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1081772

registered interest
date	04/03/2019
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 proportion of NHS England’s £130 million funding for the Linear Accelerator programme was spent in (a) 2016-17 (b) 2017-18 (c) 2018-19; what funding his Department plans to allocate to that programme in (i) 2019-20 and (ii) 2020 - 21; and if he will make a statement.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	228019
answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>Since October 2016, the Radiotherapy Modernisation Programme has funded over 80 replacement or upgraded Linear Accelerators (LINACs) and additional networking capability. The breakdown of spend is as follows:</p><p>- 2016/17 - £35.6 million</p><p>- 2017/18 - £45.8 million</p><p>- 2018/19 - £50.4 million</p><p> </p><p>The LINACs replacement and upgrade budget for 2018/19 was £45 million. The £50.4 million figure above includes a £468,000 ‘overspend’, covered by the cancer transformation fund, plus radiotherapy networking support, also from the cancer transformation fund. This is detailed in the following table:</p><p> </p><table><tbody><tr><td><p>The Christie NHS Foundation Trust</p></td><td><p>£956,000</p></td></tr><tr><td><p>Lancashire Teaching Hospitals NHS Foundation Trust</p></td><td><p>£632,000</p></td></tr><tr><td><p>South Tees Hospitals NHS Foundation Trust</p></td><td><p>£560,000</p></td></tr><tr><td><p>Cambridge University Hospitals NHS Foundation Trust</p></td><td><p>£1,372,000</p></td></tr><tr><td><p>East Suffolk and North Essex NHS Foundation Trust</p></td><td><p>£732,000</p></td></tr><tr><td><p>The Clatterbridge Cancer Centre NHS Foundation Trust</p></td><td><p>£600,000</p></td></tr><tr><td><p>Total</p></td><td><p>£4,852,000</p></td></tr></tbody></table><p> </p><p>Decisions on further funding in future years have not yet been taken and will depend partly on the outcome of the Spending Review later this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:16:59 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1079576

registered interest
date	01/03/2019
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	Skin Cancer: Sunbeds
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 potential correlation between the use of sunbeds for tanning the risk of skin cancer; and if he will make a statement.
tabling member constituency	Rutherglen and Hamilton West
tabling member printed	Ged Killen
uin	227416
answer	answer is ministerial correction date of answer 06/03/2019 answer text <p>Ultraviolet (UV) radiation-emitting tanning devices, including sunbeds, were classified in 2009 as ‘carcinogenic to humans’ by the International Agency for Research on Cancer based on consistent evidence of a positive association between their use and incidence of melanoma.</p><p> </p><p>In 2009, the Committee on Medical Aspects of Radiation in the Environment published advice to United Kingdom Government on the health effects and risks from UV sunbeds and concluded that there is evidence to suggest an increased risk of skin cancer among those who use sunbeds before the age of 35. The Committee's Report is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/comare-13th-report" target="_blank">https://www.gov.uk/government/publications/comare-13th-report</a></p><p> </p><p>The World Health Organization (WHO) report on ‘Artificial tanning devices: public health interventions to manage sunbeds’ states that melanoma risk increases with younger age of first sunbed use and with greater lifetime use of sunbeds. The WHO report can be viewed at the following link:</p><p> </p><p><a href="https://www.who.int/uv/publications/artificial-tanning-devices/en/" target="_blank">https://www.who.int/uv/publications/artificial-tanning-devices/en/</a></p><p> </p><p>A systematic review in the British Medical Journal (BMJ) showed that people who have used a sunbed at least once at any stage in their life have a 20% higher risk of developing melanoma than people who have never used a sunbed, and the first use of sunbeds before the age of 35 increases the risk of developing melanoma by 59%. The BMJ report can be viewed at the following link:</p><p> </p><p><a href="https://www.bmj.com/content/345/bmj.e4757.long" target="_blank">https://www.bmj.com/content/345/bmj.e4757.long</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/03/2019 16:37:32 answering member 4067 label Biography information for Steve Brine
tabling member	4672 label Biography information for Ged Killen

1079577

registered interest
date	01/03/2019
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: Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, the proportion of cancer patients in England received radiotherapy as part of their primary treatment in 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	227381
answer	answer is ministerial correction date of answer 06/03/2019 answer text <p>The information requested is not held in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/03/2019 11:03:16 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1079588

registered interest
date	01/03/2019
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	Tomography: Oxfordshire
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 reasons the contract for PET-CT scanning in Oxfordshire was awarded to InHealth and not Oxford University Hospitals Trust.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	227413
answer	answer is ministerial correction date of answer 06/03/2019 answer text <p>In 2017/18 a formal procurement process was undertaken by NHS England for approximately half of the PET/CT scanning services in England including the service provided to the population of the Thames Valley area. The evaluation criteria included clinical/service quality, patient access and cost. The preferred bidder InHealth submitted a bid which satisfied all the necessary criteria and achieved the highest score.</p><p>Patient access, quality and cost were included in the evaluation criteria. There are discussions currently in progress with both InHealth and Oxford University Hospitals about mobilising the new service. There are also discussions with the hospitals in Milton Keynes and Swindon about the start-up of their new services.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 227414 question first answered 06/03/2019 16:32:09 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

1079589

registered interest
date	01/03/2019
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	Tomography: Inhealthcare
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 potential effect on (a) accessibility, (b) cost and (c) quality of care of moving the PET-CT scanning service from Churchill Hospital in Oxford as a result of the decision to award the contract for scanning to InHealth.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	227414
answer	answer is ministerial correction date of answer 06/03/2019 answer text <p>In 2017/18 a formal procurement process was undertaken by NHS England for approximately half of the PET/CT scanning services in England including the service provided to the population of the Thames Valley area. The evaluation criteria included clinical/service quality, patient access and cost. The preferred bidder InHealth submitted a bid which satisfied all the necessary criteria and achieved the highest score.</p><p>Patient access, quality and cost were included in the evaluation criteria. There are discussions currently in progress with both InHealth and Oxford University Hospitals about mobilising the new service. There are also discussions with the hospitals in Milton Keynes and Swindon about the start-up of their new services.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 227413 question first answered 06/03/2019 16:32:09 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

1079325

registered interest
date	28/02/2019
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	Liothyronine
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 NHS patients throughout England continue to receive liothyronine after recent price increase in the cost of that drug to the NHS.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	227053
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>We are not aware of any recent price increase for this drug. If patients have a clinical need for a medicine, it is right that they get the most appropriate medicine for their condition.</p><p> </p><p>The Regional Medicines Optimising Committee published its latest guidance on the prescribing of liothyronine in November 2018 and we can confirm that NHS England is working closely with clinical commissioning groups (CCGs) on the prescribing of liothyronine to support them with the implementation of guidance for CCGs on items which should not be routinely prescribed in primary care.</p><p> </p><p>CCGs are expected to have regard to national guidance, and are responsible for developing their own local approaches to its implementation, taking into account local priorities and needs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:12:05 answering member 4067 label Biography information for Steve Brine
tabling member	1390 label Biography information for Mr John Baron

1079336

registered interest
date	28/02/2019
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: 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 his Department has made of the number of children who have been prevented from receiving a vaccination due to a parent withholding their consent each year since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	227038
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>Public Health England does not hold data on the number of children who have been prevented from receiving a vaccination due to a parent withholding their consent.</p><p> </p><p>Annual vaccine coverage statistics are available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-immunisation-statistics/england-2017-18" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-immunisation-statistics/england-2017-18</a></p><p> </p><p>Vaccine uptake data can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/vaccine-uptake" target="_blank">https://www.gov.uk/government/collections/vaccine-uptake</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:14:50 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

1079345

registered interest
date	28/02/2019
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	Electronic Cigarettes: 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 steps he is taking to address the findings of the Public Health England report entitled Vaping in England: evidence update summary February 2019 that the number of children who have tried e-cigarettes has doubled since 2014.
tabling member constituency	North East Hampshire
tabling member printed	Mr Ranil Jayawardena
uin	227132
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>Public Health England’s (PHE) report ‘Vaping in England: evidence update summary February 2019’ found e-cigarette use among young people in Great Britain has increased only modestly in recent years.</p><p> </p><p>It found that, while experimentation with e-cigarettes among young people has increased in recent years, regular use remains low. Of the 2% of under 18s who used e-cigarettes weekly or more, the majority of those also smoked. Only 0.2% of young people who had never smoked used e-cigarettes regularly.</p><p> </p><p>The Government has put in place proportionate regulation of e-cigarettes to protect young people, including a minimum age of sale and tight restrictions on advertising. PHE continues to monitor the trends in vaping among young people alongside those in smoking, to ensure the Government is on track to achieve its ambition of a smoke-free generation. This can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:15:55 answering member 4067 label Biography information for Steve Brine
tabling member	4498 label Biography information for Mr Ranil Jayawardena

1079355

registered interest
date	28/02/2019
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: Prescriptions
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 page 7 of the report entitled Paying to Breathe: Why unfair asthma prescription charges must be stopped, published in February 2019, what plans he has to change the Prescription Charges exemptions list as a result of the finding in that report that 57 per cent of people with asthma are skipping medication due to the cost.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	227071
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The Department has no plans to make such an assessment. This is because extensive arrangements are in place to help people afford National Health Service prescriptions. These include a broad range of prescription charge exemptions, for which someone with asthma may qualify. The Department has no current plans to amend these exemptions, including the list of medical conditions that provides exemption from prescription charges.</p><p> </p><p>People on a low income, who do not qualify for an exemption, may be eligible for full or partial help with prescription charges through application to the NHS Low Income Scheme.</p><p> </p><p>To support those with greatest need who do not qualify for an exemption or the NHS Low Income Scheme, prescription prepayment certificates are available. A holder of a 12-month certificate can get all the prescriptions they need for just £2 per week.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 227072 question first answered 05/03/2019 17:13:32 answering member 4067 label Biography information for Steve Brine
tabling member	1511 label Biography information for Lord Austin of Dudley

1079356

registered interest
date	28/02/2019
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: Prescriptions
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 page 7 of the report entitled Paying to Breathe: Why unfair asthma prescription charges must be stopped, published in February 2019, what assessment he has made of the effect of prescription charges on people on low incomes who have asthma.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	227072
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The Department has no plans to make such an assessment. This is because extensive arrangements are in place to help people afford National Health Service prescriptions. These include a broad range of prescription charge exemptions, for which someone with asthma may qualify. The Department has no current plans to amend these exemptions, including the list of medical conditions that provides exemption from prescription charges.</p><p> </p><p>People on a low income, who do not qualify for an exemption, may be eligible for full or partial help with prescription charges through application to the NHS Low Income Scheme.</p><p> </p><p>To support those with greatest need who do not qualify for an exemption or the NHS Low Income Scheme, prescription prepayment certificates are available. A holder of a 12-month certificate can get all the prescriptions they need for just £2 per week.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 227071 question first answered 05/03/2019 17:13:32 answering member 4067 label Biography information for Steve Brine
tabling member	1511 label Biography information for Lord Austin of Dudley