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1003830

	registered interest
	date	09/11/2018
	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	AAT Deficiency
	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 assessment he has made of the adequacy of treatments available through the NHS for Alpha-1 Antitrypsin Deficiency.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	189546
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) does not currently recommend any specific treatment for Alpha-1 Antitrypsin Deficiency (AATD).</p><p> </p><p>NHS England is engaging with NICE on the Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe AATD (ID856). NICE has not yet published final guidance and recently consulted on its draft guidance.</p><p> </p><p>NICE’s evaluation committee is due to meet again to consider its recommendations in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:15:02 answering member 4067 label Biography information for Steve Brine
	tabling member	308 label Biography information for Mr Jim Cunningham

1003897

	registered interest
	date	09/11/2018
	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	Anorexia and Asperger's Syndrome
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what studies his Department has conducted on a possible link between Asperger's syndrome and anorexia.
	tabling member constituency	Preston
	tabling member printed	Sir Mark Hendrick
	uin	189591
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Medical Research Council is currently funding a study of adolescent anorexia nervosa patients with autism spectrum disorder symptoms: ‘The Triple A study (Adolescents with Anorexia and Autism): A search for biomarkers’. The research aims to identify vulnerable patients, at an early stage, who may be unlikely to respond to current treatment for anorexia, with the longer-term aim of shaping individualised support and treatment strategies. The study is led by King's College London and is due to conclude next year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/11/2018 10:56:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	473 label Biography information for Sir Mark Hendrick

1003734

	registered interest
	date	09/11/2018
	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	Audiology: Paediatrics
	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 Monday 22 October 2018 to Question 180843 on a national tariff for paediatric audiology services, if he will provide a web link to the national tariffs referred to in that answer.
	tabling member constituency	Enfield, Southgate
	tabling member printed	Bambos Charalambous
	uin	189788
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>I refer the hon. Member to the answer I gave on 1 November 2018 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-10-26/184442/" target="_blank">184442</a>.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/11/2018 10:57:43 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4610 label Biography information for Bambos Charalambous

1003777

	registered interest
	date	09/11/2018
	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	Dental Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to improve food labelling to tackle levels of tooth decay.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	189667
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>There has been no specific assessment of the effect of the soft drinks industry levy or ending the sale of energy drinks to children on improving child dental health. These measures, together with other commitments in our childhood obesity plan, will have an impact on reducing sugar intake, a high consumption of which has been associated with a greater risk of tooth decay.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 189666 question first answered 14/11/2018 16:19:07 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1003770

	registered interest
	date	09/11/2018
	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	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 steps he is taking to reduce levels of tooth decay in children in regions in which such decay is significantly above the national average.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	189662
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In England local authorities (LAs) are responsible for assessing the oral health needs of their local population, developing oral health strategies and commissioning oral health improvement programmes to meet the needs of their local population.</p><p> </p><p>In May 2018 Public Health England (PHE) published a stocktake which reported on oral health improvement programmes, commissioned by local authorities targeting children under five years old in England. Of the 95% of LAs who responded, the majority are commissioning oral health improvement programmes for under-fives. The stocktake can be viewed at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/707180/Oral_health_improvement_programmes_commissioned_by_local_authorities.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/707180/Oral_health_improvement_programmes_commissioned_by_local_authorities.pdf</a></p><p> </p><p>NHS England has launched ‘Starting Well: A Smile4Life Initiative’. This programme of dental practice-based initiatives aims to reduce oral health inequalities and improve oral health in children under the age of five. The programme has been launched in 13 high priority areas chosen on the basis of decay experience at a LA level and existing oral health improvement plans.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:06:07 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1003771

	registered interest
	date	09/11/2018
	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	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 portion of the public health budget has been allocated to paediatric dentistry in each of the last five years.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	189663
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The public health budget does not fund NHS services. NHS services are funded through the National Health Service general budget which is held for dentistry by NHS England which is responsible for commissioning NHS dental services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:16:59 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1003775

	registered interest
	date	09/11/2018
	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	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 assessment the government has made of the effect of the (a) sugar tax and (b) ban on energy drinks for people under the age of 16 on improving child dental health.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	189666
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>There has been no specific assessment of the effect of the soft drinks industry levy or ending the sale of energy drinks to children on improving child dental health. These measures, together with other commitments in our childhood obesity plan, will have an impact on reducing sugar intake, a high consumption of which has been associated with a greater risk of tooth decay.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 189667 question first answered 14/11/2018 16:19:07 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1003701

	registered interest
	date	09/11/2018
	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	Musculoskeletal Disorders
	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 reduce the number of working days lost as a result of musculoskeletal disorders; and if he will make a statement.
	tabling member constituency	Eltham
	tabling member printed	Clive Efford
	uin	189525
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189526 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	165 label Biography information for Clive Efford

1003702

	registered interest
	date	09/11/2018
	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	Musculoskeletal Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will include musculoskeletal disorders in the long-term plan for the NHS to reduce loss of working days; and if he will make a statement.
	tabling member constituency	Eltham
	tabling member printed	Clive Efford
	uin	189526
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189525 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	165 label Biography information for Clive Efford

1003745

	registered interest
	date	09/11/2018
	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	NHS Foundation Trusts: Debts
	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 outstanding debts of NHS Foundation trusts in (a) Dulwich and West Norwood constituency, (b) Greater London and (c) England.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	189765
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The Department and entities within its accounting boundary report on the basis of European Union Adopted International Financial Reporting Standards as interpreted and adapted for the public sector by HM Treasury’s Financial Reporting Manual.</p><p> </p><p>Debt is not a specific classification of liability that is reported by entities including National Health Service foundation trusts.</p><p> </p><p>To provide a total liability amount for NHS foundation trusts, either current and payable within 12 months or non-current and due to be settled beyond 12 months from the end of the financial year, would therefore include items which the Department would not expect to be viewed as debt.</p><p> </p><p>For this reason, the Department has interpreted the term ‘debt’ to refer to outstanding balances on loans both with the Department and with Other Entities. The attached table identifies the total level of loans outstanding for NHS foundation trusts as at 31 March 2018, on a current and non-current basis.</p><p> </p><p>Loans held with the Department are eliminated on consolidation to arrive at the Group’s Consolidated Statement of Financial Position. As part of presenting a consolidated set of accounts, all intra group activity (including income, expenditure, assets and liabilities generated by intra group trading) is eliminated, so as to not overstate the Group position. For individual NHS foundation trusts these loans with the Department represent a debt, but this is not the case in regards to the Group position presented in the Department’s Annual Report and Accounts as balances held and transactions related to the loans held are eliminated.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 14/11/2018 16:13:24 answering member 4095 label Biography information for Steve Barclay attachment 1 file name PQ189765 formatted table.docx title PQ189765 attached table
	tabling member	4510 label Biography information for Helen Hayes