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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

1055806

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, with reference to the press release entitled, Dentists welcome official investigation into fines hitting vulnerable NHS patients, published on 30 January 2019 by the British Dental Association; whether he has plans to simplify the process for claiming free dental care to reduce the number of fines issued for ticking the wrong box on dental forms.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	217586
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 217585 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101142 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

1055934

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	Syphilis
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 oral evidence of Dr Olwen Williams, the President of the British Association for Sexual Health and HIV, to the Health and Social Care Committee on Sexual Health on 5 February 2019, what steps his Department is taking to tackle the increase in the number of cases of syphilis diagnoses recorded in 2018.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217568
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Public Health England (PHE) routinely collects data on syphilis diagnoses made at sexual health clinics. Data for 2018 will be published in summer 2019. PHE is developing a Syphilis Action Plan, with recommendations for PHE and partner organisations, to address the continued increase in syphilis diagnoses in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:35:41 answering member 4067 label Biography information for Steve Brine previous answer version 101138 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1055936

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	Syphilis: Neonatal Mortality
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 oral evidence of Dr Olwen Williams, the President of the British Association for Sexual Health and HIV, to the Health and Social Care Committee on Sexual Health on 5 February 2019, what steps his Department plans to take to tackle the matter of neonatal deaths as a result of syphilis.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217570
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>No neonatal deaths due to syphilis have been reported to Public Health England (PHE) from 2010 to 2018 inclusive.</p><p> </p><p>PHE is developing a Syphilis Action Plan which includes a maternity strand with recommendations to strengthen efforts to control congenital syphilis (babies infected by syphilis while still in the womb) through improved detection, surveillance and clinical management.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:34:08 answering member 4067 label Biography information for Steve Brine previous answer version 101139 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1055963

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	Breast 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, pursuant to the Answer of 7 January to Question 203875, when NHS England plans to make a decision on which tumour profiling tests will be available to guide adjuvant chemotherapy decisions in early breast cancer.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	217578
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>The tumour profiling tests that are available to guide adjuvant chemotherapy decisions in early breast cancer will be included in the forthcoming updated National Genomic Test Directory for cancer. The forthcoming test directory will include the updated National Institute for Health and Care Excellence recommendations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 11:38:11 answering member 4067 label Biography information for Steve Brine previous answer version 101140 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

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

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

1055310

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	Pharmacy
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 estimate he has made of the quantity of drugs having to be disposed of by NHS pharmacies; and what reasons are given for the disposal of those drugs.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	216984
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The Department has made no recent estimate of the quantity of drugs having to be disposed by National Health Service pharmacies.</p><p> </p><p>However, research commissioned by the Department to determine the scale, causes and costs of waste medicines in England and published in November 2010, found that the gross cost of unused prescription medicines in primary and community care in the NHS in England in 2009 was £300 million a year and that up to £150 million of this amount was avoidable.</p><p> </p><p>Much of the waste identified was not caused by failures on the part of either patients or professionals, but by factors such as illnesses progressing and treatment changes being required.</p><p> </p><p>It also found that the NHS was managing the problem of medicines wastage more robustly than ever before, wastage of medicines was not a systemic problem in the NHS and was no worse than other comparable countries.</p><p> </p><p>The report is available at the following link:</p><p> </p><p><a href="http://discovery.ucl.ac.uk/1350234/1/Evaluation_of_NHS_Medicines_Waste__web_publication_version.pdf" target="_blank">http://discovery.ucl.ac.uk/1350234/1/Evaluation_of_NHS_Medicines_Waste__web_publication_version.pdf</a></p><p> </p><p>Nevertheless, NHS England is taking further action to promote medicines optimisation, such that patients receive the right medicine, at the right dosage, at the right time, and mitigate medicines wastage. This includes the deployment of clinical pharmacists in general practice and care homes to undertake structured medication reviews.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 14:53:30 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1055311

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	Pharmacy
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 enable NHS pharmacies to redistribute sealed quantities of drugs that would otherwise become surplus and remain unused, for approved medical purposes (a) in the UK or (b) as part of the UK's international development programme.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	216985
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The Department is concerned about wastage from unused medicines and is keen to minimise unnecessary extra costs. However, it does not promote the reuse of returned medicines that have left a pharmacy and returned unused by patients. This is because it is not possible to guarantee the quality of returned medicines on physical inspection alone. When medicines are returned from patients’ homes, there is no way of knowing whether the medicines have been stored or handled appropriately. Some medicines may deteriorate if, for example, left too close to a radiator, in direct sunlight or exposed to the environment.</p><p> </p><p>As far as the United Kingdom’s international development programme is concerned, the World Health Organization’s ‘Guidelines for Medicines Donations’ updated in 2010 should be followed, which state that there should be no double standards in quality. If the quality of an item is unacceptable in the donor country, it is also unacceptable as a donation. The guidelines are available at the following link:</p><p> </p><p><a href="https://apps.who.int/iris/bitstream/handle/10665/44647/9789241501989_eng.pdf;jsessionid=713DED104D92853AAAE51F04C521CAF7?sequence=1" target="_blank">https://apps.who.int/iris/bitstream/handle/10665/44647/9789241501989_eng.pdf;jsessionid=713DED104D92853AAAE51F04C521CAF7?sequence=1</a></p><p> </p><p>Although it wishes to help, the Department would wish to avoid being accused of dumping unwanted or substandard items on poor and developing countries, which it does not use for patients in this country.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 14:54:28 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1055317

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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what support he plans to provide to enable the new radiotherapy operational delivery networks to work collaboratively across multiple centres.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	217112
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>NHS England has now published two new service specifications relating to the provision of radiotherapy services for adults which will take effect from 1 April 2019, as follows:</p><p>- External beam radiotherapy services delivered as part of a radiotherapy network (adults); and</p><p>- Operational delivery networks (ODN) for external beam radiotherapy services (adults).</p><p>The specifications describe a number of requirements including:</p><p>- Each ODN will be hosted by a single radiotherapy provider within the ODN;</p><p>- Each ODN establishes a Network Oversight Group to facilitate the ongoing development of the Network;</p><p>- The Network Oversight Group must be chaired by a provider Chief Executive Officer or Executive Director;</p><p>- The Chair must be from a different provider to that of the ODN host; and</p><p>- The Chair must be able to represent the wider cancer system, to enable consensus to be reached across organisational boundaries on the network plan and oversee the delivery of the work programme.</p><p> </p><p>In addition, NHS England, via the National Cancer Programme of Care, will establish an Implementation Oversight Group to provide support to radiotherapy networks as they form. The group will comprise specialised commissioners, Network Chairs and the ODN hosts together to share learning and drive improvement. It will also provide a conduit for progress reporting and issue escalation through to both the Specialised Commissioning Oversight Group and the National Cancer Board.</p><p> </p><p>NHS England is working with NHS Digital and a small number of National Health Service providers to develop and test approaches to information governance and data sharing implications when using cloud-based technology solutions. They are also exploring options to upgrade radiotherapy planning system software to support information technology connectivity. They intend to disseminate the learning from these early test sites.</p><p> </p><p>NHS England is committed to ensuring the success of the ODNs and therefore intends to provide additional resources over and above the normal funding of radiotherapy services to support their establishment. The resources will be held by the ODN host provider who will be responsible for the programme management function, including the establishment and maintenance of a Network Oversight Group and any clinical subgroups needed to agree and implement change.</p><p> </p><p>NHS England also intends to provide addition investment in each year of the Long Term Plan to support information technology connectivity across Networks including the use of digital solutions. NHS England intends to test a number of approaches to explore the information governance and technical requirements required in the last few months of this year. This will include testing a number of models that we think will be relevant in different geographies across the country (e.g. rural, providers not on same system etc.) Specific funding will be confirmed in due course once NHS England has worked through these issues with three test sites across England.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217113 217130 question first answered 08/02/2019 12:25:37 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris