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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

759748

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: Attendance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to review the sanctions available to GP practices against patients who repeatedly do not attend appointments.
tabling member constituency	Milton Keynes South
tabling member printed	Iain Stewart
uin	10282
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The National Health Service Constitution states that patients are responsible for keeping appointments or cancelling them within a reasonable time. At present there are no sanctions available for general practitioner practices to manage repeated failure to attend appointments. There are no plans at present to review this.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:38:21 answering member 4067 label Biography information for Steve Brine
tabling member	4015 label Biography information for Iain Stewart

759345

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	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure cancer waiting time targets are met.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	9750
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>The National Health Service is meeting six out of eight cancer waiting times standards (June 2017) including ensuring that 93% of patients are seen within two weeks of an urgent general practitioner referral and that 96% of patients receive their first treatment for cancer within 31 days of diagnosis. This is despite 970,000 more people being urgently referred in 2016/17 compared to 2009/10 - an increase of 108%.</p><p> </p><p>Achieving the 62-day cancer standard is a key objective in the Government’s Mandate to NHS England for 2017-18 and Next Steps on the NHS Five Year Forward View. NHS England and NHS Improvement are providing support and challenge to those trusts that need to improve their performance against this standard.</p><p> </p><p>NHS England has confirmed £200 million of transformation funding to improve cancer services over the next two years. This includes encouraging local areas to find new and innovative ways to diagnose cancer earlier.</p><p> </p><p>Cancer survival rates are at a record high and the NHS has estimated 7,000 more people are surviving cancer after successful NHS cancer treatment compared to three years ago.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 14:32:03 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

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

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

759359

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	Smoking: Prisoners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many inmates are enrolled on stop smoking courses and treatments.
tabling member constituency	Leeds East
tabling member printed	Richard Burgon
uin	9810
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>The data are not collected at national level in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 13:52:12 answering member 4067 label Biography information for Steve Brine
tabling member	4493 label Biography information for Richard Burgon

759361

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	Tobacco
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the publication of Towards a smoke-free generation: a tobacco control plan for England in July 2017 by his Department, if he will (a) create a strategy to reduce the consumption of and (b) publish a report on the consumption of chewing tobacco primarily by South Asian women.
tabling member constituency	Preston
tabling member printed	Mr Mark Hendrick
uin	9830
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>Towards a smoke free generation: a tobacco control plan for England, sets out national ambitions to further reduce use of all tobacco products across the population in England. We have no plans to produce either a separate strategy to address, or a report on, the consumption of chewing tobacco by South Asian women.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 13:50:10 answering member 4067 label Biography information for Steve Brine
tabling member	473 label Biography information for Sir Mark Hendrick

759368

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: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that men are able to access early prostate tests.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10002
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The National Health Service Prostate Cancer Risk Management Programme (PCRMP) provides general practitioners and primary care professionals with information to counsel men who ask about prostate cancer and/or prostate-specific antigen (PSA) testing. Men over 50 who decide to have a PSA test based on this information can do so for free on the NHS.</p><p>The PCRMP information pack was revised and updated in March 2016 and is available at the following link:</p><p><a href="http://www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview" target="_blank">www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview</a></p><p>The PCRMP has also produced information leaflets that healthcare professionals can use when discussing the test with eligible men, which are available at the following link.</p><p><a href="http://www.gov.uk/government/collections/prostate-cancer-risk-management-programme-supporting-documents" target="_blank">www.gov.uk/government/collections/prostate-cancer-risk-management-programme-supporting-documents</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:33:03 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

759371

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	Pancreatic Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable is for the blood test diagnosis for pancreatic cancer becoming available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	9989
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance. There is currently no timetable for making the blood test diagnosis for pancreatic cancer available on the National Health Service.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:34:47 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

759372

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	Eyes: Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been diagnosed with eyesight problems or diseases in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10000
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is not possible to provide data on the number of people diagnosed with eyesight problems or disease diagnosis in each of the last five years given that there are many conditions and diseases of the eye, not all of which will be captured by national statistics.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:28:48 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon