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1017187

registered interest
date	29/11/2018
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	Bisphosphonates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress NICE has made in updating its guidance on the use of adjuvant bisphosphonates.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	197353
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) updated its guidance on ‘Early and locally advanced breast cancer: diagnosis and management’ in July 2018. The use of adjuvant bisphosphonates was one of the key areas that was covered in the update. NICE’s updated recommendations can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng101/chapter/Recommendations#bisphosphonate-therapy" target="_blank">https://www.nice.org.uk/guidance/ng101/chapter/Recommendations#bisphosphonate-therapy</a></p><p> </p><p>The guideline recommends bisphosphonates as adjuvant therapy for postmenopausal women with node positive invasive breast cancer and for postmenopausal women with node negative breast cancer.</p><p> </p><p>NICE also updated its guidance on the use of bisphosphonates for treating osteoporosis in February 2018. The updated guidance can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ta464" target="_blank">https://www.nice.org.uk/guidance/ta464</a></p><p> </p><p>NICE recommends oral bisphosphonates for treating osteoporosis in adults if the person is eligible for risk assessment and the 10 year probability of osteoporotic fragility fracture is at least 1%.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:24:58 answering member 4067 label Biography information for Steve Brine previous answer version 90056 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1016238

registered interest
date	28/11/2018
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 discussions his Department has had with NICE on acceptance of the classification of myalgic encephalomyelitis as a neurological disease as defined by the World Health Organisation; and if he will make a statement.
tabling member constituency	Luton North
tabling member printed	Kelvin Hopkins
uin	196648
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Department has had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and develops its guidance based on a thorough assessment of the available evidence and in consultation with stakeholders. NICE is currently updating its clinical guideline on the diagnosis and management of chronic fatigue syndrome/myalgic encephalomyelitis, with expected publication on 14 October 2020.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:04:30 answering member 4067 label Biography information for Steve Brine
tabling member	2 label Biography information for Kelvin Hopkins

1016401

registered interest
date	28/11/2018
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	Epilepsy: Death
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 tackle the effect of deprivation on epilepsy and reduce the number of deaths caused by that condition.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	196700
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Public Health England (PHE) report ‘Deaths associated with neurological conditions in England 2001 to 2014’, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. The rate of deaths associated with epilepsy in areas ranked as the most deprived in England is almost three times larger than in the least deprived; 13 deaths per 100,000 population compared to five deaths per 100,000 population. A copy of the report can be found at the following link:</p><p><br> <a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p><br> <br> At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 196701 question first answered 03/12/2018 17:06:27 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1016407

registered interest
date	28/11/2018
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	Epilepsy: Death
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 plans to take to ensure that families receive appropriate advice and support when their relatives have died as a result of symptoms relating to epilepsy.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	196701
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Public Health England (PHE) report ‘Deaths associated with neurological conditions in England 2001 to 2014’, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. The rate of deaths associated with epilepsy in areas ranked as the most deprived in England is almost three times larger than in the least deprived; 13 deaths per 100,000 population compared to five deaths per 100,000 population. A copy of the report can be found at the following link:</p><p><br> <a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p><br> <br> At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 196700 question first answered 03/12/2018 17:06:27 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1015359

registered interest
date	27/11/2018
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, how much additional funding announced in Budget 2018 has been allocated to the prevention of Type 2 diabetes.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	196310
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The 2018 Budget re-confirms the Prime Minister’s announcement in June this year to work with the National Health Service to develop a 10-year plan for the future of the health service, underpinned by a five-year funding offer which will see the NHS budget grow by £20.5 billion a year in real terms by 2023-24. We expect the plan to be published later this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:28:57 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

1015374

registered interest
date	27/11/2018
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: Health Services
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 the report entitled Unfinished business: An assessment of the national approach to improving cancer services in England 1995–2015, published by the Health Foundation in November 2018, whether he plans to take steps in response to the conclusions of that report; and if he will make a statement.
tabling member constituency	Chipping Barnet
tabling member printed	Theresa Villiers
uin	196146
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>Improving early diagnosis of cancer is a key priority for this Government. That is why from next year, patients with suspected cancer will receive a diagnosis or have cancer ruled out within 28 days. We also announced a package of cancer measures last month that will radically improve the system and ensure 55,000 more people survive cancer for five years from 2028.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:12:16 answering member 4067 label Biography information for Steve Brine
tabling member	1500 label Biography information for Theresa Villiers

1015401

registered interest
date	27/11/2018
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	Electronic Cigarettes
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 and meetings the Government has had with the (a) tobacco and (b) vaping industries on e-cigarette regulation and policy in the last three years for which information is available.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	196229
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Department has held discussions and meetings with the Independent British Vape Trade Association (IBVTA), who is independent of the tobacco industry, over the past three years. I also met the IBVTA on 12 March 2018 to discuss United Kingdom vaping and regulations.</p><p> </p><p>The Department does not collect data on discussions with the vaping industry from other Government Departments.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:26:49 answering member 4067 label Biography information for Steve Brine
tabling member	4122 label Biography information for Alex Cunningham

1015545

registered interest
date	27/11/2018
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	Department of Health and Social Care: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant the Answer of 20 February 2018 to Question 127567, if he will publish (a) the healthy offerings available to staff on his departmental estate and (b) guidelines that are offered to NHS hospitals in relation to low sugar content in vending machines.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	196184
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>A fresh chopped fruit option is served as part of the breakfast menu on the Departmental estate. The Department offers a healthy meal option in locations hot food is served. The Department also offers a healthy sandwich meal deal, a salad bar and whole fruit snacks every day in the restaurants and cafes on its estate.</p><p> </p><p>National Health Service hospitals are required to meet the Government Buying Standards for Food and Catering Services through the NHS Standard Contract, and are required to develop and maintain a food and drink strategy which focuses on healthier eating across the whole hospital community, including the contents of vending machines.</p><p> </p><p>The Government Buying Standards for Food and Catering Services are available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/418072/gbs-food-catering-march2015.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/418072/gbs-food-catering-march2015.pdf</a></p><p> </p><p>In 2016 NHS England introduced a financial incentive for hospitals to encourage healthier food options to be available for staff, limiting the proportion, placement and promotion of foods high in fat, salt, sugar and saturates sold on NHS premises, including via vending machines. This scheme was expanded in the 2017/19 Commissioning for Quality and Innovation (CQUIN). Alongside this, in July 2017 NHS England introduced a voluntary Sugar Sweetened Beverage (SSB) reduction scheme limiting sales of SSBs in each vendor on NHS premises to no more than 10% of SSBs, by volume.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:11:19 answering member 4067 label Biography information for Steve Brine
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1015547

registered interest
date	27/11/2018
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	Department of Health and Social Care: Meetings
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant of his Answer to Question 127566 if he will (a) publish the names of the representatives from (i) Mars, (ii) Coca Cola and (iii) the British Soft Drinks Association who met his Department on the specified dates, (b) place notes of those meetings in the Library and (c) publish any correspondence between 2017 and 2018 between these companies and his Department.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	196185
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>Details about the meetings with Mars, Coca Cola and the British Soft Drinks Association, including representatives attending from these organisations, are provided in the following table.</p><p> </p><table><tbody><tr><td><p>Organisation</p></td><td><p>Date</p></td><td><p>Meeting type</p></td><td><p>External Attendees</p></td></tr><tr><td rowspan="6"><p>Mars</p></td><td><p>12 January 2017</p></td><td><p>1:1 meeting with Public Health England (PHE)</p></td><td><p>Communications Manager, Director Global Public Affairs, UK Public Affairs Manager, Scientific Affairs Manager Europe</p></td></tr><tr><td><p>20 January 2017</p></td><td><p>Large PHE stakeholder forum meeting to discuss data in relation to the sugar reduction programme</p></td><td><p>Unknown</p></td></tr><tr><td><p>17 June 2017</p></td><td><p>Large PHE stakeholder forum meeting on drinks covered by PHE’s reformulation programme</p></td><td><p>UK Public Affairs Manager</p></td></tr><tr><td><p>22 September 2017</p></td><td><p>1:1 meeting with PHE</p></td><td><p>UK Public Affairs Manager</p></td></tr><tr><td><p>1 November 2017</p></td><td><p>Large PHE stakeholder forum meeting on drinks covered by PHE’s reformulation programme</p></td><td><p>UK Public Affairs Manager</p></td></tr><tr><td><p>20 December 2017</p></td><td><p>PHE meeting with Mars, Mondelez and Ferrero to discuss Treatwise initiative</p></td><td><p>UK Public Affairs Manager</p></td></tr><tr><td rowspan="2"><p>Coca Cola</p></td><td><p>17 July 2017</p></td><td><p>Large PHE stakeholder forum meeting on drinks covered by PHE’s reformulation programme</p></td><td><p>Senior Regulatory Affairs Manager</p></td></tr><tr><td><p>9 January 2018</p></td><td><p>1:1 meeting with PHE</p></td><td><p>Chief Executive Officer and Director Public Affairs &amp; Communication</p></td></tr><tr><td rowspan="6"><p>British Soft Drinks Association (BSDA)</p></td><td><p>22 March 2017</p></td><td><p>1:1 with Department of Health (DH)</p></td><td><p>Director General</p></td></tr><tr><td><p>17 July 2017</p></td><td><p>Large PHE stakeholder forum meeting on drinks covered by PHE’s reformulation programme</p></td><td><p>Director General and Public Affairs Manager</p></td></tr><tr><td><p>27 July 2017</p></td><td><p>1:1 meeting with PHE</p></td><td><p>Public Affairs Manager</p></td></tr><tr><td><p>7 September 2017</p></td><td><p>1:1 with DH</p></td><td><p>Director General</p></td></tr><tr><td><p>1 November 2017</p></td><td><p>Large PHE stakeholder forum meeting on drinks covered by PHE’s reformulation programme</p></td><td><p>Technical Executive</p></td></tr><tr><td><p>18 January 2018</p></td><td><p>Introductory meeting with new Deputy Director of Obesity, Food and Nutrition Branch in DH</p></td><td><p>Director General and Public Affairs Manager</p></td></tr></tbody></table><p> </p><p>The Department does not have a central record of notes of these meetings.</p><p> </p><p>The Department does not have a centralised record of all correspondence with these organisations and to obtain it would incur disproportionate cost.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:09:46 answering member 4067 label Biography information for Steve Brine
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1015549

registered interest
date	27/11/2018
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	Kellogg's
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on what date officials of his Department have held meetings with representatives of Kellogs in the last 12 months.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	196186
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>Representatives from Kellogg’s have attended two large stakeholder events organised by Public Health England; one on 3 November 2017 to discuss data to be included in the first sugar progress report, and one on 5 March 2018 to launch the calorie reduction programme and publication of ‘Calorie reduction: The scope and ambition for action’.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:13:54 answering member 4067 label Biography information for Steve Brine
tabling member	1463 label Biography information for Lord Watson of Wyre Forest