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1130043

	registered interest
	date	05/06/2019
	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	Breast Cancer: 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, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made on establishing a stratified follow-up approach for breast cancer in all NHS trusts; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	260648
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The NHS Long Term Plan states that, after treatment, patients will move to a follow-up pathway that suits their needs, and ensures they can get rapid access to clinical support where they are worried that their cancer may have recurred. This stratified follow-up approach will be established in all trusts for breast cancer in 2019.</p><p>As set out in the Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:41:49 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4244 label Biography information for Jonathan Ashworth

1130107

	registered interest
	date	05/06/2019
	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	Multiple Sclerosis: Nurses
	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 make an assessment of the potential merits of the provision of at least one dedicated MS nurse in each London borough.
	tabling member constituency	West Ham
	tabling member printed	Lyn Brown
	uin	260605
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The vast majority of services for people with the multiple sclerosis (MS) are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities and recruitment and retention of National Health Service staff is a local matter. To support local commissioners plan and deliver services for people with MS, the National Institute for Health and Care Excellence has published clinical guidance.</p><p> </p><p>The guidance sets out that people with MS are cared for with a coordinated multidisciplinary approach. This should involve professionals who can best meet the needs of the person with MS and who have expertise in managing MS including, including MS nurses. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077" target="_blank">www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077</a></p><p> </p><p>NHS England is responsible for commissioning specialised neurological services, including some services for patients with MS. NHS England has published a service specification for neurological care that includes an exemplar service specification for neuromuscular conditions that sets out what providers must have in place to offer evidence-based, safe and effective services. This includes the provision of care from a multidisciplinary team which includes specialist nurses. The service specification for neurological care can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260606 question first answered 14/06/2019 12:52:31 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1583 label Biography information for Ms Lyn Brown

1130108

	registered interest
	date	05/06/2019
	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	Multiple Sclerosis: Nurses
	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 make an assessment of the adequacy of specialist MS nursing care available to residents of the London Borough of Newham.
	tabling member constituency	West Ham
	tabling member printed	Lyn Brown
	uin	260606
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The vast majority of services for people with the multiple sclerosis (MS) are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities and recruitment and retention of National Health Service staff is a local matter. To support local commissioners plan and deliver services for people with MS, the National Institute for Health and Care Excellence has published clinical guidance.</p><p> </p><p>The guidance sets out that people with MS are cared for with a coordinated multidisciplinary approach. This should involve professionals who can best meet the needs of the person with MS and who have expertise in managing MS including, including MS nurses. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077" target="_blank">www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077</a></p><p> </p><p>NHS England is responsible for commissioning specialised neurological services, including some services for patients with MS. NHS England has published a service specification for neurological care that includes an exemplar service specification for neuromuscular conditions that sets out what providers must have in place to offer evidence-based, safe and effective services. This includes the provision of care from a multidisciplinary team which includes specialist nurses. The service specification for neurological care can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260605 question first answered 14/06/2019 12:52:31 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1583 label Biography information for Ms Lyn Brown

1130116

	registered interest
	date	05/06/2019
	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	Arthritis: Diagnosis
	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 steps his Department has taken to improve early diagnosis of rheumatoid arthritis.
	tabling member constituency	Mansfield
	tabling member printed	Ben Bradley
	uin	260723
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The National Institute for Health and Care Excellence Guidance ‘Rheumatoid Arthritis in Adults: management’, updated in 2018, sets out best practice on the diagnosis, treatment, care support of people living with the condition. The guidance emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis. This is because treatment at an early stage can halt progression of disease.</p><p>The full guidance can be viewed at the following link:</p><p><a href="http://www.nice.org.uk/guidance/ng100/resources/rheumatoid-arthritis-in-adults-management-pdf-66141531233989" target="_blank">www.nice.org.uk/guidance/ng100/resources/rheumatoid-arthritis-in-adults-management-pdf-66141531233989</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 12:47:28 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4663 label Biography information for Ben Bradley

1130125

	registered interest
	date	05/06/2019
	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	Genito-urinary Medicine
	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 made an assessment of the potential effect on the provision of local authority sexual health services of not increasing public health funding in the next spending review; and if he will make a statement.
	tabling member constituency	Brighton, Kemptown
	tabling member printed	Lloyd Russell-Moyle
	uin	260715
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Local authorities will receive over £3.1 billion in 2019/20 for use on public health. It is for local authorities themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties. Future funding for local authorities’ public health responsibilities will be considered carefully in the next spending review, taking full account of the available evidence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:03:42 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4615 label Biography information for Lloyd Russell-Moyle

1130374

	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	Babies: 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 guidance his Department has issued on the (a) use and (b) retention of information produced from Guthrie tests.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	261195
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The Guthrie test was used for detecting phenylketonuria. However, as the newborn bloodspot screening programme screens for nine rare conditions, the heel prick test is performed using the newer technique of tandem mass spectrometry to detect conditions.</p><p>Public Health England (PHE) and NHS England have published the ‘NHS Newborn Blood Spot Screening Programme Code of Practice for the retention and storage of residual newborn blood spots’. This code of practice was published in January 2018 and applies to all newborn blood spot samples. It sets out arrangements for the retention, storage, use and release of residual newborn blood spots and related information and communication requirements.</p><p>The retention guidance is currently under review and will be updated shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:01:35 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4006 label Biography information for Dr Matthew Offord

1130390

	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	Dietetics
	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 the Government is taking to reduce waiting times for dietetic services in the NHS.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	261167
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Clinical commissioning groups are responsible for assuring timely access to dietetic services, both in hospitals and community settings.</p><p>In addition, the NHS Long Term Plan makes several direct commitments to support timely intervention for specific conditions such as weight management services in primary care for people with a diagnosis of type 2 diabetes or hypertension with a Body Mass Index of 30+ (adjusted appropriately for ethnicity), where it is known that significant impact can be made on improving health, reducing health inequalities and reducing costs.</p><p>The Long Term Plan commits to test a National Health Service programme supporting very low-calorie diets for obese people with type 2 diabetes. Additionally, the Long Term Plan commits to fund a doubling of the NHS Diabetes Prevention Programme over the next five years, including a new digital option to widen patient choice and target inequality.</p><p>Nutrition training, and an understanding of what is involved in achieving and maintaining a healthy weight, varies between medical schools. The Long Term Plan commits to working with academic institutes to increase focus across the professional bodies and universities to ensure nutrition has a greater place in professional education and training.</p><p>Additionally, NHS England’s nutrition quality improvement collaborative programme, 41 NHS provider organisations have focussed on gaining improvements in the accuracy of nutritional screening and subsequent appropriateness of nutritional care. These organisations have introduced a range of interventions to directly improve care locally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:43:32 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1130412

	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	Genito-urinary Medicine
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, in response to the recent Public Health England statistics that showed an increase in new sexually transmitted infections, if he will commit to a national sexual health strategy.
	tabling member constituency	Exeter
	tabling member printed	Mr Ben Bradshaw
	uin	261089
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>It is concerning to see the increase in sexually transmitted infections, and we would encourage people to practice safe sex by using condoms and to access their free, local sexual health services if they consider themselves to be at risk of infection. Local authorities have been mandated to commission comprehensive open access sexual health services and are best placed to understand and meet the public health needs of their local communities.</p><p>The development of a national sexual health strategy is a key recommendation in the Health and Social Care Committee’s report on sexual health, which was published on 2 June 2019. The Government is currently considering the report’s recommendations and will publish a formal response shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:35:51 answering member 4455 label Biography information for Seema Kennedy
	tabling member	230 label Biography information for Mr Ben Bradshaw

1130413

	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	Sexually Transmitted Infections: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason his Department does not allocate funding for testing for (a) mycoplasma genitalium and (b) trichomoniasis vaginitis sexually transmitted infections.
	tabling member constituency	Exeter
	tabling member printed	Mr Ben Bradshaw
	uin	261090
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The Government has mandated local authorities to commission comprehensive open access sexual health services, including sexually transmitted infection testing and treatment. It is for local authorities to decide the services they commission within this mandate. Clinical guidance from the British Association for Sexual Health and HIV does not recommend routine testing for mycoplasma genitalium and trichomoniasis vaginitis in asymptomatic individuals.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:37:25 answering member 4455 label Biography information for Seema Kennedy
	tabling member	230 label Biography information for Mr Ben Bradshaw

1130414

	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	Gonorrhoea: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of sexual health clinics are not able to fully test for (a) gonorrhoea and (b) drug-resistant strains of gonorrhoea.
	tabling member constituency	Exeter
	tabling member printed	Mr Ben Bradshaw
	uin	261091
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Public Health England does not hold this information in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:40:16 answering member 4455 label Biography information for Seema Kennedy
	tabling member	230 label Biography information for Mr Ben Bradshaw