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1128812

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	Sickle Cell Diseases: 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 recent assessment his Department has made of potential levels of inequality in (a) the life expectancy and (b) NHS service provision for patients with sickle cell disease compared to other NHS patients.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259466
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>Evidence suggests that life expectancy for people with sickle cell disease is improving. This is due to a number of factors including:</p><p>- Improved newborn screening coverage to enable earlier diagnosis;</p><p>- Use of the National Haemoglobinopathy Registry to monitor individuals’ health, treatment and their annual reviews;</p><p>- Access to specific diagnostics and medication, such as hydroxyurea; and</p><p>- A Commissioning for Quality and Innovation (CQUIN) incentive has been in place for the last two years to improve access to apheresis for individuals with sickle cell disease.</p><p>All these factors are reflected in the service specification quality indicators which providers are required to report against so that implementation can be monitored.</p><p>It is anticipated that NHS England’s new model for specialised haemoglobinopathy services will be in place by early 2020. The new model is designed to improve access to specialist advice and care for patients, irrespective of where they live. The equality impact assessment on the new service model indicates that it will advance the promotion of equality and support the further reduction of health inequalities. This will be through ensuring that patients with thalassemia and sickle cell conditions have equitable access to high quality specialist care and support within specialised commissioned centres irrespective of where in the country they live. These centres will promote best practice in service delivery.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:13:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1129388

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	Contraceptives
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 promote the uptake of long-acting reversible contraception methods.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259467
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>A wide range of contraceptive choices, including long-acting reversible contraception (LARC), are available free of charge in a range of primary and community venues and local authorities are mandated to provide reasonable access to all methods of contraception. The proportion of women attending sexual and reproductive health services who use LARC methods has been steadily rising over the last ten years. The Department will work with Public Health England to consider what more we can do to ensure that all women have access to the full range of contraception.</p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:19:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1129389

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	Genito-urinary Medicine: Expenditure
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 spending on sexual health services reflects local levels of need.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259112
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The Government has mandated local authorities to commission comprehensive open access sexual health services, including free sexually transmitted infection testing and treatment, and notification of sexual partners of infected persons.</p><p>The precise level of spending on sexual health services is a matter for individual local authorities, reflecting local need.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:15:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1129390

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	Sexually Transmitted Infections
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 tackle the rising incidence of (a) syphilis and (b) gonorrhoea.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259113
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>In June 2019, Public Health England (PHE) published a Syphilis Action Plan, to improve detection, surveillance and clinical management at the following link:</p><p><a href="https://www.gov.uk/government/publications/syphilis-public-health-england-action-plan" target="_blank">https://www.gov.uk/government/publications/syphilis-public-health-england-action-plan</a></p><p>To reduce the transmission of sexually transmitted infections (STIs), including gonorrhoea and syphilis, PHE launched the ‘Protect Against STIs’ health promotion campaign in 2017/18 to promote condom use and positive sexual relationships among 16 to 24-year olds. This campaign can be viewed at the following link:</p><p><a href="https://www.nhs.uk/protect-against-stis-use-a-condom/home" target="_blank">https://www.nhs.uk/protect-against-stis-use-a-condom/home</a></p><p>Additionally, HIV Prevention England has been contracted to deliver a HIV prevention programme aimed at men who have sex with men, black Africans and other groups in whom there is a higher or emerging burden of infection. This programme promotes, among other behaviours, condom use and awareness of STIs including gonorrhoea and syphilis. More information on this programme can be found at the following link:</p><p><a href="http://www.hivpreventionengland.org.uk/" target="_blank">http://www.hivpreventionengland.org.uk/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:16:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1128423

registered interest
date	22/05/2019
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	Sickle Cell Diseases: Life Expectancy
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 trends in the life expectancy of patients with sickle cell disease since 2000; and what steps he is taking to increase life expectancy for people suffering from that disease.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	257501
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>Evidence suggests that life expectancy for people with sickle cell disease is improving. This is due to a number of factors including;</p><p>- Improved new born screening coverage to enable earlier diagnosis;</p><p>- Use of the National Haemoglobinopathy Registry to monitor individuals’ health, treatment and their annual reviews;</p><p>- Access to specific diagnostics and medication, such as hydroxyurea; and</p><p>- A Commissioning for Quality and Innovation incentive has been in place for the last two years to improve access to apheresis for individuals with sickle cell disease.</p><p>These factors are reflected in NHS England’s service specification quality indicators which providers are required to report against so that implementation can be monitored.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 05/06/2019 14:30:29 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1128425

registered interest
date	22/05/2019
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	Pancreatitis
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 estimate he has made of the number of people living with a diagnosis of chronic pancreatitis.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	257503
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>No estimate has been made. However, the National Institute for Health and Care Excellence (NICE), in its guidance ‘Pancreatitis’, published September 2018, states that the annual incidence of chronic pancreatitis in western Europe is about five cases per 100,000 people. The male to female ratio is 7:1 and the average age of onset is between 36 and 55. The NICE guideline can be found at the following link:</p><p><a href="http://www.nice.org.uk/guidance/ng104" target="_blank">www.nice.org.uk/guidance/ng104</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 05/06/2019 14:16:47 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1127754

registered interest
date	21/05/2019
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	Blood Diseases: 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 his timescale is for (a) implementing and (b) completing NHS England’s planned restructuring of haemoglobinopathy services; and if he will make a statement.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	256972
answer	answer is ministerial correction date of answer 04/06/2019 answer text <p>It is anticipated that NHS England’s new model for specialised haemoglobinopathy services will be in place by early 2020. The new model is designed to improve access to specialist advice and care for patients, irrespective of where they live.</p><p>As part of the new service, NHS England is establishing a National Haemoglobinopathy Panel to provide national multidisciplinary oversight. Patients with complex needs, wherever they live, will be able to be referred to the Panel for expert advice on new treatments and approaches to care. The national service specification will also include guidance for the 13 new born bloodspot screening programme laboratories to refer infants found to be positive for sickle cell disease to the 10 new specialised haemoglobinopathy teams. Whilst NHS England commissions the specialised aspect of haemoglobinopathy care, haemoglobinopathy coordinating centres will be encouraged to link with and support community-based services provided through primary care or community teams based within haemoglobinopathy teams.</p><p>The service specifications for the new specialised haemoglobinopathy teams and the haemoglobinopathy coordinating centres are due to be established in the next month and the associated impact assessment will be published as part of the suite of documents. The equality impact assessment indicates that it will advance the promotion of equality and support the reduction of health inequalities. For example, patients with thalassemia and sickle cell conditions will have equitable access to high quality specialist care and support within specialised commissioned centres irrespective of where in the country they live.</p><p>Hospital Episode Statistics data is attached, showing finished admission episodes with a primary and a primary or secondary diagnosis of sickle cell disorders by NHS England region of residence and Index of Multiple Deprivation decile in the year 2017-18.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256973 256974 257011 question first answered 04/06/2019 16:13:21 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Data Table for Combined Diana Johnson PQs (257011) formatted.xlsx title FAE sickle cell NHS England table
tabling member	1533 label Biography information for Dame Diana Johnson

1127755

registered interest
date	21/05/2019
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	Sickle Cell Diseases: 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 assessment he has made of the effect of NHS England’s planned restructuring of haemoglobinopathy services on (a) equitable access to services, (b) access to the most effective treatments, (c) access to highly specialised care and (d) quality of care in community-based settings for patients with sickle cell disease.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	256973
answer	answer is ministerial correction date of answer 04/06/2019 answer text <p>It is anticipated that NHS England’s new model for specialised haemoglobinopathy services will be in place by early 2020. The new model is designed to improve access to specialist advice and care for patients, irrespective of where they live.</p><p>As part of the new service, NHS England is establishing a National Haemoglobinopathy Panel to provide national multidisciplinary oversight. Patients with complex needs, wherever they live, will be able to be referred to the Panel for expert advice on new treatments and approaches to care. The national service specification will also include guidance for the 13 new born bloodspot screening programme laboratories to refer infants found to be positive for sickle cell disease to the 10 new specialised haemoglobinopathy teams. Whilst NHS England commissions the specialised aspect of haemoglobinopathy care, haemoglobinopathy coordinating centres will be encouraged to link with and support community-based services provided through primary care or community teams based within haemoglobinopathy teams.</p><p>The service specifications for the new specialised haemoglobinopathy teams and the haemoglobinopathy coordinating centres are due to be established in the next month and the associated impact assessment will be published as part of the suite of documents. The equality impact assessment indicates that it will advance the promotion of equality and support the reduction of health inequalities. For example, patients with thalassemia and sickle cell conditions will have equitable access to high quality specialist care and support within specialised commissioned centres irrespective of where in the country they live.</p><p>Hospital Episode Statistics data is attached, showing finished admission episodes with a primary and a primary or secondary diagnosis of sickle cell disorders by NHS England region of residence and Index of Multiple Deprivation decile in the year 2017-18.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256972 256974 257011 question first answered 04/06/2019 16:13:21 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Data Table for Combined Diana Johnson PQs (257011) formatted.xlsx title FAE sickle cell NHS England table
tabling member	1533 label Biography information for Dame Diana Johnson

1127756

registered interest
date	21/05/2019
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	Sickle Cell Diseases: 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, if he will publish impact assessments of the potential effects of NHS England’s planned restructuring of haemoglobinopathy services on treatment of (a) all haemoglobinopathies and (b) sickle cell disease.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	256974
answer	answer is ministerial correction date of answer 04/06/2019 answer text <p>It is anticipated that NHS England’s new model for specialised haemoglobinopathy services will be in place by early 2020. The new model is designed to improve access to specialist advice and care for patients, irrespective of where they live.</p><p>As part of the new service, NHS England is establishing a National Haemoglobinopathy Panel to provide national multidisciplinary oversight. Patients with complex needs, wherever they live, will be able to be referred to the Panel for expert advice on new treatments and approaches to care. The national service specification will also include guidance for the 13 new born bloodspot screening programme laboratories to refer infants found to be positive for sickle cell disease to the 10 new specialised haemoglobinopathy teams. Whilst NHS England commissions the specialised aspect of haemoglobinopathy care, haemoglobinopathy coordinating centres will be encouraged to link with and support community-based services provided through primary care or community teams based within haemoglobinopathy teams.</p><p>The service specifications for the new specialised haemoglobinopathy teams and the haemoglobinopathy coordinating centres are due to be established in the next month and the associated impact assessment will be published as part of the suite of documents. The equality impact assessment indicates that it will advance the promotion of equality and support the reduction of health inequalities. For example, patients with thalassemia and sickle cell conditions will have equitable access to high quality specialist care and support within specialised commissioned centres irrespective of where in the country they live.</p><p>Hospital Episode Statistics data is attached, showing finished admission episodes with a primary and a primary or secondary diagnosis of sickle cell disorders by NHS England region of residence and Index of Multiple Deprivation decile in the year 2017-18.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256972 256973 257011 question first answered 04/06/2019 16:13:21 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Data Table for Combined Diana Johnson PQs (257011) formatted.xlsx title FAE sickle cell NHS England table
tabling member	1533 label Biography information for Dame Diana Johnson

1127885

registered interest
date	21/05/2019
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 Services: Standards
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 last made an assessment of the effectiveness of key performance indicators for NHS dental practices.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	257007
answer	answer is ministerial correction date of answer 04/06/2019 answer text <p>NHS England is responsible for the commissioning of dental services and performance management of contracts held. NHS England looks at and update key dental performance indicators as a continuous improvement process. They are prepared by the NHS Business Services Agency and have a formal review annually. The indicators are shared with National Health Service dental providers to assist them in delivering a high quality service to patients. Examples of the information provided can be found on the NHS Business Services Agency website at the following link:</p><p><a href="https://www.nhsbsa.nhs.uk/dental-data" target="_blank">https://www.nhsbsa.nhs.uk/dental-data</a></p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 04/06/2019 16:28:20 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson