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1079319

	registered interest
	date	28/03/2019
	answering body	Cabinet Office
	answering dept id	53
	answering dept short name	Cabinet Office
	answering dept sort name	Cabinet Office
	hansard heading	Hybrid Warfare
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Minister for the Cabinet Office, what assessment his Department has made of the extent to which hybrid warfare is being used as a tool to interfere with public opinion.
	tabling member constituency	Southport
	tabling member printed	Damien Moore
	uin	227167
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>We know that certain states routinely use hybrid warfare, disinformation, ‘bots’ and hacking as foreign policy tools. It’s not surprising that they should try to influence the UK to further their own agendas. There is no evidence of successful interference, but the UK is not complacent to this threat. We are actively monitoring to identify and understand disinformation campaigns, and are taking action to ensure our democracy remains secure.</p> answering member constituency Aylesbury answering member printed Mr David Lidington question first answered 07/03/2019 12:32:00 answering member 15 label Biography information for Sir David Lidington
	tabling member	4669 label Biography information for Damien Moore

1081745

	registered interest
	date	04/03/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Saudi Arabia: Military Aid
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, how many (a) civilian staff and (b) military personnel based in (i) the UK and (ii) Saudi Arabia were employed on the (A) Saudi Arabian National Guard Communications Project and (B) Ministry of Defence Saudi Armed Forces Project on 1 April 2018.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	228071
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>The number of civilian and military personnel based in the UK and Saudi Arabia who were employed by the Saudi Arabian National Guard Communications Project (SANGCOM) and the Ministry of Defence Saudi Armed Forces Projects (MODSAP) on 1 April 2018 is shown below. The Saudi Arabian Government reimburses the UK Ministry of Defence for these staff costs and there is, therefore, no cost to the UK taxpayer.</p><table><tbody><tr><td><p><strong>Manpower number as at 01 April 2018</strong></p></td><td><p><strong>SANGCOM</strong></p></td><td><p><strong>MODSAP</strong></p></td></tr><tr><td><p>UK-based Civilian Staff</p></td><td><p>2</p></td><td><p>66</p></td></tr><tr><td><p>UK-based Military Staff</p></td><td><p>0</p></td><td><p>33</p></td></tr><tr><td><p>Saudi-based Civilian Staff</p></td><td><p>52</p></td><td><p>38</p></td></tr><tr><td><p>Saudi-based Military Staff</p></td><td><p>22</p></td><td><p>69</p></td></tr></tbody></table> answering member constituency Pudsey answering member printed Stuart Andrew question first answered 07/03/2019 15:32:27 answering member 4032 label Biography information for Stuart Andrew
	tabling member	4523 label Biography information for Catherine West

1081746

	registered interest
	date	04/03/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Saudi Arabia: Military Aid
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what the (a) expenditure was in the financial year 2017-18 and (b) budget is for 2018-19 for the (i) Saudi Arabian National Guard Communications Project and (ii) Ministry of Defence Saudi Armed Forces Project.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	228072
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>The costs incurred by the Ministry of Defence Saudi Armed Forces Projects (MODSAP) in financial year 2017-18 amounted to £74.75 million. The budget for financial year 2018-19 is £63.64 million. The costs of MODSAP are met from a management fee received from the Saudi Arabian Government.</p><p>The costs of the Saudi Arabian National Guard Communications Project (SANGCOM) are similarly recovered from the Saudi Arabian Government, but SANGCOM operates under a separate Memorandum of Understanding from MODSAP, under which the details of such recoveries are confidential to the two Governments.</p> answering member constituency Pudsey answering member printed Stuart Andrew question first answered 07/03/2019 15:39:01 answering member 4032 label Biography information for Stuart Andrew
	tabling member	4523 label Biography information for Catherine West

1081760

	registered interest
	date	04/03/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Defence Equipment: Procurement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what steps his Department has taken to ensure secure military communications hardware procurement maintains sovereign capability.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	228015
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>Whilst the Ministry of Defence's default approach is for open procurement, which eases interoperability with our international partners, there are a few cases where our objectives are served by specific sector approaches, which help either to deliver value-for-money, operational advantage or national freedom of action. One such sector is the high-grade cryptography required to protect our secure military communications; this creates a sovereign requirement to control cryptographic hardware production, deployment and support.</p><p>In addition, we continue to take a broader risk-based approach to the provision of military capability, which includes balancing the accessibility of widely used commercial technology, general military technology and bespoke sovereign technology. Consequently, the acquisition strategies for military capabilities are kept under review by the MOD's delivery agencies to ensure that they remain fit for purpose. To safeguard national security, it would not be appropriate to identify publicly further details of the aspects of capabilities we might regard as critical to be maintained in the UK and how we assure them.</p> answering member constituency Pudsey answering member printed Stuart Andrew question first answered 07/03/2019 15:37:13 answering member 4032 label Biography information for Stuart Andrew
	tabling member	1604 label Biography information for Mr Virendra Sharma

1081765

	registered interest
	date	04/03/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Maritime Patrol Aircraft
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what estimate he has made of (a) the annual in service cost of the P-8 patrol aircraft and (b) the number of years those aircraft can be expected to remain in service.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	228018
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>Initial support for the RAF P-8A fleet is covered as part of the Foreign Military Sale case for procurement of these aircraft, enabling us to utilise US experience and leverage economies of scale from the existing US Navy support arrangements as we develop our own UK-based support.</p><p>Work is currently under way to define the requirements for the UK support solution, but I am withholding details of financial estimates as disclosing this information would prejudice our commercial interests.</p><p>The UK has ordered nine P-8A maritime patrol aircraft and the current planning assumption is that they will have an expected service life of 25 years.</p> answering member constituency Pudsey answering member printed Stuart Andrew question first answered 07/03/2019 15:35:19 answering member 4032 label Biography information for Stuart Andrew
	tabling member	1604 label Biography information for Mr Virendra Sharma

1081874

	registered interest
	date	04/03/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Navy: Shipping
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, pursuant to the Answer of 13 February 2019 to Question 221002 on Navy: Shipping, what the maximum (a) lifespan is of newly constructed warships and (b) number of years commercial vessels can have been in service to be considered for military refurbishment.
	tabling member constituency	Caithness, Sutherland and Easter Ross
	tabling member printed	Jamie Stone
	uin	228136
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>The maximum lifespan of newly constructed warships is dependent on many factors that are both set in the design phase and vary through the service life of the vessel, and are determined by the capability required.</p><p>The maximum age of a commercial vessel considered for military refurbishment is also dependent on a number of factors such as design, working life and the capability requirement.</p> answering member constituency Pudsey answering member printed Stuart Andrew question first answered 07/03/2019 15:38:05 answering member 4032 label Biography information for Stuart Andrew
	tabling member	4612 label Biography information for Jamie Stone

1081766

	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	General Practitioners: Recruitment
	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 the Government has made towards meeting its target of recruiting 5,000 more GPs by 2020; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	228076
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>In 2015 the Government set the ambitious target to recruit 5,000 additional general practitioners (GPs) by 2020. It was double the growth rate of previous years, but it showed a commitment to growing a strong and sustainable general practice for the future. The government is still determined to deliver this commitment as soon as possible.</p><p> </p><p>The recently published NHS Long Term Plan made a clear commitment to the future of general practice, with primary and community care set to receive at least £4.5 billion more in real terms a year by 2023/24, meaning spending on these services will grow faster than the rising NHS budget. Since the launch of the Long Term Plan, NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP (General Medical Services) contract framework from 2019/20. The new contract framework will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services.</p><p> </p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce in England. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>Last year, HEE recruited the highest number of GP trainees ever and the Targeted Enhanced Recruitment Scheme (TERs) is attracting GP trainees to parts of the country where there have been consistent shortages of GP trainees. Over 500 trainees entered the TERs scheme in 2016-2018 and a further 276 places are available in 2019.</p><p> </p><p>NHS England has a number of schemes in place to reduce workload and improve working conditions for GPs and to support them to remain in the National Health Service including the GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time for Care Programme.</p><p> </p><p>NHS England has also committed to further expanding community based multi-disciplinary teams and will provide funding towards up to 20,000 other staff in primary care networks by 2023/24. This builds on the non-GP clinical staff already working in general practice, and will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:30:18 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1081772

	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	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of NHS England’s £130 million funding for the Linear Accelerator programme was spent in (a) 2016-17 (b) 2017-18 (c) 2018-19; what funding his Department plans to allocate to that programme in (i) 2019-20 and (ii) 2020 - 21; and if he will make a statement.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	228019
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>Since October 2016, the Radiotherapy Modernisation Programme has funded over 80 replacement or upgraded Linear Accelerators (LINACs) and additional networking capability. The breakdown of spend is as follows:</p><p>- 2016/17 - £35.6 million</p><p>- 2017/18 - £45.8 million</p><p>- 2018/19 - £50.4 million</p><p> </p><p>The LINACs replacement and upgrade budget for 2018/19 was £45 million. The £50.4 million figure above includes a £468,000 ‘overspend’, covered by the cancer transformation fund, plus radiotherapy networking support, also from the cancer transformation fund. This is detailed in the following table:</p><p> </p><table><tbody><tr><td><p>The Christie NHS Foundation Trust</p></td><td><p>£956,000</p></td></tr><tr><td><p>Lancashire Teaching Hospitals NHS Foundation Trust</p></td><td><p>£632,000</p></td></tr><tr><td><p>South Tees Hospitals NHS Foundation Trust</p></td><td><p>£560,000</p></td></tr><tr><td><p>Cambridge University Hospitals NHS Foundation Trust</p></td><td><p>£1,372,000</p></td></tr><tr><td><p>East Suffolk and North Essex NHS Foundation Trust</p></td><td><p>£732,000</p></td></tr><tr><td><p>The Clatterbridge Cancer Centre NHS Foundation Trust</p></td><td><p>£600,000</p></td></tr><tr><td><p>Total</p></td><td><p>£4,852,000</p></td></tr></tbody></table><p> </p><p>Decisions on further funding in future years have not yet been taken and will depend partly on the outcome of the Spending Review later this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:16:59 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1081774

	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	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of cancer patients should have received radiotherapy as part of their cancer treatment in 2018.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	228020
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>This information is not recorded.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:26:59 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1081790

	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	Health: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to bring the performance of screening programmes in London in line with the rest of England and Wales.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	228089
	answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>The National Health Service in London continually strives to bring the best quality screening services to a large, diverse and mobile population. This is demonstrated in the NHS breast screening programme in London where in 2017/18, 272,506 women were screened.</p><p> </p><p>While London has the lowest uptake and coverage in the country for breast cancer screening, the NHS is closing the gap. Over the past decade, the proportion of eligible women aged 53-70 screened for breast cancer within three years increased from 63.6% to 69.3% (minimum target 70%) in London; which is in contrast to the slight reduction in screening coverage in England (from 75.9% to 74.9%).</p><p> </p><p>Across London, uptake (the proportion of invited women adequately screened for breast cancer within six months of invitation) has fluctuated but is 2.7% higher than it was a decade ago compared to a 2.7% decline across England.</p><p> </p><p>The London NHS is implementing evidence-based interventions to improve uptake: appointment reminders sent by text/SMS; pre-invitation letters; second-timed appointments - when a woman does not attend her screening appointment, a second appointment scheduled at a specific date and time is sent.</p><p> </p><p>In summer 2019, London will work with practices across London to introduce general practitioner (GP)-endorsed appointment text/SMS reminders, using mobile phone numbers recorded by GPs. In close partnership with the Healthy London Partnership, NHS England (London Region) has been working with several charities to improve participation in breast screening:</p><p>- Developed a Good Practice Guide for Cancer Screening in Primary Care (endorsed by PHE, Royal College of GPs);</p><p>- Cancer Research UK primary care facilitators support practices across London improve the early diagnosis of cancer including, increasing cancer screening uptake;</p><p>- Jo’s Cervical Cancer Trust supports practices and women in London; and</p><p>- MacMillan lead Clinical Commissioning Group Cancer GPs provide leadership and support on cancer diagnosis and management in primary care. Community Links has worked in North Central London, supporting women to attend breast screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:28:41 answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes