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1055805

registered interest
date	06/02/2019
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	Dental Services: 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 steps his Department is taking to ensure that people are not issued with a penalty charge for ticking the wrong box on the claim form when claiming for free dental care.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	217585
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and have been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217586 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101141 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1055036

registered interest
date	05/02/2019
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	General Practitioners: 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, how many rural GP practices were closed by the NHS in 2017.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	216952
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not held centrally on the average cost per year of running a rural general practitioner (GP) practice.</p><p> </p><p>NHS England contracts for the provision of general practice services in England with GP contractors who are responsible for running their practices and meeting the costs of doing so.</p><p> </p><p>The latest ‘NHS Payments to general practice – England’ report published in December 2018, covering the 2017/18 financial year, provides information on National Health Service payments to individual providers of general practice services in England. The report is available from the NHS Digital website at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2017-18" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2017-18</a></p><p> </p><p>In 2017/18, there were 1,193 practices with a ‘rural’ indicator and these received total payments of £1,738,904,818, an average payment of £1,457,590 per rural practice.</p><p> </p><p>NHS England has not conducted an analysis of information held on practice closures to distinguish between urban and rural practice closures.</p><p> </p><p>NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP contract framework from 2019/20 which marks some of the biggest general practice contract changes in over a decade and will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services. The contract increases investment and more certainty around funding and looks to reduce pressure and stabilise general practice. It will ensure general practice plays a leading role in every Primary Care Network which will include bigger teams of health professionals working together in local communities. It will mean much closer working between networks and their Integrated Care System. This builds on the General Practice Forward View commitments which included dedicated £40 million support programme for struggling practices to help them become more resilient – with over 3,000 packages of support delivered in 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 216953 216954 question first answered 13/02/2019 16:21:30 answering member 4067 label Biography information for Steve Brine
tabling member	474 label Biography information for Mr Nigel Evans

1055037

registered interest
date	05/02/2019
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	General Practitioners: 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, whether he has plans to limit the number of rural GP practices that close each year.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	216953
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not held centrally on the average cost per year of running a rural general practitioner (GP) practice.</p><p> </p><p>NHS England contracts for the provision of general practice services in England with GP contractors who are responsible for running their practices and meeting the costs of doing so.</p><p> </p><p>The latest ‘NHS Payments to general practice – England’ report published in December 2018, covering the 2017/18 financial year, provides information on National Health Service payments to individual providers of general practice services in England. The report is available from the NHS Digital website at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2017-18" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2017-18</a></p><p> </p><p>In 2017/18, there were 1,193 practices with a ‘rural’ indicator and these received total payments of £1,738,904,818, an average payment of £1,457,590 per rural practice.</p><p> </p><p>NHS England has not conducted an analysis of information held on practice closures to distinguish between urban and rural practice closures.</p><p> </p><p>NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP contract framework from 2019/20 which marks some of the biggest general practice contract changes in over a decade and will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services. The contract increases investment and more certainty around funding and looks to reduce pressure and stabilise general practice. It will ensure general practice plays a leading role in every Primary Care Network which will include bigger teams of health professionals working together in local communities. It will mean much closer working between networks and their Integrated Care System. This builds on the General Practice Forward View commitments which included dedicated £40 million support programme for struggling practices to help them become more resilient – with over 3,000 packages of support delivered in 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 216952 216954 question first answered 13/02/2019 16:21:30 answering member 4067 label Biography information for Steve Brine
tabling member	474 label Biography information for Mr Nigel Evans

1055038

registered interest
date	05/02/2019
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	General Practitioners: 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 the average cost per year of running a rural GP practice is.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	216954
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not held centrally on the average cost per year of running a rural general practitioner (GP) practice.</p><p> </p><p>NHS England contracts for the provision of general practice services in England with GP contractors who are responsible for running their practices and meeting the costs of doing so.</p><p> </p><p>The latest ‘NHS Payments to general practice – England’ report published in December 2018, covering the 2017/18 financial year, provides information on National Health Service payments to individual providers of general practice services in England. The report is available from the NHS Digital website at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2017-18" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2017-18</a></p><p> </p><p>In 2017/18, there were 1,193 practices with a ‘rural’ indicator and these received total payments of £1,738,904,818, an average payment of £1,457,590 per rural practice.</p><p> </p><p>NHS England has not conducted an analysis of information held on practice closures to distinguish between urban and rural practice closures.</p><p> </p><p>NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP contract framework from 2019/20 which marks some of the biggest general practice contract changes in over a decade and will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services. The contract increases investment and more certainty around funding and looks to reduce pressure and stabilise general practice. It will ensure general practice plays a leading role in every Primary Care Network which will include bigger teams of health professionals working together in local communities. It will mean much closer working between networks and their Integrated Care System. This builds on the General Practice Forward View commitments which included dedicated £40 million support programme for struggling practices to help them become more resilient – with over 3,000 packages of support delivered in 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 216952 216953 question first answered 13/02/2019 16:21:30 answering member 4067 label Biography information for Steve Brine
tabling member	474 label Biography information for Mr Nigel Evans

1055051

registered interest
date	05/02/2019
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	Asthma: Greater London
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) adults and (b) children attended (i) Lewisham Hospital A&E and (ii) Kings College Hospital A&E as a result of asthma in each year since 2010; and what steps his Department is taking to reduce the number of A&E admissions for asthma.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	217028
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not available in the format requested. A count of attendances to accident and emergency with a primary diagnosis of respiratory conditions, for those aged under 18 and over 18, at Lewisham and Greenwich NHS Trust and King’s College Hospital NHS Foundation Trust, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>Data is not available in the format requested. A count of finished admission episodes (FAEs) with a primary diagnosis of asthma for the age groups 0-17 years and 18 years and over, in Lewisham local authority of residence, London government office region of residence and England, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>The data in both tables should not be described as a count of people as the same person may have been admitted to hospital on one or more occasion.</p> answering member constituency Winchester answering member printed Steve Brine attachment 1 file name PQ217028 data.xlsx title PQ217028 attached table 2 file name PQ217029 - data table.xlsx title PQ217029 attached table grouped question UIN 217029 question first answered 13/02/2019 16:36:12 answering member 4067 label Biography information for Steve Brine
tabling member	4491 label Biography information for Vicky Foxcroft

1055052

registered interest
date	05/02/2019
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	Asthma
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) adults and (b) children were admitted to hospital as a result of asthma in (i) Lewisham borough, (ii) London and (iii) England in each year since 2010.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	217029
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not available in the format requested. A count of attendances to accident and emergency with a primary diagnosis of respiratory conditions, for those aged under 18 and over 18, at Lewisham and Greenwich NHS Trust and King’s College Hospital NHS Foundation Trust, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>Data is not available in the format requested. A count of finished admission episodes (FAEs) with a primary diagnosis of asthma for the age groups 0-17 years and 18 years and over, in Lewisham local authority of residence, London government office region of residence and England, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>The data in both tables should not be described as a count of people as the same person may have been admitted to hospital on one or more occasion.</p> answering member constituency Winchester answering member printed Steve Brine attachment 1 file name PQ217028 data.xlsx title PQ217028 attached table 2 file name PQ217029 - data table.xlsx title PQ217029 attached table grouped question UIN 217028 question first answered 13/02/2019 16:36:12 answering member 4067 label Biography information for Steve Brine
tabling member	4491 label Biography information for Vicky Foxcroft

1055054

registered interest
date	05/02/2019
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	Asthma: 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, how many asthma inhalers have been issued in (a) Lewisham borough, (b) London and (c) England to (i) children and (ii) adults in each of the last 10 years.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	217030
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The NHS Business Services Authority does not hold a complete data set for patient level data as age data is not held for all patients. As the medical condition is not available on or captured from the prescription form we are unable to identify the reason for why an inhaler is prescribed. Our organisational hierarchy does not include boroughs and so we cannot group data at this level.</p><p> </p><p>A total figure for all medication used to treat respiratory conditions has been provided. The data does not distinguish between conditions such as asthma and chronic obstructive pulmonary disease and also may contain non-inhaler medication. Regional data is only available from January 2014.</p><p> </p><p>The following table shows the number of prescription items used to treat respiratory conditions by calendar year.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>England Items</p></td><td><p>London Area Items</p></td><td><p>Lewisham Clinical Commission Group Items</p></td></tr><tr><td><p>2014</p></td><td><p>52,263,507</p></td><td><p>5,398,929</p></td><td><p>192,551</p></td></tr><tr><td><p>2015</p></td><td><p>53,111,230</p></td><td><p>5,409,083</p></td><td><p>192,893</p></td></tr><tr><td><p>2016</p></td><td><p>54,035,419</p></td><td><p>5,500,890</p></td><td><p>196,294</p></td></tr><tr><td><p>2017</p></td><td><p>53,991,507</p></td><td><p>5,478,939</p></td><td><p>196,831</p></td></tr><tr><td><p>2018 (not including December)</p></td><td><p>49,029,913</p></td><td><p>4,912,130</p></td><td><p>176,739</p></td></tr></tbody></table><p> </p><p> </p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/02/2019 16:37:23 answering member 4067 label Biography information for Steve Brine
tabling member	4491 label Biography information for Vicky Foxcroft

1055088

registered interest
date	05/02/2019
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	Myopia: 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 estimate he has made of the number of teenagers with myopia compared with previous generations; and what assessment he has made of the causes of myopia in teenagers.
tabling member constituency	Swansea West
tabling member printed	Geraint Davies
uin	216899
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The Department has made no assessment of the numbers of teenagers with myopia compared with previous generations. The precise causes of myopia are not known but it is thought to be the result of a combination of genetic and environmental factors that disrupt the development of the eye.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 12:43:23 answering member 4067 label Biography information for Steve Brine
tabling member	155 label Biography information for Geraint Davies

1055124

registered interest
date	05/02/2019
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	HIV Infection
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 press release entitled Health Secretary announces goal to end HIV transmissions by 2030, published in January 2019, who the members of the expert group will be; when that group will commence work; whether that group is planned to in place until 2030; and whether minutes of that group's meetings will be publicly available.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	216932
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>We are still developing plans for the expert group being established to support work on ending HIV transmissions by 2030. Further information will be available shortly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:30:45 answering member 4067 label Biography information for Steve Brine
tabling member	230 label Biography information for Mr Ben Bradshaw

1055212

registered interest
date	05/02/2019
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	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 (a) complied and (b) not complied with the order to install CCTV; and what steps the Food Standards Agency has taken against those who have failed to comply with that order.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	216935
answer	answer is ministerial correction date of answer 08/02/2019 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 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 1 February 2019:</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>228</p></td></tr><tr><td><p>Not yet fully compliant</p></td><td><p>7 (includes 3 not currently operating)</p></td></tr><tr><td><p>Total slaughterhouses</p></td><td><p>235</p></td></tr></tbody></table><p> </p><p>Of the seven not yet fully compliant, three are not currently operating due to seasonal operating patterns so compliance status of these slaughterhouses cannot be verified. The remaining four are operating within the deadline specified for their compliance in enforcement documents.</p><p> </p><p>98% of currently operating slaughterhouses in England have fully compliant CCTV in place.</p><p> </p><p>Since 5 November 2018 the FSA has taken 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 included verbal and written advice as well as formal Enforcement Notices with compliance deadlines.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 12:41:48 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew