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963986

registered interest
date	03/09/2018
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	General Practitioners
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 has taken to make it easier for people to receive a GP appointment.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	169775
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The Government has committed to ensuring that by 2019 everyone in the country has easier and more convenient access to general practice services. This includes ensuring that access is available at peak times of demand, including bank holidays and across the Easter, Christmas and New Year periods.</p><p>The latest National Health Service planning guidance, published by NHS England in February 2018, brought forward the delivery timescale to 1 October 2018, to ensure additional capacity is in place ahead of winter 2018.</p><p>As part of the General Practice Forward View, published by NHS England in 2016, a number of initiatives were put in place to support practices and other providers to improve access to general practice services, building on successful approaches piloted through the GP Access Fund schemes. This includes delivering services at scale with better use of digital technology, using a wider workforce and enabling self-care and direct access to other services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 14:39:09 answering member 4067 label Biography information for Steve Brine
tabling member	4648 label Biography information for Laura Smith

963987

registered interest
date	03/09/2018
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	General Practitioners
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 has taken to increase the number of GP's in more populated areas.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	169776
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>NHS England and Health Education England (HEE) are working together with the profession to increase the general practitioner (GP) workforce. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p>The number of doctors entering speciality training has been increasing year on year. In 2017/18, there were 3,157 new starters recruited to speciality GP training posts, the highest number recruited ever. A £20,000 salary supplement is also available to selected trainees committing to completing their training in areas of the country which have historically struggled to recruit trainees.</p><p>In August 2017 NHS England announced plans to accelerate its international recruitment programme and recruit 2,000 doctors into English general practice over the following three years. To boost retention there is a broad offer available to support GPs to remain in the NHS including the GP Health Service, the GP Retention Scheme, and the recently launched £10 million GP Retention Fund which includes funds targeted at specific areas.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 13:53:43 answering member 4067 label Biography information for Steve Brine
tabling member	4648 label Biography information for Laura Smith

963992

registered interest
date	03/09/2018
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	Alcoholic Drinks: Misuse
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 page 28 of the Government's 2017 Drug Strategy, published in July 2017, what assessment his Department has made of the (a) potential benefits and disbenefits of the proposals to use locally retained business rates for the funding of alcohol treatment services and (b) effect of those proposals on the provision of such services in deprived areas.
tabling member constituency	Bermondsey and Old Southwark
tabling member printed	Neil Coyle
uin	169387
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>It is for individual local authorities to decide what resources to commit to different public health services, including alcohol treatment services, to meet the needs of their local populations.</p><p> </p><p>Under the current system of 50% retained business rates, local authorities that receive more in business rates income than their baseline funding level contribute through a tariff, which is used to top up local authorities that receive less business rates income than their baseline funding level.</p><p> </p><p>The Government has been clear that under any future system there will continue to be redistribution of business rates between local authorities to take account of their relative needs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 16:11:00 answering member 4067 label Biography information for Steve Brine
tabling member	4368 label Biography information for Neil Coyle

964034

registered interest
date	03/09/2018
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	Pharmacy: Sheffield Hallam
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 proposed average payments to community pharmacies were in Sheffield Hallam constituency under the Pharmacy Access Scheme in (a) 2016-17 and (b) 2017-18.
tabling member constituency	Sheffield, Hallam
tabling member printed	Jared O'Mara
uin	169826
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The average payments for community pharmacies located in the Sheffield Hallam constituency made through the Pharmacy Access Scheme were:</p><p>£8,007 per year in 2016/17; and</p><p>£15,173 per year in 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 14:10:28 answering member 4067 label Biography information for Steve Brine
tabling member	4661 label Biography information for Jared O'Mara

964035

registered interest
date	03/09/2018
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	Pharmacy: Sheffield Hallam
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 average payments to community pharmacies were in Sheffield Hallam in (a) 2016-17 and (b) 2017-18.
tabling member constituency	Sheffield, Hallam
tabling member printed	Jared O'Mara
uin	169827
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The average payments to community pharmacies in the Sheffield Hallam constituency were:</p><p>£632,488 per year in 2016/17; and</p><p>£628,579 per year in 2017/18.</p><p> </p><p>These payments to pharmacies are to reimburse them for the cost of dispensed products and to remunerate them for the provision of nationally commissioned, advanced and enhanced services under the community pharmacy contractual framework, and some local services commissioned by NHS England.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 14:06:29 answering member 4067 label Biography information for Steve Brine
tabling member	4661 label Biography information for Jared O'Mara

964036

registered interest
date	03/09/2018
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	Pharmacy: Closures
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 prevent the closure of community pharmacies.
tabling member constituency	Sheffield, Hallam
tabling member printed	Jared O'Mara
uin	169828
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>There remains good access to community pharmacies with 88% of the population able to access their local pharmacy on foot within 20 minutes. To help maintain access to face-to-face National Health Service pharmaceutical services in areas with fewer pharmacies the Government introduced a Pharmacy Access Scheme (PHAS), under which pharmacies eligible for the scheme receive a ‘top-up’ payment, thus requiring them to make smaller efficiency savings than other non-PhAS pharmacies.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 14:03:45 answering member 4067 label Biography information for Steve Brine
tabling member	4661 label Biography information for Jared O'Mara

964058

registered interest
date	03/09/2018
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	Respiratory System: Diseases
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 causal link between respiratory diseases and deprivation and its effect on levels of (a) chronic obstructive pulmonary disease, (b) cancer, (c) tuberculosis, (d) pneumonia, (e) pulmonary fibrosis and (f) asthma; and what steps he is taking to reduce any such inequalities relating to respiratory diseases.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	169538
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>NHS England is committed to reducing health inequalities, and respiratory disease will be a clinical priority in the National Health Service long-term plan.</p><p> </p><p>Evidence shows that disadvantaged groups and areas of deprivation experience higher incidence rates of respiratory disease (such as chronic obstructive pulmonary disease and asthma). This is in part due to higher levels of smoking, exposure to higher levels of air pollution, poor housing conditions, early life experiences and exposure to occupational hazards.</p><p> </p><p>National programmes such as the Elective Care Programme, NHS RightCare and Getting It Right First Time are focussing on respiratory disease management and have outlined the benefits that improvements in this area can bring to patients.</p><p> </p><p>Cancer of the larynx and lung are more common in the 20% most deprived patients relative to the 20% more well off patients. Smoking and increased alcohol consumption, both risk factors for these cancers, are also more common amongst more deprived populations.</p><p> </p><p>NHS England is to pilot low dose CT scanning for lung cancer, focussing on those clinical commissioning groups with the highest lung cancer mortality and incidence. These pilots, together with the implementation of rapid diagnosis pathways for lung cancer will help to close the gap in inequalities.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 16:00:27 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

964087

registered interest
date	03/09/2018
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	Health Services: Developing Countries
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 share the expertise and learning generated from the NHS with health minsters in developing countries.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	169184
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The Department has two key teams dealing with global health.</p><p> </p><p>The Department of Health and Social Care’s International Team leads on the United Kingdom’s relationship with the World Health Organization and health aspects of other international bodies and fora, including certain other United Nations organisations, the G7, the G20 and the Commonwealth, working closely with the Department for International Development, Public Health England (PHE) and other partners across Government. It also leads on the Department of Health and Social Care’s bilateral relationships with other countries; on co-ordinating strategy across Government; and on the health implications of trade. This collaboration entails information-sharing with a number of countries including lower and middle income countries, including during international meetings, through the facilitation of visits by overseas delegations, and by working with officials at the Department for International Development on their programmes.</p><p> </p><p>The Department of Health and Social Care shares expertise and learning with officials in developing countries at all levels in health ministries. The Global Health Security team, through the Department’s Official Development Assistance (ODA) allocation, works closely with a number of low and middle income countries (LMICs) to share best practice and build capacity including through the Fleming Fund to strengthen surveillance of antimicrobial resistance (AMR), the International Health Regulations (IHR) strengthening project and the UK Public Health Rapid Support Team (UK-PHRST). The team also works to support the Chief Medical Officer in strengthening international collaboration to tackle AMR.</p><p> </p><p>In addition, the Global Health Research team uses ODA funding to commission and deliver research of direct and primary benefit to people in LMICs, through the National Institute for Health Research, to improve global health outcomes.</p><p> </p><p>Public Health England (PHE) delivers ongoing programmes of work in developing countries to provide training and facilitate health systems strengthening. Information sharing is part of this work. PHE also works with specific countries to improve their capability for compliance with IHRs, and has formal memoranda of understanding with India and Nigeria to facilitate the exchange of information and expertise.</p><p> </p><p>The PHE UK-PHRST responds to urgent requests from ODA eligible countries to support them to control disease outbreaks.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 169186 question first answered 11/09/2018 16:23:02 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

964089

registered interest
date	03/09/2018
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	Health Services: Developing Countries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how his Department works with the Department of International Development to promote a shared agenda on universal health coverage.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	169185
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The Department of Health and Social Care (DHSC) works closely with the Department for International Development (DFID) engaging regularly and at all levels to promote a shared agenda on the importance of achieving universal health coverage. We take a “one HMG” approach on all aspects of global health. This includes through international fora such as the World Health Organization (WHO), where DHSC leads the United Kingdom relationship, working in partnership with DFID and others; including sending joint delegations to WHO meetings.</p><p> </p><p>Achieving Global Goal 3 by 2030, including universal health coverage (UHC), is a priority for the UK. At the World Health Assembly this year, the former Secretary of State for Health and Social Care (the Rt. hon. Jeremy Hunt MP) stressed the importance of universal access to basic healthcare in the UK National Address. We also supported the agreement of WHO’s thirteenth General Programme of Work, with its strong focus on UHC. Preparations for the United Nations (UN) high-level meeting on UHC at the UN General Assembly in 2019 are still at an early stage but DHSC is engaging closely in the work led by DFID to identify clear deliverables that will enhance greater collective action to achieve UHC. We are working with DFID to ensure that UHC, and the steps to achieve it, are discussed in international fora, such as the G7 and G20, ahead of the High-Level Meeting.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 169187 169188 question first answered 11/09/2018 16:12:37 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

964090

registered interest
date	03/09/2018
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	Health Services: Developing Countries
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 role and remit is of his Department's Global Health Team.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	169186
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The Department has two key teams dealing with global health.</p><p> </p><p>The Department of Health and Social Care’s International Team leads on the United Kingdom’s relationship with the World Health Organization and health aspects of other international bodies and fora, including certain other United Nations organisations, the G7, the G20 and the Commonwealth, working closely with the Department for International Development, Public Health England (PHE) and other partners across Government. It also leads on the Department of Health and Social Care’s bilateral relationships with other countries; on co-ordinating strategy across Government; and on the health implications of trade. This collaboration entails information-sharing with a number of countries including lower and middle income countries, including during international meetings, through the facilitation of visits by overseas delegations, and by working with officials at the Department for International Development on their programmes.</p><p> </p><p>The Department of Health and Social Care shares expertise and learning with officials in developing countries at all levels in health ministries. The Global Health Security team, through the Department’s Official Development Assistance (ODA) allocation, works closely with a number of low and middle income countries (LMICs) to share best practice and build capacity including through the Fleming Fund to strengthen surveillance of antimicrobial resistance (AMR), the International Health Regulations (IHR) strengthening project and the UK Public Health Rapid Support Team (UK-PHRST). The team also works to support the Chief Medical Officer in strengthening international collaboration to tackle AMR.</p><p> </p><p>In addition, the Global Health Research team uses ODA funding to commission and deliver research of direct and primary benefit to people in LMICs, through the National Institute for Health Research, to improve global health outcomes.</p><p> </p><p>Public Health England (PHE) delivers ongoing programmes of work in developing countries to provide training and facilitate health systems strengthening. Information sharing is part of this work. PHE also works with specific countries to improve their capability for compliance with IHRs, and has formal memoranda of understanding with India and Nigeria to facilitate the exchange of information and expertise.</p><p> </p><p>The PHE UK-PHRST responds to urgent requests from ODA eligible countries to support them to control disease outbreaks.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 169184 question first answered 11/09/2018 16:23:02 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper