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891534

	registered interest
	date	25/04/2018
	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	Hereditary Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	to ask the Secretary of State for Health and Social Care, what lessons have been learned from the 100,000 Genome Project which will help when deciding what genetic diseases should be screened for at birth.
	tabling member constituency	Bristol North West
	tabling member printed	Darren Jones
	uin	138095
	answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The 100,000 Genomes Project is focussed on recruiting patients, including children, with rare diseases (and their family members) and those with common cancers. These are areas where whole genome sequencing may offer the best opportunity to diagnose disease. From the Project’s pilot phase we have found actionable findings in 20-25% of rare disease patients.</p><p> </p><p>The scope of the project does not include screening at birth. The Chief Medical Officer, in her annual report Generation Genome, recommended that that the National Screening Committee conducts a systematic evaluation of the opportunities offered by genomics for present and potential screening practices.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:41:08 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4621 label Biography information for Darren Jones

867296

	registered interest
	date	20/03/2018
	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	Bowel Cancer: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	What the timetable is for the implementation of the faecal immunochemical test for bowel cancer screening.
	tabling member constituency	Eastbourne
	tabling member printed	Stephen Lloyd
	uin	904478
	answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>The UK National Screening Committee has recommended that the faecal immunochemical test (FIT) be the primary screening test for bowel cancer and NHS England remains absolutely committed to implementing FIT in 2018/19.</p><p> </p><p>NHS England is working with Public Health England to finalise a number of practical arrangements around sensitivity, production and distribution of FIT kits, and diagnostic and pathology workforce capacity to ensure that when FIT is implemented, it is sustainable.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2018 17:31:43 answering member 4067 label Biography information for Steve Brine
	tabling member	3968 label Biography information for Stephen Lloyd

867297

	registered interest
	date	20/03/2018
	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: Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps his Department is taking to reduce the number of deaths of young people from cardiac arrest.
	tabling member constituency	Lewes
	tabling member printed	Maria Caulfield
	uin	904479
	answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>The Government has provided £2 million to make Public Access Defibrillators more widely available and to increase the number of people trained in cardiopulmonary resuscitation.</p><p> </p><p>In addition, the Fetal Anomaly and the Newborn and Infant Physical Examination screening programmes offer heart screening to detect abnormalities early.</p><p> </p><p>The Department’s National Institute for Health Research welcomes funding applications for research in this area.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 20/03/2018 14:45:51 answering member 4095 label Biography information for Steve Barclay
	tabling member	4492 label Biography information for Maria Caulfield

867298

	registered interest
	date	20/03/2018
	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: Capital Investment
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to increase the level of capital investment in the NHS.
	tabling member constituency	Hitchin and Harpenden
	tabling member printed	Bim Afolami
	uin	904481
	answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>The spring and autumn budgets last year announced over £3.9 billion of additional capital investment for the National Health Service in England to upgrade existing buildings and facilities and build new ones. This will support better services for patients and drive efficiency improvements and better value for money for taxpayers.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 20/03/2018 14:47:18 answering member 4095 label Biography information for Steve Barclay
	tabling member	4639 label Biography information for Bim Afolami

867295

	registered interest
	date	20/03/2018
	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	Mental Health Services: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to improve the provision of mental health services for children and young people.
	tabling member constituency	Thornbury and Yate
	tabling member printed	Luke Hall
	uin	904476
	answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>We are making an additional £1.4 billion available until 2019/20 in order to transform services and ensure access to specialist mental health services for 70,000 additional children and young people each year by 2020/21.</p><p> </p><p>Our recent Green Paper published jointly with the Department for Education, will revolutionise services in schools, bolster links between schools and commits us to pilot a four week waiting time for National Health Service specialist services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 14:43:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4450 label Biography information for Luke Hall

872286

	registered interest
	date	26/03/2018
	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	Hepatitis: Prisoners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of for Health and Social Care, what estimate he has been made of the number of prisoners infected with the hepatitis C virus in each prison in each of the last three financial years.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	134200
	answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>Performance in relation to the blood borne virus opt-out testing programme in adult prisons in England, which includes hepatitis B, C and HIV, is measured at the prison level by NHS England through data collected as part of the Health and Justice Indicators of Performance (HJIPs).</p><p> </p><p>For financial years 2015/16, 2016/17 and quarter one of 2017/18 (the most current period for which published data is available), 11.5, 10.5 and 18.8% of new receptions and transfers to prisons in England have been tested for infection with hepatitis C virus.</p><p> </p><p>HJIP data on the number of tests undertaken for hepatitis C virus has only been published for quarter one of financial year 2017/18. This data indicates that 8,797 tests were undertaken in prisons during that period.</p><p> </p><p>HJIP data on the number of prisoners diagnosed with hepatitis C virus has only been published for quarter one of financial year 2017/18. This data indicates that during this period 1,590 people tested positive for hepatitis C antibody, and of those 434 tested positive for hepatitis C virus as identified by polymerase chain reaction testing.</p><p> </p><p>HJIP data on the number of patients referred for treatment of hepatitis C virus has only been published for quarter one of financial year 2017/18. This data indicates that 226 prisoners were referred into specialist care during this period to have their infection treated</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 134201 134202 134203 question first answered 29/03/2018 13:47:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1604 label Biography information for Mr Virendra Sharma

867148

	registered interest
	date	19/03/2018
	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	Mental Illness: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State of Health and Social Care, pursuant to the Answer of 6 March 2018 to Question 130638, whether his Department will trial integrated money advice in primary mental health care settings.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	133266
	answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>The Department has no immediate plans to trial integrated money advice in primary care settings. However, we are aware that general practitioner practices may signpost patients to debt advice services as part of their care and some practices have arrangements in place with local Citizens Advice Bureaux and debt advice services to provide outreach support in primary care. Mental health services, including Improving Access to Psychological Therapies services, may also signpost patients to debt advice services as part of their care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 27/03/2018 12:02:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4412 label Biography information for Dr Lisa Cameron

882450

	registered interest
	date	13/04/2018
	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	Irritable Bowel Syndrome
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) men and (b) women aged (i) 10-20, (ii) 21-30, (iii) 31-40, (iv) 41-50, (v) 51-60, (vi) 61-70 and (vii) over 80 years were diagnosed with irritable bowel syndrome in each of the last five years.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	135512
	answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>This data is not available.</p><p> </p><p>The National Institute for Health and Care Excellence has published best practice guidance for the diagnosis and management of irritable bowel syndrome (IBS). Prevalence in the general population is estimated between 10% and 20%. IBS most often affects people between the ages of 20 and 30 years and is twice as common in women as in men.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/04/2018 15:41:58 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

864343

	registered interest
	date	15/03/2018
	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	Food Supply
	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 report by the Food Research Collaboration, Weakening UK food law enforcement: a risky tactic in Brexit, what assessment his Department has made of the implications for food security when the UK leaves the EU of the report’s conclusions on the Food Standards Agency’s programme of change, Regulating Our Future.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	132827
	answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>At no point will the United Kingdom Government propose changes through the Regulating Our Future programme that would adversely impact on food security or cause difficulty to food businesses wishing to export food post European Union exit. Departments are currently working together to understand the impacts that withdrawal from the EU will have across a number of cross-cutting areas. It will be the UK Government’s priority to maintain the UK’s high standards of food and feed safety, and to ensure we take a risk-based, proportionate approach when providing risk assessments.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 14:36:16 answering member 4067 label Biography information for Steve Brine
	tabling member	3930 label Biography information for Caroline Lucas

874870

	registered interest
	date	29/03/2018
	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	Epilepsy: 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 the recent Public Health England report on deaths associated with neurological conditions in England 2001-14, what steps his Department is taking to improve epilepsy services in the most deprived areas.
	tabling member constituency	Kingston upon Hull West and Hessle
	tabling member printed	Emma Hardy
	uin	135171
	answer	answer is ministerial correction date of answer 20/04/2018 answer text <p>The Public Health England (PHE) report Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy.</p><p> </p><p>NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p> </p><p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and PHE to support delivery of the Mandate and systems objectives. The Department and NHS England are also represented on PHE’s NIN. NHS England officials hope to meet with the charity SUDEP (Sudden unexpected death from epilepsy) Action shortly to discuss the findings of the PHE report.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR), and the NIHR has advised that it is not currently funding any research into premature epilepsy mortality. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135172 135173 135174 135175 question first answered 20/04/2018 13:47:31 answering member 4067 label Biography information for Steve Brine
	tabling member	4645 label Biography information for Emma Hardy