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1082370

	registered interest
	date	05/03/2019
	answering body	Department for Exiting the European Union
	answering dept id	203
	answering dept short name	Exiting the European Union
	answering dept sort name	Exiting the European Union
	hansard heading	Free Movement of People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Exiting the European Union, whether the Prime Minister has entered into correspondence with the European Council on changing the mandate of the European Commission to allow for the adoption of part two of the Withdrawal Agreement on citizens’ rights under Article 50 of the Treaty on European Union.
	tabling member constituency	Kingston and Surbiton
	tabling member printed	Sir Edward Davey
	uin	228559
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>From the very beginning the Prime Minister has been clear that safeguarding the rights of EU citizens living in the UK and UK nationals living in the EU was her first priority for negotiations. The best way to guarantee those rights, both for UK nationals in the EU and EU citizens in the UK, is through the Withdrawal Agreement.</p><p>On 27 February, the House of Commons supported a proposal by Alberto Costa MP which requires the Government to seek a joint UK/EU commitment to preserve the citizens’ rights section of the Withdrawal Agreement, whatever the outcome of negotiations.</p><p><del class="ministerial">The Secretary of State Steve Barclay has now written to the EU’s lead Brexit negotiator Michel Barnier, on ring-fencing the Citizens’ Rights part of the Withdrawal Agreement. This letter has also been copied to Guy Verhofstadt, the European Parliament’s Brexit coordinator and shared with the Secretary-General. Copies of the letter have been placed in the libraries of both Houses and it has been published online at <a href="https://www.gov.uk/government/publications/costa-amendment-letter-to-the-eu-institutions" target="_blank">gov.uk</a>.</del></p><p><ins class="ministerial">The Secretary of State Steve Barclay has now written to the EU’s lead Brexit negotiator Michel Barnier, on ring-fencing the Citizens’ Rights part of the Withdrawal Agreement. This letter has also been shared with Guy Verhofstadt, the European Parliament’s Brexit coordinator and the Secretary General of the European Council. Copies of the letter have been placed in the libraries of both Houses and it has been published online at <a href="https://www.gov.uk/government/publications/costa-amendment-letter-to-the-eu-institutions" target="_blank">gov.uk</a>.</ins></p><p> </p><p> </p><p> </p> answering member constituency Worcester answering member printed Mr Robin Walker question first answered 11/03/2019 16:50:27 question first ministerially corrected 11/03/2019 21:37:11 answering member 4091 label Biography information for Mr Robin Walker previous answer version 106785 answering member constituency Worcester answering member printed Mr Robin Walker answering member 4091 label Biography information for Mr Robin Walker
	tabling member	188 label Biography information for Ed Davey

1082542

	registered interest
	date	06/03/2019
	answering body	Department for International Trade
	answering dept id	202
	answering dept short name	International Trade
	answering dept sort name	International Trade
	hansard heading	Export Controls: Saudi Arabia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for International Trade, how many applications for (a) Standard Individual Export Licences, (b) Open Individual Export Licences and (c) Open Individual Trade Control Export Licences for exports to Saudi Arabia were referred to Ministers by the Export Control Joint Unit and its predecessor the Export Control Organisation in each year since 2015.
	tabling member constituency	Brighton, Kemptown
	tabling member printed	Lloyd Russell-Moyle
	uin	229204
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The following are the number of applications to Saudi Arabia that have been referred to Ministers since 2015:</p><p> </p><p>2015:</p><p>a) 2 Standard Individual Export Licences;</p><p>b) 0 Open Individual Export Licence;</p><p>c) 0 Open Individual Trade Control Licences;</p><p>2016:</p><p>d) <del class="ministerial">2</del><ins class="ministerial">13</ins> Standard Individual Export Licences;</p><p>e) 0 Open Individual Export Licence;</p><p>f) 0 Open Individual Trade Control Licences;</p><p>2017:</p><p>g) <del class="ministerial">18</del><ins class="ministerial">23</ins> Standard Individual Export Licences;</p><p>h) <del class="ministerial">1</del><ins class="ministerial">2</ins> Open Individual Export Licence;</p><p>i) 0 Open Individual Trade Control Licences;</p><p>2018:</p><p>j) 13 Standard Individual Export Licences;</p><p>k) 0 Open Individual Export Licence;</p><p>l) 0 Open Individual Trade Control Licences;</p> answering member constituency Beverley and Holderness answering member printed Graham Stuart question first answered 11/03/2019 17:50:58 question first ministerially corrected 28/03/2019 16:37:32 answering member 1482 label Biography information for Graham Stuart previous answer version 106910 answering member constituency Beverley and Holderness answering member printed Graham Stuart answering member 1482 label Biography information for Graham Stuart
	tabling member	4615 label Biography information for Lloyd Russell-Moyle

1082590

	registered interest
	date	06/03/2019
	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	Tobacco
	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 20 February 2019 to Question 222001, when Public Health England plans to undertake an independent academic review of heated tobacco products.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	229155
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Under the Government’s Tobacco Control Plan for England, Public Health England (PHE) is committed to conducting an annual review of the evidence on e-cigarettes and other nicotine delivery systems until the end of the Parliament in 2022. This can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p><p> </p><p>The scope of these reviews includes heated tobacco products and PHE published an evidence review of e-cigarettes and heated tobacco products in February 2018. The review is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review" target="_blank">https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review</a></p><p> </p><p>The Government currently has no plans to conduct a separate review of heated tobacco products outside of the programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:31:49 answering member 4067 label Biography information for Steve Brine previous answer version 106923 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	1604 label Biography information for Mr Virendra Sharma

1082134

	registered interest
	date	05/03/2019
	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	Antimicrobials: Prices
	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 his Department has made of the potential merits of using models that de-link the cost of research and development from the price of the final product and the volume of sales, as set out in the 2016 UN Political Declaration of the High-Level Meeting of the General Assembly on antimicrobial resistance, to ensure that new diagnostics, medicines and tools created are accessible and affordable.
	tabling member constituency	Central Ayrshire
	tabling member printed	Dr Philippa Whitford
	uin	228683
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The 2016 United Nations political declaration on antimicrobial resistance (AMR) acknowledged the importance of delinking the cost of investment in research and development on AMR from the price and volume of sales to facilitate equitable and affordable access to new products and encouraged governments to explore innovative approaches.</p><p> </p><p>It is critical that the National Health Service makes the best use of its resources. Any payment model must therefore be based on a robust evaluation of the value that a new antimicrobial product brings to patients and the public as a whole. The assessment of how much value a new antibiotic brings is highly complex and will vary considerably from one product to another.</p><p> </p><p>In the United Kingdom, NHS England and the National Institute for Health and Care Excellence (NICE) are leading work to test innovative models that pay companies based primarily on a NICE led health technology assessment of their value to the NHS as opposed to the volumes used. This has the potential to both promote good antimicrobial stewardship and provide a much-needed incentive for the development of new antimicrobial agents that will, over time, provide value for the NHS.</p><p> </p><p>The test will be subject to robust evaluation before considering any wider change to purchasing policy. The UK represents only a small part of the global market for these drugs and we want to send a signal to the rest of the world that there are workable models to achieve the right sort of incentives for these vital medicines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 228682 question first answered 11/03/2019 18:32:38 answering member 4067 label Biography information for Steve Brine previous answer version 106925 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4385 label Biography information for Dr Philippa Whitford

1082557

	registered interest
	date	06/03/2019
	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 estimate his Department has made of the proportion of eligible adults who have received (a) abdominal aortic aneurysm, (b) bowel, (c) breast and (d) cervical screening in (i) Lambeth CCG (ii) Southwark CCG and (iii) England in each year since 2015.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	229212
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Abdominal aortic aneurysm screening coverage for Lambeth Clinical Commissioning Group (CCG), Southwark CCG and England in each year since 2015/16 can be seen in the following table.</p><p> </p><p>Abdominal aortic aneurysm screening coverage for Lambeth CCG, Southwark CCG and England, 2015/16 to 2017/18.</p><table><tbody><tr><td><p> </p></td><td><p>2015/16 % (tested)</p></td><td><p>2016/17 % (tested)</p></td><td><p>2017/18 % (tested)</p></td></tr><tr><td><p>Lambeth CCG</p></td><td><p>61.0 (627)</p></td><td><p>67.5 (664)</p></td><td><p>53.3 (582)</p></td></tr><tr><td><p>Southwark CCG</p></td><td><p>58.8 (550)</p></td><td><p>73.4 (680)</p></td><td><p>45.9 (435)</p></td></tr><tr><td><p>England</p></td><td><p>79.9 (227,442)</p></td><td><p>81.1 (228,441)</p></td><td><p>80.8 (230,543)</p></td></tr></tbody></table><p>Notes:</p><ol><li>Sources:<a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data</a></li></ol><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data</a></p><p> </p><ol start="2"><li>Total number of people screened is provided in brackets.</li></ol><p> </p><ol start="3"><li>Coverage is the percentage of the eligible population that is successfully screened within the year plus three months:</li></ol><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf</a></p><p> </p><p>Bowel cancer screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for bowel cancer screening is defined as the number of persons registered to a general practice who are screened adequately in the previous 30 months, which is the routine period in which bowel cancer screening takes place for an individual, divided by the number of eligible persons on the last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which an individual should attend for a bowel cancer screening.</p><p> </p><p>Breast screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for breast screening is defined as the number of women registered to a general practice screened adequately in the previous 36 months, which is the routine period in which breast screening takes place for an individual, divided by the number of eligible women on last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for breast screening.</p><p> </p><p>Cervical screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for cervical screening is defined as the number of women screened adequately in the previous 42 months (if aged 24-49) or 66 months (if aged 50-64) divided by the number of eligible women on last day of review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:30:38 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ229212 attached table.docx title PQ229212 attached table previous answer version 106920 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes

1082185

	registered interest
	date	05/03/2019
	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	Lyme Disease
	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 assessment he has made of advances in the abilities of medical practitioners to diagnose Lyme Disease; and if he will make a statement.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	228550
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Individual medical schools set undergraduate medical training curricula and the relevant Royal Colleges set postgraduate medical training curricula which have to meet the standards set by the General Medical Council. Curricula should emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.</p><p><strong> </strong></p><p>The National Institute for Health and Care Excellence (NICE) published updated guidance in 2018 on the diagnoses and management of Lyme disease, which can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng95" target="_blank">https://www.nice.org.uk/guidance/ng95</a></p><p> </p><p>The guidance aims to raise awareness of when Lyme disease should be suspected and ensure that people have prompt and consistent diagnosis and treatment. NICE’s guidelines help health and care professionals deliver the best possible care based on the best available evidence. The guidelines are not mandatory, although health and care commissioners are expected to take them fully into account. In addition, in February 2019, NICE published the following article at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/news/article/diagnose-lyme-disease-if-bull-s-eye-rash-is-present-says-nice" target="_blank">https://www.nice.org.uk/news/article/diagnose-lyme-disease-if-bull-s-eye-rash-is-present-says-nice</a></p><p> </p><p>Public Health England published guidance on Lyme disease in July 2018, which describes the clinical signs and symptoms of Lyme disease and is consistent with the NICE guidance. The guidance can be found at the folloiwng link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis" target="_blank">https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis</a></p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 228551 question first answered 11/03/2019 18:29:30 answering member 4067 label Biography information for Steve Brine previous answer version 106916 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	253 label Biography information for Mr Laurence Robertson

1082386

	registered interest
	date	05/03/2019
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average annual cost to a GP's surgery is of providing NHS GP funding formula funded primary care to someone between the ages of 20 to 49 years old.
	tabling member constituency	Bristol North West
	tabling member printed	Darren Jones
	uin	228781
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>We do not collect information for primary medical care practices about the cost of providing care to individual patients or cohorts of patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:06 answering member 4067 label Biography information for Steve Brine previous answer version 106919 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4621 label Biography information for Darren Jones

1082191

	registered interest
	date	05/03/2019
	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	Lyme Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what training is given to medical practitioners to enable them to (a) recognise the symptoms of and (b) treat Lyme Disease; and if he will make a statement.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	228551
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Individual medical schools set undergraduate medical training curricula and the relevant Royal Colleges set postgraduate medical training curricula which have to meet the standards set by the General Medical Council. Curricula should emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.</p><p><strong> </strong></p><p>The National Institute for Health and Care Excellence (NICE) published updated guidance in 2018 on the diagnoses and management of Lyme disease, which can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng95" target="_blank">https://www.nice.org.uk/guidance/ng95</a></p><p> </p><p>The guidance aims to raise awareness of when Lyme disease should be suspected and ensure that people have prompt and consistent diagnosis and treatment. NICE’s guidelines help health and care professionals deliver the best possible care based on the best available evidence. The guidelines are not mandatory, although health and care commissioners are expected to take them fully into account. In addition, in February 2019, NICE published the following article at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/news/article/diagnose-lyme-disease-if-bull-s-eye-rash-is-present-says-nice" target="_blank">https://www.nice.org.uk/news/article/diagnose-lyme-disease-if-bull-s-eye-rash-is-present-says-nice</a></p><p> </p><p>Public Health England published guidance on Lyme disease in July 2018, which describes the clinical signs and symptoms of Lyme disease and is consistent with the NICE guidance. The guidance can be found at the folloiwng link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis" target="_blank">https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis</a></p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 228550 question first answered 11/03/2019 18:29:30 answering member 4067 label Biography information for Steve Brine previous answer version 106918 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	253 label Biography information for Mr Laurence Robertson

1082564

	registered interest
	date	06/03/2019
	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	Food: Labelling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when the results of the consultation on mandating calorie labelling in the out-of-home sector will be published.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	229218
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>I refer the hon. Member to the answer I gave to the hon. Member for South West Bedfordshire (Andrew Selous MP) on 23 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-21/210542/" target="_blank">210542</a>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:52 answering member 4067 label Biography information for Steve Brine previous answer version 106926 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4505 label Biography information for Peter Kyle

1082558

	registered interest
	date	06/03/2019
	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, with reference to the National Audit Office report entitled Investigation into the management of Health Screening, published 1 February 2019, what steps his Department is taking to ensure NHS screening laboratories are sufficiently staffed.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	229213
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The National Health Service Long Term Plan sets out specific workforce actions developed by NHS Improvement and others to have positive impact for workforces, including the screening and diagnostic workforce. NHS Improvement and the Department will discuss these actions when the education and training budget for Health Education England is set in 2019. This includes a proposal to recruit an additional 1,500 clinical and diagnostic staff across seven priority specialisms between 2018 and 2021.</p><p> </p><p>With specific reference to the national cervical screening programme that includes NHS laboratories, the replacement of liquid based cytology with human papillomavirus (HPV) testing as the primary screen, has had a significant impact on the ability to maintain staff in the cervical screening programme’s laboratory workforce. The HPV pilot evaluation suggested that the need for a cytology workforce could reduce by as much as 85% when HPV testing is introduced as the primary screen during 2019.</p><p> </p><p>NHS England is undertaking a national procurement process to secure providers of laboratory services to deliver HPV primary screening across England. The outcome of the process will be known by the end of April 2019, with national coverage in place by December 2019.</p><p> </p><p>To maintain the service and accommodate current staffing levels a majority of existing HPV pilot sites and some non-pilot sites have already converted more of their cervical screening activity to HPV primary screening, freeing up cytology capacity.</p><p> </p><p>In addition, Professor Sir Mike Richards is leading a major review of national cancer screening programme pathways as part of the NHS Long Term Plan’s renewed drive to improve care and save lives. Professor Richards’ review is due to report in summer 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:00 answering member 4067 label Biography information for Steve Brine previous answer version 106922 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes