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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

1129227

	registered interest
	date	03/06/2019
	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	5G: Health Hazards
	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 merits of the decision by the Belgian authorities to halt the roll out of 5G because of health concerns.
	tabling member constituency	Kilmarnock and Loudoun
	tabling member printed	Alan Brown
	uin	259316
	answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom supports European Council Recommendation 1999/519/EC on limiting exposure to electromagnetic fields (EMFs), which include radio waves. The Recommendation incorporates exposure restrictions from the International Commission on Non-Ionizing Radiation Protection (ICNIRP), as advised by Public Health England (PHE).</p><p>An overview of the radio wave exposure restrictions applied in a range of countries has been provided by the World Health Organization (WHO) at the following link:</p><p><a href="http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en" target="_blank">http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en</a></p><p>This shows that the majority of countries are following the ICNIRP guidelines (41 volts per meter at 900 MHz and 58 volts per meter at 1,800 MHz).</p><p>PHE is a collaborating body in WHO’s International EMF Project, which brings together organisations from around the world to share information on this topic. PHE is committed to keeping its advice under review and to updating its advice should new evidence dictate that is necessary.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:26:51 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4470 label Biography information for Alan Brown

1129121

	registered interest
	date	03/06/2019
	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	Smoking
	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 Government has made an assessment of the effect of second hand smoke from residential properties on people in neighbouring properties; and whether he has plans to extend the smoking ban to private homes.
	tabling member constituency	Cheltenham
	tabling member printed	Alex Chalk
	uin	259331
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Government has made no such assessment. However, the Government remains committed to protecting the public from the harms of smoking and a comprehensive set of tobacco control policies is in place. There are no plans to extend the smoking ban to private homes.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:35:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4481 label Biography information for Alex Chalk

1130514

	registered interest
	date	06/06/2019
	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	Social Workers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether social workers will be included in the NHS People Plan.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	261217
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>A major uplift was announced on 30 April 2019 to the financial support available to infected and affected beneficiaries registered with the infected blood support scheme in England.</p><p>As announced at that time, the Government is committed to working with its counterparts in the devolved administrations to look at the issue of parity of support across the United Kingdom. I have written to my counterparts in all the other devolved nations, including the Permanent Secretary of Northern Ireland, inviting them to meet to discuss this issue at the earliest opportunity. A date for this meeting is currently being sought.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/06/2019 10:31:01 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1130515

	registered interest
	date	06/06/2019
	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	Care Workers
	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 social care Green Paper will have a section on workforce.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	261218
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The Government recognises and values the work of social care staff, and we continue to work with the sector to ensure that there are the right number of people, with the right skills, knowledge, and values to deliver high quality, person centred care and support. In February we launched a new national adult social care recruitment campaign ‘Every Day is Different’, and we fund Skills for Care to support the sector with recruitment, retention, and workforce development.</p><p>The Government will publish a Social Care Green Paper, at the earliest opportunity, setting out proposals for reform to ensure the social care system is sustainable for the future. It will include a vision for the workforce and proposals to boost recruitment, retention and workforce development in the longer term.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/06/2019 10:57:23 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1110572

	registered interest
	date	09/04/2019
	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	Bowel 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 the timescale is for the introduction of the faecal immunochemical test for the bowel cancer screening programme in England.
	tabling member constituency	Nottingham North
	tabling member printed	Alex Norris
	uin	242932
	answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The UK National Screening Committee advised that Faecal Immunochemical Test (FIT) is a more sensitive and accurate test than guaiac faecal occult blood test (FOBt), and that more bowel cancers could be detected, and recommended that FIT should replace the currently used FOB test.</p><p> </p><p>Full replacement of the current FOBt with FIT across all Hubs in the NHS Bowel Cancer Screening Programme is planned for summer 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/04/2019 12:59:51 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4641 label Biography information for Alex Norris

1124619

	registered interest
	date	02/05/2019
	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	Doctors: Pensions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the effect of the Annual and Lifetime Allowance taxation rules on rates of early retirement among doctors.
	tabling member constituency	Nottingham North
	tabling member printed	Alex Norris
	uin	250519
	answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>Membership data from the NHS Pension Scheme shows the number of hospital doctors and general practitioners (GPs) claiming their pension earlier than their normal pension age.</p><p>Whilst the scheme does not require individuals to give reasons for claiming their pension, the rise in voluntary early retirement rates coincides with reductions in pension tax allowances over the same period. The annual and lifetime allowances limit the amount by which an individual can grow their pension tax-free each year and in total. There is emerging evidence that pension tax may be a factor in doctors deciding to retire early or limit their National Health Service commitments. There are of course other factors, such as workload.</p><p>The Government is alive to the issues raised by senior clinicians, and keeps the impact of public sector pay and pensions policies under constant review, taking account of total reward and fiscal considerations.</p><p>The following table shows the number of hospital doctors and GPs claiming their NHS Pension on a voluntary early retirement basis from the 1995 NHS Pension Scheme.</p><table><tbody><tr><td><p>Scheme Year</p></td><td><p>Hospital Doctors</p></td><td><p>GPs</p></td></tr><tr><td><p>2011-12</p></td><td><p>315</p></td><td><p>513</p></td></tr><tr><td><p>2012-13</p></td><td><p>387</p></td><td><p>591</p></td></tr><tr><td><p>2013-14</p></td><td><p>406</p></td><td><p>746</p></td></tr><tr><td><p>2014-15</p></td><td><p>453</p></td><td><p>739</p></td></tr><tr><td><p>2015-16</p></td><td><p>494</p></td><td><p>695</p></td></tr><tr><td><p>2016-17</p></td><td><p>490</p></td><td><p>721</p></td></tr><tr><td><p>2017-18</p></td><td><p>424</p></td><td><p>588</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/05/2019 15:55:30 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4641 label Biography information for Alex Norris