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1126459

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	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, what the process will be for patients that are refused a prescription for medical cannabis oil by their second opinion; and will he make a statement.
tabling member constituency	Hemel Hempstead
tabling member printed	Sir Mike Penning
uin	254164
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>It is right that these decisions are clinically led. As for any other medical treatment, if two clinicians are of the opinion that, on balance, it is not in the best interest of the patient to prescribe a cannabis-based product, then it will not be prescribed.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:45:44 answering member 4455 label Biography information for Seema Kennedy
tabling member	1528 label Biography information for Sir Mike Penning

1126597

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	Cataracts: Surgery
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 that cataract removal surgery is available to everyone who would benefit from it.
tabling member constituency	Meriden
tabling member printed	Dame Caroline Spelman
uin	254121
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Local clinical commissioning groups (CCGs), with their clinical expertise, are responsible for commissioning high-quality care to meet the needs of their populations. CCGs are required to carefully consider the National Institute for Health and Care Excellence guidelines in making commissioning decisions. These are available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng77" target="_blank">https://www.nice.org.uk/guidance/ng77</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:44:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	312 label Biography information for Dame Caroline Spelman

1126002

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	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 assessment his Department has made of the effect of medical nutrition on clinical outcomes for cancer patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	253575
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) guidance on ‘Oesophago-gastric cancer: assessment and management in adults’ (2018) cautions that while nutrition support can improve surgical outcomes, practice in this field varies nationally so its effectiveness has not been determined.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:53:13 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1126022

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	National Institute for Health and Care Excellence
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 expedite the process by which the NICE publishes its decisions.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	253483
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The Government wants patients to be able to benefit from access to effective new treatments as quickly as possible.</p><p>Through its technology appraisal and highly specialised technologies guidance, the National Institute for Health and Care Excellence (NICE) makes authoritative, evidence-based recommendations on whether medicines and other treatments represent a clinically and cost effective use of National Health Service resources. NHS organisations are legally required to make funding available for NICE recommended treatments, usually within three months of final guidance.</p><p>Wherever possible, NICE currently aims to publish recommendations on new drugs as soon as possible after licensing, with draft guidance on cancer drugs published in advance of licensing. The 2019 Voluntary Scheme for Branded Medicines Pricing and Access includes a commitment to faster NICE assessments of new medicines, with timelines for non-cancer drugs to match those for cancer drugs, subject to the evidence base for the product being sufficiently developed.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:58:38 answering member 4455 label Biography information for Seema Kennedy
tabling member	252 label Biography information for Dr David Drew

1126055

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	Alcoholism and Drugs: Rehabilitation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what funding his Department has planned to support the alcohol and drug treatment system.
tabling member constituency	Faversham and Mid Kent
tabling member printed	Helen Whately
uin	253691
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The Government is giving local authorities £16 billion over the current five-year spending review to fund public health activities and services. Local authorities shall receive over £3.1 billion in 2019/20, ring-fenced exclusively for use on public health. As part of the Public Health Grant conditions, services must have due regard for the uptake, investment and improvement of their local services. Decisions on investment in particular services are a matter for individual local authorities. Future investment will be determined by the forthcoming Spending Review.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 11:00:48 answering member 4455 label Biography information for Seema Kennedy
tabling member	4527 label Biography information for Helen Whately

1126074

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	Cataracts: Surgery
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 whether local Clinical Commissioning Groups are implementing NICE guidelines on cataract removal.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	253495
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The Department has made no such assessment. Local clinical commissioning groups are responsible for the commissioning of cataract surgery, and are required to carefully consider the National Institute for Health and Care Excellence guidelines in making commissioning decisions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:47:32 answering member 4455 label Biography information for Seema Kennedy
tabling member	318 label Biography information for John Spellar

1126150

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	Back Pain: 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, what assessment his Department has made of the (a) prevalence of and (b) effectiveness of NHS treatment for back pain.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	253576
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>No assessment has been made on the prevalence of National Health Service treatment for back pain. In the instance that back pain continues, or is caused by a pre-existing medical condition, treatment will be provided in line with the existing guidance. The vast majority of people are successfully managed by their general practitioner (GP) or via community services.</p><p>The National Institute for Health and Care Excellence (NICE) guidance ‘Low back pain and sciatica in over 16s: assessment and management’, published in 2016 set out evidence based best practice in the management of the condition. The guidance includes advice on pharmacological and non-pharmacological approaches to care. The guidance can be viewed at the following link:</p><p><a href="http://www.nice.org.uk/guidance/ng59" target="_blank">www.nice.org.uk/guidance/ng59</a></p><p>As set out in the NHS Long Term Plan, musculoskeletal conditions are responsible for a substantial amount of poor health, and NHS England has committed to expand on work already undertaken to ensure patients will have direct access to musculoskeletal first contact practitioners (FCPs). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCPs and 55% of pilots are already underway. This will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a GP referral.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:42:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1126282

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	Patients: Transport
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 funding provided for in the NHS Long Term Plan he plans to allocate to non-emergency patient transport home after hospital attendance.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	253566
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The funding of non-emergency patient transport services is a matter for local National Health Service commissioners.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:55:42 answering member 4455 label Biography information for Seema Kennedy
tabling member	4079 label Biography information for Julian Sturdy