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805974

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Donors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that blood transfusion donations are carefully monitored to prevent recipients from getting ill as a result.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119184
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for the controls and authorisations that apply to sites that collect, test and supply human blood or blood components intended for transfusion, and controls of blood establishments and hospital blood banks.</p><p> </p><p>If the blood is intended for transfusion the blood bank must comply with the United Kingdom's Blood Safety and Quality Regulations. The MHRA assesses blood banks for compliance with these Regulations.</p><p> </p><p>NHS Blood and Transplant (NHSBT) complies with the Guidelines for the Blood Transfusion Services in the UK which are published by the Joint United Kingdom Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee (JPAC).</p><p> </p><p>All blood donations are microbiologically screened and must be found negative before they can be issued for transfusion.</p><p> </p><p>The European Union Directive on blood, set into UK law as the Blood Safety and Quality Regulations, defines storage, transport and distribution conditions for blood and blood components once collected. JPAC includes these requirements in the guidelines and these are followed by NHSBT.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/12/2017 15:34:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

806029

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total NHS drugs bill was in each of the last 10 years; and how much of that bill was offset by prescription charges income in each those years.
tabling member constituency	Edinburgh North and Leith
tabling member printed	Deidre Brock
uin	119238
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The table below shows total primary and secondary care drug spend as recorded by the Department for the last 10 years, in England only.</p><p> </p><p>Total Departmental drug spend 2007-08 to 2016-17</p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td><p>Total Primary care drugs spend</p></td><td><p>Total Secondary care drugs spend</p></td><td><p>Total Departmental drugs spend</p></td></tr><tr><td><p>(£ billion)</p></td><td><p>(£ billion)</p></td><td><p>(£ billion)</p></td></tr><tr><td><p>2007/08</p></td><td><p>7.7</p></td><td><p>3.3</p></td><td><p>10.9</p></td></tr><tr><td><p>2008/09</p></td><td><p>7.7</p></td><td><p>3.6</p></td><td><p>11.4</p></td></tr><tr><td><p>2009/10</p></td><td><p>7.9</p></td><td><p>4.0</p></td><td><p>11.9</p></td></tr><tr><td><p>2010/11</p></td><td><p>8.3</p></td><td><p>4.3</p></td><td><p>12.5</p></td></tr><tr><td><p>2011/12</p></td><td><p>8.2</p></td><td><p>4.5</p></td><td><p>12.7</p></td></tr><tr><td><p>2012/13</p></td><td><p>7.9</p></td><td><p>5.1</p></td><td><p>12.9</p></td></tr><tr><td><p>2013/14</p></td><td><p>8.0</p></td><td><p>5.3</p></td><td><p>13.3</p></td></tr><tr><td><p>2014/15</p></td><td><p>8.2</p></td><td><p>5.9</p></td><td><p>14.1</p></td></tr><tr><td><p>2015/16</p></td><td><p>8.5</p></td><td><p>6.5</p></td><td><p>15.1</p></td></tr><tr><td><p>2016/17</p></td><td><p>8.5</p></td><td><p>6.9</p></td><td><p>15.4</p></td></tr></tbody></table><p> </p><p>The Department holds income for those prescription charges. The data held is in relation to the National Health Service in England only. The totals for each can be seen in the table below:</p><p> </p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Income from Fees Charged (£ million)</p></td></tr><tr><td><p>2007-08</p></td><td><p>451.2</p></td></tr><tr><td><p>2008-09</p></td><td><p>459.3</p></td></tr><tr><td><p>2009-10</p></td><td><p>450.4</p></td></tr><tr><td><p>2010-11</p></td><td><p>456.0</p></td></tr><tr><td><p>2011-12</p></td><td><p>426.1</p></td></tr><tr><td><p>2012-13</p></td><td><p>449.6</p></td></tr><tr><td><p>2013-14</p></td><td><p>470.7</p></td></tr><tr><td><p>2014-15</p></td><td><p>503.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>523.5</p></td></tr><tr><td><p>2016-17</p></td><td><p>554.9</p></td></tr></tbody></table> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:53:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4417 label Biography information for Deidre Brock

806063

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether any pharmaceutical companies have reduced their pricing schedules as a result his Department's scrutiny; and whether he will place the results in the Library of any investigations undertaken by his Department and the Competition and Markets Authority in the last 10 years.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	119272
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Department aims to ensure the continuity of supply of medicines while ensuring that the National Health Service obtains value for money from its spend on medicines.</p><p> </p><p>The costs of branded medicine are controlled by the Pharmaceutical Price Regulation Scheme and the statutory scheme for branded medicines. For unbranded generic medicines the Department relies on competition to keep prices down. In primary care community pharmacies are incentivised to source products at the lowest possible cost and in secondary care, competitive tenders ensure value-for-money to the NHS.</p><p> </p><p>Where competition does not appear to be working, the Department alerts the Competition and Markets Authority (CMA). Where the CMA finds that a company has breached competition law by charging excessive prices it can impose a fine as well as order companies to reduce their prices. In those instances the Department will seek damages and invest that money back into the NHS.</p><p> </p><p>Investigations and infringements decisions by the CMA are publicly available on the CMA’s website.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 119394 question first answered 18/12/2017 17:38:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

806084

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Crisis Care Concordat Steering Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the Mental Health Crisis Care Concordat steering group last met; and when he plans to convene that steering group's next meeting.
tabling member constituency	Croydon North
tabling member printed	Mr Steve Reed
uin	119287
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Mental Health Crisis Care Concordat Steering Group last met on 6 September 2016 and the next meeting will take place on 10 January 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 16:57:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4268 label Biography information for Steve Reed

806117

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of medically optimised patients in hospital because they do not have a care package in place by (a) hospital and (b) local authority area.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	119318
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>This data is not available in the format requested.<sup>1 </sup>NHS England publishes monthly data on delayed transfers of care. The latest data is for October 2017 and can be accessed via the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/</a></p><p> </p><p>Note:</p><p> </p><p><sup>1</sup>As of April 2017, data on the number of patients delayed on the last Thursday of the month is no longer being collected. This measure has been replaced in the Delayed Transfers of Care (DTOC) publication files by a similar measure called DTOC Beds. The DTOC Beds figure is calculated by dividing the number of delayed days during the month by the number of calendar days in the month. This provides a similar figure to the patient snapshot, but is more representative of the entire month rather than providing a view on one particular day. The time series for patient snapshot data is available for the period August 2010 to March 2017.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:13:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	429 label Biography information for Derek Twigg

806118

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incinerators: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the health effects of vapour plumes emitted from waste incinerators on the local population.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	119319
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The effects of modern municipal waste incinerators on human health were reviewed by the Health Protection Agency, whose functions were transferred to Public Health England (PHE) on 1 April 2013. The report, published in September 2009, concluded “Modern, well managed incinerators make only a small contribution to local concentrations of air pollutants. It is possible that such small additions could have an impact on health but such effects, if they exist, are likely to be very small and not detectable.”</p><p> </p><p>PHE will review its advice in light of new substantial research on the health effects of incinerators published in peer reviewed journals. To date, PHE is not aware of any evidence that requires a change in their position statement.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:43:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	429 label Biography information for Derek Twigg

806124

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Domestic Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the Home Secretary on ensuring that the planned Domestic Violence and Abuse Bill tackles the effect of violence on women’s mental health.
tabling member constituency	Swansea East
tabling member printed	Carolyn Harris
uin	119325
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department and the Home Office are in regular discussion about the Domestic Violence and Abuse Bill and the supporting non-legislative programme.</p><p> </p><p>The Government is committed to ensuring that survivors of domestic abuse receive the help and support they need. We are currently considering how delivery of health interventions to survivors, including mental health support, can be further developed.</p><p> </p><p>The Government will be launching a consultation on proposals in the Domestic Violence and Abuse Bill and accompanying non-legislative package in the new year. We are keen to hear from a wide range of experts, including from health professionals and organisations supporting victims and survivors.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/12/2017 15:51:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4480 label Biography information for Carolyn Harris

806125

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Workers: Conditions of Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to improve working conditions in the social care sector in Oxfordshire.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	119326
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Social care employers are responsible for the working conditions in their organisations. Employers are best placed to identify and make improvements, through staff engagement activity, and partnership working with staff and their representatives, to ensure working conditions help attract and retain staff with the skills and values to deliver health and social care services to local people.</p><p> </p><p>The Department works in partnership with Skills for Care, the adult social care sector skills council, to improve the working conditions of people employed in the social care sector. This is achieved through encouraging value based recruitment, providing multiple entry points and attractive career pathways, and sharing best practice on optimal working conditions. The introduction of the National Living Wage will make the profession more attractive and is expected to benefit 900,000 social care staff.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/12/2017 11:34:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4656 label Biography information for Layla Moran

806151

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breastfeeding: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to promote the health benefits of breastfeeding.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	119352
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Government is committed to supporting breastfeeding through the Healthy Child Programme, as the health benefits are clear for mothers and their babies. We would still like to see more mothers breastfeeding and doing so for longer and are working with our partners including Public Health England (PHE), NHS England and UNICEF to achieve this goal.</p><p> </p><p>The promotion of breast feeding is one of the six high-impact areas for health visiting, with health visitors supporting parents around infant feeding. PHE is working with local services to create breastfeeding friendly communities, with midwives and health visitors promoting best practice, and through the Start4Life campaigns to provide parents with trusted National Health Service advice. This includes the Start4Life ‘Breastfeeding Friend’ (an interactive Facebook Messenger ‘ChatBot’), and the Start4Life website available at:</p><p> </p><p><a href="https://www.nhs.uk/start4life" target="_blank">https://www.nhs.uk/start4life</a></p><p> </p><p>The latter contains a range of leaflets and resources available which professionals can order for free and provides a dedicated breastfeeding helpline.</p><p> </p><p>PHE and UNICEF UK have developed a toolkit to support commissioning of evidence-based interventions to improve breastfeeding rates across England, including provision of effective professional support to mothers and their families through implementation of the Baby Friendly Initiative in every maternity unit. PHE is encouraging Local Maternity Systems across the country to include plans to increase the number of babies breastfed at six months within their transformation plans.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/12/2017 15:53:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	301 label Biography information for Richard Burden

806160

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gambling: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department holds on the number of people between the age of 16 and 21 who were receiving treatment for gambling addiction in (a) 2010 and (b) 2017 to date.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	119361
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Department does not hold information on the numbers of people who have received counselling or other treatment for an addiction to gambling in 2010 to 2017.</p><p> </p><p>Problem gamblers can access services in primary care and secondary care including specialised mental health and addiction services. Any decisions on the commissioning of effective treatment services are the responsibility of local commissioners, based on an assessment of local need.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:44:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4573 label Biography information for Dr Rosena Allin-Khan