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1052351

registered interest
date	04/02/2019
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	Air Pollution: 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 comparative assessment (a) his Department and (b) Public Health England has made of the health effects of (a) PM 0.1 and (b) PM 1 in those parts of England (i) with and (ii) without waste incineration plants.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	215078
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>Recent assessments have been undertaken of the health effects of long-term exposure to the air pollution mixture in the United Kingdom. This was based on studies reporting associations of mortality risk with fine particulate matter (PM2.5), which includes PM1 and PM0.1, and nitrogen dioxide (NO2), available to view at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality" target="_blank">https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality</a></p><p> </p><p>Public Health England funded a study to further extend the evidence base as to whether emissions from modern municipal waste incinerators (MWIs) affect human health. Study outputs concluded that the amount of particulate matter people are exposed to from MWI emissions is very low in Great Britain. The document can be viewed at the following link:</p><p> </p><p><a href="http://pubs.acs.org/doi/abs/10.1021/acs.est.6b06478" target="_blank">http://pubs.acs.org/doi/abs/10.1021/acs.est.6b06478</a></p><p> </p><p>No comparison has been made of PM emissions in areas with or without MWIs as overall they contribute very little to the emissions of particulate matter.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 12:30:49 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1054577

registered interest
date	04/02/2019
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	Pain
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 policy is on the provision on the NHS of spinal implants for pain relief.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216237
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) provides guidance on ‘Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin’. NICE is currently developing guidance on the assessment and management of chronic pain, with an expected publication date of 19 August 2020. Further information can be found via the following links:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/ta159" target="_blank">www.nice.org.uk/guidance/ta159</a></p><p><strong> </strong></p><p><a href="http://www.nice.org.uk/guidance/gid-ng10069/documents/final-scope" target="_blank">www.nice.org.uk/guidance/gid-ng10069/documents/final-scope</a></p><p> </p><p>As with the majority of NHS services, local commissioners are responsible for provision of treatment and support for patients with chronic pain conditions. Patients with chronic pain can be well managed in the community or local hospitals by appropriately trained members of interdisciplinary Pain Management Services. Patients may be treated in a Specialised Pain Management Centre where appropriate. When considering what services should be made available we would expect clinical commissioning groups to consider the best practice available guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:41:17 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054578

registered interest
date	04/02/2019
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	Hospitals: Admissions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information he holds on the number of people admitted to hospital as a result of the heatwave during summer 2018.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216238
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Information on the number of patients admitted by National Health Service hospitals for heat-related illnesses is not available for the summer of 2018.</p><p> </p><p>Public Health England published weekly surveillance data highlighting the number of patients visiting general practitioners, emergency departments and contacting NHS 111 during 2018. This is available online at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/syndromic-surveillance-weekly-summaries-for-2018" target="_blank">https://www.gov.uk/government/publications/syndromic-surveillance-weekly-summaries-for-2018</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:44:03 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054581

registered interest
date	04/02/2019
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
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 people have been living with a diagnosis of rheumatoid arthritis in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216241
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>No specific estimate has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 12:02:15 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054583

registered interest
date	04/02/2019
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: Surgery
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 reduce the rate of post-operative infection in cancer patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216243
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Public Health England (PHE) runs a surgical site infections (SSI) surveillance service in 13 categories of surgical procedures but is only mandatory in four categories of orthopaedics procedures and voluntary surveillance in the rest. The aim of the national surveillance program is to enhance the quality of patient care by encouraging hospitals to use data obtained from surveillance to compare their rates of SSI over time and against a national benchmark, and to use this information to review and guide clinical practice.</p><p> </p><p>PHE’s most recent report is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/surgical-site-infections-ssi-surveillance-nhs-hospitals-in-england" target="_blank">https://www.gov.uk/government/publications/surgical-site-infections-ssi-surveillance-nhs-hospitals-in-england</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:37:41 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054584

registered interest
date	04/02/2019
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	Alzheimer's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what representations he has received on the correlation between sugar intake and Alzheimer's.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216244
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Public Health England has not received any representations on the correlation between sugar intake and Alzheimer’s disease.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:48:59 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054585

registered interest
date	04/02/2019
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	Diabetes
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 support people in preventing glucose spikes in their blood sugar.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216245
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>NHS England has advised that ‘glucose spikes’ may refer to glycaemic variability - the short term (within hours or days) or long term (over months or years) variation in glucose levels.</p><p> </p><p>A number of actions that have been undertaken by NHS England, alongside future actions outlined in the NHS Long Term Plan, have the potential to address glycaemic variability:</p><p>- Improved access to structured education. In line with existing National Institute for Health and Care Excellence guidelines, structured education should be offered to all patients within 12 months of diagnosis of diabetes. NHS England has invested £10.5 million this year to improve attendance at structured education by people with type 1 and type 2 diabetes;</p><p>- Equitable and increased access to flash glucose monitoring in people with type 1 diabetes;</p><p>- Access to continuous glucose monitoring for pregnant women with type 1 diabetes; and</p><p>- Low calorie diets as a means of achieving remission of type 2 diabetes in those with recent onset.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:45:26 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054586

registered interest
date	04/02/2019
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	Antidepressants: Children
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 is taking steps to ensure a reduction in the overall amount of anti-depressants prescribed for children; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216246
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>The Department expects clinicians to prescribe anti-depressants for children responsibly and in line with the National Institute for Health and Care Excellence (NICE) guidelines.</p><p> </p><p>The NICE guidelines for ‘Depression in children and young people: identification and management’ sets out clear guidance on the identification and management of depression in children and young people aged between five and 18 years. Based on the stepped care model, the guidance makes clear the need for treatment to be based on the individual needs of children and young people, the characteristics of their depression and their personal and social circumstances. Through this it supports healthcare professionals, children, young people and their parent(s)/carer(s) in identifying and accessing the most effective interventions. Further information can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg28" target="_blank">https://www.nice.org.uk/guidance/cg28</a></p><p> </p><p>This is consistent with the needs-led approach set out in Future in Mind, the Five Year Forward View for Mental Health and the recently published NHS Long Term Plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:43:00 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054592

registered interest
date	04/02/2019
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	Israel: Drugs
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 advances in medicines by Israel are shared with the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216252
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Work with Israel on medicines is led by the British Embassy in Tel Aviv, which actively seeks opportunities to create United Kingdom-Israel partnerships in the medical field. An example of collaboration on medicines is BIRAX – a bilateral research fund active since 2015 with £10 million in mainly private funding for academic partnerships between the UK and Israel. The first three years focussed on regenerative medicine; the next stage is ageing with projects to be announced in the next few months.</p><p> </p><p>More broadly, the Embassy is working on other initiatives to foster UK-Israeli collaboration on health. For example, the UK Israel Tech Hub helps to create tech and innovation partnerships across several sectors, including healthcare.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:36:01 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054636

registered interest
date	04/02/2019
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	Pregnancy: Smoking
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 plans to allocate funding to (a) local authorities and (b) clinical commissioning groups to achieve the national target of reducing the number of smokers during pregnancy to six per cent by 2022; and if he will make a statement.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	216135
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Local authorities, as part of their local public health duties provide smoking cessation services for pregnant women.</p><p> </p><p>To complement the role of public health, the National Health Service through the Maternity Transformation Programme is supporting the education of pregnant women on the dangers of smoking and offering support to quit. The NHS Long Term Plan strengthens further the government commitment to reducing smoking in pregnancy, committing to the introduction of a smoke-free pregnancy pathway for all expectant mothers and their partners. The NHS budget will increase by £33.9 billion in cash terms (the equivalent of £20.5 billion in real terms) by 2023/24.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:34:39 answering member 4067 label Biography information for Steve Brine
tabling member	473 label Biography information for Sir Mark Hendrick