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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

819796

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	Medical Treatments: Innovation
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 his Department is taking to increase the number of technology appraisals on medical technologies, devices and diagnostics that the National Institute for Health and Care Excellence undertakes over the next five years.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	121868
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>From April 2018 we are introducing a new Accelerated Access Pathway (AAP), to streamline regulatory and market access decisions, getting breakthrough and transformative products to patients more quickly. All products including medical technologies, devices and diagnostics will be eligible for selection. The AAP will complement existing activity and involve a significant role for the National Institute for Health and Care Excellence (NICE), building on existing momentum such as NICE's Fast Track Appraisal Process.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 11:33:14 answering member 4067 label Biography information for Steve Brine
tabling member	4412 label Biography information for Dr Lisa Cameron

819797

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	Medical Treatments: Innovation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to ensure a funding requirement is placed on medical technologies, devices and diagnostics that receive a positive technology appraisal from the National Institute for Health and Care Excellence.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	121869
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>A funding requirement automatically applies to any intervention, including medical technologies, devices and diagnostics, recommended in technology appraisal guidance issued by the National Institute for Health and Care Excellence, in line with the NHS Constitution.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 11:29:37 answering member 4067 label Biography information for Steve Brine
tabling member	4412 label Biography information for Dr Lisa Cameron

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

819852

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, what the types of audit outcomes that can be awarded to a meat establishment are; and what types of violations each such audit outcome covers.
tabling member constituency	Bristol East
tabling member printed	Kerry McCarthy
uin	121924
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>The audit outcomes for Food Standards Agency (FSA) approved meat establishments are:</p><p> </p><p>- Good: No issues of significance for public health animal health or animal welfare during the entire period;</p><p>- Generally Satisfactory: No immediate issues of significance for public health, animal health or animal welfare identified on the day of the audit. Any non-compliances (NCs) identified during the audit period corrected promptly;</p><p>- Improvement Necessary: Major NCs identified at audit and / or NCs during the audit period not always responded to and corrected promptly; and</p><p>- Urgent Improvement Necessary: Multiple major NCs or critical NC identified during audit visit or interim audit period. Official intervention required to ensure public health safeguards.</p><p> </p><p>Audit outcomes are based on the number and categorisation of non-compliances raised by the FSA veterinary auditors against an audit question. Each question can be assessed as:</p><p> </p><p>- Compliant - Food business is operating in accordance with its food safety management systems, food safety standards and has met the requirements of the regulations;</p><p>- Minor – (NCs) Not likely to compromise public health (including food safety), animal health and welfare or lead to the handling of unsafe or unsuitable food. An isolated low risk situation and does not compromise achieving control measures of the food safety program; that is, overall the food safety program is still effective in controlling the food safety hazards. When viewed collectively a number of related minor NCs may represent a major NC;</p><p>- Major – (NCs) Likely to compromise public health (including food safety) or animal health or welfare or may lead to the production and handling of unsafe or unsuitable food if no remedial action is taken. When viewed collectively a number of related major non compliances may represent a critical non-compliance; and</p><p>- Critical - Contravention poses an imminent and serious risk to public health (including food safety) or animal health and welfare.</p><p> </p><p>The number of major and critical NCs raised during an audit will drive the final outcome of the audit.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 14:07:27 answering member 4067 label Biography information for Steve Brine
tabling member	1491 label Biography information for Kerry McCarthy

819853

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, what types of businesses are classed by his Department as meat establishments.
tabling member constituency	Bristol East
tabling member printed	Kerry McCarthy
uin	121925
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>The following establishments are considered meat establishments by the Food Standards Agency (FSA) and are subject to official controls enforced and executed by the FSA:</p><p>- Slaughterhouses;</p><p>- Farm slaughter facilities;</p><p>- Game handling establishments; and</p><p>- Cutting plants.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 14:03:05 answering member 4067 label Biography information for Steve Brine
tabling member	1491 label Biography information for Kerry McCarthy

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

819855

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 what assessment his Department has made of the reasons for the difference in the comparative rate of unsatisfactory audit results for slaughterhouses and other meat establishments.
tabling member constituency	Bristol East
tabling member printed	Kerry McCarthy
uin	121927
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>Although the Food Standards Agency audit system was designed to take into account the variations between establishments, there are several issues that can led to different compliance levels between abattoirs and other establishments:</p><p>- Abattoirs have a larger list of sections and questions to be assessed against, and therefore there are more chances for non-compliances (NCs) to be raised. One of these sections is animal welfare, where incidents leading or potentially leading to animal suffering will immediately default to a major or critical NC, impacting directly on the final audit outcome; and</p><p>- Slaughterhouses do normally perform higher risk operations than cutting plants, which gives further opportunity for non-compliances to be raised.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 14:12:07 answering member 4067 label Biography information for Steve Brine
tabling member	1491 label Biography information for Kerry McCarthy

819856

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 20th December 2017 to Question 118904, on Slaughterhouses: Inspections, what constitutes an (a) imminent risk to public health and (b) serious breaches in animal welfare standards.
tabling member constituency	Bristol East
tabling member printed	Kerry McCarthy
uin	121928
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>Chapter 4.1 of the Food Standards Agency Manual for Official Controls includes some examples on what an imminent risk to public health risk and animal welfare, in the definition of critical non-compliance (NC).</p><p> </p><p>Critical (NC): A critical NC is one where the contravention poses an imminent and serious risk to public health (including food safety), animal health and welfare.</p><p> </p><p>Examples (not exhaustive):</p><p> </p><p>- systemic failure of critical aspects of the food business operator practices and procedures for implementing food safety, animal health and welfare regulatory requirements;</p><p>- a serious pest infestation;</p><p>- intentional falsification of records;</p><p>- the same chopping board and knife being used for ready to eat food after being used for raw chicken without being cleaned and sanitised;</p><p>- evidence of pest control chemicals such as rat bait in food;</p><p>- raw meat juices dripping onto uncovered ready to eat food; and</p><p>- repetitive (more than once) major NC for the same practice or circumstance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 14:01:46 answering member 4067 label Biography information for Steve Brine
tabling member	1491 label Biography information for Kerry McCarthy