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1123746

	registered interest
	date	29/04/2019
	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	Antibiotics: Drug Resistance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the effectiveness of their 2013–18 antimicrobial resistance strategy at addressing the problem of multi-resistant E. coli-like bacteria; what assessment they have made of recent trends in the number of multi-resistant E. coli-like bacteria in the UK; and what factors inform their view of the balance between efforts to reduce transmission and efforts to reduce the use of antibiotics.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL15384
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>While we can count many successes from our 2013-18 Antimicrobial Resistance (AMR) Strategy, resistance has continued to increase. In the United Kingdom we have seen a 35% increase in resistant blood stream infections in humans from 2013-17.</p><p>The number of bloodstream infections (BSIs) is increasing each year. Although the proportion of antibiotic resistant BSIs remain stable year to year, the burden on resistance increases. This is mostly due to increasing prevalence of E.coli bloodstream infections.</p><p>Estimates of the multi-resistant cases can be made, however not all the bacteria are tested against the same antibiotics, so a definitive number of cases cannot be given. The Public Health England Fingertips tool also has an indicator showing the rolling quarterly average proportion of E. coli blood specimens non-susceptible to at least three of the key antimicrobials (gentamicin, ciprofloxacin, piperacillin/tazobactam, 3rd-generation cephalosporins or carbapenems). For England this is 5.5% with little fluctuation over time.</p><p>This is exactly why the UK’s five-year national action plan for AMR, published alongside the UK 20-year vision for AMR on 24 January 2019, includes a strengthened focus on infection prevention and control, renewing our commitment to halve levels of healthcare associated Gram-negative blood stream infections (mostly E.coli) by 2023-24. The plan also sets a world-first target to reduce the actual numbers of resistant infections, with the aim to reduce them by 10% by 2025.</p><p>We are working with the devolved health administrations to develop consistent methodologies for reporting the incidence and mortality of key antibiotic resistant infections and antimicrobial use to allow us to report progress on the ambitions of the AMR national action plan.</p><p>As reductions in inappropriate prescribing also reduces the risk of promoting the growth of antibiotic-resistant bacteria, interventions to reduce antibiotic prescribing or transmission of the bacteria are complementary.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 14/05/2019 16:29:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1124682

	registered interest
	date	03/05/2019
	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	Speech and Language Therapy: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether Public Health England has plans to issue guidance to (a) parents and (b) carers on (i) identifying need for and (ii) access to speech, language and communication services for children .
	tabling member constituency	Swansea West
	tabling member printed	Geraint Davies
	uin	250735
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>Public Health England (PHE) is working in partnership with the Department for Education to produce evidence-based resources and tools to support health visitors, early years practitioners and parents/carers in identifying and supporting children’s early speech, language and communication (SLC) needs through training guidance and an enhanced early language assessment tool. The assessment tool will incorporate parent resources to support family understanding of SLC in their children and will be rolled out from April 2020.</p><p> </p><p>Alongside this work, PHE is developing a model SLC pathway for children under five. This will ensure that professionals working with families are able to help them support their child’s SLC and how to access support if needed. The pathway will be published by September 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/05/2019 16:09:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	155 label Biography information for Geraint Davies

1125666

	registered interest
	date	09/05/2019
	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	Palliative Care
	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 NHS Long Term Plan, what funding his Department plans to allocate to end of life care.
	tabling member constituency	Welwyn Hatfield
	tabling member printed	Grant Shapps
	uin	252553
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly.</p><p> </p><p>The NHS Long Term Plan, sets out significant investment and activity to improve the quality of patient care and health outcomes, including for end of life care. This includes £4.5 billion of new investment to fund expanded community multidisciplinary teams aligned with new primary care networks. Based on individual needs and choices, people identified as having the greatest risks and needs will be offered targeted support for both their physical and mental health needs, helping them to maintain independence and avoid unnecessary hospital admissions. This includes patients approaching the end of life.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/05/2019 16:08:13 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1582 label Biography information for Grant Shapps

1124729

	registered interest
	date	03/05/2019
	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	Speech and Language Therapy: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS Clinical Commissioners on the importance of joint commissioning services for children and young people with speech, language and communication needs.
	tabling member constituency	Swansea West
	tabling member printed	Geraint Davies
	uin	250739
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The Department has had no discussions with the organisation NHS Clinical Commissioners on joint commissioning of services for children and young people with speech, language and communication needs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/05/2019 16:06:09 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	155 label Biography information for Geraint Davies

1125730

	registered interest
	date	09/05/2019
	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	Abortion
	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 carried out studies on the effect on men of a partner electing to have and having an abortion, particularly in relation to men's mental health.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	252572
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The Department has not commissioned research on the effect on men of a partner electing to have and having an abortion.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/05/2019 15:37:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1125732

	registered interest
	date	09/05/2019
	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	Health Education: Schools
	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 check the scientific veracity of the new Abortion and Abortion Care Fact Sheet for schools.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	252573
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The Department is aware that an Abortion and Abortion Care Fact Sheet has been produced for schools to inform factually accurate, evidence-based education about abortion. The factsheet is based on the latest research and is published by the Royal College of Obstetricians and Gynaecologists, the national medical authority on abortion. It is for individual schools to determine whether they use the factsheet.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/05/2019 15:35:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1124588

	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	Prescriptions: 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, pursuant to the Answer of 30 April 2019 to Question 245660 on Prescriptions: Fees and Charges, what the annual cost is to the NHS Business Services Authority's Loss Recovery Service of (a) checking prescription form exemption declarations, (b) issuing Penalty Charge Notices and (c) managing associated customer contact.
	tabling member constituency	Knowsley
	tabling member printed	Mr George Howarth
	uin	250443
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>In 2018-19 the cost to the NHS Business Services Authority for the running of the Prescription Exemption Checking Service which includes, checking prescription form exemption declarations, issuing Penalty Charge Notices and managing associated customer contact was £8.41 million.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/05/2019 15:26:42 answering member 4455 label Biography information for Seema Kennedy
	tabling member	481 label Biography information for Sir George Howarth

1125623

	registered interest
	date	09/05/2019
	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	Cannabis: Medical Treatments
	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 (a) increase public consultation on the creation of interim guidance for medicinal cannabis and (b) ensure patient and health professional organisations are engaged in the Department’s working group on medicinal cannabis.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	252465
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The Department does not have a standing working group on medicinal cannabis. It has, however, held a number of engagement events with representatives of patients and health professionals in relation to this policy.</p><p>The National Institute for Health and Care Excellence (NICE) has been commissioned to update and replace interim clinical guidelines on the prescribing of cannabis-based products for medicinal use by October 2019. NICE has consulted with a wide range of stakeholders on the draft scope of the guidelines, including a stakeholder workshop held on 6 November 2018, which was attended by patient and health professional organisations. NICE is expected to issue a public consultation on draft guidelines, which will commence in summer 2019. Anyone interested in this topic, who wants to be involved in the consultation process, can register as a stakeholder at www.nice.org.uk by searching “GID-NG10124”.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/05/2019 15:25:08 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1125633

	registered interest
	date	09/05/2019
	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	General Practitioners
	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 his Department has made of trends in the number of GPs per 100,000 people in England since 2010.
	tabling member constituency	Cardiff Central
	tabling member printed	Jo Stevens
	uin	252606
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The number of general practitioners (GPs) and clinical staff per 100,000 registered patients is available in the table attached for the years 2015-18 (headcount and full-time-equivalent (FTE)). Data is not included prior to 2015. GP locums are excluded as improvements have been made to GP locum recording methodology and figures are not comparable prior to December 2017.</p><p> </p><p>The recently published NHS Long Term Plan made a clear commitment to the future of general practice, with primary and community care set to receive at least £4.5 billion more in real terms a year by 2023/24, meaning spending on these services will grow faster than the rising NHS budget. Since the launch of the Long Term Plan, NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP (General Medical Services) contract framework from 2019/20. The new contract framework will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/05/2019 15:19:18 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name PQ252606 Annex 1 GPs per 100000 patients table formatted.docx title Regular GP Table
	tabling member	4425 label Biography information for Jo Stevens

1124590

	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	NHS Injury Benefits Scheme
	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 efficacy of the NHS Business Services Authority in processing applications for permanent injury benefit under the NHS injury benefits scheme.
	tabling member constituency	Arfon
	tabling member printed	Hywel Williams
	uin	250445
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The NHS Business Services Authority is responsible for the administration of the NHS Injury Benefits Scheme on behalf of the Secretary of State. The Injury Benefits Scheme covers NHS workers with injuries or diseases contracted through their employment before 31 March 2013.</p><p>The NHS Business Services Authority will process Injury Benefits applications received up to and including 30 March 2018 but only in respect of injuries or diseases occurring on or before 30 March 2013. An exception to this rule is that the NHS Business Services Authority will process Injury Benefit applications received by 30 March 2038 for applicants who can provide evidence that there has been a delayed onset of their symptoms, such that application was not possible before 30 March 2018.</p><p>The NHS Business Services Authority has always had a dedicated team to process Injury Benefit applications, and the Department is content with the efficacy of their administration.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/05/2019 14:10:24 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1397 label Biography information for Hywel Williams