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1133707

	registered interest
	date	20/06/2019
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Agriculture: Environment Protection
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment his Department has made of the effectiveness of the role of Natural England in helping farmers to improve their environment.
	tabling member constituency	Totnes
	tabling member printed	Dr Sarah Wollaston
	uin	267338
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Department regularly reviews Natural England’s performance including via formal Ministerial review. Natural England is required to report progress to Defra’s supervisory board and the Secretary of State.</p><p> </p><p>Natural England plays an important role in delivering the 25 Year Environment Plan, providing advice to help farmers to improve their environment. Natural England advisers provide valuable advice on how to effectively manage wildlife and habitats, promoting nature conservation and protecting biodiversity. This includes advice to help landowners set up agri-environment agreements and aftercare advice during the lifetime of the agreements, as well as for other projects that such as the ‘Back to the Brink’ species recovery project, supported by the Heritage Lottery Fund and other charitable organisations.</p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 25/06/2019 15:41:31 answering member 4098 label Biography information for Dr Thérèse Coffey
	tabling member	4073 label Biography information for Dr Sarah Wollaston

1133579

	registered interest
	date	20/06/2019
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Agriculture: Subsidies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, how many Environmental Land Management scheme pilots have been identified and agreed; what the names are of those pilots; how many of those pilots are (a) underway and (b) pending; and how many applications were rejected.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	267163
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Environmental Land Management schemes (ELM) are scheduled to be rolled out from late 2024, with a national pilot beginning in late 2021. Detailed planning of the pilot is in train. The pilot will run for three years and will aim to assess the end-to-end operability and deliverability of the scheme, and allow us to identify and refine any issues or barriers that occur in practice.</p><p> </p><p>To support the development of ELM we are undertaking a number of test and trials. The work is being facilitated by a range of stakeholders, including farmer groups, representative bodies and non-governmental organisations, and it covers a range of geographies and sectors. 47 proposals are being taken forward in phase 1. We are working closely with stakeholders to finalise these. Depending on the complexity of the test or trial we anticipate the first of these commencing shortly. We have received over 200 proposals for phase 2. We will prioritise those proposals that fill gaps in scheme delivery components, outcomes and land management sectors identified from the coverage of the first 47 proposals. At the present time, no proposals have been rejected.</p><p> </p><p>We are working with stakeholders to understand how much funding they might require from the Government to support the delivery of the tests and trials in line with value for money principles.</p><p> </p><p> </p><p> </p> answering member constituency Scarborough and Whitby answering member printed Mr Robert Goodwill question first answered 25/06/2019 12:03:46 answering member 1562 label Biography information for Sir Robert Goodwill
	tabling member	252 label Biography information for Dr David Drew

1133733

	registered interest
	date	20/06/2019
	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	Alcoholic Drinks: Death
	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 prevalence of alcohol related deaths in the 10 (a) most and (b) least deprived local authorities in the UK in each of the last seven years.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	267200
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>There is a marked and significant difference in the alcohol-related mortality rates between the most and least deprived local authorities in England. This inequality gap has persisted over the previous seven years.</p><p>As an example of this inequality, Public Health England observed a mortality rate of 84.6 (per 100,000) in Blackpool (the most deprived local authority in England) in 2017, compared to a mortality rate of 37.6 (per 100,000) in Hart (the least deprived local authority in England) for the same period.</p><p>For the local authorities in both groups, there has been no statistically significant change over the previous seven years, maintaining the inequality gap. Data is available on the Local Alcohol Profiles for England at the following link:</p><p><a href="https://fingertips.phe.org.uk/profile/local-alcohol-profiles" target="_blank">https://fingertips.phe.org.uk/profile/local-alcohol-profiles</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:08:04 answering member 4455 label Biography information for Seema Kennedy
	tabling member	534 label Biography information for Chris Ruane

1132491

	registered interest
	date	17/06/2019
	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	Anaesthetics: Children and Young 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 his Department plans to provide sedation services at all NHS Trust for children and young people with phobias to needles.
	tabling member constituency	Huddersfield
	tabling member printed	Mr Barry Sheerman
	uin	265434
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The use of sedation services is a matter of clinical judgement. Training in engaging children and young people forms the basis of training in all paediatric specialties, for all grades of staff. Clinicians are trained to approach a child or young person in a sensitive, skilled and friendly manner and crucially, make a judgement as to how any procedure or treatment will be administered in the best interest of the child. Treatment decisions should always be made by doctors based on patients’ clinical needs.</p><p>The National Institute for Health and Care Excellence provides guidance on using sedation for diagnostic and therapeutic procedures. This covers the assessment, preparation, training and monitoring needed when using sedation in people aged under 19. This guidance can be found at the following link:</p><p><a href="https://www.nice.org.uk/Guidance/CG112" target="_blank">https://www.nice.org.uk/Guidance/CG112</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/06/2019 16:01:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	411 label Biography information for Mr Barry Sheerman

1133741

	registered interest
	date	20/06/2019
	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	Anxiety: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what comparative assessment he has made of the effectiveness of (a) mindfulness-based and (b) other NICE recommended interventions in reducing anxiety.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	267204
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>We have made no such assessment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/06/2019 15:58:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	534 label Biography information for Chris Ruane

1132581

	registered interest
	date	17/06/2019
	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	Arthritis: 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 is taking to ensure that primary care professionals are adequately trained to spot the early signs of rheumatoid arthritis.
	tabling member constituency	Lincoln
	tabling member printed	Karen Lee
	uin	265614
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Royal College of General Practitioners’ (RCGP) curriculum statement, ‘Professional &amp; Clinical Modules’, makes clear the importance of a prompt diagnosis and treatment of inflammatory arthritis, such as rheumatoid arthritis (RA).</p><p>The condition is identified as a key area of clinical knowledge in the RCGP Advanced Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of GPs’ qualifying exams.</p><p>The National Institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:15:11 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4664 label Biography information for Karen Lee

1132580

	registered interest
	date	17/06/2019
	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	Arthritis: 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, with reference to NICE Guideline CG91, what steps he is taking to ensure that people with rheumatoid arthritis have access to (a) cognitive behavioural therapy and (b) other appropriate psychological interventions.
	tabling member constituency	Lincoln
	tabling member printed	Karen Lee
	uin	265613
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) Guidance ‘Rheumatoid Arthritis in Adults: management’, published in July 2018, sets out best practice on the diagnosis, treatment, care support of people living with the condition. The guidance recommends patients with rheumatoid arthritis (RA) are managed by a multidisciplinary team and have access to non-pharmacological management including physiotherapy, occupational therapy and psychological support. Psychological interventions (for example, relaxation, stress management and cognitive coping skills) can be used to help adults with RA adjust to living with their condition. NICE has also published guidance on ‘Depression in adults with a chronic physical health problem: recognition and management’, which provides advice and guidance for the appropriate use of cognitive behavioural therapy in the management of a long-term condition. Both sets of guidance can be found via the following links:</p><p><a href="http://www.nice.org.uk/guidance/ng100" target="_blank">www.nice.org.uk/guidance/ng100</a></p><p><a href="http://www.nice.org.uk/guidance/cg91" target="_blank">www.nice.org.uk/guidance/cg91</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:01:38 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4664 label Biography information for Karen Lee

1132901

	registered interest
	date	18/06/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Aviation: Wind Power
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what funding her Department has allocated to mitigating the effect of aviation radar on the development of future offshore wind sites.
	tabling member constituency	Kilmarnock and Loudoun
	tabling member printed	Alan Brown
	uin	266201
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The level of funding the Ministry of Defence (MOD) has allocated for mitigating the detrimental effect of offshore wind sites on our air defence radars cannot be separately identified from wider funding that is used to operate and undertake trials with these radars.</p><p>We will continue our work to reduce the effect of offshore wind sites on our radars through safeguarding activity and our existing radar support contracts. We will also continue to conduct flight trials to assess the effectiveness of current and proposed mitigations.</p><p>The MOD remains committed to working closely with industry on mitigating against the effects of the expanding offshore windfarm developments on our air defence and air surveillance capabilities and requirements.</p> answering member constituency Pudsey answering member printed Stuart Andrew question first answered 25/06/2019 14:36:24 answering member 4032 label Biography information for Stuart Andrew
	tabling member	4470 label Biography information for Alan Brown

1133616

	registered interest
	date	20/06/2019
	answering body	Department for International Development
	answering dept id	20
	answering dept short name	International Development
	answering dept sort name	International Development
	hansard heading	Bangladesh: Rohingya
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for International Development, what steps his Department is taking to ensure refugees are consulted on the development of the medium-term response plan for Rohingya refugees in Bangladesh.
	tabling member constituency	Liverpool, West Derby
	tabling member printed	Stephen Twigg
	uin	267156
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The UK government is committed to supporting the Government of Bangladesh’s generosity in hosting the Rohingya refugees. Although the aim is the voluntary return of the refugees to Myanmar, the current conditions and continued conflict in Rakhine State preclude this.</p><p> </p><p>As the crisis moves into a protracted phase, we will remain a leading donor to the humanitarian operation and increase our support to the development needs of affected communities in Cox’s Bazar. This requires working with the UN, World Bank and others to help the Government develop and finance medium-term plans for the district. It also requires continuous consultation with the refugees to make sure that their needs and aspirations are, as far as possible, met. A group of partners, led by BBC Media Action, is helping to facilitate this.</p> answering member constituency West Worcestershire answering member printed Harriett Baldwin grouped question UIN 267159 question first answered 25/06/2019 15:27:57 answering member 4107 label Biography information for Dame Harriett Baldwin
	tabling member	167 label Biography information for Stephen Twigg

1133617

	registered interest
	date	20/06/2019
	answering body	Department for International Development
	answering dept id	20
	answering dept short name	International Development
	answering dept sort name	International Development
	hansard heading	Bangladesh: Rohingya
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for International Development, what assessment his Department has made of (a) opportunities for self-reliance and (b) access to education and livelihoods for Rohingya refugees in Bangladesh.
	tabling member constituency	Liverpool, West Derby
	tabling member printed	Stephen Twigg
	uin	267157
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>We are in regular dialogue with the Government of Bangladesh, and international and local partners on how to improve the opportunities for Rohingya refugees to lead more fulfilling and meaningful lives, now and in the future. Education and livelihoods are an important part of this. The International Development Secretary discussed the Rohingya crisis with the Bangladesh Government in Dhaka in February, including the need to improve refugees’ access to education, skills and livelihoods. The Minister for Asia and the Pacific held similar discussions with the Government during his visit in April.</p><p>We are funding UNICEF, both directly and through Education Cannot Wait, to increase the learning opportunities for refugee children and adolescents. We are also assisting centres that provide training in skills and entrepreneurship, particularly for women.</p> answering member constituency West Worcestershire answering member printed Harriett Baldwin grouped question UIN 267158 question first answered 25/06/2019 15:30:25 answering member 4107 label Biography information for Dame Harriett Baldwin
	tabling member	167 label Biography information for Stephen Twigg