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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

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

1019909

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	Allergies: Medical Equipment
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 10 September 2018 to Question 170794 on Allergies: Medical Treatments, what steps have been taken to increase the supply of Epipens to the NHS.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	198805
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available with further deliveries expected in the coming weeks. All patients who require an adrenaline auto-injector should now be able to obtain a device. The Department is continuing to work very closely with all the manufacturers of adrenaline auto-injectors and the supply situation is rapidly improving. We have been working very closely with the Medicines and Healthcare products Regulatory Agency and NHS England over the past few months to manage this supply issue and we have issued clear guidance to patients, and their parents or caregivers, to explain the issue and what they should do, if they are having difficulties in accessing a new auto-injector device.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:31:50 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1019946

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	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, how many people have faced charges as a result of claiming for free prescriptions to which they were not entitled; and how much money has been accrued to the public purse as a result of those charges.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	198829
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Information provided by the NHS Business Services Authority (BSA) on the number of penalty charge notices (PCNs) issued in England and the value recovered, in each calendar year since 2014 is provided in the following table:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total PCNs issued</p></td><td><p>Value recovered (£)</p></td></tr><tr><td><p>2014</p></td><td><p>35,812</p></td><td><p>525,666.43</p></td></tr><tr><td><p>2015</p></td><td><p>408,477</p></td><td><p>7,311,485.00</p></td></tr><tr><td><p>2016</p></td><td><p>864,360</p></td><td><p>13,832,273.25</p></td></tr><tr><td><p>2017</p></td><td><p>1,052,419</p></td><td><p>18,239,279.25</p></td></tr><tr><td><p>2018</p></td><td><p>1,285,488</p></td><td><p>20,787,780.69</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>NHS BSA assumed responsibility for the Prescription Exemption Checking Service in September 2014, so no data is held prior to this.</li><li>The 2018 data range is from 1 January to 30 November 2018.</li><li>Cleansing of PCN data is responsible for minor variation from previously published figures.</li><li>Value recovered data can change over time.</li></ol> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:38:04 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1020099

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	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 there are plans to enable clinical commissioning groups to limit the number of people with diabetes whom they prescribe to.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	198934
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Clinical commissioning groups (CCGs) have a statutory responsibility to provide services that meet the needs of local populations. If there is evidence of CCGs limiting prescriptions, and therefore rationing care, the Department expects NHS England to ensure the CCG is not breaching this statutory duty.</p><p> </p><p>Treatment and prescribing decisions should always be made by clinicians based on patients’ clinical needs. It is a matter for NHS England, working in partnership with NHS Clinical Commissioners, to support CCGs to use their prescribing resources effectively and deliver best patient outcomes from the medicines that their local population uses.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:32:59 answering member 4067 label Biography information for Steve Brine
tabling member	4125 label Biography information for Catherine McKinnell