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1126877

	registered interest
	date	15/05/2019
	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: Cybersecurity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much the National Health Service spent on cyber security in each of the last five years.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254785
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254786 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1126878

	registered interest
	date	15/05/2019
	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: Cybercrime
	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 has taken to ensure that NHS England is prepared to defend the NHS against cyber attacks.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254786
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254785 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1141380

	registered interest
	date	23/07/2019
	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	MMR Vaccine: Safety
	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 maintain and improve pharmacovigilance in relation to the MMR vaccine.
	tabling member constituency	Gravesham
	tabling member printed	Adam Holloway
	uin	280998
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>As with all vaccines and medicines, the safety of the Measles, Mumps and Rubella (MMR) vaccine remains under continual review by the Medicines and Healthcare products Regulatory Agency (MHRA). The MHRA uses all available sources of evidence in pharmacovigilance, including regular review of suspected adverse reactions submitted through the Yellow Card Scheme, data from clinical and epidemiological studies, the medical literature and information from pharmaceutical companies and other worldwide regulatory authorities. The MHRA’s processes and data analysis systems are regularly evaluated to ensure optimal performance in monitoring the safety of vaccines and medicines.</p><p>The balance of benefits and risks of MMR vaccine remains overwhelmingly favourable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 16:35:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1522 label Biography information for Adam Holloway

1141381

	registered interest
	date	23/07/2019
	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	MMR Vaccine
	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 help ensure (a) transparency and (b) accountability in the process of manufacturing the MMR vaccine.
	tabling member constituency	Gravesham
	tabling member printed	Adam Holloway
	uin	280999
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Two Measles, Mumps and Rubella (MMR) vaccines are licensed for use in the United Kingdom: M-M-RVaxPro and Priorix. Both vaccines are on the National Health Service’s routine immunisation schedule. The quality, safety and efficacy of both M-M-RVaxPro and Priorix have been evaluated before they were given a Marketing Authorisation in Europe, and the Marketing Authorisation Holder for each vaccines is legally required to submit periodic safety update reports to the regulator, which are documents intended to provide an evaluation of the risk-benefit balance of a medicinal product at defined time points after its authorisation. The sites at which the products are manufactured are also required to undergo periodic inspections to ensure that they comply with Good Manufacturing Practices. Each batch of vaccines is tested by an official medicines control laboratory (OMCL). OMCL testing is independent of and in addition to the manufacturer’s testing. These procedures ensure that the MMR vaccines available in the UK are safe and efficacious and that the manufacturers/Marketing Authorisation holders are held accountable for their products.</p><p>A European Public Assessment Report (EPAR) for M-M-RVaxPro is available at the following link:</p><p><a href="https://www.ema.europa.eu/en/documents/scientific-discussion/m-m-rvaxpro-epar-scientific-discussion_en.pdf" target="_blank">https://www.ema.europa.eu/en/documents/scientific-discussion/m-m-rvaxpro-epar-scientific-discussion_en.pdf</a></p><p>Priorix was approved before public assessment reports were a requirement. The EPAR for M-M-RVaxPro contains a general summary of the manufacturing information that was provided during the assessment process; however, the specific details of the manufacturing process are confidential.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 16:38:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1522 label Biography information for Adam Holloway

1139911

	registered interest
	date	17/07/2019
	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	Post-traumatic Stress Disorder: Veterans
	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 has taken to improve support for ex-military personnel with post-traumatic stress disorder.
	tabling member constituency	Leeds North West
	tabling member printed	Alex Sobel
	uin	278594
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>In addition to mainstream mental health services, NHS England commissions two bespoke services for veterans experiencing mental health difficulties.</p><p>The first is the Transition, Intervention and Liaison Service (TILS) which supports serving personnel who need additional support as they are leaving the armed forces and veterans who have mental health issues. The TILS is also the entry point to the Complex Treatment Service (CTS), the second service commissioned by NHS England. The CTS is able to provide a range of more intensive care and treatment for veterans with military related complex mental health difficulties, many of whom will have experienced trauma. Veterans can often access bespoke and quicker referral pathways such as TILS, which is commissioned to provide an initial assessment within two weeks.</p><p>In December last year, NHS England also announced an extra £10 million to expand the already established Veterans’ Mental Health TILS and the Veterans’ Mental Health CTS, as well as seeking to close the gaps in current mental health provision to capture those individuals that are nearing crisis.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/07/2019 16:08:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4658 label Biography information for Alex Sobel

1133914

	registered interest
	date	21/06/2019
	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	Early Years Ministerial Group on Family Support
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the recommendations of the Inter Ministerial Group on early years family support have been agreed by his Department; and what further steps he has taken to improve early years family support.
	tabling member constituency	South Northamptonshire
	tabling member printed	Andrea Leadsom
	uin	267741
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Early Years Family Support Ministerial Group has been considering how the Government can improve the coordination and cost-effectiveness of early years (conception to age two) family support and identify gaps in available provision. The group has made recommendations to Secretaries of State which they are now considering.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/06/2019 16:22:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4117 label Biography information for Andrea Leadsom

1141133

	registered interest
	date	22/07/2019
	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	Cot Deaths
	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 cases of sudden infant death syndrome.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	280217
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Public Health England (PHE) works to reduce the incidence of sudden infant death syndrome.</p><p>PHE does this through the provision of professional leadership and guidance to the health visiting profession such as PHE’s Early Years High Impact Area five - Managing minor illnesses and reducing accidents, to improve outcomes for all children and prevent avoidable deaths. This can be viewed at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/756697/early_years_high_impact_area_5.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/756697/early_years_high_impact_area_5.pdf</a></p><p>The Start4Life programme provides information on safe sleeping and sepsis through its Information Service for Parents email programme and the Start4Life website. Information leaflets, posters and social media toolkits are available to general practitioners, hospitals, children’s centres and local authorities. Start for life and the campaign resources can be viewed at the following links:</p><p><a href="https://www.nhs.uk/start4life" target="_blank">https://www.nhs.uk/start4life</a></p><p><a href="https://campaignresources.phe.gov.uk/resources/campaigns/2-start4life/resources" target="_blank">https://campaignresources.phe.gov.uk/resources/campaigns/2-start4life/resources</a></p><p>PHE also works with the Lullaby Trust such as Safer Sleep Week, co-produced fact sheets for parents and professionals on safer sleep spaces to promote safer choices. This can be viewed at the following link:</p><p><a href="https://www.lullabytrust.org.uk/wp-content/uploads/Facts-and-Figures-for-2015-released-2017.pdf" target="_blank">https://www.lullabytrust.org.uk/wp-content/uploads/Facts-and-Figures-for-2015-released-2017.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 16:22:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1447 label Biography information for Andrew Rosindell

1520489

	registered interest
	date	11/10/2022
	answering body	Department for Business, Energy and Industrial Strategy
	answering dept id	201
	answering dept short name	Business, Energy and Industrial Strategy
	answering dept sort name	Business, Energy and Industrial Strategy
	hansard heading	Retail Trade: Urban Areas
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, what steps his Department is taking to encourage high street shopping.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	60966
	answer	answer is ministerial correction date of answer 19/10/2022 answer text <p>The Government recognises that the rising cost of living has presented additional financial challenges to many consumers, reducing their spending power and impacting retail sales. Retailers have been working to help households cope with the cost of living crisis, including supporting the Cost of Living Business Tsar and Government is providing over £15 billion in Cost of Living support, bringing the total support measures announced to £37 billion this year.</p><p> </p><p>The Retail Sector Council continues to work on the strategic issues facing the sector and has identified the importance of high streets and place as a priority area.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/10/2022 17:09:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1447 label Biography information for Andrew Rosindell

1135928

	registered interest
	date	01/07/2019
	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	Attention Deficit Hyperactivity Disorder: Mental 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 information his Department holds on the number of patients with ADHD that access NHS Mental Health services.
	tabling member constituency	Oxford East
	tabling member printed	Anneliese Dodds
	uin	271597
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS Digital holds information on people in contact with secondary care mental health services who have a recorded diagnosis of attention deficit hyperactivity disorder (ADHD) or hyperactivity. However, as these statistics do not include people diagnosed with these conditions who are only in contact with primary care services, such as their general practitioner, these are an undercount of the total number of people with these diagnoses.</p><p> </p><p>Treatment and service use, by Adult ADHD Self-Report Scale (ASRS) score.</p><p> </p><table><tbody><tr><td><p>All adults</p></td><td colspan="3"><p>2014</p></td></tr><tr><td><p> </p></td><td colspan="3"><p>ASRS score<sup>a</sup></p></td></tr><tr><td><p>Treatment and services</p></td><td><p>0-3</p></td><td><p>4 or more</p></td><td><p>All 6</p></td></tr><tr><td><p>-</p></td><td><p>%</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>Current treatment for a mental or emotional problem</p></td></tr><tr><td><p>No treatment</p></td><td><p>89.2</p></td><td><p>65.7</p></td><td><p>78.5</p></td></tr><tr><td><p>Medication only</p></td><td><p>8.6</p></td><td><p>24.3</p></td><td><p>19.2</p></td></tr><tr><td><p>Counselling or therapy only</p></td><td><p>1.4</p></td><td><p>2.8</p></td><td><p>-</p></td></tr><tr><td><p>Medication and counselling</p></td><td><p>0.9</p></td><td><p>7.2</p></td><td><p>2.4</p></td></tr><tr><td><p>Service use</p></td></tr><tr><td><p>Any current counselling or therapy</p></td><td><p>2.2</p></td><td><p>10.1</p></td><td><p>2.4</p></td></tr><tr><td><p>Any health care service use for a mental or emotional problem</p></td><td><p>10.0</p></td><td><p>37.4</p></td><td><p>40.0</p></td></tr><tr><td><p>Any community care service in past year</p></td><td><p>5.9</p></td><td><p>19.6</p></td><td><p>19.7</p></td></tr><tr><td><p>Any day care service in past year</p></td><td><p>3.8</p></td><td><p>9.3</p></td><td><p>10.9</p></td></tr><tr><td><p>Bases</p></td><td><p>6,829</p></td><td><p>708</p></td><td><p>44</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>The ASRS (Adult ADHD Self-Report Scale) is described in Section 8.2. A score of 4 or more is considered a positive screen for ADHD. The ‘4 or more’ group include those with a score of 6 on the ASRS.</p><p>Source: APMS 2014, NHS Digital</p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 16:02:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4657 label Biography information for Anneliese Dodds

1135932

	registered interest
	date	01/07/2019
	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	Attention Deficit Hyperactivity Disorder: Mental 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, when his department plans to publish the pathway for people with ADHD.
	tabling member constituency	Oxford East
	tabling member printed	Anneliese Dodds
	uin	271598
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS services should be following guidance published by the National Institute for Health and Care Excellence (NICE) on ‘Attention deficit hyperactivity disorder (ADHD): diagnosis and management (NICE guideline 87)’, which was revised in April 2018. This covers recognising, diagnosing and managing ADHD in children, young people and adults. It aims to improve recognition and diagnosis, as well as the quality of care and support for people with ADHD.</p><p>NHS England is developing new mental health pathways for adults, children and young people with mental health diagnoses and co-morbid neurodevelopmental disorders. These could benefit people with autism, ADHD and other neurodevelopmental disorders who have mental health needs by facilitating better and faster diagnosis.</p><p>There is no confirmed publication date for these pathways.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:26:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4657 label Biography information for Anneliese Dodds