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818982

registered interest
date	09/01/2018
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	Alcoholic Drinks: Labelling
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 his Department has made of the likely effects of introducing warnings on alcoholic products at the point of sale on a link between alcohol and cancer and other health matters.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	121659
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Public Health England’s evidence review on the public health burden of alcohol found that alcohol health warning labels on alcoholic products can raise awareness of the messages they contain. However, the evidence review did not identify any studies which considered the specific impact of warnings at the point of sale on the link between alcohol and cancer and other health harms. The review is available at the following link:</p><p><a href="http://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review" target="_blank">www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:28:32 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

819008

registered interest
date	09/01/2018
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	Headaches
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of people who have been diagnosed with or received treatment for cluster headaches in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121685
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>This information is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:45:46 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819013

registered interest
date	09/01/2018
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	Tamoxifen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what advice the NHS provides on the use of Tamoxifen for menopausal women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121690
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for providing guidance on the prevention and treatment of ill health and the promotion of good health and social care for the National Health Service. NICE has provided recommendations on the use of tamoxifen in its clinical guideline on ‘Early and locally advanced breast cancer: diagnosis and treatment’ which is currently being updated. The guideline can be found at:</p><p><a href="https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy" target="_blank">https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy</a></p><p>The Breast Cancer Clinical Expert Group also issued guidance to Cancer Alliances for Provision of Breast Cancer Services, in August 2017. This guidance includes best practice for the provision of tamoxifen, and can be found at:</p><p><a href="http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf" target="_blank">http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:59:26 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819014

registered interest
date	09/01/2018
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	Depressive Illnesses
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 were diagnosed with bipolar disorder in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121691
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The information requested is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:56:22 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819021

registered interest
date	09/01/2018
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: 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 priority has been accorded to the provision of diabetic pumps for children; and what discussions his Department has had with each of the devolved administrations on that provision.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121698
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population and are based on the available evidence and take into account national guidelines.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is responsible for producing guidelines for best practice of treatment and care. Treatments such as Continuous Subcutaneous Insulin Infusion (CSII) or ‘insulin pump' therapy may be brought into routine use in the National Health Service after their efficacy, safety, and cost-effectiveness have been appropriately demonstrated.</p><p> </p><p>Health is a devolved matter under the devolution settlements and thus it would be a matter for the devolved administrations to determine their use of diabetic pumps. Devolved administrations would be aware of guidance published by NICE on the use of CSII for children, and are able to follow these if they choose to do so.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 15:03:53 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819054

registered interest
date	09/01/2018
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	Radiotherapy: Rural Areas
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 accessibility of radiotherapy in rural areas as a result of NHS England's plan to modernise radiotherapy services.
tabling member constituency	North Cornwall
tabling member printed	Scott Mann
uin	121731
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>NHS England is currently engaged in a public consultation to establish 11 radiotherapy networks across England. The aim of their proposals is to encourage radiotherapy providers to work together in networks and across organisational boundaries to concentrate expertise and improve pathways for patients requiring radical radiotherapy for the less common and rarer cancers. This will help to increase access to more innovative radiotherapy treatments, increase clinical trial recruitment and optimise utilisation of radiotherapy equipment, securing greater value for money. Once established, radiotherapy networks will be required to review service provision on a regular basis, explore the differential access rates across the geography and take account of specific issues relating to rural communities. They will also be required to consider how to address any shortcomings, including; outreach out-patient oncology clinics, preferential access to clinic appointments and treatments to allow for limited public transport, reviewing opportunities for better hospital transport and the use of telephone consultations when appropriate.</p><p> </p><p>The consultation period has been extended until 24 January 2018 and views can be fed into the online survey:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation/" target="_blank">https://www.engage.england.nhs.uk/consultation/radiotherapy-service-specification-consultation/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:44:56 answering member 4067 label Biography information for Steve Brine
tabling member	4496 label Biography information for Scott Mann

819082

registered interest
date	09/01/2018
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	Health Services: Lancashire
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) general consultant-led outpatient clinics dealing with suspected cancer and Crohn’s disease and (b) nurse-led speciality colorectal clinics are held each week by (i) Lancashire Teaching Hospitals NHS Foundation Trust, (ii) University Hospitals of Morecambe Bay NHS Foundation Trust, (iii) Blackpool Teaching Hospitals NHS Foundation Trust and (iv) East Lancashire Hospitals NHS Trust.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	121759
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:52:02 answering member 4067 label Biography information for Steve Brine
tabling member	473 label Biography information for Sir Mark Hendrick

819110

registered interest
date	09/01/2018
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	Energy Drinks: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health what assessment he makes of the health effects of energy drink products on children aged 16 and under.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	121787
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Energy drinks can be high in caffeine and sugar. Based on the current evidence on the safety of caffeine, the Food Standard Agency advises that children, or other people sensitive to caffeine, should consume caffeine only in moderation.</p><p> </p><p>In its review of the evidence on “Carbohydrates and Health” (2015), the Scientific Advisory Committee on Nutrition (SACN) concluded that the consumption of sugar-sweetened beverages, as compared with non-calorically sweetened beverages, results in greater weight gain and increases in body mass index. Consuming too many sugary drinks can also cause tooth decay. In light of these findings, SACN recommended that the consumption of sugar-sweetened beverages (for example, sugary fizzy drinks, soft drinks and squash) should be minimised by both children and adults.</p><p> </p><p>Key measures in our world-leading childhood obesity plan, launched in August 2016, include the soft drinks industry levy and sugar reduction and wider reformulation programme, which will encourage the food and drink industry to reduce the amount of sugar in products popular with children, including energy drinks.</p><p> </p><p>The Government will continue to monitor the situation and any new emerging scientific evidence on the consumption of energy drinks.</p><p> </p><p>“Carbohydrates and Health” is available at:</p><p> </p><p><a href="http://www.gov.uk/government/publications/sacn-carbohydrates-and-health-report" target="_blank">www.gov.uk/government/publications/sacn-carbohydrates-and-health-report</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 121788 question first answered 15/01/2018 11:56:59 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

819111

registered interest
date	09/01/2018
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	Energy Drinks: 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 plans the Government has to restrict the sale of energy drink products to children under 16.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	121788
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Energy drinks can be high in caffeine and sugar. Based on the current evidence on the safety of caffeine, the Food Standard Agency advises that children, or other people sensitive to caffeine, should consume caffeine only in moderation.</p><p> </p><p>In its review of the evidence on “Carbohydrates and Health” (2015), the Scientific Advisory Committee on Nutrition (SACN) concluded that the consumption of sugar-sweetened beverages, as compared with non-calorically sweetened beverages, results in greater weight gain and increases in body mass index. Consuming too many sugary drinks can also cause tooth decay. In light of these findings, SACN recommended that the consumption of sugar-sweetened beverages (for example, sugary fizzy drinks, soft drinks and squash) should be minimised by both children and adults.</p><p> </p><p>Key measures in our world-leading childhood obesity plan, launched in August 2016, include the soft drinks industry levy and sugar reduction and wider reformulation programme, which will encourage the food and drink industry to reduce the amount of sugar in products popular with children, including energy drinks.</p><p> </p><p>The Government will continue to monitor the situation and any new emerging scientific evidence on the consumption of energy drinks.</p><p> </p><p>“Carbohydrates and Health” is available at:</p><p> </p><p><a href="http://www.gov.uk/government/publications/sacn-carbohydrates-and-health-report" target="_blank">www.gov.uk/government/publications/sacn-carbohydrates-and-health-report</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 121787 question first answered 15/01/2018 11:56:59 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

819159

registered interest
date	09/01/2018
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	Influenza: Vaccination
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 take-up of the new enhanced influenza vaccine for the over-65s by (i) GPs and (ii) pharmacies in the 2017-18 and 2018-19 influenza seasons.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	121836
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>The adjuvanted trivalent influenza vaccine was not available for use in 2017/18.</p><p> </p><p>General practitioners (GPs) and pharmacies are responsible for ordering and purchasing flu vaccines for the adult seasonal flu programme (eligible individuals aged 18 years and over) directly from manufacturers.</p><p> </p><p>Information on what vaccines are being ordered by these independent contractors is not routinely collected. Information on vaccines used by pharmacies and GPs will be available after the end of a flu season when practice/pharmacies claim reimbursement for the cost of the vaccines they have used.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:50:12 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron