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1020241

registered interest
date	05/12/2018
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	UK Rare Disease Policy Board
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, who the Northern Ireland representative is on the UK rare diseases policy board under the European Reference Networks.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	199324
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The full membership of the UK Rare Diseases Policy Board, including the Northern Ireland representative from the NI Department of Health, can be accessed on gov.uk at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/groups/uk-rare-disease-forum#membership-of-the-uk-rare-disease-policy-board" target="_blank">https://www.gov.uk/government/groups/uk-rare-disease-forum#membership-of-the-uk-rare-disease-policy-board</a></p><p> </p><p>European Reference Networks (ERNs) are governed by the Board of Member States with representation from 29 European Union and European Economic Area countries. The Department represents the United Kingdom on the Board. Membership of the ERN Board of Member States can be accessed on the European Commission website at the following link:</p><p> </p><p><a href="https://ec.europa.eu/health/sites/health/files/ern/docs/ern_board_members_en.pdf" target="_blank">https://ec.europa.eu/health/sites/health/files/ern/docs/ern_board_members_en.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:30:22 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1020318

registered interest
date	05/12/2018
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	Cervical 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, what steps he is taking to improve uptake of cervical screening.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199346
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK (CRUK) and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 199347 question first answered 10/12/2018 15:34:24 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020321

registered interest
date	05/12/2018
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	Cervical 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, for what reason there has been a recent decline in the level of cervical screening attendance.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199347
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK (CRUK) and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 199346 question first answered 10/12/2018 15:34:24 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020322

registered interest
date	05/12/2018
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	Cervical 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, how much funding his Department has allocated to schemes to increase cervical screening attendance in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199348
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Information on how much of the money allocated from the cervical screening budget to schemes to increase cervical screening attendance is not collected centrally by NHS England.</p><p> </p><p>NHS England has invested over £200 million since 2016 to transform cancer services across England.</p><p> </p><p>Next year, Public Health England will launch a national campaign to highlight the risks of cervical cancer, encourage all women to respond to their screening invitation and to encourage women to consider booking an appointment if they have missed previous invitations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:25:09 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020329

registered interest
date	05/12/2018
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	Slaughterhouses: CCTV
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 slaughterhouses have been deemed non-compliant as a result of not introducing CCTV into their premises by the end of November 2018; and what steps the Food Standards Agency plans to take in respect of non-compliance.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	199273
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The Food Standards Agency (FSA) enforces legislation for animal welfare in slaughterhouses on behalf of the Department for Environment, Food and Rural Affairs (Defra) in England, where CCTV legislation applies.</p><p> </p><p>All operating slaughterhouses in England were required to comply with the new CCTV legislation by 5 November 2018.</p><p> </p><p>The following table shows the status of compliance on 3 December which is the most accurate available data for the status of compliance at the end of November:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Number of slaughterhouses</p></td></tr><tr><td><p>Compliant</p></td><td><p>175</p></td></tr><tr><td><p>Not yet fully compliant</p></td><td><p>56</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Total operating slaughterhouses</p></td><td><p>231</p></td></tr></tbody></table><p> </p><p>Of the 56 non-compliant premises, 16 are slaughterhouses using gas stunning. Additional guidance was required on whether CCTV cameras were required inside gas stunning equipment and therefore these premises have been given until 19<sup> </sup>December to comply. The FSA has begun enforcement action against all non-compliant slaughterhouse operators. The Agency is following its standard hierarchy of enforcement and is working with slaughterhouse operators to ensure full compliance. To date this enforcement action has involved verbal and written advice as well as formal Enforcement Notices with agreed compliance deadlines.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:36:32 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1020333

registered interest
date	05/12/2018
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	Gambling
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 received treatment on the NHS for gambling-related health conditions in December of each year since 2010.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	199333
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Information in the format requested is not available. Data on the number of finished admissions episodes (FAEs) with a primary or secondary diagnosis of pathological/compulsive gambling for the last five years is set out in the following table. This does not necessarily reflect the number of patients as people may attend on more than one occasion.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FAEs</p></td></tr><tr><td><p>2013-14</p></td><td><p>65</p></td></tr><tr><td><p>2014-15</p></td><td><p>89</p></td></tr><tr><td><p>2015-16</p></td><td><p>86</p></td></tr><tr><td><p>2016-17</p></td><td><p>72</p></td></tr><tr><td><p>2017-18</p></td><td><p>107</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics, NHS Digital</p><p> </p><p>A 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.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:44:44 answering member 4067 label Biography information for Steve Brine
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1020375

registered interest
date	05/12/2018
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	Clinical Audit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 July 2018 to Question 165015 on breast cancer: surgery, which clinical audit topics have (a) been selected and (b) not yet been selected by NHS England; and what the timescale is for that process.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	199388
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The Healthcare Quality Improvement Partnership commissions, develops and manages the National Clinical Audit and Patient Outcomes Programme (NCAPOP) on behalf of NHS England.</p><p> </p><p>Currently, there are five cancer clinical audits including breast cancer in older people. The newly established NCAPOP partners group will look at opportunities to review the audit programme based on audit commissioning cycle opportunity and eligibility criteria related to alignment with National Health Service priorities, like the forthcoming long-term plan for the NHS, impact, value and need.</p><p> </p><p>NCAPOP is made up of a rolling programme of audits commissioned at different times on a 3-5 year basis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:42:27 answering member 4067 label Biography information for Steve Brine
tabling member	4125 label Biography information for Catherine McKinnell

1020420

registered interest
date	05/12/2018
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	Cervical 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, what support his Department provides to women who are survivors of sexual violence to access cervical screening.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199349
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The NHS Cervical Screening programme encourages practices to be sympathetic and supportive to all women going through the procedure, in order to make it as comfortable as possible. All women undertaking their screening test have the support of a chaperone available. A female general practitioner/ nurse also undertakes the screening test.</p><p> </p><p>In addition, the NHS Cervical Screening Programme’s sample taker training guidance covers various barriers which sample takers should be considerate of, this includes guidance on women with fears of cervical screening following a history of sexual assault or rape. The guidance can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/cervical-screening-education-and-training" target="_blank">https://www.gov.uk/guidance/cervical-screening-education-and-training</a></p><p> </p><p>The Department has have been working with NHS England to develop a five-year Sexual Assault and Abuse Strategy, which aspires to ensure victims receive joined-up pathways of care over the course of their life time whenever they need it – this was published in April 2018. It will develop and improve integrated pathways of care for people that have experienced sexual assault and abuse.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:43:37 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020430

registered interest
date	05/12/2018
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	Malnutrition
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 (a) children, (b) adults up to the age of 65 and (c) adults over the age of 65 are in hospital with malnutrition.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	199416
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS Digital has provided a count of finished admission episodes (FAE)<sup>1</sup> with a primary diagnosis<sup>2</sup> of malnutrition<sup>3</sup>, broken down by age bands for the financial year 2017-18<sup>4</sup>. This information is provided in the following table.</p><p> </p><table><tbody><tr><td colspan="2"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p>Age</p></td><td><p>FAEs</p></td></tr><tr><td><p>0-16</p></td><td><p>51</p></td></tr><tr><td><p>17-65</p></td><td><p>461</p></td></tr><tr><td><p>66-120</p></td><td><p>288</p></td></tr><tr><td><p>Unknown</p></td><td><p>19</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>A finished admission episode (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.</p><p> </p><p><sup>2</sup>The primary diagnosis is the first of up to 20 diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p><sup>3</sup>ICD10 Clinical codes</p><p>&quot;ICD10 Codes used:</p><p>Malnutrition</p><p>E40 Kwashiorkor</p><p>E41 Nutritional marasmus</p><p>E42 Marasmic kwashiorkor</p><p>E43 Unspecified severe protein-energy malnutrition</p><p>E44 Protein-energy malnutrition of moderate and mild degree</p><p>E45 Retarded development following protein-energy malnutrition</p><p>E46 Unspecified protein-energy malnutrition</p><p>O25 Malnutrition in pregnancy</p><p> </p><p>The presence of an ICD-10 code of malnutrition on the admission episode indicates that the patient was diagnosed with, and would therefore being treated for malnutrition during the episode of care. The cause of malnutrition is not presented here but may be due to dietary issues, an inability to absorb nutrients normally or another disease affecting the patient’s ability to feed normally.&quot;</p><p> </p><p><sup>4</sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p> </p><p>It should be noted that Hospital Episode Statistics (HES) include activity ending in the year in question and run from April to March, e.g. 2015-16 includes activity ending between 1 April 2015 and 31 March 2016.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:41:22 answering member 4067 label Biography information for Steve Brine
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1020450

registered interest
date	05/12/2018
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 proportion of people who have faced charges as a result of claiming for free prescriptions to which they were not entitled to were on universal credit or any other form of welfare payment in each year for which information is available.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	199408
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The NHS Business Services Authority (NHS BSA) delivers the Prescription Exemption Checking Service and first began prescription exemption checks relating to Department for Work and Pensions benefits in June 2017.</p><p> </p><p>The NHS BSA reports that it issued a total of 1,863,098 prescription penalty charge notices between 4 June 2017 and 30 November 2018. Of these 508,830 went to people who ticked an exemption box relating to a Department for Work and Pensions benefit.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:27:40 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis