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1045682

registered interest
date	21/01/2019
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: Recruitment
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) recruit and (b) retain GPs in (i) Medway, (ii) Kent and (iii) England.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	210537
answer	answer is ministerial correction date of answer 29/01/2019 answer text <p>NHS England and Health Education England (HEE) are working together with the profession to increase the general practitioner (GP) workforce in England. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>The number of doctors entering speciality training has been increasing year on year. Last year, HEE recruited the highest number of GP trainees ever - 3,473 GP trainees against a target of 3,250, a 10% increase on 2017.</p><p> </p><p>Alongside training new GPs, there is a broad offer to support GPs to remain in the National Health Service including the GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time for Care Programme. It is also now quicker and easier for GPs to return to the NHS through the National Induction and Refresher Scheme.</p><p> </p><p>Kent and Medway Sustainability and Transformation Partnership (STP) has advised that the STP is organised into three training hubs which provide education and workforce strategy groups for each of the regions they cover. The training hubs have prioritised strategies in GP retention, recruitment and developing new models of care which maximise individual, cluster and locality resilience. Some of the initiative being used within the regions include encouraging GPs to develop specialism (GP with Special Interest), mentoring support for newly qualified GPs and facilitating GPs in developing a portfolio career.</p><p> </p><p>Medway Clinical Commissioning Group has advised it is working with Local Care Teams to develop new ways of working, including new roles to support GPs and enhance the way they utilise technology to support practices to make the best use of GPs’ time. These new ways of working have included training administrative staff in work flow optimisation freeing up GP time.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/01/2019 17:28:45 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

984599

registered interest
date	09/10/2018
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	General Practitioners: Attendance
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 he has made of the cost of missed GP appointments to the NHS in (a) Medway and (b) England in the most recent year for which data is available.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	177272
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Information on the number and cost of missed general practitioner (GP) appointments is not collected or held centrally. Costs associated with GP appointments are determined by a range of locally determined factors including appointment duration, the workforce requirement and the clinical complexity of each appointment.</p><p> </p><p>NHS England advises that Medway Clinical Commissioning Group is taking forward a number of initiatives to reduce missed GP appointments, including encouraging patients to sign-up to a text message service, and to make greater use of its Patient Online app and website; as well as working with practices to agree guidance on managing Do Not Attends.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/10/2018 13:45:53 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

984602

registered interest
date	09/10/2018
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	Neuroblastoma
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 raise public awareness of neuroblastoma.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	177275
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Public Health England’s Be Clear on Cancer campaigns aim to help improve earlier diagnosis of cancer by raising awareness of the signs and symptoms of specific cancers and encouraging those with symptoms to see their doctor promptly. The decision on which cancers should be the focus of Be Clear on Cancer campaigns is informed by a steering group, whose members include primary and secondary care clinicians and key voluntary sector organisations.</p><p> </p><p>A number of factors are taken into account when deciding which campaigns to develop and run, with the main criteria being the scope to save lives through earlier diagnosis and whether the cancer has a clear and specific early sign or symptom that the general public can act upon should it arise.</p><p> </p><p>Be Clear on Cancer campaigns do not currently include neuroblastoma. There are currently no plans to include neuroblastoma, however decisions on which cancers to campaign on is under constant review by the steering group, informed by the available data and medical information resources.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/10/2018 13:46:40 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

969242

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	Dental Services: Kent
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 he has to improve access to NHS dental services in (a) Medway and (b) Kent.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	171358
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>Nationally, access to National Health Service primary care dental services remains high. In the 24 month period ending 30 June 2018, 22.1 million adults were seen by an NHS dentist and 6.9 million children were seen by an NHS dentist in the 12 month period ending 30 June 2018.</p><p> </p><p>NHS England has a legal duty to commission NHS dental services to meet the needs of the local population and to help patients who cannot find a local dentist.</p><p> </p><p>NHS England South East region has carried out a health needs analysis to identify the areas of greatest need for additional NHS dental services.</p><p> </p><p>The Department and NHS England are continuing to test a new way of providing NHS dental services which aims to further improve oral health and increase access. NHS England’s Starting Well programme is also aiming to improve access for young children, most at risk of tooth decay, who are not currently under the care of a dentist.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 16:25:12 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

947559

registered interest
date	24/07/2018
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	Defibrillators: Medway
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of publically accessible defibrillators in Medway.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	168030
answer	answer is ministerial correction date of answer 06/09/2018 answer text <p>The Department does not centrally hold the requested information. NHS Medway Clinical Commissioning Group has been advised by the local council that there are defibrillators located across Medway, including at the Council’s Gun Wharf Office and sports centres in Medway Park, Strood, Hoo, Splashes and The Strand. This list is not definitive.</p><p> </p><p>Steps are being taken to improve access to information on public access defibrillators (PADs). The British Heart Foundation (BHF) funded a project to determine if it was feasible and affordable to establish a national database of PADs and to make this available to ambulance services; the project concluded it was feasible and the BHF has now committed the funds to make it happen, and two ambulance services are currently involved in determining the structure and function of the database.</p><p> </p><p>This database will later be offered to all services once shown to be safe and effective. The principal intention is to make the data available to and controlled by ambulance services, so that PAD location information is readily available when someone makes a 999 call. The BHF is conducting the development of the database with full professional guidance and with the support of the Association of Ambulance Chief Executives.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/09/2018 16:05:42 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

934849

registered interest
date	04/07/2018
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	Prostate Cancer: Health Education
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 funding his Department has allocated to prostate cancer awareness campaigns since 2010.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	160735
answer	answer is ministerial correction date of answer 11/07/2018 answer text <p>The Be Clear on Cancer spend on prostate cancer is available in the following table.</p><p> </p><p>Public Health England (PHE) ran a Be Clear on Cancer prostate cancer local pilot campaign from October to November 2014, specifically targeting Black African-Caribbean men, because of their significantly increased risk of developing prostate cancer compared to the general male population. The campaign included posters, print, community radio messaging, street ambassadors and public relations. All campaign materials have been made available to Prostate Cancer UK so that they can be used in any future activity.</p><p> </p><p>Marketing spend on prostate cancer 2010-2017</p><table><tbody><tr><td><p>Financial Year(s)</p></td><td><p>Marketing Spend</p></td></tr><tr><td><p>2010-13</p></td><td><p>£0</p></td></tr><tr><td><p>2013-14</p></td><td><p>£270,000</p></td></tr><tr><td><p>2014-15</p></td><td><p>£0</p></td></tr><tr><td><p>2015-17</p></td><td><p>£0</p></td></tr><tr><td><p>Total</p></td><td><p>£270,000</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>Marketing spend is defined for this purpose as advertising spend covering only the media costs (inclusive of agency commission).</li><li>These figures do not include recruitment/classified advertising costs and ad hoc spend under £10,000.</li><li>All figures rounded to the nearest £10,000.</li><li>All PHE spend over £25,000, including on public health campaigns, is published routinely and available at the following link:</li></ol><p> </p><p><a href="https://www.gov.uk/government/collections/phe-spend-over-25000" target="_blank">https://www.gov.uk/government/collections/phe-spend-over-25000</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/07/2018 11:13:36 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

923383

registered interest
date	13/06/2018
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	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, how much of the Public Health England budget has been spent on bowel cancer screening awareness campaigns in each year since 2010.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	153248
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>Public Health England (PHE) has not funded any bowel cancer screening awareness campaigns.</p><p> </p><p>PHE’s Be Clear on Cancer campaigns aim to raise the public’s awareness of signs and symptoms of cancer, and are an important step in helping to diagnose cancers earlier. In 2017, PHE collaborated with Cancer Research UK (CRUK) to deliver a jointly-branded, Be Clear on Cancer/CRUK pilot screening campaign in the North West of England to promote the uptake of bowel screening. The campaign was funded by CRUK.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/06/2018 16:14:29 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

923396

registered interest
date	13/06/2018
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	Familial Hypercholesterolaemia
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 raise awareness of familial hypercholesterolemia.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	153250
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>Public Health England develops best practice guidance for the NHS Health Check programme. NHS Health Checks help identify people with familial hypercholesterolaemia (FH) and also raise awareness of the condition by ensuring those with a cholesterol level of 7.5mmol/L or higher, or a family history of a cardiac event under the age of 60, are referred for FH assessment. In the first five years of the NHS Health Check programme, 6,864,964 of the eligible population have received a check.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/06/2018 16:08:01 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

921997

registered interest
date	11/06/2018
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	General Practitioners: Kent
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 increase capacity in general practice in (a) Kent, (b) Medway and (c) Gillingham and Rainham constituency.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	152130
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>In response to the Ten Point Plan ‘Building the Workforce ‒ the New Deal for General Practice’, clinical commissioning groups (CCGs) in Kent and Medway are responding to current workforce challenges through a system of learning hubs, termed Community Education Provider Networks (CEPNs). These are the community equivalent of hospital postgraduate medical centres and are responsible for providing an overview of the primary care workforce and its development and education.</p><p> </p><p>CEPNs have prioritised a number of key areas to improve the retention of general practitioners (GPs) while at the same time maximising recruitment of new GPs. These initiatives include Hub/Place Based Education Training and Support to develop the current and future workforce allowing senior GPs to refresh their working patterns and develop educational and mentorship skills, which may prolong careers by providing varied and stimulating career opportunities. GPs are also being encouraged to develop a specialism through the GP Specialisms with those taking part in East Kent reporting greater professional satisfaction through increased variety and stimulation in their role.</p><p> </p><p>NHS Medway Clinical Commissioning Group is working with local GPs through the Medway Practices Alliance to ensure the nationally mandated core requirements are in place for 100% of the Medway population by October 2018.</p><p><strong> </strong></p><p>In Medway, including Rainham and Gillingham, this will result in an additional 150 hours of consultation capacity per week. In line with the Medway Model – the Medway interpretation of the Kent and Medway Local Care agenda – improved access will be offered across the area, operating from healthy living centres.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:57:39 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

856109

registered interest
date	06/03/2018
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	Breast Cancer: Kent
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 increase the level of breast cancer screening in (a) Kent and (b) Medway.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	131275
answer	answer is ministerial correction date of answer 14/03/2018 answer text <p>NHS England is responsible for commissioning breast screening services to meet programme standards including coverage. They are committed to improving coverage and reducing variation between all age groups and catchment areas.</p><p> </p><p>The National Service specification for breast screening requires providers to have systems in place to ensure women who do not respond are provided with an opportunity not to miss screening. The efforts to increase the uptake include: reminders, second timed appointments, ensuring that women are invited every three years, and tailored information for women with learning difficulties.</p><p> </p><p>Further information is available here:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/04/service-spec-24.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/04/service-spec-24.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2018 11:47:28 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti