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1133166

	registered interest
	date	19/06/2019
	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	Cannabis: 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, whether patients whose prescription for a cannabis-based medical product is blocked by an NHS trust can appeal that decision.
	tabling member constituency	Gower
	tabling member printed	Tonia Antoniazzi
	uin	266861
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>In line with routine clinical practice patients wishing to seek a second opinion will be supported to do so. In the first instance clinicians should refer patients for a second opinion using their established protocols. If it is not possible to obtain a second or further opinion using established protocols then National Health Service trusts are instructed to contact their NHS England Regional Medical Director who will be able to offer further advice around a referral route. The NHS England Regional Medical Directors will support NHS trusts in identifying a suitable NHS specialist for a second opinion. Processes may differ in Scotland, Wales and Northern Ireland.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 12:42:09 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4623 label Biography information for Tonia Antoniazzi

1133167

	registered interest
	date	19/06/2019
	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	Cannabis: 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 recent discussions his Department has had with (a) NHS England, (b) drug manufacturers and (c) the National Institute for Health and Care Excellence on funding for licensed cannabis-based products.
	tabling member constituency	Gower
	tabling member printed	Tonia Antoniazzi
	uin	266862
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The Department is in regular contact with the National Institute for Health and Care Excellence (NICE) and NHS England colleagues about a range of issues and has not met with drug manufacturers on funding of licensed cannabis-based products.</p><p>Sativex is currently the only licensed cannabis-based product available in the United Kingdom. NICE considered the clinical and cost effectiveness of Sativex in the development of its clinical guideline on the management of multiple sclerosis published in 2014. NICE was not able to recommend Sativex as a cost-effective use of NHS resources for the treatment of spasticity in people with multiple sclerosis. Sativex is not therefore routinely funded by the NHS in England for use in the treatment of multiple sclerosis, although clinicians are able to make a request for exceptional funding for individual patients who they think may benefit from treatment.</p><p>NICE has been asked to develop clinical guidelines on cannabis-based products for medicinal use and is expected to look at the clinical and cost effectiveness of treatments, including Sativex, as part of this work. This is expected to be published by October 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 12:43:17 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4623 label Biography information for Tonia Antoniazzi

1134110

	registered interest
	date	24/06/2019
	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 estimate he has made of the (a) number of doses of flu vaccine required in winter 2019-20 and (b) proportion of those doses which will need to be sourced from outside the UK; and what plans he has in place to ensure the adequate supply of flu vaccine in the event that the UK leaves the EU without a deal on 31 October 2019.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	268344
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Flu vaccines for people aged 18 years and older are procured directly from manufacturers and suppliers by providers, based on their local assessment of need. The procurement and distribution of flu vaccines for the children’s aspect of the national flu programme is managed by Public Health England (PHE). Doses of flu vaccine for 2019/20 is estimated using end of season for 2018/19 that are published on GOV.UK at the following links:</p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019</a></p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019</a></p><p>Seasonal flu vaccines for 2019/20 are currently being manufactured and due for delivery to the market in the autumn. Vaccine production is a complex and multi-stage process, which will involve a touch-point outside of the United Kingdom.</p><p>Officials continuously monitor the flu vaccine supply landscape to enable timely and appropriate action to be taken in the event of supply issues.</p><p>The Department, PHE and NHS England are in regular discussion with the manufacturers to ensure they have appropriate contingency plans in place to prepare for a potential ‘no deal’ scenario.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:20:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1133549

	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	Lung Cancer: Air Pollution
	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 has identified a link between air pollution and lung cancer in non-smoking persons.
	tabling member constituency	Preston
	tabling member printed	Sir Mark Hendrick
	uin	267183
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The International Agency for Research on Cancer has classified outdoor air pollution and particulate matter in outdoor air pollution as carcinogenic to humans. This can be viewed at the following link:</p><p><a href="https://monographs.iarc.fr/iarc-monographs-on-the-evaluation-of-carcinogenic-risks-to-humans-7/" target="_blank">https://monographs.iarc.fr/iarc-monographs-on-the-evaluation-of-carcinogenic-risks-to-humans-7/</a></p><p>Estimates in a recent paper on lung cancer in non-smoking people in the Journal of the Royal Society of Medicine co-authored by Public Health England show that nearly 6,000 never-smokers die of lung cancer in United Kingdom every year and that approximately 8% of these deaths may be attributable to outdoor air pollution. This can be viewed at the following link:</p><p><a href="https://doi.org/10.1038/s41416-018-0029-6" target="_blank">https://doi.org/10.1038/s41416-018-0029-6</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 12:41:20 answering member 4455 label Biography information for Seema Kennedy
	tabling member	473 label Biography information for Sir Mark Hendrick

1134077

	registered interest
	date	24/06/2019
	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	Preventive Medicine
	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 will publish the Green Paper on prevention.
	tabling member constituency	Brentford and Isleworth
	tabling member printed	Ruth Cadbury
	uin	268534
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>I refer the hon. Member to the answer given by the former Parliamentary Under-Secretary of State for Public Health and Primary Care (Steve Brine MP) to the hon. Member for Glasgow Central (Alison Thewliss MP) on 16 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-09/206879/" target="_blank">206879</a>.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 09:52:01 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4389 label Biography information for Ruth Cadbury

1133345

	registered interest
	date	19/06/2019
	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	National Cancer Screening Programmes in England Review
	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 Sir Mike Richards’ review of cancer screening programmes, whether the findings from that review will be incorporated into proposals on tackling workforce shortages for breast imaging and diagnostic workforce and included in the final NHS People Plan.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	266830
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The National Health Service currently has a record number of specialist cancer staff and has committed to recruit an additional 1,500 staff across seven priority cancer specialisms by 2021.</p><p>The NHS interim People Plan was published on 3 June 2019. It acknowledges that further action must be taken to grow and recruit a world class cancer workforce to the NHS, and sets out a shared vision and plan of action to put NHS people at the heart of NHS policy and delivery.</p><p>In advance of publishing the final People Plan, soon after the conclusion of the 2019 Spending Review, the NHS will establish a national programme board to address geographical and specialty shortages in medicine, which will include the cancer workforce.</p><p>An independent review of cancer services led by Sir Mike Richards will report in summer 2019, NHS England and NHS Improvement will carefully consider any recommendations from this Review in the context of the NHS People Plan.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 13:01:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly

1132457

	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	Smoking: 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 his Department is taking to include the vaping industry in the annual Stoptober campaign; and if he will make a statement.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	265443
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Public Health England (PHE) is directed under the Tobacco Control Plan for England to include within quit smoking campaigns messages about the relative safety of e-cigarettes and to continue to provide smokers and the public with clear, evidence based and accurate information on the relative harm of nicotine, e-cigarettes, other nicotine delivery systems and smoked tobacco, to enable informed decision-making.</p><p>PHE has worked with the Independent British Vape Trade Association and its members to reassure smokers about the relative safety of e-cigarettes and to encourage smokers to switch.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:17:07 answering member 4455 label Biography information for Seema Kennedy
	tabling member	474 label Biography information for Mr Nigel Evans

1132459

	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	Smoking: 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 assessment he has made of the merits of working with representatives of the vaping industry to help spread the Public Health England findings that e-cigarettes are 95 per cent less harmful than traditional cigarettes; and if he will make a statement.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	265445
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Public Health England (PHE) is directed under the Tobacco Control Plan for England to include within quit smoking campaigns messages about the relative safety of e-cigarettes and to continue to provide smokers and the public with clear, evidence based and accurate information on the relative harm of nicotine, e-cigarettes, other nicotine delivery systems and smoked tobacco, to enable informed decision-making.</p><p>PHE has worked with the Independent British Vape Trade Association and its members to reassure smokers about the relative safety of e-cigarettes and to encourage smokers to switch. This has broadened PHE’s reach to the audience of smokers.</p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:14:45 answering member 4455 label Biography information for Seema Kennedy
	tabling member	474 label Biography information for Mr Nigel Evans

1134028

	registered interest
	date	24/06/2019
	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	Testicular Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how rates of testicular cancer diagnosis in the UK compare with ratse in other G20 countries over the last five years.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	268427
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Age-adjusted rates within the G20 for testicular cancer vary from 0.6 to 10.1 per 100,000 over the last five years. The United Kingdom value is 7.1 per 100,000. There are differences in data recording across the world which will at least partly account for the range of values seen.</p><p>The estimated incidence of testicular cancer in the G20 group in 2018 is published by the International Agency for Research on Cancer Global Cancer Observatory project. This can be viewed at the following link:</p><p><a href="http://gco.iarc.fr/" target="_blank">http://gco.iarc.fr/</a></p><p>Data for the European Union, based on the EU 28 countries, is available at the European Cancer Information System at the following link:</p><p><a href="https://ecis.jrc.ec.europa.eu/" target="_blank">https://ecis.jrc.ec.europa.eu/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:19:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1134030

	registered interest
	date	24/06/2019
	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: Preventive Medicine
	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 effectiveness of the NHS Diabetes Prevention Programme.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	268428
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>A first progress report covering early implementation of the programme, including numbers of referrals and uptake in its first year, was published as a short report in Diabetic Medicine and is available at the following link:</p><p><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13562" target="_blank">https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13562</a></p><p>The analyses show that referral numbers and percentage uptake are in excess of prior modelled values. Characteristics of attendees also suggest that the programme is reaching those who are both at greater risk of developing type 2 diabetes and who typically access healthcare less effectively.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:22:24 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell