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767533

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nabiximols
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what medical evidence his Department has recently taken into account in its decision not to license nabiximols for use on the NHS.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	106691
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>Nabiximols (Sativex) is licensed in the United Kingdom for the treatment of moderate to severe spasticity in multiple sclerosis. The National Institute of Health and Care Excellence (NICE) did not recommended nabiximols in its 2014 clinical guidelines as it is not a cost-effective treatment.</p><p> </p><p>NICE develops authoritative, evidence-based guidance on best practice for the National Health Service. NICE operates with a high degree of independence from the Government and is responsible for the recommendations that it makes to the NHS. Its guidance is based on a thorough assessment of the available evidence and is developed through engagement with stakeholders.</p><p> </p><p>However, where there is an absence of final guidance recommendations from NICE, decisions on the funding of a licensed treatment on the NHS are taken by the relevant clinician and commissioner (such as NHS England or individual clinical commissioning groups) based on the individual needs of the patient.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 14:33:45 answering member 4067 label Biography information for Steve Brine
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

767543

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department takes to ensure that the children of problem drinkers (a) have access to and (b) receive the support they need.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	106457
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>Alcohol addiction has a devastating impact on individuals and their families and it is unacceptable that children bear the brunt of their parents’ condition. The Government is considering what further support it can provide to tackle alcohol harms, focusing on vulnerable groups including families and children.</p><p>In the meantime, Public Health England is already undertaking a programme of work to address this issue. This includes improving the evidence base; enhancing data; ensuring local authorities are given high quality advice and support in relation to alcohol treatment services, and any safeguarding implications; and social marketing.</p><p>The Government has also put in place a range of measures to help ensure children are provided with accurate information and the tools they need to make informed decisions about their relationship with alcohol. This includes the FRANK drug information and advice service; Family Nurse Partnerships to help parents within potentially vulnerable families to develop their parenting capacity; and tailored and co-ordinated support via the Troubled Families programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 14:31:43 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

767557

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Practice Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has made an assessment of the implications for his policies of the proportion of GP practices that responded to a BMA survey stating that they would consider temporarily suspending new patient registration in order to focus on delivering safe care to patients already on their practice lists.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	106532
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>The Government understand the pressures that general practitioners (GPs) face and regularly discusses issues related to general practice with the British Medical Association.</p><p> </p><p>The Government is working to increase capacity in general practice. The General Practice Forward View set out plans for an extra 5,000 doctors working in general practice by 2020, as well as a minimum of 5,000 other staff – including mental health therapists, practice nurses and clinical pharmacists. In addition, a number of initiatives have been launched to help reduce practice workload and free up time for GPs to provide care to their patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 13:09:49 answering member 4067 label Biography information for Steve Brine
tabling member	4505 label Biography information for Peter Kyle

767559

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Food: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the research basis is for the decision his Department has taken not to make calorie labelling mandatory.
tabling member constituency	Enfield, Southgate
tabling member printed	Bambos Charalambous
uin	106504
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>Mandatory nutrition labelling, including the display of calories, for the majority of pre-packaged foods came into effect in December 2016 and is harmonised by European Union legislation.</p><p> </p><p>The United Kingdom’s decision to leave the EU may give us an opportunity to develop greater flexibility, as the exit terms are agreed, to determine what information should be presented and how it should be displayed in the UK.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 13:14:42 answering member 4067 label Biography information for Steve Brine
tabling member	4610 label Biography information for Bambos Charalambous

767580

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Shingles: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, for what reasons the shingles vaccine is not available to people between the age of 73 and 77; and if the Government will make that vaccine available to those people.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	106723
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>The Joint Committee for Vaccination and Immunisation recommend shingles vaccination for adults aged 70 years up to and including 79 years.</p><p> </p><p>The programme started in 2013 for those aged 70 and 79 years. Eligibility has been extended with each year as determined by annual negotiations between the Department and NHS England on the capability of the National Health Service to provide additional immunisations, and the affordability of doing so. Shingles immunisation is currently available for those aged 70-74 years, some of those aged 75 years (those born after 1 September 1942) and 78–79 year olds. The remaining individuals aged between 75 to 77 years are expected to become eligible when they reach 78 years of age.</p><p> </p><p>Medical professionals are able to apply their clinical discretion and offer immunisation to those who are not currently eligible but could benefit clinically, for example those with underlying health issues or a history of shingles. Shingles immunisation is also available privately.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 13:13:25 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

767584

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability: Eyesight
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the use of hospital eye clinics by people with learning disabilities who cannot access a sight test in the community.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	106784
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>NHS England is responsible for commissioning the National Health Service sight testing service. They have established a working group to examine the issues affecting the provision of sight tests and glasses for both children and adults with learning disabilities and to reach a view on what if any changes are required to current patient pathways in order to improve health outcomes and reduce health inequalities for this cohort of patients. The working group has wide representation which includes Primary Care Policy and Commissioning, Ophthalmology, The British and Irish Orthoptic Society, SeeAbility and other professional bodies.</p><p> </p><p>It is not possible to estimate the number of people with learning disabilities who have received a sight test in a hospital eye clinic as this data is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 106782 question first answered 12/10/2017 13:11:50 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

767585

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability: Eyesight
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to improve the (a) examination of eyes and (b) dispensing of glasses to adults and children with learning disabilities.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	106782
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>NHS England is responsible for commissioning the National Health Service sight testing service. They have established a working group to examine the issues affecting the provision of sight tests and glasses for both children and adults with learning disabilities and to reach a view on what if any changes are required to current patient pathways in order to improve health outcomes and reduce health inequalities for this cohort of patients. The working group has wide representation which includes Primary Care Policy and Commissioning, Ophthalmology, The British and Irish Orthoptic Society, SeeAbility and other professional bodies.</p><p> </p><p>It is not possible to estimate the number of people with learning disabilities who have received a sight test in a hospital eye clinic as this data is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 106784 question first answered 12/10/2017 13:11:50 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

765271

registered interest
date	06/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sugar
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 5 September 2017 to Question 6313, on sugar, whether the 5 per cent reduction target has been met.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	105623
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>The assessment of achievement of the 5% reduction in the nine food categories contributing most to children’s sugar intake will be published by Public Health England (PHE) in March 2018. In this report, PHE will provide a detailed assessment of progress across the product categories included in the programme as well as by individual businesses and in high selling products. This commitment was set out in Childhood obesity: A plan for action, available to view here:</p><p><a href="http://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action" target="_blank">www.gov.uk/government/publications/childhood-obesity-a-plan-for-action</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 13:06:08 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

765280

registered interest
date	06/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Oral Tobacco: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to introduce product standards for chewed tobacco in order to reduce the health effect.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	105475
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>There are no plans to introduce specific product standards for chewed tobacco.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 12:59:39 answering member 4067 label Biography information for Steve Brine
tabling member	411 label Biography information for Mr Barry Sheerman

765478

registered interest
date	06/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Smoking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of daily smoking levels in the UK each year for the next 15 years.
tabling member constituency	Shipley
tabling member printed	Philip Davies
uin	106212
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>The Department does not collect data on daily smoking levels, and has made no estimate of daily smoking rates on an annual basis going forward. The Tobacco Control Plan for England, published in July, set out the Government’s ambition to reduce adult smoking prevalence to 12% by 2022, and to achieve a smokefree generation (5% adult prevalence or less) in the longer-term.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 12:58:35 answering member 4067 label Biography information for Steve Brine
tabling member	1565 label Biography information for Sir Philip Davies