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1064771

registered interest
date	21/02/2019
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	Asthma: Prescriptions
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 take steps to include asthma in the list of conditions which are exempt from the payment of prescription charges.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	224470
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Extensive arrangements are already in place to help people afford National Health Service prescriptions. These include a broad range of prescription charge exemptions, for which someone with asthma may qualify. The Department has no current plans to amend these exemptions, including the list of medical conditions that provides exemption from prescription charges.</p><p> </p><p>People on a low income, who do not qualify for an exemption, may be eligible for full or partial help with prescription charges through application to the NHS Low Income Scheme.</p><p> </p><p>To support those with greatest need who do not qualify for an exemption or the NHS Low Income Scheme, prescription prepayment certificates are available. A holder of a 12-month certificate can get all the prescriptions they need for just £2 per week.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 224471 question first answered 26/02/2019 15:32:44 answering member 4067 label Biography information for Steve Brine
tabling member	44 label Biography information for Sir David Amess

1064772

registered interest
date	21/02/2019
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	Asthma: Prescriptions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the effect on people's health of prescription charges for asthma medicines.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	224471
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Extensive arrangements are already in place to help people afford National Health Service prescriptions. These include a broad range of prescription charge exemptions, for which someone with asthma may qualify. The Department has no current plans to amend these exemptions, including the list of medical conditions that provides exemption from prescription charges.</p><p> </p><p>People on a low income, who do not qualify for an exemption, may be eligible for full or partial help with prescription charges through application to the NHS Low Income Scheme.</p><p> </p><p>To support those with greatest need who do not qualify for an exemption or the NHS Low Income Scheme, prescription prepayment certificates are available. A holder of a 12-month certificate can get all the prescriptions they need for just £2 per week.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 224470 question first answered 26/02/2019 15:32:44 answering member 4067 label Biography information for Steve Brine
tabling member	44 label Biography information for Sir David Amess

1064303

registered interest
date	20/02/2019
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: Health Professions
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 that the Health Education England phase two cancer workforce plan co-ordinates with the workforce implementation plan in the NHS Long Term Plan.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	223778
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017. HEE intended to publish a second phase, longer-term strategy that looked at the cancer workforce needs beyond 2021. This work was started and stakeholders from within the National Health Service and the charitable sector contributed to the early discussions. This work has since been superseded by publication of the NHS Long Term Plan in January 2019.</p><p> </p><p>My Rt. hon. Friend Secretary of State for Health and Social Care has subsequently commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 12:17:17 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

1064306

registered interest
date	20/02/2019
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	NHS: Capital Investment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of the capital budget was used to support radiotherapy in 2018; and what proportion of the capital budget will not be committed by the end of the 2018-19 financial year.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	223787
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Modernising radiotherapy services is crucial to our ambition to increase cancer survival rates and a number of strategic Departmental capital programmes have supported investment in 2018-19 in this area.</p><p>In 2018-19 around £106 million capital funding has been budgeted for the following radiotherapy related programmes:</p><p>- £46 million for the Linear Accelerator programme, part of £130 million of investment over three years; and</p><p>- £60 million for the Proton Beam Therapy programme, part of £250 million investment in two new centres by 2020-21.</p><p>This investment represents 1.8% of the total £5.983 billion 2018-19 capital Departmental Expenditure Limit.</p><p>The Department has also approved £29.4 million of capital investment in 2018-19 to Cancer Alliances to encourage local areas to find new and innovative ways to diagnose cancer earlier, improve the care for those living with cancer and ensure each cancer patient gets the right care for them.</p><p>In addition to this central programme, individual National Health Service provider organisations will also have made local capital investments to support radiotherapy from their own local capital programmes. The Department does not collect information at this level of granularity.</p><p>The Department’s overall capital budget is fully committed in 2018-19 and we work closely with NHS England, NHS Improvement and other delivery partners to ensure that it is utilised to maximum effect to support improvements in patient care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:44:40 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1064350

registered interest
date	20/02/2019
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	NHS: Drugs
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 8 February 2019 to Question 215257, on NHS: drugs, what information his Department holds on the level of medicine shortages in the last 12 months.
tabling member constituency	Kensington
tabling member printed	Emma Dent Coad
uin	223824
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Medicines shortages are a routine issue that the Department constantly manages. The Department works closely with the Medicines and Healthcare products Regulatory Agency (MHRA), the pharmaceutical industry, NHS England and others operating in the supply chain to ensure that the risks to patients are minimised when they do arise.</p><p> </p><p>The Department receives regular reports from the pharmaceutical industry about impending medicine supply issues that may affect United Kingdom patients. From January 2019, it became a mandatory requirement that the pharmaceutical industry must report this information to us in a timely manner. However, not all the issues of which the Department are notified will result in a medicine shortage as the supply team will work behind the scenes using a host of tools to help mitigate and prevent an issue from impacting patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:30:37 answering member 4067 label Biography information for Steve Brine
tabling member	4683 label Biography information for Emma Dent Coad

1064368

registered interest
date	20/02/2019
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	Endoscopy
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 on 14 February to Question 219561 on Endoscopy: Recruitment, how many of the 202 clinical endoscopists have now completed their training and are able to undertake procedures in flexible sigmoidoscopy.
tabling member constituency	Nottingham North
tabling member printed	Alex Norris
uin	223842
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Trainees in Health Education England’s Clinical Endoscopy programme choose, depending on their trust’s requirements, to train in one endoscopy modality - either flexible sigmoidoscopy or upper gastrointestinal. Of the 202 clinical endoscopists, 66 candidates have already completed their training and are able to undertake flexible sigmoidoscopy with a further 46 currently in training. This will total 112 trained and able to perform flexible sigmoidoscopy. The remaining 90 are trained or training in a different modality and may receive further training by their trust in an additional modality, which may also include flexible sigmoidoscopy.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:44:25 answering member 4067 label Biography information for Steve Brine
tabling member	4641 label Biography information for Alex Norris

1064443

registered interest
date	20/02/2019
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	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of children under the age of 16 have had a (a) fatal and (b) non-fatal drug overdose in each of the last 10 years.
tabling member constituency	High Peak
tabling member printed	Ruth George
uin	223968
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The information in the format requested is not held centrally. The Office for National Statistics publishes an annual summary of all deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales. Data on deaths in those aged under 20 is grouped together. The reports are available at the following link:</p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations</a></p><p>NHS Digital collects Hospital Episode Statistics regarding intentional self-poisoning that resulted in a hospital admission, however to provide this information for the last ten years would incur disproportionate costs.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223972 question first answered 25/02/2019 17:33:35 answering member 4067 label Biography information for Steve Brine
tabling member	4662 label Biography information for Ruth George

1064447

registered interest
date	20/02/2019
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	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of children under the age of 18 that have had a (a) fatal and (b) non-fatal drug overdose in each of the last 10 years.
tabling member constituency	High Peak
tabling member printed	Ruth George
uin	223972
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The information in the format requested is not held centrally. The Office for National Statistics publishes an annual summary of all deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales. Data on deaths in those aged under 20 is grouped together. The reports are available at the following link:</p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations</a></p><p>NHS Digital collects Hospital Episode Statistics regarding intentional self-poisoning that resulted in a hospital admission, however to provide this information for the last ten years would incur disproportionate costs.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223968 question first answered 25/02/2019 17:33:35 answering member 4067 label Biography information for Steve Brine
tabling member	4662 label Biography information for Ruth George

1063920

registered interest
date	19/02/2019
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 implementing a UK-wide scheme for the purchase and distribution of expensive drugs and medical supplies that are used to treat rare conditions.
tabling member constituency	Berwickshire, Roxburgh and Selkirk
tabling member printed	John Lamont
uin	223060
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>We have no plans to assess the potential merits of implementing a United Kingdom-wide scheme for the purchase and distribution of expensive drugs and medical supplies that are used to treat rare conditions. It is for the National Health Service in England and the devolved administrations to make decisions in the best interest of their patients, including those with rare diseases, to ensure access to the medicines and medical supplies they need.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:34:11 answering member 4067 label Biography information for Steve Brine
tabling member	4608 label Biography information for John Lamont

1063932

registered interest
date	19/02/2019
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	Pain: Medical Treatments
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 NHS Long Term Plan, what assessment he has made of the effect of developments in digital care on the provision of pain pathway services.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	223082
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223083 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers