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1062117

registered interest
date	18/02/2019
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	Medical Examinations: Adoption
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 3 December 2018 to Question 195094, if he will make representations to NHS England and the General Practitioner Committee of the British Medical Association on the removal of GP fees for medical checks for prospective adopters ahead of the next annual contract negotiations.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	221989
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>As part of the general practitioner (GP) contract negotiations there will be a process later this year to consider which issues should be included in the negotiating remit for the 20/21 GP Contract.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:43:05 answering member 4067 label Biography information for Steve Brine
tabling member	411 label Biography information for Mr Barry Sheerman

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

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

1061052

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	Air Pollution: Children
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 toxic air on children’s health; and will he make a statement.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	221602
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Poor air quality is the largest environmental risk to public health in the United Kingdom. Long-term exposure to air pollution can cause chronic conditions such as cardiovascular, respiratory diseases and cancer, leading to reduced life expectancy.</p><p>Air pollution has a particular impact on children as they grow. There is evidence that the process of normal lung function growth in children is suppressed by long-term exposure to air pollution.</p><p>Research projects studying the effects of air pollution on children’s health include the EXHALE Programme; a London study on air pollution and children’s lung health. The Committee on the Medical Effects of Air Pollutants has started work to consider the evidence for the effects of air pollution on adverse birth outcomes. The Royal College of Paediatrics and Child Health is working on a report on ‘Indoor Air Quality on Children and Young People’s Health across the Life Course’.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 14:22:45 answering member 4067 label Biography information for Steve Brine
tabling member	3932 label Biography information for Dr Dan Poulter

1061083

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	Adrenaline Auto-injectors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of the availability of EpiPens.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	221567
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet historic United Kingdom requirements. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve going forward, with further deliveries expected over the coming weeks. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 08:20:28 answering member 4067 label Biography information for Steve Brine
tabling member	318 label Biography information for John Spellar