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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

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

1019776

registered interest
date	04/12/2018
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	World Conference on Tobacco or Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what initiatives the NHS has undertaken as a result of the March 2018 World Conference on Tobacco or Health.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	198743
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>We are not aware of any local initiatives launched in the National Health Service as a direct result of the 2018 World Conference on Tobacco or Health. As with previous World Conferences, the United Kingdom Government attended the 2018 World Conference to share our experiences as a world leader on tobacco control, and to inform our thinking on future policy development. NHS England has a number of commitments to tackle smoking, as set out in the 2017 Tobacco Control Plan and associated Delivery Plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:26:54 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1019322

registered interest
date	03/12/2018
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, with reference to the NHS Digital's publication, Cervical screening programme England 2017-18, published on 27 November 2018, what assessment he has made of the reasons for the change in the number of eligible women taking up such screening in the last 21 years.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	198377
answer	answer is ministerial correction date of answer 06/12/2018 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 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 question first answered 06/12/2018 14:22:41 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1019372

registered interest
date	03/12/2018
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	Smoking
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 still plans to reduce adult smoking prevalence to 12 per cent by 2022.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	198201
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>The Government remains firmly committed to achieving the ambitions set out in the Tobacco Control Plan for England 2017-2022, including the ambition to reduce the adult smoking prevalence from 15.5% to 12% by 2022.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/12/2018 14:23:31 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1019441

registered interest
date	03/12/2018
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, if he will make it his policy to include sickle cell anaemia on the list of conditions for which medical exemption certificates for NHS prescriptions can be obtained.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	198332
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>The Department has no current plans to do so. Extensive arrangements are in place to ensure that people can access affordable prescriptions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 12:54:12 answering member 4067 label Biography information for Steve Brine
tabling member	4698 label Biography information for Janet Daby

1017445

registered interest
date	30/11/2018
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	Zoledronic Acid
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps to ensure that there is equality geographically in the availability of Zoledronic acid for breast cancer treatment.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	197655
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Decisions on the routine availability of medicines, such as Zoledronic acid, are made locally by clinical commissioning groups (CCGs). CCGs make funding decisions based on the needs of their population. Commissioning is about getting the best possible health outcomes for the local population and this involves assessing local needs to inform priorities and strategies.</p><p> </p><p>Under their terms of service, clinicians are allowed to prescribe any product which they consider to be a medicine necessary for the treatment of their patients under the National Health Service, subject to two provisos: firstly, that the product is not included in Schedules 1 or 2 to the NHS (General Medical Services Contracts)(Prescription of Drugs etc.) Regulations 2004 and secondly, that the clinician is prepared to justify any challenges to their prescribing by their local CCG.</p><p> </p><p>Decisions on whether to routinely fund medicines should be taken in the context of the CCGs available resources to ensure that care is fairly allocated to all patients and, where appropriate, measured against the CCGs other service development priorities.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:47:52 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

1017449

registered interest
date	30/11/2018
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, whether his Department has plans for blood glucose testing strips and needles to remain available by prescription.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	197624
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>This is a matter for NHS England, working in partnership with NHS Clinical Commissioners to support clinical commissioning groups to use their prescribing resources effectively in the interests of their local population.</p><p> </p><p>NHS England has launched a public consultation on proposals to update and review commissioning guidance on eight products, which includes blood glucose testing strips for type 2 diabetes and needles for pre-filled and re-useable insulin pens. The consultation runs from 28 November 2018 until 28 February 2019. Details of how to respond and attend the public consultation events can be found at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/" target="_blank">https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:40:09 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1017458

registered interest
date	30/11/2018
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 and Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he last met the National Clinical Directors for Obesity and Diabetes for NHS England.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	197588
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care, has not had any meetings with the National Clinical Director for Obesity and Diabetes for NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 12:55:07 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

1017491

registered interest
date	30/11/2018
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	Pancreatic Cancer
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 he has made of the potential merits of the introduction of a target for patients with pancreatic cancer to receive treatment within 20 days of diagnosis.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	197646
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Prime Minister announced the Government’s ambitions to see 55,000 more people surviving cancer for five years in England each year from 2028 and three quarters of all cancers detected at an early stage by 2028. To achieve these targets, we will need to make significant progress on survival across all cancers, including pancreatic cancer. NHS England will shortly be introducing a Faster Diagnostic Standard of 28 days for all cancer patients which, when taken together with the 62-day referral to treatment standard, will mean that all patients should expect to start their treatment within 34 days of diagnosis. This is a maximum, and trusts should continue to treat patients more quickly particularly where there is a strong clinical need.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:46:57 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran