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101416

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pancreatic Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the effect of the National Institute for Health and Care Excellence's health technology appraisals on pancreatic cancer research.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	212353
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>We have made no such assessment.</p><p> </p><p> </p><p> </p><p>The National Institute for Health Research is investing £6.5 million over five years to 2017 in the Liverpool Pancreas Biomedical Research Unit. This unit is working in partnership with industry and leading research institutions to develop new treatments and diagnostic strategies for pancreatic cancer, so advancements in science can lead to benefits for patients.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:38:12 answering member 4020 label Biography information for George Freeman
tabling member	4056 label Biography information for Nic Dakin

101417

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmaceutical Price Regulation Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 22 October 2014 to Question 210807, what the anticipated payments in England were in 2014-15; whether those anticipated payments have been passed to NHS England through the mandate in full; and whether the actual rebate payments for 2014-15 are on course to match or exceed those anticipated payments.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	212344
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The anticipated Pharmaceutical Price Regulation Scheme (PPRS) payment for 2014-15 in respect of England was estimated to be £375 million and this was taken into account when setting the 2014-15 NHS England Mandate and overall NHS budget.</p><p> </p><p> </p><p> </p><p>The actual amount received in financial year 2014-15 will depend on actual sales covered by the PPRS in Quarters 2-4 2014 and Quarter 1 in 2015, and also on the adjusted payment percentage for 2015 which will affect Quarter 1 2015.</p><p> </p><p> </p><p> </p><p>The Government has committed to publishing PPRS payment data quarterly. In line with this commitment, the Department has published the first two quarters PPRS payments for 2014 and will be announcing the third and fourth quarter payments, which will depend on growth in those quarters, together with the adjusted payment percentage for 2015, in due course.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 212300 question first answered 03/11/2014 17:39:18 answering member 4020 label Biography information for George Freeman
tabling member	3931 label Biography information for Dr Julian Huppert

101420

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Terminal Illnesses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether health technology appraisal committees can apply the National Institute for Health and Care Excellence's end-of-life criteria flexibly when appraising treatments for patients with terminal illness.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	212351
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Appraisal Committees are independent advisory bodies responsible for making recommendations to the National Institute for Health and Care Excellence (NICE) on the clinical and cost effectiveness of treatments for use in the National Health Service.</p><p> </p><p> </p><p> </p><p>NICE’s <em>Guide to the Methods of Technology Appraisal</em> is published at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/article/PMG9/chapter/Foreword" target="_blank">www.nice.org.uk/article/PMG9/chapter/Foreword</a></p><p> </p><p> </p><p> </p><p>and describes how its Appraisal Committees reach decisions on treatments. It provides details of the criteria that need to be met in order to apply greater flexibility in the appraisal of life-extending drugs for patients at the end of their lives.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:33:34 answering member 4020 label Biography information for George Freeman
tabling member	4056 label Biography information for Nic Dakin

101421

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer Drugs Fund
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many cancer drugs approved by the Cancer Drugs Fund have subsequently been (a) approved and (b) rejected by the National Institute for Health and Care Excellence.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	212352
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) has published final technology appraisal guidance for 27 treatment indications that have been approved by the Cancer Drugs Fund panel for inclusion on its national list. Of these:</p><p> </p><p> </p><p> </p><p>- three treatment indications have been recommended by NICE;</p><p> </p><p>- three treatment indications have received an optimised recommendation from NICE, recommending use for to a smaller group of patients than is eligible for treatment through the Cancer Drugs Fund; and</p><p> </p><p>- 21 treatment indications have not been recommended. In some cases, NICE issued guidance that did not recommend a treatment before it was approved for inclusion the Cancer Drugs Fund national list.</p><p> </p><p> </p><p> </p><p>NICE is appraising but has yet to issue final guidance for some treatment indications. NICE is also currently updating its guidance for two treatment indications with an optimised recommendation; and one treatment indication that is not recommended. Additionally, a number of treatments on the Cancer Drugs Fund national list have not been appraised by NICE.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:55:43 answering member 4020 label Biography information for George Freeman
tabling member	4056 label Biography information for Nic Dakin

101422

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmaceutical Price Regulation Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 22 October 2014 to Question 210807, what the anticipated payments were in respect of England in 2014-15; whether the anticipated payments have been passed to NHS England through the mandate; and whether the actual rebate payments for 2014-15 are on course to match or exceed those anticipated payments.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	212300
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The anticipated Pharmaceutical Price Regulation Scheme (PPRS) payment for 2014-15 in respect of England was estimated to be £375 million and this was taken into account when setting the 2014-15 NHS England Mandate and overall NHS budget.</p><p> </p><p> </p><p> </p><p>The actual amount received in financial year 2014-15 will depend on actual sales covered by the PPRS in Quarters 2-4 2014 and Quarter 1 in 2015, and also on the adjusted payment percentage for 2015 which will affect Quarter 1 2015.</p><p> </p><p> </p><p> </p><p>The Government has committed to publishing PPRS payment data quarterly. In line with this commitment, the Department has published the first two quarters PPRS payments for 2014 and will be announcing the third and fourth quarter payments, which will depend on growth in those quarters, together with the adjusted payment percentage for 2015, in due course.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 212344 question first answered 03/11/2014 17:39:18 answering member 4020 label Biography information for George Freeman
tabling member	3931 label Biography information for Dr Julian Huppert

101423

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Terminal Illnesses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, for what reasons the National Institute for Health and Care Excellence advises that end-of-life criteria should only apply to medicines that extend life by at least three months.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	212356
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>I refer the hon. Member to my answer of 28 October 2014 to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=211807" target="_blank">211807</a>.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:31:01 answering member 4020 label Biography information for George Freeman
tabling member	4056 label Biography information for Nic Dakin

101428

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pancreatic Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will assess the effect of the National Institute for Health and Care Excellence's three month end of life threshold on the appraisal of treatments for advanced pancreatic cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	212326
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I refer the hon. Member to my answer of 15 October 2014 to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=209582" target="_blank">209582</a></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 04/11/2014 17:15:00 answering member 4020 label Biography information for George Freeman
tabling member	4056 label Biography information for Nic Dakin

101431

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pancreatic Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the National Institute for Health and Care Excellence's technology appraisal criteria in relation to the provision of new treatments for patients with pancreatic cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	212359
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>We have made no such assessment. The National Institute for Health and Care Excellence is an independent body and is responsible for the development of its methods and processes, which it periodically updates in consultation with stakeholders.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 04/11/2014 17:22:16 answering member 4020 label Biography information for George Freeman
tabling member	4056 label Biography information for Nic Dakin

101436

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prostate Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 14 October 2014 to Question 209881, when he expects to announce a decision on allowing an application for a second Patient Access scheme for Zytiga (abiraterone); and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	212193
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I refer my Rt. hon. Friend to my answer of 17 October 2014 to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=209881" target="_blank">209881</a>.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 04/11/2014 17:20:18 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

101441

registered interest
date	28/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether medicines which do not meet the National Institute for Health and Care Excellence's (NICE) Technology Appraisal and Highly Specialised Technologies prioritisation criteria or fall outside NICE's remit are automatically referred to NHS England for an appraisal.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	212249
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>We are informed by NHS England that it will only consider those medicines that it is responsible for through its directly commissioned services, primarily specialised commissioning.</p><p> </p><p> </p><p> </p><p>Where the National institute for Health and Care Excellence (NICE) is unlikely to appraise a medicine, the specialised services clinical reference group will be asked to review the evidence for the medicine in question and draft a clinical commissioning policy.</p><p> </p><p> </p><p> </p><p>Those medicines that fall outside NHS England’s direct commissioning responsibility will need to be considered by individual clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>Medicines that are not recommended by NICE are generally not considered by NHS England for routine commissioning.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 04/11/2014 17:09:12 answering member 4020 label Biography information for George Freeman
tabling member	1604 label Biography information for Mr Virendra Sharma