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1132218

	registered interest
	date	14/06/2019
	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	Primary Care Networks
	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 priorities are for the NHS Primary Care Network.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	264719
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The priority for the Primary Care Network (PCN) overall will be to ensure that it builds on the core of current primary care services by enabling greater provision of proactive, personalised, coordinated and more integrated health and social care. PCNs will take part in the Network Contract Directed Enhanced Service from July 2019. This provides funding for additional capacity in general practice, extended access and clinical leadership. The priorities for individual PCNs will be determined locally by their Clinical Director and leadership team, in close conjunction with their local authority and clinical commissioning group. These priorities must be within the context of the seven service specifications that are being published and which will set out what all networks have to deliver. The seven are focused on areas where PCNs can have significant impact against the ‘triple aim’ of improving health and saving lives, for example from strokes, heart attacks and cancer; improving the quality of care for people with multiple morbidities; and helping to make the National Health Service more sustainable, for example, by helping to reduce avoidable hospital admissions.</p><p>The specifications cover the following topics:</p><p> </p><p>- Structured medications review and optimisation;</p><p>- Enhanced health in care homes, to implement the vanguard model;</p><p>- Anticipatory care requirements for high need patients typically experiencing several long-term conditions, joint with community services;</p><p>- Personalised Care, to implement the NHS Comprehensive Model;</p><p>- Supporting early cancer diagnosis;</p><p>- Cardiovascular Disease (CVD) prevention and diagnosis; and</p><p>- Tackling neighbourhood inequalities.</p><p> </p><p>The framework can be viewed at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:52:29 answering member 4455 label Biography information for Seema Kennedy
	tabling member	338 label Biography information for Keith Vaz

1132219

	registered interest
	date	14/06/2019
	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	General Practitioners: Leicester
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, which organisation will provide Primary Care Network services for GP practices in Leicester.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	264720
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>General practitioner (GP) practices within Leicester have been working together over the last few months to develop their proposed Primary Care Network (PCN) footprints. Initial proposals were discussed by Leicester City Clinical Commissioning Group’s management and lay member group and GP Reference Group in April 2019. A list of proposed PCNs and their member practices was published in May and is available at the following link:</p><p><a href="https://3xmatc1p0cnc3crfv93ovogp-wpengine.netdna-ssl.com/wp-content/uploads/2019/05/Paper-AOB-update-on-Primary-Care-Networks.pdf" target="_blank">https://3xmatc1p0cnc3crfv93ovogp-wpengine.netdna-ssl.com/wp-content/uploads/2019/05/Paper-AOB-update-on-Primary-Care-Networks.pdf</a></p><p>PCNs will be formally established for 1 July.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:51:13 answering member 4455 label Biography information for Seema Kennedy
	tabling member	338 label Biography information for Keith Vaz

1132220

	registered interest
	date	14/06/2019
	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	Obesity: Children
	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 timeframe is for the publication of the report by Professor Dame Sally Davies on a potential tax on unhealthy food to tackle childhood obesity.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	264721
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The Chief Medical Officer’s review of potential actions to help meet our ambition of halving childhood obesity by 2030 is due for publication in September.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:47:44 answering member 4455 label Biography information for Seema Kennedy
	tabling member	338 label Biography information for Keith Vaz

1130820

	registered interest
	date	10/06/2019
	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	Opioids: Prescriptions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to ensure that individuals prescribed opioid medication for chronic pain have their prescriptions reviewed on an annual basis.
	tabling member printed	The Lord Bishop of Carlisle
	uin	HL16187
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The General Medical Council’s (GMC’s) ethical guidance <em>Good practice in prescribing and managing medicines and devices (2013)</em> sets out that with all prescriptions, it is expected that clinicians make sure that suitable arrangements are in place for monitoring, follow-up and review, taking account of the patients’ needs and any risks arising from the medicines.</p><p>A copy of the GMC guidance is attached.</p> answering member printed Baroness Barran question first answered 24/06/2019 15:16:33 answering member 4703 label Biography information for Baroness Barran attachment 1 file name prescribing-guidance_pdf-59055247.pdf title Prescribing_guidance
	tabling member	4307 label Biography information for The Lord Bishop of Carlisle

1130838

	registered interest
	date	10/06/2019
	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	Gender Dysphoria: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they intend to take to prevent the illegal supply of puberty-blocking drugs to British children and adolescents by Dr Helena Webberley, who was recently suspended from the Medical Register by the General Medical Council and who is advertising services from Spain.
	tabling member printed	Lord Moonie
	uin	HL16205
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>It is unacceptable if patients are being put at risk by a service that deliberately places itself beyond the jurisdiction of United Kingdom regulators.</p><p>The Department is working closely with the Care Quality Commission and relevant professional regulators to explore how it can close the loopholes that allow a small number of online organisations to operate without the necessary oversight.</p> answering member printed Baroness Barran question first answered 24/06/2019 15:30:40 answering member 4703 label Biography information for Baroness Barran
	tabling member	621 label Biography information for Lord Moonie

1132104

	registered interest
	date	13/06/2019
	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	MMR Vaccine
	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 correlation between falling rates of vaccination for measles, mumps and rubella and the increased incidence of those conditions.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264387
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>There has been an increase in cases of measles since the end of 2017 with close to 1,000 cases reported in 2018. However, the majority of these cases (628/966, 65%) are in individuals aged less than one year old and over 15 years i.e. those not in recently vaccinated age cohorts. Data is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018" target="_blank">https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018</a></p><p>An increase in mumps activity was observed in England in the first quarter (Q1) of 2019 with 795 laboratory confirmed mumps infections. Almost half (352/795, 44%) of the cases in Q1 were in unvaccinated individuals. This data can be viewed at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf</a></p><p>The World Health Organization confirmed that the United Kingdom had eliminated rubella in 2015. Between 2013-18 there were only 10 laboratory confirmed cases in England. This data can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter" target="_blank">https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter</a></p><p>Nearly all these cases have been in individuals born abroad and were not eligible to receive rubella containing vaccine in United Kingdom.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:57:13 answering member 4455 label Biography information for Seema Kennedy previous answer version 123818 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4077 label Biography information for Emma Reynolds

1132221

	registered interest
	date	14/06/2019
	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	Mortality Rates
	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 his Department is taking to reduce the level of mortality experienced by (a) BAME people, (b) people with mental health conditions and (c) people with learning difficulties.
	tabling member constituency	Morley and Outwood
	tabling member printed	Andrea Jenkyns
	uin	264787
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The NHS Long Term Plan sets out clearly the need to reduce inequalities in health that different groups of the population currently face.</p><p>The NHS Long Term Plan will give 370,000 adults and older adults with severe mental illness greater choice and control over their care through new models of integrated primary and community mental health care.</p><p>In addition, the first ever cross-Government suicide prevention workplan sets out an ambitious programme for every local authority, every National Health Service trust and every prison will have a plan in place to prevent suicide. We will invest up to £600,000 to support local authorities to strengthen their suicide prevention plans and implement the recommendations identified by the independent evaluation of local plans.</p><p>The learning disabilities health check scheme is designed to encourage general practices to identify patients aged 14 and over with learning disabilities, to maintain a learning disabilities 'health check' register and offer individuals an annual health check, which will include producing a health action plan. Such checks are intended to ensure that any undetected health conditions are identified earlier and that on-going treatment and care is appropriate to the individual’s needs. The NHS Long Term Plan commits to improve uptake of the scheme so that at least 75% of those eligible have a health check each year.</p><p>In addition, the Learning Disabilities Mortality Review Programme supports local areas to review the deaths of people with learning disabilities and to use the information to build up a detailed picture of key improvements needed, both locally and at a national level, to reduce the inequality in life expectancy between people with a learning disability, and those without. The learning from the programme is being used to inform programmes of work to address key mortality issues such as sepsis, constipation, and cancer.</p><p>Regarding black, Asian and minority ethnic (BAME) groups, the Long Term Plan also highlights improvements to continuity of midwifery care for women from the BAME community; improving the Diabetes Prevention Programme; and improving bowel screening rates for people from minority ethnic groups. In addition to these, BAME communities will benefit from the wide range of programmes set out in the Long Term Plan.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/06/2019 16:40:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4490 label Biography information for Dame Andrea Jenkyns

1132248

	registered interest
	date	14/06/2019
	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	Prostate 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, how many people with suspected prostate cancer undergo (a) a transrectal ultrasound guided biopsy and (b) a template transperineal biopsy, who have a prostate-specific antigen level of (i) less than 10ng/ml and (ii) more than 10ng/ml in the most recent year for which data is available.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	264726
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 264728 264729 question first answered 24/06/2019 16:50:13 answering member 4455 label Biography information for Seema Kennedy
	tabling member	481 label Biography information for Sir George Howarth

1132249

	registered interest
	date	14/06/2019
	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	Prostate Cancer
	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 number of people with suspected prostate cancer and their prostate-specific antigen score in the most recent year for which data is available.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	264727
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>This information is not available in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:49:12 answering member 4455 label Biography information for Seema Kennedy
	tabling member	481 label Biography information for Sir George Howarth

1132250

	registered interest
	date	14/06/2019
	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	Prostate 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 the unit costs were of a (a) transrectal ultrasound guided biopsy, (b) transperineal template biopsy and (c) multi-parametric MRI scan for an individual with suspected prostate cancer in the most recent year for which data is available; and what is included in the calculation of the unit cost.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	264728
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 264726 264729 question first answered 24/06/2019 16:50:13 answering member 4455 label Biography information for Seema Kennedy
	tabling member	481 label Biography information for Sir George Howarth