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864293

registered interest
date	15/03/2018
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	East Lancashire Clinical Commissioning Group: Salute
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what representations his Department has received on recent work undertaken by East Lancashire Clinical Commissioning Group and the charity Salute.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	132777
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>NHS England has advised that following the hon. Member’s letter to the Chief Executive of NHS England, they have launched an investigation.</p><p> </p><p>They also have advised that they are unable to provide further information until the investigation is concluded.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2018 16:42:20 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

864294

registered interest
date	15/03/2018
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	Midlands and Lancashire Commissioning Support Unit
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 validity of Midlands and Lancashire Commissioning Support Unit's policy of allowing themselves up to 40 working days to respond to constituent casework regardless of whether an investigation is needed.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	132778
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>It is important that clinical commissioning groups (CCGs) should respond to constituent casework in a timely manner.</p><p> </p><p>NHS England has advised that the Chief Officer for Lancashire CCG, Mike McQuire, has written to the hon. Member about the role of NHS Midlands and Lancashire Commissioning Support Unit in working with NHS West Lancashire CCG to produce responses to correspondence from hon. Members.</p><p> </p><p>We understand he has set out the process for dealing with letters and the responsibilities of the respective organisations involved in providing accurate responses to hon. Members or constituents, and has requested a further meeting with the hon. Member to discuss the matter further.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2018 16:33:13 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

864295

registered interest
date	15/03/2018
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	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, whether he will assess the potential merits of introducing a separate assessment process for rare disease medicines that do not meet the criteria set out by the National Institute of Health and Care Excellence for their Highly Specialised Technology route.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	132779
answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>The Department has no plans to establish a new assessment process for the evaluation of rare disease treatments. The National Institute for Health and Care Excellence (NICE) develops guidance on most new drugs through its technology appraisal programme, and has been able to recommend a number of drugs for rare diseases for routine use on the National Health Service.</p><p> </p><p>There is an established topic selection process for the technology appraisal and highly specialised technology evaluation programme that includes a public consultation and is designed to ensure that treatments are only referred for assessment by NICE where its guidance will add value. NICE periodically reviews its methods and processes to ensure that they remain fit for purpose for the NHS in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:15:12 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

864305

registered interest
date	15/03/2018
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: Prescription 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 his Department is taking to monitor the effect of new guidance issued by NHS England relating to items that should not routinely be prescribed in primary care on trends in the levels of prescriptions in primary care.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	132789
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>NHS England held a three month consultation between July and October 2017 on draft guidance for clinical commissioning groups’ (CCGs’) proposed restrictions on the routine prescribing of 18 products, totalling £141 million in National Health Service primary care spend. Final statutory guidance ‘Items which should not be routinely prescribed in primary care: Guidance for CCGs’ was published on 30 November 2017.</p><p> </p><p>NHS England is responsible for monitoring the effect of its new guidance relating to items that should not routinely be prescribed in primary care. NHS England does not hold information on how many CCG guidelines have been updated, or how much funding has been saved since the guidance was published. The NHS Business Services Authority has a dashboard which monitors, on a monthly basis, prescribing volume and costs of the 18 products identified in the CCG guidance. NHS England plans to utilise this dashboard to monitor implementation and progress.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 132629 question first answered 22/03/2018 17:22:56 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

864343

registered interest
date	15/03/2018
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	Food Supply
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 by the Food Research Collaboration, Weakening UK food law enforcement: a risky tactic in Brexit, what assessment his Department has made of the implications for food security when the UK leaves the EU of the report’s conclusions on the Food Standards Agency’s programme of change, Regulating Our Future.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	132827
answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>At no point will the United Kingdom Government propose changes through the Regulating Our Future programme that would adversely impact on food security or cause difficulty to food businesses wishing to export food post European Union exit. Departments are currently working together to understand the impacts that withdrawal from the EU will have across a number of cross-cutting areas. It will be the UK Government’s priority to maintain the UK’s high standards of food and feed safety, and to ensure we take a risk-based, proportionate approach when providing risk assessments.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 14:36:16 answering member 4067 label Biography information for Steve Brine
tabling member	3930 label Biography information for Caroline Lucas

864378

registered interest
date	15/03/2018
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	Rheumatoid Arthritis: Podiatry
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 every patient newly diagnosed with rheumatoid arthritis is referred to podiatry services for early examination.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	132862
answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>Provision of podiatry service is a local matter. The guideline Rheumatoid arthritis in adults: management, updated by the National Institute for Health and Care Excellence (NICE) in 2015, recommends that all people with rheumatoid arthritis who have foot problems should have access to a podiatrist for assessment and periodic review of their foot health needs. We expect commissioners to take NICE guidance into account when planning services for local populations. The guideline can be found at the following link:</p><p><a href="https://www.nice.org.uk/guidance/cg79" target="_blank">https://www.nice.org.uk/guidance/cg79</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 14:40:21 answering member 4067 label Biography information for Steve Brine
tabling member	4532 label Biography information for Derek Thomas

864392

registered interest
date	15/03/2018
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	Dental Services: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the cost to the NHS of delivering emergency dental treatment in hospitals has been in each of the last five years.
tabling member constituency	Bolton North East
tabling member printed	Sir David Crausby
uin	132876
answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:17:35 answering member 4067 label Biography information for Steve Brine
tabling member	437 label Biography information for Sir David Crausby

864395

registered interest
date	15/03/2018
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	Dental Services
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 improve access to NHS dentists.
tabling member constituency	Bolton North East
tabling member printed	Sir David Crausby
uin	132879
answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>NHS England has a legal duty to commission primary care dental services to meet the needs of the local population. NHS England also has arrangements in place to help patients who cannot find a local dentist that is accepting new patients.</p><p> </p><p>Access nationally remains high. 22.1 million adults saw a National Health Service dentist in the 24 months ending in 31 December 2017 and 6.9 million children in the 12 months ending in 31 December 2017. However, there are areas where there is further to go to ensure that all those who want to access NHS dental care can do so.</p><p> </p><p>New ways of providing primary care dental services are being tested by the Department and NHS England which aims to further improve oral health and increase access to NHS dental services, by preventing as well as treating disease. Alongside this is NHS England’s Starting Well programme, which aims to improve access to dental services for children known to be at greater risk of dental disease and who are not currently being seen by a dentist.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 14:38:58 answering member 4067 label Biography information for Steve Brine
tabling member	437 label Biography information for Sir David Crausby

864399

registered interest
date	15/03/2018
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	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 reviewing the effect of changes to the National Institute of Health and Care Excellence Highly Specialised Technology Programme earlier than three years after their implementation in April 2017.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	132883
answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for the methods and processes used in the development of its guidance, and for keeping its procedures under review. Following consultation with stakeholders, NICE concluded that a three year period would be appropriate to gain sufficient experience of its updated highly specialised technology evaluation methods to enable a robust review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:16:46 answering member 4067 label Biography information for Steve Brine
tabling member	481 label Biography information for Sir George Howarth

864405

registered interest
date	15/03/2018
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	Food: Labelling
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 ensure that carbohydrates are (a) clearly and (b) consistently displayed on pre-packaged food.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	132888
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>My Rt. hon. Friend, the Secretary of State for Health and Social Care, has not had any recent discussions with the food and drinks industry on calorie labelling, including carbohydrate content, on pre-packaged foods or food sold in restaurants, cafes, fast food outlets and takeaways.</p><p> </p><p>The mandatory nutrient declaration for pre-packaged food must include values for carbohydrate and calories. We welcome the actions taken by responsible producers and retailers who have adopted the front of pack and out of home nutrition labelling schemes. Businesses that have adopted the front of pack nutrition labelling scheme account for approximately two thirds of the market for pre-packed foods and drinks, and around a quarter of the food consumed outside the home currently has calories labelled at the point of choice, for example on menus and menu boards. But the challenge to industry to make further progress remains.</p><p> </p><p>The United Kingdom’s decision to leave the European Union will give us greater flexibility to determine what information should be presented on packaged food, and how it should be displayed. We want to build on the success of our current labelling scheme, and review additional opportunities to go further and ensure we are using the most effective ways to communicate information. This might include clearer visual labelling, such as teaspoons of sugar, that help consumers understand more about the sugar content in packaged food and drink.</p><p> </p><p>There has been no central assessment of the merits of introducing mandatory recommended dietary allowance guidelines on fast food packaging or in fast food outlets.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 132569 132571 132585 132586 132587 132890 132943 question first answered 22/03/2018 17:35:07 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz