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760688

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many contracted units of dental activity were not delivered through National Health Service dental contracts in England in each year from 2012 to 2017.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	105149
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The table below shows:</p><p>- the contracted units of dental activity not delivered through National Health Service dental contracts;</p><p>- total value of under delivered contracted units of dental activity; and</p><p>- number of contracts where not all contracted units of dental activity were delivered in England, for each year from 2012/13- 2016/17.</p><table><tbody><tr><td><p> </p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td></tr><tr><td><p>Contracted units of dental activity not delivered through NHS dental contracts in England (to 100% level)</p></td><td><p>5,210,585</p></td><td><p>3,812,758</p></td><td><p>3,799,633</p></td><td><p>4,352,738</p></td><td><p>4,363,613</p></td></tr><tr><td><p>Total value of under delivered contracted units of dental activity in NHS dental contracts in England (to 100% level) (£)</p></td><td><p>113,854,578</p></td><td><p>95,227,354</p></td><td><p>105,711,840</p></td><td><p>120,090,256</p></td><td><p>128,842,469</p></td></tr><tr><td><p>NHS dental contracts in England where not all contracted units of dental activity delivered in each year (to 100% level)</p></td><td><p>3,320</p></td><td><p>2,659</p></td><td><p>2,704</p></td><td><p>2,688</p></td><td><p>2,409</p></td></tr></tbody></table><p> </p><p><br>- The table includes contracts closed during the year</p><p>Notes:</p><p>- Contracted units of dental activity not delivered through NHS dental contracts does not assume that up to 4% of under delivery is carried forward by the contractor, for delivery in the subsequent year (up to 4% under delivery is a contractual tolerance managed by commissioners).</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 105147 105148 question first answered 09/10/2017 16:32:06 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

760696

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether a clinical and financial risk analysis has been carried out on the proposal to restrict patient access to blue-light filtering intraocular lenses in the NICE draft clinical guideline on cataracts in adults: management.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	105216
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) has advised that it made recommendations for blue-light filtering lenses in the draft cataract guideline based on a systematic review of both the clinical and economic evidence for their use. This considered the potential benefits, harms and costs of the technology.</p><p> </p><p>All of the recommendations in the draft guideline, including the recommendation on blue-light filtering lenses, are not yet final and are subject to post-consultation changes based on the feedback received from stakeholders during the consultation. NICE expects to publish final guidance on 24 October 2017. Full details of the consideration of the intraocular lenses can be found in chapter 8 of the full draft guideline available at:</p><p><a href="https://www.nice.org.uk/guidance/gid-cgwave0741/documents/draft-guideline" target="_blank">https://www.nice.org.uk/guidance/gid-cgwave0741/documents/draft-guideline</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:25:23 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

760701

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total value of undelivered contracted units of dental activity in NNS dental contracts in England was in each year from 2012 to 2017.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	105147
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The table below shows:</p><p>- the contracted units of dental activity not delivered through National Health Service dental contracts;</p><p>- total value of under delivered contracted units of dental activity; and</p><p>- number of contracts where not all contracted units of dental activity were delivered in England, for each year from 2012/13- 2016/17.</p><table><tbody><tr><td><p> </p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td></tr><tr><td><p>Contracted units of dental activity not delivered through NHS dental contracts in England (to 100% level)</p></td><td><p>5,210,585</p></td><td><p>3,812,758</p></td><td><p>3,799,633</p></td><td><p>4,352,738</p></td><td><p>4,363,613</p></td></tr><tr><td><p>Total value of under delivered contracted units of dental activity in NHS dental contracts in England (to 100% level) (£)</p></td><td><p>113,854,578</p></td><td><p>95,227,354</p></td><td><p>105,711,840</p></td><td><p>120,090,256</p></td><td><p>128,842,469</p></td></tr><tr><td><p>NHS dental contracts in England where not all contracted units of dental activity delivered in each year (to 100% level)</p></td><td><p>3,320</p></td><td><p>2,659</p></td><td><p>2,704</p></td><td><p>2,688</p></td><td><p>2,409</p></td></tr></tbody></table><p> </p><p><br /></p><p>Notes:</p><p>- The table includes contracts closed during the year.</p><p>- Contracted units of dental activity not delivered through NHS dental contracts does not assume that up to 4% of under delivery is carried forward by the contractor, for delivery in the subsequent year (up to 4% under delivery is a contractual tolerance managed by commissioners).</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 16:32:06 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

760703

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, for how many NHS dental contracts in England were not all contracted units of dental activity delivered in each year from 2012 to 2017.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	105148
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The table below shows:</p><p>- the contracted units of dental activity not delivered through National Health Service dental contracts;</p><p>- total value of under delivered contracted units of dental activity; and</p><p>- number of contracts where not all contracted units of dental activity were delivered in England, for each year from 2012/13- 2016/17.</p><table><tbody><tr><td><p> </p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td></tr><tr><td><p>Contracted units of dental activity not delivered through NHS dental contracts in England (to 100% level)</p></td><td><p>5,210,585</p></td><td><p>3,812,758</p></td><td><p>3,799,633</p></td><td><p>4,352,738</p></td><td><p>4,363,613</p></td></tr><tr><td><p>Total value of under delivered contracted units of dental activity in NHS dental contracts in England (to 100% level) (£)</p></td><td><p>113,854,578</p></td><td><p>95,227,354</p></td><td><p>105,711,840</p></td><td><p>120,090,256</p></td><td><p>128,842,469</p></td></tr><tr><td><p>NHS dental contracts in England where not all contracted units of dental activity delivered in each year (to 100% level)</p></td><td><p>3,320</p></td><td><p>2,659</p></td><td><p>2,704</p></td><td><p>2,688</p></td><td><p>2,409</p></td></tr></tbody></table><p> </p><p><br>- The table includes contracts closed during the year</p><p>Notes:</p><p>- Contracted units of dental activity not delivered through NHS dental contracts does not assume that up to 4% of under delivery is carried forward by the contractor, for delivery in the subsequent year (up to 4% under delivery is a contractual tolerance managed by commissioners).</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 105147 105149 question first answered 09/10/2017 16:32:06 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

760707

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what representations he has received on the final scope of the NICE draft clinical guideline on cataracts in adults: management.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	105215
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The Department has received no representations relating to the final scope of the National Institute for Health and Care Excellence draft clinical guideline on cataracts in adults: management.</p><p> </p><p>The Department has received one Commons written Parliamentary Question and three Lords written Parliamentary Questions regarding the draft guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:23:44 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham

760882

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chronic Obstructive Pulmonary Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the effect of (a) disinfectant and (b) bleach on the incidence and severity of chronic obstructive pulmonary disease.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	105422
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>Public Health England (PHE) has not conducted any assessment on the effects of disinfectant or bleach on chronic obstructive pulmonary disease (COPD). Preliminary research by scientists at Harvard University and the French National Institute of Health and Medical Research found an association between an increase in the incidence of COPD in nurses that frequently used bleach and other cleaning products. This is the first to report such an effect. PHE will monitor any further developments and research in this area.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:27:13 answering member 4067 label Biography information for Steve Brine
tabling member	534 label Biography information for Chris Ruane

760898

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Orphan Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the ability of NICE to assess orphan treatments as part of its (i) single technology appraisal and (ii) highly specialised technology programmes; and if he will make a statement.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	105408
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent, expert body responsible for developing authoritative, evidence-based guidance for the National Health Service on whether drugs and other treatments represent an effective use of NHS resources. The methods and processes it uses in the development of its guidance are internationally respected have been developed through extensive engagement with a full range of stakeholders, including the Department, and are periodically reviewed to ensure that they remain fit for purpose.</p><p> </p><p>NICE has assessed, and been able to recommend, a number of orphan medicines through its technology appraisal and highly specialised technology programmes. NHS commissioners are legally required to fund drugs and treatments recommended in NICE technology appraisal and highly specialised technology guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:22:20 answering member 4067 label Biography information for Steve Brine
tabling member	1511 label Biography information for Lord Austin of Dudley

760899

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, (a) which treatments have been assessed by NICE in the last two years, (b) whether each treatment was recommended, optimised or not recommended and (c) what the estimated population size was for each treatment.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	105409
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body that provides guidance on the prevention and treatment of ill health and promotion of good health and social care. We are informed by NICE that the information requested can be accessed via the attached link:</p><p><a href="https://www.nice.org.uk/guidance/published?type=hst,ta&amp;fromdate=September%202015&amp;todate=September%202017" target="_blank">https://www.nice.org.uk/guidance/published?type=hst,ta&amp;fromdate=September%202015&amp;todate=September%202017</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:19:51 answering member 4067 label Biography information for Steve Brine
tabling member	1511 label Biography information for Lord Austin of Dudley

760905

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment has been made of the relationship between the number of fast food outlets in any neighbourhood and the levels of childhood obesity in those neighbourhoods since the report of Public Health England of 31 March 2017 on Health matters: obesity and the food environment.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	105423
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>No national assessment has been made since the March 2017 publication ‘Health matters: obesity and the food environment’.</p><p> </p><p>In 2016, prior to the Health Matters publication, Public Health England (PHE) published findings of an analysis which indicated an association between the density of fast food outlets and areas of deprivation, with the poorest areas of the country having a higher density of takeaways. This intelligence sits alongside health survey data showing that prevalence of child overweight and obesity rises with deprivation. More information can be accessed here:</p><p><a href="http://www.gov.uk/government/publications/obesity-and-the-environment-briefing-regulating-the-growth-of-fast-food-outlets" target="_blank">www.gov.uk/government/publications/obesity-and-the-environment-briefing-regulating-the-growth-of-fast-food-outlets</a></p><p>In July 2017 the Government updated the Planning Practice Guidance on health and wellbeing (<a href="http://www.gov.uk/guidance/health-and-wellbeing" target="_blank">www.gov.uk/guidance/health-and-wellbeing</a>) to include a new section detailing how local planning authorities, when considering how to promote healthier weight environments, could have regard to locations where children and young people congregate, as well as to evidence indicating high levels of obesity and deprivation.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:17:17 answering member 4067 label Biography information for Steve Brine
tabling member	534 label Biography information for Chris Ruane

759718

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Primary Health Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the commissioning process for primary medical care services under circumstances where no prospective providers come forward.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	10064
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>NHS England has a statutory responsibility to ensure that all patients have access to high-quality primary medical care services and enters into contractual arrangements with a range of general practitioner providers to secure those services for the population of England.</p><p> </p><p>The commissioning process to secure services includes, where necessary, approaches to stimulate the provider market. These include engaging with patients and the public, and hosting provider events, working with professional representative groups and other key stakeholders. Options available to commissioners include:</p><p> </p><p>- Procurement through an Alternative Provider Medical Services contract, which allow the widest range of providers to bid for delivery;</p><p> </p><p>- Re-procurement through General Medical Services or Personal Medical Services contracts, which are contracts that can only be held by general practitioners or wider members of the National Health Service family; and</p><p> </p><p>- List dispersal in the case of generally small practices where there is reasonable provision from neighbouring practices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:07:42 answering member 4067 label Biography information for Steve Brine
tabling member	4449 label Biography information for Anna Turley