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1060965

registered interest
date	14/02/2019
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: Counselling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans the Government has to ensure that people with cancer are able to access psychological and emotional support.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	909320
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>By 2021, every person diagnosed with cancer will have access, where appropriate, to personalised care, including a needs assessment, a care plan and health and wellbeing information and support. The needs assessment guides a conversation about the person’s holistic needs (physical, psychosocial, financial and social) in order to identify any concerns, including psychological and emotional.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:25:31 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith

1061052

registered interest
date	14/02/2019
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	Air Pollution: Children
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 effect of toxic air on children’s health; and will he make a statement.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	221602
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Poor air quality is the largest environmental risk to public health in the United Kingdom. Long-term exposure to air pollution can cause chronic conditions such as cardiovascular, respiratory diseases and cancer, leading to reduced life expectancy.</p><p>Air pollution has a particular impact on children as they grow. There is evidence that the process of normal lung function growth in children is suppressed by long-term exposure to air pollution.</p><p>Research projects studying the effects of air pollution on children’s health include the EXHALE Programme; a London study on air pollution and children’s lung health. The Committee on the Medical Effects of Air Pollutants has started work to consider the evidence for the effects of air pollution on adverse birth outcomes. The Royal College of Paediatrics and Child Health is working on a report on ‘Indoor Air Quality on Children and Young People’s Health across the Life Course’.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 14:22:45 answering member 4067 label Biography information for Steve Brine
tabling member	3932 label Biography information for Dr Dan Poulter

1061083

registered interest
date	14/02/2019
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, what recent assessment he has made of the adequacy of the availability of EpiPens.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	221567
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet historic United Kingdom requirements. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve going forward, with further deliveries expected over the coming weeks. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 08:20:28 answering member 4067 label Biography information for Steve Brine
tabling member	318 label Biography information for John Spellar

1061086

registered interest
date	14/02/2019
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	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what process NICE will use to scope for the review of the NICE appraisal methodology; and whether the issue of combination treatments will be considered within scope.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	221614
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is in the process of planning how to conduct its scoping of the review of the methods for technology appraisal and highly specialised technologies evaluations. Scoping will involve industry and other relevant stakeholders, including patient organisations. Additional detail and more information will be made available on the NICE website in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:24:51 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb

1061112

registered interest
date	14/02/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the forthcoming workforce implementation plan will include an assessment of the merits of the findings of the Health Education England consultation on the long-term needs of the cancer workforce.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	221801
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017. HEE intended to publish a second phase, longer-term strategy that looked at the cancer workforce needs beyond 2021. This work was started and stakeholders from within the National Health Service and the charitable sector contributed to the early discussions. This work has since been superseded by publication of the NHS Long Term Plan in January 2019.</p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has subsequently commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 14:27:47 answering member 4067 label Biography information for Steve Brine
tabling member	4511 label Biography information for Dr Rupa Huq

1061152

registered interest
date	14/02/2019
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	Carbon Monoxide: Alarms
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 provide free carbon monoxide monitors to people in their first pregnancy to help protect pregnant people and their children.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	221631
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>The Department currently has no plans to provide free carbon monoxide monitors to people in their first pregnancy.</p><p>Exposure to carbon monoxide presents a risk to pregnant women and can be caused by smoking during pregnancy or other environmental factors. The Saving Babies Lives Care Bundle includes an element for reducing smoking in pregnancy by following National Institute for Health and Care Excellence guidance. This will be achieved by offering carbon monoxide testing for all women at the antenatal booking appointment and as appropriate throughout pregnancy, to identify smokers, or those exposed to tobacco smoke, and offer them a referral for support from a trained stop smoking advisor. The NHS Long Term Plan and 2019/20 Planning Guidance sets out that the care bundle will be rolled out across every maternity unit in England in 2019.</p><p>For all pregnant women, carbon monoxide testing may also highlight a household problem and the need to take measures to prevent further exposure.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 14:25:17 answering member 4067 label Biography information for Steve Brine
tabling member	411 label Biography information for Mr Barry Sheerman

1061218

registered interest
date	14/02/2019
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	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how he plans to assess the performance of the scheme to design and test a new economic model for antibiotics as set out in the Government’s new Antimicrobial Resistance Strategy, published on 24 January 2019.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	221726
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>The aim of the project is to demonstrate the feasibility of innovative models that pay companies for antimicrobials based primarily on a health technology assessment of their value to the National Health Service as opposed to the volumes sold.</p><p>It is likely that assessment of its performance will include agreement to a health technology assessment valuation framework, completed value assessments of two antimicrobial products and negotiation of a payment framework.</p><p>The project will be led by the National Institute for Health and Care Excellence and NHS England and we anticipate that it will launch within the next six months once they have established a central project team. From that point we expect that it will be 18 to 24 months before payments can be made and we can begin to monitor the products and their impact in use to inform the evaluation of the project.</p><p>The test will be evaluated thoroughly before considering wider change to purchasing policy to ensure that the NHS gets best value from its drug budget.</p><p>In addition, the United Kingdom Government will consider the project successful if it stimulates other countries to test models in their own domestic markets and together, sufficient incentives are in place to stimulate companies to increase investment in antimicrobial development.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 221728 question first answered 22/02/2019 08:18:15 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

1061220

registered interest
date	14/02/2019
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	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the timescale is for the scheme to design and test a new economic model for antibiotics as set out in the Government’s new Antimicrobial Resistance Strategy, published on 24 January 2019.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	221728
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>The aim of the project is to demonstrate the feasibility of innovative models that pay companies for antimicrobials based primarily on a health technology assessment of their value to the National Health Service as opposed to the volumes sold.</p><p>It is likely that assessment of its performance will include agreement to a health technology assessment valuation framework, completed value assessments of two antimicrobial products and negotiation of a payment framework.</p><p>The project will be led by the National Institute for Health and Care Excellence and NHS England and we anticipate that it will launch within the next six months once they have established a central project team. From that point we expect that it will be 18 to 24 months before payments can be made and we can begin to monitor the products and their impact in use to inform the evaluation of the project.</p><p>The test will be evaluated thoroughly before considering wider change to purchasing policy to ensure that the NHS gets best value from its drug budget.</p><p>In addition, the United Kingdom Government will consider the project successful if it stimulates other countries to test models in their own domestic markets and together, sufficient incentives are in place to stimulate companies to increase investment in antimicrobial development.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 221726 question first answered 22/02/2019 08:18:15 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

1061221

registered interest
date	14/02/2019
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	Antibiotics
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 his Department is taking to encourage the NHS to preferentially purchase antibiotics manufactured in environmentally sustainable ways, as set out in the new Antimicrobial Resistance Strategy, published on 24 January 2019.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	221729
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>‘Tackling antimicrobial resistance 2019–2024: The UK’s five-year national action plan’ sets out a commitment to minimise antimicrobial contamination. The United Kingdom will work with other countries to ensure responsible antimicrobial procurement from manufacturers with transparent world class environmental stewardship in their supply chains.</p><p>Following the publication of the national action plan, NHS England’s Commercial Medicines Unit is considering the ways in which future framework agreements could be modified to address relevant aspects, including environmental sustainability.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 08:12:03 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

1061224

registered interest
date	14/02/2019
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	Vaccination
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 plans to review its targets for coverage and uptake of vaccines that help prevent antimicrobial resistance as a result of the Government’s new Antimicrobial Resistance Strategy, published on 24 January 2019.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	221732
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Vaccines are an important tool for the prevention of infection, as highlighted in the United Kingdom Government’s 20-year vision on antimicrobial resistance, which is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/uk-20-year-vision-for-antimicrobial-resistance" target="_blank">https://www.gov.uk/government/publications/uk-20-year-vision-for-antimicrobial-resistance</a></p><p>Uptake and assessment of coverage of new vaccines to help prevent antimicrobial resistance will be dependent on how successful research programmes for the development of new products in this area progress. This remains under constant review.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 11:47:32 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner