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1135846

	registered interest
	date	01/07/2019
	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	Haemochromatosis: Health 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 he is taking to improve the (a) rates of diagnosis and (b) management of genetic haemochromatosis.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	271374
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government is committed to making the United Kingdom a leader in embedding genomics in healthcare and offer a consistent, world class approach to the genetic identification of rare diseases, including genetic hemochromatosis. The Genomics Medicine Service was announced in October 2018, supported by the National Genomic Test Directory which specifies which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access a test. Genetic haemochromatosis is included in the National Genomic Test Directory.</p><p>Services for patients with genetic haemochromatosis are commissioned locally through clinical commissioning groups with sustainability and transformation partnerships (STPs) enabling service coordination across wider footprints. The NHS Long Term Plan set out the ambition for all STPs to evolve into Integrated Care Systems (ICSs) by April 2021. ICSs are an ‘evolved’ form of an STP, making faster progress in integrating care across their area, bringing together organisations to provide more seamless care for patients.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/07/2019 16:14:46 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1135855

	registered interest
	date	01/07/2019
	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	NHS: Pensions
	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 mitigate the effect of pension taxation on the NHS.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	271375
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>I laid provided a Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-06-04/HCWS1587/" target="_blank">HCWS1587</a>) on 4 June 2019 setting out the interim People Plan for the National Health Service. As part of this, it was announced that the Department would publish a consultation exploring proposals to introduce greater pension flexibility for clinicians in the NHS Pension Scheme. Increased flexibility is designed to address disincentives that may encourage senior clinicians to limit or reduce their workloads whilst participating in the NHS Pension Scheme.</p><p>The consultation will propose a 50:50 option which is intended to provide increased flexibility to clinicians regarding the growth of their NHS Pension Scheme benefits. This option will offer a 50% pension accrual and halved contributions. It was requested by the British Medical Association earlier this year, and they have welcomed this as a step in the right direction.</p><p>Retaining and maximising the contribution of our highly-skilled clinical workforce is crucial to the delivery of the ambitions for patient care set out in the Long Term Plan for the NHS. Accordingly, the Government is prepared to provide pension flexibility that appropriately balances the benefit of new flexibilities with their affordability to the public purse.</p><p>The consultation period will be an opportunity to listen to a range of views before reaching a final proposition that works for both staff and taxpayers. The Department encourages staff and employers to engage with our consultation when it opens this month.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:05:14 answering member 1585 label Biography information for Stephen Hammond
	tabling member	478 label Biography information for Lord Field of Birkenhead

1135824

	registered interest
	date	01/07/2019
	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	Doctors: Training
	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 level of availability of (a) places on UK Foundation Programme F1 and F2 courses and (b) work within the NHS for course graduates.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	271363
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The UK Foundation Programme can be under- or over-subscribed as it is subject to variation for a number of reasons. In 2018 there was a fill rate of 98.6%<sup>1</sup>, however in 2019 there were initially more eligible applicants than available places. Additional places have now been provided, meaning all eligible graduates have been allocated a Foundation Programme post to start from August 2019.</p><p>For specialty training programmes, the current overall fill rate is slightly higher than in 2018, with 83.8% of training posts currently accepted for programmes beginning in 2019, compared to 81.9% at the same stage last year<sup>2</sup>. Some specialties will continue to recruit through further rounds, and therefore the number of trainees is likely to rise.</p><p> </p><p>Notes:</p><p><sup>1</sup>http://www.foundationprogramme.nhs.uk/sites/default/files/2018-09/2018%20Recruitment%20Summary%20Report.pdf</p><p><sup>2</sup>https://www.hee.nhs.uk/our-work/medical-recruitment/specialty-recruitment-round-1-acceptance-fill-rate</p><p><strong> </strong></p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:04:12 answering member 1585 label Biography information for Stephen Hammond
	tabling member	478 label Biography information for Lord Field of Birkenhead

1134894

	registered interest
	date	26/06/2019
	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	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, pursuant to the Answer of 20 May 2019 to Question 254153 on prescriptions: universal credit, when the new NHS prescription form will be introduced; and whether the new form will be used throughout the UK.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	269647
	answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>A revised version of the FP10 prescription form, featuring a dedicated tick-box for use by Universal Credit (UC) claimants who meet the criteria for free National Health Service prescriptions, has been approved by Ministers.</p><p> </p><p>Any change involves major system and software updates across the NHS to allow the re-designed form to be used and processed. The revised paper form is currently being prepared for testing, to ensure it is compatible with the scanners used by the NHS Business Services Authority.</p><p> </p><p>The revised form will be introduced at the earliest opportunity. The new form is for use in England only.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 01/07/2019 15:51:44 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1134895

	registered interest
	date	26/06/2019
	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	Healthy Start Scheme
	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 plans to allow a wider range of support workers to distribute and sign parents' application forms to increase the take-up of healthy start vouchers.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	269648
	answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>We are developing a digital approach to Healthy Start, which should make it easier for families to apply for, receive and use Healthy Start benefits. As part of the digitisation process, we are developing and testing an online application form to replace the current paper form.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 01/07/2019 13:19:44 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	478 label Biography information for Lord Field of Birkenhead

1131321

	registered interest
	date	11/06/2019
	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	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 progress he has made on ensuring that medical cannabis is available to people who need it.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	263063
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The law was changed on 1 November 2018 to allow clinicians on the General Medical Council’s ‘Specialist Register’ to prescribe cannabis-based products for medicinal use, where clinically appropriate and in the best interest of patients.</p><p>Interim clinical guidance has been issued by the Royal College of Physicians, the British Paediatric Neurology Association and the Association of British Neurologists to support doctors looking to prescribe cannabis-based products. The National Institute for Health and Care Excellence (NICE) has been commissioned to develop updated clinical guidance on the prescribing of cannabis-based medicinal products, which will be published by October 2019. It will be based on the best available international evidence and will have been produced using NICE’s world-renowned process for delivering such guidance.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/06/2019 14:21:18 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1131782

	registered interest
	date	12/06/2019
	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	Radioisotopes
	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 (a) national and (b) regional supplies of radionuclide chemicals.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	263719
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The Department is not aware of any disruption to the supply of medical radionuclide chemicals (radioisotopes) at a national level. However, the Department does not hold information about the volume of any of medical radioisotopes that are currently available at a national or regional level.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:29:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1128815

	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	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 ensure that all patients who would benefit from medical cannabis are able to access that treatment on prescription on the NHS.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	259011
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Cannabis-based products for medicinal use are no different from other medicines, and existing systems for the funding of both licensed and unlicensed medicines apply.</p><p>Any medicines which receive a marketing authorisation from the Medicines and Healthcare Products Regulatory Agency or European Medicines Agency will be assessed for cost effectiveness by the National Institute for Health and Care Excellence. This is the foundation of National Health Service decisions about routine funding, and applies to all licensed medicines. For unlicensed medicines, the normal NHS medicines governance systems apply, as they do to all locally funded unlicensed treatments. These processes support good clinical practice and safe and effective prescribing. Decisions will be taken, at NHS Trust level on a case by case basis, based on the needs of the individual patient and the evidence of efficacy and cost effectiveness available.</p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has heard patients report difficulties in accessing medicinal cannabis. As a result, he asked the Department to work closely with NHS England to undertake a rapid process evaluation. This is underway and will review NHS system processes to identify and make recommendations to address any barriers to clinically appropriate prescribing, should they exist.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:52:22 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1129173

	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	Social Services: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans to publish the Green Paper on social care funding.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	259016
	answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>As people live longer than ever before, sometimes with complex care needs, we need to ensure the social care system is sustainable in the longer term. The Green Paper remains a priority for the Government. We are continuing to work on it closely, taking the time to consult with key stakeholders and take their feedback into consideration. As such, it will be published at the earliest opportunity.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/06/2019 16:09:22 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

1128572

	registered interest
	date	23/05/2019
	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	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 the level of child tooth decay was in (a) Birkenhead, (b) Bootle and (c) Crewe in each of the last five years for which data is available.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	257654
	answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>Data on the level of child tooth decay in five-year-old children are published at upper and lower-tier local authority level and, therefore, are not available in the format requested.</p><p>Local authority data for 2014/15 and 2016/17 is available at the following link:</p><p><a href="https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2014-to-2015" target="_blank">https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2014-to-2015</a></p><p><a href="https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2017" target="_blank">https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2017</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 05/06/2019 15:18:45 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead