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819159

	registered interest
	date	09/01/2018
	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	Influenza: Vaccination
	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 take-up of the new enhanced influenza vaccine for the over-65s by (i) GPs and (ii) pharmacies in the 2017-18 and 2018-19 influenza seasons.
	tabling member constituency	Rother Valley
	tabling member printed	Sir Kevin Barron
	uin	121836
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>The adjuvanted trivalent influenza vaccine was not available for use in 2017/18.</p><p> </p><p>General practitioners (GPs) and pharmacies are responsible for ordering and purchasing flu vaccines for the adult seasonal flu programme (eligible individuals aged 18 years and over) directly from manufacturers.</p><p> </p><p>Information on what vaccines are being ordered by these independent contractors is not routinely collected. Information on vaccines used by pharmacies and GPs will be available after the end of a flu season when practice/pharmacies claim reimbursement for the cost of the vaccines they have used.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:50:12 answering member 4067 label Biography information for Steve Brine
	tabling member	392 label Biography information for Sir Kevin Barron

819160

	registered interest
	date	09/01/2018
	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	Influenza: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to encourage the take-up of the new enhanced influenza vaccine for the over-65s for the 2018-19 influenza season with GPs and pharmacies.
	tabling member constituency	Rother Valley
	tabling member printed	Sir Kevin Barron
	uin	121837
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Public Health England has updated their advice in the Green Book chapter on influenza so that clinicians are aware of the advice of the Joint Committee on Vaccination and Immunisation in relation to the adjuvanted trivalent influenza vaccine.</p><p> </p><p>In addition, NHS England wrote to general practitioners and clinical commissioning groups (via NHS England local teams) in December 2017 to provide an update on the use of the adjuvanted trivalent influenza vaccine for 2018/19.</p><p> </p><p>This update will also be made available to community pharmacies as part of confirming that the Advanced Influenza Vaccination service has been recommissioned in early 2018. Community pharmacies are able to order relevant vaccines as detailed in the service specification, including the enhanced vaccine for patients within the relevant cohort.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:47:39 answering member 4067 label Biography information for Steve Brine
	tabling member	392 label Biography information for Sir Kevin Barron

819161

	registered interest
	date	09/01/2018
	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	Influenza: Vaccination
	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 he has had with representatives from (a) GPs, (b) patient organisations and (c) manufacturers on the availability of the new enhanced influenza vaccine for the over-65s for the 2017-18 and the 2018-19 season.
	tabling member constituency	Rother Valley
	tabling member printed	Sir Kevin Barron
	uin	121838
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Officials at the Department and Public Health England have regular discussions with manufacturers on a range of issues. This has included discussion with Seqirus, the company that has produced the new adjuvanted trivalent flu vaccine (aTIV).</p><p> </p><p>Officials have had no discussions with general practitioner representatives or patient groups on the aTIV.</p><p> </p><p>Officials also attend meetings of the Joint Committee on Vaccination and Immunisation, which includes a lay member.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:51:33 answering member 4067 label Biography information for Steve Brine
	tabling member	392 label Biography information for Sir Kevin Barron

818982

	registered interest
	date	09/01/2018
	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	Alcoholic Drinks: Labelling
	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 his Department has made of the likely effects of introducing warnings on alcoholic products at the point of sale on a link between alcohol and cancer and other health matters.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	121659
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Public Health England’s evidence review on the public health burden of alcohol found that alcohol health warning labels on alcoholic products can raise awareness of the messages they contain. However, the evidence review did not identify any studies which considered the specific impact of warnings at the point of sale on the link between alcohol and cancer and other health harms. The review is available at the following link:</p><p><a href="http://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review" target="_blank">www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:28:32 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

819008

	registered interest
	date	09/01/2018
	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	Headaches
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of people who have been diagnosed with or received treatment for cluster headaches in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	121685
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>This information is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:45:46 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

819013

	registered interest
	date	09/01/2018
	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	Tamoxifen
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what advice the NHS provides on the use of Tamoxifen for menopausal women.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	121690
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for providing guidance on the prevention and treatment of ill health and the promotion of good health and social care for the National Health Service. NICE has provided recommendations on the use of tamoxifen in its clinical guideline on ‘Early and locally advanced breast cancer: diagnosis and treatment’ which is currently being updated. The guideline can be found at:</p><p><a href="https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy" target="_blank">https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy</a></p><p>The Breast Cancer Clinical Expert Group also issued guidance to Cancer Alliances for Provision of Breast Cancer Services, in August 2017. This guidance includes best practice for the provision of tamoxifen, and can be found at:</p><p><a href="http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf" target="_blank">http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:59:26 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

819014

	registered interest
	date	09/01/2018
	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	Depressive Illnesses
	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 were diagnosed with bipolar disorder in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	121691
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The information requested is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:56:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

819021

	registered interest
	date	09/01/2018
	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: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what priority has been accorded to the provision of diabetic pumps for children; and what discussions his Department has had with each of the devolved administrations on that provision.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	121698
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population and are based on the available evidence and take into account national guidelines.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is responsible for producing guidelines for best practice of treatment and care. Treatments such as Continuous Subcutaneous Insulin Infusion (CSII) or ‘insulin pump' therapy may be brought into routine use in the National Health Service after their efficacy, safety, and cost-effectiveness have been appropriately demonstrated.</p><p> </p><p>Health is a devolved matter under the devolution settlements and thus it would be a matter for the devolved administrations to determine their use of diabetic pumps. Devolved administrations would be aware of guidance published by NICE on the use of CSII for children, and are able to follow these if they choose to do so.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 15:03:53 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

819054

	registered interest
	date	09/01/2018
	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	Radiotherapy: Rural Areas
	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 accessibility of radiotherapy in rural areas as a result of NHS England's plan to modernise radiotherapy services.
	tabling member constituency	North Cornwall
	tabling member printed	Scott Mann
	uin	121731
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>NHS England is currently engaged in a public consultation to establish 11 radiotherapy networks across England. The aim of their proposals is to encourage radiotherapy providers to work together in networks and across organisational boundaries to concentrate expertise and improve pathways for patients requiring radical radiotherapy for the less common and rarer cancers. This will help to increase access to more innovative radiotherapy treatments, increase clinical trial recruitment and optimise utilisation of radiotherapy equipment, securing greater value for money. Once established, radiotherapy networks will be required to review service provision on a regular basis, explore the differential access rates across the geography and take account of specific issues relating to rural communities. They will also be required to consider how to address any shortcomings, including; outreach out-patient oncology clinics, preferential access to clinic appointments and treatments to allow for limited public transport, reviewing opportunities for better hospital transport and the use of telephone consultations when appropriate.</p><p> </p><p>The consultation period has been extended until 24 January 2018 and views can be fed into the online survey:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation/" target="_blank">https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:44:56 answering member 4067 label Biography information for Steve Brine
	tabling member	4496 label Biography information for Scott Mann

819082

	registered interest
	date	09/01/2018
	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: Lancashire
	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 (a) general consultant-led outpatient clinics dealing with suspected cancer and Crohn’s disease and (b) nurse-led speciality colorectal clinics are held each week by (i) Lancashire Teaching Hospitals NHS Foundation Trust, (ii) University Hospitals of Morecambe Bay NHS Foundation Trust, (iii) Blackpool Teaching Hospitals NHS Foundation Trust and (iv) East Lancashire Hospitals NHS Trust.
	tabling member constituency	Preston
	tabling member printed	Sir Mark Hendrick
	uin	121759
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:52:02 answering member 4067 label Biography information for Steve Brine
	tabling member	473 label Biography information for Sir Mark Hendrick