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1016224

registered interest
date	28/11/2018
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	Primary Health Care: 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 steps his Department is taking to address the effects of missed appointments on primary care services.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	196776
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>We recognise that missed appointments are a waste of National Health Service resources. We believe that encouraging patients to use the NHS sensibly and responsibly is the right approach and we are supportive of local schemes to highlight the number of missed appointments to their patients. However, it is ultimately a matter for the local NHS and primary care providers to decide how best to raise awareness and implement measures to reduce missed appointments.</p><p> </p><p>Primary care providers are encouraged to offer patients different ways to book appointments, send appointment reminders by text messages, and make it quick for patients to cancel or re-arrange appointments e.g. through the use of an online service.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:02:06 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

1016238

registered interest
date	28/11/2018
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	Chronic Fatigue Syndrome
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 his Department has had with NICE on acceptance of the classification of myalgic encephalomyelitis as a neurological disease as defined by the World Health Organisation; and if he will make a statement.
tabling member constituency	Luton North
tabling member printed	Kelvin Hopkins
uin	196648
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Department has had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and develops its guidance based on a thorough assessment of the available evidence and in consultation with stakeholders. NICE is currently updating its clinical guideline on the diagnosis and management of chronic fatigue syndrome/myalgic encephalomyelitis, with expected publication on 14 October 2020.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:04:30 answering member 4067 label Biography information for Steve Brine
tabling member	2 label Biography information for Kelvin Hopkins

1016239

registered interest
date	28/11/2018
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	Smoking: 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, if he will take steps to ensure that the tobacco industry is excluded from funding or helping to provide stop smoking services at a local government level.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	196780
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>The United Kingdom Government is a signatory to the World Health Organization’s Framework Convention on Tobacco Control (WHO FCTC), Article 5.3 of which commits Parties to protect public health policies with respect to tobacco control from commercial and other vested interests of the tobacco industry. The Government and local authorities take very seriously their obligations under the WHO FCTC, including the commitment under Article 5.3. The Government has endorsed the Local Government Declaration on Tobacco Control, which was launched in 2013.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:00:22 answering member 4067 label Biography information for Steve Brine
tabling member	4122 label Biography information for Alex Cunningham

1016243

registered interest
date	28/11/2018
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	Meningitis: Vaccination
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 he has made of the number children that have received the meningococcal conjugate vaccine injection in each of the last three years.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	196716
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>There are two meningococcal conjugate vaccines that are used in the United Kingdom. The meningococcal ACWY vaccine (Men ACWY) is given to adolescents and the meningitis C and Haemophilus influenzae type b (Hib) vaccine is given between 12 to 13 months of age.</p><p> </p><p>The number of children receiving the Hib/Meningitis C vaccine by age two for the last three fiscal years (2015/16, 2016/17, 2017/18) is 1,828,100.</p><p> </p><p>The MenACWY data are not available in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:08:52 answering member 4067 label Biography information for Steve Brine
tabling member	1597 label Biography information for David Simpson

1016307

registered interest
date	28/11/2018
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: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to increase the number of full-time equivalent GPs in England; and will he make a statement.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	196804
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>In 2015 the Government set the ambitious target to recruit 5,000 additional general practitioners (GPs) by 2020. This was double the growth rate of previous years, but it showed a commitment to growing a strong and sustainable general practice for the future.</p><p> </p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>The number of doctors entering speciality training has been increasing year on year, this year HEE recruited the highest number of GP trainees ever - 3,473 GP trainees against a target of 3,250, a 10% increase on last year.</p><p> </p><p>In the short term, NHS England’s International GP Recruitment programme is bringing suitably qualified doctors from overseas to work in English general practice. There is also a broad offer to support GPs to remain in the National Health Service including the GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time to Care Programme. It is also now quicker and easier for GPs to return to the NHS through the National Induction and Refresher Scheme.</p><p> </p><p>Greater skill mix is also key to releasing capacity in general practice. We have committed to investment in the multidisciplinary workforce in general practice. As of June 2018, there were over 3,000 clinical staff, excluding GPs, working in general practice since 2015; consisting of 500 more nurses and 2,800 more other direct patient care.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 196805 question first answered 07/12/2018 12:58:19 answering member 4067 label Biography information for Steve Brine
tabling member	3932 label Biography information for Dr Dan Poulter

1016308

registered interest
date	28/11/2018
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: Recruitment
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 he has made on the plan to provide an additional 5,000 full-time equivalent GPs in England by 2020; and if will he make a statement.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	196805
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>In 2015 the Government set the ambitious target to recruit 5,000 additional general practitioners (GPs) by 2020. This was double the growth rate of previous years, but it showed a commitment to growing a strong and sustainable general practice for the future.</p><p> </p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>The number of doctors entering speciality training has been increasing year on year, this year HEE recruited the highest number of GP trainees ever - 3,473 GP trainees against a target of 3,250, a 10% increase on last year.</p><p> </p><p>In the short term, NHS England’s International GP Recruitment programme is bringing suitably qualified doctors from overseas to work in English general practice. There is also a broad offer to support GPs to remain in the National Health Service including the GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time to Care Programme. It is also now quicker and easier for GPs to return to the NHS through the National Induction and Refresher Scheme.</p><p> </p><p>Greater skill mix is also key to releasing capacity in general practice. We have committed to investment in the multidisciplinary workforce in general practice. As of June 2018, there were over 3,000 clinical staff, excluding GPs, working in general practice since 2015; consisting of 500 more nurses and 2,800 more other direct patient care.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 196804 question first answered 07/12/2018 12:58:19 answering member 4067 label Biography information for Steve Brine
tabling member	3932 label Biography information for Dr Dan Poulter

1016317

registered interest
date	28/11/2018
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	Diabetes: Bexley
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 in (a) Bexley borough and b) the Bexleyheath and Crayford constituency are at risk of developing Type 2 diabetes.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	196733
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 12:59:28 answering member 4067 label Biography information for Steve Brine
tabling member	1198 label Biography information for Sir David Evennett

1016323

registered interest
date	28/11/2018
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	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 NICE’s highly specialised technology programme, if he will publish the (a) quality adjusted life year gains and (b) incremental cost effectiveness ratios according to (i) pharmaceutical company estimates, (ii) expert reference group estimates and (iii) NICE-agreed rates for (A) technologies with final guidance since 2015, (B) technologies with draft guidance since 2015 and (C) the comparators used for each assessment.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	196812
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>The information requested can be found in the attached table.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:06:47 answering member 4067 label Biography information for Steve Brine attachment 1 file name HST publications since 2015 QALYS ICERS 30112018JD REDACTED (003).xlsx title PQ196812 attached table
tabling member	4244 label Biography information for Jonathan Ashworth

1016324

registered interest
date	28/11/2018
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	Orphan 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 estimate he has made of NHS expenditure on medicines with an orphan designation in England in each of the last three financial years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	196813
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>The Department has made no such estimate. The information requested is not held centrally and could only be obtained at disproportionate cost.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:08:04 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

1016401

registered interest
date	28/11/2018
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	Epilepsy: 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 tackle the effect of deprivation on epilepsy and reduce the number of deaths caused by that condition.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	196700
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Public Health England (PHE) report ‘Deaths associated with neurological conditions in England 2001 to 2014’, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. The rate of deaths associated with epilepsy in areas ranked as the most deprived in England is almost three times larger than in the least deprived; 13 deaths per 100,000 population compared to five deaths per 100,000 population. A copy of the report can be found at the following link:</p><p><br> <a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p><br> <br> At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 196701 question first answered 03/12/2018 17:06:27 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew