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792972

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP at Hand
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 20 November 2017 to Question 112428, what the cost of the GP at hand service has been to the public purse to date.
tabling member constituency	Leigh
tabling member printed	Jo Platt
uin	114757
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>GP at Hand is a practice that holds a General Medical Service contract. Practices are paid per weighted registered patient and, as patients register or de-register with GP at Hand, this will alter the payment to the practice. Funding follows the registered patients, so if patients are leaving their current practice for GP at Hand the funding will move to that practice. The practice list sizes are counted and payments adjusted on the first of each quarter and so any payment adjustments will be made in January.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 17:06:52 answering member 4067 label Biography information for Steve Brine
tabling member	4673 label Biography information for Jo Platt

792973

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP at Hand
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to rollout the GP at Hand service nationwide.
tabling member constituency	Leigh
tabling member printed	Jo Platt
uin	114758
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>GP at Hand is not a service that has been specifically commissioned by the Department or NHS England. It is a locally developed service commissioned by Hammersmith and Fulham Clinical Commissioning Group and operated by a general practice in London (Dr Jefferies and Partners) in collaboration with a private technology provider (Babylon).</p><p> </p><p>The Department and NHS England are following the development of the GP at Hand service to better understand how digital services can be adopted in a way that safeguards patients, delivers a quality service and supports the future sustainability of the National Health Service.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 17:09:06 answering member 4067 label Biography information for Steve Brine
tabling member	4673 label Biography information for Jo Platt

792987

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmaceutical Price Regulation Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable is for the negotiations of the next Pharmaceutical Price Regulation Scheme.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	114772
answer	answer is ministerial correction date of answer 27/11/2017 answer text <p>No decision has been made about the timing of negotiations with industry on medicines pricing arrangements for 2019 onwards. The Department has regular and ongoing dialogue with patient representative groups about medicines pricing and access issues, and all those views will help to inform discussions between the industry and the Department on the new arrangements.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114773 question first answered 27/11/2017 16:41:41 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

792988

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmaceutical Price Regulation Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to engage with patient groups on the contents of the next Pharmaceutical Price Regulation Scheme.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	114773
answer	answer is ministerial correction date of answer 27/11/2017 answer text <p>No decision has been made about the timing of negotiations with industry on medicines pricing arrangements for 2019 onwards. The Department has regular and ongoing dialogue with patient representative groups about medicines pricing and access issues, and all those views will help to inform discussions between the industry and the Department on the new arrangements.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114772 question first answered 27/11/2017 16:41:42 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

792989

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmaceutical Price Regulation Scheme
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 success of the Pharmaceutical Price Regulation Scheme in ensuring patients can access the most effective and innovative medicines.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	114774
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>Use of innovative medicines in England is reported through the innovation scorecard. The most recent publication was in October 2017 and is available at:</p><p> </p><p><a href="https://digital.nhs.uk/catalogue/PUB30106" target="_blank">https://digital.nhs.uk/catalogue/PUB30106</a></p><p> </p><p>Since 2014, the medicines in the scorecard have changed as new medicines have become available. The scorecard shows that for the 12 months from April 2016 to March 2017, compared to the previous 12 months where comparable data is available, 73% of innovative medicines covered by the scorecard were prescribed more.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 14:40:57 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

792993

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, in which ten areas of England do residents have the longest travel times to their nearest radiotherapy units.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	114778
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>This information is not held centrally.</p><p> </p><p>Public Health England advises that a postcode-level dataset that will enable the calculation of travel times to radiotherapy units is currently in development by the National Cancer Registry and Analysis Service. Results will be published in 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 17:14:42 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

793023

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Sexuality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with doctors about the recent NHS England guidance on sexual orientation monitoring.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	114808
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>None. The Sexual Orientation Monitoring Information Standard was developed by the Lesbian, Gay, Bisexual and Transgender (LGBT) Foundation on behalf of NHS England. As part of this work, organisations across the healthcare system were consulted to seek their views. The LGBT Foundation gathered intelligence and consultation data from a wide range of sources including individual general practitioners (GPs), GP practices and small, medium and large National Health Service foundation trusts, and health and social care trusts.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 13:22:55 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

793025

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence: Childbirth
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 help women who experience incontinence after childbirth.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	114810
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>Women who experience incontinence following childbirth can access a range of treatment depending on their individual needs, from primary care advice on management through to physiotherapy, medical management and where required surgical intervention.</p><p> </p><p>NHS England is the responsible commissioner for interventions where a woman is experiencing complex or persistent issues with incontinence that requires specialist input.</p><p> </p><p>The Women’s and Children’s Programme of Care are currently reviewing the complex gynaecology specifications to ensure women continue to be able to access high quality care from the appropriate providers. These will be going to public consultation in the next few months.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 17:13:39 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

793026

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hearing Aids
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects the new carina hearing device to be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	114811
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The carina hearing device is a cochlear implant which is currently available through the National Health Service. It is only considered to be suitable for a small number of patients, and is available through a number of auditory implant centres including Oxford, Sheffield and Cambridge.</p><p> </p><p>The NHS England Specialised Ear Surgery and Ophthalmology service specification covers cochlear implants and implantable devices:</p><p><a href="https://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d06/" target="_blank">https://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d06/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 17:12:36 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

793032

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Anaemia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State of Health, what steps the Department is taking to promote awareness and improve the rate of diagnosis of anaemia.
tabling member constituency	North East Derbyshire
tabling member printed	Lee Rowley
uin	114817
answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>Iron deficiency anaemia is the most prevalent type of anaemia and is also the most common deficiency in the world, affecting over 2 billion people worldwide. NHS Choices provides advice on the symptoms of iron deficiency anaemia, such as fatigue, palpitations, pale complexion and advises anyone experiencing those symptoms speak to their general practitioner (GP). NHS Choices also provides advice on the less common types of anaemia related to levels of vitamin B12 or folate.</p><p> </p><p>It is the responsibility of GPs, using their clinical judgement and supported by relevant guidance, to arrange the appropriate tests and investigations that may lead to a diagnosis. The full blood count, one the most commonly used tests in the National Health Service, is a broad screening tool used to provide a picture of patient health and check for indications of disorders such as anaemia, infection, and many other diseases.</p><p> </p><p>A range of guidance on the further testing and treatment of all types anaemia is available from sources including the National Institute for Health and Care Excellence Clinical Knowledge Summaries (CKS) website. The CKS information on iron deficiency anaemia can be found at the following link:</p><p> </p><p><a href="https://cks.nice.org.uk/anaemia-iron-deficiency" target="_blank">https://cks.nice.org.uk/anaemia-iron-deficiency</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 14:42:34 answering member 4067 label Biography information for Steve Brine
tabling member	4652 label Biography information for Lee Rowley