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867296

registered interest
date	20/03/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	What the timetable is for the implementation of the faecal immunochemical test for bowel cancer screening.
tabling member constituency	Eastbourne
tabling member printed	Stephen Lloyd
uin	904478
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>The UK National Screening Committee has recommended that the faecal immunochemical test (FIT) be the primary screening test for bowel cancer and NHS England remains absolutely committed to implementing FIT in 2018/19.</p><p> </p><p>NHS England is working with Public Health England to finalise a number of practical arrangements around sensitivity, production and distribution of FIT kits, and diagnostic and pathology workforce capacity to ensure that when FIT is implemented, it is sustainable.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2018 17:31:43 answering member 4067 label Biography information for Steve Brine
tabling member	3968 label Biography information for Stephen Lloyd

867383

registered interest
date	20/03/2018
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	Heart Diseases: 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 assessment he has made of the evidential basis for the decision of the UK National Screening Committee in 2015 not to recommend screening to prevent sudden cardiac death in 12 to 39-year-olds.
tabling member constituency	Witham
tabling member printed	Priti Patel
uin	133358
answer	answer is ministerial correction date of answer 26/03/2018 answer text <p>The United Kingdom National Screening Committee (UK NSC) makes recommendations to introduce a new screening programme based on robust peer reviewed evidence. This process was recognised by the House of Commons Science and Technology Committee Inquiry into Health Screening, which supported the idea that the evidential barrier should remain high because of the potential for screening to do harm. Further information is available here:</p><p> </p><p><a href="https://publications.parliament.uk/pa/cm201415/cmselect/cmsctech/244/24409.htm" target="_blank">https://publications.parliament.uk/pa/cm201415/cmselect/cmsctech/244/24409.htm</a></p><p> </p><p>In 2015, the UK NSC did not recommend screening to prevent Sudden Cardiac Death (SCD) in 12 to 39 year olds. This was due to the epidemiology of the condition not being fully understood a lack of published peer reviewed evidence to correctly identify the number of people affected and issues around the test. Further information on UK NSC’s recommendation can be found here:</p><p> </p><p><a href="https://legacyscreening.phe.org.uk/suddencardiacdeath" target="_blank">https://legacyscreening.phe.org.uk/suddencardiacdeath</a></p><p> </p><p>The UK NSC will be reviewing SCD in 2018/19.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/03/2018 15:06:47 answering member 4067 label Biography information for Steve Brine
tabling member	4066 label Biography information for Priti Patel

867387

registered interest
date	20/03/2018
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	Lumacaftor/ivacaftor
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential reduction in hospital admissions for people with cystic fibrosis were Orkambi to be made available on the NHS.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	133362
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>The Department has made no assessment itself. However, in developing its technology appraisal guidance, the National Institute for Health and Care Excellence, takes into account all the costs and savings associated with the treatment compared with existing clinical practice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/03/2018 14:32:34 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

867419

registered interest
date	20/03/2018
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	Electronic Cigarettes
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 potential savings to the public purse from the health service encouraging the uptake of e-cigarettes among smokers.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	133394
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>The potential financial impacts of e-cigarettes on the public purse are not yet fully understood. The evidence base is still evolving on these products, largely because vaping is still relatively new and the health effects may be very long term. Significant savings to the public purse are likely to arise only if smokers switch completely from smoked tobacco. The Government’s Tobacco Control Plan, published in July 2017, estimates that the National Health Service currently spends £2.5 billion on treating smoking-related diseases and Public Health England assess e-cigarettes to be at least 95% less harmful than smoked tobacco. Reduced harm may not translate exactly into proportional costs savings, but superficially this implies that vaping, as an alternative to smoking, may contribute to significant savings.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/03/2018 14:37:44 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

867420

registered interest
date	20/03/2018
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	Electronic Cigarettes
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 encourage smokers to give up by promoting the use of e-cigarettes.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	133395
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>The Department has been clear that for smokers, quitting smoking completely is the best way to improve health. E-cigarettes are not risk free. However, the evidence is increasingly clear that e-cigarettes are significantly less harmful to health than cigarettes and can help smokers to quit, particularly when combined with support from stop smoking services.</p><p> </p><p>The Government committed Public Health England (PHE), through the Tobacco Control Plan, published in 2017, to include messages about the relative safety of e-cigarettes in their quit smoking campaigns. PHE’s 2017 Stoptober campaign included e-cigarettes among the array of tools that smokers can use to help them quit and, in their New Year smoking health harms campaign, PHE reprised these messages. It is through this consistent messaging that the Government hopes to reverse the harmful, mistaken – and increasingly widespread – belief that vaping is no safer than smoking.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/03/2018 14:42:47 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

867445

registered interest
date	20/03/2018
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: West Midlands
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 take-up rate was for breast cancer screening in (a) the West Midlands and (b) Coventry in 2017.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	133420
answer	answer is ministerial correction date of answer 26/03/2018 answer text <p>The most recent data available is for 2016/17 published by NHS Digital. Information for each area is available at:</p><p> </p><p><a href="https://digital.nhs.uk/catalogue/PUB30195" target="_blank">https://digital.nhs.uk/catalogue/PUB30195</a></p><p> </p><p>During 2016/17 the national average for breast screening uptake was 71.1%.</p><p> </p><p>The uptake for Coventry was 68.1% (Coventry’s uptake rate is included in the West Midlands figure) and for West Midlands was 71.2% (this is a consolidated percentage based on eight regions within the West Midlands).</p><p> </p><p>NHS England is responsible for commissioning breast screening services to meet programme standards including coverage. NHS England is committed to improving coverage and reducing variation between all age groups and catchment areas.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/03/2018 15:35:03 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

867447

registered interest
date	20/03/2018
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	Warrington Clinical Commissioning Group
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 his Department has made of the effect of on the management of Warrington Clinical Commissioning Group (CCG) of the Chief Officer of that CCG also acting as the Chief Officer of Halton CCG.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	133422
answer	answer is ministerial correction date of answer 26/03/2018 answer text <p>The management of Warrington Clinical Commissioning Group (CCG) and Halton CCG is a matter for each individual CCG governing body, and they will ensure they have the most appropriate management structure in place to deliver their duties.</p><p> </p><p>NHS England is accountable for ensuring that the health services which both it and CCGs commission are high quality and deliver value for money. In March 2016, NHS England introduced a new Improvement and Assessment Framework for CCGs, which sets out that CCGs will be assessed against health outcomes and care quality as well as sustainability and transformation. Each CCG is rated as outstanding, good, requires improvement or inadequate.</p><p> </p><p>The latest overall rating for Warrington CCG and Halton CCG is that they both ‘Require Improvement’.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/03/2018 15:33:40 answering member 4067 label Biography information for Steve Brine
tabling member	432 label Biography information for Helen Jones

867449

registered interest
date	20/03/2018
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	Diabetes: Medical Equipment
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 his Department has made of (a) the number of people with Type 1 diabetes who self-fund a real-time continuous glucose monitor in (i) each clinical commissioning group and (ii) England and (b) the annual cost to people of self-funding that monitoring for the most recent year for which data is available.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	133424
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>The information requested is not centrally held.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/03/2018 11:50:54 answering member 4067 label Biography information for Steve Brine
tabling member	4518 label Biography information for Tulip Siddiq

867450

registered interest
date	20/03/2018
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	Diabetes: Medical Equipment
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 his Department has made of the potential merits of providing additional funding for real-time continuous glucose monitoring.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	133425
answer	answer is ministerial correction date of answer 28/03/2018 answer text <p>The Department has no plans to provide additional funding for real time glucose monitoring. NHS England is responsible for commissioning diabetes services and has informed us that, taking into account the overall impact on healthcare costs from improved control of diabetes, the overall costs from the use of continuous glucose monitoring can be lower than those that arise from self-monitoring. Therefore its provision can be cost effective without requiring additional investment. However, this cost-benefit analysis only holds true for particular cohorts of patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/03/2018 16:08:24 answering member 4067 label Biography information for Steve Brine
tabling member	4518 label Biography information for Tulip Siddiq

867451

registered interest
date	20/03/2018
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	Diabetes: Medical Equipment
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 his Department has made of the potential merits of the creation of a central appraisal system to monitor variations in the (a) uptake and (b) access to (i) medical devices and (ii) apps for diabetes management and treatment.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	133426
answer	answer is ministerial correction date of answer 28/03/2018 answer text <p>NHS England has informed us that their Diabetes Programme team have not made an assessment of the potential merits of a central appraisal system to monitor variations in uptake, or access to medical devices, or apps for diabetes management and treatment across the National Health Service.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/03/2018 16:06:58 answering member 4067 label Biography information for Steve Brine
tabling member	4518 label Biography information for Tulip Siddiq