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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

1128881

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	Measles: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Education on making the measles vaccination compulsory before children start school.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	259034
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>There have been no discussions between the Department of Health and Social Care and the Department for Education, on making the measles vaccination compulsory before children start school.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 14:32:33 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1128950

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	Mumps
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many instances of mumps there were in the first quarter of (a) 2019, (b) 2018, (c) 2017 and (d) 2016.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	259029
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>Mumps is a notifiable disease and healthcare professionals are legally required to report all suspected cases to their local Health Protection Team. The number of confirmed cases of mumps in quarter 1 of each year from 2016 is shown in the following table.</p><p>Number of laboratory confirmed mumps cases in England for Quarter 1 (Q1) in 2016 - 19</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of cases in Q1</p></td></tr><tr><td><p>2019</p></td><td><p>795</p></td></tr><tr><td><p>2018</p></td><td><p>275</p></td></tr><tr><td><p>2017</p></td><td><p>280</p></td></tr><tr><td><p>2016</p></td><td><p>145</p></td></tr></tbody></table><p>Sources:</p><ol><li>2016: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/526457/hpr1816_mmr.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/526457/hpr1816_mmr.pdf</a></li><li>2017: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/616215/hpr1917_mmr.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/616215/hpr1917_mmr.pdf</a></li><li>2018: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/711941/1918_AA_mmr.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/711941/1918_AA_mmr.pdf</a></li><li>2019: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf</a></li></ol><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:51:30 answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell

1128955

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	Antibiotics: Rivers
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 reduce the concentration of antibiotics in UK rivers.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	259425
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom’s national action plan for antimicrobial resistance (AMR), published on 24 January 2019, takes a fully integrated and comprehensive One-Health approach for tackling AMR, and includes challenging five-year commitments across human and animal health, agriculture, the environment and food.</p><p>Without more research into AMR in the environment we cannot design effective interventions to minimise risk and protect public health, food production and natural ecosystems. The national action plan therefore includes commitments to deepen our understanding about AMR in the environment, including a specific commitment to explore the establishment of a river catchment-based research programme with clear standards for sample collection, analysis and review, with the aim of delivering AMR monitoring data that can be used to evaluate existing management interventions and inform new policy initiatives.</p><p>The Environment Agency is working with the Department for Environment, Food and Rural Affairs and water companies to undertake an extensive programme of investigations to assess a wide range of chemicals entering rivers through wastewater treatment works. As part of this programme, levels of four antibiotics have been monitored in treated sewage effluent in order to quantify levels. The choice of antibiotics was based on the levels of prescription and environmental toxicity studies. Outputs will inform the development of future policy and regulatory decisions.</p><p>The Department is establishing a UK AMR national action plan delivery board which will drive and oversee delivery of this work.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:21:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	4658 label Biography information for Alex Sobel

1129049

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	Radiation: Health Hazards
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 increased microwave and radiofrequency electromagnetic radiation on public health.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	259202
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>Public Health England (PHE) has published a webpage about exposure to the radio waves from mobile phone base stations, including those for 5G networks, at the following link:</p><p><a href="https://www.gov.uk/government/publications/mobile-phone-base-stations-radio-waves-and-health/mobile-phone-base-stations-radio-waves-and-health" target="_blank">https://www.gov.uk/government/publications/mobile-phone-base-stations-radio-waves-and-health/mobile-phone-base-stations-radio-waves-and-health</a></p><p>This explains the health-related reviews and assessments have been performed, as well as the practical measures that are in place to protect public health.</p><p>Based on the accumulated evidence and reviews, PHE advises that the guidelines of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) should be adopted and there is no convincing evidence that radio wave exposures below the ICNIRP guideline levels cause adverse health effects.</p><p>While a small increase in overall exposure to radio waves is possible when 5G is added to the existing network, the overall exposure is expected to remain low and well within the ICNIRP guidelines.</p><p>PHE continues to monitor the health-related evidence applicable to radio waves, including in relation to base stations, and is committed to updating its advice as required.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:23:39 answering member 4455 label Biography information for Seema Kennedy
tabling member	4061 label Biography information for Bill Esterson

1129088

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	Pneumoconiosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many new diagnoses of pneumoconiosis there have been among ex-miners in each of the last 10 years; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	259235
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>This data is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:17:34 answering member 4455 label Biography information for Seema Kennedy
tabling member	4244 label Biography information for Jonathan Ashworth

1129227

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	5G: Health Hazards
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 merits of the decision by the Belgian authorities to halt the roll out of 5G because of health concerns.
tabling member constituency	Kilmarnock and Loudoun
tabling member printed	Alan Brown
uin	259316
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom supports European Council Recommendation 1999/519/EC on limiting exposure to electromagnetic fields (EMFs), which include radio waves. The Recommendation incorporates exposure restrictions from the International Commission on Non-Ionizing Radiation Protection (ICNIRP), as advised by Public Health England (PHE).</p><p>An overview of the radio wave exposure restrictions applied in a range of countries has been provided by the World Health Organization (WHO) at the following link:</p><p><a href="http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en" target="_blank">http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en</a></p><p>This shows that the majority of countries are following the ICNIRP guidelines (41 volts per meter at 900 MHz and 58 volts per meter at 1,800 MHz).</p><p>PHE is a collaborating body in WHO’s International EMF Project, which brings together organisations from around the world to share information on this topic. PHE is committed to keeping its advice under review and to updating its advice should new evidence dictate that is necessary.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:26:51 answering member 4455 label Biography information for Seema Kennedy
tabling member	4470 label Biography information for Alan Brown

1129371

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	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, how much the Government spent on cancer (a) research and (b) treatment in 2017-18.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	259146
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>For cancer research, the National Institute for Health Research spent £136 million in 2017/18, an increase from £101 million in 2010/11. This constitutes the largest investment in a disease area.</p><p>For cancer treatment, NHS England can only provide information on those services that it commissions through its specialised commissioning function. Other services would be commissioned locally by clinical commissioning groups and therefore not collected centrally. In 2017-18, NHS England estimates that £3.9 billion was spent by NHS England Specialised Commissioning. The attached table shows a breakdown of figures.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 14:31:33 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 259146 table.docx title Specialised Commissioning Spend 2013-18
tabling member	1591 label Biography information for Tim Farron

1129372

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	Radiotherapy: Expenditure
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 the Government spent on radiotherapy treatment in each of the last five years.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	259147
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>We are not able to provide this information. NHS England can only provide information on those services that it commissions through its specialised commissioning function. Other services would be commissioned locally by clinical commissioning groups (CCGs) and therefore not collected centrally.</p><p>The attached table shows a breakdown of figures for the years 2013-14 to 2017-18, as estimated for NHS England Specialised Commissioning by NHS England.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 259148 question first answered 06/06/2019 14:02:31 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 259147 259148 table.docx title Specialised Commissioning Spend 2013-18
tabling member	1591 label Biography information for Tim Farron

1129373

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	Radiotherapy: 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 proportion of the NHS cancer budget was spent on radiotherapy treatment in each of the last five years.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	259148
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>We are not able to provide this information. NHS England can only provide information on those services that it commissions through its specialised commissioning function. Other services would be commissioned locally by clinical commissioning groups (CCGs) and therefore not collected centrally.</p><p>The attached table shows a breakdown of figures for the years 2013-14 to 2017-18, as estimated for NHS England Specialised Commissioning by NHS England.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 259147 question first answered 06/06/2019 14:02:31 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 259147 259148 table.docx title Specialised Commissioning Spend 2013-18
tabling member	1591 label Biography information for Tim Farron