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1077530

	registered interest
	date	26/02/2019
	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	Learning Disability and Autism: Preventive Medicine
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with what steps his Department is taking to ensure that provisions relating to the (a) health inequalities and (b) life expectancy of people with (i) learning disabilities and (ii) autism are included in the Prevention Green Paper.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	226107
	answer	answer is ministerial correction date of answer 06/03/2019 answer text <p>The ambition of the Green Paper focuses on both reducing health inequalities and increasing healthy life expectancy. We are currently considering policy options, and will be mindful of impacts on people with learning disabilities and autism.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/03/2019 11:06:19 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

1037067

	registered interest
	date	07/01/2019
	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	NHS: Drugs
	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 voluntary scheme for branded medicines pricing and access: heads of agreement, published on 23 November 2018, whether NHS England’s commissioning support programme will be discontinued.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	205950
	answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>It is expected that the commissioning support programme, which provides support for service development relating to medicines, as well as medical devices or other sorts of intervention, will continue for 2019/20. The new voluntary scheme for branded medicines pricing and access includes new commitments to the National Institute for Health and Care Excellence (NICE) appraisals for medicines; any implications will be considered through implementation of the new scheme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2019 16:01:48 answering member 4067 label Biography information for Steve Brine
	tabling member	4249 label Biography information for Anne Marie Morris

1063828

	registered interest
	date	18/02/2019
	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
	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 statement on page 72 of the Independent Cancer Taskforce's Cancer Strategy for 2015-2020 that all NHS trusts should now be recording recurrent and secondary breast cancer patients, how many and what proportion of NHS trusts are undertaking such recording.
	tabling member constituency	Oldham East and Saddleworth
	tabling member printed	Debbie Abrahams
	uin	222763
	answer	answer is ministerial correction date of answer 21/02/2019 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><p>The National Cancer Registration and Analysis Service (NCRAS) has mandated collection of breast cancer recurrence data in its Cancer Services and Outcomes Dataset (COSD) since 2013. Hospital trusts are also required to submit recurrence data in the Cancer Waiting Times (CWT) dataset. Data published on the NCRAS legacy website shows that of the 140 trusts that could be expected to be collecting data on breast cancer recurrence in 2016, 140 submitted data for 2016 diagnoses through the COSD or CWT data collection mechanisms. The NCRAS legacy website is available at the following link:</p><p><a href="http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/recurrence" target="_blank">http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/recurrence</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222762 question first answered 21/02/2019 14:58:17 answering member 4067 label Biography information for Steve Brine
	tabling member	4212 label Biography information for Debbie Abrahams

1046153

	registered interest
	date	22/01/2019
	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	Genito-urinary 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 research undertaken by The King’s Fund published on 30 December 2018, for what reason there has been a 13 per cent reduction in funding for sexual health services between 2013 and 2017 despite an increase in attendance for those services.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	211318
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>It is for local authorities to assess local needs, and to secure services to meet those needs in line with their statutory responsibilities which include provision of open access sexual health services. Local authorities determine levels of spending on individual services they commission.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 211320 question first answered 28/01/2019 17:18:38 answering member 4067 label Biography information for Steve Brine
	tabling member	4036 label Biography information for Luciana Berger

1046156

	registered interest
	date	22/01/2019
	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	Genito-urinary 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 research entitled Sexual health services and the importance of prevention, published by the King’s Fund 30 December 2018, for what reason there has been a 13 per cent reduction in funding for those services.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	211320
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>It is for local authorities to assess local needs, and to secure services to meet those needs in line with their statutory responsibilities which include provision of open access sexual health services. Local authorities determine levels of spending on individual services they commission.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 211318 question first answered 28/01/2019 17:18:38 answering member 4067 label Biography information for Steve Brine
	tabling member	4036 label Biography information for Luciana Berger

1054673

	registered interest
	date	04/02/2019
	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	Air Pollution: Health Hazards
	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 report entitled, Statement on the evidence for differential health effects of particulate matter according to source or component, published by COMEAP in March 2015, if he will direct (a) Public Health England and (b) COMEAP to commission research into the levels of toxicity of particulate matter from different sources.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	216112
	answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Public Health England (PHE) and the Committee on the Medical Effects of Air Pollutants keeps their advice under review in light of new substantial research on the health effects of incinerators and other particulate emitting processes published in peer review journals, which can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/comeap-reports" target="_blank">https://www.gov.uk/government/collections/comeap-reports</a></p><p> </p><p>To date, PHE is not aware of any evidence that requires a change in its position statement.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:55:29 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1050058

	registered interest
	date	28/01/2019
	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	Incinerators: Air Pollution
	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 recent National Atmospheric Emissions Inventory point source data for municipal solid waste incinerators that shows that in 2016 waste incinerators emitted 8996 Kg of PM0.1 and 51,042 Kg of PM1, if (a) his Department or (b) Public Health England will make an assessment of the effects of those emissions on (i) human health and (ii) air quality in the vicinity of those incinerators.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	213202
	answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>The reviews by the Health Effects Institute and World Health Organization of the effects of different components of air pollution, including ultrafine particles (PM0.1), concluded that there is currently limited evidence on the effects on health of ultrafine particles.</p><p> </p><p>Recent assessments have been undertaken of the health effects of long-term exposure to the air pollution mixture in the United Kingdom. This was based on studies reporting associations of mortality risk with fine particulate matter (PM2.5), which includes PM1 and PM0.1, and nitrogen dioxide (NO2). Findings of these assessments are available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality" target="_blank">https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality</a></p><p> </p><p>No separate assessment of the impact of PM1 and PM0.1 components of particulate air pollution has been produced.</p><p> </p><p>Public Health England’s (PHE’s) position is that well run and regulated modern municipal waste incinerators (MWIs) are not a significant risk to public health. This view is based on detailed assessments of the effects of air pollutants on health and on the fact that modern MWIs make a small contribution to local concentrations of air pollutants. PHE’s position statement is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/municipal-waste-incinerator-emissions-to-air-impact-on-health" target="_blank">https://www.gov.uk/government/publications/municipal-waste-incinerator-emissions-to-air-impact-on-health</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/02/2019 15:24:10 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1058753

	registered interest
	date	11/02/2019
	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	NHS: Drugs
	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 proposed amendments to the Human Medicines Regulation 2012, what treatment areas will be excluded from the serious shortage protocol for reasons of patient safety; and if he will publish a list of medicines and formulations that will be excluded as a result.
	tabling member constituency	Sunderland Central
	tabling member printed	Julie Elliott
	uin	219427
	answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>A Serious Shortage Protocol is an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p>As the explanatory memorandum of the amending Statutory Instrument acknowledges, protocols for therapeutic or generic equivalents will not be suitable for all medicines and patients. For example, such protocols would not be suitable for medicines that need to be prescribed by brand for clinical reasons, such as biological medicines. In these cases, patients would always be referred to the prescriber for any decision about their treatment before any therapeutic or generic alternative is supplied.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 17:35:25 answering member 4067 label Biography information for Steve Brine
	tabling member	4127 label Biography information for Julie Elliott

1046819

	registered interest
	date	23/01/2019
	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	General Practitioners
	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 proposals in the NHS Long Term Plan for online GP appointments, what steps his Department is taking to ensure health services remain accessible to people without internet access.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	211831
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>Online appointments are being developed to enhance and support existing general practice services and will give patients more choice on how they access services. This approach is in addition to not a substitute for more traditional ways of seeing a general practitioner or nurse at a patient’s own registered practice. Patients who do not wish to use this way of accessing services are still able to get a face to face or telephone appointments.</p><p> </p><p>Everyone across the country can now also access general practice appointments in the evenings and weekends, which will provide an estimated nine million additional appointments per year. This means that patients can see a doctor, nurse or other member of the practice team at a time that is convenient to them, 365 days per years including on bank holidays.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/01/2019 17:12:47 answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes

1055806

	registered interest
	date	06/02/2019
	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	Dental Services: Fees and Charges
	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 press release entitled, Dentists welcome official investigation into fines hitting vulnerable NHS patients, published on 30 January 2019 by the British Dental Association; whether he has plans to simplify the process for claiming free dental care to reduce the number of fines issued for ticking the wrong box on dental forms.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	217586
	answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and have been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217585 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101142 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis