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1108673

registered interest
date	01/04/2019
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, how many screening sessions have been delivered by Central and East London Breast Screening Service (a) in Homerton Hospital and (b) at the Sir Ludwig Guttmann Health and Wellbeing Centre in each week in the last year.
tabling member constituency	East Ham
tabling member printed	Stephen Timms
uin	239166
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>This information is not held centrally in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 239167 question first answered 04/04/2019 11:08:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	163 label Biography information for Sir Stephen Timms

1108674

registered interest
date	01/04/2019
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, in which months in the last two years Central and East London Breast Screening Service has met its target of less than 2 per cent of screenings being subject to technical recalls.
tabling member constituency	East Ham
tabling member printed	Stephen Timms
uin	239167
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>This information is not held centrally in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 239166 question first answered 04/04/2019 11:08:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	163 label Biography information for Sir Stephen Timms

1108736

registered interest
date	01/04/2019
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	Epilepsy: 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 confirm that Serious Medicines Shortage Protocols will not be appropriate for epilepsy treatments and that will be included in published guidance on Serious Medicines Protocols.
tabling member constituency	Bury South
tabling member printed	Mr Ivan Lewis
uin	239183
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>A Serious Shortage Protocol is an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p> </p><p>As the explanatory memorandum of the amending Statutory Instrument acknowledges, Protocols for therapeutic or generic equivalents will not be suitable for all medicines and patients. For example, those types of protocols would not be suitable for treatments for epilepsy or treatments requiring biological products where the medicines that are prescribed need to be prescribed by brand for clinical reasons. In these cases, patients would always be referred back to the prescriber for any decision about their treatment before any therapeutic or generic alternative is supplied.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/04/2019 11:09:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	441 label Biography information for Mr Ivan Lewis

1108746

registered interest
date	01/04/2019
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	Visual Impairment: Surgery
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 on the effect of the changes to the NHS tariff for combined cataract and glaucoma surgery on (a) hospital costs and (b) efficiency in the field of ophthalmology.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	239204
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>There has been a significant change in clinical practice in ophthalmology since the last tariff prices were set and reference costs used to calculate prices were collected, with a shift to performing Minimally Invasive Glaucoma Surgery (MIGS) instead of open glaucoma procedures which are frequently combined with cataract extraction.</p><p> </p><p>MIGS are significantly cheaper, and both procedures cannot be differentiated using operating procedure code supplement codes. Open/tube glaucoma procedures are nearly always done with a graft of sclera or tutoplast, which triggers multiple procedures so will receive significantly more under the 2019/20 prices than MIGS procedures, which is appropriate.</p><p> </p><p>NHS Improvement has carried out an impact assessment which shows that the national tariff changes should not affect patient access to glaucoma treatment.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 239205 question first answered 04/04/2019 11:12:13 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1511 label Biography information for Lord Austin of Dudley

1108771

registered interest
date	01/04/2019
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, when guidance will be made available to pharmacists on the Serious Medicines Shortage Protocols.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	239239
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>Serious Shortage Protocols are an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p> </p><p>Operational guidance is still being developed with stakeholders, including where any protocol(s) would be published. The use of a Serious Shortage Protocol has not, to date, been required.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 239240 239241 question first answered 04/04/2019 11:10:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris

1108772

registered interest
date	01/04/2019
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, whether any training is planned on the new system for supply of prescription medicines under Serious Medicines Shortage Protocol.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	239240
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>Serious Shortage Protocols are an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p> </p><p>Operational guidance is still being developed with stakeholders, including where any protocol(s) would be published. The use of a Serious Shortage Protocol has not, to date, been required.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 239239 239241 question first answered 04/04/2019 11:10:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris

1108773

registered interest
date	01/04/2019
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, when the first Serious Medicines Shortage Protocol will be ready; and where that protocol will be published.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	239241
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>Serious Shortage Protocols are an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p> </p><p>Operational guidance is still being developed with stakeholders, including where any protocol(s) would be published. The use of a Serious Shortage Protocol has not, to date, been required.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 239239 239240 question first answered 04/04/2019 11:10:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris