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809125

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	1
legislature	25259 pref label House of Commons
question text	What plans he has to broaden routes into nursing.
tabling member constituency	Yeovil
tabling member printed	Mr Marcus Fysh
uin	903029
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England published a draft workforce strategy last week, which emphasised clearly the priority we have to increase the nursing workforce and broaden routes into nursing.</p><p>That is why, in England, we have developed the new nursing associate role and Nursing Degree Apprenticeship to open routes into the registered nursing profession for thousands of people from all backgrounds, and allow employers to grow their own workforce from within their local communities.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 17:30:48 answering member 1542 label Biography information for Philip Dunne
tabling member	4446 label Biography information for Mr Marcus Fysh

809126

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Skin Diseases
house id	1
legislature	25259 pref label House of Commons
question text	What estimate he has made of the number of patients with Erythropoietic Protoporphyria.
tabling member constituency	Newport East
tabling member printed	Jessica Morden
uin	903031
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In 2016/17 there were 54 National Health Service admissions in England with a primary diagnosis of Erythropoietic Protoporphyria.</p><p> </p><p>Whilst the numbers of people with a particular rare disease can be very small, 3.5 million people in the United Kingdom have a rare disease. We know, as with the hon. Member’s constituent, that these diseases can have a heart-breaking impact on a person’s health.</p><p> </p><p>That‘s why the UK is committed to building on our position as a world-leader in the diagnosis and treatment of rare diseases.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:07:30 answering member 4067 label Biography information for Steve Brine
tabling member	1548 label Biography information for Jessica Morden

809127

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Standards
house id	1
legislature	25259 pref label House of Commons
question text	What recent progress his Department has made on improving the performance of hospitals in special measures.
tabling member constituency	Mid Worcestershire
tabling member printed	Nigel Huddleston
uin	903032
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Special Measures programme has been in place since 2013 with 37 instances of trusts entering. 21 trusts have exited Special Measures since the programme began, including five which have exited since March this year. I particularly congratulate Colchester, which exited in November.</p><p>Eight former Special Measures trusts are now rated either “Good” or “Outstanding”.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 17:33:37 answering member 1542 label Biography information for Philip Dunne
tabling member	4407 label Biography information for Nigel Huddleston

809128

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	1
legislature	25259 pref label House of Commons
question text	What plans he has to broaden routes into nursing.
tabling member constituency	Berwick-upon-Tweed
tabling member printed	Mrs Anne-Marie Trevelyan
uin	903034
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England published a draft workforce strategy last week, which emphasised clearly the priority we have to increase the nursing workforce and broaden routes into nursing.</p><p>That is why, in England, we have developed the new nursing associate role and Nursing Degree Apprenticeship to open routes into the registered nursing profession for thousands of people from all backgrounds, and allow employers to grow their own workforce from within their local communities.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 17:32:24 answering member 1542 label Biography information for Philip Dunne
tabling member	4531 label Biography information for Anne-Marie Trevelyan

809129

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	903036
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

806468

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which prescription drugs increased proportionately the most in cost to the public purse in each of the last 10 years for which data is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	119544
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The information requested is presented in the table below.</p><p> </p><p>Prescription medicines have only been included where there was prescribing in both 2006 and 2016. The medicines have been ranked on the highest average annual increase from 2006 to 2016 and the top five drugs are shown at presentation level.</p><p> </p><p>Where the Net Ingredient Cost (NIC) is shown to be £0.00, this is in fact rounded and the true figure is between £0.00 and £0.01 which is calculated by dividing the NIC by quantity.</p><p> </p><p>Top five medicines with the largest average annual percentage increase, 2006-16, for NIC per quantity</p><table><tbody><tr><td><p>Drug name</p></td><td><p>NIC 2006</p></td><td><p>NIC 2016</p></td><td><p>Average annual percentage change, 2006 - 16</p></td></tr><tr><td><p>Hydrogen Peroxide Ear Drops 1.5%</p></td><td><p>£0.02</p></td><td><p>£33.28</p></td><td><p>111.1</p></td></tr><tr><td><p>Potassium Permanganate Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£1.11</p></td><td><p>102.5</p></td></tr><tr><td><p>Proflavine Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£0.42</p></td><td><p>80.1</p></td></tr><tr><td><p>Sodium Chloride Solution 0.9%</p></td><td><p>£0.00</p></td><td><p>£0.36</p></td><td><p>73.6</p></td></tr><tr><td><p>Bismuth Subgallate Suppository 300mg</p></td><td><p>£0.14</p></td><td><p>£32.97</p></td><td><p>72.9</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:25:29 answering member 4067 label Biography information for Steve Brine
tabling member	534 label Biography information for Chris Ruane

806474

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate the Government has made of how many more people will access mental health treatment between 2017 and 2020.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	119550
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Government has committed to increasing access to psychological therapies by 2020/21, so that at least 25% of people (or 1.5 million) with common mental health conditions access services each year.</p><p> </p><p>The table below, published in <em>Implementing the Five Year Forward View for Mental Health</em>, sets out the percentage increase and total number of people that are expected to access psychological therapies from 2016/17 until 2020/21.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Objective</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>2018/19</p></td><td><p>2019/20</p></td><td><p>2020/21</p></td></tr><tr><td><p>Percentage of people with common mental health conditions accessing psychological therapies each year.</p></td><td><p>15.8%</p></td><td><p>16.8%</p></td><td><p>19%</p></td><td><p>22%</p></td><td><p>25%</p></td></tr><tr><td><p>Total number of people accessing treatment</p></td><td><p>0.96 million</p></td><td><p>1.02 million</p></td><td><p>1.16 million</p></td><td><p>1.37 million</p></td><td><p>1.5 million</p></td></tr></tbody></table><p> </p><p>Source: <a href="https://www.england.nhs.uk/wp-content/uploads/2016/07/fyfv-mh.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/07/fyfv-mh.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/12/2017 17:55:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

806489

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Euratom
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department taking to ensure the future of medical supplies that are linked to the UK's membership of Euratom.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	119565
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Government is fully aware of the importance of medical radioisotopes and the reliance on nuclear medicine for diagnostic procedures in the National Health Service. The United Kingdom’s ability to import medical isotopes from Europe and the rest of the world will not be affected by withdrawal from Euratom. It is in the interest of both the UK and the European Union to avoid disruption in the timely access of treatment to patients; and to ensure that cross-border trade with the EU is as frictionless as possible. This will be part of the broader negotiations of the UK’s future relations with the EU.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:24:01 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

806514

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average cost to the NHS was of a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in England in each of the last three years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119590
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Data for the estimated average unit cost to NHS providers in 2014-15 to 2016-17 for a hip replacement, knee replacement, cataract operation and hernia operation is shown in the table below. The data is sourced from reference costs, which are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td colspan="3"><p>Average unit cost per one finished consultant episode</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>Hip replacement</p></td><td><p>£6,793</p></td><td><p>£7,090</p></td><td><p>£7,032</p></td></tr><tr><td><p>Knee replacement</p></td><td><p>£5,944</p></td><td><p>£6,253</p></td><td><p>£6,181</p></td></tr><tr><td><p>Cataract operation</p></td><td><p>£747</p></td><td><p>£805</p></td><td><p>£811</p></td></tr><tr><td><p>Hernia operation</p></td><td><p>£2,193</p></td><td><p>£2,331</p></td><td><p>£2,308</p></td></tr></tbody></table><p> </p><p>The costs cover one episode of care under one consultant and do not include other elements of the patient pathway such as outpatient appointments</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 12:13:25 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth

806515

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia: Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the effect of recent changes in the social care budget on people with dementia.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119591
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Earlier in 2017, the Government announced an additional £2 billion of funding for local authorities to help reduce short-term pressures and improve the stability of the social care system. The Government has also committed to publishing a Green Paper, by summer 2018, setting out proposals for reform of adult social care, which will include social care for people with dementia. This Green Paper will focus on care for older people, addressing the challenges of our ageing population, bringing forward proposals for consultation to build widespread support.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/12/2017 17:57:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth