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1138053

	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	Smoking: Pregnancy
	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 projected change in smoking rates among pregnant women is over the next two years.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	275697
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>As outlined in the Tobacco Control Plan for England, published in 2017, the Government is committed to reducing the prevalence of women smoking during pregnancy to 6% or less by the end of 2022.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:30:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1138110

	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	Measles: Disease Control
	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 reduce the number of measles cases in England.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	275669
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>In January 2019 Public Health England, Public Health Wales, the Public Health Agency in Northern Ireland and Health Protection Scotland published the United Kingdom Measles and rubella elimination strategy, which is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-and-rubella-elimination-uk-strategy" target="_blank">https://www.gov.uk/government/publications/measles-and-rubella-elimination-uk-strategy</a></p><p>This strategy sets out four core components required to maintain elimination of measles and rubella:</p><p>- achieving and sustaining very high coverage of greater than or equal to 95% with two doses of measles, mumps and rubella (MMR) through the routine childhood immunisation programme for those children less than five years old;</p><p>- providing opportunities for MMR catch-up to all population groups at risk for and susceptible to measles and/or rubella for those over five years old;</p><p>- strengthening surveillance systems by rigorous case investigation and laboratory confirmation of suspected sporadic cases and outbreaks; and</p><p>- improving the availability and use of high-quality, evidence-based information for health professionals and the public on the measles and MMR.</p><p>A multi-agency implementation board is working with national and local stakeholders to take forward the actions of the strategy.</p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:40:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	308 label Biography information for Mr Jim Cunningham

1138112

	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	Antimicrobials: Drug Resistance
	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 he has had with the Secretary of State for Environment, Food and Rural Affairs on vaccine research to tackle antimicrobial resistance.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	275670
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The Secretaries of State for Health and Social Care and for Environment, Food and Rural Affairs co-signed the foreword to the cross-Government United Kingdom vision for antimicrobial resistance in 2040 and five year national action plan, published in January, and recognising the key role vaccination plays in minimising infections in both humans and animals.</p><p> </p><p>The national action plan includes the commitment to stimulate more research into new vaccines for humans and animals, as well as improving the effectiveness of existing ones.</p><p> </p><p>The Departments are working across Government and its agencies to implement the commitments in the national action plan.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:38:01 answering member 4455 label Biography information for Seema Kennedy
	tabling member	308 label Biography information for Mr Jim Cunningham

1138130

	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	Cancer: 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, what steps he is taking to employ more staff working on cancer (a) prevention, (b) diagnosis and (c) treatment in the NHS after 2021; and if he will make a statement.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	275661
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The interim NHS People Plan, published on 3 June 2019, puts the workforce at the heart of the National Health Service and will ensure we have the staff needed to deliver high quality care. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>The Cancer Workforce Plan for England, published in December 2017 by Health Education England (HEE), set out plans to expand capacity and skills in the cancer workforce, including targeting additional training support for seven priority professions which are key to cancer prevention, diagnosis and treatment, such as clinical radiology, histopathology, oncology and diagnostic and therapeutic radiography. HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications of further development of cancer services. This work will inform the final People Plan.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:39:13 answering member 4455 label Biography information for Seema Kennedy
	tabling member	253 label Biography information for Mr Laurence Robertson

1138153

	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	Dental Services: 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 cost to the public purse was of the Smile4life Starting well pilot project in the 2017-18 financial year.
	tabling member constituency	Burnley
	tabling member printed	Julie Cooper
	uin	275778
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS England, which set up Starting Well, an initiative to reach out to children not regularly in touch with a dentist in 13 high needs areas, advises that this information is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:43:42 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4405 label Biography information for Julie Cooper

1138154

	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	Dental Services: Children
	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 children aged five to nine have had to go to hospital for an emergency dental extraction in each of the last three years; and what the cost has been to the public purse.
	tabling member constituency	Burnley
	tabling member printed	Julie Cooper
	uin	275779
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The data is not held in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:44:27 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4405 label Biography information for Julie Cooper

1138242

	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	Spinal Muscular Atrophy: Nusinersen
	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 8 July 2019 to Question 369611 on Spinal Muscular Atrophy (SMA), what the evidential basis is that Spinraza does not work effectively on people with SMA that are excluded from access to that drug following the announcement of 15 May 2019 by NICE on that drug; and if he will make a statement.
	tabling member constituency	Christchurch
	tabling member printed	Sir Christopher Chope
	uin	275653
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is currently developing recommendations for the National Health Service on the use of Spinraza for the treatment of spinal muscular atrophy (SMA) through its technology appraisal programme. NICE recommends technologies for use in the NHS when the evidence demonstrates that they are clinically effective and represent a cost-effective use of NHS resources.</p><p>There are several subtypes of SMA and, in the case of Spinraza, NICE has advised that it was not presented with evidence in SMA type 0 and SMA type 4. Evidence presented for the SMA type 3 population, who had lost the ability to walk, was limited and immature and resulted in its independent Appraisal Committee concluding that the size and nature of the benefits of Spinraza for this population were uncertain. Therefore, they were not included in the managed access arrangement (MAA) agreed by NHS England and Biogen.</p><p>Following publication of the initial MAA, the company presented further clinical evidence and the MAA was extended to include paediatric patients, who have recently (in the previous 12 months) lost the ability to walk independently.</p><p>Uniquely for this type of arrangement, during the five-year course of the MAA, should evidence become available on the potential benefits of Spinraza for type 3 SMA patients that are currently not included in the MAA, NICE will review that evidence to see whether it would support a change in the MAA inclusion criteria.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:42:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	242 label Biography information for Sir Christopher Chope

1137745

	registered interest
	date	09/07/2019
	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	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 assessment he has made of the level of (a) preparedness and (b) stocks of medicine for the administration of the winter flu jab in each of the last three years.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	275128
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS England has for the last three years carried out a ‘state of readiness’ assessment for the administration of the winter flu vaccine with the NHS England local public health commissioning teams.</p><p>Public Health England (PHE) supplies flu vaccines for the children’s flu programme. Sufficient vaccine has been procured in the last three years to ensure that all eligible children who present for vaccination can be offered the appropriate vaccine.</p><p>General practitioners are responsible for ordering from manufacturers sufficient flu vaccinations for other eligible groups in their population. PHE and NHS England have for the last three years worked closely with the flu vaccine manufacturers on the supply of sufficient vaccines. In particular, in 2018/19, NHS England worked closely with the manufacturer of the vaccines for the over 65s and service providers to manage the phased delivery of supplies to ensure satisfactory uptake rates were achieved.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:33:58 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1137750

	registered interest
	date	09/07/2019
	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	Cancer: 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, what discussions (a) Sustainability and Transformation Partnerships and (b) Integrated Care Systems have had with Cancer Alliances to refine planning and prioritisation for the delivery of the cancer commitments within the NHS Long-Term Plan.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	275164
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>As set out in the NHS Long Term Plan Implementation Framework, local systems, including sustainability and transformation partnerships and integrated care systems, should engage with their Cancer Alliances to set out practically how they will deliver the Long Term Plan commitments for cancer over the next five years including on early diagnosis and survival, while improving operational performance.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:35:54 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1533 label Biography information for Dame Diana Johnson

1137781

	registered interest
	date	09/07/2019
	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	Heart Diseases: 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, what steps he is taking to ensure that the National Implementation Framework of the NHS Long Term Plan facilitates delivery of (a) improved equity in access to treatment for heart valve disease, (b) additional funding for treatment of heart valve disease to enable healthy ageing and (c) increased NHS capacity for multidisciplinary teams providing care to all heart valve disease patients.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	275132
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The NHS Long Term Plan outlines NHS England and NHS Improvement’s commitment to improve the prevention, early detection and treatment of cardiovascular disease. As part of this, local systems will work to better support people with heart failure and heart valve disease through multi-disciplinary teams as part of primary care networks.</p><p>To improve early detection of heart failure, pilot schemes will be established in 2020/21 and 2021/22 to increase access to echocardiography, ahead of a wider rollout. Greater access to echocardiography in primary care will improve the investigation of those with breathlessness, and the early detection of heart failure and valve disease.</p><p>There are published service specifications that promote network working to ensure cardiac pathways are well-defined.</p><p>The Specialised Commissioning Cardiac Improvement Programme is also focusing on improving multi-disciplinary team working, including the use of technology to optimise the available resource within clinical teams.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:42:16 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly