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1108693

	registered interest
	date	01/04/2019
	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	Cannabis: 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 discussions his Department has had with NICE on the prescription of medicinal cannabis oil for patients with (a) cerebral palsy and (b) arthritis.
	tabling member constituency	Banff and Buchan
	tabling member printed	David Duguid
	uin	239283
	answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>The Department has not discussed with the National Institute for Health and Care Excellence (NICE) the prescription of medicinal cannabis oil for patients with cerebral palsy and arthritis.</p><p> </p><p>NICE is the independent expert body that develops authoritative, evidence-based guidance for the National Health Service on whether drugs and other treatments represent a clinically and cost effective use of NHS resources. NICE is developing guidance on the prescribing of cannabis-based medicinal products by October 2019. It will be based on the best available international evidence and will have been produced using NICE’s world-renowned process for delivering such guidance.</p><p> </p><p>Following a public consultation on the draft scope, the guidance will focus on the use of cannabis-based products in the treatment of chronic pain, intractable nausea and vomiting, spasticity and severe treatment-resistant epilepsy, conditions where the evidence is currently most advanced. A consultation on the draft guidance is expected in the summer.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:41:04 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4606 label Biography information for David Duguid

1108996

	registered interest
	date	02/04/2019
	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	Health Services: Travellers and Homelessness
	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 (a) his Department plans to take with the NHS to respond to the findings of the Friends Families and Travellers’ report entitled No room at the inn: How easy is it for nomadic Gypsies and Travellers to access primary care and (b) the NHS plans to take to ensure homeless people can access healthcare at any GP practice they choose.
	tabling member constituency	Bermondsey and Old Southwark
	tabling member printed	Neil Coyle
	uin	240011
	answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>Registering with and access to primary medical care services is the same for all patients, whether they are gypsies, travellers, or homeless people. People do not need to provide proof of address to register with a general practice (GP). NHS England is working with a range of community groups to redesign the patient registration leaflet so that people are aware of this when registering. The free NHS 111 service can assist anyone who has faced difficulty finding a GP or accessing other services in their local area.</p><p> </p><p>NHS England is aware of difficulties some individuals have faced when trying to register with a GP and is taking steps to address shortcomings with individual practices, working in partnership with the voluntary sector.</p><p> </p><p>The Voluntary, Community and Social Enterprise Health and Wellbeing Alliance is a partnership arrangement with the aim to facilitate integrated working between the voluntary and statutory sectors, to promote equality and reduce health inequalities. It receives £1.2 million for core work from the Department, with each member receiving funding of up to £60,000. Families and Travellers is a member of the Alliance and have supported the Department on a range of work to date including the Inclusion Health Audit Tool, on maternal health, mental health, end of life care and dementia.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:33:43 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4368 label Biography information for Neil Coyle

1109014

	registered interest
	date	02/04/2019
	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	Obesity
	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 access to Tier 3 obesity services.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	240051
	answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>Public Health England has been working with NHS England to support approaches to obesity as part of the NHS Long Term Plan. The NHS Long Term Plan has a number of different actions to support the drive to reduce obesity, including investment in tier 3 services for both children and adults and plans are in development for this expansion. This will result in, for example, a further 1,000 children a year being treated by 2022/23 for severe complications related to obesity.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:35:00 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4532 label Biography information for Derek Thomas

1109018

	registered interest
	date	02/04/2019
	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	Obesity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 27 March 2018 to Question 133501 on obesity, for what reason his Department does not hold information on the number of tier three obesity services commissioned by clinical commissioning groups or local authorities; and whether he plans to collate that information.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	240054
	answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>It would not be cost-effective for the Department to collect data on every clinical intervention, including information on tier three obesity services commissioned by clinical commissioning groups or local authorities.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:36:07 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4532 label Biography information for Derek Thomas

1109022

	registered interest
	date	02/04/2019
	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	Sterilisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many Clinical Commissioning Groups commission vasectomy services for patients who are not in exceptional circumstances.
	tabling member constituency	Oxford East
	tabling member printed	Anneliese Dodds
	uin	240100
	answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>This is a matter for local clinical commissioning groups, and the information requested is not held centrally by the Department or NHS England.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 08/04/2019 15:26:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4657 label Biography information for Anneliese Dodds

1109054

	registered interest
	date	02/04/2019
	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	Cytomegalovirus
	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 improve the (a) diagnosis and (b) treatment of cytomegalovirus in infants and children.
	tabling member constituency	Glasgow East
	tabling member printed	David Linden
	uin	240083
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Experts advise that cytomegalovirus (CMV) remains difficult to diagnose because in the majority of cases the baby presents normally at birth.</p><p> </p><p>In 2017, the Royal College of Obstetricians and Gynaecology (RCOG) published an update for the treatment of congenital CMV infection, acknowledging that therapeutic options such as antiviral therapy are still being evaluated within the research setting. The RCOG will consider whether the paper needed to be updated.</p><p> </p><p>Departmental officials will be meeting the charity CMV Action next month to discuss their recommendations to prevent, diagnose and intervene.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:32:18 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4640 label Biography information for David Linden

1109060

	registered interest
	date	02/04/2019
	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	Cytomegalovirus
	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 he has made of the costs incurred to NHS England each year of treating cytomegalovirus.
	tabling member constituency	Glasgow East
	tabling member printed	David Linden
	uin	240088
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>This information is not held centrally. The range of procedures and diagnoses that may cover cytomegalovirus mean it is not possible to provide a cost of treatment.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:50:04 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4640 label Biography information for David Linden

1109066

	registered interest
	date	02/04/2019
	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	Pancreatic Cancer
	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 his Department is taking to increase the survival rate of patients with pancreatic cancer.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	239856
	answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>Later this year, the Government will begin the roll-out of new Rapid Diagnostic Centres across the country to upgrade and bring together the latest diagnostic equipment and expertise, which focus on diagnosing cancers where patients often present with non-specific symptoms, like pancreatic cancer, and may go to their general practitioner (GP) many times before being sent for tests.</p><p> </p><p>This is part of the NHS Long Term Plan that was published in January 2019. It sets a new ambition that, by 2028, the proportion of cancers diagnosed at stages 1 and 2 will rise from around half now to three-quarters of cancer patients. Achieving this will mean that, from 2028, 55,000 more people each year will survive their cancer for at least five years after diagnosis. We will build on work to raise greater awareness of symptoms of cancer, lower the threshold for referral by GPs, accelerate access to diagnosis and treatment and maximise the number of cancers that we identify through screening. This includes the use of personalised and risk stratified screening and beginning to test the family members of cancer patients where they are at increased risk of cancer.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 08/04/2019 15:28:26 answering member 4455 label Biography information for Seema Kennedy
	tabling member	308 label Biography information for Mr Jim Cunningham

1109089

	registered interest
	date	02/04/2019
	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	Prescription Drugs: Packaging
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of NHS prescription drugs are issued in recyclable packaging.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	240096
	answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 08/04/2019 15:27:29 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4653 label Biography information for Stephen Morgan

1109188

	registered interest
	date	02/04/2019
	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	General Practitioners: Bexley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average waiting time for patients to see their GP in Bexley has been for (a) non-emergency appointments and (b) emergency appointments in the last twelve months.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	239895
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Bexley Clinical Commissioning Group (CCG) currently only captures data from four of its 23 general practices due to interoperability issues with one of the clinical system suppliers. However, national roll out of a new system to share this data is expected this month, meaning the relevant data for the remaining practices in Bexley should be available from May 2019.</p><p> </p><p>The time between booking an appointment with a general practice and having the appointment, in days, for the practices where data is currently collected in Bexley CCG is presented in the attached table for the last available published date which was February 2019. A 12 month average from March 2018 - February 2019 has also been presented along with a comparison to the average across all appointments in England. NHS Digital’s ‘Appointments in General Practice’ data is published monthly with a two-month time lag.</p><p> </p><p>The appointments data does not differentiate between emergency and routine appointments in general practice and the ‘time from booking to appointment’ does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Bexley</p></td><td><p>England</p></td><td><p>Bexley</p></td><td><p>England</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>February 2019</p></td><td colspan="2"><p>March 2018 to February 2019</p></td></tr><tr><td><p>Same Day</p></td><td><p>35.8%</p></td><td><p>42.3%</p></td><td><p>38.1%</p></td><td><p>42.2%</p></td></tr><tr><td><p>1 Day</p></td><td><p>6.2%</p></td><td><p>6.8%</p></td><td><p>6.8%</p></td><td><p>6.8%</p></td></tr><tr><td><p>2 to 7 Days</p></td><td><p>20.6%</p></td><td><p>19.8%</p></td><td><p>22.9%</p></td><td><p>20.1%</p></td></tr><tr><td><p>8 to 14 Days</p></td><td><p>20.1%</p></td><td><p>14.4%</p></td><td><p>17.2%</p></td><td><p>13.8%</p></td></tr><tr><td><p>15 to 21 Days</p></td><td><p>8.5%</p></td><td><p>7.6%</p></td><td><p>7.4%</p></td><td><p>7.4%</p></td></tr><tr><td><p>22 to 28 Days</p></td><td><p>5.8%</p></td><td><p>5.1%</p></td><td><p>4.7%</p></td><td><p>5.0%</p></td></tr><tr><td><p>More than 28 Days</p></td><td><p>2.9%</p></td><td><p>4.0%</p></td><td><p>3.0%</p></td><td><p>4.7%</p></td></tr><tr><td><p>Total</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td></tr></tbody></table><p> </p><p>The time between booking an appointment with a general practice and having the appointment, in days, for all data available in Bexley CCG is presented above for the last published month February 2019 and as a 12 month average from March 2018 - February 2019 along with a comparison to the average across all appointments in England.</p><p>Notes:</p><ol><li>Data has only been able to be captured from up to four out of the 23 GP practices in Bexley due to interoperability issues with one of the clinical system suppliers.</li><li>NHS Digital currently only publish data from Egton Medical Information Systems (EMIS) and The Phoenix Partnership (TPP) practice systems but are working with other general practitioner (GP) systems to bring them on board in future developments.</li><li>There are several factors that drive the time from a booking to an appointment. This includes appointment availability at the practice, patient availability, the urgency of the appointment and GP advice.</li><li>The data does not differentiate between emergency and routine appointments in general practice.</li><li>The data does not include any information about the patients or clinical information.</li><li>The data in the response includes appointments with all healthcare professional types, including GPs and other practice staff.</li><li>Not all practices in England are included in the appointments in general practice publication, meaning the total number of appointments is not known.</li><li>Same day and next day bookings are of particular interest so are presented here separately. Further bookings are presented grouped by weeks.</li><li>The number of appointments that have already happened is provided as recorded in participating EMIS and TPP practices in England. The data presented only contains information which was captured on the GP practice systems. This limits the activity reported on and does not represent all work happening within a primary care setting.</li></ol><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:34:29 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1198 label Biography information for Sir David Evennett