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1122120

registered interest
date	18/04/2019
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	Heart Diseases: Health Services
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 prepare cardiac units for the UK leaving the EU without a deal.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	245973
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>We have now reached agreement with the European Union on an extension until 31 October 2019 at the latest, with the option to leave earlier as soon as a deal has been ratified. Although Parliament has rejected leaving without a deal multiple times, this remains the legal default at the end of the extension period, unless a deal is passed by Parliament.</p><p>In light of the extension, Departments will make sensible decisions about the timing and pace at which some of this work is progressing, but we will continue to prepare for all exit scenarios. We remain focused on ensuring our smooth and orderly withdrawal from the EU with a deal as soon as possible.</p><p>The Department is considering the impact on our EU exit preparations and we are working closely with our stakeholders to review our position.</p><p>While we never give guarantees, we are confident that, if everyone does what they need to do, the supply of medicines and medical products, including for supplies of clinical trials and investigations, will be uninterrupted in the event we leave the EU without a deal.</p><p>In terms of EU exit preparations for local National Health Service organisations, on 18 April 2019 Professor Keith Willett, EU Exit Strategic Commander at NHS England and NHS Improvement, wrote to clinical commissioning group and trust Chief Executives to update them on the further extension to Article 50, and the actions that now need to be taken locally to continue to prepare for the United Kingdom’s exit from the EU. Further details are available in Professor Willett’s letter that NHS England and NHS Improvement has published online at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/04/20130418-KW-EU-exit-letter-final-.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/04/20130418-KW-EU-exit-letter-final-.pdf</a></p><p>These actions will also apply to cardiac units as they are within trusts.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 30/04/2019 10:04:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1104821

registered interest
date	25/03/2019
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	Hospitals: Yorkshire and the Humber
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to reduce waiting times (a) for NHS operations and (b) between admission and treatment at A&E in Yorkshire and the Humber.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	236528
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Positive work has been delivered within Leeds Teaching Hospitals NHS Trust as well as the wider Leeds health and social care economy. Through this, significant improvements have been seen over the past 12 months, including over the winter period. Over winter, these improvements have included:</p><p>- A significant reduction in the the number of patients waiting longer than 52 weeks for operations;</p><p>- A 10% increase in the number of patients seen within four hours in emergency departments in February, compared to previous year; and</p><p>- Zero 12-hour breaches within emergency departments.</p><p> </p><p>In addition to this, further service improvements made across hospitals in the area over the last 12 months have included modelling to predict surges in demand, extra consultant presence in the emergency department and work to discharge patients earlier in the day.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:25:53 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1086566

registered interest
date	11/03/2019
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	Health and Care Professions Council: 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, whether his Department has plans to (a) undertake a review the decision by the Health and Care Professions Council on 14 February 2019 to increase subscription fees for allied health professionals and (b) make an assessment of the effect of that decision on trends in the level of employees in that sector.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	230870
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>The Health and Care Professions Council (HCPC) is independent of Government, funded by registrants’ fees on a costs recovery basis. It is the responsibility of the HCPC to set its registration fees at an appropriate level.</p><p> </p><p>Following a public consultation, the HCPC is planning to raise its annual fees by £16. If adopted, the HCPC’s annual registration fee will rise from £90 to £106 a year from October 2019. The HCPC’s registration fees will remain the lowest of any of the United Kingdom-wide health and care regulators. Registration fees are tax-deductible and this fee rise will amount to just over £1 a month extra for most of the HCPC’s registrants.</p><p> </p><p>The Government has made no assessment of the potential effects of the changes to the HCPC’s registration fees from October 2019.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 19/03/2019 14:17:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1081770

registered interest
date	04/03/2019
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, what steps he has taken to secure the supply of (a) methotrexate and (b) hydroxychloroquine in the event that the UK leaves the EU without a deal.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	228079
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority; however, as a responsible Government we are planning for every possible outcome, including ‘no deal’. The Department has published guidance to industry and the health and care system to allow them to make informed plans and preparations. This is available on GOV.UK.</p><p> </p><p>We are confident that, if everyone does what they need to do, the supply of medicines and other medical products, including methotrexate and hydroxychloroquine, will be uninterrupted.</p><p> </p><p>The Department has put in place a multi-layered approach to minimise any supply disruption:</p><p>- securing, via the Department for Transport, additional roll on roll off freight capacity (away from the short straits crossings to Dover and Folkestone) for goods to continue to come into the United Kingdom from 29 March;</p><p>- asking industry to build up stockpiles in the UK before 29 March;</p><p>- buying extra warehouse space for the additional stock to be held in;</p><p>- supporting companies in booking space on aeroplanes for products which require an immediate shipment due to short shelf-life, including medical radioisotopes, or specific storage conditions;</p><p>- making changes to, or clarifications of, certain regulatory requirements so that companies can continue to sell their products in the UK even if we have no deal;</p><p>- strengthening the processes and resources used to deal with shortages in the event that they do occur.</p><p> </p><p>There is cross-Government agreement that all medicines and medical products will be prioritised on these alternative routes to ensure that the flow of all these products may continue unimpeded. For any products that require air freight, we are continuing to work with suppliers to ensure this continues as normal.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/03/2019 12:29:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1056730

registered interest
date	07/02/2019
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	Antibiotics
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 he has taken to secure the supply of antibiotics in the event of the UK without a deal.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	218365
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>We understand that antibiotics are vitally important to many people in this country. Our contingency plans include sensible mitigations for medicines that come to the United Kingdom from or via the European Union to ensure that the supply of antibiotics and other essential medicines for patients is not disrupted.</p><p> </p><p>In August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines, including antibiotics, to the UK that come from, or via, the EU/European Economic Area (EEA) asking them to ensure a minimum of six weeks’ additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019. We recognise, however, that certain medicines cannot be reasonably stockpiled. Where these medicines are imported from the EU or EEA, we have asked that suppliers ensure in advance plans to air freight these medicines from the EU in the event of a ‘no deal’ exit.</p><p> </p><p>On 7 December, the Government published updated reasonable worst-case scenario border disruption planning assumptions in the event of a ‘no deal’ EU exit. Medicines and medical products are prioritised in cross-Government planning, and the Department is working with relevant partners across Government and industry to ensure we have sufficient roll-on, roll-off freight capacity on alternative routes to enable these vital products to continue to move freely into the UK.</p><p> </p><p>Throughout enacting our plans, we have received very good engagement from industry who share our aims of ensuring that the continuity of supply of medicines and medical products for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a ‘no deal’ EU exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/02/2019 12:21:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1043718

registered interest
date	18/01/2019
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, what contingencies are in place to protect against drug price increases in the event of the UK leaving the EU without a deal.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	210053
answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>The costs of branded medicines are controlled by the statutory and voluntary schemes for branded medicines. Under those schemes, any price increase needs to be agreed by the Department.</p><p> </p><p>For unbranded generic medicines, the Department encourages competition between suppliers to drive prices down. This means that prices fluctuate because of normal market forces and can go up as well as down. The Department is working with the supply chain to ensure that patients continue to get their medicines and the supply chain for medicines is not interrupted if the United Kingdom leaves the European Union without a deal. In such a scenario it is expected that prices remain stable. There are, however, circumstances that are outside of the control of the Department, for example fluctuations in the exchange rate or an increase in the cost of raw materials that may impact on prices of generic medicines.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/01/2019 13:49:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1035142

registered interest
date	04/01/2019
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	Naproxen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the adequacy of supplies of naproxen.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	205406
answer	answer is ministerial correction date of answer 09/01/2019 answer text <p>Supplies of naproxen tablets are currently available but are limited due to a manufacturing issue that has affected the availability of the active pharmaceutical ingredient. The Department is working closely with all suppliers to resolve the situation and expedite further deliveries as soon as possible. Additional deliveries of naproxen are expected throughout January and February.</p><p> </p><p>As a responsible Government, we continue to prepare proportionately for all scenarios following our exit from the European Union in March 2019, including a ‘no-deal’ scenario. This includes asking pharmaceutical companies to have six weeks additional supply of all pharmacy and prescription-only medicines which enter the United Kingdom from, or via, the European Union or European Economic Area over and above their business as usual stocks.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 205407 question first answered 09/01/2019 16:31:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1035143

registered interest
date	04/01/2019
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	Naproxen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has taken steps to stockpile Naproxen.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	205407
answer	answer is ministerial correction date of answer 09/01/2019 answer text <p>Supplies of naproxen tablets are currently available but are limited due to a manufacturing issue that has affected the availability of the active pharmaceutical ingredient. The Department is working closely with all suppliers to resolve the situation and expedite further deliveries as soon as possible. Additional deliveries of naproxen are expected throughout January and February.</p><p> </p><p>As a responsible Government, we continue to prepare proportionately for all scenarios following our exit from the European Union in March 2019, including a ‘no-deal’ scenario. This includes asking pharmaceutical companies to have six weeks additional supply of all pharmacy and prescription-only medicines which enter the United Kingdom from, or via, the European Union or European Economic Area over and above their business as usual stocks.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 205406 question first answered 09/01/2019 16:31:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1023297

registered interest
date	11/12/2018
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	General Practitioners: Insurance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress his Department has made on implementing a state-backed GP indemnity scheme in England; and whether the scheme will be implemented in April 2019.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	201258
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>In October 2017, the former Secretary of State for Health (the Rt. hon. Jeremy Hunt MP) announced the intention of the Department to develop a state-backed indemnity scheme for general practice in England. This announcement recognised that the rising cost of clinical negligence is a great source of concern for general practitioners (GPs).</p><p> </p><p>The state-backed scheme is being designed to meet the needs of current and future GPs, offer affordable cover for GPs, and offer value for money for taxpayers.</p><p> </p><p>Since the announcement, the Government has been developing the design of the scheme. We are engaging with the medical defence organisations and representatives of general practice professionals, and have communicated key proposals on scope, funding and how it will operate.</p><p> </p><p>We currently plan to introduce the scheme next year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 12:28:58 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1010308

registered interest
date	19/11/2018
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	Maternity Services: Asylum
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether pregnant asylum seekers with no leave to remain are charged different amounts for maternity services in different parts of the UK.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192900
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Asylum seekers and those failed asylum seekers supported by the Home Office under section 4(2) of the Immigration and Asylum Act 1999 or a local authority under section 21 or Part 1 (care and support) of the Care Act 2014 (Regulation 15(d) are exempt from charge under the Charging Regulations. Charges for overseas visitors and migrants are set in accordance with national tariff and rules as laid out in the published guidance: ‘Guidance on implementing the overseas visitor charging regulations’.</p><p> </p><p>The Department does not hold data on the number of pregnant asylum seekers or failed asylum seekers who have been charged for maternity care for the years requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 192901 192902 192903 question first answered 22/11/2018 15:25:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel