	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 number of (a) overpayments and (b) underpayments of GP pension contributions by Primary Care Support England at 31 March 2017.
	tabling member constituency	Amber Valley
	tabling member printed	Nigel Mills
	uin	4637
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4636 4641 4642 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4136 label Biography information for Nigel Mills

767580

	registered interest
	date	09/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Shingles: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reasons the shingles vaccine is not available to people between the age of 73 and 77; and if the Government will make that vaccine available to those people.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	106723
	answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>The Joint Committee for Vaccination and Immunisation recommend shingles vaccination for adults aged 70 years up to and including 79 years.</p><p> </p><p>The programme started in 2013 for those aged 70 and 79 years. Eligibility has been extended with each year as determined by annual negotiations between the Department and NHS England on the capability of the National Health Service to provide additional immunisations, and the affordability of doing so. Shingles immunisation is currently available for those aged 70-74 years, some of those aged 75 years (those born after 1 September 1942) and 78–79 year olds. The remaining individuals aged between 75 to 77 years are expected to become eligible when they reach 78 years of age.</p><p> </p><p>Medical professionals are able to apply their clinical discretion and offer immunisation to those who are not currently eligible but could benefit clinically, for example those with underlying health issues or a history of shingles. Shingles immunisation is also available privately.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 13:13:25 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

776231

	registered interest
	date	23/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Arthritis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 1 February 2017 to Question 62116, on arthritis, what steps his Department is taking to increase the proportion of patients offered education and self-management services within one month of being diagnosed with arthritis.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	109155
	answer	answer is ministerial correction date of answer 26/10/2017 answer text <p>Clinical commissioning groups are responsible for commissioning services that offer education and self-management for patients diagnosed with arthritis. Currently, there is no consistent national data to identify the proportion of patients offered education and self-management within a month of being diagnosed.</p><p> </p><p>There has been significant progress in identifying the evidence base for new care models and optimal pathway solutions that offer better care and treatment for people diagnosed with arthritis. These include better access to first contact musculoskeletal physio practitioners and delivery of community based self-management rehabilitation programmes such as Escape Pain, StartBack or Pathway through Pain Programmes.</p><p> </p><p>The Five Year Forward View has made a specific commitment to do more to support people with long-term conditions and to help them manage their own health. Self-management increases the likelihood of better clinical outcomes, lower rates of hospitalisation and less need for emergency care.</p><p> </p><p>The National Institute for Health and Care Excellence has published a best practice clinical guideline and corresponding Quality Standard for both rheumatoid arthritis (RA) and osteoarthritis, both of which highlight the importance of self-management approaches and lifestyle advice in supporting patients to manage their condition. For RA this is outlined in a Quality Standard. Links are provided below:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/qs33/resources/rheumatoid-arthritis-in-over-16s-2098604563909" target="_blank">www.nice.org.uk/guidance/qs33/resources/rheumatoid-arthritis-in-over-16s-2098604563909</a></p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg177" target="_blank">www.nice.org.uk/guidance/cg177</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/10/2017 13:49:41 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

788557

	registered interest
	date	13/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Gluten-free Foods: Prescriptions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Answer of 27 April 2017 to Question 71681, on Coeliac disease: prescriptions, what plans he has to protect those who manufacture gluten-free products from the effect of the proposed removal of gluten-free products from prescriptions.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	112718
	answer	answer is ministerial correction date of answer 16/11/2017 answer text <p>In March this year, the Department ran a 12 week public consultation on the availability of gluten free foods on prescription. Nearly 8,000 responses were received and these are currently being analysed. The Government is committed to ensuring maximum value for patients and service users from every pound spent in the National Health Service. While we would not want to see manufacturers disadvantaged as a result of any decision we may take, no decision has yet been made on the removal of gluten-free products from prescriptions and we cannot pre-empt the outcome of the consultation.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/11/2017 12:26:37 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis