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984790

	registered interest
	date	10/10/2018
	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	Fibromyalgia
	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 take steps to ensure the maintenance of funding for research into the field of fibromyalgia syndrome and its symptoms.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	177774
	answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>The Department’s National Institute for Health Research (NIHR) welcomes funding applications for research into any aspect of human health, including fibromyalgia; it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. NIHR support for fibromyalgia research over the last five years includes £1.8 million funding for research projects; £0.6 million funding for clinical trials through the NIHR Clinical Research Network; and the NIHR has managed infrastructure supporting fibromyalgia research.</p><p> </p><p>Information on individual projects funded by the NIHR can be found at the following link:</p><p> </p><p><a href="https://www.journalslibrary.nihr.ac.uk/programmes/" target="_blank">https://www.journalslibrary.nihr.ac.uk/programmes/</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/10/2018 14:29:28 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4602 label Biography information for Wera Hobhouse

984795

	registered interest
	date	10/10/2018
	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	Fibromyalgia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if his Department will review the clinical guidelines on the treatment of fibromyalgia syndrome to ensure clearer treatment pathways for people with that syndrome.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	177775
	answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>The Department is not directly responsible for developing or reviewing clinical guidance for identification and management of diseases and disorders. The National Institute for Health and Care Excellence was established by the Government to develop evidence based best practice for the National Health Service. Other organisations, such as the clinical Royal Colleges, and charitable organisations also convene expert groups to develop guidance for health professionals.</p><p> </p><p>A range of support exists to help general practitioners (GPs) identify and manage fibromyalgia in primary care. This includes an e-learning course developed by the Royal College of GPs and Arthritis Research UK on musculoskeletal care, including fibromyalgia, and a medical guide developed by the Fibromyalgia Association UK (FMUK) for health professionals.</p><p> </p><p>People with fibromyalgia can usually be managed through routine access to primary or second care provide via a GP or consultant. Treatment will depend on the severity of a patient’s condition, but may include pain relieving medication; physiotherapy; dietary and exercise advice; counselling or cognitive behavioural therapy. For patients whose pain cannot be adequately controlled by routine access to NHS services, a referral may be made to a specialist pain service or specialist fibromyalgia clinic, such the Royal National Hospital for Rheumatic Diseases in Bath, subject to their having met certain criteria.</p><p> </p><p>Information for the public can be found on the NHS website and is also available in a patient’s information guide produced by FMUK. The medical guide, patient information booklet and NHS choice webpage on fibromyalgia can be found at the following links:</p><p><br> <a href="http://www.fmauk.org/dmdocuments/Medical%20Pack.pdf" target="_blank">www.fmauk.org/dmdocuments/Medical%20Pack.pdf</a></p><p><br> <a href="http://www.fmauk.org/information-packs-mainmenu-58/booklet-mainmenu-135/490-patient-booklet" target="_blank">www.fmauk.org/information-packs-mainmenu-58/booklet-mainmenu-135/490-patient-booklet</a></p><p><br> <a href="http://www.nhs.uk/conditions/fibromyalgia/" target="_blank">www.nhs.uk/conditions/fibromyalgia/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 177776 question first answered 15/10/2018 14:42:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4602 label Biography information for Wera Hobhouse

984797

	registered interest
	date	10/10/2018
	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	Fibromyalgia
	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 will take to raise awareness of the condition of fibromyalgia syndrome.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	177776
	answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>The Department is not directly responsible for developing or reviewing clinical guidance for identification and management of diseases and disorders. The National Institute for Health and Care Excellence was established by the Government to develop evidence based best practice for the National Health Service. Other organisations, such as the clinical Royal Colleges, and charitable organisations also convene expert groups to develop guidance for health professionals.</p><p> </p><p>A range of support exists to help general practitioners (GPs) identify and manage fibromyalgia in primary care. This includes an e-learning course developed by the Royal College of GPs and Arthritis Research UK on musculoskeletal care, including fibromyalgia, and a medical guide developed by the Fibromyalgia Association UK (FMUK) for health professionals.</p><p> </p><p>People with fibromyalgia can usually be managed through routine access to primary or second care provide via a GP or consultant. Treatment will depend on the severity of a patient’s condition, but may include pain relieving medication; physiotherapy; dietary and exercise advice; counselling or cognitive behavioural therapy. For patients whose pain cannot be adequately controlled by routine access to NHS services, a referral may be made to a specialist pain service or specialist fibromyalgia clinic, such the Royal National Hospital for Rheumatic Diseases in Bath, subject to their having met certain criteria.</p><p> </p><p>Information for the public can be found on the NHS website and is also available in a patient’s information guide produced by FMUK. The medical guide, patient information booklet and NHS choice webpage on fibromyalgia can be found at the following links:</p><p><br> <a href="http://www.fmauk.org/dmdocuments/Medical%20Pack.pdf" target="_blank">www.fmauk.org/dmdocuments/Medical%20Pack.pdf</a></p><p><br> <a href="http://www.fmauk.org/information-packs-mainmenu-58/booklet-mainmenu-135/490-patient-booklet" target="_blank">www.fmauk.org/information-packs-mainmenu-58/booklet-mainmenu-135/490-patient-booklet</a></p><p><br> <a href="http://www.nhs.uk/conditions/fibromyalgia/" target="_blank">www.nhs.uk/conditions/fibromyalgia/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 177775 question first answered 15/10/2018 14:42:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4602 label Biography information for Wera Hobhouse

969236

	registered interest
	date	06/09/2018
	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	Department of Health and Social Care: Living Wage
	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 16 July 2018 to Question 162604 on Department of Health & Social Care: Living Wage, what the lowest hourly wage was paid to staff and agency workers in his Department's offices in (a) London and (b) the UK.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	171489
	answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>For the financial year 2017/18, the lowest hourly rate paid to staff employed in the Department’s offices in London and the United Kingdom was:</p><p> </p><p>Inner London £11.61</p><p>Outer London £10.64</p><p>National: £9.41</p><p> </p><p>This compares to the following current hourly Living Wage Foundation rates of:</p><p> </p><p>London Living wage £10.20</p><p>UK Living Wage £8.75</p><p> </p><p>For short term temporary staff, previously engaged via Brook Street Employment Agency the lowest hourly rate paid in the period in question was:</p><p> </p><p>Inner London £9.93</p><p>National £9.62</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/09/2018 13:50:41 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4602 label Biography information for Wera Hobhouse

937780

	registered interest
	date	10/07/2018
	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	Department of Health and Social Care: Living Wage
	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 has plans for his Department to become accredited by the National Living Wage Foundation.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	162604
	answer	answer is ministerial correction date of answer 16/07/2018 answer text <p>The Department pays above the Living Wage (as defined by the Living Wage Foundation) to directly employed members of staff and agency staff that are also sourced via the Crown Commercial Services Framework Contingent Labour One (CL1).</p><p> </p><p>The Department does not have plans to become accredited by the Living Wage Foundation.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/07/2018 11:30:37 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4602 label Biography information for Wera Hobhouse

934121

	registered interest
	date	03/07/2018
	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	Drugs: Licensing
	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 close the legal loopholes to make the market for unlicensed medicinal products less restricted.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	160334
	answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>The Medicines and Health products Regulatory Agency (MHRA), the Government body responsible for the safety and licensing of medicines in the United Kingdom, is not aware of any legal loopholes for the supply of human unlicensed medicinal products.</p><p> </p><p>Before a human medicine can be marketed or sold in the UK, a number of licences are required. The product itself must have a licence called a ‘marketing authorisation’ unless an exemption applies.</p><p> </p><p>UK medicines legislation contains a provision for the supply of an unlicensed medicine (commonly known as ‘specials’) which is provided for by way of an exemption from the requirement for a marketing authorisation. In the interests of public health this exemption is narrowly drawn because these products, unlike products holding a marketing authorisation, will not have been assessed and approved against the criteria of safety, quality and efficacy in the UK.</p><p> </p><p>Unlicensed medicines can be manufactured in the UK under European Union good manufacturing practice or imported into the UK by the holder of an appropriate licence issued by the MHRA.</p><p> </p><p>Notifications prior to importation of unlicensed medicines are required and are assessed by the MHRA and objections may be raised where there are prohibitive safety or quality concerns. Any person that sells or supplies an unlicensed medicine is required to keep records and report suspected adverse drug reactions.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:28:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4602 label Biography information for Wera Hobhouse

931510

	registered interest
	date	26/06/2018
	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	Mental 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 plans his Department has to work with NSPCC to reduce the rate of children experiencing suicidal thoughts.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	157837
	answer	answer is ministerial correction date of answer 02/07/2018 answer text <p>Responding to suicide and self-harm in children and young people is a key priority in the National Suicide Prevention Strategy. The Department works with a range of stakeholders on suicide prevention, including voluntary and charitable sector organisations, through the National Suicide Prevention Strategy Advisory Group. The Department welcomes the opportunity to work with any organisation, including the National Society for the Prevention of Cruelty to Children (NSPCC), on suicide prevention issues.</p><p> </p><p>More broadly, the Government supports the NSPCC through an £8 million grant over four years (up to 2020), as a contribution to funding both ChildLine and the NSPCC’s National Helpline (for anyone with concerns or worries about a child).</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 02/07/2018 14:06:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4602 label Biography information for Wera Hobhouse

900196

	registered interest
	date	08/05/2018
	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	Social Services: Pay
	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 the potential effect on local social care providers who are unable to fund historic back-pay liabilities for sleep-in shifts.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	141872
	answer	answer is ministerial correction date of answer 11/05/2018 answer text <p>The Government recognises the pressure that sleep-in backpay liabilities are placing on social care providers and is exploring options to minimise any impact on the sector.</p><p>The Government has been working closely with representatives of the social care sector in order to ensure that we have a clear understanding of any impact the sector may face.</p><p>Any intervention to support the sector would need to be proportionate and necessary.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 141873 question first answered 11/05/2018 10:35:57 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4602 label Biography information for Wera Hobhouse

900197

	registered interest
	date	08/05/2018
	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	Care Workers: Pay
	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 potential merits of creating a fund to pay the historic back pay for sleep-in shifts directly to care workers.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	141873
	answer	answer is ministerial correction date of answer 11/05/2018 answer text <p>The Government recognises the pressure that sleep-in backpay liabilities are placing on social care providers and is exploring options to minimise any impact on the sector.</p><p>The Government has been working closely with representatives of the social care sector in order to ensure that we have a clear understanding of any impact the sector may face.</p><p>Any intervention to support the sector would need to be proportionate and necessary.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 141872 question first answered 11/05/2018 10:35:57 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4602 label Biography information for Wera Hobhouse

900199

	registered interest
	date	08/05/2018
	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	Ophthalmic 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 steps his Department plans to take to meet demand for ophthalmology treatment in hospitals.
	tabling member constituency	Bath
	tabling member printed	Wera Hobhouse
	uin	141874
	answer	answer is ministerial correction date of answer 16/05/2018 answer text <p>NHS England is responsible for commissioning the primary care National Health Service sight testing service. Clinical commissioning groups (CCGs) are responsible for commissioning secondary care ophthalmic services. CCGs are also able to commission eye care services in the community which go beyond the standard NHS sight test, where they judge them to be needed in their areas.</p><p> </p><p>CCGs are required, for all services they commission, to assess the health needs of their local population and are held locally to account to the population they serve through the health and wellbeing boards. In taking any decision about the health of the local population, the CCG has to ensure that services meet the needs of the local population.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/05/2018 11:33:49 answering member 4067 label Biography information for Steve Brine
	tabling member	4602 label Biography information for Wera Hobhouse