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819795

registered interest
date	10/01/2018
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	Spondyloarthritis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what mechanisms have been put in place to identify accurately the number of individuals diagnosed with ankylosing spondylitis and psoriatic arthritis within the NHS in England.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	121867
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>Improving Lives - The Work, Health and Disability Green Paper, published on 31 October 2016, sets out the Government’s commitment to work with NHS England to identify opportunities for regular collection of data about incidence, prevalence, clinical activity and outcomes of musculoskeletal (MSK) conditions and services in England. The Government’s Mandate to NHS England reiterated this commitment.</p><p> </p><p>On 30 November 2017, the Government published Improving Lives - The Future of Work, Health and Disability in response to the Green Paper. This builds on the commitment to identify opportunities for routine data collection about MSK incidence, prevalence, clinical activity, and outcomes. The report outlined that a data advisory group, led by Arthritis Research UK, has been examining the issue. On 1 December 2017, the advisory group presented its recommendations to NHS England, which is currently considering the appropriate next steps.</p><p> </p><p>Improving Lives - The Future of Work, Health and Disability can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2018 14:07:08 answering member 4067 label Biography information for Steve Brine
tabling member	4488 label Biography information for Martyn Day

819799

registered interest
date	10/01/2018
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: 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 his Department uses artificial intelligence to spot breast Cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121871
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>We are aware of a study at the Massachusetts Institute of Technology into Artificial Intelligence (AI) in diagnosing breast cancer in women. Modern digital pathology techniques have created the opportunity to produce AI-based algorithms that could provide grading of tumours and prognostic insights that are not currently available through conventional methodology. However, the future availability of any new or novel tests on the National Health Service would be subject to large scale clinical trials demonstrating the safety and efficacy of the diagnostic approach and subsequent assessments of its cost effectiveness for routine use. Through its technology appraisal programme, the National Institute for Health and Care Excellence (NICE) provides authoritative, evidence-based guidance for the NHS on whether drugs and other treatments represent an effective use of NHS resources. NHS commissioners are legally required to fund drugs and treatments recommended by NICE within three months of final guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2018 14:04:56 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819810

registered interest
date	10/01/2018
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	Obesity: Surgery
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 children under 18 years old have had gastric band operations in each of the last 5 years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121882
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>NHS Digital has provided a count of finished admission episodes<sup>1</sup> (FAE) where the patient was aged 17 or under and a primary diagnosis<sup>2</sup> of obesity was recorded alongside a main or secondary operative procedure<sup>3</sup> of bariatric surgery for the years 2012-13 to 2016-17<sup>4</sup>. This information is provided in the table below.</p><table><tbody><tr><td colspan="6"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p>Procedure</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>Gastric Bypass</p></td><td><p>5</p></td><td><p>4</p></td><td><p>4</p></td><td><p>9</p></td><td><p>12</p></td></tr><tr><td><p>Gastric Band</p></td><td><p>7</p></td><td><p>3</p></td><td><p>3</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>Gastric Bubble/Balloon</p></td><td><p>3</p></td><td><p>10</p></td><td><p>3</p></td><td><p>1</p></td><td><p>2</p></td></tr><tr><td><p>Stomach Staples</p></td><td><p>1</p></td><td><p>-</p></td><td><p>-</p></td><td><p>1</p></td><td><p>4</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p>Notes:</p><p><sup>1</sup>A FAE is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the period.</p><p> </p><p><sup>2</sup>The primary diagnosis is the first of up to 20 diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p><sup>3</sup>The number of episodes where the procedure (or intervention) was recorded in any of the 24 procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p> </p><p><sup>4</sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p> </p><p>It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:20:09 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819854

registered interest
date	10/01/2018
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	Slaughterhouses: Inspections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 20 December 2017 to Question 118905, on Slaughterhouses: Inspections, how many establishments in each group of those audit results received (a) improvement necessary and (b) urgent improvement necessary audit results.
tabling member constituency	Bristol East
tabling member printed	Kerry McCarthy
uin	121926
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>Due to the way the data are gathered and extracted from the system, the numbers below detail the number of audits with unsatisfactory outcomes, rather than the number of establishments with unsatisfactory outcomes. That means that one establishment might have received more than one unsatisfactory outcome during the period accounted for. The data below are for England and Wales.</p><p> </p><p>From August 2014 to December 2017- Improvement necessary</p><p> </p><p>Slaughterhouses (including slaughterhouses with co-located cutting plants and wild game establishments)</p><p>2014 – 29</p><p>2015 – 55</p><p>2016 – 45</p><p>2017 – 41</p><p> </p><p>Others (Cutting Plants)</p><p>2014 – 17</p><p>2015 – 36</p><p>2016 – 36</p><p>2017 – 39</p><p>From August 2014 to December 2017- Urgent Improvement necessary</p><p> </p><p>Slaughterhouses (including slaughterhouses with co-located cutting plants and wild game establishments)</p><p>2014 – 7</p><p>2015 – 5</p><p>2016 – 5</p><p>2017 – 7</p><p> </p><p>Others (Cutting Plants)</p><p>2014 – 1</p><p>2015 – 5</p><p>2016 – 1</p><p>2017 – 8</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2018 14:09:34 answering member 4067 label Biography information for Steve Brine
tabling member	1491 label Biography information for Kerry McCarthy

819897

registered interest
date	10/01/2018
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	Oxford University Hospitals NHS Foundation Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has had discussions with Oxford University Hospitals NHS Foundation Trust on the recruitment and retention of specialist cancer staff in that trust; and if he will make a statement.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	121969
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>I spoke to Dr Bruno Holthof, Chief Executive of Oxford University Hospitals NHS Foundation Trust, on Wednesday 11 January. We discussed how the Trust is not currently changing cancer treatment regimes for its patients, or considering any change outside the standards set out by the National Institute for Health and Clinical Excellence. I also sought reassurance from the Trust that it is communicating effectively to patients, families and staff that there are no changes to cancer treatment programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:45:06 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

819899

registered interest
date	10/01/2018
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	Oxford University Hospitals NHS Foundation Trust: Chemotherapy
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 meet with the hon. member for Oxford West and Abingdon to discuss the availability of chemotherapy treatment offered by Oxford University Hospitals NHS Foundation Trust.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	121971
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>I will shortly be writing a detailed letter to the hon. member for Oxford West and Abingdon addressing her concerns about chemotherapy treatment at Oxford University Hospitals NHS Foundation Trust.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:51:02 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

819900

registered interest
date	10/01/2018
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	Cancer: Oxfordshire
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 is taking to ensure compliance with the national cancer waiting time standard in Oxfordshire; and if he will make a statement.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	121972
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Oxford University Hospital NHS Foundation Trust is currently meeting seven out of the eight national cancer waiting times standards. Oxford Clinical Commissioning Group is working with Oxford University Hospitals NHS Foundation Trust to improve waiting times performance and ensure national standards are met, including the 62-day cancer standard.</p><p> </p><p>Achieving the unmet 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.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 15:06:36 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

819901

registered interest
date	10/01/2018
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	Nurses: Oxfordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the reasons for shortages in chemotherapy nurses in Oxfordshire; and if he will make a statement.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	121973
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Oxford University Hospitals NHS Foundation Trust continues to meet operational standards for providing cancer care to its patients. The most recent figures for Q2 2017/18 show:</p><p>- Two Week Wait from GP Urgent Referral to First Consultant Appointment: 96.9% (operational standard 95%);</p><p>- One Month Wait from a Decision to Treat to a First Treatment for Cancer: 97.0% (operational standard 95%); and</p><p>- Two Month Wait from GP Urgent Referral to a First Treatment for Cancer: 85.1% (operational standard 85%).</p><p> </p><p>We are committed to improving the capability and capacity of the cancer workforce in England. Health Education England (HEE) published its first ever Cancer Workforce Plan on 5 December 2017, setting out plans to increase the numbers working in cancer care, speeding up diagnoses and treatment.</p><p> </p><p>Macmillan Cancer Support are currently carrying out a Specialist Adult Cancer Nurse Census</p><p>to understand the current size and location of the specialist cancer nurse workforce. This will</p><p>enable HEE to develop a much more comprehensive picture of how many specialist nurses are working in cancer and what further action and investment might be required to ensure timely and good quality patient care and experience.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:46:13 answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

819905

registered interest
date	10/01/2018
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	Urinary Tract Infections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which minister in his Department will have responsibility for urological conditions.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	121977
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Long-term conditions, such as, urological conditions are currently part of my portfolio.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:53:15 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

819948

registered interest
date	10/01/2018
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	Eyesight: Testing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of the NHS sight test fee on the accessibility of sight tests for people with severe learning disabilities.
tabling member constituency	Bermondsey and Old Southwark
tabling member printed	Neil Coyle
uin	122020
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>For those entitled to a National Health Service sight test, the service is free at the point of need. There are no costs to patients to form a barrier to accessibility. All children under the age of 16, those under the age of 19 in full time education, as well as all adults aged 60 or over are entitled to an NHS sight test. Those on a low income and defined categories of people at particular risk of developing eye disease are also entitled to NHS sight tests.</p><p> </p><p>The eligibility criteria are long standing and target help on those most at risk of eye disease or least able to pay for a private sight test. This will include most people with severe learning disabilities or those who are homeless. There is recognition however that there are particular practical challenges for these groups in accessing services. NHS England is responsible for commissioning NHS sight tests. NHS England advises it is currently looking at the accessibility issues those with learning disabilities may face and is considering similar work in the future on the impact of homelessness on accessibility.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 122021 question first answered 17/01/2018 17:15:04 answering member 4067 label Biography information for Steve Brine
tabling member	4368 label Biography information for Neil Coyle