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1149086

	registered interest
	date	14/10/2019
	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	Acanthamoeba Keratitis: Health Education
	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 the Government is taking to work with manufacturers of contact lenses to educate people on how to minimise the risk of contracting Acanthamoeba Keratitis.
	tabling member constituency	The Wrekin
	tabling member printed	Mark Pritchard
	uin	265
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for monitoring the safety of all healthcare products in the UK.</p><p>Following reports of infections that have led to sight loss due to Acanthamoeba Keratitis (AK), the MHRA participated in the Love your Lenses Campaign organised by the General Optical Council with involvement and support from manufacturers and opticians. The main aim of this campaign is to increase the effectiveness of aftercare information given to contact lens wearers. Details of the campaign can be found at the following link:</p><p><a href="https://www.loveyourlenses.com/" target="_blank">https://www.loveyourlenses.com/</a></p><p>The MHRA’s website also highlights the risks of AK and offers guidance and advice for patients to prevent injury and infection. The website can be found at the following link:</p><p><a href="https://www.gov.uk/guidance/medical-devices-information-for-users-and-patients" target="_blank">https://www.gov.uk/guidance/medical-devices-information-for-users-and-patients</a></p><p>In the United Kingdom, the Opticians Act restricts the sale and supply of contact lenses, including ‘zero powered’ (plano) contact lenses, to registered optometrists, dispensing opticians, and medical practitioners. An optometrist examining a patient wishing to wear contact lenses has a duty to assess the patient's suitability for contact lenses and provide the patient with an appropriate lens care regimen, including information on the care, wearing, treatment, cleaning and maintenance of the lens or lenses.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 11:20:12 answering member 4380 label Biography information for Jo Churchill
	tabling member	1576 label Biography information for Mark Pritchard

1148897

	registered interest
	date	14/10/2019
	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	Exercise
	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 ensure that Government targets for physical activity are accessible to all regardless of age, ability and current health.
	tabling member constituency	South Basildon and East Thurrock
	tabling member printed	Stephen Metcalfe
	uin	216
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>The updated Chief Medical Officers’ guidelines for physical activity were published in September 2019. These guidelines provide recommendations and targets for different age groups and for people with disability. Interventions to meet these targets are designed and implemented by local authorities.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 11:20:49 answering member 4380 label Biography information for Jo Churchill
	tabling member	4092 label Biography information for Stephen Metcalfe

1148822

	registered interest
	date	14/10/2019
	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: Postnatal Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy to implement the recommendation of the National Childbirth Trust's Hidden Half campaign to add a maternal six week postnatal check to the GP contract.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	299
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>The potential for a six-week post-natal maternal health check for all mothers is the subject of further work by NHS England and NHS Improvement.</p><p>Decisions on changes to the GP contract for 2020/2021 will be made following negotiations between NHS England and the British Medical Association which are due to conclude at the end of 2019.</p><p>Support from health visitors and other professionals at the universal 6-8 week review is an important time for assessing the health and wellbeing of new parents, particularly in look for signs of postnatal depression.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 16:50:14 answering member 4380 label Biography information for Jo Churchill
	tabling member	4523 label Biography information for Catherine West

1148958

	registered interest
	date	14/10/2019
	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: Postnatal Care
	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 encourage NHS England to add the maternal six week postnatal check to the GP contract so that all new mothers get a full appointment to discuss their mental and physical health.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	107
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>The potential for a six-week post-natal maternal health check for all mothers is the subject of further work by NHS England and NHS Improvement.</p><p>Decisions on changes to the GP contract for 2020/2021 will be made following negotiations between NHS England and the British Medical Association which are due to conclude at the end of 2019.</p><p>Support from health visitors and other professionals at the universal 6-8 week review is an important time for assessing the health and wellbeing of new parents, particularly in look for signs of postnatal depression.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 16:49:50 answering member 4380 label Biography information for Jo Churchill
	tabling member	1436 label Biography information for Paul Farrelly

1148831

	registered interest
	date	14/10/2019
	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: Southampton
	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 GP surgeries in Southampton are not understaffed.
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	uin	306
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>Southampton City Clinical Commissioning Group (CCG) advises it is supporting a multi-agency approach to workforce planning, recruitment and retention. The local general practitioner (GP) federation continue to work collaboratively with Southampton City CCG on workforce planning for primary care in the area. Four practices have signed up to be part of NHS England’s international GP recruitment programme. The CCG is supporting primary care networks with the recruitment and deployment of additional roles, such as pharmacists and social prescribers. All GP practices in Southampton are rated ‘good’ by the Care Quality Commission.</p><p>The NHS Long Term Plan, published in January 2019, made a clear commitment to the future of general practice, with primary and community care set to receive at least £4.5 billion more a year by 2023/24, in real terms. This was followed by the five-year GP contract framework, which will provide greater financial security and certainty for practices to plan ahead. This will see billions of extra pounds of investment for improved access, expanded services at local practices, the development of PCNs and longer appointments for patients who need them.</p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce in England. The forthcoming People Plan will set out a broader strategy for a sustainable general practice workforce. Alongside our commitment to grow the GP workforce, the GP contract will see funding towards up to 20,000 extra non-GP staff working in PCNs by 2023/24.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 11:02:49 answering member 4380 label Biography information for Jo Churchill
	tabling member	4478 label Biography information for Royston Smith

1148934

	registered interest
	date	14/10/2019
	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	Incontinence: Medical Equipment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy for NHS England to require (a) Clinical Commissioning Groups and (b) NHS trusts that have formularies which do not list all of the medical devices available on Part IX of the Drug Tariff to issue guidance to clinicians on their ability to prescribe the most appropriate medical device available through that tariff and to include a link to that tariff online.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	237
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>The Government has no plans to change current policies. Decisions about the provision of medical devices available on Part IX of the Drug Tariff are a matter for local clinical commissioning groups and National Health Service trusts, taking account of the needs of their local populations.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 11:07:47 answering member 4380 label Biography information for Jo Churchill
	tabling member	4398 label Biography information for Chris Green

1148939

	registered interest
	date	14/10/2019
	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 his Department is taking to increase the uptake of the flu vaccine among people with (a) chronic obstructive pulmonary disease, (b) asthma and (c) other long-term health conditions.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	241
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>Those most at risk from flu, including people with chronic obstructive pulmonary disease, asthma and other long term health conditions, are offered annual flu vaccination. At risk patients are targeted by the Public Health England and the NHS England and NHS Improvement marketing campaign, ‘Help Us Help You’, which includes television, radio and social advertising supported by public relations, digital search and partnership activity. Communications this year include messages about the wider range of flu vaccines now available, which offer better protection.</p><p>Those eligible for flu vaccination can get the vaccine from their general practitioner or in a scheme introduced in 2015/16, through local pharmacies, thus widening patient access.</p><p>We will be also be publishing a vaccination strategy focused on improving vaccine uptake rates across the life course.</p><p>As part of its assurance process NHS England and NHS Improvement work through their regional teams and with clinical commissioning groups to ensure that those practices with lowest uptake are contacted and action is taken to increase vaccination rates.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 16:47:40 answering member 4380 label Biography information for Jo Churchill
	tabling member	4398 label Biography information for Chris Green

1148821

	registered interest
	date	14/10/2019
	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: Greater London
	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 increase the take up of the MMR vaccine in London.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	298
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>NHS England, NHS Improvement and Public Health England are working with key regional and local stakeholders, for example, Directors of Quality Clinical Commissioning Groups and local authorities, to implement actions from the measles, mumps and rubella (MMR) Elimination Strategy to increase take-up of the MMR vaccine in London.</p><p>Examples of recent actions include:</p><p>- Implementing the catch-up vaccination programme for 10 and 11-year olds through general practices;</p><p>- An MMR campaign targeted at 18-25-year olds (including ‘pop up’ clinics in 16 universities across London in October);</p><p>- Notifications from Child Health Information Services to help general practices identify children with due and overdue vaccinations; and</p><p>- Initiatives led by local teams to address inequalities in vaccine uptake (e.g. vaccine clinics for the Charedi community in Hackney).</p><p>In addition, over the next year, the MMR will be offered in all schools, and there will be increased access to vaccination appointments such as vaccine clinics on Friday evenings.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 16:49:10 answering member 4380 label Biography information for Jo Churchill
	tabling member	4523 label Biography information for Catherine West

1148861

	registered interest
	date	14/10/2019
	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: Drugs
	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 Explanatory Memorandum to The Human Medicines (Amendment) Regulations 2019, 7.12, whether in the event of a Serious Shortage Protocol being issued for immunosuppressant medicines patients would always be referred back to the prescriber for any decision on their treatment before any therapeutic or generic alternative is supplied.
	tabling member constituency	High Peak
	tabling member printed	Ruth George
	uin	326
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>While Serious Shortage Protocols (SSP) in England have the scope to cover all medicines and appliances that are on a National Health Service prescription in primary care, including immunosuppressant medicines, it is clear that an SSP for therapeutic or generic equivalents will not necessarily be suitable for all medicines and patients. For example, where medicines need to be prescribed by brand for clinical reasons, which may be the case for certain immunosuppressant medicines. In these cases, patients would always be referred back to the prescriber for any decision about their treatment before any alternative is supplied.</p><p>Any protocol would however only be introduced if clinicians with expertise in the relevant area think it is appropriate. So, if an SSP for an immunosuppressant medicine was under consideration, this would be agreed with, for example, transplant specialists or other relevant clinicians. Pharmacists will have to use their professional judgment as to whether supplying against the protocol rather than the prescription is appropriate or the patient should be referred to their prescriber.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 22/10/2019 11:21:30 answering member 4380 label Biography information for Jo Churchill
	tabling member	4662 label Biography information for Ruth George

1148946

	registered interest
	date	14/10/2019
	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	Vaccination
	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 plans to introduce a consistent approach to vaccinations, such as introducing call and re-call systems for shingles, as is already common in flu and pneumococcal vaccination programmes.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	243
	answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>Immunisations play a critical role in preventative healthcare and in promoting health and well-being across the life course, particularly in older adults when protection against flu, pneumococcal and shingles is so important. NHS England is working closely with the Department and with Public Health England to develop a 10-year vaccination strategy and in leading the review of vaccination and immunisation in general practice with both pieces of work focused on improving immunisation uptake rates across the life course.</p><p>The review of general practitioner (GP) vaccination and immunisation standards, funding and procurement, commenced in April 2019. One of the purposes of the review is to clarify what is expected of call/recall for all section 7A immunisations. Recommendations from the Review will be implemented through the GP contract where appropriate.</p><p>Whilst being assured that providers have ordered sufficient amount of vaccine for their registered populations, work has also been undertaken collaboratively with the Department, Public Health England and flu vaccine manufacturers to ensure equity of supply and distribution of adult flu vaccines to all providers across England. This will ensure that all those eligible, including elderly and housebound patients, are immunised as soon as the vaccine becomes available.</p><p>Those most ‘at risk’ from flu, including people aged 65 and over, pregnant women and those in clinical risk groups, are offered an annual flu vaccination. At-risk patients are targeted by the Public Health England and NHS England marketing campaign, ‘Help Us Help You’, which includes television, radio and social advertising, supported by public relations, digital search and partnership activity.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 242 question first answered 22/10/2019 16:45:33 answering member 4380 label Biography information for Jo Churchill
	tabling member	4398 label Biography information for Chris Green