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449841

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Public Relations
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many public relations and communications staff have been hired directly by the NHS in each of the last five years.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	25432
answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The Department does not hold the requested information.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 25430 25431 question first answered 08/02/2016 12:36:42 answering member 1201 label Biography information for Alistair Burt
tabling member	4025 label Biography information for Mrs Pauline Latham

449844

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Public Relations
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of the NHS budget was spent on public relations and communications in each of the last five years.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	25430
answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The Department does not hold the requested information.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 25431 25432 question first answered 08/02/2016 12:36:42 answering member 1201 label Biography information for Alistair Burt
tabling member	4025 label Biography information for Mrs Pauline Latham

449845

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Public Relations
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of the NHS budget was spent on public relations consultancy firms in each of the last five years.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	25431
answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The Department does not hold the requested information.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 25430 25432 question first answered 08/02/2016 12:36:42 answering member 1201 label Biography information for Alistair Burt
tabling member	4025 label Biography information for Mrs Pauline Latham

444920

registered interest
date	14/01/2016
answering body	HM Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	CaTreasury
hansard heading	Sunscreens: VAT
house id	1
legislature	25259 pref label House of Commons
question text	To ask Mr Chancellor of the Exchequer, if he will include the removal of VAT on sun safety products in his negotiations on VAT on sanitary products with his counterparts in the EU.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	22538
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>EU VAT rules do not currently allow for the application of a zero rate of VAT to sanitary products. That is why I have written to the European Commission and other Member States setting out our strong view that Member States should have full discretion over what rate of VAT they can apply to these products.</p><br /><p>Drugs and medications that are dispensed by a registered pharmacist against a prescription issued by a qualifying health professional are zero rated for VAT.</p><br /><p>High-factor sunscreen is on the NHS prescription list for certain conditions and is therefore provided VAT free when dispensed by a pharmacist to patients.</p> answering member constituency South West Hertfordshire answering member printed Mr David Gauke question first answered 20/01/2016 10:39:10 answering member 1529 label Biography information for Mr David Gauke
tabling member	4025 label Biography information for Mrs Pauline Latham

444921

registered interest
date	14/01/2016
answering body	HM Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	CaTreasury
hansard heading	Sunscreens: VAT
house id	1
legislature	25259 pref label House of Commons
question text	To ask Mr Chancellor of the Exchequer, if he will assess the potential merits of reducing the rate of VAT on sunscreen, sun block and other sun safety products.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	22539
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>EU VAT law does not specifically provide for a reduced rate for sunscreen, although there is a provision for a reduced rate of VAT for “pharmaceutical products of a kind normally used for health care, prevention of diseases and treatment for medical and veterinary purposes”.</p><br /><p>Not all sunscreen products are recognised as having a health benefit and the factor level necessary for adequate protection is a matter of contention.</p><br /><p>However, high-factor sunscreen is on the NHS prescription list for certain conditions and provided VAT free when dispensed by a pharmacist to patients.</p> answering member constituency South West Hertfordshire answering member printed Mr David Gauke question first answered 20/01/2016 10:23:54 answering member 1529 label Biography information for Mr David Gauke
tabling member	4025 label Biography information for Mrs Pauline Latham

444952

registered interest
date	14/01/2016
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Skin Cancer: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, if her Department will take steps to encourage greater education about sun safety and skin cancer in schools.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	22542
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>We recognise the importance of teaching children and young people about the importance of sun safety and the risks of skin cancer. The primary science national curriculum emphasises the need for pupils to recognise the different ways in which light from the sun can be dangerous and how they should protect their eyes. Skin cancer and other health issues can also be covered in the key stage 4 science curriculum when pupils can be taught about the impact of lifestyle factors on the incidence of non-communicable diseases. Schools can choose to include cancer awareness in their Personal, Social, Health and Economic (PSHE) education lessons. The non-statutory programme of study for PSHE education enables schools to teach young people about cancer prevention, checking for cancer and other illnesses, and how to overcome worries about seeking help.</p><p>The National Institute for Health and Care Excellence (NICE) published guidance on “Skin Cancer Prevention” in January 2011.</p> answering member constituency Crewe and Nantwich answering member printed Edward Timpson question first answered 20/01/2016 14:29:41 answering member 1605 label Biography information for Edward Timpson
tabling member	4025 label Biography information for Mrs Pauline Latham

445006

registered interest
date	14/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Skin Cancer
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 improve prevention and diagnosis of (a) skin cancer and (b) melanoma.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	22540
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>A number of voluntary and statutory organisations deliver health protection advice to the public about ultraviolet (UV) exposure. This includes NHS Choices at:</p><br /><p><a href="http://www.nhs.uk/Livewell/skin/Pages/Sunsafe.aspx" target="_blank">http://www.nhs.uk/Livewell/skin/Pages/Sunsafe.aspx</a></p><br /><p>Public Health England provides information to increase awareness of the public health risks of excessive exposure to UV radiation from the sun, and to encourage people at home and abroad (Mediterranean countries) to protect themselves as necessary. Since sunburn is a risk factor for skin cancer, messages are issued to warn when the United Kingdom solar UV Index values are higher than expected.</p><br /><p>In 2011, the National Institute for Health and Care Excellence (NICE) published guidance on ‘Skin Cancer Prevention’ in January 2011. The guidance will be partially updated within the development of new guidance on ‘Sun Exposure: benefits and risks’ due to be published by NICE in February 2016.</p><br /><p>In June 2015, NICE published new cancer referral guideline for general practitioners (GPs), including guidance for GPs on investigating patients with signs suggestive of skin cancer (melanoma and non-melanoma). The guideline will continue to support GPs to identify patients with signs and symptoms of suspected cancer, including skin cancer and urgently refer them as appropriate.</p><br /><p>NICE is currently developing a quality standard which will cover prevention, assessment, diagnosis and management of skin cancer (melanoma and non-melanoma) in children, young people and adults. The anticipated publication date for this quality standard is August 2016.</p><br /> <br /><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 16:18:38 answering member 3918 label Biography information for Jane Ellison
tabling member	4025 label Biography information for Mrs Pauline Latham

445007

registered interest
date	14/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology: General Practitioners
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 improve GP education on skin cancer and dermatology.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	22541
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>In 2011, the Department of Health funded Cancer Research UK to work in partnership with the British Association of Dermatologists, to develop a Skin Cancer Toolkit for general practitioners (GPs). The toolkit was launched in 2012 and is currently available to GPs via doctors.net.</p><br /><p>In June 2015, the National Institute for Care Excellence published new cancer referral guideline for GPs, including guidance for GPs on investigating patients with signs suggestive of skin cancer. The guideline will continue to support GPs to identify patients with signs and symptoms of suspected cancer, including skin cancer and urgently refer them as appropriate. The Royal College of General Practitioners (RCGP) in collaboration with Cancer Research UK has worked on a programme of regional update events for GPs to enable GPs to adopt the new guidelines.</p><br /><p>More generally, it is the responsibility of the General Medical Council (GMC) to set the standards and outcomes for the education and training of doctors and to approve training curricula to ensure newly qualified doctors are equipped with the knowledge, skills and attitudes to provide high quality patient care.</p><br /><p>The royal colleges, for example the RCGP have responsibility for developing curricula for doctors, in particular postgraduate curricula. Health Education England will work with bodies that set curricula such as the GMC and the RCGP to seek to ensure general practice training meets the needs of patients.</p><br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 16:45:02 answering member 3918 label Biography information for Jane Ellison
tabling member	4025 label Biography information for Mrs Pauline Latham

443795

registered interest
date	11/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce waiting times for colonoscopy to detect bowel cancer.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	21838
answer	answer is ministerial correction date of answer 19/01/2016 answer text <p>Helping more people survive cancer is a key priority for this Government.</p><br /><p>We expect the National Health Service to look urgently at any dips in local performance and take action to make sure all patients get access to cancer treatment as quickly as possible. NHS England has set up a taskforce to look at what should be done to ensure cancer waiting times standards are met.</p><br /><p>Specifically for colonoscopy for bowel cancer, the NHS has committed to train an extra 250 gastroenterologists by 2020. In addition, Health Education England has pledged to fund the training of 200 non-medical endoscopists to significantly increase endoscopy capacity in England. The first cohort will begin training at the end of January 2016. NHS England’s Sustainable Improvement Team (formerly NHS Improving Quality) is working intensively with trusts that have significant endoscopy waiting lists, in order to improve performance. The learning from this will be shared widely.NHS England is also exploring ways to improve endoscopy performance through pricing changes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/01/2016 15:51:54 answering member 3918 label Biography information for Jane Ellison
tabling member	4025 label Biography information for Mrs Pauline Latham

443796

registered interest
date	11/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the uptake of bowel screening was under the National Screening Programme for bowel cancer in England in each of the last three years.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	21839
answer	answer is ministerial correction date of answer 19/01/2016 answer text <p>The National Bowel Screening Programme has been received positively since it commenced in 2006 and has seen a steady rise in participation achieving over 55% engagement over the last three years.</p><br /><p>Table: Bowel screening engagement of the last three years</p><table><tbody><tr><td rowspan="2"><p><br></p></td><td colspan="3"><p>Year</p></td></tr><tr><td><p>2011 - 2012</p></td><td><p>2012 - 2013</p></td><td><p>2013 - 2014</p></td></tr><tr><td><p>Invited</p></td><td><p>3,623,950</p></td><td><p>3,839,325</p></td><td><p>3,976,616</p></td></tr><tr><td><p>Screened</p></td><td><p>1,996,701</p></td><td><p>2,246,893</p></td><td><p>2,206,435</p></td></tr><tr><td><p>Abnormal</p></td><td><p>41,707</p></td><td><p>40,983</p></td><td><p>40,698</p></td></tr><tr><td><p>Uptake</p></td><td><p>55.10%</p></td><td><p>58.52%</p></td><td><p>55.49%</p></td></tr></tbody></table><br /><p>The programme expects that engagement will continue to increase following a positive recommendation from the UK National Screening Committee to use Faecal Immunochemical Test (FIT) as the primary screen test for bowel cancer. FIT has seen an increase in participation especially amongst men and in deprived areas as well as help reduce the number of deaths from bowel cancer.</p><br /><p>Following a positive screening test approximately half (50%) of the patients, at colonoscopy will have either bowel cancer or adenomas that require surgical intervention. An additional 25% of patients will have another disease affecting the colon and may require medical attention outside of the bowel screening programme, with the remaining 25% of colonoscopies having no medical reason for a positive result.</p><br /><p>Bowel screening has increased colonoscopy work and has subsequently helped to improve the quality of this service. False negatives from the screening test have no direct impact on the waiting times since colonoscopy is not undertaken.</p><br /><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 21837 question first answered 19/01/2016 16:12:18 answering member 3918 label Biography information for Jane Ellison
tabling member	4025 label Biography information for Mrs Pauline Latham