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1017187

registered interest
date	29/11/2018
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	Bisphosphonates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress NICE has made in updating its guidance on the use of adjuvant bisphosphonates.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	197353
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) updated its guidance on ‘Early and locally advanced breast cancer: diagnosis and management’ in July 2018. The use of adjuvant bisphosphonates was one of the key areas that was covered in the update. NICE’s updated recommendations can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng101/chapter/Recommendations#bisphosphonate-therapy" target="_blank">https://www.nice.org.uk/guidance/ng101/chapter/Recommendations#bisphosphonate-therapy</a></p><p> </p><p>The guideline recommends bisphosphonates as adjuvant therapy for postmenopausal women with node positive invasive breast cancer and for postmenopausal women with node negative breast cancer.</p><p> </p><p>NICE also updated its guidance on the use of bisphosphonates for treating osteoporosis in February 2018. The updated guidance can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ta464" target="_blank">https://www.nice.org.uk/guidance/ta464</a></p><p> </p><p>NICE recommends oral bisphosphonates for treating osteoporosis in adults if the person is eligible for risk assessment and the 10 year probability of osteoporotic fragility fracture is at least 1%.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:24:58 answering member 4067 label Biography information for Steve Brine previous answer version 90056 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1017220

registered interest
date	29/11/2018
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	HIV Infection: Drugs
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 (a) effectiveness and (b) trends in the level of use of pre-exposure prophylaxis to reduce HIV infections.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	197463
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Pre-exposure prophylaxis (PrEP) for HIV has been shown to be an effective intervention to reduce the risk of HIV infection. A randomised controlled trial of PrEP in the United Kingdom found an 86% reduction in the risk of HIV infection in gay, bisexual and other men who have sex with men prescribed PrEP. A finding supported by data from New South Wales in Australia where a rapid decline in HIV diagnoses was seen in the 12 months following the introduction of PrEP.</p><p> </p><p>With the development of internet self-purchasing in 2015, PrEP use in England is thought to have quadrupled during 2016 so that an estimated 3,000 gay and bisexual men were taking PrEP by year end. It is probable that this scale-up of PrEP use will have had an effect at reducing underlying HIV incidence, additional to the effect of intensified HIV testing and the immediate treatment of those newly diagnosed as living with HIV. However, it is too soon to estimate the size of this additional effect from available data. The HIV PrEP Impact trial funded by NHS England began in October 2017 to understand questions on PrEP eligibility, uptake and duration of use, and impact on HIV and other sexually transmitted infections.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:46:13 answering member 4067 label Biography information for Steve Brine previous answer version 90057 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4510 label Biography information for Helen Hayes

1017231

registered interest
date	29/11/2018
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	Prescriptions: Universal Credit
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 plans to update the form used to obtain free prescriptions to include an option for universal credit.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	197385
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Work is ongoing to update the FP10 prescription form to include a new exemption tick box for use by Universal Credit claimants who meet the criteria for free National Health Service prescriptions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:43:19 answering member 4067 label Biography information for Steve Brine previous answer version 90059 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1017235

registered interest
date	29/11/2018
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	Prescriptions: Universal Credit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what comparative assessment he has made of the number of prescription fines issued in universal credit and legacy benefit areas.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	197386
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Universal Credit and income-based Jobseeker’s Allowance claimants, who are eligible for free National Health Service prescriptions, are both ticking exemption box K on the FP10 prescription form at present. Therefore, the NHS Business Services Authority does not have a data split that would enable such a comparative assessment to be made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:44:03 answering member 4067 label Biography information for Steve Brine previous answer version 90062 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1017236

registered interest
date	29/11/2018
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	Prescriptions: Universal Credit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has provided to (a) GP surgeries and (b) pharmacies on the use of prescription forms that do not include a tick box for universal credit.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	197387
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Completion of the FP10 prescription form, including any declaration of exemption from paying prescription charges, is the responsibility of the patient. Universal Credit claimants who meet the criteria for free National Health Service prescriptions, should tick box K for income-based Jobseeker’s Allowance on the patient declaration until the prescription form is updated to include a tick box for Universal Credit. Advice on this matter is available on the websites for the NHS Business Services Authority and the Pharmaceutical Services Negotiating Committee and accessible to dispensing doctors and pharmacists.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:45:22 answering member 4067 label Biography information for Steve Brine previous answer version 90060 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1017285

registered interest
date	29/11/2018
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	Vaccination: Take-up
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 of anti-vaccination groups on vaccination take-up.
tabling member constituency	Cardiff Central
tabling member printed	Jo Stevens
uin	197411
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The United Kingdom has one of the most comprehensive vaccination programmes in Europe with high uptake. Parental confidence in the immunisation programme is monitored through annual surveys. In 2018, 93% of parents in England expressed confidence in the programme. The vast majority of parents believed immunisations to be safe and effective and have their children immunised when due.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:44:43 answering member 4067 label Biography information for Steve Brine previous answer version 90061 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4425 label Biography information for Jo Stevens

1013144

registered interest
date	23/11/2018
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	General Practitioners: Attendance
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 patients had access to evening and weekend GP appointments at (a) March 2018 and (b) October 2018.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	195069
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Government has committed to ensuring that everyone can see their general practitioner at a convenient time by increasing the availability of routine appointments in general practice in the evening and at the weekend.</p><p> </p><p>By March 2019, all clinical commissioning groups (CCGs) should provide extended access to general practice for the whole of their registered population, subject to local demand. This includes ensuring that access is available during peak times of demand, including bank holidays and across the Easter, Christmas and New Year periods. This deadline was brought forward to 1 October 2018 in the latest National Health Service planning guidance, which was published by NHS England in February 2018, to ensure additional capacity is in place ahead of winter 2018.</p><p> </p><p>The delivery of the commitment is assessed in two ways, which use different measures of extended access.</p><p> </p><p>The first measure relies on NHS England’s bi-annual survey of extended access, which collects data direct from general practices. This showed that, in September 2018, full extended access was available to 30.8 million registered patients, comprising 55.3% of all registered patients in England. This represents widening of coverage since March 2018, when the previous bi-annual survey found that full extended access was available to 22.6 million, or (39.7%) registered patients. The next bi-annual survey, to be published in April 2019, will show the extent of coverage in March 2019.</p><p> </p><p>The second measure uses the General Practice Forward View Monitoring Survey, which is a monthly return from CCGs that covers all extended access provision, including that delivered via extended access hubs. The results are published via the CCG Improvement and Assessment Framework. The latest data show that, in August 2018, full extended access was available to 40 million registered patients comprising 68% of the registered patient population. This also represents a widening of access relative to March 2018, when full extended access was available to 35.4 million registered patients, comprising 61% of the registered patient population. Data for September and October 2018 are not yet available.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 12:29:06 answering member 4067 label Biography information for Steve Brine previous answer version 87857 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

1007096

registered interest
date	14/11/2018
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	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, what steps his Department is taking to prevent system errors occurring in the correspondence sent to women relating to cervical cancer screening.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	191469
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Following the recent cervical screening incident, announced on 15 November 2018, Capita has confirmed they have put in place daily audits to ensure all women’s files are accounted for and are looking at how automated processes can be used to reduce errors. Additionally, the checks within the Capita call and recall service have been upgraded at every stage of the process and Capita has appointed an independent audit team to carry out a detailed review into operation systems and processes in Primary Care Support England.</p><p> </p><p>I laid a Written Ministerial Statement on 15 November, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-11-15/HCWS1086/" target="_blank">HCWS1086</a>, explaining the incident and the steps being taken to address it, offering reassurances to the women affected. All individual women affected have been written to directly and Capita has issued an apology.</p><p> </p><p>NHS England has set up a multiagency clinical panel to manage the response to the incident and, separately, has announced an independent expert review into cancer screening programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:18:02 answering member 4067 label Biography information for Steve Brine previous answer version 85823 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4363 label Biography information for Kate Hollern

1007099

registered interest
date	14/11/2018
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	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, how many women later died after missing an early cervical cancer screening as a result of not being sent a letter notifying them of the early screening.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	191470
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>To date no serious harm has been identified following the recent serious incident whereby a number of cervical screening invitations, reminders and results letters were not sent to women. All women affected by this incident have been written to and the file of any woman needing a follow up is being checked to ensure they have been referred appropriately. Assessments of harm as a result of not being sent a letter are ongoing.</p><p> </p><p>The public health advice from Public Health England is that the risk posed by missing these letters remains low.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:19:34 answering member 4067 label Biography information for Steve Brine previous answer version 85825 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4363 label Biography information for Kate Hollern

1007152

registered interest
date	14/11/2018
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	Postnatal Care
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 a maternal six-week check in the new General Medical Services contract; and when the current negotiations will conclude.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	191473
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The inclusion of a requirement to carry out the six-week maternal postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The negotiations are expected to be concluded before the end of the year. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:25:47 answering member 4067 label Biography information for Steve Brine previous answer version 85824 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran