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759737

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	Medicines and Healthcare products Regulatory Agency: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the budget was of the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10224
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) for each of the last 10 years is shown in the following table. The majority of the Agency’s funding is from fees.</p><table><tbody><tr><td><p> </p></td><td><p>2016/7</p></td><td><p>2015/16</p></td><td><p>2014/15</p></td><td><p>2013/14</p></td><td><p>2012/13</p></td><td><p>2011/12</p></td><td><p>2010/11</p></td><td><p>2009/10</p></td><td><p>2008/09</p></td><td><p>2007/08</p></td></tr><tr><td><p>Page number[1]</p></td><td><p>88</p></td><td><p>81</p></td><td><p>86</p></td><td><p>80</p></td><td><p>56</p></td><td><p>42</p></td><td><p>44</p></td><td><p>51</p></td><td><p>52</p></td><td><p>35</p></td></tr><tr><td><p> </p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td></tr><tr><td><p>Total Trading Income</p></td><td><p>157,293</p></td><td><p>152,963</p></td><td><p>152,767</p></td><td><p>141,813</p></td><td><p>108,815</p></td><td><p>117,247</p></td><td><p>121,387</p></td><td><p>112,690</p></td><td><p>112,812</p></td><td><p>93,463</p></td></tr></tbody></table><p> </p><p>Information about the Agency’s funding is published in the Annual Report and Accounts.</p><p>The MHRA’s Annual Report and Accounts for each year is published on the Gov.UK website at:</p><p><a href="https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date" target="_blank">https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date</a></p><p>[1] Page number in the Annual Report and Accounts of the MHRA for each of the years since 2007/08</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:27:57 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759738

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	Medicines and Healthcare products Regulatory Agency
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many products were seized by the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10225
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is the United Kingdom Regulatory Agency with responsibility for the regulation of medicinal products (for human use) and medical devices and also acts as the law enforcement authority with statutory powers including rights of entry, inspection and seizure of products.</p><p> </p><p>Medicinal products are not ordinary consumer goods and, consequently, there is strict legislative control on their sale, supply, manufacture and distribution. Medicines that do not comply with regulatory requirements pose potential health risks and once identified, either in the UK or at the UK border, are liable to detention and seizure.</p><p> </p><p>The tables below set out the number of units / doses seized yearly.</p><p>Seizures by MHRA on operational activities.</p><table><tbody><tr><td><p>OPS seizures</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2009-10</p></td><td><p>244,627</p></td></tr><tr><td><p>2010-11</p></td><td><p>528,769</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,383,495</p></td></tr><tr><td><p>2012-13</p></td><td><p>512,633</p></td></tr><tr><td><p>2013-14</p></td><td><p>266,545</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,079,570</p></td></tr><tr><td><p>2015-16</p></td><td><p>244,627</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,721,673</p></td></tr><tr><td><p>2017- date</p></td><td><p>285,649 *</p></td></tr><tr><td><p> </p></td><td><p>7,267,588</p></td></tr></tbody></table><p /><p>Note: *this figure is year to date</p><p> </p><p>Seizures made on Operation Pangea</p><p> </p><p>Operation Pangea is a global initiative targeting illegal online sales of medical products.</p><p> </p><table><tbody><tr><td><p>Pangea Seizures from Operation Pangea</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2007</p></td><td><p>100,000</p></td></tr><tr><td><p>2008</p></td><td><p>200,000</p></td></tr><tr><td><p>2009</p></td><td><p>334,000</p></td></tr><tr><td><p>2010</p></td><td><p>296,711</p></td></tr><tr><td><p>2011</p></td><td><p>94,806</p></td></tr><tr><td><p>2012</p></td><td><p>2,100,000</p></td></tr><tr><td><p>2013</p></td><td><p>3,700,000</p></td></tr><tr><td><p>2014</p></td><td><p>3,600,000</p></td></tr><tr><td><p>2015</p></td><td><p>6,200,000</p></td></tr><tr><td><p>2016</p></td><td><p>4,664,885</p></td></tr><tr><td><p>Seizures made by UK Border Force</p></td></tr><tr><td><p><table><tbody><tr><td><p>Seizures at UK Border</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2013 – September 2017</p></td><td><p>21,641,816</p></td></tr></tbody></table></p></td><td><p> </p></td></tr></tbody></table><p> </p><p> </p><p>To combine, this represents total seizures of 50,199,806 to date.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:42:23 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759741

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	General Practitioners: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his future plans are for the recruitment of GPs from overseas.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10228
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>NHS England aims to recruit at least 2,000 doctors into general practice by 2020/21. This compares to an initial target of 500 doctors over the same period of time.</p><p> </p><p>In order to meet this target, NHS England is expanding its current recruitment programme of doctors from the European Economic Area (EEA) whose general practitioner (GP) training is recognised in the United Kingdom under European law and who already get automatic recognition to join the General Medical Council’s (GMC) GP register.</p><p> </p><p>NHS England is also establishing a Framework Agreement of International Recruitment Providers, to identify potential overseas doctors and support them through the recruitment process, and a GP international recruitment office to run the recruitment operation.</p><p> </p><p>Finally, the Royal College of General Practitioners is working with the GMC to review the curriculum, training and assessment processes for GPs trained outside the EEA, starting with Australia, to identify whether the GP registration process can be streamlined for those doctors whose training is seen as equivalent to the UK GP programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:44:27 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759350

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accountable Care Organisations: Publicity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to inform the public about the Accountable Care System and Accountable Care Organisation process.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9710
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>NHS England published its delivery plan ‘Next Steps on the NHS Five Year Forward View’ in March 2017. This plan identified likely Sustainability and Transformation Partnerships (STPs) that had the potential to evolve into Accountable Care Systems (ACSs), whilst also highlighting the specific deliverables that ACSs are expected to contain. For example, some footprints that are starting to work as a locally integrated health system, taking on clear collective responsibility for resources and population health. ‘Next Steps on the NHS Five Year Forward View’ is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/03/NEXT-STEPS-ON-THE-NHS-FIVE-YEAR-FORWARD-VIEW.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/03/NEXT-STEPS-ON-THE-NHS-FIVE-YEAR-FORWARD-VIEW.pdf</a></p><p>In his speech, addressing the NHS Confederation in Liverpool in June 2017, Simon Stevens further updated the list of STPs that had the potential to evolve into ACSs. Further information about that can be found here:</p><p><a href="https://www.england.nhs.uk/2017/06/nhs-moves-to-end-fractured-care-system/" target="_blank">https://www.england.nhs.uk/2017/06/nhs-moves-to-end-fractured-care-system/</a></p><p>In relation to Accountable Care Organisations (ACOs), on 4 August 2017 NHS England published an updated draft of the NHS Standard Contract – NHS Standard Contract (Accountable Care Models) (ACO Contract) and support package. NHS England have engaged with key stakeholders in the development of this contract and will continue to work with leading commissioners to develop this contract further over the next year, with a view to consulting on a final version in 2018.</p><p> </p><p>The Department is currently consulting on proposals to make a number of changes to regulations that are required to facilitate this new contract. This consultation is available at:</p><p><a href="https://www.gov.uk/government/consultations/accountable-care-models-contract-proposed-changes-to-regulations." target="_blank">https://www.gov.uk/government/consultations/accountable-care-models-contract-proposed-changes-to-regulations.</a></p><p>The Department expects clinical commissioning groups, when procuring ACO contracts, to assure themselves that they have satisfied their legal duties, including the need to consult local populations. The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:22:50 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759351

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Public Consultation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, through what mechanism he will ensure that sustainability and transformation partnerships comply with obligations with respect to consultation.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9711
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Individual organisations that constitute each of the 44 Sustainability and Transformation Partnerships (STPs) are accountable to local communities for activities of each STP. Each is working to its own, locally appropriate timetable but many have already carried out extensive engagement with the public. When there are proposals to substantially change services, National Health Service and local government organisations have a duty to consult their local communities. There are longstanding rules laid to assure this.</p><p> </p><p>All significant service change is subject to a full public consultation and proposals must meet the Government’s four reconfiguration tests. These are support from clinical commissioners, clarity on the clinical evidence base, robust patient and public engagement and support for patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:29:24 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759353

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Urinary Tract Infections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to improve diagnosis of urinary tract infections.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9713
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>In June 2017 Public Health England updated the Diagnosis of Urinary Tract Infections: Quick Reference Guide for Primary Care, which gives primary care givers, including doctors, nurses and pharmacists, simple, effective, economical and empirical approach towards the diagnosis and treatment of urinary tract infections.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:31:19 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759357

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prostate Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress has been made within the National Cancer Strategy to ensure all men with prostate cancer have access to a clinical nurse specialist or key worker.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9717
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>NHS England, along with partners Health Education England, have carried out a series of engagement and consultation exercises with a wide group of stakeholders, including Macmillan Cancer Support, to explore the best approach to improving access to clinical nurse specialists for all patients, including men with prostate cancer.</p><p> </p><p>NHS England’s Patient Experience Team has identified a number of alternative and sustainable models of providing access to clinical nurse specialists or key worker to support all patients through their cancer treatment and beyond. NHS England plan to identify a Cancer Alliance best suited to pilot these models with a view to evaluating the outcomes of this work and share learning in December 2018. Part of the learning will be how Cancer Alliances roll out best practice in this area including prostate cancer care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:33:56 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

758707

registered interest
date	07/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Cheshire and Merseyside
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the remuneration is of the Chair and Chief Executive of the Cheshire and Merseyside Sustainability and Transformation Partnership.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9429
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>The annual remuneration for the Cheshire and Merseyside Independent Chair, Andrew Gibson is £150,000.</p><p> </p><p>Mel Pickup has been appointed Chief Executive Lead for Cheshire and Merseyside Sustainability and Transformation Partnership alongside her substantive role as Chief Executive at Warrington Hospitals NHS Foundation Trust. Her time will be divided equally, and her annual salary cost of £82,500 will be reimbursed to the Trust.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 13:48:45 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

758708

registered interest
date	07/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will set out the consultation process that a sustainability and transformation partnership is required to undertake when a decision to substantially change services is made.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9436
answer	answer is ministerial correction date of answer 15/09/2017 answer text <p>In September 2016 NHS England published “Engaging local people: A guide for local areas developing Sustainability and Transformation Plans”. This document outlines the expectations on stakeholder involvement and in particular patient and public participation. A copy of 'Engaging People: a guide for local areas developing Sustainability and Transformation Plans’ is available here:</p><p><a href="https://www.england.nhs.uk/publication/engaging-local-people-a-guide-for-local-areas-developing-sustainability-and-transformation-plans/" target="_blank">https://www.england.nhs.uk/publication/engaging-local-people-a-guide-for-local-areas-developing-sustainability-and-transformation-plans/</a></p><p> </p><p>When there are proposals to substantially change services, the National Health Service has a duty to consult with their local community. There are longstanding rules to assure this.</p><p> </p><p>All significant service change is subject to a full public consultation and proposals must meet the Government’s four reconfiguration tests. These are support from clinical commissioners, clarity on the clinical evidence base, robust patient and public engagement and support for patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/09/2017 12:28:27 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

758712

registered interest
date	07/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Consultants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many sustainability and transformation partnerships have employed private sector consultants as part of the Accountable Care System process.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	9432
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>It is for each partner within every sustainability and transformation partnership (STP) area to decide where they may need support or advice from external organisations. All partners within each STP area need to be disciplined about keeping costs as low as possible as they work to alleviate pressures on the National Health Service, and improve patient care.</p><p> </p><p>NHS England does not hold this information centrally. The vast majority of work within STP areas has been by existing staff, sometimes in addition to their normal duties.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 13:53:13 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders