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809129

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	903036
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

809126

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Skin Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	What estimate he has made of the number of patients with Erythropoietic Protoporphyria.
	tabling member constituency	Newport East
	tabling member printed	Jessica Morden
	uin	903031
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In 2016/17 there were 54 National Health Service admissions in England with a primary diagnosis of Erythropoietic Protoporphyria.</p><p> </p><p>Whilst the numbers of people with a particular rare disease can be very small, 3.5 million people in the United Kingdom have a rare disease. We know, as with the hon. Member’s constituent, that these diseases can have a heart-breaking impact on a person’s health.</p><p> </p><p>That‘s why the UK is committed to building on our position as a world-leader in the diagnosis and treatment of rare diseases.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:07:30 answering member 4067 label Biography information for Steve Brine
	tabling member	1548 label Biography information for Jessica Morden

804559

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the NHS England document, Next Steps on the Five Year Forward View published in March 2017, what recent progress the NHS has made on meeting the objective for an extra 5,000 people to survive cancer over the next two years.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	118761
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Earlier and faster diagnosis is key to improving survival rates and NHS England is investing over £200 million over the next two years in cancer services to encourage local areas to find new and innovative ways to diagnose cancer earlier, improve the care for those living with cancer and ensure each cancer patient gets the right care for them. The Government has also committed £130 million for new technology and equipment to ensure patients have access to the best and latest radiotherapy treatment.</p><p> </p><p>Survival rates from cancer in England are at a record high, and since 2010 rates of survival from cancer have increased year-on-year. The decrease in cancer deaths means that around 7,000 people are alive today who would not have been had things stayed the same. One year survival rates for the period 2017-19 will be available in 2021.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:30:05 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

806468

	registered interest
	date	14/12/2017
	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, which prescription drugs increased proportionately the most in cost to the public purse in each of the last 10 years for which data is available.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	119544
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The information requested is presented in the table below.</p><p> </p><p>Prescription medicines have only been included where there was prescribing in both 2006 and 2016. The medicines have been ranked on the highest average annual increase from 2006 to 2016 and the top five drugs are shown at presentation level.</p><p> </p><p>Where the Net Ingredient Cost (NIC) is shown to be £0.00, this is in fact rounded and the true figure is between £0.00 and £0.01 which is calculated by dividing the NIC by quantity.</p><p> </p><p>Top five medicines with the largest average annual percentage increase, 2006-16, for NIC per quantity</p><table><tbody><tr><td><p>Drug name</p></td><td><p>NIC 2006</p></td><td><p>NIC 2016</p></td><td><p>Average annual percentage change, 2006 - 16</p></td></tr><tr><td><p>Hydrogen Peroxide Ear Drops 1.5%</p></td><td><p>£0.02</p></td><td><p>£33.28</p></td><td><p>111.1</p></td></tr><tr><td><p>Potassium Permanganate Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£1.11</p></td><td><p>102.5</p></td></tr><tr><td><p>Proflavine Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£0.42</p></td><td><p>80.1</p></td></tr><tr><td><p>Sodium Chloride Solution 0.9%</p></td><td><p>£0.00</p></td><td><p>£0.36</p></td><td><p>73.6</p></td></tr><tr><td><p>Bismuth Subgallate Suppository 300mg</p></td><td><p>£0.14</p></td><td><p>£32.97</p></td><td><p>72.9</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:25:29 answering member 4067 label Biography information for Steve Brine
	tabling member	534 label Biography information for Chris Ruane

804397

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Education: Vegetables
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Department for Health has issued guidance to people about increasing their vegetable intake.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	118532
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Government recommends eating at least five portions of a variety of fruit and vegetables a day as part of a healthy balanced diet.</p><p> </p><p>This is reflected through a variety of communications including the Eatwell Guide - Public Health England’s catering guidance, available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/healthier-and-more-sustainable-catering-a-toolkit-for-serving-food-to-adults" target="_blank">https://www.gov.uk/government/publications/healthier-and-more-sustainable-catering-a-toolkit-for-serving-food-to-adults</a></p><p> </p><p>The Government’s 5 A Day campaign through the Change4Life campaign and the NHS Choices website.</p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:39:38 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

804444

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ophthalmic Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether his Department plans to implement a national strategy for ocular health.
	tabling member constituency	Battersea
	tabling member printed	Marsha De Cordova
	uin	118643
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>There are no plans to develop a national strategy for eye health. Given the size of England, and the diversity of the health needs of different communities, we believe commissioning needs to be owned and managed locally. However, the Department supports Vision UK, an umbrella organisation for the eye health and sight loss sector, which aims to improve eye health and end sight loss, improve support across eye health and social care services and improve awareness of sight loss.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:34:49 answering member 4067 label Biography information for Steve Brine
	tabling member	4676 label Biography information for Marsha De Cordova

804266

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Training
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans to provide incentives to medical students to enter general practice.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	118456
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England (HEE) has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p>NHS England, HEE, the British Medical Association and the Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p>NHS England is funding a £20,000 salary supplement (Targeted Enhanced Recruitment Scheme) to attract GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. In 2018 up to 200 places will be offered.</p><p>The scheme is open to GP trainees committed to working for three years in areas identified by the GP National Recruitment Office as having the hardest to recruit to training places in England. GP training directors identified those areas which had the lowest fill rates consistently over the last four years.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:38:38 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

804253

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lumacaftor/ivacaftor
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when will Orkambi be made available for the treatment of cystic fibrosis on the NHS.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	118431
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In July 2016, the National Institute for Health and Care Excellence (NICE), the independent body that develops guidance on drugs and treatments for clinical and cost effectiveness for the National Health Service in England, was unable to recommend Orkambi as a cost effective use of NHS resources. NICE concluded that, although clinically significant for managing cystic fibrosis, the longer term outcomes and benefits were not sufficient to justify its considerable costs. Orkambi is not therefore routinely available to NHS patients with cystic fibrosis.</p><p> </p><p>Since then there has been a constructive dialogue underway between the company, NHS England and NICE, including discussion hosted through NICE’s confidential ‘Office for Market Access’, although NICE is yet to receive any fresh proposals from Vertex, the company that manufactures Orkambi. Both NHS England and NICE have been consistent in advice to Vertex, that progress can only be made by working through NICE’s appraisal processes and the existing commercial framework.</p><p> </p><p>Any funding decisions in the absence of positive NICE technology appraisal guidance should be made by NHS commissioners based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:36:40 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

804392

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Diabetes: Leicestershire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when the £600,000 of funding from the Diabetes Transformation Fund was transferred to Leicester, Leicestershire and Rutland sustainability and transformation partnership.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	118542
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>NHS England confirms that Diabetes Transformation funding of £815,000 has been awarded to the Leicester, Leicestershire and Rutland Sustainability Transformation Partnership area, as announced on 20 April. The 1st quarter’s payment was made on 30 June, the 2nd quarter’s payment was made on 29 September and the 3rd quarter’s payment will be made on 29 December.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:41:22 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

806489

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Euratom
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department taking to ensure the future of medical supplies that are linked to the UK's membership of Euratom.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	119565
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Government is fully aware of the importance of medical radioisotopes and the reliance on nuclear medicine for diagnostic procedures in the National Health Service. The United Kingdom’s ability to import medical isotopes from Europe and the rest of the world will not be affected by withdrawal from Euratom. It is in the interest of both the UK and the European Union to avoid disruption in the timely access of treatment to patients; and to ensure that cross-border trade with the EU is as frictionless as possible. This will be part of the broader negotiations of the UK’s future relations with the EU.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:24:01 answering member 4067 label Biography information for Steve Brine
	tabling member	151 label Biography information for Tom Brake