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781421

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the proposals contained in the NHS England consultation entitled, Items which should not be routinely prescribed in primary care: A Consultation on guidance of CCGs, what assessment his Department has made of the potential effect of those proposals on the medicine-taking behaviour of patients who rely on regular and multiple medications to prevent symptoms of long-term conditions.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	110622
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England’s consultation on draft guidance for clinical commissioning groups on a range of items that should not routinely be prescribed in primary care ended on 21 October. The draft guidance seeks to ensure that the National Health Service is able to secure best value from its use of medicines and therefore focuses on areas of prescribing that have been found to be ineffective or where there are more cost effective alternatives. A full Equality Impact Assessment was published alongside the draft guidance and a further Assessment will be published when final guidance is produced.</p><p> </p><p>We would not want to pre-empt any outcome following NHS England’s analysis of the responses it has received. However, we are assured that as part of issuing the final guidance, careful consideration will be given by NHS England to the responses to the consultation, both to ensure that particular groups of people are not disproportionately affected and that principles of best practice on clinical prescribing are adhered to.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 110618 110619 110620 110621 question first answered 03/11/2017 14:35:15 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

781420

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses: Pre-payment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the proposals contained in the NHS England consultation entitled, Items which should not be routinely prescribed in primary care: A Consultation on guidance of CCGs, what assessment his Department has made of the potential effect of those proposals on patients with a long-term condition who have already purchased a prescription prepayment certificate.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	110621
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England’s consultation on draft guidance for clinical commissioning groups on a range of items that should not routinely be prescribed in primary care ended on 21 October. The draft guidance seeks to ensure that the National Health Service is able to secure best value from its use of medicines and therefore focuses on areas of prescribing that have been found to be ineffective or where there are more cost effective alternatives. A full Equality Impact Assessment was published alongside the draft guidance and a further Assessment will be published when final guidance is produced.</p><p> </p><p>We would not want to pre-empt any outcome following NHS England’s analysis of the responses it has received. However, we are assured that as part of issuing the final guidance, careful consideration will be given by NHS England to the responses to the consultation, both to ensure that particular groups of people are not disproportionately affected and that principles of best practice on clinical prescribing are adhered to.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 110618 110619 110620 110622 question first answered 03/11/2017 14:35:15 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

781417

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses: Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the proposals contained in the NHS England consultation entitled, Items which should not be routinely prescribed in primary care: A Consultation on guidance of CCGs, what assessment his Department has made of the potential effect of those proposals on patients with (a) inflammatory bowel disease and (b) a long-term condition.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	110618
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England’s consultation on draft guidance for clinical commissioning groups on a range of items that should not routinely be prescribed in primary care ended on 21 October. The draft guidance seeks to ensure that the National Health Service is able to secure best value from its use of medicines and therefore focuses on areas of prescribing that have been found to be ineffective or where there are more cost effective alternatives. A full Equality Impact Assessment was published alongside the draft guidance and a further Assessment will be published when final guidance is produced.</p><p> </p><p>We would not want to pre-empt any outcome following NHS England’s analysis of the responses it has received. However, we are assured that as part of issuing the final guidance, careful consideration will be given by NHS England to the responses to the consultation, both to ensure that particular groups of people are not disproportionately affected and that principles of best practice on clinical prescribing are adhered to.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 110619 110620 110621 110622 question first answered 03/11/2017 14:35:15 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

781419

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Treatments: Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the proposals contained in the NHS England consultation entitled, Items which should not be routinely prescribed in primary care: A Consultation on guidance of CCGs, what assessment his Department has made of the potential effect of those proposals on access to medications for (a) children, (b) older people and (c) other vulnerable people.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	110620
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England’s consultation on draft guidance for clinical commissioning groups on a range of items that should not routinely be prescribed in primary care ended on 21 October. The draft guidance seeks to ensure that the National Health Service is able to secure best value from its use of medicines and therefore focuses on areas of prescribing that have been found to be ineffective or where there are more cost effective alternatives. A full Equality Impact Assessment was published alongside the draft guidance and a further Assessment will be published when final guidance is produced.</p><p> </p><p>We would not want to pre-empt any outcome following NHS England’s analysis of the responses it has received. However, we are assured that as part of issuing the final guidance, careful consideration will be given by NHS England to the responses to the consultation, both to ensure that particular groups of people are not disproportionately affected and that principles of best practice on clinical prescribing are adhered to.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 110618 110619 110621 110622 question first answered 03/11/2017 14:35:15 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

781418

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	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 proposals contained in the NHS England consultation entitled, Items which should not be routinely prescribed in primary care: A Consultation on guidance of CCGs, what assessment his Department has made of the potential effect of those proposals on (a) the management of urgent care services and (b) the number of hospital admissions.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	110619
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England’s consultation on draft guidance for clinical commissioning groups on a range of items that should not routinely be prescribed in primary care ended on 21 October. The draft guidance seeks to ensure that the National Health Service is able to secure best value from its use of medicines and therefore focuses on areas of prescribing that have been found to be ineffective or where there are more cost effective alternatives. A full Equality Impact Assessment was published alongside the draft guidance and a further Assessment will be published when final guidance is produced.</p><p> </p><p>We would not want to pre-empt any outcome following NHS England’s analysis of the responses it has received. However, we are assured that as part of issuing the final guidance, careful consideration will be given by NHS England to the responses to the consultation, both to ensure that particular groups of people are not disproportionately affected and that principles of best practice on clinical prescribing are adhered to.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 110618 110620 110621 110622 question first answered 03/11/2017 14:35:15 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

781309

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Transport
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which categories of claimants of universal credit are entitled to claim help with healthcare travel costs; and whether he plans to change that entitlement.
	tabling member constituency	East Ham
	tabling member printed	Stephen Timms
	uin	110496
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>Claimants of Universal Credit will be entitled to claim help with their National Health Service healthcare travel costs if their earnings for the most recent assessment period are below prescribed thresholds. A claimant would be entitled to claim help with their NHS healthcare travel costs if their earnings during that period were:</p><p>- £435 or less;</p><p>- £935 or less if their Universal Credit includes an element for either:</p><p>- a child; or</p><p>- limited capability for work.</p><p> </p><p>The ‘most recent assessment period’ means the assessment period that ended immediately before the date on which a claimant claimed help with their NHS healthcare travel costs. The period runs for a calendar month.</p><p> </p><p>Where claimants claim Universal Credit as a couple, the earnings threshold that applies is either the earnings of the single claimant or the joint claimants’ combined income.</p><p> </p><p>In addition, where claimants who are in receipt of an element for either a child or limited capacity for work, are responsible for a child, or a young person who is aged over 16 and under 19 who is receiving education or are in a traineeship, those children and young persons will be entitled to claim help with their NHS healthcare travel costs. Individuals aged 18 who are not receiving education and are universal credit claimants in their own right will be entitled to this benefit.</p><p> </p><p>The Department has no current plans to change these arrangements, but will keep the earnings thresholds under review on an annual basis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/11/2017 14:38:32 answering member 4067 label Biography information for Steve Brine
	tabling member	163 label Biography information for Sir Stephen Timms

781408

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Fatigue Syndrome: Health Education
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to raise awareness of myalgic encephalomyelitis among (a) healthcare professionals and (b) the general public.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	110590
	answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>There is information readily available on chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) for both healthcare professionals and the general public via NHS Choices website. Further information is also provided in the National Institute for Health and Care Excellence (NICE) clinical guidance which can be found via their website. This information is provided in formats suitable for both professionals and the public. Both the NHS Choices and NICE guidance can be found at the following links:</p><p><a href="http://www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/" target="_blank">www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/</a></p><p><a href="http://www.nice.org.uk/guidance/cg53" target="_blank">www.nice.org.uk/guidance/cg53</a></p><p>On 20 September 2017, NICE announced plans to undertake a full review of the guidance to ensure it reflects the latest available evidence.</p><p>Education and training is also an important feature in building the awareness of clinical professionals. In terms of education and training, the General Medical Council sets out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate and Royal Medical Colleges, such as the Royal College of General Practitioners (RCGP) set the standards for postgraduate medical education in general practice. General practice is where most patients with CFS/ME are likely to be managed, and the condition is identified as a key area of clinical knowledge in the RCGP Applied Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of general practitioner’s qualifying exams.</p><p>Once fully qualified, clinicians are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by NICE.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:07:53 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

781407

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to improve the detection of hepatitis B and C.
	tabling member constituency	Southend West
	tabling member printed	Sir David Amess
	uin	110658
	answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) guidelines are available to help raise awareness of, and testing for, hepatitis B and C infection in people at increased risk of infection. Screening for hepatitis B and C is recommended in groups who are at increased risk of infection so that diagnosed individuals can be referred for specialist care and management. NICE has also produced best practice guidance on hepatitis B antenatal screening and the new-born immunisation programme. The guidelines can be viewed here:</p><p><a href="https://www.nice.org.uk/guidance/ph43" target="_blank">https://www.nice.org.uk/guidance/ph43</a></p><p>NHS England commissions the infectious diseases in pregnancy screening programme including the screening for hepatitis B, as of part of the maternity pathway. In addition, and as part of health services commissioned for those in the detained settings, NHS England is rolling out an ambitious Opt-Out Blood Borne Viruses (BBV) testing programme; the key aim is to improve uptake rates for hepatitis B and hepatitis C testing by the introduction of good practice for ‘meaningful offer’ of BBV testing across the adult prison estate by end of 2017-18.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 14:28:44 answering member 4067 label Biography information for Steve Brine
	tabling member	44 label Biography information for Sir David Amess

781369

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Public Health: Costs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government has taken to assess the (a) cost and (b) economic productivity to the public purse of (i) alcohol misuse, (ii) obesity and (iii) viral hepatitis.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	110669
	answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The Government wants everyone to be able to make healthier choices, regardless of their circumstances, and to minimise the risk and impact of illness. A range of action is being taken to do this and in particular on the three areas identified:</p><p> </p><p>- To tackle alcohol misuse we are preventing below cost selling, tightening the rules on irresponsible promotions and introducing new powers to deal with anti-social behaviour. Local authorities are supported by Public Health England in the commissioning of high quality, evidence based treatment services for their local population’s needs.</p><p>- In addition, the United Kingdom Chief Medical Officers have produced new low risk drinking guidelines which provide the public with the latest information about the health risks of different levels and patterns of drinking. The guidelines enable people to make informed choices about their drinking.</p><p>- Tackling childhood obesity is a priority for this Government. We launched “Childhood Obesity: A Plan for Action” in August 2016. Our world-leading plan will help children and families to recognise and make healthier choices and be more active. Many of the key commitments in our plan will have an impact on tackling obesity across all age groups. These include the soft drinks industry levy and sugar reduction programme, which will reduce the amount of sugar we all consume.</p><p>- A copy of “Childhood Obesity: A Plan for Action” is available at:</p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf</a></p><p>- The National Strategic Group on Viral Hepatitis is a Public Health England supported, cross-agency expert group on viral hepatitis with external membership from academia, NHS England, local government, clinical commissioning groups, patient representative groups and other organisations, to provide strategic direction and advice around viral hepatitis. The strategy group aims to help reduce the incidence, prevalence and consequences of infection from the viral hepatitis in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 15:05:50 answering member 4067 label Biography information for Steve Brine
	tabling member	4412 label Biography information for Dr Lisa Cameron

781312

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Trusts: Vending Machines
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department has taken to ensure that sugary snacks are no longer on offer in vending machines in NHS Trust hospitals.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	110539
	answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>National Health Service hospitals are required to meet the Government Buying Standards for Food and Catering Services through the NHS Standard Contract, and are required to develop and maintain a food and drink strategy which focuses on healthier eating across the whole hospital community.</p><p> </p><p>NHS England is also taking action on sugar reduction including a voluntary scheme to reduce the sales of sugar sweetened beverages to 10% or less of drinks sales for the whole month of March 2018. Should this prove ineffective, it will ban sales of sugar sweetened beverages from 1 July 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/11/2017 14:36:35 answering member 4067 label Biography information for Steve Brine
	tabling member	4523 label Biography information for Catherine West