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937735

registered interest
date	10/07/2018
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: 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 steps he takes to ensure that drugs are sold to the NHS at a price which represents value for money to the public purse.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162561
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>The costs of branded medicines are controlled by the Pharmaceutical Price Regulation Scheme and the statutory scheme for branded medicines. For unbranded generic medicines, the Department encourages competition between suppliers to keep prices down. In primary care, community pharmacies are incentivised to source products at the lowest possible cost and in secondary care competitive tenders ensure value-for-money to the National Health Service. Recent research published in the Milbank Quarterly demonstrated that the United Kingdom pays considerably less for unbranded generic medicines than other countries with a comparable income level.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 13:53:50 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

937736

registered interest
date	10/07/2018
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: Genetics
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 has recently had discussions with the Royal College of Nursing on the link between BRCA genes and breast cancer; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162562
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>No such discussions have taken place.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 14:00:26 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

937738

registered interest
date	10/07/2018
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, if he will make it his policy to provide targeted support for people over the age of 55 who have problems with alcohol.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162564
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>Local authorities are responsible for commissioning effective drug and alcohol prevention and treatment services based on an assessment of local need. Public Health England (PHE) supports local authorities in this work, by providing bespoke data, value for money tools, topical briefings, and advice on good practice to help local authorities meet the needs of their local population, including older people.</p><p> </p><p>PHE is engaged in a series of work programmes that aim to reduce the incidence of alcohol-related problems and help provide support to older people, such as advocating the national roll out of an alcohol misuse screening question that has been part of the NHS Health Check since 2013. The NHS Health Check is offered to three million 40-74 year olds per year.</p><p> </p><p>In addition, the United Kingdom Chief Medical Officers have produced new low risk drinking guidelines which provide the public with the latest information about the health risks of different levels and patterns of drinking. The guidelines enable people to make informed choices about their drinking. The guidelines are available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/alcohol-consumption-advice-on-low-risk-drinking" target="_blank">https://www.gov.uk/government/publications/alcohol-consumption-advice-on-low-risk-drinking</a></p><p> </p><p>We are aware of the evidence showing an increase in the level of alcohol drinking by older people. A new alcohol strategy is currently being developed and we will be considering what actions need to be taken to support all vulnerable groups. Officials will be engaging with stakeholders in the development of the strategy to identify and support these groups.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 14:03:33 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

937772

registered interest
date	10/07/2018
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	Ovarian Cancer
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 has plans to authorise a national clinical audit of ovarian cancer; and if he will make a statement.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	162542
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>Public Health England (PHE) has been funded by cancer charities to pilot and assess the feasibility of an ovarian cancer audit, this pilot will take place over the next two years.</p><p> </p><p>Since early diagnosis increases survival outcomes, NHS England is working to diagnose cancer earlier and faster. This is particularly important for cancers like ovarian, where early diagnosis makes a huge difference in survival. We are developing new models of care and pathways that will transform services by speeding up diagnosis. This includes the commitment to roll out a new Faster Diagnosis Standard by 2020 to ensure that patients referred for an investigation with a suspicion of cancer are diagnosed or have cancer ruled out within 28 days.</p><p> </p><p>NHS England has also committed more than £200 million in cancer services between 2017 and 2019, to accelerate diagnosis, improve survival and enhance quality of life.</p><p> </p><p>NHS England is introducing Rapid Diagnostic and Assessment Centres which will operate as one-stop shops to reduce time-to diagnosis and time-to-first treatment. This is a real step change in the way people with unclear symptoms are identified, diagnosed and treated. General practitioners can refer patients suffering from vague symptoms.</p><p> </p><p>NHS England is also delivering the largest single upgrade in National Health Service cancer treatment for the last 15 years. The £130 million radiotherapy modernisation programme is upgrading and replacing radiotherapy equipment in hospitals across England. Through this programme, patients will have access to the most modern, innovative radiotherapy techniques to create better health outcomes and improve patient experience.</p><p> </p><p>The Department is also closely working with PHE to develop an approach to raise awareness of generic symptoms that can indicate a wider number of cancers, including ovarian cancer, and the need to visit the doctor promptly with these symptoms.</p><p> </p><p>PHE also ran a regional pilot ovarian campaign in the North West of England from 10 February to 16 March 2014. The campaign’s key message was ‘Feeling bloated, most days, for three weeks or more could be a sign of ovarian cancer. Tell your doctor’.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 162543 162544 question first answered 17/07/2018 15:05:38 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

937774

registered interest
date	10/07/2018
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	Ovarian Cancer
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 increase ovarian cancer survival rates.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	162543
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>Public Health England (PHE) has been funded by cancer charities to pilot and assess the feasibility of an ovarian cancer audit, this pilot will take place over the next two years.</p><p> </p><p>Since early diagnosis increases survival outcomes, NHS England is working to diagnose cancer earlier and faster. This is particularly important for cancers like ovarian, where early diagnosis makes a huge difference in survival. We are developing new models of care and pathways that will transform services by speeding up diagnosis. This includes the commitment to roll out a new Faster Diagnosis Standard by 2020 to ensure that patients referred for an investigation with a suspicion of cancer are diagnosed or have cancer ruled out within 28 days.</p><p> </p><p>NHS England has also committed more than £200 million in cancer services between 2017 and 2019, to accelerate diagnosis, improve survival and enhance quality of life.</p><p> </p><p>NHS England is introducing Rapid Diagnostic and Assessment Centres which will operate as one-stop shops to reduce time-to diagnosis and time-to-first treatment. This is a real step change in the way people with unclear symptoms are identified, diagnosed and treated. General practitioners can refer patients suffering from vague symptoms.</p><p> </p><p>NHS England is also delivering the largest single upgrade in National Health Service cancer treatment for the last 15 years. The £130 million radiotherapy modernisation programme is upgrading and replacing radiotherapy equipment in hospitals across England. Through this programme, patients will have access to the most modern, innovative radiotherapy techniques to create better health outcomes and improve patient experience.</p><p> </p><p>The Department is also closely working with PHE to develop an approach to raise awareness of generic symptoms that can indicate a wider number of cancers, including ovarian cancer, and the need to visit the doctor promptly with these symptoms.</p><p> </p><p>PHE also ran a regional pilot ovarian campaign in the North West of England from 10 February to 16 March 2014. The campaign’s key message was ‘Feeling bloated, most days, for three weeks or more could be a sign of ovarian cancer. Tell your doctor’.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 162542 162544 question first answered 17/07/2018 15:05:38 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

937431

registered interest
date	09/07/2018
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	Medical Treatments: Innovation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what his policy priorities are in the Accelerated Access Pathway programme; and what the implications are of that programme for life-extending treatments.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	162145
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>In December 2017, the Government published the Life Sciences Sector Deal, which detailed our commitments to taking forward the ambition in the Life Sciences Industrial Strategy. This included implementing the response to the Accelerated Access Review, which sets out a plan to increase the rate of uptake of innovative products.</p><p> </p><p>In delivering this response, the Government has brought together the key Government, National Health Service and industry partners to form the Accelerated Access Collaborative (AAC) which will drive the uptake and adoption of innovation in the NHS, identifying and supporting the innovations that will be most transformative for patients.</p><p> </p><p>The AAC will oversee the Accelerated Access Pathway, streamlining regulatory and market access decisions, and providing additional support to increase uptake of the most transformative innovations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 11:34:46 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

937450

registered interest
date	09/07/2018
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	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 he plans to pilot the self-sampling of cervical screening for women who would prefer to access their screening in that way; and if he will make a statement.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	162104
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>The United Kingdom National Screening Committee is currently reviewing the evidence for human papillomavirus self-sampling as an additional test within the National Health Service cervical screening programme. A public consultation looking at self-screening is due to open in autumn 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 11:26:25 answering member 4067 label Biography information for Steve Brine
tabling member	4488 label Biography information for Martyn Day

937474

registered interest
date	09/07/2018
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	Prostate Cancer
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 improve the provision of high-intensity focused ultrasound therapy in the NHS for prostate cancer patients.
tabling member constituency	South Antrim
tabling member printed	Paul Girvan
uin	162138
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>NHS England is aware of some trials using high-intensity focused ultrasound therapy for prostate cancer happening across the country, some of which are in partnership with National Health Service trusts. They will monitor the outcomes of these trials. This is not something that is routinely commissioned by NHS England, however, and clinical commissioning groups and providers are encouraged to commission services in line with National Institute for Health and Care Excellence guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 11:23:15 answering member 4067 label Biography information for Steve Brine
tabling member	4633 label Biography information for Paul Girvan

937503

registered interest
date	09/07/2018
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	Measles
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 cases of measles there have been in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162065
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>Data on the number of measles cases in England and Wales can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/measles-confirmed-cases/confirmed-cases-of-measles-mumps-and-rubella-in-england-and-wales-2012-to-2013" target="_blank">https://www.gov.uk/government/publications/measles-confirmed-cases/confirmed-cases-of-measles-mumps-and-rubella-in-england-and-wales-2012-to-2013</a></p><p> </p><p>In addition, between 1 January 2018 and 6 July 2018 there have been 757 laboratory confirmed measles cases in England; further information can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/news/measles-outbreaks-across-england" target="_blank">https://www.gov.uk/government/news/measles-outbreaks-across-england</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 11:21:50 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

937506

registered interest
date	09/07/2018
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	Asthma
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 been diagnosed with asthma in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162068
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>We do not hold this information centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2018 11:32:55 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon