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1129166

	registered interest
	date	03/06/2019
	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	Dermatology: Wolverhampton
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what support his Department is providing to (a) Royal Wolverhampton NHS Trust and (b) other local NHS Trusts who are exploring redesigning dermatology services towards the community; and what steps he will take to ensure patient access to dermatology services is maintained.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	259387
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>Clinical commissioning groups (CCGs) are responsible for commissioning the vast majority of dermatology services. The majority of patients with dermatological disorders are managed in primary and community care. Wolverhampton CCG is currently re-procuring its community dermatology service which will encompass an extended range of services. This procurement has been undertaken with the knowledge and co-operation of Royal Wolverhampton Trust. The Royal Wolverhampton Trust is also exploring with other trusts how to make the best use of scarce dermatology staff by working with each other more closely.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:46:59 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4609 label Biography information for Eleanor Smith

1129167

	registered interest
	date	03/06/2019
	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: Staff
	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 is taking to engage frontline staff in shaping the implementation and delivery of the Workforce Strategy; and what further work is planned to examine (a) dermatology and (b) other specific specialities as part of that strategy.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	259388
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The National Health Service published its interim People Plan on 3 June. It sets out a plan of action to meet the long-term challenges of supply, reform, culture and leadership, and puts NHS people at the heart of NHS policy and delivery.</p><p>In developing this plan, the NHS has engaged widely with staff, patients, employers, professional organisations, regulatory bodies, voluntary sector, academia and other experts.</p><p>In advance of publishing the final People Plan, the NHS will establish a national programme board to address geographical and specialty shortages in medicine. We expect the final People Plan to be published soon after the Spending Review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 11/06/2019 15:42:24 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4609 label Biography information for Eleanor Smith

1130455

	registered interest
	date	06/06/2019
	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	Diabetes: Mental 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 he is taking to ensure each hospital diabetes team includes a mental health professional.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	261213
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>It is for individual clinical commissioning groups to commission treatment and services for people with diabetes and they are best placed to identify what is needed in their local areas.</p><p>On 21 March 2018 NHS England and NHS Improvement along with the National Collaborating Centre for Mental Health published ‘The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms’ which is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2018/03/improving-access-to-psychological-therapies-long-term-conditions-pathway.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2018/03/improving-access-to-psychological-therapies-long-term-conditions-pathway.pdf</a></p><p>IAPT services provide evidence based treatments for people with anxiety and depression and the services are co-located in existing primary and secondary care physical health pathways. IAPT services will target the needs of people with depression and anxiety disorders who also have long term conditions such as diabetes.</p><p>In addition, a project working group has been established involving NHS England, Diabetes UK and other stakeholders which aims to develop a care pathway which, when adopted locally, would help improve access to emotional and psychological support for people with diabetes.</p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:47:42 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4077 label Biography information for Emma Reynolds

1129160

	registered interest
	date	03/06/2019
	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	Influenza: Vaccination
	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 is he taking to ensure the adequacy of supplies of flu vaccine for autumn 2019.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	258987
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Public Health England (PHE) provides flu vaccines centrally for the children’s flu programme. Sufficient vaccine has been procured to ensure that all eligible children who present for vaccination can be offered the appropriate vaccine.</p><p>General practitioners and other providers are directly responsible for ordering flu vaccine from suppliers which are used to deliver the national flu programme to the other eligible groups. PHE and NHS England maintain oversight at a national level to help facilitate a constant supply of vaccine.</p><p> </p><p><strong> </strong></p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:27:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	318 label Biography information for John Spellar

1129297

	registered interest
	date	03/06/2019
	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	Parasitic Diseases: 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 amount that is planned to be spent by the Food Standards Agency on trichinella testing in each of the next five years.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	259022
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The cost of trichinella testing is dependent on the number of pigs slaughtered in any given year. In 2018/19 approximately £565,000 was spent on trichinella testing of which £275,000 was recovered through charges for official controls.</p><p>The current requirements for trichinella testing will be maintained when the United Kingdom leaves the European Union and although the Food Standards Agency works in a dynamic environment with costs dependent on many factors, there is no evidence to suggest that expenditure will change significantly over the next five-year period.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:34:12 answering member 4455 label Biography information for Seema Kennedy
	tabling member	491 label Biography information for Dame Angela Eagle

1129298

	registered interest
	date	03/06/2019
	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	Parasitic Diseases: 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 cost of ensuring that standards of testing for trichinella are maintained after the UK leaves the EU.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	259023
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The United Kingdom will maintain the requirements of European Union food safety legislation after leaving the EU. This will ensure that food standards applicable to both domestically produced and imported food are maintained and that UK food businesses continue to apply controls that are widely accepted by other countries.</p><p>It is not possible to determine an exact figure for trichinella costs going forward as this is dependent on the number of pigs slaughtered in a particular year, however, the UK will maintain the current testing requirements and the costs associated with testing should similarly remain the same.</p><p>In financial year 2018/19, the Food Standards Agency (FSA) spent approximately £565,000 on trichinella testing of which £275,000 was recovered through charges for official controls. The FSA will ensure that the resources required to maintain standards and level of testing for trichinella control are available after exit.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:35:02 answering member 4455 label Biography information for Seema Kennedy
	tabling member	491 label Biography information for Dame Angela Eagle

1129299

	registered interest
	date	03/06/2019
	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, when his Department plans to fully implement the pilot scheme for de-linking the payments made to companies from the volumes of antibiotics sold.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	259024
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The United Kingdom national action plan for antimicrobial resistance (AMR), published on 24 January 2019, includes the commitment to lead the way in testing solutions that address the failure of companies to invest in the development of new antimicrobials. New models that pay companies for antibiotics based primarily on a National Institute for Health and Care Excellence (NICE) led health technology assessment of their value to the National Health Service, as opposed to the volumes used, are in development.</p><p>The project is co-sponsored by NICE and NHS England, with the Department taking an oversight role. Governance arrangements are being finalised and the central project team is in place.</p><p>This is complex and world-leading work that will involve the development of an evaluation framework and commercial model, as well as undertaking a value assessment for the products included in the test.</p><p>It is anticipated to take between 18 months to two years before payments are implemented.</p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:28:20 answering member 4455 label Biography information for Seema Kennedy
	tabling member	491 label Biography information for Dame Angela Eagle

1129300

	registered interest
	date	03/06/2019
	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: Drug Resistance
	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 the implementation of the Antimicrobial Resistance National Action Plan 2019-2024; and if he will make a statement.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	259025
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Department is working closely across Government to finalise governance arrangements and plans for implementing the commitments set out in the United Kingdom’s five-year national action plan for antimicrobial resistance (AMR).</p><p>We anticipate that the first cross-Government UK AMR national action plan Delivery Board will meet in the summer. This board will be responsible for overseeing and driving delivery of the commitments in the national action plan and will receive regular reports on progress against the national ambitions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:30:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	491 label Biography information for Dame Angela Eagle

1128914

	registered interest
	date	03/06/2019
	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	5G: Health Hazards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what investigations the Government has commissioned on the health and safety implications of the 5G rollout.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	258952
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Electromagnetic fields (EMFs) and health evidence reviews have been prepared by scientific expert groups in the United Kingdom and around the world. The independent Advisory Group on Non-Ionising Radiation (AGNIR) published their report in the UK in 2012 and the European Commission’s Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR) published their report in 2015. The World Health Organization is presently preparing a review. The AGNIR report is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/radiofrequency-electromagnetic-fields-health-effects" target="_blank">https://www.gov.uk/government/publications/radiofrequency-electromagnetic-fields-health-effects</a></p><p> </p><p>The SCENIHR report is available at the following link:</p><p> </p><p><a href="https://ec.europa.eu/health/sites/health/files/scientific_committees/docs/citizens_emf_en.pdf" target="_blank">https://ec.europa.eu/health/sites/health/files/scientific_committees/docs/citizens_emf_en.pdf</a></p><p> </p><p>Based on the accumulated evidence and reviews, Public Health England (PHE) advises that the guidelines of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) should be adopted and there is no convincing evidence that EMF exposures below the ICNIRP guideline levels cause adverse health effects.</p><p> </p><p>PHE has committed to keeping the emerging evidence under review and to preparing another comprehensive review when sufficient new evidence has accumulated.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:19:34 answering member 4455 label Biography information for Seema Kennedy
	tabling member	252 label Biography information for Dr David Drew

1129342

	registered interest
	date	03/06/2019
	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	Malnutrition: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the implications for his policies of the 2015 British Association for Parenteral and Enteral Nutrition and NIHR report entitled The Cost of Malnutrition in England and potential cost savings form nutritional interventions which found that half the £19.6 billion annual cost of malnutrition relates to care for people over 65.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	259221
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Government has made no such assessment.</p><p>The NHS England guidance ‘Commissioning Excellent Nutrition and Hydration (2015-2018)’ supports commissioners to develop strategies and address issues related to improvements in delivery and commissioning of nutrition and hydration needs in acute services and the community. The guidance has been developed in conjunction with key partners including the British Dietetic Association and the British Association for Parenteral and Enteral Nutrition.</p><p>In addition, the National Institute for Health and Care Excellence (NICE) is responsible for publishing clinical guidelines for the National Health Service. ‘Nutrition support for adults: oral feeding, enteral tube feeding and parenteral nutrition’ (NICE Clinical Guideline 32) provides advice to the NHS to help identify patients who are malnourished or at risk of malnutrition and was most recently reviewed by NICE in July 2017. Further information is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/qs24" target="_blank">https://www.nice.org.uk/guidance/qs24</a></p><p>Building on this guidance, further steps have been taken to support screening and recording of malnutrition in hospitals and other healthcare settings.</p><p>A 'Malnutrition Universal Screening Tool' ('MUST') has been developed by the Malnutrition Advisory Group. The tool is supported by governmental and non-governmental organisations, such as the Royal College of Nursing, and is the most commonly used screening tool in the United Kingdom. Further information is available at the following link:</p><p><a href="http://www.malnutritionselfscreening.org/self-screening.html" target="_blank">http://www.malnutritionselfscreening.org/self-screening.html</a></p><p>The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 set out the fundamental standards of care, which must be met by all providers of health and adult social care. Regulation 14 of that Act relates specifically to meeting nutritional and hydration needs. During inspections of health and adult social care services, the Care Quality Commission (CQC) asks five key questions of all care services: are they safe, are they effective, are they caring, are they responsive to people’s needs and are they well-led?</p><p>Under the Effective key question, the CQC seeks to understand how services support people to ensure that they eat and drink enough to maintain a balanced diet. If a malnourished patient presents at hospital, the CQC would expect a hospital trust to record it as a primary or secondary diagnosis in the Hospital Episode Statistics database and a safeguarding alert to be made, as well as a referral to a dietician.</p><p><br></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:23:08 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4131 label Biography information for Jim Shannon