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781406

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Professions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to expand the number of health visitors and school nurses.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	110679
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Since April 2013, local authorities (LAs) have been responsible for public health locally, including commissioning public health services for school aged children, namely school nursing services and the Healthy Child Programme. Additionally, from 1 October 2015, LAs took over responsibility for commissioning public health services for children aged zero to five from NHS England. LAs are mandated to provide or secure the five universal health visitor reviews.</p><p> </p><p>It is for local authorities to assess the health needs of their populations and commission the appropriate services and workforce. All commissioning should be based on a robust Joint Strategic Needs Assessment and supported by local workforce plans. Commissioning decisions are for local discretion and as such there will be variations.</p><p> </p><p>Health Education England is ensuring sustainable development of the workforce and there are presently over 800 health visitor student training places commissioned.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 14:35:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

781422

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors: Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures he plans to put in place to ensure standards of health visiting are maintained when responsibility for such visitors is transferred from the NHS to local authorities.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	110678
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Health visitors and school nurses lead and co-ordinate delivery of the Healthy Child Programme (0-19). Health visitors and school nurses or Specialist Community Public Health Nurses are qualified nurses or midwives with an additional specialist graduate level education in community health and health needs. Local authorities (LAs) took over responsibility for commissioning public health services for children aged zero to five from NHS England from 1 October 2015. LAs are mandated to provide or secure the five universal health visitor reviews.</p><p> </p><p>The responsibility for standards for health visitors rests with the Nursing and Midwifery Council (NMC), through their code of practice and entry to part 3 of NMC register. The responsibility for service standards for health visiting services rests with the LA as the commissioner and Care Quality Commission as the regulator.</p><p> </p><p>The Department and Public Health England (PHE) have produced guidance to support both commissioners and local providers including Guidance to support the commissioning of the Healthy Child Programme 0-19: Health Visiting and School Nursing services, available to view here:</p><p><a href="https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning" target="_blank">https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning</a></p><p>PHE and the Department continue to work with the Local Government Association, professional bodies, and locally through PHE Centres to share evidence and guidance that allows LAs to make the best decisions to meet local needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 14:33:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

781423

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors: Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to use health visitors to reduce health inequalities by (a) increasing the amount and time duration of breast feeding and (b) extending early educational intervention.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	110677
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Local authorities have a duty to improve the health of their populations through the use of the public health grant. Public Health England (PHE) supports this through evidence to address health inequalities and guidance to professionals.</p><p> </p><p>The six High Impact Areas for Early Years focus on key areas where health visitors have a significant impact on health and wellbeing and improving outcomes for children, families and communities. The guidance includes promotion of breastfeeding and health, wellbeing and development of the child aged two. Further information on the Six High Impact Areas is available to view here:</p><p><a href="https://www.gov.uk/government/publications/commissioning-of-public-health-services-for-children" target="_blank">https://www.gov.uk/government/publications/commissioning-of-public-health-services-for-children</a></p><p>PHE works with local services to create breastfeeding friendly communities, with midwives and health visitors to promote best practice, and, through our Start4Life social marketing programme, to provide parents with trusted National Health Service advice.</p><p> </p><p>PHE has developed an infant feeding commissioning resource in partnership with Unicef to support local authorities in the delivery of a comprehensive approach to the commissioning of services that protect, promote and support breastfeeding. PHE also shares innovative approaches for supporting breastfeeding.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 15:00:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

777813

registered interest
date	25/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tuberculosis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the adequacy of the availability of the BCG vaccine; what plans he has to secure supplies of that vaccine after the UK leaves the EU; and if he will make a statement.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109580
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>There have been periods of intermittent supply of Bacillus Calmette-Guérin (BCG) vaccine in recent years. Supply of a non-United Kingdom licensed BCG vaccine to the National Health Service is currently stable. Public Health England continues to work with the contracted supplier to reinstate a UK licensed BCG vaccine during 2018. The renewal of contracts to secure supplies for the UK national programme is in progress and will secure vaccine up to 2022.</p><p> </p><p>The Government is committed to ensuring leaving the European Union is a success for the health and social care sector as well as the UK as a whole.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 02/11/2017 16:09:16 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

777815

registered interest
date	25/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tuberculosis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have had the BCG vaccine in each of the last five years.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109581
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>Data is not collected in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 02/11/2017 16:27:24 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

776155

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has made an assessment of the potential merits of the future role of health visiting including reference to the alleviation of poverty for the new-born population.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109200
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>No assessment has been made on this. Health visitors do provide support to families most in need through signposting them to schemes and organisations that can assist their needs, for example families on low income will be signposted towards the Healthy Start Scheme.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/10/2017 11:47:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

776157

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Local Government Association on the future role of health visitors.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109198
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p><strong></strong>My Rt. hon. Friend the Secretary of State for Health regularly meets with stakeholders to discuss a variety of topics.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/10/2017 11:46:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

771345

registered interest
date	16/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Insurance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to launch a scheme to help GPs with indemnity payments; whether that scheme will be targeted at new entrants to the profession; and if he will make a statement.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	107780
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p><strong></strong>As my Rt. hon. Friend the Secretary of State for Health said in a Written Ministerial Statement on 12 October 2017, <em>Official Report</em>, column 28WS, the Department is planning, subject to examination of relevant issues, the development of a state-backed indemnity scheme for general practice in England.​</p><p> </p><p>Any new scheme should meet the needs of current and future general practitioners (GPs), be in the interest of patients, and represent value for money for taxpayers. Transfer of historic liabilities from Medical Defence Organisations (MDOs) to a new scheme would be dependent on satisfactory negotiation with the MDOs.</p><p> </p><p>The Department will set up a stakeholder group and arrange a first roundtable next month with the Royal College of General Practitioners, the British Medical Association and other GP representatives to gather views from general practice and agree how best to engage with the sector going forward.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/10/2017 10:32:11 answering member 1542 label Biography information for Philip Dunne
tabling member	252 label Biography information for Dr David Drew

769701

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to eliminate Hepatitis C.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	107488
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>The United Kingdom government is a signatory to the World Health Assembly resolution and World Health Organization (WHO) goal of eliminating hepatitis C as a major public health threat by 2030.</p><p> </p><p>Progress towards achieving the WHO elimination goal is summarised in this year’s Public Health England’s (PHE) report “Hepatitis C in the UK”:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/632465/HCV_in_the_uk_report_2017.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/632465/HCV_in_the_uk_report_2017.pdf</a></p><p>This showed that better access to improved treatment has led to the first fall in deaths from severe hepatitis C related liver disease in a decade and that the UK is on target for the WHO interim goal to reduce hepatitis C mortality by 10% by 2020.</p><p> </p><p>For England a sustainable rollout of access to new direct acting antivirals for treating chronic hepatitis C is underway with investment of in excess of £200 million per year. The current financial year (2017/18) is the third year of hepatitis C treatment ramp-up and the plan is to treat 12,500 individuals.</p><p> </p><p>An estimated 160,000 persons are believed to have hepatitis C in England. Further modelling work is being undertaken by PHE to update estimates of the impact of treatment roll out on prevalence of hepatitis C and hepatitis C-associated advanced liver disease. Previous PHE modelling of the scale up of treatment indicates that a “rapid complete coverage” scenario of treating 20,000 or more individuals per year and up to 50% of those infected each year would result in end-stage liver disease / hepatocellular cancer being halved within 10 years.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 107489 question first answered 19/10/2017 15:17:27 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

769702

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of people who require treatment each year to meet the UK's commitment to eliminate Hepatitis C as a public health concern by 2030.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	107489
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>The United Kingdom government is a signatory to the World Health Assembly resolution and World Health Organization (WHO) goal of eliminating hepatitis C as a major public health threat by 2030.</p><p> </p><p>Progress towards achieving the WHO elimination goal is summarised in this year’s Public Health England’s (PHE) report “Hepatitis C in the UK”:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/632465/HCV_in_the_uk_report_2017.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/632465/HCV_in_the_uk_report_2017.pdf</a></p><p>This showed that better access to improved treatment has led to the first fall in deaths from severe hepatitis C related liver disease in a decade and that the UK is on target for the WHO interim goal to reduce hepatitis C mortality by 10% by 2020.</p><p> </p><p>For England a sustainable rollout of access to new direct acting antivirals for treating chronic hepatitis C is underway with investment of in excess of £200 million per year. The current financial year (2017/18) is the third year of hepatitis C treatment ramp-up and the plan is to treat 12,500 individuals.</p><p> </p><p>An estimated 160,000 persons are believed to have hepatitis C in England. Further modelling work is being undertaken by PHE to update estimates of the impact of treatment roll out on prevalence of hepatitis C and hepatitis C-associated advanced liver disease. Previous PHE modelling of the scale up of treatment indicates that a “rapid complete coverage” scenario of treating 20,000 or more individuals per year and up to 50% of those infected each year would result in end-stage liver disease / hepatocellular cancer being halved within 10 years.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 107488 question first answered 19/10/2017 15:17:27 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew