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1128812

registered interest
date	03/06/2019
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	Sickle Cell Diseases: Health Services
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 his Department has made of potential levels of inequality in (a) the life expectancy and (b) NHS service provision for patients with sickle cell disease compared to other NHS patients.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259466
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>Evidence suggests that life expectancy for people with sickle cell disease is improving. This is due to a number of factors including:</p><p>- Improved newborn screening coverage to enable earlier diagnosis;</p><p>- Use of the National Haemoglobinopathy Registry to monitor individuals’ health, treatment and their annual reviews;</p><p>- Access to specific diagnostics and medication, such as hydroxyurea; and</p><p>- A Commissioning for Quality and Innovation (CQUIN) incentive has been in place for the last two years to improve access to apheresis for individuals with sickle cell disease.</p><p>All these factors are reflected in the service specification quality indicators which providers are required to report against so that implementation can be monitored.</p><p>It is anticipated that NHS England’s new model for specialised haemoglobinopathy services will be in place by early 2020. The new model is designed to improve access to specialist advice and care for patients, irrespective of where they live. The equality impact assessment on the new service model indicates that it will advance the promotion of equality and support the further reduction of health inequalities. This will be through ensuring that patients with thalassemia and sickle cell conditions have equitable access to high quality specialist care and support within specialised commissioned centres irrespective of where in the country they live. These centres will promote best practice in service delivery.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:13:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1128955

registered interest
date	03/06/2019
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	Antibiotics: Rivers
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 reduce the concentration of antibiotics in UK rivers.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	259425
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom’s national action plan for antimicrobial resistance (AMR), published on 24 January 2019, takes a fully integrated and comprehensive One-Health approach for tackling AMR, and includes challenging five-year commitments across human and animal health, agriculture, the environment and food.</p><p>Without more research into AMR in the environment we cannot design effective interventions to minimise risk and protect public health, food production and natural ecosystems. The national action plan therefore includes commitments to deepen our understanding about AMR in the environment, including a specific commitment to explore the establishment of a river catchment-based research programme with clear standards for sample collection, analysis and review, with the aim of delivering AMR monitoring data that can be used to evaluate existing management interventions and inform new policy initiatives.</p><p>The Environment Agency is working with the Department for Environment, Food and Rural Affairs and water companies to undertake an extensive programme of investigations to assess a wide range of chemicals entering rivers through wastewater treatment works. As part of this programme, levels of four antibiotics have been monitored in treated sewage effluent in order to quantify levels. The choice of antibiotics was based on the levels of prescription and environmental toxicity studies. Outputs will inform the development of future policy and regulatory decisions.</p><p>The Department is establishing a UK AMR national action plan delivery board which will drive and oversee delivery of this work.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:21:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	4658 label Biography information for Alex Sobel

1129049

registered interest
date	03/06/2019
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	Radiation: Health Hazards
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 increased microwave and radiofrequency electromagnetic radiation on public health.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	259202
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>Public Health England (PHE) has published a webpage about exposure to the radio waves from mobile phone base stations, including those for 5G networks, at the following link:</p><p><a href="https://www.gov.uk/government/publications/mobile-phone-base-stations-radio-waves-and-health/mobile-phone-base-stations-radio-waves-and-health" target="_blank">https://www.gov.uk/government/publications/mobile-phone-base-stations-radio-waves-and-health/mobile-phone-base-stations-radio-waves-and-health</a></p><p>This explains the health-related reviews and assessments have been performed, as well as the practical measures that are in place to protect public health.</p><p>Based on the accumulated evidence and reviews, PHE advises that the guidelines of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) should be adopted and there is no convincing evidence that radio wave exposures below the ICNIRP guideline levels cause adverse health effects.</p><p>While a small increase in overall exposure to radio waves is possible when 5G is added to the existing network, the overall exposure is expected to remain low and well within the ICNIRP guidelines.</p><p>PHE continues to monitor the health-related evidence applicable to radio waves, including in relation to base stations, and is committed to updating its advice as required.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:23:39 answering member 4455 label Biography information for Seema Kennedy
tabling member	4061 label Biography information for Bill Esterson

1129088

registered interest
date	03/06/2019
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	Pneumoconiosis
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 new diagnoses of pneumoconiosis there have been among ex-miners in each of the last 10 years; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	259235
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>This data is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:17:34 answering member 4455 label Biography information for Seema Kennedy
tabling member	4244 label Biography information for Jonathan Ashworth

1129227

registered interest
date	03/06/2019
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	5G: Health Hazards
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 merits of the decision by the Belgian authorities to halt the roll out of 5G because of health concerns.
tabling member constituency	Kilmarnock and Loudoun
tabling member printed	Alan Brown
uin	259316
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom supports European Council Recommendation 1999/519/EC on limiting exposure to electromagnetic fields (EMFs), which include radio waves. The Recommendation incorporates exposure restrictions from the International Commission on Non-Ionizing Radiation Protection (ICNIRP), as advised by Public Health England (PHE).</p><p>An overview of the radio wave exposure restrictions applied in a range of countries has been provided by the World Health Organization (WHO) at the following link:</p><p><a href="http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en" target="_blank">http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en</a></p><p>This shows that the majority of countries are following the ICNIRP guidelines (41 volts per meter at 900 MHz and 58 volts per meter at 1,800 MHz).</p><p>PHE is a collaborating body in WHO’s International EMF Project, which brings together organisations from around the world to share information on this topic. PHE is committed to keeping its advice under review and to updating its advice should new evidence dictate that is necessary.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:26:51 answering member 4455 label Biography information for Seema Kennedy
tabling member	4470 label Biography information for Alan Brown

1129388

registered interest
date	03/06/2019
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	Contraceptives
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 promote the uptake of long-acting reversible contraception methods.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259467
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>A wide range of contraceptive choices, including long-acting reversible contraception (LARC), are available free of charge in a range of primary and community venues and local authorities are mandated to provide reasonable access to all methods of contraception. The proportion of women attending sexual and reproductive health services who use LARC methods has been steadily rising over the last ten years. The Department will work with Public Health England to consider what more we can do to ensure that all women have access to the full range of contraception.</p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:19:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1129389

registered interest
date	03/06/2019
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	Genito-urinary Medicine: Expenditure
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 is taking to ensure that spending on sexual health services reflects local levels of need.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259112
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The Government has mandated local authorities to commission comprehensive open access sexual health services, including free sexually transmitted infection testing and treatment, and notification of sexual partners of infected persons.</p><p>The precise level of spending on sexual health services is a matter for individual local authorities, reflecting local need.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:15:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1129390

registered interest
date	03/06/2019
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	Sexually Transmitted Infections
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 is taking to tackle the rising incidence of (a) syphilis and (b) gonorrhoea.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	259113
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>In June 2019, Public Health England (PHE) published a Syphilis Action Plan, to improve detection, surveillance and clinical management at the following link:</p><p><a href="https://www.gov.uk/government/publications/syphilis-public-health-england-action-plan" target="_blank">https://www.gov.uk/government/publications/syphilis-public-health-england-action-plan</a></p><p>To reduce the transmission of sexually transmitted infections (STIs), including gonorrhoea and syphilis, PHE launched the ‘Protect Against STIs’ health promotion campaign in 2017/18 to promote condom use and positive sexual relationships among 16 to 24-year olds. This campaign can be viewed at the following link:</p><p><a href="https://www.nhs.uk/protect-against-stis-use-a-condom/home" target="_blank">https://www.nhs.uk/protect-against-stis-use-a-condom/home</a></p><p>Additionally, HIV Prevention England has been contracted to deliver a HIV prevention programme aimed at men who have sex with men, black Africans and other groups in whom there is a higher or emerging burden of infection. This programme promotes, among other behaviours, condom use and awareness of STIs including gonorrhoea and syphilis. More information on this programme can be found at the following link:</p><p><a href="http://www.hivpreventionengland.org.uk/" target="_blank">http://www.hivpreventionengland.org.uk/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:16:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1128521

registered interest
date	23/05/2019
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, with reference to his oral contribution of 8 April 2019, Official Report, column 36, what the timetable is for making available a public register of specialist clinicians who can prescribe cannabis-based medicines.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	257698
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The law provides that specialist clinicians on the General Medical Council’s ‘Specialist Register’ can prescribe cannabis-based products for medicinal use, where clinically appropriate and in the best interest of patients.</p><p>A general practitioner (GP) may make a referral to a specialist clinician on the General Medical Council’s ‘Specialist Register’ once the patient reaches the appropriate point in their treatment pathway.</p><p>A list of Registered Medical Practitioners, including specialist clinicians, is available at the following link:</p><p><a href="https://www.gmc-uk.org/registration-and-licensing/the-medical-register" target="_blank">https://www.gmc-uk.org/registration-and-licensing/the-medical-register</a></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 05/06/2019 13:48:29 answering member 4455 label Biography information for Seema Kennedy
tabling member	1511 label Biography information for Lord Austin of Dudley

1128532

registered interest
date	23/05/2019
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	Diabetes: Mental Health Services
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 ensure that the NHS establish a pathway of care for (a) emotional and (b) mental health support for people with diabetes.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	257715
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The NHS Long Term Plan committed to increasing the provision of mental health support for all patients who require it. The importance of addressing the mental health needs of people with diabetes is recognised and further work is underway to consider the most effective routes for supporting this as part of the future development of services.</p><p> </p><p>On 21 March 2018, NHS England and NHS Improvement, along with the National Collaborating Centre for Mental Health, published ‘The Improving Access to Psychotherapy Therapy (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms’. The guidance outlines the IAPT pathway, and accompanying benchmarks, to support the national expansion of IAPT services for adults with long term conditions and medically unexplained symptoms.</p><p> </p><p>In addition, a project working group has been established involving NHS England, Diabetes UK and other stakeholders which aims to develop a care pathway which, when adopted locally, would help improve access to emotional and psychological support for people with diabetes.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 05/06/2019 15:23:00 answering member 4455 label Biography information for Seema Kennedy
tabling member	1604 label Biography information for Mr Virendra Sharma