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101647

registered interest
date	29/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the potential merits of charging for NHS services required because of injuries caused by alcohol or drug misuse.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	212524
answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>We recognise that drinking alcohol and drug use does place significant strain on the National Health Service, but there are both ethical and practical reasons not to seek payment from patients. The founding principle of the NHS is that services are free of charge, available to all on the basis of need, not ability to pay. It is funded accordingly, from general taxation.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/11/2014 15:40:41 answering member 3918 label Biography information for Jane Ellison
tabling member	4079 label Biography information for Julian Sturdy

228808

registered interest
date	20/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to reduce the level of substance abuse by teenagers.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	228516
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The Department jointly leads, with the Home Office, the Reducing Demand strand of the Government’s 2010 Drug Strategy ‘Reducing demand, restricting supply, building recovery: supporting people to live a drug-free life'. The third annual review of the drug strategy published last month highlights recent and planned developments in our programme of work to create resilience amongst those who do not take drugs and to support those that do misuse drugs to stop.</p><p> </p><p> </p><p> </p><p>The strategy includes universal actions aimed at all young people, and targeted actions for those most at risk of using drugs or who have already started using drugs, and tackles the range of risk factors that make people vulnerable to substance misuse. Key elements of the strategy are:</p><p> </p><p> </p><p> </p><p>- Talk to FRANK, which provides up-to-date impartial information and advice about drugs and how to resist them;</p><p> </p><p>- ‘Rise Above’, recently launched by Public Health England (PHE), which is an online resource and social movement for young people, designed to build their resilience and empower them to make positive choices for their health;</p><p> </p><p>- Helping schools to draw on expert advice and develop evidence-based practice, including funding the Alcohol and Drug Education and Prevention Information Service (ADEPIS), run by Mentor UK; and</p><p> </p><p>- PHE providing support for the development of Joint Strategic Needs Assessments by local areas to help ensure that young people’s substance misuse services target vulnerable young people.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/03/2015 15:13:21 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

101177

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect of legal highs upon public health.
tabling member constituency	Taunton Deane
tabling member printed	Mr Jeremy Browne
uin	212051
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>There have been a number of assessments of the health harms of new psychoactive substances (NPS) in recent years. These include the following:</p><p> </p><p> </p><p> </p><p>- a summary of the health harms of drugs published by the Department in August 2011 sets out an assessment of the health harms of novel psychoactive drugs among others. The report outlined acute and chronic problems associated these substances, but the date of the evidence review meant it was early to determine the actual harms of the NPS;</p><p> </p><p> </p><p> </p><p>- the Advisory Council on the Misuse of Drugs (ACMD) published its report ‘Consideration of the Novel Psychoactive Substances (‘Legal Highs’)’ in 2011. The report includes an assessment of the harms that these drugs cause;</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>- since 2010, the ACMD has published a number of reports on their assessment of different types of NPS, including the harms they cause. The drugs the ACMD have reported on include tryptamines, NBOMe compounds, benzofurans, O-desmethyltramadol, methoxetamine, synthetic cannabinoids, and 2-DPMP (Ivory Wave);</p><p> </p><p> </p><p> </p><p>- on 30 October 2014, the Home Office published the report of an expert panel they appointed to look at the issue of NPS and provide recommendations to the Government. Alongside the report and the Government response, the Home Office also published an NPS evidence review. The evidence review found that that the available evidence suggests that the overall harms from NPS are low compared to the overall harms from traditional illicit drugs;</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>- the Government’s Drugs Early Warning System (DEWS) helps ensure that harmful new substances are rapidly identified. Local and national intelligence gathered by DEWS – including health harms – assists the ACMD in its assessment of harms of NPS. On a broader scale, national intelligence is fed into a Europe-wide early warning system for new substances;</p><p> </p><p> </p><p> </p><p>- FRANK, the government’s drug information service, has information about the harms caused by NPS; and</p><p> </p><p> </p><p> </p><p>- Public Health England (PHE) is supporting and contributing clinical expertise to the first set of clinical guidelines on the acute management and treatment of novel psychoactive substances (NPS). Project NEPTUNE will advise clinicians on how to assess and respond to NPS related harm and is currently being developed by the Central and North West London NHS Foundation Trust. The guidelines are due to be published in 2015. PHE has committed to using its networks and other resources to support the dissemination of project NEPTUNE’s findings and advice.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/11/2014 16:09:45 answering member 3918 label Biography information for Jane Ellison
tabling member	1575 label Biography information for Mr Jeremy Browne

418940

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assistance his Department provides to people addicted to legal highs.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10258
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The dependence-forming potential of many new psychoactive substances (NPS) is still largely unknown, and the number of people attending specialist drug treatment services is relatively small. If users need help, it will more likely be because they have acute NPS-related problems (eg, agitation, palpitations, seizures) and they will probably first present at accident and emergency (A&amp;E) departments.</p><p> </p><p> </p><p> </p><p>Local authorities are responsible for assessing drug treatment needs in their local areas and providing services to meet that need. This includes determining the scale of NPS use and harm in their areas and ensuring there are services to tackle that harm.</p><p> </p><p> </p><p> </p><p>Public Health England (PHE) supports local authorities in their work of assessing need and planning services, by improving data, intelligence and information sharing systems, to ensure prevention and treatment are as effective as they can be in the changing NPS market.</p><p> </p><p> </p><p> </p><p>PHE has produced an NPS toolkit for substance misuse commissioners which gives a broad overview of the challenges from NPS and provides commissioners with resources and advice to inform their work.</p><p> </p><p> </p><p> </p><p>PHE has also supported Project NEPTUNE, which is producing detailed and practical clinical guidance and tools for A&amp;E, drug treatment and other services that deal with people who have NPS problems.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 14:54:24 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

448321

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to reduce the incidence of substance addiction in people aged over 50.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	24430
answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>Local authorities are responsible for commissioning effective drug and alcohol prevention and treatment services based on an assessment of local need. Public Health England (PHE) supports local authorities in this work, by providing bespoke data, value for money tools, topical briefings, and advice on good practice to help local authorities meet the needs of their local population, including older people.</p><p> </p><p>PHE is engaged in a series of work programmes which aim to reduce the incidence of substance addiction and help provide support to older people; an alcohol misuse screening question has been part of the national NHS Health Check since 2013. The Health Check programme is offered to three million 40-74 year olds per year.</p><p> </p><p>An independent expert group updating the United Kingdom drug misuse clinical guidelines, <em>Drug Misuse and Dependence: UK Guidelines on Clinical Management</em>[1] is considering specific advice for clinicians on managing and addressing substance addiction in older people.</p><p> </p><p> </p><p>[1] <a href="http://www.nta.nhs.uk/uploads/clinical_guidelines_2007.pdf" target="_blank">http://www.nta.nhs.uk/uploads/clinical_guidelines_2007.pdf</a></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/02/2016 16:42:01 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

528641

registered interest
date	24/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department plans to take to support people who are addicted to the psychoactive substances prohibited by the Psychoactive Substances Act 2016.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	41157
answer	answer is ministerial correction date of answer 29/06/2016 answer text <p>Local authorities are responsible for assessing the local need for drug treatment and commissioning services to meet that need. This involves developing services that can help people with a range of drug problems; which can also respond to emerging problems, such as new psychoactive substances.</p><p> </p><p>Public Health England works with local authorities to support them in commissioning alcohol and drug services, providing guidance and materials, bespoke data, value for money tools, topical briefings and advice on good practice. This includes guidance on new psychoactive substances for substance misuse commissioners, including a toolkit which can be found at:</p><p> </p><p><a href="http://www.nta.nhs.uk/uploads/nps-a-toolkit-for-substance-misuse-commissioners.pdf" target="_blank">http://www.nta.nhs.uk/uploads/nps-a-toolkit-for-substance-misuse-commissioners.pdf</a></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/06/2016 16:10:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4478 label Biography information for Royston Smith

350084

registered interest
date	11/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the number of people in England involuntarily addicted to prescribed drugs in each year since 2010.
tabling member constituency	Oldham East and Saddleworth
tabling member printed	Debbie Abrahams
uin	2081
answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>Information is not held centrally on the number of people in England who are involuntarily addicted to prescribed drugs.</p><p> </p><p> </p><p> </p><p>Information is not held centrally on the number of people prescribed particular medicines or the duration of treatment.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 2082 question first answered 19/06/2015 10:49:14 answering member 3918 label Biography information for Jane Ellison
tabling member	4212 label Biography information for Debbie Abrahams

417663

registered interest
date	08/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the mortality rate from drug misuse in the North East.
tabling member constituency	Middlesbrough South and East Cleveland
tabling member printed	Tom Blenkinsop
uin	9389
answer	answer is ministerial correction date of answer 11/09/2015 answer text <p>The latest rise in drug misuse deaths – particularly in the North East – is a great concern and highlights the need for further local and national action. We need to ensure the most vulnerable users can access drug treatment and harm reduction services, where they have the best chance of recovery.</p><p> </p><p> </p><p> </p><p>Public Health England will continue to support local authorities in delivering effective recovery services for everyone who needs them. They are providing local authorities and commissioners with expert advice, evidence, and management information including outcomes and value for money data. This can help to ensure that the local services are evidence-based, effective and integrated with local health, housing and employment support.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/09/2015 13:27:25 answering member 3918 label Biography information for Jane Ellison
tabling member	4037 label Biography information for Tom Blenkinsop

102049

registered interest
date	31/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when Public Health England plans to report on the consultation on drug misuse and dependence.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	212841
answer	answer is ministerial correction date of answer 07/11/2014 answer text <p>Public Health England (PHE) has convened an expert group, chaired by Professor John Strang, to consider the responses to the consultation on a possible update to the United Kingdom guidelines on the clinical management of drug misuse and dependence.</p><p> </p><p> </p><p> </p><p>PHE will be providing an update on the plans of the expert group in winter 2014-15 following its initial meeting on 7 October 2014. The expert group plans to complete its advice to PHE and the devolved administrations by early 2016.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/11/2014 13:25:41 answering member 3918 label Biography information for Jane Ellison
tabling member	4141 label Biography information for Eric Ollerenshaw

105966

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will place in the Library the responses to Public Health England's consultation on drug misuse and dependence.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	212946
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>Public Health England (PHE) has convened an expert group, chaired by Professor John Strang, to consider the responses to the consultation on a possible update to the United Kingdom guidelines on the clinical management of drug misuse and dependence.</p><p> </p><p> </p><p> </p><p>PHE is providing secretariat to the group, and we will place consultation responses in the Library after the expert group has had the opportunity to review them in full. The expert group has not yet determined when this will be.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:27:54 answering member 3918 label Biography information for Jane Ellison
tabling member	4141 label Biography information for Eric Ollerenshaw