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1062036

registered interest
date	15/02/2019
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	Syphilis
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 6 February 2019 to Question 217570 on Syphilis, when Public Health England plans to publish its Syphilis Action Plan.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	221990
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Public Health England (PHE) plans to publish its Syphilis Action Plan in spring 2019.</p><p> </p><p>PHE routinely collects data on syphilis diagnoses made at sexual health clinics that are published each summer. PHE is implementing an updated version of the Genitourinary Medicine Clinic Activity Dataset (GUMCAD) sexually transmitted infections (STI) surveillance system from spring 2019 to better detect the complications of syphilis infection. The GUMCAD STI surveillance system can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/gumcad-sti-surveillance-system" target="_blank">https://www.gov.uk/guidance/gumcad-sti-surveillance-system</a></p><p> </p><p>Additionally, the surveillance of congenital syphilis will form part of the new PHE Infectious Diseases in Pregnancy Screening (IDPS) Programme Integrated Screening Surveillance Service. Further information on the IDPS programme can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards" target="_blank">https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards</a></p><p> </p><p>Increased professional and public awareness of syphilis in pregnancy and the neonate is planned via a new interactive IDPS e-learning package. The e-learning package can be viewed at the following link:</p><p> </p><p><a href="https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/" target="_blank">https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/</a></p><p> </p><p>The provision of patient information and regional training events for healthcare professionals are being considered.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 221991 question first answered 20/02/2019 17:36:14 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062037

registered interest
date	15/02/2019
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	Syphilis
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 6 February 2019 to Question 217568 on Syphilis, what steps his Department is taking to improve the detection, surveillance and clinical management of syphilis.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	221991
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Public Health England (PHE) plans to publish its Syphilis Action Plan in spring 2019.</p><p> </p><p>PHE routinely collects data on syphilis diagnoses made at sexual health clinics that are published each summer. PHE is implementing an updated version of the Genitourinary Medicine Clinic Activity Dataset (GUMCAD) sexually transmitted infections (STI) surveillance system from spring 2019 to better detect the complications of syphilis infection. The GUMCAD STI surveillance system can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/gumcad-sti-surveillance-system" target="_blank">https://www.gov.uk/guidance/gumcad-sti-surveillance-system</a></p><p> </p><p>Additionally, the surveillance of congenital syphilis will form part of the new PHE Infectious Diseases in Pregnancy Screening (IDPS) Programme Integrated Screening Surveillance Service. Further information on the IDPS programme can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards" target="_blank">https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-standards/our-approach-to-infectious-diseases-in-pregnancy-screening-standards</a></p><p> </p><p>Increased professional and public awareness of syphilis in pregnancy and the neonate is planned via a new interactive IDPS e-learning package. The e-learning package can be viewed at the following link:</p><p> </p><p><a href="https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/" target="_blank">https://www.e-lfh.org.uk/programmes/nhs-screening-programmes/</a></p><p> </p><p>The provision of patient information and regional training events for healthcare professionals are being considered.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 221990 question first answered 20/02/2019 17:36:14 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062039

registered interest
date	15/02/2019
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	Health: Screening
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 page 14 of the National Audit Report entitled Investigation into the management of health screening, published 30 January 2019, for what reasons the project to replace the National Health Application and Infrastructure Services is 22 months behind schedule.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	221993
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p><strong></strong>The priority for NHS England has been to ensure that Capita provide a service that is stable and delivering safely for patients before the change takes place. Early service delivery issues in Primary Care Services England together with recent screening incidents have been the priority to ensure patient safety. The change required to remove the use of National Health Application and Infrastructure Services (NHAIS) is complex due to the aged architecture and local variations in how data is stored on each individual NHAIS database and the sensitivity of that information.</p><p> </p><p>In the meantime, NHS England has asked Sir Mike Richards to lead a review to improve the delivery of adult screening programmes, and will consider how current IT systems support the ambitions of the programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:37:17 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

1062041

registered interest
date	15/02/2019
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	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, what steps his Department plans to take to train, recruit and resource the breast cancer staff needed to fulfil the commitment in the NHS Long Term Plan to increase breast screening uptake.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	222011
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key National Health Service interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on breast cancer screening, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p> </p><p>Following the publication of Health Education England's (HEE) first ever Cancer Workforce Plan in December 2017, there has been significant interest in training in radiographer reporting. HEE planned to invest in 300 more radiographers to start image interpretation and reporting courses by 2021. 150 radiographers commenced training in 2018/19 and 150 are expected to commence in 2019/20.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 11:48:54 answering member 4067 label Biography information for Steve Brine
tabling member	4253 label Biography information for Seema Malhotra

1062072

registered interest
date	15/02/2019
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	Dental Services and Prescriptions: Fines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much revenue has been generated by issuing penalty charge notices for people not in receipt of the qualifying benefit to receive free prescriptions and dental treatment.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	222000
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>Information provided by the NHS Business Services Authority on income from penalty charge notices (PCNs) issued in England, in respect to prescriptions and dental treatment, in each calendar year since 2014, is provided in the following table:</p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Dental PCN Income (£)</p></td><td><p>Prescription PCN Income (£)</p></td><td><p>Total PCN Income (£)</p></td></tr><tr><td><p>2014</p></td><td><p>9,326,330.28</p></td><td><p>525,666</p></td><td><p>9,851,996.71</p></td></tr><tr><td><p>2015</p></td><td><p>9,009,223.12</p></td><td><p>7,312,277</p></td><td><p>16,321,500.27</p></td></tr><tr><td><p>2016</p></td><td><p>15,542,912.60</p></td><td><p>13,835,118</p></td><td><p>29,378,031.02</p></td></tr><tr><td><p>2017</p></td><td><p>17,086,583.83</p></td><td><p>18,252,198</p></td><td><p>35,338,782.18</p></td></tr><tr><td><p>2018</p></td><td><p>13,840,674.71</p></td><td><p>23,839,078</p></td><td><p>37,679,753.08</p></td></tr><tr><td><p>Total 2014-18</p></td><td><p>64,805,724.54</p></td><td><p>63,764,338.72</p></td><td><p>128,570,063.26</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>NHS Business Services Authority assumed responsibility for the Prescription Exemption Checking Service on 17 September 2014, accordingly no data is held prior to this.</li><li>Cleansing of PCN data is responsible for minor variation from previously published figures.</li></ol> answering member constituency Winchester answering member printed Steve Brine question first answered 20/02/2019 17:33:30 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1060965

registered interest
date	14/02/2019
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: Counselling
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 the Government has to ensure that people with cancer are able to access psychological and emotional support.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	909320
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>By 2021, every person diagnosed with cancer will have access, where appropriate, to personalised care, including a needs assessment, a care plan and health and wellbeing information and support. The needs assessment guides a conversation about the person’s holistic needs (physical, psychosocial, financial and social) in order to identify any concerns, including psychological and emotional.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:25:31 answering member 4067 label Biography information for Steve Brine
tabling member	3960 label Biography information for Henry Smith

1061086

registered interest
date	14/02/2019
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	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, what process NICE will use to scope for the review of the NICE appraisal methodology; and whether the issue of combination treatments will be considered within scope.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	221614
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is in the process of planning how to conduct its scoping of the review of the methods for technology appraisal and highly specialised technologies evaluations. Scoping will involve industry and other relevant stakeholders, including patient organisations. Additional detail and more information will be made available on the NICE website in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:24:51 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb

1061227

registered interest
date	14/02/2019
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	General Practitioners: Oxford
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of trends in the level of GP appointment waiting times in Oxford.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	221835
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The proportion of general practitioner (GP) appointments by date and time between booking date and appointment date in Oxford Clinical Commissioning Group for the months November 2017 to December 2018 is presented in the attached table. The data on GP appointments are from a new data collection and are still experimental i.e. the data and collection method are still being refined and improved. NHS Digital’s data on ‘time from booking to appointment’ does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions. Other factors that drive the time from a booking to an appointment include appointment availability at the practice, patient availability, the urgency of the appointment and GP advice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:24:06 question first ministerially corrected 21/02/2019 10:24:53 answering member 4067 label Biography information for Steve Brine attachment 1 file name 221835 formatted table.docx title GP appointments Oxford CCG previous answer version 103151 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ221587 attached tables.docx title PQ221835 attached table
tabling member	4657 label Biography information for Anneliese Dodds

1061232

registered interest
date	14/02/2019
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, what assessment he has made of trends in the level of the (a) availability of (i) Lossartin, (ii) Furosemide and (iii) Nicarindil and (b) prices beyond the NHS tariff that community pharmacies have been charged by the suppliers of those products since September 2018.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	221587
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The Department is not aware of issues affecting the availability of losartan, furosemide or nicorandil tablets and can confirm that supplies of these three medicines are currently available. We are aware that there was a short-term supply issue affecting furosemide 20mg and 40mg towards the end of 2018 due to manufacturing delays, but this issue has now been resolved and supplies remain available.</p><p> </p><p>When community pharmacies cannot purchase a medicine at or below the reimbursement price listed in the Drug Tariff, the Pharmaceutical Services Negotiating Committee (the representative body of pharmacies), drawing on reports they receive from pharmacy contractors, can request the Department to consider setting a concessionary price.</p><p> </p><p>When considering whether to grant a concessionary price, the Department uses market data from suppliers, i.e. manufacturers and wholesalers on prices and stock levels intended for retail pharmacy businesses in England. If granted, a concessionary price applies only to prescriptions dispensed for the month for which it was granted.</p><p> </p><p>From September 2018 onwards, the trends for these generic medicines that have been granted concessionary prices can be seen in the attached tables.</p><p> </p><p>It should be noted that as concessionary prices for February are still in process, no prices have been published yet. More information on the list of concessionary prices granted for each month can be found at the following link:</p><p> </p><p><a href="https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/drug-tariff/drug-tariff-updates" target="_blank">https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/drug-tariff/drug-tariff-updates</a></p><p /><p /> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:22:23 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ221587 attached tables.docx title PQ221587 attached tables
tabling member	301 label Biography information for Richard Burden

1060578

registered interest
date	13/02/2019
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	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, what analysis the National Institute for Clinical Excellence has undertaken on companies' ability to pay the proposed charges for making technology appraisals and highly specialised technology recommendations.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	220926
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>The introduction of charges is intended to create a sustainable funding model for the National Institute for Health and Care Excellence’s (NICE) technology appraisal and highly specialised technologies programmes that better positions it to adapt to future changes in the life sciences sector. The Government carried out a public consultation on the introduction of charges and took full account of the comments received in deciding to proceed. The Government response to the consultation and the Impact Assessment, published alongside the regulations, assess the impact of the introduction of charging on all relevant stakeholders, including the life sciences industry and NICE. As explained in the Government response and Impact Assessment, small companies whose products are undergoing assessment will benefit from a 75% discount, which is intended to minimise barriers to the participation of small companies. The Government response is available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/762725/government-response-to-nice-recommendations-consultation.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/762725/government-response-to-nice-recommendations-consultation.pdf</a></p><p> </p><p>The Impact Assessment at is available at the following link:</p><p> </p><p><a href="http://www.legislation.gov.uk/ukia/2018/171/pdfs/ukia_20180171_en.pdf" target="_blank">http://www.legislation.gov.uk/ukia/2018/171/pdfs/ukia_20180171_en.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 220258 220261 220262 question first answered 20/02/2019 17:30:49 answering member 4067 label Biography information for Steve Brine
tabling member	4398 label Biography information for Chris Green