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1130374

registered interest
date	06/06/2019
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	Babies: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has issued on the (a) use and (b) retention of information produced from Guthrie tests.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	261195
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The Guthrie test was used for detecting phenylketonuria. However, as the newborn bloodspot screening programme screens for nine rare conditions, the heel prick test is performed using the newer technique of tandem mass spectrometry to detect conditions.</p><p>Public Health England (PHE) and NHS England have published the ‘NHS Newborn Blood Spot Screening Programme Code of Practice for the retention and storage of residual newborn blood spots’. This code of practice was published in January 2018 and applies to all newborn blood spot samples. It sets out arrangements for the retention, storage, use and release of residual newborn blood spots and related information and communication requirements.</p><p>The retention guidance is currently under review and will be updated shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 13:01:35 answering member 4455 label Biography information for Seema Kennedy
tabling member	4006 label Biography information for Dr Matthew Offord

1130460

registered interest
date	06/06/2019
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	Influenza: Vaccination
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 level of uptake of the most recent flu vaccine.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	261072
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Cumulative influenza vaccine uptake is collected and evaluated by Public Health England (PHE) nationally and locally. The 2018 to 2019 season included the extension of the childhood programme to all those aged nine rising to 10 years old as well as the phased delivery of the newly licensed adjuvanted vaccine for those aged 65 and over.</p><p>The national school-age vaccination programme achieved the highest levels of vaccine uptake since it started (60.8%, 2,461,563/4,051,698 in 2018/19, compared to 59.5% in 2017/18 1,998,538/3,360,997). Vaccine uptake for the pre-school children’s influenza vaccine programme has also increased further compared to previous seasons. The following table shows uptake figures for 2018/19 and 2017/18.</p><p>Uptake in adult target groups was similar or slightly lower compared to recent seasons and further work is needed to identify underpinning reasons so that uptake can be improved.</p><p>Comparison of flu uptake in groups vaccinated in general practice.</p><table><tbody><tr><td><p>Group</p></td><td><p>2018/19</p></td><td><p>2017/18</p></td></tr><tr><td><p>65 and over</p></td><td><p>72.0% 7,260,596/10,087,873/-</p></td><td><p>72.9% 7,309,125/10,032,613</p></td></tr><tr><td><p>At risk</p></td><td><p>48.0% 3,276,592/6,820,919</p></td><td><p>49.7% 3,353,724/6,742,316</p></td></tr><tr><td><p>Pregnant</p></td><td><p>45.2% 293,359/649,233</p></td><td><p>47.0% 318,057/676,159</p></td></tr><tr><td><p>Two and three year olds combined</p></td><td><p>44.9% 593706/1,322,663</p></td><td><p>44.0% 585791/1,330,150</p></td></tr></tbody></table><p> </p><p>Source: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804889/Seasonal_influenza_vaccine_uptake_in_GP_patients_1819.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804889/Seasonal_influenza_vaccine_uptake_in_GP_patients_1819.pdf</a></p><p> </p><p>The frontline health care workers with direct patient care saw the highest uptake since the programme started in 2002/3 (70.3% in 2018/19 738488/1,051,038).</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 12:54:11 answering member 4455 label Biography information for Seema Kennedy
tabling member	151 label Biography information for Tom Brake

1130014

registered interest
date	05/06/2019
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 assessment he has made of the implications for his policies of the Public Health England sexually transmitted infection data, published June 2019; and if he will make a statement.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	260586
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>It is concerning to see the increase in sexually transmitted infections, and we would encourage people to practice safe sex by using condoms and to access their free, local sexual health services if they consider themselves to be at risk of infection. Local authorities have been mandated to commission comprehensive open access sexual health services and are best placed to understand and meet the public health needs of their local communities.</p><p>Data published by Public Health England show that more people are accessing sexual health services, with attendances increasing by 7% between 2017 and 2018. This continues the trend of increases in attendances seen over the past five years. To help manage the overall increase in demand, online services are increasingly being commissioning to manage lower risk and asymptomatic patients. These services also have the potential to reach groups not currently engaged with clinic services.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260587 question first answered 14/06/2019 12:59:18 answering member 4455 label Biography information for Seema Kennedy
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1130015

registered interest
date	05/06/2019
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: 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 steps he is taking to ensure that (a) local and (b) national services for the prevention, diagnosis, treatment, and care of sexually transmitted infections are delivered to those groups with greatest sexual health needs.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	260587
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>It is concerning to see the increase in sexually transmitted infections, and we would encourage people to practice safe sex by using condoms and to access their free, local sexual health services if they consider themselves to be at risk of infection. Local authorities have been mandated to commission comprehensive open access sexual health services and are best placed to understand and meet the public health needs of their local communities.</p><p>Data published by Public Health England show that more people are accessing sexual health services, with attendances increasing by 7% between 2017 and 2018. This continues the trend of increases in attendances seen over the past five years. To help manage the overall increase in demand, online services are increasingly being commissioning to manage lower risk and asymptomatic patients. These services also have the potential to reach groups not currently engaged with clinic services.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260586 question first answered 14/06/2019 12:59:18 answering member 4455 label Biography information for Seema Kennedy
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1130016

registered interest
date	05/06/2019
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	Chlamydia: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason chlamydia testing rates have reduced by 22 per cent since 2014.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	260588
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Local authorities monitor the performance of local sexual health contracts. This information is not collected by Public Health England (PHE).</p><p>It is the responsibility of local authorities to ensure ease of access to chlamydia screening. PHE supports local areas through facilitated chlamydia care pathway workshops. These workshops enable local commissioners and providers to explore and review local chlamydia activities, and create data driven action plans to improve service provision and outcomes.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260589 question first answered 14/06/2019 12:55:58 answering member 4455 label Biography information for Seema Kennedy
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1130017

registered interest
date	05/06/2019
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	Chlamydia: Screening
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 will take to ensure ease of access to chlamydia screening services.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	260589
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Local authorities monitor the performance of local sexual health contracts. This information is not collected by Public Health England (PHE).</p><p>It is the responsibility of local authorities to ensure ease of access to chlamydia screening. PHE supports local areas through facilitated chlamydia care pathway workshops. These workshops enable local commissioners and providers to explore and review local chlamydia activities, and create data driven action plans to improve service provision and outcomes.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260588 question first answered 14/06/2019 12:55:58 answering member 4455 label Biography information for Seema Kennedy
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1130037

registered interest
date	05/06/2019
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	Continuing Care: Children
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 the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made on rolling out clinical networks to improve the quality of care for children with long term conditions such as asthma, epilepsy and diabetes; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	260642
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly. This will set out the next steps the National Health Service will take to deliver the commitments, such as the clinical networks to improve the quality of care for children with long term conditions such as asthma, epilepsy and diabetes, and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 12:45:08 answering member 4455 label Biography information for Seema Kennedy
tabling member	4244 label Biography information for Jonathan Ashworth

1130107

registered interest
date	05/06/2019
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	Multiple Sclerosis: Nurses
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 make an assessment of the potential merits of the provision of at least one dedicated MS nurse in each London borough.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	260605
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The vast majority of services for people with the multiple sclerosis (MS) are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities and recruitment and retention of National Health Service staff is a local matter. To support local commissioners plan and deliver services for people with MS, the National Institute for Health and Care Excellence has published clinical guidance.</p><p> </p><p>The guidance sets out that people with MS are cared for with a coordinated multidisciplinary approach. This should involve professionals who can best meet the needs of the person with MS and who have expertise in managing MS including, including MS nurses. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077" target="_blank">www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077</a></p><p> </p><p>NHS England is responsible for commissioning specialised neurological services, including some services for patients with MS. NHS England has published a service specification for neurological care that includes an exemplar service specification for neuromuscular conditions that sets out what providers must have in place to offer evidence-based, safe and effective services. This includes the provision of care from a multidisciplinary team which includes specialist nurses. The service specification for neurological care can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260606 question first answered 14/06/2019 12:52:31 answering member 4455 label Biography information for Seema Kennedy
tabling member	1583 label Biography information for Ms Lyn Brown

1130108

registered interest
date	05/06/2019
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	Multiple Sclerosis: Nurses
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 make an assessment of the adequacy of specialist MS nursing care available to residents of the London Borough of Newham.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	260606
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The vast majority of services for people with the multiple sclerosis (MS) are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities and recruitment and retention of National Health Service staff is a local matter. To support local commissioners plan and deliver services for people with MS, the National Institute for Health and Care Excellence has published clinical guidance.</p><p> </p><p>The guidance sets out that people with MS are cared for with a coordinated multidisciplinary approach. This should involve professionals who can best meet the needs of the person with MS and who have expertise in managing MS including, including MS nurses. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077" target="_blank">www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077</a></p><p> </p><p>NHS England is responsible for commissioning specialised neurological services, including some services for patients with MS. NHS England has published a service specification for neurological care that includes an exemplar service specification for neuromuscular conditions that sets out what providers must have in place to offer evidence-based, safe and effective services. This includes the provision of care from a multidisciplinary team which includes specialist nurses. The service specification for neurological care can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 260605 question first answered 14/06/2019 12:52:31 answering member 4455 label Biography information for Seema Kennedy
tabling member	1583 label Biography information for Ms Lyn Brown

1130116

registered interest
date	05/06/2019
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	Arthritis: Diagnosis
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 steps his Department has taken to improve early diagnosis of rheumatoid arthritis.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	260723
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The National Institute for Health and Care Excellence Guidance ‘Rheumatoid Arthritis in Adults: management’, updated in 2018, sets out best practice on the diagnosis, treatment, care support of people living with the condition. The guidance emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis. This is because treatment at an early stage can halt progression of disease.</p><p>The full guidance can be viewed at the following link:</p><p><a href="http://www.nice.org.uk/guidance/ng100/resources/rheumatoid-arthritis-in-adults-management-pdf-66141531233989" target="_blank">www.nice.org.uk/guidance/ng100/resources/rheumatoid-arthritis-in-adults-management-pdf-66141531233989</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 12:47:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4663 label Biography information for Ben Bradley