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1054562

	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	Radiology: Training
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of the end of NHS student bursaries for radiography courses on (a) the number of diagnostic tests undertaken and (b) trends in the level of the workforce recruitment and retention in radiotherapy.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	216168
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan, published on 7 January 2019, sets out a vital strategic framework to ensure that over the next 10 years the National Health Service will have the staff it needs.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p> </p><p>Radiotherapy degree courses are three years in length, therefore students affected by the changes to the education funding system from 2017 will not have completed courses funded by loans to enable an assessment of the effect of the removal of bursaries on this profession.</p><p> </p><p>The Cancer Workforce Plan Phase 1, included a target of upskilling 300 more radiographers in image interpretation and reporting by 2021. Currently, 88 individuals have started training programmes towards this, 62 will start in January, and a further 150 during 2019/20.</p><p> </p><p>Phase 2 of the Cancer Workforce Plan will follow the Workforce Implementation Plan published later in 2019.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 216167 question first answered 07/02/2019 17:28:08 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1051289

	registered interest
	date	30/01/2019
	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	Kidney Cancer: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will support the call by Kidney Cancer UK to fund research on a national screening programme for kidney cancer.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	214526
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The UK National Screening Committee (UK NSC) advises ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation. Using research evidence, pilot programmes and economic evaluation, it assesses the evidence for programmes against a set of internationally recognised criteria.</p><p> </p><p>The UK NSC has not reviewed the evidence for a national screening programme for kidney cancer, however, the Committee welcomes new topic proposals via its annual call for topics which opens each year from September - December.</p><p> </p><p>Ministers carefully consider all recommendations made by the UK NSC.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 13:47:54 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1054735

	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	Cervical Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy that cervical cancer patients receive treatment within 20 days of diagnosis.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	216141
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan published in January 2019 sets out the Government’s ambitions to see 55,000 more people surviving cancer for five years in England each year from 2028 and three quarters of all cancers detected at an early stage by 2028. To achieve these targets, we will need to make significant progress on survival across all cancers, including cervical cancer.</p><p> </p><p>NHS England will shortly be introducing a Faster Diagnostic Standard of 28 days for all cancer patients which, when taken together with the 62-day referral to treatment standard, will mean that all patients should expect to start their treatment within 34 days of diagnosis. This is a maximum, and trusts should continue to treat patients more quickly particularly where there is a strong clinical need.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:14:49 answering member 4067 label Biography information for Steve Brine
	tabling member	491 label Biography information for Dame Angela Eagle

1051291

	registered interest
	date	30/01/2019
	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, whether (a) his Department and (b) Public Health England (i) received and (ii) commissioned assessments of the effect on peoples' health of emissions from waste incinerators disposing of plastic.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	214451
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Public Health England (PHE) has not received or commissioned any assessments on disposing of plastic waste by incineration.</p><p> </p><p>When consulted, PHE provides an expert and independent opinion to the regulator, the Environment Agency, on the potential impacts on human health of emissions arising from existing or proposed regulated facilities, such as municipal waste incinerators (MWIs). Emissions from existing regulated facilities are closely monitored and regulated by the Environment Agency.</p><p> </p><p>PHE’s position is that well run and regulated modern MWIs are not a significant risk to public health when incinerating the general municipal waste mix which includes plastic.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 13:45:22 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1051292

	registered interest
	date	30/01/2019
	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	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, pursuant to the Answer of 16 January 2019 to Question 206215 on Air Pollution, what the implications for his policies are of the statement in the Public Health England report, published in March 2017, entitled Air Quality A Briefing for Directors of Public Health that PM is inhaled into the lungs and ultrafine PM0.1 is thought to pass into the blood causing many adverse outcomes including systemic inflammation.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	214452
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Public Health England (PHE) has developed a programme to support national and local government to reduce the burden of disease attributable to air pollution. This includes awareness raising, developing the evidence base on the health effects of air pollution and interventions aiming to reduce exposure to air pollution and provide wider public health benefits.</p><p> </p><p>PHE undertakes various air quality research projects, working with academic partners, to review the evidence for the health effects of air pollutants. PHE is a partner in two health protection research units (HPRU) funded by the National Institute for Health Research, whose remit includes air pollution research: The Health impact of Environmental Hazards HPRU and the HPRU in Environmental Change and Health. Further information can be found at the following links:</p><p> </p><p><a href="http://hieh.hpru.nihr.ac.uk/" target="_blank">http://hieh.hpru.nihr.ac.uk/</a></p><p> </p><p><a href="http://www.hpru-ech.nihr.ac.uk/" target="_blank">http://www.hpru-ech.nihr.ac.uk/</a></p><p> </p><p>None of the research projects specifically focus on PM0.1 but address air pollution components which are included in this category.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:17:23 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1051293

	registered interest
	date	30/01/2019
	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	Food: Waste Disposal
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 29 January 2019 to Question 212301 on Food Waste: Disposal, whether (a) his Department and (b) Public Health England undertook an assessment of the effect on (i) human health and (ii) air quality of the collection and recycling of food waste.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	214453
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Public Health England (PHE) has not made a specific assessment of the potential effect on public health of the collection and recycling of food waste. However, PHE has been involved in reviewing the current evidence for the potential health effects of bioaerosols resulting from composting facilities, including facilities recycling food waste. This assessment concluded that while there is some suggestive, albeit limited, qualitative evidence linking bioaerosol emissions from composting facilities to possible respiratory effects, further study is needed for confirmation and to explore other health outcomes. The report is available to view at the following link:</p><p><a href="https://www.ncbi.nlm.nih.gov/pubmed/25825807" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/25825807</a></p><p>The Department for Environment, Food and Rural Affairs’ Resources and Waste Strategy details the Government’s ambitions for minimising the environmental impacts of waste whilst maximising its value as a resource. The strategy is available to view at the following link:</p><p><a href="https://www.gov.uk/government/publications/resources-and-waste-strategy-for-england" target="_blank">https://www.gov.uk/government/publications/resources-and-waste-strategy-for-england</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 13:46:55 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1051294

	registered interest
	date	30/01/2019
	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, whether Public Health England assesses evidence submitted by applicants for planning permission of the projected or estimated effect of waste incinerators on (a) air quality and (b) human health of future emissions (i) PM0.1 (ii) PM1 and (iii) PM 2.5.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	214454
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Public Health England (PHE) is not a statutory consultee under the planning regime. Local authority planners should consider consulting the Director of Public Health on any planning applications (including at the pre-application stage) that are likely to have a significant impact on the health and wellbeing of the local population or particular groups within it. This guidance can be viewed at the following links:</p><p> </p><p><a href="https://www.gov.uk/guidance/consultation-and-pre-decision-matters#Statutory-consultees-on-applications" target="_blank">https://www.gov.uk/guidance/consultation-and-pre-decision-matters#Statutory-consultees-on-applications</a></p><p> </p><p><a href="https://www.gov.uk/guidance/health-and-wellbeing#health-organisation-contact" target="_blank">https://www.gov.uk/guidance/health-and-wellbeing#health-organisation-contact</a>.</p><p> </p><p>Where consulted on planning applications, PHE takes the view that emissions from such plants are best considered as part of the associated environmental permit application. PHE is consulted by the Environment Agency and provides an independent opinion on all bespoke environmental permit applications, such as municipal waste incinerators, with regard to public health impacts. These assessments cover a range of emissions to air, water and land, including but not exclusively particulate matter. The role of PHE can be viewed at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/477277/Environmental_permitting_guide_Nov_2015.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/477277/Environmental_permitting_guide_Nov_2015.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 13:43:15 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1051336

	registered interest
	date	30/01/2019
	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	Autoimmune Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the annual cost to the public purse of treating and managing (a) rheumatoid arthritis, (b) inflammatory bowel disease and (c) psoriasis.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	214623
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>No specific estimate has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:23:09 answering member 4067 label Biography information for Steve Brine
	tabling member	4532 label Biography information for Derek Thomas

1051338

	registered interest
	date	30/01/2019
	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	Autoimmune Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether (a) his Department and (b) NHS England have made a comparative assessment of the effectiveness of treating immune-mediated inflammatory conditions (i) holistically and (ii) according to the physical location of the inflammation; and if he will make a statement.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	214625
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>No specific assessment has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:21:20 answering member 4067 label Biography information for Steve Brine
	tabling member	4532 label Biography information for Derek Thomas

1052184

	registered interest
	date	31/01/2019
	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	Cancer: Diagnosis
	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 will take to benchmark progress against the target for increasing the proportion of cancers diagnosed at stages one or two from half to three-quarters by 2028, as announced in the NHS Long Term Plan.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	215175
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan included an ambition that 55,000 more people who are diagnosed with cancer in 2028 will survive for five years. Early diagnosis is a major determinant of cancer survival and NHS England have deliberately set the early diagnosis ambition – to diagnose 75% of cancers at stage 1 and 2 by 2028 - at a level which, under most scenarios, would be more than sufficient to meet the survival ambition. During the development of the plan, clinicians and stakeholders agreed that we should set a stretching ambition to ensure we improve the rate of diagnosis across all cancers, so many more people will survive.</p><p> </p><p>The NHS Long Term Plan sets out a number of key steps to achieve this ambition, including through raising greater awareness of symptoms of cancer, accelerating access to diagnosis and treatment and maximising the number of cancers that we identify through screening. Meeting this ambition will also require the National Health Service to harness new technological advances to target at risk patients more effectively; directing our research and innovation effort to the areas where the data tells us we can have the biggest impact; and mobilising the NHS so that we can adopt proven new approaches more quickly.</p><p> </p><p>Following the publication of the NHS Long Term Plan, the National Implementation Framework, to be published in the spring, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed national implementation plan in the autumn.</p><p> </p><p>We will continue to work closely with key partners and stakeholders and other voluntary sector partners, as we support the NHS to deliver the commitments set out in the Long Term Plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 215176 215177 question first answered 07/02/2019 13:50:19 answering member 4067 label Biography information for Steve Brine
	tabling member	4056 label Biography information for Nic Dakin