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804252

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Mental Health Services
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 talking therapies are provided to help people diagnosed with cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	118430
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Many general practice surgeries provide counselling or therapy services on the National Health Service. If counselling or therapy is not available at the surgery, patients may be referred to a local psychological therapies service.</p><p> </p><p>NHS England is supporting local implementation of the Recovery Package for cancer patients as part of our £200 million investment to transform cancer services across the country. The aim of the Recovery Package is to help ensure patients have more personal care and support from the point they are diagnosed. For a patient, this means working with their care team to develop a comprehensive plan outlining not only their physical needs, but also other support they may need, such as therapy or counselling services, help at home or financial advice.</p><p> </p><p>By 2020, the Government want all patients in England to have access to the Recovery Package.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:33:52 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

804253

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lumacaftor/ivacaftor
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when will Orkambi be made available for the treatment of cystic fibrosis on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	118431
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In July 2016, the National Institute for Health and Care Excellence (NICE), the independent body that develops guidance on drugs and treatments for clinical and cost effectiveness for the National Health Service in England, was unable to recommend Orkambi as a cost effective use of NHS resources. NICE concluded that, although clinically significant for managing cystic fibrosis, the longer term outcomes and benefits were not sufficient to justify its considerable costs. Orkambi is not therefore routinely available to NHS patients with cystic fibrosis.</p><p> </p><p>Since then there has been a constructive dialogue underway between the company, NHS England and NICE, including discussion hosted through NICE’s confidential ‘Office for Market Access’, although NICE is yet to receive any fresh proposals from Vertex, the company that manufactures Orkambi. Both NHS England and NICE have been consistent in advice to Vertex, that progress can only be made by working through NICE’s appraisal processes and the existing commercial framework.</p><p> </p><p>Any funding decisions in the absence of positive NICE technology appraisal guidance should be made by NHS commissioners based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:36:40 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

804259

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Sodium Valproate
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many children have been diagnosed with fetal anti-convulsant syndrome as a result of their mothers taking sodium valproate during pregnancy in each of the last three years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	118444
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The information requested is not collected centrally. The actual number of children diagnosed with fetal anti-convulsant syndrome in the United Kingdom is very difficult to estimate from medical records. It is important to note that fetal anti-convulsant syndrome is a nondrug specific condition that relates to abnormalities in children exposed to any anticonvulsant during pregnancy, not just valproate.</p><p> </p><p>Because of its risks, valproate should only be used to treat women of childbearing age if other drugs are ineffective or not tolerated. The Medicines and Healthcare products Regulatory Agency is currently working with European regulators and with experts and healthcare bodies to decide what further action should be taken to ensure valproate should only be used to treat women of childbearing age if other drugs are ineffective or not tolerated. This review is expected to complete early next year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:44:52 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

804260

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Systemic Lupus Erythematosus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have received a diagnosis of lupus in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	118446
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>This information is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:37:34 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

804264

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Compassionate Leave
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what provisions are in place for NHS staff based at (a) Quarry House in Leeds and (b) Richmond House in London to have time off for duties as carers; and how many staff were given time off in each month in 2017 to date.
tabling member constituency	Preston
tabling member printed	Mr Mark Hendrick
uin	118454
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>NHS England’s Leave and Employment Break Policy and Procedure provides for carers’ leave under the provision of Special (unplanned) Leave.</p><p> </p><p>NHS England has staff based at Quarry House in Leeds, Skipton House in London and numerous regional offices across England. There are no staff based at Richmond House in London.</p><p> </p><p>No data is available for staff based in London and regional offices.</p><p> </p><p>Since January 2017 the number of NHS England staff whose main base is Quarry House in Leeds, that have requested special leave provision reclassified as carers leaves is less than five per month for each month of the year apart from October where it was five and July and December when there were zero requests.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:35:48 answering member 4067 label Biography information for Steve Brine
tabling member	473 label Biography information for Sir Mark Hendrick

804266

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he plans to provide incentives to medical students to enter general practice.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	118456
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England (HEE) has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p>NHS England, HEE, the British Medical Association and the Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p>NHS England is funding a £20,000 salary supplement (Targeted Enhanced Recruitment Scheme) to attract GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. In 2018 up to 200 places will be offered.</p><p>The scheme is open to GP trainees committed to working for three years in areas identified by the GP National Recruitment Office as having the hardest to recruit to training places in England. GP training directors identified those areas which had the lowest fill rates consistently over the last four years.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:38:38 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

804392

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Leicestershire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the £600,000 of funding from the Diabetes Transformation Fund was transferred to Leicester, Leicestershire and Rutland sustainability and transformation partnership.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	118542
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>NHS England confirms that Diabetes Transformation funding of £815,000 has been awarded to the Leicester, Leicestershire and Rutland Sustainability Transformation Partnership area, as announced on 20 April. The 1st quarter’s payment was made on 30 June, the 2nd quarter’s payment was made on 29 September and the 3rd quarter’s payment will be made on 29 December.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:41:22 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

804393

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Leicestershire
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 effect of funding provided by the Diabetes Transformation Fund on health outcomes in Leicester.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	118540
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Sustainability and Transformation Partnership was successful in obtaining diabetes transformation funding to make improvements in respect of three treatment targets, structured education, and inpatient care, specifically:</p><p>- Improving achievement of the treatment targets (HbA1c, blood pressure and cholesterol) and reducing variation between clinical commissioning groups and between general practitioner practices, with the aim of resulting in improvements in glycaemic control and psychosocial wellbeing;</p><p>- Increasing uptake of diabetes structured education with the aim of a reduced risk of diabetes-related complications; and</p><p>- Increasing availability of diabetes inpatient specialist nurses with the aim of reducing lengths of stay for inpatients with diabetes.</p><p> </p><p>We would expect local commissioners to assess the impact of these improvements in the coming years.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:42:59 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

804394

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Leicestershire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps health authorities in Leicestershire have been able to take as a result of the Diabetes Transformation Fund.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	118538
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>A number of actions are underway across the Sustainability and Transformation Partnership area. These include:</p><p> </p><p>- Employment of additional Diabetes Inpatient Specialist Nurses (DISN) by University Hospitals of Leicester National Health Service Trust, enabling the Trust to provide a seven day DISN service;</p><p>- Support from Effective Diabetes Education Now to support and train health care professionals offering diabetes care to patients; and</p><p>- Recruitment of additional nurses to support practices with poorer diabetes outcomes for patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:43:52 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

804396

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Leicestershire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many amputations were carried out in Leicestershire as a result of type 2 diabetes in (a) 2015, (b) 2016 and (c) 2017.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	118534
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>NHS Digital were able to provide the following data that details the count of finished consultant episodes (FCEs) with a primary diagnosis of type 2 diabetes and a main procedure of amputation for the three clinical commissioning groups (CCGs) within Leicestershire over the past three financial years.</p><p> </p><table><tbody><tr><td colspan="2"><p>CCG of Treatment</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>03W</p></td><td><p>NHS East Leicestershire And Rutland CCG</p></td><td><p>0</p></td><td><p>0</p></td><td><p>*</p></td></tr><tr><td><p>04C</p></td><td><p>NHS Leicester City CCG</p></td><td><p>26</p></td><td><p>22</p></td><td><p>24</p></td></tr><tr><td><p>04V</p></td><td><p>NHS West Leicestershire CCG</p></td><td><p>0</p></td><td><p>0</p></td><td><p>*</p></td></tr><tr><td colspan="2"><p>Leicestershire Total</p></td><td><p>26</p></td><td><p>22</p></td><td><p>30</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics, NHS Digital</p><p> </p><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p><p><strong> </strong></p><p>An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p>To protect patient confidentiality, figures between one and five have been replaced with an asterisk. Where it was still possible to identify figures from the total, additional figures have been replaced with an asterisk.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:47:11 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz