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993447

registered interest
date	23/10/2018
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	Flour: Folic Acid
house id	1
legislature	25259 pref label House of Commons
question text	What progress he has made on implementing proposals for the mandatory fortification of flour with folic acid.
tabling member constituency	Cumbernauld, Kilsyth and Kirkintilloch East
tabling member printed	Stuart C. McDonald
uin	907229
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Government is continuing to review advice from our expert advisory groups on safe levels of folate intake. Alongside this, we will be issuing a public consultation on the issue of adding folic acid to flour. This will explore this complex issue in detail and allow us to take an informed decision on whether to introduce mandatory fortification of flour. We will announce the date for the consultation soon.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:43:47 answering member 4067 label Biography information for Steve Brine
tabling member	4393 label Biography information for Stuart C McDonald

993448

registered interest
date	23/10/2018
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	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	What assessment he has made of the proportion of children born in the UK with foetal alcohol spectrum disorders in each of the last five years.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	907231
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>Foetal alcohol syndrome disorders can have a significant impact on the early years development of children, their behaviours and their life chances.</p><p>Public Health England collects some data on fetal alcohol sydrome, but we recognise that this data does not reflect the range of fetal alcohol spectrum disorders (FASD), as these are very difficult to diagnose. That is why we are engaging experts and those affected by FASD to explore what more could be done to improve our understanding.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:44:55 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

990259

registered interest
date	18/10/2018
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	Buprenorphine
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 on access to Buprenorphine of the recent increase in the price of that drug.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181221
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>As a consequence of a supply issue affecting buprenorphine earlier this year, some suppliers of buprenorphine have run out of stock and the market price has been increasing since May 2018. Although supplies continued to remain available from other suppliers, we are aware that some may have struggled to support the increase in demand at short notice. The delivery issues were resolved quickly and the overall supply of buprenorphine tablets improved shortly afterwards.</p><p> </p><p>Since this period, the Department has remained in regular contact with all United Kingdom licensed suppliers of buprenorphine and has been working closely with them to monitor their supply position. Based on these conversations, we have been assured that the available supplies are sufficient to meet the usual UK requirements for this drug. The Department continues to monitor this very closely.</p><p> </p><p>The increased purchase price is reflected in the reimbursement price paid to pharmacies, to ensure that supplies remain available to patients. The market for buprenorphine has generally been competitive and we expect the supply situation to improve over the coming weeks which is likely to result in an increasingly competitive market.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:41:59 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

990352

registered interest
date	18/10/2018
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	Cannabis: Medical Treatments
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 take steps to allow patients to have access to NHS doctors willing to prescribe cannabis-based medicine in cases where their NHS doctor is unwilling to do so.
tabling member constituency	Cardiff West
tabling member printed	Kevin Brennan
uin	181179
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>NHS England expects that cannabis-based products for medicinal use should only be prescribed for indications where there is clear evidence of benefit, and in patients where there is a clinical need which cannot be met by a licensed medicine and, where established treatment options have been exhausted.</p><p> </p><p>The decision to prescribe these unlicensed medicines must be made by a specialist doctor – not a general practitioner. These doctors focus on one field of medicine such as neurology or paediatrics and are listed on the General Medical Council’s specialist register. They must make decisions on prescribing cannabis-based products for medicinal use on a case by case basis, and only when the patient has an unmet special clinical need that cannot be met by licensed products. In addition, a specialist on the General Medical Council Register should only prescribe within their own area of practice, and the decision to prescribe should be agreed by the multidisciplinary team.</p><p> </p><p>NHS England, the British Paediatric Neurology Association and the Royal College of Physicians will provide clinical advice to doctors ahead of the law change. The National Institute for Health and Care Excellence has been commissioned to develop more detailed guidelines for clinicians in the longer term.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:43:24 answering member 4067 label Biography information for Steve Brine
tabling member	1400 label Biography information for Kevin Brennan

990404

registered interest
date	18/10/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what (a) financial support and (b) other resources his Department has provided to Cancer Alliances for long-term planning for breast cancer care.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	181271
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>NHS England provides funding, support and guidance to Cancer Alliances to ensure the delivery of improvements in early and faster diagnosis and quality of life for people living with and beyond cancer, including breast cancer patients.</p><p>For this year, all Cancer Alliances have agreed plans in place for using transformation funding, focused on the delivery of NHS England’s 2018/19 Planning Guidance priorities. As part of these plans, Alliances will:</p><p>- progress towards the 2020/21 ambition for all breast cancer patients to move to a stratified follow-up pathway after treatment; and</p><p>- have in place clinically agreed protocols for stratifying breast cancer patients and a system for remote monitoring by the end of 2018/19.</p><p>In addition to transformation funding, support that all Cancer Alliances will receive in 2018/19 to transform care for their cancer patients includes:</p><p>- dedicated support from the National Cancer Programme’s analysis, evidence and data service;</p><p>- support and assurance from NHS England regional offices;</p><p>- a tailored programme of leadership development; and</p><p>- a series of national events to share best practice and information across Cancer Alliances.</p><p>More information about the levels of transformation funding received by each Cancer Alliance in 2018/19, and how they are using this to improve cancer care, can be found on NHS England’s website at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/cancer/improve/cancer-alliances-improving-care-locally/nhs-england-support-and-funding-for-cancer-alliances/" target="_blank">https://www.england.nhs.uk/cancer/improve/cancer-alliances-improving-care-locally/nhs-england-support-and-funding-for-cancer-alliances/</a></p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:45:11 answering member 4067 label Biography information for Steve Brine
tabling member	4125 label Biography information for Catherine McKinnell

989556

registered interest
date	17/10/2018
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	Epilepsy: Nutrition
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 medical nutrition on the management of drug-resistant epilepsy.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	180714
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>The Department has made no specific assessment of the effect of medical nutrition, also known as the ketogenic diet, on the management of drug-resistant epilepsy. However, the National Institute for Health and Care Excellence sets out best practice guidance for clinicians in ‘Epilepsies: diagnosis and management’ which is available at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137" target="_blank">www.nice.org.uk/guidance/cg137</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/10/2018 16:09:55 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

989571

registered interest
date	17/10/2018
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	Influenza: Vaccination
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 take steps to ensure that GPs contact patients who are entitled to a free flu vaccination invite those patients to be vaccinated.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	180646
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>The general practitioner (GP) Contract and the ‘Directed Enhanced Service Specification; Seasonal influenza and pneumococcal polysaccharide vaccination programme 2018/19’ describes the service that GPs should offer. GPs are expected to proactively call eligible patients for vaccination and also to recall them if they are defined as at risk due to an underlying medical condition.</p><p> </p><p>During each season, NHS England teams take all opportunities in their communication with practices to reinforce this requirement, and Public Health England have made available resources to encourage GPs to promote flu vaccination.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/10/2018 16:20:21 answering member 4067 label Biography information for Steve Brine
tabling member	432 label Biography information for Helen Jones

989575

registered interest
date	17/10/2018
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	Influenza: 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 proportion of people eligible for free flu vaccination have received that vaccine in each of the last five years for which figures are available.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	180648
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>Data on the proportion of people eligible for a free flu vaccination that have received vaccine in each of the last five years is available in the attached table.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/10/2018 16:23:26 answering member 4067 label Biography information for Steve Brine attachment 1 file name Copy of PQ180648_VaccineUptake_Past5yearsAmended.xlsx title PQ180648 attached document
tabling member	432 label Biography information for Helen Jones

989592

registered interest
date	17/10/2018
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	Pigmeat
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 England's pig stock slaughtered annually do not pass vet inspections for release into the human food chain.
tabling member constituency	Broxbourne
tabling member printed	Mr Charles Walker
uin	180663
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>The proportion of total condemnations was 0.12% for pigs in Food Standard Agency approved slaughterhouses in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/10/2018 16:17:32 answering member 4067 label Biography information for Steve Brine
tabling member	1493 label Biography information for Sir Charles Walker

989594

registered interest
date	17/10/2018
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	Beef
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 England's total cattle stock slaughtered annually do not pass vet inspections for release into the human food chain.
tabling member constituency	Broxbourne
tabling member printed	Mr Charles Walker
uin	180664
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>The proportion of total condemnations was 0.40% for cattle in Food Standard Agency approved slaughterhouses in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/10/2018 16:16:39 answering member 4067 label Biography information for Steve Brine
tabling member	1493 label Biography information for Sir Charles Walker