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809129

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	903036
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

804532

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Folic Acid
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 13 September 2017 to Question 8626, when the Government plans to respond to the Scientific Advisory Committee on Nutrition’s updated evidence on folic acid.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	118734
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Ministers will set out their position on mandatory fortification in due course. The Secretary of State has received a joint letter from the Scottish Government’s Minister for Public Health and Sport and the Welsh Government’s Cabinet Secretary for Health and Social Services, sent on 1 December 2017, concerning mandatory fortification of flour with folic acid, and a response will be issued in the New Year.</p><p>No estimate has been made of the cost of implementing mandatory fortification of flour with folic acid.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118735 118736 question first answered 19/12/2017 17:42:58 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

804533

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Flour: Folic Acid
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 13 September 2017 to Question 8626, what estimate the Government has made of the cost of implementing mandatory fortification of flour with folic acid.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	118735
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Ministers will set out their position on mandatory fortification in due course. The Secretary of State has received a joint letter from the Scottish Government’s Minister for Public Health and Sport and the Welsh Government’s Cabinet Secretary for Health and Social Services, sent on 1 December 2017, concerning mandatory fortification of flour with folic acid, and a response will be issued in the New Year.</p><p>No estimate has been made of the cost of implementing mandatory fortification of flour with folic acid.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118734 118736 question first answered 19/12/2017 17:42:58 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

804534

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Flour: Folic Acid
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 13 September 2017 to Question 8626, what recent discussions his Department has had with the Scottish and Welsh Governments on the mandatory fortification of flour with folic acid in the UK.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	118736
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Ministers will set out their position on mandatory fortification in due course. The Secretary of State has received a joint letter from the Scottish Government’s Minister for Public Health and Sport and the Welsh Government’s Cabinet Secretary for Health and Social Services, sent on 1 December 2017, concerning mandatory fortification of flour with folic acid, and a response will be issued in the New Year.</p><p>No estimate has been made of the cost of implementing mandatory fortification of flour with folic acid.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118734 118735 question first answered 19/12/2017 17:42:58 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

806468

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which prescription drugs increased proportionately the most in cost to the public purse in each of the last 10 years for which data is available.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	119544
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The information requested is presented in the table below.</p><p> </p><p>Prescription medicines have only been included where there was prescribing in both 2006 and 2016. The medicines have been ranked on the highest average annual increase from 2006 to 2016 and the top five drugs are shown at presentation level.</p><p> </p><p>Where the Net Ingredient Cost (NIC) is shown to be £0.00, this is in fact rounded and the true figure is between £0.00 and £0.01 which is calculated by dividing the NIC by quantity.</p><p> </p><p>Top five medicines with the largest average annual percentage increase, 2006-16, for NIC per quantity</p><table><tbody><tr><td><p>Drug name</p></td><td><p>NIC 2006</p></td><td><p>NIC 2016</p></td><td><p>Average annual percentage change, 2006 - 16</p></td></tr><tr><td><p>Hydrogen Peroxide Ear Drops 1.5%</p></td><td><p>£0.02</p></td><td><p>£33.28</p></td><td><p>111.1</p></td></tr><tr><td><p>Potassium Permanganate Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£1.11</p></td><td><p>102.5</p></td></tr><tr><td><p>Proflavine Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£0.42</p></td><td><p>80.1</p></td></tr><tr><td><p>Sodium Chloride Solution 0.9%</p></td><td><p>£0.00</p></td><td><p>£0.36</p></td><td><p>73.6</p></td></tr><tr><td><p>Bismuth Subgallate Suppository 300mg</p></td><td><p>£0.14</p></td><td><p>£32.97</p></td><td><p>72.9</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:25:29 answering member 4067 label Biography information for Steve Brine
	tabling member	534 label Biography information for Chris Ruane

804266

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Training
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans to provide incentives to medical students to enter general practice.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	118456
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England (HEE) has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p>NHS England, HEE, the British Medical Association and the Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p>NHS England is funding a £20,000 salary supplement (Targeted Enhanced Recruitment Scheme) to attract GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. In 2018 up to 200 places will be offered.</p><p>The scheme is open to GP trainees committed to working for three years in areas identified by the GP National Recruitment Office as having the hardest to recruit to training places in England. GP training directors identified those areas which had the lowest fill rates consistently over the last four years.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:38:38 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

804252

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Mental Health Services
	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 ensure talking therapies are provided to help people diagnosed with cancer.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	118430
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Many general practice surgeries provide counselling or therapy services on the National Health Service. If counselling or therapy is not available at the surgery, patients may be referred to a local psychological therapies service.</p><p> </p><p>NHS England is supporting local implementation of the Recovery Package for cancer patients as part of our £200 million investment to transform cancer services across the country. The aim of the Recovery Package is to help ensure patients have more personal care and support from the point they are diagnosed. For a patient, this means working with their care team to develop a comprehensive plan outlining not only their physical needs, but also other support they may need, such as therapy or counselling services, help at home or financial advice.</p><p> </p><p>By 2020, the Government want all patients in England to have access to the Recovery Package.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:33:52 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

804253

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lumacaftor/ivacaftor
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when will Orkambi be made available for the treatment of cystic fibrosis on the NHS.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	118431
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In July 2016, the National Institute for Health and Care Excellence (NICE), the independent body that develops guidance on drugs and treatments for clinical and cost effectiveness for the National Health Service in England, was unable to recommend Orkambi as a cost effective use of NHS resources. NICE concluded that, although clinically significant for managing cystic fibrosis, the longer term outcomes and benefits were not sufficient to justify its considerable costs. Orkambi is not therefore routinely available to NHS patients with cystic fibrosis.</p><p> </p><p>Since then there has been a constructive dialogue underway between the company, NHS England and NICE, including discussion hosted through NICE’s confidential ‘Office for Market Access’, although NICE is yet to receive any fresh proposals from Vertex, the company that manufactures Orkambi. Both NHS England and NICE have been consistent in advice to Vertex, that progress can only be made by working through NICE’s appraisal processes and the existing commercial framework.</p><p> </p><p>Any funding decisions in the absence of positive NICE technology appraisal guidance should be made by NHS commissioners based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:36:40 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

804259

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Sodium Valproate
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many children have been diagnosed with fetal anti-convulsant syndrome as a result of their mothers taking sodium valproate during pregnancy in each of the last three years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	118444
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The information requested is not collected centrally. The actual number of children diagnosed with fetal anti-convulsant syndrome in the United Kingdom is very difficult to estimate from medical records. It is important to note that fetal anti-convulsant syndrome is a nondrug specific condition that relates to abnormalities in children exposed to any anticonvulsant during pregnancy, not just valproate.</p><p> </p><p>Because of its risks, valproate should only be used to treat women of childbearing age if other drugs are ineffective or not tolerated. The Medicines and Healthcare products Regulatory Agency is currently working with European regulators and with experts and healthcare bodies to decide what further action should be taken to ensure valproate should only be used to treat women of childbearing age if other drugs are ineffective or not tolerated. This review is expected to complete early next year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:44:52 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

804260

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Systemic Lupus Erythematosus
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have received a diagnosis of lupus in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	118446
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>This information is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:37:34 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon