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1138814

	registered interest
	date	15/07/2019
	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	Telemedicine: Disability and 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, with reference to page six of the NHS Long Term Plan implementation framework, what assessment he has made of trends in the level of digital connectivity among (a) older and (b) disabled people, and what steps he is taking to increase the number of those people that have access to new digital NHS services.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277156
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Information on the proportion of patients with a long-term condition without access to a smart phone is not routinely collected. We are committed to ensuring that all those using the National Health Service have fair and equitable access to high quality, effective healthcare services that are responsive to all patients’ needs.</p><p>The NHS Long Term Plan sets a clear directive to offer digital first options for the provision of health and care to meet user needs and create a sustainable health and care system. We will continue to offer people choice in how they access NHS services.</p><p>Our mission is to empower people to participate in their health and care using digital services that meet their needs, target prevention and offer a personalised experience.</p><p>Whilst interaction with many health and care services will shift to digital over the coming years, this shift will not be obligatory for people who are unable or unwilling to do so. As more people move to digital channels, the time of health professionals will be freed up to spend more time with people with greater needs.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277155 question first answered 18/07/2019 15:32:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Baroness Keeley

1138813

	registered interest
	date	15/07/2019
	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	Chronic Illnesses: Telemedicine
	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 page 27 of the NHS Long-Term Plan implementation framework, what proportion of patients with a long-term condition do not have access to a smartphone; and what funding he plans to allocate to increase digital connectivity among those people to enable them to access the NHS App.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277155
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Information on the proportion of patients with a long-term condition without access to a smart phone is not routinely collected. We are committed to ensuring that all those using the National Health Service have fair and equitable access to high quality, effective healthcare services that are responsive to all patients’ needs.</p><p>The NHS Long Term Plan sets a clear directive to offer digital first options for the provision of health and care to meet user needs and create a sustainable health and care system. We will continue to offer people choice in how they access NHS services.</p><p>Our mission is to empower people to participate in their health and care using digital services that meet their needs, target prevention and offer a personalised experience.</p><p>Whilst interaction with many health and care services will shift to digital over the coming years, this shift will not be obligatory for people who are unable or unwilling to do so. As more people move to digital channels, the time of health professionals will be freed up to spend more time with people with greater needs.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277156 question first answered 18/07/2019 15:32:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Baroness Keeley

1138996

	registered interest
	date	15/07/2019
	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	Anorexia: Research
	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 implications for treating anorexia of the research published in July 2019 in the journal Nature Genetics entitled genome-wide association study identifies eight risk loci and implicates metabo-psychiatric origins for anorexia nervosa.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	277123
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>The Department has not made any assessment of this research. However, its findings are a useful addition to the evidence base and should be considered by clinicians and other researchers alongside the rest of the evidence on the management of anorexia nervosa.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/07/2019 14:49:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1138846

	registered interest
	date	15/07/2019
	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	Sexual Assault Referral Centres
	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 11 June 2019 to Question 259358 on Medical Examinations: Sexual Offences, how many Sexual Assault Referral Centres there are in England; and whether those centres offer a forensic medical examination to victims of sexual assault in cases where that victim does not wish to report that assault to the police.
	tabling member constituency	Ealing Central and Acton
	tabling member printed	Dr Rupa Huq
	uin	277235
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>There are 47 sexual assault referral centres (SARCs) in England. At the SARC, there is an offer of a forensic medical examination, if clinically appropriate to do so, available to all clients. If victims have not decided whether to involve the police, any forensic medical evidence collected will be stored at the SARC to allow the victim time to decide if they do want to report the assault.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/07/2019 14:49:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4511 label Biography information for Dr Rupa Huq

1138812

	registered interest
	date	15/07/2019
	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	Autism and Learning Disability: Community Care and Housing
	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 page 18 of the NHS Long Term Plan implementation framework, how much additional funding he plans to allocate to support the development of (a) new housing options and (b) suitable accommodation in the community for (i) autistic people and (ii) people with learning disabilities.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277154
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>In addition to ongoing capital subsidy by both Ministry of Housing, Communities and Local Government and Department of Health and Social Care, to support the new supply of supported housing, NHS England has committed to invest £100 million of capital funding to support people with a learning disability and autism to live in the community from 2016 to 2021.</p><p> </p><p>Further funding to support housing development relating to the Learning Disability programme from April 2021 will be subject to the capital spending review.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/07/2019 11:24:53 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Baroness Keeley

1138811

	registered interest
	date	15/07/2019
	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 Services: Autism and Learning Disability
	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 page 17 of the NHS Long-Term Plan implementation framework, what criteria will be used to calculate the local area share of the required further reduction of inpatient usage and beds for (a) autistic people and (b) people with learning disabilities.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277153
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Publication of the Implementation Framework begins the process of strategic system planning. System plans for delivery through to 2023/24 are required, with an initial submission in September 2019 and a final submission to follow by mid November 2019. Plans should fully align across the organisations within each system so that they can subsequently be translated into organisational plans for 2020/21, which will be required in early 2020.</p><p> </p><p>The NHS Long Term Plan states that by March 2023/24, inpatient provision will have reduced to less than half of 2015 levels and, for every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people, no more than 12 to 15 children with a learning disability, autism or both per million, will be cared for in an inpatient facility.</p><p> </p><p>At a local level, clinical commissioning groups (CCGs) are expected to reduce inappropriate hospitalisation of people with a learning disability, autism or both to meet these targets. The targets are for people for a learning disability, autism or both as a whole and do not differentiate between individual groups of patients (other than by age). The target rates expressed in the Long Term Plan are based on the Office for National Statistics mid-year population estimates for 2017 and translate into different inpatient counts in each CCG dependent on the size of the local population. Areas with larger populations will therefore have higher inpatient targets than those with smaller populations.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 277152 question first answered 18/07/2019 11:24:12 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Baroness Keeley

1138810

	registered interest
	date	15/07/2019
	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 Services: Autism and Learning Disability
	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 NHS Long-Term Plan implementation framework, what the timeframe is for local areas to produce system plans in relation to services for (a) autistic people and (b) people with learning disabilities.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277152
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Publication of the Implementation Framework begins the process of strategic system planning. System plans for delivery through to 2023/24 are required, with an initial submission in September 2019 and a final submission to follow by mid November 2019. Plans should fully align across the organisations within each system so that they can subsequently be translated into organisational plans for 2020/21, which will be required in early 2020.</p><p> </p><p>The NHS Long Term Plan states that by March 2023/24, inpatient provision will have reduced to less than half of 2015 levels and, for every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people, no more than 12 to 15 children with a learning disability, autism or both per million, will be cared for in an inpatient facility.</p><p> </p><p>At a local level, clinical commissioning groups (CCGs) are expected to reduce inappropriate hospitalisation of people with a learning disability, autism or both to meet these targets. The targets are for people for a learning disability, autism or both as a whole and do not differentiate between individual groups of patients (other than by age). The target rates expressed in the Long Term Plan are based on the Office for National Statistics mid-year population estimates for 2017 and translate into different inpatient counts in each CCG dependent on the size of the local population. Areas with larger populations will therefore have higher inpatient targets than those with smaller populations.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 277153 question first answered 18/07/2019 11:24:12 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Baroness Keeley

1138963

	registered interest
	date	15/07/2019
	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	Plastic Surgery: Advertising
	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 plans to bring forward legislative proposals for amending the regulation advertising for (a) aesthetic and (b) cosmetic treatments.
	tabling member constituency	North Durham
	tabling member printed	Mr Kevan Jones
	uin	277124
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>The Department has no plans to bring forward legislative proposals for amending the regulation of advertising for aesthetic and cosmetic treatments.</p><p>The Government is committed to improving the safety of cosmetic procedures through better training for practitioners, and clear information so that people can make informed decisions about their care.</p><p>The Committee for Advertising Practice (CAP) publish codes and guidance for advertising of cosmetic procedures, including endorsements on social media, which are enforced by the Advertising Standards Authority (ASA). The Department has been working with the CAP, the ASA and the Joint Council for Cosmetic Procedures to evaluate the effectiveness of existing safeguards and levels of industry compliance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/07/2019 09:44:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1438 label Biography information for Lord Beamish

1138233

	registered interest
	date	10/07/2019
	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	Cannabis: Armed Forces
	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 taking to expedite the availability of medicinal cannabis for soldiers suffering from PTSD.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	275687
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>The law was changed on 1 November 2018 to allow clinicians on the General Medical Council’s Specialist Register to prescribe cannabis-based products for medicinal use (CBPM), where it is clinically appropriate and in the best interest of patients. Whilst the law does not restrict the conditions for which these products may be prescribed, interim guidance has been issued by the Royal College of Physicians, British Paediatric Neurology Association and Association of British Neurologists. The use of medicinal cannabis to treat post-traumatic stress disorder (PTSD) is not considered, as the interim guidance focuses only on areas where the evidence base is most developed.</p><p>The National Institute for Health and Care Excellence (NICE) has been commissioned to develop updated clinical guidelines on the prescribing of CBPM, the scope of which is limited to the management of chronic pain, intractable nausea and vomiting, spasticity and severe treatment-resistant epilepsy, areas where the evidence base is most developed. The guidelines will be published by October 2019. It will be based on the best available international evidence and will have been produced using NICE’s world-renowned process for identifying and assessing relevant studies and delivering such guidance. NICE is expected to consult on the draft guidance between 23 July – 20 August 2019. This guidance will be routinely updated to take account of emerging evidence.</p><p>An initial impact assessment ‘Rescheduling of cannabis-based products for medicinal use under the Misuse of Drugs Regulations 2001’ was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. A copy of this impact assessment is available at the following link:</p><p><a href="http://www.legislation.gov.uk/uksi/2018/1055/impacts" target="_blank">http://www.legislation.gov.uk/uksi/2018/1055/impacts</a></p><p>This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of CBPM. The analysis is limited to the five medical conditions where there is most evidence. These five conditions are multiple sclerosis – pain or muscle spasticity; chemotherapy-induced nausea and vomiting; severe treatment-resistant epilepsy in children - specifically Dravet Syndrome and Lennox-Gastaut Syndrome only; chronic pain in adults and appetite and weight loss associated with HIV/AIDS.</p><p>To further the evidence-base, the National Institute for Health Research has issued two calls for research in this area and is working with the industry and researchers to ensure that the evidence is developed in a way that will inform decisions on public funding. This research will be open to all good quality proposals covering any indication and disorders unresponsive to existing treatments.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/07/2019 09:42:32 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1138176

	registered interest
	date	10/07/2019
	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	HIV Infection: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he is having with local authorities in London on increasing access to the PrEP Impact trial.
	tabling member constituency	Bermondsey and Old Southwark
	tabling member printed	Neil Coyle
	uin	275775
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>The pre-exposure prophylaxis (PrEP) Impact Trial is managed by the Trial Sponsor. Recruitment to places in the Trial is managed locally by participating clinics. All information regarding the Trial, including the research clinics which are open to recruitment is available at the following link:</p><p><a href="https://www.prepimpacttrial.org.uk/" target="_blank">https://www.prepimpacttrial.org.uk/</a></p><p>Following funding from NHS England to pay for extra PrEP drug and research costs and the Secretary of State’s announcement on 30 January that the number of places on the PrEP Impact Trial would be doubled to 26,000, expansion of the Trial is now underway across the country.</p><p>In London, boroughs have so far agreed to accept 60% of the total number of additional places available to them, which equates to over 4,000 extra places on the Trial. London local authority commissioners have been asked to confirm that they will accept the remaining 40% of additional places available to them by the end of August at the latest. Participation in the Trial is on a voluntary basis and it is for research clinics and local authorities to decide whether they wish to take part.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/07/2019 09:39:40 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4368 label Biography information for Neil Coyle