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1043149

	registered interest
	date	17/01/2019
	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	Diabetes: 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 steps his Department plans to take to increase attendance at diabetes education programmes.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	209753
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>NHS England invested over £10 million of transformation funding in 2017/18 and a similar amount in 2018/19 to provide additional structured education places in 137 clinical commissioning groups.</p><p> </p><p>Since 2009/10, there has been an almost 70% increase in people recorded as being referred to structured education when newly diagnosed with diabetes, designed to help them manage their condition in the long term.</p><p> </p><p>The Department, NHS England and Diabetes UK are working on ways to further improve the take up of structured education by looking at greater diversity of provision through digital and web-based approaches.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 209786 question first answered 23/01/2019 16:19:28 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

1043151

	registered interest
	date	17/01/2019
	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	Diabetes: 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, how many people attended diabetes education programmes in each clinical commissioning group area in 2018.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	209754
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>The information requested is not centrally held.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 16:17:48 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

1043172

	registered interest
	date	17/01/2019
	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	Diabetes: 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 steps his Department will take to increase attendance at diabetes education programmes.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	209786
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>NHS England invested over £10 million of transformation funding in 2017/18 and a similar amount in 2018/19 to provide additional structured education places in 137 clinical commissioning groups.</p><p> </p><p>Since 2009/10, there has been an almost 70% increase in people recorded as being referred to structured education when newly diagnosed with diabetes, designed to help them manage their condition in the long term.</p><p> </p><p>The Department, NHS England and Diabetes UK are working on ways to further improve the take up of structured education by looking at greater diversity of provision through digital and web-based approaches.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 209753 question first answered 23/01/2019 16:19:28 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

1041638

	registered interest
	date	15/01/2019
	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	Drugs: Prices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential financial implications to the NHS of the reported practice of pharmaceutical companies dropping the brand name of out of patent products, relaunching those products under generic names and selling such products at a higher price.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	208883
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>No such assessment has been made. The Department understands financial implications to the National Health Service where it has been proven that companies have overcharged the NHS and, as part of that process, it has been established what the price under normal competitive circumstances would have been.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 16:13:06 answering member 4067 label Biography information for Steve Brine
	tabling member	4249 label Biography information for Anne Marie Morris

1041639

	registered interest
	date	15/01/2019
	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	Drugs: Prices
	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 12 October 2018 to Question 178508 on Drugs: Prices, for what reasons (a) the consultation on a new system of commissioning for special medicinal products has not begun and (b) unwarranted prices of unbranded generic medicines continues 18 months after the passing of the Health Service Medical Supplies (Costs) Act 2017.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	208884
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>The Department has been engaging informally with pharmacy and industry representative bodies about potential changes to the procurement and reimbursement arrangements for specials not listed with a price in the Drug Tariff. Since the Health Service Products (Provision and Disclosure of Information) Regulations 2018 were introduced in July 2018, the Department obtains data from more suppliers and on more specials. This enables the Department to include more specials with a price in the Drug Tariff and reduce the number of specials that the new arrangements would need to cover. Further consideration is being given, following the informal engagement, to potential solutions to address the spend on specials not listed with a price in the Drug Tariff before the formal consultation is started.</p><p> </p><p>Since the Health Service Medical Supplies (Costs) Act 2017 entered into force, the Department has continued its work with the Competition and Markets Authority on the cases they are taking forward and has published the Health Service Products (Provision and Disclosure of Information) Regulations 2018 that support its price setting powers. The Department has engaged informally with industry representative bodies about its proposals and is preparing a formal consultation.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 13:56:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4249 label Biography information for Anne Marie Morris

1041689

	registered interest
	date	15/01/2019
	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: Finance
	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 NHS Long Term Plan, how much funding has been allocated to specific new evidence-based NHS prevention programmes to (a) cut smoking, (b) reduce obesity,(c) the NHS Diabetes Prevention Programme, (d) limit alcohol related A&E admissions, (e) lower air pollution, and (f) in total; and whether that funding is (i) included and (ii) in addition to his Department’s public health grant to local authorities; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	208906
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>Following the publication of the NHS Long Term Plan, the National Implementation Framework, to be published in the spring, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed national implementation plan in the autumn. The specific National Health Service-led prevention programmes set out in the Long Term Plan will be funded from within the NHS settlement.</p><p> </p><p>This funding will be in addition to the public health grant to local authorities.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 14:00:08 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1041713

	registered interest
	date	15/01/2019
	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	Cystic Fibrosis
	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 support people with cystic fibrosis.
	tabling member constituency	North Herefordshire
	tabling member printed	Bill Wiggin
	uin	208789
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>Specialised services for the support and treatment of patients with cystic fibrosis (CF) are commissioned by NHS England. CF services are delivered in about 20 Paediatric Cystic Fibrosis Centres and about 20 Adult Cystic Fibrosis Centres. There are separate service specifications for adults and children. These specifications are important in clearly defining what NHS England expects to be in place for providers to offer evidence-based, safe and effective care and they support equity of access to a nationally consistent, high quality service.</p><p> </p><p>The specifications can be found via the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2018/08/Cystic-fibrosis-adult.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2018/08/Cystic-fibrosis-adult.pdf</a></p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2018/07/a01Sb-spec-cystic-fibrosis-child.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2018/07/a01Sb-spec-cystic-fibrosis-child.pdf</a></p><p> </p><p>In October 2017, the National Institute for Health and Care Excellence published new guidance for the diagnosis and management of CF. This includes specific details on how to monitor the condition and manage the symptoms to improve quality of life. This guidance can be found via the following link:</p><p><a href="http://www.nice.org.uk/guidance/ng78" target="_blank">www.nice.org.uk/guidance/ng78#</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 13:58:15 answering member 4067 label Biography information for Steve Brine
	tabling member	1428 label Biography information for Sir Bill Wiggin

1041743

	registered interest
	date	15/01/2019
	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	Smoking
	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 support local stop smoking services which encourage smokers to transition to vaping.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	208851
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>Public Health England (PHE) recommends that all local stop smoking services in England should offer support to smokers who want to use an e-cigarette to stop smoking.</p><p> </p><p>PHE commissions the National Centre for Smoking Cessation and Training to produce free online training for healthcare professionals, a briefing for services and a guide for services on working with e-cigarette retailers. These materials are available to view at the following link:</p><p> </p><p><a href="http://www.ncsct.co.uk/" target="_blank">http://www.ncsct.co.uk/</a></p><p> </p><p>The PHE ‘E-cigarettes and heated tobacco products: evidence review’ can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review" target="_blank">https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 16:14:10 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

1041748

	registered interest
	date	15/01/2019
	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	Breast Cancer: Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the provision of dedicated Clinical Nurse Specialists for patients with secondary breast cancer.
	tabling member constituency	Lincoln
	tabling member printed	Karen Lee
	uin	208937
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. Health Education England is also working to expand the number of CNS and develop clear CNS competencies and routes into training.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 13:59:24 answering member 4067 label Biography information for Steve Brine
	tabling member	4664 label Biography information for Karen Lee

1042266

	registered interest
	date	16/01/2019
	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	Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to increase the level of immunisation performed by the NHS.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	209340
	answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>Vaccinations are a key part of the prevention strategy in the NHS Long Term Plan. To help increase immunisation uptake, NHS England will undertake a fundamental review of general practitioner vaccinations and immunisation standards, funding, and procurement. This will support the goal of improving immunisation coverage, using local coordinators to target variation and improve groups and areas with low vaccines uptake.</p><p> </p><p>By 2022, technology will better support clinicians. The Long Term Plan states that an integrated child protection system will replace many legacy systems, to help deliver a screening and vaccination solution that is worthy of the NHS's world leading services.</p><p> </p><p>Prevention is at the heart of the NHS Long Term Plan, which is backed by a £20.5 billion per year increase in funding for the NHS in England by 2023/24. Immunisation is a key preventative measure and the Long Term Plan commits to prioritising improvements in childhood immunisation and immunisation uptake.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2019 16:11:39 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth