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825425

registered interest
date	18/01/2018
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	Pharmacy
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 effectiveness of the General Pharmaceutical Council's enforcement of standards for registered pharmacy premises; whether he has made an assessment of the effect of failure to apply such standards to pharmacy owners rather than only pharmacy professionals on the safety of patients; and if he will make a statement.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	123566
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The Department has not made any assessment of the effectiveness of the General Pharmaceutical Council (GPhC) as a regulator of pharmacy professionals and pharmacy premises. The Professional Standards Authority, which in its review of the GPhC’s performance in 2016-2017, found that the GPhC had met all of the standards for good regulation, including all of the standards for fitness to practise.</p><p> </p><p>Standards to safeguard the health, safety and wellbeing of patients and the public are set by the GPhC. It is important to note that there are very different legal frameworks for upholding these standards and how the regulator deals with these for pharmacy premises as compared to pharmacy professionals. 87% of the pharmacies inspected by the GPhC in 2016-17 were meeting all of the standards it sets. Any pharmacy not achieving all of the standards is required by the GPhC to implement an action plan to improve the services they provide. In this period the GPhC agreed 469 action plans with pharmacies to ensure they improved the services they provide, and 99% of them made the necessary improvements so that they were meeting all of the standards. In the same period 140 cases were made affecting an individual pharmacy professional’s registration.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 123567 question first answered 23/01/2018 17:21:47 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron

825426

registered interest
date	18/01/2018
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	Pharmacy
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 whether the failure to apply sanctions for standards for pharmacy premises has resulted in a disproportionate number of individual pharmacist registrants who have been held to account for professional standards which may have been impacted by the working environment created by pharmacy owners; and if he will make a statement.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	123567
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The Department has not made any assessment of the effectiveness of the General Pharmaceutical Council (GPhC) as a regulator of pharmacy professionals and pharmacy premises. The Professional Standards Authority, which in its review of the GPhC’s performance in 2016-2017, found that the GPhC had met all of the standards for good regulation, including all of the standards for fitness to practise.</p><p> </p><p>Standards to safeguard the health, safety and wellbeing of patients and the public are set by the GPhC. It is important to note that there are very different legal frameworks for upholding these standards and how the regulator deals with these for pharmacy premises as compared to pharmacy professionals. 87% of the pharmacies inspected by the GPhC in 2016-17 were meeting all of the standards it sets. Any pharmacy not achieving all of the standards is required by the GPhC to implement an action plan to improve the services they provide. In this period the GPhC agreed 469 action plans with pharmacies to ensure they improved the services they provide, and 99% of them made the necessary improvements so that they were meeting all of the standards. In the same period 140 cases were made affecting an individual pharmacy professional’s registration.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 123566 question first answered 23/01/2018 17:21:47 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron

825482

registered interest
date	18/01/2018
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 discussions he has had with NHS England on the quadrivalent flu vaccine; and what guidance NHS England has issued to GPs on prescribing that vaccine given its comparatively higher cost than the trivalent vaccine.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	123621
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The seasonal flu immunization programme is part of the National Health Service public health functions agreement. more commonly referred to as the Section 7A agreement discussed and agreed annually between the Department and NHS England.</p><p> </p><p>General Practitioners (GPs) and pharmacies are responsible for ordering and purchasing flu vaccines for the adult seasonal flu programme (eligible individuals aged 18 years and over) directly from manufacturers. The 2017/18 annual flu letter, published by the Department, Public Health England (PHE), and NHS England in March 2017 has information on vaccine supply and ordering and includes a table of vaccines that would be available for the 2017/18 flu immunisation programme. This letter is sent to all GP practices. In addition, clinical advice on seasonal flu vaccines is published in Immunisation against infectious disease (‘The Green Book’ ) by PHE. This was updated in October 2017.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2018 17:22:52 answering member 4067 label Biography information for Steve Brine
tabling member	1588 label Biography information for Barbara Keeley

825489

registered interest
date	18/01/2018
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	Dental Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many Units of Dental Activity were delivered in (a) Bury North constituency, (b) Greater Manchester and (c) England in each of the last five years.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123628
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>The following table shows the information available on number of units of dental activity delivered for Bury Local Authority, Greater Manchester and England. Data is available for Bury Local Authority, Greater Manchester for 2013/14 to 2016/17 and England for 2012/13 to 2016/17. Data is not available broken down by constituency.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Bury Local Authority</p></td><td><p>Greater Manchester<sup>1</sup></p></td><td><p>England</p></td></tr><tr><td><p>2016-17</p></td><td><p>320,578</p></td><td><p>4,952,821</p></td><td><p>85,731,304</p></td></tr><tr><td><p>2015-16</p></td><td><p>337,942</p></td><td><p>4,985,119</p></td><td><p>86,350,897</p></td></tr><tr><td><p>2014-15</p></td><td><p>336,160</p></td><td><p>4,978,641</p></td><td><p>87,220,891</p></td></tr><tr><td><p>2013-14</p></td><td><p>334,639</p></td><td><p>4,985,364</p></td><td><p>88,691,434</p></td></tr><tr><td><p>2012-13</p></td><td><p>-</p></td><td><p>-</p></td><td><p>88,097,804</p></td></tr></tbody></table><p>Source: NHS Digital</p><p> </p><p>Note:</p><p> </p><p><sup>1</sup>Greater Manchester is defined as the following local authorities: Bolton, Bury, Manchester, Oldham, Rochdale, Salford, Stockport, Tameside, Trafford and Wigan.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 15:56:01 answering member 4067 label Biography information for Steve Brine
tabling member	4637 label Biography information for James Frith

825491

registered interest
date	18/01/2018
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	Dentistry: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many overseas qualified dentists are waiting for a Performer Number by country of origin; and what the the average waiting time has been to receive such a number in each of the last three years.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123630
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>Information is not held centrally on the number of dentists who qualified overseas who are waiting for a Performer Number or on the average turnaround time for applications to join the National Dental Performers List.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 13:47:20 answering member 4067 label Biography information for Steve Brine
tabling member	4637 label Biography information for James Frith

825520

registered interest
date	18/01/2018
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	Thyroid Gland: 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 his Department is taking to ensure that medicines approved for patients with thyroid conditions are competitively priced.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	123658
answer	answer is ministerial correction date of answer 25/01/2018 answer text <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 encourages competition between suppliers 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 National Health Service.</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 can and does seek damages and invests that money back into the NHS.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 15:57:59 answering member 4067 label Biography information for Steve Brine
tabling member	301 label Biography information for Richard Burden

825544

registered interest
date	18/01/2018
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	Heart Diseases: Females
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 equality of access to heart attack treatment for women.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	123682
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>NHS England has advised that there is currently no evidence of gender difference in access to care for heart attacks in England. NHS England will continue to review the evidence so that it can support the National Health Service to ensure that all patients receive equal access to treatment for heart attacks. The National Institute for Health and Care Excellence (NICE) is responsible for producing guidelines for best practice of treatment and care. NHS England expects providers to take account of NICE guidelines when delivering services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2018 17:26:10 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

825554

registered interest
date	18/01/2018
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	Prescription Drugs: Packaging
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 potential merits of re-packaging unused medication that has been returned to pharmacies to reduce waste in the health sector.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	123688
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>The Government does not promote the reuse of medicines that have left the pharmacy and returned to a pharmacy by patients, as it is not possible to guarantee the quality of a returned medicine on physical inspection alone.</p><p> </p><p>When medicines are returned from patients’ homes, there is no way of knowing how the medicines have been stored in people’s homes.</p><p> </p><p>The July 2017 edition of the Royal Pharmaceutical Society’s ‘Medicines, Ethics and Practice – The professional guide for pharmacists’ states that patients should be advised that unused, unwanted medicines should be returned to a pharmacy for safe disposal.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 15:54:27 answering member 4067 label Biography information for Steve Brine
tabling member	4648 label Biography information for Laura Smith

825591

registered interest
date	18/01/2018
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 Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many patients in the last three years have been referred by their GP for elective care but have been refused treatment due to clinical commissioning group policies to restrict access to treatment because a patient (a) has a BMI of more than 30 and (b) is a smoker.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	123721
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>Information on how many patients who have been referred by their general practitioner for elective care but have been refused treatment due to clinical commissioning group policies to restrict access to treatment because a patient has a Body Mass Index of more than 30 and is a smoker is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 13:46:02 answering member 4067 label Biography information for Steve Brine
tabling member	230 label Biography information for Mr Ben Bradshaw