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910211

registered interest
date	23/05/2018
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	Multiple Myeloma
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment of the adequacy of the provision of treatment for myeloma.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	147322
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Department and NHS England are committed to transforming cancer services across the country, taking an all cancer approach to improvement. The National Health Service Cancer Programme has established a number of initiatives to support the delivery of this ambition including. This includes Wave 2 of the Accelerate, Coordination and Evaluation programme testing a new approach to diagnosing patients with vague symptoms, often characteristic of hard to diagnose cancers like haematological cancers. In addition, since July 2016 the Cancer Drugs Fund has either funded or is currently funding 39 treatments for blood cancers, including six for myeloma.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 13:35:16 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

910213

registered interest
date	23/05/2018
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	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment of the adequacy of the provision of treatment for type 1 diabetes.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	147323
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>A set of audits carried out by NHS Digital with funding from NHS England assess the quality of care across a range of measures for those with type 1 diabetes, as well as those with type 2 diabetes. They are as follows:</p><p> </p><p>- The National Diabetes Audit, with information available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/our-clinical-audits-and-registries/national-diabetes-audit" target="_blank">https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/our-clinical-audits-and-registries/national-diabetes-audit</a></p><p> </p><p>- The National Diabetes Inpatient Audit, with information available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/our-clinical-audits-and-registries/national-diabetes-inpatient-audit" target="_blank">https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/our-clinical-audits-and-registries/national-diabetes-inpatient-audit</a></p><p> </p><p>- The National Paediatrics Diabetes Audit, with information available at the following link:</p><p> </p><p><a href="https://www.rcpch.ac.uk/work-we-do/quality-improvement-patient-safety/national-paediatrics-diabetes-audit" target="_blank">https://www.rcpch.ac.uk/work-we-do/quality-improvement-patient-safety/national-paediatrics-diabetes-audit</a></p><p> </p><p>The NHS RightCare diabetes pathway supports local improvements by defining the core components of an optimal service for people with diabetes that delivers better value in terms of outcomes and cost. More information is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/rightcare/products/pathways/diabetes-pathway/" target="_blank">https://www.england.nhs.uk/rightcare/products/pathways/diabetes-pathway/</a></p><p> </p><p>Getting It Right First Time is a programme designed to improve clinical quality and efficiency within the National Health Service by reducing unwarranted variations. It has announced that it has recruited new diabetes clinical leads as it grows to cover more than 30 clinical specialties. More information is available at the following link:</p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/medical-specialties/diabetes/%20" target="_blank">http://gettingitrightfirsttime.co.uk/medical-specialties/diabetes/ </a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 13:38:21 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

910255

registered interest
date	23/05/2018
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	Atrial Fibrillation
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 people have received a diagnosis of atrial fibrillation in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	147438
answer	answer is ministerial correction date of answer 08/06/2018 answer text <p>This information is not held centrally. Information on the number of finished admission episodes (FAEs) in secondary care (activity in English National Health Service hospitals and English NHS-commissioned activity in the independent sector) with a primary diagnosis for atrial fibrillation and flutter between 2012/13 and 2016/17, and for atrial fibrillation only for 2016-17, is shown in the following table.</p><p> </p><table><tbody><tr><td><p>2012/13</p></td><td><p>98,503</p></td></tr><tr><td><p>2013/14</p></td><td><p>100,991</p></td></tr><tr><td><p>2014/15</p></td><td><p>102,569</p></td></tr><tr><td><p>2015/16</p></td><td><p>107,895</p></td></tr><tr><td><p>2016/17</p></td><td><p>109,431</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period. The primary diagnosis refers to the main reason why the patient was admitted to hospital.</p><p> </p><p>The number of FAEs in secondary care with a primary diagnosis for atrial fibrillation only in 2016/17 is 34,517. Atrial fibrillation-only FAE data (i.e. not including atrial flutter FAE data as well) is not available prior to 2016/17 as this information was not separately recorded by NHS Digital prior to that year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/06/2018 10:49:55 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

910256

registered interest
date	23/05/2018
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	Persistent Postural-Perceptual Dizziness
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 people have received a diagnosis of persistent postural-perceptual dizziness in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	147439
answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>This information is not available.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/06/2018 13:56:02 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

910257

registered interest
date	23/05/2018
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	Sunscreens: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department provides guidance for patients on the use of sun cream containing chemicals that may affect breast tissue.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	147440
answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>Cosmetic products, which include sunscreens, are regulated and must be safe for human health when used under normal or reasonably foreseeable conditions of use.</p><p> </p><p>Given the known risks from sunburn and the potential for skin cancer, it is important to take appropriate sun safety precautions including use of sun cream. Advice to the general population on sun protection may be found on NHS Choices at the following link:</p><p> </p><p><a href="https://www.nhs.uk/live-well/healthy-body/sunscreen-and-sun-safety/" target="_blank">https://www.nhs.uk/live-well/healthy-body/sunscreen-and-sun-safety/</a></p><p> </p><p>Public Health England advises that the risks from ultraviolet exposure as a result of not using sun cream will be greater than any potential risk from exposure to chemicals in these products and continued use of these products is recommended.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/06/2018 13:50:30 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

910258

registered interest
date	23/05/2018
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	Food: Sugar
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 the Government is taking to ensure that food manufacturers reduce sugar content in their products.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	147441
answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>As part of our Childhood Obesity Plan we have seen some good progress on sugar reduction.</p><p> </p><p>Public Health England’s (PHE) sugar reduction programme challenges industry to reduce sugar by 20% by 2020 in foods that our children consume the most. PHE’s recent report, ‘Sugar reduction and wider reformulation programme: Report on progress towards the first 5% reduction and next steps’, shows some good progress. For example, yoghurts have exceeded the first year target and achieved a 6% reduction in sugar.</p><p> </p><p>The soft drinks industry levy has seen half of the products that were initially in scope reformulated – that’s equivalent of removing 45 million kilograms of sugar every year.</p><p> </p><p>We are confident industry will continue to reformulate their products and further progress will be made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/06/2018 13:54:54 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

910295

registered interest
date	23/05/2018
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	Breast Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference his reply to the letter of 17 May 2018 from the hon. Member for Halton and pursuant to the Answer of 21 May 2018 to Question 144172 on Breast Cancer: Screening, on what dates he or the Minister with responsibility for screening asked officials of his Department about the (a) accuracy of the screening programme and (b) robustness of the checks and assurances in place prior to being informed of the issues relating to the breast cancer screening programme in January 2018.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	147340
answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>There is no record held which indicates the last occasion prior to January 2018 when a Minister sought additional specific assurance from officials on the accuracy and robustness of delivery of the breast screening programme. However, we can confirm that there are processes in place where assurance is given to Ministers on a regular basis on the work of NHS England and Public Health England in delivering effective screening programmes.</p><p> </p><p>All available information will be shared with the independent review who will investigate why quality assurance processes did not pick up the problem earlier, whether any warnings should have been heeded earlier and whether the issue was escalated to Ministers at the appropriate time. The review is due to report in November 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/06/2018 13:53:19 answering member 4067 label Biography information for Steve Brine
tabling member	429 label Biography information for Derek Twigg

910321

registered interest
date	23/05/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to spend a proportion of the £130 million allotted to modernise radiotherapy on new linac machines for newly commissioned satellite centres.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147420
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The radiotherapy modernisation fund, launched in October 2016, committed £130 million of investment to develop and upgrade current linear accelerators aged 10 years or more. By the end of March 2018, the fund had enabled the replacement or upgrade of 56 machines. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147421 question first answered 04/06/2018 13:41:50 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

910322

registered interest
date	23/05/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what further funding will be available for modernising radiotherapy after the closure of the current fund in October 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147421
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The radiotherapy modernisation fund, launched in October 2016, committed £130 million of investment to develop and upgrade current linear accelerators aged 10 years or more. By the end of March 2018, the fund had enabled the replacement or upgrade of 56 machines. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147420 question first answered 04/06/2018 13:41:50 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

910323

registered interest
date	23/05/2018
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	Cancer: 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, what assessment his Department has made of the reasons for the NHS not meeting the operational standard on the 62 day time limit between urgent GP referral and first definitive treatment for cancer; and if he will make a statement.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147422
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>There has been a continuing rise in demand for cancer services, with urgent general practitioner referrals for cancer rising by over 70,000 compared to last year.</p><p> </p><p>Achieving the 62-day standard was a key objective in the Government’s mandate to NHS England for 2017-18 and this has been rolled forward into 2018-19. NHS England is investing this year in initiatives to recover and maintain the 62-day standard nationally, such as pathway coordinators and timed, standardised pathways.</p><p> </p><p>The National Health Service is committed to achieving the 62-day cancer waiting times standard in 2018/19, and to maintaining performance against the other cancer waiting times standards.</p><p> </p><p>Latest data for March 2018 shows that the National Health Service is meeting six out of eight cancer waiting times standards.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 13:51:48 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron