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1134077

registered interest
date	24/06/2019
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	Preventive Medicine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when his Department will publish the Green Paper on prevention.
tabling member constituency	Brentford and Isleworth
tabling member printed	Ruth Cadbury
uin	268534
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>I refer the hon. Member to the answer given by the former Parliamentary Under-Secretary of State for Public Health and Primary Care (Steve Brine MP) to the hon. Member for Glasgow Central (Alison Thewliss MP) on 16 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-09/206879/" target="_blank">206879</a>.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 09:52:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	4389 label Biography information for Ruth Cadbury

1133888

registered interest
date	21/06/2019
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	Drugs: Misuse
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 the change in the level of the Public Health Grant on the (a) quality of drug treatment services and (b) number of drug-related deaths in the 2015 to 2019 Spending Review period .
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	267731
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government is concerned by the number of drug-related deaths, which is largely caused by an ageing cohort of heroin users. We are supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths. In October, the Home Office announced that there would be a major independent review of drug misuse. This will look at a wide range of issues, including the system of support and enforcement around drug abuse, to better inform our thinking about what more can be done to tackle drug harms including deaths. The review shall inform our thinking about what more can be done to mitigate the harm caused through drug use.</p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including drug addiction. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. Public health funding for 2020 onwards, including for addiction services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p><strong> </strong></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267732 question first answered 26/06/2019 16:34:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1133889

registered interest
date	21/06/2019
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	Drugs: Misuse
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 made an assessment of the effect of the change to the level of the Public Health Grant over the forthcoming 2019 Spending Review on the (a) quality of drug treatment services and (b) number of drug-related deaths.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	267732
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government is concerned by the number of drug-related deaths, which is largely caused by an ageing cohort of heroin users. We are supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths. In October, the Home Office announced that there would be a major independent review of drug misuse. This will look at a wide range of issues, including the system of support and enforcement around drug abuse, to better inform our thinking about what more can be done to tackle drug harms including deaths. The review shall inform our thinking about what more can be done to mitigate the harm caused through drug use.</p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including drug addiction. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. Public health funding for 2020 onwards, including for addiction services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p><strong> </strong></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267731 question first answered 26/06/2019 16:34:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1133890

registered interest
date	21/06/2019
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	Heart Diseases: Death
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 reduce the number of preventable deaths caused by heart disease; and whether he has made an assessment of whether improving screening for older people would (a) help tackle the number of deaths attributed to heart disease and (b) be cost-effective.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	267726
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Cardiovascular Disease (CVD) prevention initiatives report summarises a wide range of actions led by Public Health England (PHE) which will reduce preventable deaths from CVD. This can be viewed at the following link:</p><p><a href="http://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/" target="_blank">www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/</a></p><p>In February 2018 PHE published national ambitions on the secondary prevention of Atrial Fibrillation, High Blood Pressure and High Cholesterol. This can be viewed at the following link:</p><p><a href="https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/" target="_blank">https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/</a></p><p>People aged 40-74 without existing disease are eligible once every five years for an NHS Health Check, England’s CVD prevention programme. Modelling shows that the programme, is cost effective with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per Quality Adjusted Life Year of around £3,000, considerably lower than the National Institute for Health and Care Excellence’s threshold. The cost benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes and save at least 650 lives each year. A copy of the Economic Modelling for Vascular Checks is attached.</p><p>The United Kingdom National Screening Committee has not undertaken an assessment of the impact of routine screening for the elderly to prevent deaths due to heart disease. Therefore, the Committee has not made a recommendation on this issue.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267727 question first answered 26/06/2019 16:29:30 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Economic Modelling.pdf title Economic Modelling report
tabling member	1604 label Biography information for Mr Virendra Sharma

1133891

registered interest
date	21/06/2019
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	Heart Diseases: Screening
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 of heart disease screening programmes for the elderly on (a) the incidence of preventable disease and (b) NHS costs.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	267727
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Cardiovascular Disease (CVD) prevention initiatives report summarises a wide range of actions led by Public Health England (PHE) which will reduce preventable deaths from CVD. This can be viewed at the following link:</p><p><a href="http://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/" target="_blank">www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/</a></p><p>In February 2018 PHE published national ambitions on the secondary prevention of Atrial Fibrillation, High Blood Pressure and High Cholesterol. This can be viewed at the following link:</p><p><a href="https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/" target="_blank">https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/</a></p><p>People aged 40-74 without existing disease are eligible once every five years for an NHS Health Check, England’s CVD prevention programme. Modelling shows that the programme, is cost effective with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per Quality Adjusted Life Year of around £3,000, considerably lower than the National Institute for Health and Care Excellence’s threshold. The cost benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes and save at least 650 lives each year. A copy of the Economic Modelling for Vascular Checks is attached.</p><p>The United Kingdom National Screening Committee has not undertaken an assessment of the impact of routine screening for the elderly to prevent deaths due to heart disease. Therefore, the Committee has not made a recommendation on this issue.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267726 question first answered 26/06/2019 16:29:30 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Economic Modelling.pdf title Economic Modelling report
tabling member	1604 label Biography information for Mr Virendra Sharma

1133549

registered interest
date	20/06/2019
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	Lung Cancer: Air Pollution
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 has identified a link between air pollution and lung cancer in non-smoking persons.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	267183
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The International Agency for Research on Cancer has classified outdoor air pollution and particulate matter in outdoor air pollution as carcinogenic to humans. This can be viewed at the following link:</p><p><a href="https://monographs.iarc.fr/iarc-monographs-on-the-evaluation-of-carcinogenic-risks-to-humans-7/" target="_blank">https://monographs.iarc.fr/iarc-monographs-on-the-evaluation-of-carcinogenic-risks-to-humans-7/</a></p><p>Estimates in a recent paper on lung cancer in non-smoking people in the Journal of the Royal Society of Medicine co-authored by Public Health England show that nearly 6,000 never-smokers die of lung cancer in United Kingdom every year and that approximately 8% of these deaths may be attributable to outdoor air pollution. This can be viewed at the following link:</p><p><a href="https://doi.org/10.1038/s41416-018-0029-6" target="_blank">https://doi.org/10.1038/s41416-018-0029-6</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 12:41:20 answering member 4455 label Biography information for Seema Kennedy
tabling member	473 label Biography information for Sir Mark Hendrick

1133631

registered interest
date	20/06/2019
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	Gambling: Health Services
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 cost to the NHS of treating gambling addictions in 2017-18.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	267166
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Department does not hold information on the cost to the National Health Service of treating gambling addictions.</p><p> </p><p>The NHS Long Term Plan has made a commitment to investing in expanding NHS specialist clinics to help more people with serious gambling problems. The first NHS gambling clinic for children will open this year as part of a new network of services for addicts being rolled out as part of the NHS Long Term Plan. Up to 14 new NHS clinics are being opened - starting with the NHS Northern Gambling Service in Leeds this summer, followed by Manchester and Sunderland. The National Problem Gambling Clinic in London will also offer specialist help for children and young people aged 13 to 25 as part of an expansion.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:02:46 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1133661

registered interest
date	20/06/2019
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	Smoking: Regulation
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 the Government has made of the merits of a regulatory environment in which (a) advertising rules, (b) taxes and (c) other regulations reflect the relative health impacts of (i) e-cigarettes, (ii) heat-not-burn tobacco and (iii) other reduced harm smoking products.
tabling member constituency	Walsall North
tabling member printed	Eddie Hughes
uin	267301
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Government seeks to ensure that the regulatory and environment reflects the relative harms of different tobacco and nicotine products. The European Union Tobacco Products Directive 2014 placed limits on the sale and merchandising of tobacco and tobacco related products. This was transposed in to United Kingdom law through the Tobacco and Related Products Regulations (TRPR) 2016 and forms part of comprehensive regulatory framework to reduce public health harms caused by smoking. This framework acknowledges e-cigarettes are not tobacco products and has fewer restrictions than them.</p><p>To reduce the affordability of tobacco, HM Treasury continue to apply the Tobacco Duty Escalator to cigarettes at 2% above inflation as outlined in the Budget 2018, with hand rolling tobacco increasing by an additional 1%.</p><p>The Government has a statutory obligation to conduct a Post Implementation Review of the TRPR by May 2021. The Government will review where the UK’s exit from the EU offers opportunities to re-appraise current regulation to ensure this continues to protect the nation’s health.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:07:48 answering member 4455 label Biography information for Seema Kennedy
tabling member	4635 label Biography information for Eddie Hughes

1133662

registered interest
date	20/06/2019
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	Tobacco: Packaging
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 bring forward the commencement date to before 2021, of the review of the Standardised Packaging of Tobacco Products Regulations 2015.
tabling member constituency	Walsall North
tabling member printed	Eddie Hughes
uin	267302
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>There are no plans to do so. The Government remains committed to undertake the post implementation review of the Standardised Packaging of Tobacco Products Regulations 2015 by May 2021 in accordance with its legal duties.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:08:37 answering member 4455 label Biography information for Seema Kennedy
tabling member	4635 label Biography information for Eddie Hughes

1133673

registered interest
date	20/06/2019
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	Sexually Transmitted Infections
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 correlation between reductions in public health funding and increases in rates of (a) syphilis and (b) gonorrhoea.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	267310
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Increases in rates of syphilis, gonorrhoea and chlamydia are likely to be due to a number of factors. These include increases in both the number of people attending sexual health services and the number of tests for sexually transmitted infections. Other factors include, better detection of infection and behavioural changes such as an increase in partner numbers and condomless anal intercourse, as well as, for some men who have sex with men, ‘chemsex’ and group sex facilitated by geosocial networking applications.</p><p> </p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including sexual health. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. It is for individual local authorities to decide their spending priorities based on an assessment of local need, including the need for sexual health services taking account of their statutory duties.</p><p> </p><p>My Rt. hon. Friend the Secretary of State has had numerous discussions with cabinet ministers to discuss a range of topics in advance of the Spending Review. Public health funding for 2020 onwards, including for sexual health services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p> </p><p>Local authorities are required by regulations to provide comprehensive open access sexual health services, including provision for sexually transmitted infection testing and treatment and contraception.</p><p> </p><p>The latest statistics show that more people are now accessing sexual health services. Attendances have increased by 7% between 2017 and 2018 (from 3,337,677 to 3,561,548). This continues the trend of increases in attendances seen over the past five years. To help manage the overall increase in demand, local authorities are increasingly commissioning online services to manage lower risk and asymptomatic patients. These services have the potential to reach groups not currently engaged with clinic services.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267311 267312 267313 question first answered 25/06/2019 16:10:29 answering member 4455 label Biography information for Seema Kennedy
tabling member	4666 label Biography information for Dr Paul Williams