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1064748

registered interest
date	21/02/2019
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	NHS: Negligence
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 publish the cross-Government strategy on the costs of clinical negligence.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	224312
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The rising costs of clinical negligence are a major concern. As set out by the National Audit Office in their September 2017 report ‘Managing the Costs of Clinical Negligence in Hospital Trusts’, between 2006-07 and 2016-17, annual cash costs for clinical negligence quadrupled from £0.4 billion to £1.6 billion. In the same period the number of claims registered with NHS Resolution doubled from 5,300 to 10,600. Funds spent on clinical negligence claims are resources that are not available for patient care and this rate of rise is unsustainable.</p><p> </p><p>We are committed to tackling this issue and we are working intensively across Government, looking at all the drivers of cost. We will bring forward proposals in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:40:50 answering member 4067 label Biography information for Steve Brine
tabling member	1511 label Biography information for Lord Austin of Dudley

1064754

registered interest
date	21/02/2019
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	Cervical 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, whether it remains his policy that the NHS is the primary provider for cervical cytology screening in England.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	224307
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The National Health Service will remain the primary provider for cervical cytology screening in England and cervical screening remains part of the General Medical Services contract.</p><p> </p><p>In November 2015, the UK National Screening Committee recommended that human papillomavirus (HPV) screening should replace the currently used liquid based cytology test as the primary screening for cervical disease.</p><p> </p><p>Following a review of its delivery strategy, NHS England commenced a one-stage procurement process to reconfigure provider laboratories to support the roll-out of HPV primary screening into the NHS Cervical Cancer Screening Programme in England. HPV primary screening is due to be rolled out in 2019.</p><p> </p><p>Once full implementation is achieved, all samples will be tested for HPV which causes more than 99% of cervical cancers. This could prevent around 600 cancers a year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:39:34 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

1064771

registered interest
date	21/02/2019
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, if he will take steps to include asthma in the list of conditions which are exempt from the payment of prescription charges.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	224470
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Extensive arrangements are already 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 224471 question first answered 26/02/2019 15:32:44 answering member 4067 label Biography information for Steve Brine
tabling member	44 label Biography information for Sir David Amess

1064772

registered interest
date	21/02/2019
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, if his Department will make an assessment of the effect on people's health of prescription charges for asthma medicines.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	224471
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Extensive arrangements are already 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 224470 question first answered 26/02/2019 15:32:44 answering member 4067 label Biography information for Steve Brine
tabling member	44 label Biography information for Sir David Amess

1064303

registered interest
date	20/02/2019
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	Cancer: Health Professions
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 ensure that the Health Education England phase two cancer workforce plan co-ordinates with the workforce implementation plan in the NHS Long Term Plan.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	223778
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017. HEE intended to publish a second phase, longer-term strategy that looked at the cancer workforce needs beyond 2021. This work was started and stakeholders from within the National Health Service and the charitable sector contributed to the early discussions. This work has since been superseded by publication of the NHS Long Term Plan in January 2019.</p><p> </p><p>My Rt. hon. Friend Secretary of State for Health and Social Care has subsequently commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 12:17:17 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

1064350

registered interest
date	20/02/2019
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	NHS: Drugs
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 8 February 2019 to Question 215257, on NHS: drugs, what information his Department holds on the level of medicine shortages in the last 12 months.
tabling member constituency	Kensington
tabling member printed	Emma Dent Coad
uin	223824
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Medicines shortages are a routine issue that the Department constantly manages. The Department works closely with the Medicines and Healthcare products Regulatory Agency (MHRA), the pharmaceutical industry, NHS England and others operating in the supply chain to ensure that the risks to patients are minimised when they do arise.</p><p> </p><p>The Department receives regular reports from the pharmaceutical industry about impending medicine supply issues that may affect United Kingdom patients. From January 2019, it became a mandatory requirement that the pharmaceutical industry must report this information to us in a timely manner. However, not all the issues of which the Department are notified will result in a medicine shortage as the supply team will work behind the scenes using a host of tools to help mitigate and prevent an issue from impacting patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:30:37 answering member 4067 label Biography information for Steve Brine
tabling member	4683 label Biography information for Emma Dent Coad

1063910

registered interest
date	19/02/2019
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	Heart Diseases: Transplant Surgery
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 people have had an operation for an artificial heart have been undertaken in the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	223052
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The information is not available in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:37:00 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1063914

registered interest
date	19/02/2019
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	Exercise
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 steps the NHS has taken to promote the health benefits of regular exercise.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	223054
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The Government recognises the health benefits of regular exercise. The Chief Medical Officer has commissioned an evidence based review of physical activity and health which will be published later this year. The ‘One You’ Campaign developed by Public Health England and the National Health Service provides information around a range of topics and provides the tools to encourage people to make better choices today that can have a huge influence on their health, and could prevent diseases such as type 2 diabetes, cancer and heart disease, and reduce the risk of suffering a stroke or living with dementia, disability and frailty in later life.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:38:06 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1063920

registered interest
date	19/02/2019
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	Rare Diseases: Drugs
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 make an assessment of the potential merits of implementing a UK-wide scheme for the purchase and distribution of expensive drugs and medical supplies that are used to treat rare conditions.
tabling member constituency	Berwickshire, Roxburgh and Selkirk
tabling member printed	John Lamont
uin	223060
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>We have no plans to assess the potential merits of implementing a United Kingdom-wide scheme for the purchase and distribution of expensive drugs and medical supplies that are used to treat rare conditions. It is for the National Health Service in England and the devolved administrations to make decisions in the best interest of their patients, including those with rare diseases, to ensure access to the medicines and medical supplies they need.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:34:11 answering member 4067 label Biography information for Steve Brine
tabling member	4608 label Biography information for John Lamont

1063932

registered interest
date	19/02/2019
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	Pain: 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, with reference to the NHS Long Term Plan, what assessment he has made of the effect of developments in digital care on the provision of pain pathway services.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	223082
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223083 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers