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1056004

registered interest
date	06/02/2019
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	Blood Diseases: Drugs
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 the supply of medications for bleeding disorders in the event that the UK leaves the EU without a deal.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	217506
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>Treatments for bleeding disorders include pharmaceutical medicines as well as products derived from donated blood, such as clotting factors. As these are licensed medicines, they will be in scope of our medicine supply contingency plans. Contingency work for blood and blood components is being led by NHS Blood and Transplant.</p><p> </p><p>We understand that these medicines are vitally important to many people in this country. Our contingency plans include sensible mitigations for medicines that come to the United Kingdom from or via the European Union to ensure that the supply of medications for bleeding disorders and other essential medicines for patients is not disrupted.</p><p> </p><p>In August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines to the UK that come from, or via, the EU/European Economic Area (EEA) asking them to ensure a minimum of six weeks’ additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019.</p><p> </p><p>We recognise, however, that certain medicines cannot be reasonably stockpiled. Where these medicines are imported from the EU or EEA, we have asked that suppliers ensure in advance plans to air freight these medicines from the EU in the event of a ‘no deal’ exit.</p><p> </p><p>Whilst the stockpiling medicines and alternative air freight remains a critical part of our ‘no deal’ medicine supply contingency plans, we are also supplementing these with additional actions.</p><p> </p><p>We have further secured sufficient roll-on, roll-off freight capacity on alternative routes to enable these vital products to continue to move freely in to the UK. Medicines and other medical products will be prioritised on these routes to ensure that the flow of all these products will continue unimpeded after 29 March 2019.</p><p> </p><p>Throughout enacting our plans, we have received very good engagement from industry who share our aims of ensuring that the continuity of supply of medicines and medical products for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a ‘no deal’ EU exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 11/02/2019 11:34:59 answering member 1585 label Biography information for Stephen Hammond
tabling member	1533 label Biography information for Dame Diana Johnson

1055254

registered interest
date	05/02/2019
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	Health Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which EU countries the Government has secured bilateral health agreements with in the event that the UK leaves the EU without a deal.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	216905
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>We want to secure reciprocal arrangements bilaterally with Member States in a ‘no deal’ scenario, so that no-one faces sudden changes to how they obtain healthcare.</p><p> </p><p>The United Kingdom and Irish Governments have both set out their firm intention to maintain the Common Travel Area and to protect the associated reciprocal rights enjoyed by UK and Irish nationals when in each other’s state, including access to healthcare services, whatever the terms of the UK's withdrawal from the European Union. Bilateral work with Ireland in this area is at an advanced stage.</p><p> </p><p>The UK has approached and is in ongoing discussions with other Member States about protecting access to healthcare bilaterally, through reciprocal arrangements.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:51:13 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1055266

registered interest
date	05/02/2019
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	Royal Liverpool University Hospital
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 timeframe is for the (a) completion of the programme of works and (b) new facilities to be open to patients at the Royal Liverpool Hospital.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	216973
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>Royal Liverpool and Broadgreen University Hospital NHS Trust expects its replacement contractor, Laing O’Rourke, to provide a finalised new construction programme by the end of March 2019. This will be included in a business case detailing the full costs and timescales for the delivery of the new Royal Liverpool Hospital which will be submitted for approval to NHS Improvement and the Department in April 2019. The Trust plans to make an announcement once these steps have been completed.</p><p> </p><p>At this stage the target handover date for the new hospital to the Trust is Q4 2020. However, there are significant and complex remedial works required to resolve the structural issues of the hospital and this needs to be fully factored into the construction programme that Laing O’Rourke are working on. The date at which the facility will be open to patients will depend on when construction has been completed.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:49:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	478 label Biography information for Lord Field of Birkenhead

1055355

registered interest
date	05/02/2019
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	NHS: Supply Chains
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 20 December 2018 to Question 202794 on the NHS's comprehensive assessment of supply lines, whether his Department conducted analysis of the data on supply chain reviews throughout the health and care system; and whether his Department plans to publish the results of the analysis it has so conducted.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217133
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The Department has conducted reviews of supply chains across the health and care system to assess commercial risks. The results of these reviews were received at the end of November, and the Department is conducting analysis on the data that will be used to provide additional guidance to trusts and foundation trusts. This additional guidance will be communicated to trusts and foundation trusts during February.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:49:37 answering member 1585 label Biography information for Stephen Hammond
tabling member	4036 label Biography information for Luciana Berger

1055357

registered interest
date	05/02/2019
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	Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 20 December 2018 to Question 202793 on Hospitals: Medical Equipment, when the Government plans to publish its plans on keeping an open border to maintain the supply of medical equipment to the UK after the UK leaves the EU.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217134
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The Government remains committed to leaving the European Union with a deal. Under the conditions of the Withdrawal Agreement, there will be a two year Implementation Period within which the Government will negotiate the United Kingdom’s future relationship with the EU. During the Implementation Period, there will be no change to the current trading arrangements with the EU and European Economic Area, meaning the supply of medicines and medical products will continue unhindered.</p><p> </p><p>However, as a responsible Government, we are preparing for all exit scenarios, including the possibility that the UK leaves the EU without a deal. In December 2018, the Government announced that preparations were being put in place to mitigate against the potential for up to six months of severe disruption to the short strait crossing routes via Dover and Folkestone. Additional freight capacity on roll-on, roll-off routes has now been secured, and there is cross-Government agreement that all medicines and medical products will have priority access to this capacity, ensuring continuity of supply for patients is maintained.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:36:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	4036 label Biography information for Luciana Berger

1055359

registered interest
date	05/02/2019
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	NHS
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 January 2019 to Question 204488 and with reference to (a) waiting times, (b) staff vacancies and (c) medicine supplies, how specifically leaving the EU will lay the foundation for a strong NHS.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217135
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The National Health Service budget will increase by £33.9 billion in cash terms, the equivalent of £20.5 billion in real terms, by 2023/24, reflecting that the NHS is this Government’s top spending priority. The additional funding will allow the NHS to get back on the path to delivering core performance standards. It will also drive the reforms that deliver a better and more sustainable NHS with improved care for patients.</p><p> </p><p>In its estimate of the funding required to deliver the NHS Long Term Plan, the Department has not assumed any change in investment after the United Kingdom leaves the European Union. The NHS has confirmed the Long Term Plan is fully costed. The extra funding for the NHS will still apply in all exit scenarios in order to ensure it is there for the long term.</p><p> </p><p>The UK and EU reached an agreement to safeguard the rights of people who have built their lives in the UK and EU, following the UK’s exit from the EU. The agreement will guarantee the rights of the 167,000 EU nationals working in our health and care system. We have been working with health and social care employers across the whole of England to ensure their EU employees are aware of the straightforward and user-friendly EU settlement scheme which will allow them to secure settled status in the UK and enjoy broadly the same rights and benefits as they do now.</p><p> </p><p>The Government remains committed to leaving the EU with a deal. Under the conditions of the Withdrawal Agreement, there will be a two-year Implementation Period within which the Government will negotiate the UK’s future relationship with the EU. During the Implementation Period, there will be no change to the current trading arrangements with the EU and European Economic Area (EEA), meaning the supply of medicines and medical products will continue unhindered.</p><p> </p><p>However, as a responsible Government, we are preparing for all exit scenarios, including the possibility that the UK leaves the EU without a deal. The Department is enquiring with parties across Government and industry to ensure continuity of medicines supply for patients is maintained. We asked industry to stockpile an additional six weeks’ supply of prescription-only and pharmacy medicines which come to the UK from or via the EU/EEA, over and above usual buffer stocks.</p><p> </p><p>The Government is working to ensure that there is sufficient roll-on, roll-off freight capacity to enable these vital products to continue to move freely in to the UK in a ‘no deal’ scenario. The Department is working closely with the Department for Transport to ensure all medicines and medical products are prioritised on these alternative routes to ensure that the flow of all these products will continue unimpeded after 29 March 2019.</p><p> </p><p>On 7 December 2018, the Department wrote to pharmaceutical companies that supply licensed medicines to the UK from or via the EU/EEA, and/or manufacture medicines in the UK, informing them of the updated reasonable worst-case scenario border disruption planning assumptions and asking them about their current transportation routes and their ability to re-route their supply chains if they currently rely on Dover and/or Folkestone. Since then we have been working closely with those companies to better understand their supply chains and the potential for rerouting in a ‘no deal’ scenario.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:39:32 answering member 1585 label Biography information for Stephen Hammond
tabling member	4036 label Biography information for Luciana Berger

1054740

registered interest
date	04/02/2019
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	Hospitals: Food
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 secure the supply of food to hospitals in the event that UK leaves the EU without a deal.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	216144
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The supply of food and specialised nutritional products, particularly those provided to patients and those in care, is being addressed as part of the Department’s preparedness planning for the continuity of supply and service delivery post-European Union Exit. The Department has been working in collaboration with the Department for Environment, Food and Rural Affairs.</p><p>The majority of food supplied to the health and social care sector in the United Kingdom is sourced from the UK. There are certain products that are routinely sourced from other EU countries, although alternative sources and suitable substitutes exist for these foodstuffs.</p><p>Specialist nutritional products are an important part of patient care throughout the health and social care sector. In recognition of this we have made this a specific area of focus within our preparedness arrangements. We are working closely with industry and with organisations such as Public Health England and the British Specialist Nutrition Association to identify the arrangements being made by suppliers and to develop contingency measures that will ensure seamless supply.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/02/2019 17:36:49 answering member 1585 label Biography information for Stephen Hammond
tabling member	491 label Biography information for Dame Angela Eagle

1054779

registered interest
date	04/02/2019
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	Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the estimated cost of (a) stockpiling emergency trauma packs (b) importing those packs in the event that the UK leaves the EU without a deal.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	216107
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>National contingency arrangements for accessing emergency trauma packs already exist. Our exit from the European Union does not require any changes to be made to these arrangements.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/02/2019 13:41:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1054780

registered interest
date	04/02/2019
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	Radioisotopes
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 taking to ensure a secure supply of radioisotopes used for cancer treatment in the event of the UK leaving the EU without a deal.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	216108
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>In August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines to the United Kingdom that come from, or via, the European Union / Economic European Area asking them to ensure a minimum of six weeks’ additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019.</p><p> </p><p>We recognise, however, that certain medicines with short shelf lives, including medical radioisotopes, cannot be reasonably stockpiled. Where these medicines are imported from the EU or EEA, we have asked that suppliers ensure in advance plans to air freight these medicines from the EU in the event of a ‘no deal’ exit.</p><p> </p><p>While stockpiling medicines and alternative air freight remains a critical part of our ‘no deal’ medicine supply contingency plans, we are also supplementing these with additional actions.</p><p> </p><p>We have further secured sufficient roll-on, roll-off freight capacity on alternative routes to enable these vital products to continue to move freely in to the UK. Medicines and other medical products will be prioritised on these routes to ensure that the flow of all these products will continue unimpeded in a ‘no deal’ scenario.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/02/2019 13:07:11 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1054866

registered interest
date	04/02/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the forthcoming NHS workforce strategy will contain specific reference to sexual health clinicians.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	216353
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>It is for local authorities to assess local needs, and to secure services to meet those needs in line with their statutory responsibilities which include provision of open access sexual health services.</p><p>Health Education England published a scoping project report on the sexual health workforce in September 2018 which provides an overview of the current workforce delivering sexual health, reproductive health and HIV services; trends in population needs; and service changes affecting the workforce which is available at the following link:</p><p><a href="https://www.hee.nhs.uk/sites/default/files/documents/Sexual%20health%2C%20reproductive%20health%20and%20HIV%20workforce%20scoping%20project%20report%20Final.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/documents/Sexual%20health%2C%20reproductive%20health%20and%20HIV%20workforce%20scoping%20project%20report%20Final.pdf</a></p><p>Recognising that ensuring sufficient supply of well-motivated staff will be central to the delivery of the Long Term Plan. My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key National Health Service interests to develop a detailed workforce implementation plan.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/02/2019 17:43:58 answering member 1585 label Biography information for Stephen Hammond
tabling member	4036 label Biography information for Luciana Berger