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1138078

	registered interest
	date	10/07/2019
	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	Mental Health Services: Prisons
	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 mental health of prisoners.
	tabling member constituency	Richmond Park
	tabling member printed	Zac Goldsmith
	uin	275743
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS England and NHS Improvement are currently working across the entire criminal justice pathway to develop and improve services for offenders with mental health difficulties.</p><p> </p><p>NHS England and NHS Improvement are working with partners to intervene at the earliest opportunity to ensure that offenders receive the right care, in the right place, at the right time.</p><p> </p><p>Liaison and Diversion Services operate in police stations and courts to identify and assess people with vulnerabilities including mental health issues. Where that individual is subsequently sent to prison the receiving prison will have the relevant information of the individual’s mental health needs to inform the reception healthcare staff so that they can implement appropriate interventions as soon as possible after they arrive.</p><p> </p><p>Health services are available across the estate where assessment identifies treatment needs.</p><p> </p><p>The service specification for prison mental health services was reviewed in 2017-18. This review, led by clinicians in conjunction with stakeholders and informed by experts with experience, was published in March 2018, with all new services being commissioned against it from April 2018. The new specification includes the Royal College of Psychiatrists Quality Network for Prison Mental Health Services standards, ensuring equity of quality across the estate.</p><p> </p><p>NHS England and NHS Improvement are currently consulting on revised Transfer and Remission guidance to ensure that new clinically developed timescales are set which ensure timely and appropriate access to mental health treatment in hospital when necessary, in a clinically safe and well managed way. The consultation ends on 19 July 2019.</p><p> </p><p>The NHS Long Term Plan committed to a new service to support people leaving custody to remain engaged with community-based healthcare services. The reconnect service will support continuity of care when people return to the community.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 13:33:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1138079

	registered interest
	date	10/07/2019
	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	Mental Illness: Prisoners
	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 proportion of the prison population with mental health problems.
	tabling member constituency	Richmond Park
	tabling member printed	Zac Goldsmith
	uin	275744
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>No estimate has been made of the proportion of the prison health population with mental health problems.</p><p> </p><p>Currently a closed system is used to record clinical data in prisons. The Health and Justice Information Service system, being rolled out between 2018-20, will have the ability to share information with community healthcare services; this is integral to the collection of relevant data that is quality assured and robust.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 13:33:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1137156

	registered interest
	date	05/07/2019
	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	Preventive Medicine
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what is his timeframe is for the publication of the Prevention Green Paper.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	273728
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>I refer the hon. Member to the answer given by the former Parliamentary Under Secretary of State (Steve Brine MP) to the hon. Member for Glasgow Central (Alison Thewliss MP) on 16 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-09/206879/" target="_blank">206879</a>.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:25:26 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1137162

	registered interest
	date	05/07/2019
	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	Obesity: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the Childhood Obesity Plan: a plan for action, chapter 2, published on 25 June 2018, what progress he has made on reducing children's consumption of sugary drinks and food.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	273730
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The National Diet and Nutrition Survey is used to monitor consumption trends in the United Kingdom population. Data covering the period after publication of the Childhood Obesity Plan will become available in 2020.</p><p>As part of the Childhood Obesity Plan, Public Health England (PHE) oversees a sugar reduction programme. In May 2018, PHE published a report assessing progress in the first year of the programme. This showed sugar in retailer own brand and manufacturer branded products reduced by 2% overall, with larger reductions in some individual product categories. Sugar in drinks covered by the Soft Drinks Industry Levy reduced by 11%. Data also showed that consumers are buying more drinks that have sugar levels below five grams per 100 millilitres. The report is available at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/709008/Sugar_reduction_progress_report.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/709008/Sugar_reduction_progress_report.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:26:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1137152

	registered interest
	date	05/07/2019
	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	Magnetic Resonance Imagers
	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 4 July 2019 to Question 270294, how many MRI machines there are in the NHS.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	273744
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The information requested is not currently held.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:29:22 answering member 4455 label Biography information for Seema Kennedy
	tabling member	481 label Biography information for Sir George Howarth

1137153

	registered interest
	date	05/07/2019
	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	Radiology: Staff
	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 4 July to Question 270295, how many radiologists (a) work for the NHS and (b) will be recruited in the next five years.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	273745
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p>As at March 2019, the latest available data, there were over 4,300 clinical radiologists employed by National Health Service trusts and CCGs - this is 1,100 more since 2010.</p><p>The interim NHS People Plan, published on 3 June 2019, puts the workforce at the heart of the NHS and will ensure we have the staff needed to deliver high quality care. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p> </p><p>The Cancer Workforce Plan for England, published in December 2017 by Health Education England (HEE), set out plans to expand capacity and skills in the cancer workforce, including targeting additional training support for seven priority professions such as clinical radiology, histopathology, oncology and diagnostic and therapeutic radiography. Since 2017 there has been an increase of 343 full time equivalent staff within clinical radiology.</p><p> </p><p>HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications of further development of cancer services. This work will inform the final People Plan.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:28:20 answering member 4455 label Biography information for Seema Kennedy
	tabling member	481 label Biography information for Sir George Howarth

1138179

	registered interest
	date	10/07/2019
	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	Dementia: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make it is policy to introduce a dedicated dementia fund as recommended by the Alzheimer's Society.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	275693
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275694 275695 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1198 label Biography information for Sir David Evennett

1138181

	registered interest
	date	10/07/2019
	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	Dementia: Diagnosis and Health Education
	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 steps his Department has taken to improve (a) awareness and (b) diagnosis of dementia.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	275694
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275693 275695 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1198 label Biography information for Sir David Evennett

1138182

	registered interest
	date	10/07/2019
	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	Dementia: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much was spent on dementia care in (a) Bexley, (b) London and (c) England in each of the last five years.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	275695
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275693 275694 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1198 label Biography information for Sir David Evennett

1138242

	registered interest
	date	10/07/2019
	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	Spinal Muscular Atrophy: Nusinersen
	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 8 July 2019 to Question 369611 on Spinal Muscular Atrophy (SMA), what the evidential basis is that Spinraza does not work effectively on people with SMA that are excluded from access to that drug following the announcement of 15 May 2019 by NICE on that drug; and if he will make a statement.
	tabling member constituency	Christchurch
	tabling member printed	Sir Christopher Chope
	uin	275653
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is currently developing recommendations for the National Health Service on the use of Spinraza for the treatment of spinal muscular atrophy (SMA) through its technology appraisal programme. NICE recommends technologies for use in the NHS when the evidence demonstrates that they are clinically effective and represent a cost-effective use of NHS resources.</p><p>There are several subtypes of SMA and, in the case of Spinraza, NICE has advised that it was not presented with evidence in SMA type 0 and SMA type 4. Evidence presented for the SMA type 3 population, who had lost the ability to walk, was limited and immature and resulted in its independent Appraisal Committee concluding that the size and nature of the benefits of Spinraza for this population were uncertain. Therefore, they were not included in the managed access arrangement (MAA) agreed by NHS England and Biogen.</p><p>Following publication of the initial MAA, the company presented further clinical evidence and the MAA was extended to include paediatric patients, who have recently (in the previous 12 months) lost the ability to walk independently.</p><p>Uniquely for this type of arrangement, during the five-year course of the MAA, should evidence become available on the potential benefits of Spinraza for type 3 SMA patients that are currently not included in the MAA, NICE will review that evidence to see whether it would support a change in the MAA inclusion criteria.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:42:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	242 label Biography information for Sir Christopher Chope