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993447

registered interest
date	23/10/2018
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	Flour: Folic Acid
house id	1
legislature	25259 pref label House of Commons
question text	What progress he has made on implementing proposals for the mandatory fortification of flour with folic acid.
tabling member constituency	Cumbernauld, Kilsyth and Kirkintilloch East
tabling member printed	Stuart C. McDonald
uin	907229
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Government is continuing to review advice from our expert advisory groups on safe levels of folate intake. Alongside this, we will be issuing a public consultation on the issue of adding folic acid to flour. This will explore this complex issue in detail and allow us to take an informed decision on whether to introduce mandatory fortification of flour. We will announce the date for the consultation soon.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:43:47 answering member 4067 label Biography information for Steve Brine
tabling member	4393 label Biography information for Stuart C McDonald

993448

registered interest
date	23/10/2018
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	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	What assessment he has made of the proportion of children born in the UK with foetal alcohol spectrum disorders in each of the last five years.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	907231
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>Foetal alcohol syndrome disorders can have a significant impact on the early years development of children, their behaviours and their life chances.</p><p>Public Health England collects some data on fetal alcohol sydrome, but we recognise that this data does not reflect the range of fetal alcohol spectrum disorders (FASD), as these are very difficult to diagnose. That is why we are engaging experts and those affected by FASD to explore what more could be done to improve our understanding.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:44:55 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

991193

registered interest
date	19/10/2018
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	Chronic Fatigue Syndrome
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 he has made of the effect of prescription charges on health outcomes.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	181629
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>No such assessment has been undertaken.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/10/2018 17:46:50 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

991194

registered interest
date	19/10/2018
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	Prescriptions: Fees and Charges
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 he has made of the (a) number and (b) proportion of prescriptions that were paid for by a prepayment certificate in the last 12 months.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	181630
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>This information is not available for the time period requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/10/2018 17:47:30 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

991195

registered interest
date	19/10/2018
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	Prescriptions: Fees and Charges
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 he has made of the contribution to the public purse of prescription prepayment certificates.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	181631
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Information provided by the NHS Business Services Authority on the number of Prescription Prepayment Certificates (PPC) purchased in each of the last five calendar years is provided in the following table:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of PPCs issued</p></td></tr><tr><td><p>2013</p></td><td><p>1,531,016</p></td></tr><tr><td><p>2014</p></td><td><p>1,651,977</p></td></tr><tr><td><p>2015</p></td><td><p>1,798,037</p></td></tr><tr><td><p>2016</p></td><td><p>1,916,220</p></td></tr><tr><td><p>2017</p></td><td><p>1,952,425</p></td></tr></tbody></table><p> </p><p>At present a 3-month PPC costs £29.10 and a 12-month PPC costs £104 to purchase.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/10/2018 17:45:27 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

991216

registered interest
date	19/10/2018
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	Prescriptions: Costs
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 average costs to the public purse of dispensing a prescription item from an internet pharmacy are lower than such costs of dispensing a prescription item from a High Street pharmacy.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181566
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Under the Community Pharmacy Contractual Framework, payment for National Health Service pharmaceutical services does not distinguish between providers; i.e. online pharmacies and ‘bricks and mortar’ pharmacies are paid the same level of fees for services. There are fees which are paid to pharmacy contractors per dispensed item, but there is also a payment which depends on the total monthly volume of prescription items.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/10/2018 17:44:47 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

991217

registered interest
date	19/10/2018
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	Prescriptions: Costs
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 costs to the public purse are of dispensing a prescription item in (a) a pharmacy which dispensed an average number of prescription items in the latest period for which figures are available, (b) a pharmacy which dispensed the highest number of prescription items in the latest period for which figures are available and (c) a pharmacy which dispensed the lowest number of prescription items in the latest period for which figures are available; if he will list average costs to the public purse of dispensing a prescription item in (i) a pharmacy which is in the top quartile of all pharmacies for the number of prescription items it dispenses and (ii) a pharmacy which is in the bottom quartile of all pharmacies for the number of prescription items it dispenses; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181567
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The following table shows the average fee relating to essential services per prescription item for pharmacies with different levels of dispensing activity for the period 2017/18.</p><table><tbody><tr><td><p> </p></td><td><p>Number of Prescription Items Dispensed 2017/18</p></td><td><p>Total Fees relating to Essential Services* 2017/18</p></td><td><p>Average fee per prescription item 2017/18</p></td></tr><tr><td><p>Minimum</p></td><td><p>1</p></td><td><p>£1.29</p></td><td><p>£1.29</p></td></tr><tr><td><p>Lowest Quartile</p></td><td><p>54,470</p></td><td><p>£97,520</p></td><td><p>£1.79</p></td></tr><tr><td><p>Median</p></td><td><p>79,138</p></td><td><p>£130,826</p></td><td><p>£1.65</p></td></tr><tr><td><p>Top Quartile</p></td><td><p>111,404</p></td><td><p>£170,158</p></td><td><p>£1.53</p></td></tr><tr><td><p>Maximum</p></td><td><p>2,925,671</p></td><td><p>£3,869,711</p></td><td><p>£1.32</p></td></tr><tr><td><p>Mean</p></td><td><p>87,996</p></td><td><p>£140,235</p></td><td><p>£1.59</p></td></tr><tr><td><p>Distance selling pharmacies** (mean)</p></td><td><p>61,117</p></td><td><p>£102,621</p></td><td><p>£1.68</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>*We have calculated total fees as the sum of all essential service fees, including establishment payments and quality payments. It excludes any advanced service fees as these are payments for activity not related to dispensing. Any funding received via retained medicine margin, and any payments relating to the Pharmacy Access Scheme have similarly been excluded from this analysis and so would need to be separately considered.</p><p> </p><p>** Includes internet pharmacies</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 181568 question first answered 29/10/2018 17:48:30 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

991218

registered interest
date	19/10/2018
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	Prescriptions: Costs
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 average costs to the public purse are of dispensing a prescription item from an internet pharmacy.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181568
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The following table shows the average fee relating to essential services per prescription item for pharmacies with different levels of dispensing activity for the period 2017/18.</p><table><tbody><tr><td><p> </p></td><td><p>Number of Prescription Items Dispensed 2017/18</p></td><td><p>Total Fees relating to Essential Services* 2017/18</p></td><td><p>Average fee per prescription item 2017/18</p></td></tr><tr><td><p>Minimum</p></td><td><p>1</p></td><td><p>£1.29</p></td><td><p>£1.29</p></td></tr><tr><td><p>Lowest Quartile</p></td><td><p>54,470</p></td><td><p>£97,520</p></td><td><p>£1.79</p></td></tr><tr><td><p>Median</p></td><td><p>79,138</p></td><td><p>£130,826</p></td><td><p>£1.65</p></td></tr><tr><td><p>Top Quartile</p></td><td><p>111,404</p></td><td><p>£170,158</p></td><td><p>£1.53</p></td></tr><tr><td><p>Maximum</p></td><td><p>2,925,671</p></td><td><p>£3,869,711</p></td><td><p>£1.32</p></td></tr><tr><td><p>Mean</p></td><td><p>87,996</p></td><td><p>£140,235</p></td><td><p>£1.59</p></td></tr><tr><td><p>Distance selling pharmacies** (mean)</p></td><td><p>61,117</p></td><td><p>£102,621</p></td><td><p>£1.68</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>*We have calculated total fees as the sum of all essential service fees, including establishment payments and quality payments. It excludes any advanced service fees as these are payments for activity not related to dispensing. Any funding received via retained medicine margin, and any payments relating to the Pharmacy Access Scheme have similarly been excluded from this analysis and so would need to be separately considered.</p><p> </p><p>** Includes internet pharmacies</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 181567 question first answered 29/10/2018 17:48:30 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

991221

registered interest
date	19/10/2018
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	Vaccination
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 to his Department's consultation entitled Cost effectiveness methodology for vaccination programmes, which closed on 26 February 2018, when his Department plans to publish a response to that consultation.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181571
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The consultation on the Cost Effectiveness Methodology for Immunisation Programmes and Procurement report started on 26 February 2018 and closed on 28 June 2018. We aim to publish our response in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/10/2018 11:48:25 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

991223

registered interest
date	19/10/2018
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	Drugs: Cost Effectiveness
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on how many occasions the budget impact test has been triggered in the course of a NICE technology appraisal.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181572
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The National Institute for Health and Care Excellence has advised that 27 topics have triggered the £20 million budget impact test at the point at which the company made an evidence submission.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/10/2018 17:46:15 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth