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1062036

registered interest
date	15/02/2019
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	Syphilis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 6 February 2019 to Question 217570 on Syphilis, when Public Health England plans to publish its Syphilis Action Plan.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	221990
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Public Health England (PHE) plans to publish its Syphilis Action Plan in spring 2019.</p><p> </p><p>PHE routinely collects data on syphilis diagnoses made at sexual health clinics that are published each summer. PHE is implementing an updated version of the Genitourinary Medicine Clinic Activity Dataset (GUMCAD) sexually transmitted infections (STI) surveillance system from spring 2019 to better detect the complications of syphilis infection. The GUMCAD STI surveillance system can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/gumcad-sti-surveillance-system" target="_blank">https://www.gov.uk/guidance/gumcad-sti-surveillance-system</a></p><p> </p><p>Additionally, the surveillance of congenital syphilis will form part of the new PHE Infectious Diseases in Pregnancy Screening (IDPS) Programme Integrated Screening Surveillance Service. Further information on the IDPS programme can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards" target="_blank">https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards</a></p><p> </p><p>Increased professional and public awareness of syphilis in pregnancy and the neonate is planned via a new interactive IDPS e-learning package. The e-learning package can be viewed at the following link:</p><p> </p><p><a href="https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/" target="_blank">https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/</a></p><p> </p><p>The provision of patient information and regional training events for healthcare professionals are being considered.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 221991 question first answered 20/02/2019 17:36:14 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062037

registered interest
date	15/02/2019
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	Syphilis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 6 February 2019 to Question 217568 on Syphilis, what steps his Department is taking to improve the detection, surveillance and clinical management of syphilis.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	221991
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Public Health England (PHE) plans to publish its Syphilis Action Plan in spring 2019.</p><p> </p><p>PHE routinely collects data on syphilis diagnoses made at sexual health clinics that are published each summer. PHE is implementing an updated version of the Genitourinary Medicine Clinic Activity Dataset (GUMCAD) sexually transmitted infections (STI) surveillance system from spring 2019 to better detect the complications of syphilis infection. The GUMCAD STI surveillance system can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/gumcad-sti-surveillance-system" target="_blank">https://www.gov.uk/guidance/gumcad-sti-surveillance-system</a></p><p> </p><p>Additionally, the surveillance of congenital syphilis will form part of the new PHE Infectious Diseases in Pregnancy Screening (IDPS) Programme Integrated Screening Surveillance Service. Further information on the IDPS programme can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards" target="_blank">https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards</a></p><p> </p><p>Increased professional and public awareness of syphilis in pregnancy and the neonate is planned via a new interactive IDPS e-learning package. The e-learning package can be viewed at the following link:</p><p> </p><p><a href="https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/" target="_blank">https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/</a></p><p> </p><p>The provision of patient information and regional training events for healthcare professionals are being considered.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 221990 question first answered 20/02/2019 17:36:14 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062039

registered interest
date	15/02/2019
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	Health: Screening
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 14 of the National Audit Report entitled Investigation into the management of health screening, published 30 January 2019, for what reasons the project to replace the National Health Application and Infrastructure Services is 22 months behind schedule.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	221993
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p><strong></strong>The priority for NHS England has been to ensure that Capita provide a service that is stable and delivering safely for patients before the change takes place. Early service delivery issues in Primary Care Services England together with recent screening incidents have been the priority to ensure patient safety. The change required to remove the use of National Health Application and Infrastructure Services (NHAIS) is complex due to the aged architecture and local variations in how data is stored on each individual NHAIS database and the sensitivity of that information.</p><p> </p><p>In the meantime, NHS England has asked Sir Mike Richards to lead a review to improve the delivery of adult screening programmes, and will consider how current IT systems support the ambitions of the programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:37:17 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062040

registered interest
date	15/02/2019
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	Health: Screening
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 pages 19 to 23 of the National Audit Office report entitled Investigation into the management of health screening, published 30 January 2019, what steps his Department plans to take to ensure that threshold targets in all cases of (a) abdominal aortic aneurysm, (b) bowel screening, (c) breast screening and (d) cervical screening are met.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	222010
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Prevention and early diagnosis of cancer are key priorities for this Government, and the Department is already working closely with NHS England and Public Health England (PHE) to address the issues this useful report highlights.</p><p> </p><p>The Department holds NHS England to account for the delivery of all adult screening programmes through regular Section 7a accountability meetings where the three organisations review all the key performance indicators (KPIs) for the functions of the S7a agreement including screening coverage data, with a focus on review of any service improvement initiatives and mitigating actions NHS England have put in place where there is underperformance. Screening programmes are part of the bundle of preventative services commissioned by NHS England on behalf of the Secretary of State for Health and Social Care under the Public Health Functions Agreement (or Section 7A agreement).</p><p> </p><p>NHS England agrees contracts with providers of adult screening programmes to deliver the targets set by the Department, and NHS England manages these contracts to deliver the required performance. National and local levels of performance are measured to reduce variation in local levels of performance against threshold targets.</p><p> </p><p>The Long Term Plan published in January sets an agenda to improve uptake of screening and ensure that all screening and vaccination programmes are designed to support a narrowing of health inequalities.</p><p> </p><p>NHS England also works closely with PHE and the Department and charities on campaigns to boost the proportion of the eligible population that attend for screening. These campaigns aim to increase awareness of the importance of screening and address variations and inequalities.</p><p> </p><p>Furthermore, NHS England announced in November 2018 that Professor Sir Mike Richards will lead a review of the national cancer screening programmes. The review, expected to report by summer 2019 will include recommendations about how best to maximise uptake of screening, and iron out variation in uptake rates between different geographical areas and different population groups.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:38:21 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062041

registered interest
date	15/02/2019
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	Breast Cancer: 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 steps his Department plans to take to train, recruit and resource the breast cancer staff needed to fulfil the commitment in the NHS Long Term Plan to increase breast screening uptake.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	222011
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key National Health Service interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on breast cancer screening, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p> </p><p>Following the publication of Health Education England's (HEE) first ever Cancer Workforce Plan in December 2017, there has been significant interest in training in radiographer reporting. HEE planned to invest in 300 more radiographers to start image interpretation and reporting courses by 2021. 150 radiographers commenced training in 2018/19 and 150 are expected to commence in 2019/20.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 11:48:54 answering member 4067 label Biography information for Steve Brine
tabling member	4253 label Biography information for Seema Malhotra

1062064

registered interest
date	15/02/2019
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	Motor Neurone Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the next planned review date is for the assessment and management of motor neurone disease.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	221996
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) has advised that the guideline on ‘Motor Neurone Disease: assessment and management’ is currently not scheduled for review. NICE has processes in place to periodically review its guidelines to ensure that they reflect the latest available evidence. Such reviews are normally carried out every five years. As the guideline was published in 2016, the latest the surveillance review would be undertaken will be 2020/21.</p><p> </p><p>If significant new evidence that is likely to affect the guideline’s recommendations emerges before then, NICE is able to bring forward the surveillance review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:39:05 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1062072

registered interest
date	15/02/2019
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	Dental Services and Prescriptions: Fines
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 revenue has been generated by issuing penalty charge notices for people not in receipt of the qualifying benefit to receive free prescriptions and dental treatment.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	222000
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Information provided by the NHS Business Services Authority on income from penalty charge notices (PCNs) issued in England, in respect to prescriptions and dental treatment, in each calendar year since 2014, is provided in the following table:</p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Dental PCN Income (£)</p></td><td><p>Prescription PCN Income (£)</p></td><td><p>Total PCN Income (£)</p></td></tr><tr><td><p>2014</p></td><td><p>9,326,330.28</p></td><td><p>525,666</p></td><td><p>9,851,996.71</p></td></tr><tr><td><p>2015</p></td><td><p>9,009,223.12</p></td><td><p>7,312,277</p></td><td><p>16,321,500.27</p></td></tr><tr><td><p>2016</p></td><td><p>15,542,912.60</p></td><td><p>13,835,118</p></td><td><p>29,378,031.02</p></td></tr><tr><td><p>2017</p></td><td><p>17,086,583.83</p></td><td><p>18,252,198</p></td><td><p>35,338,782.18</p></td></tr><tr><td><p>2018</p></td><td><p>13,840,674.71</p></td><td><p>23,839,078</p></td><td><p>37,679,753.08</p></td></tr><tr><td><p>Total 2014-18</p></td><td><p>64,805,724.54</p></td><td><p>63,764,338.72</p></td><td><p>128,570,063.26</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>NHS Business Services Authority assumed responsibility for the Prescription Exemption Checking Service on 17 September 2014, accordingly no data is held prior to this.</li><li>Cleansing of PCN data is responsible for minor variation from previously published figures.</li></ol> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:33:30 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1062077

registered interest
date	15/02/2019
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	Dermatology
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 patients were treated by consultant dermatologists for skin diseases in (a) the last 12 months for which data are available, (b) 2014 and (c) 2009.
tabling member constituency	Lichfield
tabling member printed	Michael Fabricant
uin	221978
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The information is unavailable in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:42:26 answering member 4067 label Biography information for Steve Brine
tabling member	280 label Biography information for Michael Fabricant

1062091

registered interest
date	15/02/2019
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	Tobacco
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to commission independent research into heated tobacco products; and if he will make an assessment of the potential merits of inviting the new Public Health England research centre in Harlow to have a role in that research.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	222001
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>As outlined in the Tobacco Control Plan 2017, Public Health England (PHE) publishes annual independent academic reviews of the evidence on e-cigarettes and will do so up to the end of the current Parliament in 2022. The scope of these reviews includes heated tobacco products.</p><p> </p><p>The review PHE published in February 2018 considered the available literature for heated tobacco products but evidence for these products was in its infancy and mainly published by the tobacco industry. The 2018 review is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review" target="_blank">https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review</a></p><p> </p><p>The next e-cigarette review will be published in February 2019.</p><p> </p><p>The laboratories at the new public health science hub at Harlow will be for microbiological and related research and thus not appropriate for this type of research.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:43:02 answering member 4067 label Biography information for Steve Brine
tabling member	1604 label Biography information for Mr Virendra Sharma

1060965

registered interest
date	14/02/2019
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: Counselling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans the Government has to ensure that people with cancer are able to access psychological and emotional support.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	909320
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>By 2021, every person diagnosed with cancer will have access, where appropriate, to personalised care, including a needs assessment, a care plan and health and wellbeing information and support. The needs assessment guides a conversation about the person’s holistic needs (physical, psychosocial, financial and social) in order to identify any concerns, including psychological and emotional.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:25:31 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith