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818692

registered interest
date	08/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Phenytoin
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average cost to the public purse has been of (a) an individual prescription and (b) treating a patient with the drug Phenytoin in each of the last five years; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	121456
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>The average Net Ingredient Cost (NIC) per prescription item for Phenytoin written in the United Kingdom and dispensed in England is set out below. Information is split by Phenytoin and Phenytoin Sodium with a figure provided for the total.</p><p> </p><p>Prescription items and NIC per prescription item (£)</p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Phenytoin</p></td><td colspan="2"><p>Phenytoin Sodium</p></td><td colspan="2"><p>Total</p></td></tr><tr><td><p> </p></td><td><p>Items</p></td><td><p>NIC per Item (£)</p></td><td><p>Items</p></td><td><p>NIC per Item (£)</p></td><td><p>Items</p></td><td><p>NIC per Item (£)</p></td></tr><tr><td><p>2012</p></td><td><p>39,117</p></td><td><p>15.76</p></td><td><p>970,031</p></td><td><p>21.52</p></td><td><p>1,009,148</p></td><td><p>21.30</p></td></tr><tr><td><p>2013</p></td><td><p>38,667</p></td><td><p>12.78</p></td><td><p>934,428</p></td><td><p>54.48</p></td><td><p>973,095</p></td><td><p>52.82</p></td></tr><tr><td><p>2014</p></td><td><p>36,017</p></td><td><p>12.90</p></td><td><p>894,176</p></td><td><p>48.76</p></td><td><p>930,193</p></td><td><p>47.38</p></td></tr><tr><td><p>2015</p></td><td><p>33,473</p></td><td><p>12.14</p></td><td><p>847,781</p></td><td><p>46.49</p></td><td><p>881,254</p></td><td><p>45.19</p></td></tr><tr><td><p>2016</p></td><td><p>31,360</p></td><td><p>12.16</p></td><td><p>800,820</p></td><td><p>45.19</p></td><td><p>832,180</p></td><td><p>43.94</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p>Information is not held centrally on the costs of treating a patient with phenytoin.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2018 16:55:52 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

818820

registered interest
date	08/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Respiratory System: Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of the 4 December 2017 to Question 116582, if his Department will carry out an assessment of the long-term cost to the NHS of health problems and preventable deaths caused by cold homes.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	121584
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>There are no current plans for the Department to carry out an assessment of the long-term cost to the National Health Service of health problems and preventable deaths caused by cold homes. Likewise, NHS England and Public Health England advise that there are currently no plans to make an assessment of the long-term cost to a person’s health of living in a cold home.</p><p> </p><p>The National Institute for Health and Care Excellence has issued guidance which covers reducing the health risks, including preventable deaths, associated with living in a cold home.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2018 15:40:42 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

818846

registered interest
date	08/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Energy Drinks: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effectiveness of labelling on energy drinks sold in the UK stating that such drinks are not recommended for children in preventing the consumption of energy drinks by under-18s.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	121610
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>No assessment has been made centrally on the effectiveness of labelling on energy drinks.</p><p> </p><p>Key measures in our world-leading childhood obesity plan, launched in August 2016, include the soft drinks industry levy and sugar reduction and wider reformulation programme, which will encourage the food and drink industry to reduce the amount of sugar in products popular with children, including energy drinks.</p><p> </p><p>The Government will continue to monitor the situation and any new emerging scientific evidence on the consumption of energy drinks by under-18s.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 121614 question first answered 11/01/2018 15:37:10 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

818850

registered interest
date	08/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Energy Drinks: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to prevent the consumption of energy drinks by under-18s.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	121614
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>No assessment has been made centrally on the effectiveness of labelling on energy drinks.</p><p> </p><p>Key measures in our world-leading childhood obesity plan, launched in August 2016, include the soft drinks industry levy and sugar reduction and wider reformulation programme, which will encourage the food and drink industry to reduce the amount of sugar in products popular with children, including energy drinks.</p><p> </p><p>The Government will continue to monitor the situation and any new emerging scientific evidence on the consumption of energy drinks by under-18s.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 121610 question first answered 11/01/2018 15:37:10 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

816730

registered interest
date	05/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chronic Illnesses: Children
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 expand routine outcome data collection for long-term conditions in children.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	121157
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Patient outcome data collections currently include the National Clinical Audits on Diabetes and Epilepsy, which are delivered by the Royal College of Paediatric and Child Health and managed by the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England. There is also a Child Health Clinical Outcome Review Programme, which is run by the National Confidential Enquiry into Patient Outcome and Death, also managed by HQIP on behalf of NHS England. The Review Programme is currently examining two topics: chronic neurodisability; and, adolescent mental health.</p><p> </p><p>Audit programmes are routinely reviewed with new audits being commissioned as and when a need is identified. More information about HQIP audits and Review Programme can be found at the following link:</p><p> </p><p><a href="http://www.hqip.org.uk" target="_blank">www.hqip.org.uk</a></p><p> </p><p>There is also a range of service and population outcome data, available at national, and in many cases, local level, relevant to the care and support of children with long term conditions, as well as the prevention of conditions. For example, the NHS Outcomes framework indicators 1.6 ii Five year survival from all cancers in children and 2.3ii Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s; and the Public Health Outcomes Framework indicator 2.06 Child excess weight in 4-5 and 10-11 year olds. The latest versions of the frameworks can be found at the following links (the 2016/17 version of the NHS Outcomes framework remains in use). The Frameworks are routinely reviewed and revised as appropriate.</p><p> </p><p><a href="http://www.gov.uk/government/publications/nhs-outcomes-framework-2016-to-2017" target="_blank">www.gov.uk/government/publications/nhs-outcomes-framework-2016-to-2017</a></p><p> </p><p><a href="http://www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019" target="_blank">www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019</a></p><p> </p><p>Additional data may also be collected by local services to improve patient care, where such a need is identified.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 11:32:06 answering member 4067 label Biography information for Steve Brine
tabling member	4653 label Biography information for Stephen Morgan

816739

registered interest
date	05/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Smoking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how the Tobacco Control Plan for England will be funded.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	121166
answer	answer is ministerial correction date of answer 10/01/2018 answer text <p>Delivery of the Tobacco Control Plan for England will be funded through existing budgets. In addition, the Department plans to provide funding under Section 64 of the Health Services and Public Health Act 1968 to fund eligible organisation(s) to support implementation of the plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/01/2018 12:21:31 answering member 4067 label Biography information for Steve Brine
tabling member	4653 label Biography information for Stephen Morgan

816844

registered interest
date	05/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has received any representations on difficulties experienced by GPs in obtaining (a) diamorphine and (b) other prescription drugs; and whether he is taking steps to increase the ease of access to such drugs by GPs.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	121271
answer	answer is ministerial correction date of answer 10/01/2018 answer text <p>The Department has not received any queries on behalf of general practitioners about diamorphine supplies. However, we are aware that supply issues do occasionally occur with prescription drugs. The Department works closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England, clinical experts, and others operating in the supply chain to help prevent shortages and to ensure that the impact on patients is minimised when they do arise.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/01/2018 11:14:34 answering member 4067 label Biography information for Steve Brine
tabling member	4667 label Biography information for Mike Amesbury

816845

registered interest
date	05/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gluten-free Foods: Prescriptions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether staple gluten-free foods will continue to be available on prescription for people with coeliac disease.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	121272
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>A report has been prepared on the responses to the consultation on the availability of gluten free foods on prescription, which will be published alongside the Government’s decision in due course. Meanwhile, a range of staple gluten free foods continue to be available on prescription for patients with established gluten sensitivity enteropathies, including coeliac disease.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 11:25:09 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

810495

registered interest
date	21/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments
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 it has adequate medical importation and exportation customs expertise after the UK leaves the EU.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	120841
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>Maintaining continuity of medicine supply is a key part of ensuring everyone has continued access to the medicines they need on day one of the United Kingdom’s exit from the European Union and thereafter. The UK is fully committed to continuing the close working relationship with our European partners in the interests of public health and safety; and will seek to ensure that cross-border trade with the EU is as frictionless as possible for the benefit of patients in both the EU and the UK. This will be part of the broader negotiations of the UK’s future relations with the EU and the Department will continue to work closely with Her Majesty’s Revenue and Customs during and after the negotiation period.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2018 15:13:40 answering member 4067 label Biography information for Steve Brine
tabling member	4412 label Biography information for Dr Lisa Cameron

810496

registered interest
date	21/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments
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 patient access to medicines currently available in the UK is maintained after the UK leaves the EU.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	120842
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>The Prime Minister has made clear that a key priority through the negotiations will be to ensure that the United Kingdom remains one of the best places in the world for science and innovation. In the negotiations, the Government will discuss with the European Union and Member States how best to continue cooperation in the field of medicines regulation in the best interests of both the UK and the EU. Our aim is to ensure that patients in the UK and across the EU continue to be able to access the best and most innovative medicines and be assured that their safety is protected through the strongest regulatory framework and sharing of data.</p><p> </p><p>In the UK, the Medicines and Healthcare products Regulatory Agency, Health Research Authority, ethics services, National Institute for Health Research and the National Health Service have been working towards implementation of the new European Clinical Trials Regulation (CTR) since it was agreed in 2014. The application date of the CTR across the EU will be set by the European Commission. The current regulatory approval legislation will stay in place until such time as any changes are needed so there will be no interruption in UK clinical trials approval.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120845 120846 question first answered 11/01/2018 15:35:19 answering member 4067 label Biography information for Steve Brine
tabling member	4412 label Biography information for Dr Lisa Cameron