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1126655

registered interest
date	14/05/2019
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	Opioids: Prescriptions
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 9 May 2019 to Question 250763 on Opiates: Prescriptions, if he will make it his policy to include direct hyperlinks to reports or materials referenced in written answers to hon. Members.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	254155
answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>Further to the answer to Question 250763, the Care Quality Commission’s controlled drugs annual reports are available at the following links:</p><p> </p><p>‘The safer management of controlled drugs: Annual update 2017’ (published July 2018).</p><p><a href="https://www.cqc.org.uk/sites/default/files/20180718_controlleddrugs2017_report.pdf" target="_blank">https://www.cqc.org.uk/sites/default/files/20180718_controlleddrugs2017_report.pdf</a></p><p> </p><p>‘The safer management of controlled drugs: Annual update 2016’ (published July 2017).</p><p><a href="https://www.cqc.org.uk/sites/default/files/20170718_controlleddrugs2016_report.pdf" target="_blank">https://www.cqc.org.uk/sites/default/files/20170718_controlleddrugs2016_report.pdf</a></p><p> </p><p>‘The safer management of controlled drugs: Annual report 2015’ (published July 2016).</p><p><a href="https://www.cqc.org.uk/sites/default/files/20160714_controlleddrugs2015_report.pdf" target="_blank">https://www.cqc.org.uk/sites/default/files/20160714_controlleddrugs2015_report.pdf</a></p><p> </p><p>‘The safer management of controlled drugs: Annual report 2014’ (published July 2015).</p><p><a href="https://www.cqc.org.uk/sites/default/files/20150716_safer_management_controlled_drugs_annual_report_2014.pdf" target="_blank">https://www.cqc.org.uk/sites/default/files/20150716_safer_management_controlled_drugs_annual_report_2014.pdf</a></p><p> </p><p>‘The safer management of controlled drugs: Annual report 2013’ (published August 2014).</p><p><a href="https://www.cqc.org.uk/sites/default/files/20140811%20CQC%20Controlled%20drugs%20annual%20report%202013%20final.pdf" target="_blank">https://www.cqc.org.uk/sites/default/files/20140811%20CQC%20Controlled%20drugs%20annual%20report%202013%20final.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/05/2019 13:38:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1126166

registered interest
date	13/05/2019
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	Department of Health and Social Care: Retirement
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what support his Department provides to staff in his Department (a) in their transition to retirement and (b) to (i) maintain and (ii) increase the physical and mental wellbeing staff planning for retirement.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	253516
answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>Departmental support for staff transitioning into retirement includes a Pre Retirement learning event, provided via Civil Service Learning, which raises awareness of available information and resources, supports proactive planning for making the most of retirement and awareness of how to claim Civil Service and state pensions.</p><p>All staff in the Department who are part of the Civil Service Pension Scheme, have access to MyCSP, the Civil Service pension provider, which provides online resources and tools, such as the Retirement Modeller and a Pension Portal and also provides individual pension advice over the phone.</p><p>The Department also offers and wherever possible, supports staff requests for partial retirement to support individual needs and also as a transition to future retirement.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/05/2019 11:24:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1124747

registered interest
date	03/05/2019
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	Opioids: Prescriptions
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 investigations relating to the over-prescription of opioids have been undertaken by the Care Quality Commission in each year for which data is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	250763
answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>The Care Quality Commission (CQC) does not undertake investigations relating to the over-prescription of controlled drugs. The CQC looks at the arrangements for controlled drugs as well as all other medicines as part of its inspection process. This can include prescribing, particularly where concerns have been raised. This information is then published as part of the CQC’s inspection report.</p><p> </p><p>As well as following up regarding controlled drug prescribing at an individual service level, the CQC also reports on national prescribing trends through its controlled drugs annual report to the Government, these reports are publicly available on its website.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/05/2019 14:36:26 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1124378

registered interest
date	01/05/2019
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	Department of Health and Social Care: Secondment
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 civil servants in his Department have been seconded to (a) the Department for Exiting the European Union and (b) the Department for International Trade in each of the last three years.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	249910
answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>Overall, there have been four secondments to the Department for International Trade and 11 to the Department for Exiting the European Union. A full break down by year for the past three years is below.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Department for International Trade</p></td><td><p>Department for Exiting the European Union</p></td></tr><tr><td><p>2016</p></td><td><p>0</p></td><td><p>5</p></td></tr><tr><td><p>2017</p></td><td><p>1</p></td><td><p>4</p></td></tr><tr><td><p>2018</p></td><td><p>3</p></td><td><p>1</p></td></tr><tr><td><p>2019</p></td><td><p>0</p></td><td><p>1</p></td></tr></tbody></table><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/05/2019 13:56:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1123700

registered interest
date	29/04/2019
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	Social Services
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 his oral contribution of 7 January 2019, Official Report, column 69, for what reasons the Social Care Green Paper was not published before April 2019; and what his Department's timescale is for the publication of that document.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	248593
answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>The Green Paper remains a priority for the Government and will address a longstanding policy problem. The Green Paper will be published at the earliest opportunity.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/05/2019 14:03:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1108804

registered interest
date	01/04/2019
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	Department of Health and Social Care: Ministerial Powers
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 ministerial directions have been issued by Ministers in his Department in each of the last eight years.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	239186
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The Department’s Annual Report and Accounts, including the Governance Statements for 2010/11, 2011/12, 2012/13, 2013/14, 2014/15, 2015/16, 2016/17 and 2017/18 show that no ministerial directions were issued to the Department.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/04/2019 11:15:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1105736

registered interest
date	27/03/2019
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	Opioids: Prescriptions
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 list the name and manufacturer of the opioids approved by NICE; and the number of prescriptions for each of those drugs in each year for which data is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	237626
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The National Institute for Health and Care Excellence has published technology appraisal guidance recommending the use of methadone and buprenorphine for the management of opioid dependence. As this was a multiple technology appraisal, multiple companies were involved - MSD Ltd, Martindale Pharmaceuticals, Mylan, Rosemont Pharmaceuticals, and Thornton and Ross Ltd.</p><p> </p><p>The Department does not hold data on the number of opioid prescriptions. However, NHS Digital holds data based on prescriptions written in the United Kingdom and dispensed in the community in England. This data is available as prescription item level data by presentation for opioid analgesics as listed in the British National Formulary (BNF), which is attached. We do not hold data which identifies the manufacturer of each item dispensed.</p><p> </p><p>There is no central National Health Service collection of information on medicines issued and used in NHS hospitals in England.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 16:50:26 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name 237626 table formatted.xlsx title Prescriptions for opioid analgesics
tabling member	534 label Biography information for Chris Ruane

1064325

registered interest
date	20/02/2019
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	Microbiology
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 microbiota assessments as an adjunct to (a) physical examinations, and (b) mental health examination on the accuracy of medical diagnoses.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	223799
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Department funds research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including on the microbiome/microbota. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>The evidence on the use of microbiota to improve diagnosis for a range of conditions is currently the subject of active research. The NIHR has directly funded and supported research studies on the microbiota and microbiome totalling £23.8 million in since 2011/12.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/02/2019 14:52:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1061292

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	Microbiology
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 use of microbiota assessments in the diagnosis of (a) ME/ CFS and (b) fibromyalgia.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	221646
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The Department funds research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including diagnosis for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and fibromyalgia. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>Diagnosing both ME/CFS and fibromyalgia can be difficult as there is no specific diagnostic test that can be used, and the symptoms can vary from person to person. Diagnosis is usually made by taking a medical history, checking symptoms and carrying out a physical examination. Other tests may be used to rule out medical conditions with similar symptoms. The NIHR has funded projects on ME/CFS and fibromyalgia totalling £4.3 million in the last five years (£2.5 million for ME/CFS and £1.8 million for fibromyalgia) some of which relate to educating general practitioners about diagnosis.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/02/2019 14:30:21 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1039613

registered interest
date	11/01/2019
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	Social Services: Disability
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 is taking to ensure the forthcoming social care green paper will address social care provision for adults of working age with a disability.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	207569
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The Green Paper will cover care and support for adults of all ages, and incorporate insights from the joint work the Department of Health and Social Care has done with the Ministry of Housing, Communities and Local Government on working age adults with care and support needs.</p><p> </p><p>The joint work undertaken by the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government last year engaged widely with stakeholders; including local authorities, providers, national charities and system partners as well as people with lived experience, family members and organisations run by disabled people such as DRUK and Inclusion London. Officials have also collated and reviewed existing reports and evidence previously produced by voluntary sector organisations and other partners as part of this work.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/01/2019 12:25:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane