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797514

	registered interest
	date	29/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Thyroid Gland: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what medicines NHS England has approved for patients with thyroid conditions
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	uin	116477
	answer	answer is ministerial correction date of answer 07/12/2017 answer text <p><del class="ministerial">For unbranded generics the Government relies on completion to keep prices down which generally works well and has led to low prices of these medicines. We alert the Competition and Markets Authority (CMA) when we believe that competition does not work. In the case of liothyronine, the CMA is currently investigating Concordia’s potential abuse of its dominant position to overcharge the National Health Service for liothyronine.</del></p><p> </p><p><del class="ministerial">In primary care community pharmacies are incentivised to source products at the lowest possible cost by allowing them to retain the medicines margin (the difference between what the NHS reimburses a pharmacy for a product and how much the pharmacy purchases it for) up to £800 million in England. In secondary care, competitive tenders ensure value-for-money to the NHS.</del></p><p><ins class="ministerial"> <p><ins class="ministerial">NHS England is not responsible for approving medicines. The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for ensuring that medicines and medical devices work and are acceptably safe. The National Institute for Health and Care Excellence makes recommendations for the National Health Service on whether medicines and other treatments represent a clinically and cost effective use of NHS resources.</ins></p><p><ins class="ministerial"><strong> </strong></ins></p><p><ins class="ministerial">A list of medicines licensed by the MHRA for the treatment of thyroid conditions is attached. The list is split into two sections because thyroid conditions can be split into either those associated with an overactive thyroid (hyperthyroidism), or an underactive thyroid (hypothyroidism). The list contains only those medicines licensed for overactive and underactive thyroid. It should be noted that not all of the medicines listed will be available on the market at any one time. </ins></p></ins></p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2017 15:27:25 question first ministerially corrected 07/12/2017 18:20:31 answering member 4067 label Biography information for Steve Brine attachment 1 file name 2017 12 06 Thyroid medicines formatted.xls title List of thyroid medicines previous answer version 27995 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4478 label Biography information for Royston Smith

1082557

	registered interest
	date	06/03/2019
	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: Screening
	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 his Department has made of the proportion of eligible adults who have received (a) abdominal aortic aneurysm, (b) bowel, (c) breast and (d) cervical screening in (i) Lambeth CCG (ii) Southwark CCG and (iii) England in each year since 2015.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	229212
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Abdominal aortic aneurysm screening coverage for Lambeth Clinical Commissioning Group (CCG), Southwark CCG and England in each year since 2015/16 can be seen in the following table.</p><p> </p><p>Abdominal aortic aneurysm screening coverage for Lambeth CCG, Southwark CCG and England, 2015/16 to 2017/18.</p><table><tbody><tr><td><p> </p></td><td><p>2015/16 % (tested)</p></td><td><p>2016/17 % (tested)</p></td><td><p>2017/18 % (tested)</p></td></tr><tr><td><p>Lambeth CCG</p></td><td><p>61.0 (627)</p></td><td><p>67.5 (664)</p></td><td><p>53.3 (582)</p></td></tr><tr><td><p>Southwark CCG</p></td><td><p>58.8 (550)</p></td><td><p>73.4 (680)</p></td><td><p>45.9 (435)</p></td></tr><tr><td><p>England</p></td><td><p>79.9 (227,442)</p></td><td><p>81.1 (228,441)</p></td><td><p>80.8 (230,543)</p></td></tr></tbody></table><p>Notes:</p><ol><li>Sources:<a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data</a></li></ol><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data</a></p><p> </p><ol start="2"><li>Total number of people screened is provided in brackets.</li></ol><p> </p><ol start="3"><li>Coverage is the percentage of the eligible population that is successfully screened within the year plus three months:</li></ol><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf</a></p><p> </p><p>Bowel cancer screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for bowel cancer screening is defined as the number of persons registered to a general practice who are screened adequately in the previous 30 months, which is the routine period in which bowel cancer screening takes place for an individual, divided by the number of eligible persons on the last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which an individual should attend for a bowel cancer screening.</p><p> </p><p>Breast screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for breast screening is defined as the number of women registered to a general practice screened adequately in the previous 36 months, which is the routine period in which breast screening takes place for an individual, divided by the number of eligible women on last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for breast screening.</p><p> </p><p>Cervical screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for cervical screening is defined as the number of women screened adequately in the previous 42 months (if aged 24-49) or 66 months (if aged 50-64) divided by the number of eligible women on last day of review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:30:38 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ229212 attached table.docx title PQ229212 attached table previous answer version 106920 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes

1055805

	registered interest
	date	06/02/2019
	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: Fees and Charges
	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 ensure that people are not issued with a penalty charge for ticking the wrong box on the claim form when claiming for free dental care.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	217585
	answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and have been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217586 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101141 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

1055806

	registered interest
	date	06/02/2019
	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: Fees and Charges
	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 press release entitled, Dentists welcome official investigation into fines hitting vulnerable NHS patients, published on 30 January 2019 by the British Dental Association; whether he has plans to simplify the process for claiming free dental care to reduce the number of fines issued for ticking the wrong box on dental forms.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	217586
	answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and have been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217585 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101142 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

851533

	registered interest
	date	28/02/2018
	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	General Practitioners: Postnatal Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of GP practices offer a six week postnatal check-up; and what information his Department holds on the take-up of such checks at those practices.
	tabling member constituency	Cambridge
	tabling member printed	Daniel Zeichner
	uin	130296
	answer	answer is ministerial correction date of answer 08/03/2018 answer text <p>All general practitioner (GP) practices are expected to provide maternity medical services for their registered patients. Practices may however exceptionally choose to opt out of providing such services e.g. on workload grounds. Practices which choose to opt out will relinquish a proportion of their global sum income – currently 2.1%. It is the responsibility of the lead commissioner locally (NHS England or clinical commissioning groups under delegated agreement) to ensure the patients of opted out practices can continue to access these services e.g. commissioning the service from a nearby alternative practice.</p><p> </p><p>NHS England and the Department do not collate data on the number of practices that have opted out but financial information gives some indication as payments to these practices are reduced to fund the re-commissioning of services. Financial data from 2016/17 suggests that up to four practices out of the 7,523 opted out of maternity medical services<ins class="ministerial">.</ins><del class="ministerial">, which includes the six week postnatal check-up.</del></p><p> </p><p>NHS England and the Department do not collect information on the number of patients who have their post-natal check at their GP practice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/03/2018 17:05:12 question first ministerially corrected 13/04/2018 14:03:06 answering member 4067 label Biography information for Steve Brine previous answer version 46101 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4382 label Biography information for Daniel Zeichner

1017236

	registered interest
	date	29/11/2018
	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	Prescriptions: Universal Credit
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has provided to (a) GP surgeries and (b) pharmacies on the use of prescription forms that do not include a tick box for universal credit.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	197387
	answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Completion of the FP10 prescription form, including any declaration of exemption from paying prescription charges, is the responsibility of the patient. Universal Credit claimants who meet the criteria for free National Health Service prescriptions, should tick box K for income-based Jobseeker’s Allowance on the patient declaration until the prescription form is updated to include a tick box for Universal Credit. Advice on this matter is available on the websites for the NHS Business Services Authority and the Pharmaceutical Services Negotiating Committee and accessible to dispensing doctors and pharmacists.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:45:22 answering member 4067 label Biography information for Steve Brine previous answer version 90060 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1041401

	registered interest
	date	14/01/2019
	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 Health: 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 proportion of children aged five had at least one missing, decayed or filled tooth in each of the last eight years .
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	208231
	answer	answer is ministerial correction date of answer 18/01/2019 answer text <p>Data on five year old dental health is not collected annually. Data on the proportion of five year olds with at least one missing, decayed or filled tooth because of decay available for the last eight years is in the following table. These data are not comparable due to changes in methodology between the surveys.</p><p> </p><p>Data collection for the 2018/19 survey is currently underway and results will be published in spring 2020.</p><p> </p><p>Data from the surveys of five year old children can be viewed at the following link:</p><p> </p><p><a href="http://www.nwph.net/dentalhealth/5year%20docs.aspx" target="_blank">http://www.nwph.net/dentalhealth/5year%20docs.aspx</a></p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Proportion of five year old children with one or more teeth affected by decay</p></td></tr><tr><td><p>2012<sup>1</sup></p></td><td><p>28%</p></td></tr><tr><td><p>2013<sup>2</sup></p></td><td><p>25%</p></td></tr><tr><td><p>2015<sup>3</sup></p></td><td><p>24.7%</p></td></tr><tr><td><p>2017<sup>3</sup></p></td><td><p>23.3%</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>- Caution is advised when making comparisons of these data as they come from different data sets</p><p>- <sup>1</sup> Source: former NHS Dental Epidemiology Programme</p><p>- <sup>2 </sup>Source: Child Dental Health Survey, 2013</p><p>- <sup>3 </sup>Source: Public Health England Dental Public Health Intelligence Programme</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2019 12:06:05 answering member 4067 label Biography information for Steve Brine previous answer version 96129 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1007096

	registered interest
	date	14/11/2018
	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	Cervical Cancer: Screening
	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 prevent system errors occurring in the correspondence sent to women relating to cervical cancer screening.
	tabling member constituency	Blackburn
	tabling member printed	Kate Hollern
	uin	191469
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Following the recent cervical screening incident, announced on 15 November 2018, Capita has confirmed they have put in place daily audits to ensure all women’s files are accounted for and are looking at how automated processes can be used to reduce errors. Additionally, the checks within the Capita call and recall service have been upgraded at every stage of the process and Capita has appointed an independent audit team to carry out a detailed review into operation systems and processes in Primary Care Support England.</p><p> </p><p>I laid a Written Ministerial Statement on 15 November, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-11-15/HCWS1086/" target="_blank">HCWS1086</a>, explaining the incident and the steps being taken to address it, offering reassurances to the women affected. All individual women affected have been written to directly and Capita has issued an apology.</p><p> </p><p>NHS England has set up a multiagency clinical panel to manage the response to the incident and, separately, has announced an independent expert review into cancer screening programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:18:02 answering member 4067 label Biography information for Steve Brine previous answer version 85823 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4363 label Biography information for Kate Hollern

997159

	registered interest
	date	29/10/2018
	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	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, how many GP practices are using the flu vaccine that was supplied in winter 2017-18; and what guidance his Department has issued to GP practices on the use of that vaccine.
	tabling member constituency	South Shields
	tabling member printed	Mrs Emma Lewell-Buck
	uin	184980
	answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>General practitioner (GP) practices are responsible for ordering flu vaccines for their eligible adult population directly from manufacturers. Last winter most adults were offered a trivalent influenza vaccine (TIV), with some offered a quadrivalent influenza vaccine (QIV).</p><p> </p><p>National Health Service guidance states that GP practices are not to use TIV vaccine as part of the NHS programme for 2018/19. NHS England wrote to GPs and community pharmacies in early February 2018 asking them to review all orders for the 2018/19 season and ensure these were in line with recommended vaccines.</p><p> </p><p>For 2018/19, new recommendations were made about vaccines to offer to adults. For those aged 65 and over, providers were asked to offer a newly licenced adjuvanted trivalent influenza vaccine because it is a more effective vaccine for this age group. For those aged 18 to 64 years QIV was recommended as it offers protection against four strains of flu. There have been no changes in the recommended vaccine for the children’s programme this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2018 17:01:40 answering member 4067 label Biography information for Steve Brine previous answer version 82630 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1082564

	registered interest
	date	06/03/2019
	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	Food: Labelling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when the results of the consultation on mandating calorie labelling in the out-of-home sector will be published.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	229218
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>I refer the hon. Member to the answer I gave to the hon. Member for South West Bedfordshire (Andrew Selous MP) on 23 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-21/210542/" target="_blank">210542</a>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:52 answering member 4067 label Biography information for Steve Brine previous answer version 106926 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4505 label Biography information for Peter Kyle