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943843

registered interest
date	18/07/2018
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	Cannabis: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he is having with NHS England to ensure that consultants are aware of the licensing process for access to medical cannabis.
tabling member constituency	Gower
tabling member printed	Tonia Antoniazzi
uin	165715
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The Department is working with NHS England and equivalents in the devolved administrations to ensure that cannabis-based medicinal products are sourced and supplied where a licence is granted. In the longer-term, prescribing guidance will be developed following any decision to reschedule these products.</p><p> </p><p>Guidance on the licensing process for access to cannabis and cannabis-based medicinal products is available on the Home Office Gov.uk website.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 15:04:17 answering member 4067 label Biography information for Steve Brine
tabling member	4623 label Biography information for Tonia Antoniazzi

943865

registered interest
date	18/07/2018
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	Alcoholic Drinks: 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 plans to introduce in the forthcoming alcohol strategy a new national minimum standard of support for families affected by alcohol as called for by the Alcohol and Families Alliance.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	165532
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>Government officials are currently exploring what should be included in the strategy and aim to publish this early next year following discussions with stakeholders. The new strategy will allow us to consider the changing landscape of alcohol use and to target vulnerable people who need support most with effective, evidence-based interventions. Understanding the needs of families or carers who support people with an alcohol dependence will be an important part of the development of the strategy and £6 million of new funding has been announced to help improve outcomes for children of alcohol dependent parents and help to tackle conflict within those families.</p><p> </p><p>The Government is committed to continuing to support informal carers, and to do so in a way that supports their own health and wellbeing, employment and other life chances. We also remain committed to support informal carers to provide care for those they care for. That is why the Department published a cross-Government action plan of targeted work to support carers over the next two years. Further information is available at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/carers-action-plan-2018-to-2020" target="_blank">www.gov.uk/government/publications/carers-action-plan-2018-to-2020</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 165533 question first answered 23/07/2018 14:54:41 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

943867

registered interest
date	18/07/2018
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	Alcoholic Drinks: 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 plans to include in the forthcoming alcohol strategy provisions as called for by the Alcohol and Families Alliance whereby carers of people with an alcohol problem are adequately informed about carers’ rights and benefits; and if he will make a statement.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	165533
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>Government officials are currently exploring what should be included in the strategy and aim to publish this early next year following discussions with stakeholders. The new strategy will allow us to consider the changing landscape of alcohol use and to target vulnerable people who need support most with effective, evidence-based interventions. Understanding the needs of families or carers who support people with an alcohol dependence will be an important part of the development of the strategy and £6 million of new funding has been announced to help improve outcomes for children of alcohol dependent parents and help to tackle conflict within those families.</p><p> </p><p>The Government is committed to continuing to support informal carers, and to do so in a way that supports their own health and wellbeing, employment and other life chances. We also remain committed to support informal carers to provide care for those they care for. That is why the Department published a cross-Government action plan of targeted work to support carers over the next two years. Further information is available at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/carers-action-plan-2018-to-2020" target="_blank">www.gov.uk/government/publications/carers-action-plan-2018-to-2020</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 165532 question first answered 23/07/2018 14:54:41 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

943886

registered interest
date	18/07/2018
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: Veterinary Services
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 17 July 2018 to Question 161987 on Veterinary Medicine, how many veterinary surgeons from (a) non-UK EU and (b) non-EU member states employed by organisations contracted to deliver veterinary services in abattoirs on behalf of the by Food Standards Agency, have left that employment since 23 June 2016; and if he will make a statement.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	165449
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>339 non-United Kingdom European Union veterinary surgeons employed by organisations contracted to deliver veterinary services in abattoirs on behalf of the Food Standards Agency, have left that employment since 23 June 2016.</p><p> </p><p>One non-EU veterinary surgeon employed by organisations contracted to deliver veterinary services in abattoirs on behalf of the Food Standards Agency, has left that employment since 23 June 2016.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 14:57:20 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

943898

registered interest
date	18/07/2018
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	Antibiotics: Drug Resistance
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 trends in the number of super bugs becoming resistant to antibiotics.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	165573
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The English surveillance programme for antimicrobial utilisation and resistance (ESPAUR), run by Public Health England (PHE), found that resistance in Staphylococcus aureus has declined. From 2011/12 to 2017/18 there was a 41% decline in the number of cases reported to Public Health England; 846 cases were reported in 2017/18 compared to 1,116 in 2011/12.</p><p> </p><p>In 2016, Escherichia coli was the commonest cause of bloodstream infections (BSIs) and 41% were resistant to co-amoxiclav, the commonest antibiotic used to treat infections in hospitals. Almost one in five of these bacteria were resistant to at least one of other key antibiotics, though multi-drug resistance (resistance to three antibiotics) remained uncommon (less than 5%). The overall number of infections has increased over the last five years and the number of resistant infections has also increased.</p><p> </p><p>Similarly, Klebsiella pneumoniae resistance to key antibiotics remained stable between the years 2012 and 2016, the burden of resistance, reflected in the numbers of resistant BSIs increased over time.</p><p> </p><p>Carbapenem resistance remains low in blood culture isolates in England although data from other countries shows how quickly resistance can rise over a relatively short time period.</p><p> </p><p>The 2017 ESPAUR report is available to view at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/656611/ESPAUR_report_2017.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/656611/ESPAUR_report_2017.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 14:59:25 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

943981

registered interest
date	18/07/2018
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	NHS: Standards
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 findings of the Nuffield Trust report entitled The NHS at 70: How good is the NHS? that the UK is a below-average performer on preventing deaths from strokes, cancer and heart attacks.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	165678
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The Nuffield Trust report, ‘The NHS at 70: How good is the NHS?’, as well as highlighting some of the major strengths of the National Health Service - including its efficiency, its management of some long-term conditions like diabetes and kidney diseases and the unusually good financial protection it provides the public from the consequences of ill health – also drew attention to strokes, cancer and heart attacks, as areas where improvements could be made.</p><p> </p><p>The NHS is working to organise acute stroke care to ensure all stroke patients have access to high quality care. Centralising stroke care into a smaller number of larger units ensures specialists are available to manage patients at all times, and provides immediate access to imaging and other investigatory facilities. NHS England is also working with all 24 specialised neuroscience centres in England to continue to roll out and expand the new thrombectomy service.</p><p> </p><p>Cancer is a priority for this Government and survival rates are at a record high, with rates increasing year-on-year since 2010. Around 7,000 people are alive today who would not have been had mortality rates stayed the same as in 2010. We are half way through a five-year programme to transform cancer services and remain on track to deliver on all 96 recommendations of the independent Cancer Taskforce in the Cancer Strategy for England.</p><p> </p><p>Cardiovascular disease (CVD) prevention is a key theme in NHS England’s Five Year Forward View and their NHS RightCare programme, and addressing variations in outcomes from CVD is one of Public Health England’s (PHE) top priorities. In September 2017, NHS England and PHE announced a new drive to prevent heart attacks and strokes and save thousands of lives by taking a more integrated approach to cardiovascular care, urging sustainability and transformation partnerships (STPs) to take coordinated action to improve prevention, diagnosis and treatment of these life-threatening conditions. The majority of STPs have identified prevention of CVD as a priority.</p><p> </p><p>Additionally, in 2017-18, PHE updated the Heart Age tool, which helps people work out their heart age and risk of heart attack and stroke. Over the course of 2017-18, PHE aimed to engage a further one million adults to use the tool, including targeted measures to increase its use among those aged 30 to 54.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 15:06:25 answering member 4067 label Biography information for Steve Brine
tabling member	4603 label Biography information for Preet Kaur Gill

944052

registered interest
date	18/07/2018
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	Human Papillomavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to make an announcement on the roll-out of HPV vaccination for boys.
tabling member constituency	North Thanet
tabling member printed	Sir Roger Gale
uin	165437
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The advice of the Joint Committee on Vaccination and Immunisation on whether or not to have a human papilloma virus vaccination programme for boys was published on 18 July 2018.</p><p> </p><p>A decision will be announced very soon.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 15:00:57 answering member 4067 label Biography information for Steve Brine
tabling member	87 label Biography information for Sir Roger Gale

942842

registered interest
date	17/07/2018
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: Nurses
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 his Department has made of the adequacy of the provision of specialised nursing care for people with secondary breast cancer in Coventry.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	164850
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>Coventry and Rugby Clinical Commissioning Group is not aware of any specific pressures on nursing services for breast cancer patients in the area.</p><p> </p><p>In December 2017, Health Education England (HEE) published its first Cancer Workforce Plan. The plan outlines HEE’s commitment to support the expansion of Clinical Nurse Specialists (CNS) so that every patient has access to a CNS or other support worker by 2021.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 15:09:33 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

943001

registered interest
date	17/07/2018
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	Clinical Commissioning Groups: Disclosure of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much money his Department spent from the public purse on Care Commissioning Groups obtaining transparency orders in each of the last three years.
tabling member constituency	Sheffield South East
tabling member printed	Mr Clive Betts
uin	164864
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>Information on how much money clinical commissioning groups have spent on obtaining transparency orders is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 15:13:03 answering member 4067 label Biography information for Steve Brine
tabling member	394 label Biography information for Mr Clive Betts

943086

registered interest
date	17/07/2018
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: Surgery
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 report entitled Rebuilding My Body: Breast reconstruction in England, published by Breast Cancer Now on 18 June 2018, if he will make an assessment of the implications for his Department's policies of the conclusions and recommendations of that report.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	165014
answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The National Institute for Health and Care Excellence published updated guidance on ‘Early and locally advanced breast cancer: diagnosis and management’ in July 2018. Section 1.5 has a series of detailed guidelines for breast reconstruction. The guidance can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng101" target="_blank">https://www.nice.org.uk/guidance/ng101</a></p><p> </p><p>The Breast Cancer Now report, ‘Rebuilding My Body: Breast reconstruction in England’, found evidence that patients’ access to breast reconstruction surgery is being restricted by some local health bodies. It recommends that clinical commissioning groups (CCGs) adopt new guidelines, which will ensure all breast cancer patients are supported to access the breast reconstruction they need at a time that is appropriate for them.</p><p> </p><p>Breast Cancer Now, as the secretariat to NHS England's Breast Cancer Clinical Expert Group, will have regular engagement with NHS England who would be aware of the report and its recommendations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/07/2018 15:14:50 answering member 4067 label Biography information for Steve Brine
tabling member	4125 label Biography information for Catherine McKinnell