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1023005

registered interest
date	10/12/2018
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	Prescriptions: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will undertake a review of the categories of conditions eligible for medical exemption certificates for NHS prescriptions to ensure that there is provision for mental health conditions.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	200637
answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Department has no current plans to amend the list of medical conditions that provide exemption from prescription charges, as extensive arrangements are in place to ensure that people can access affordable prescriptions. The Government is considering the recommendations from the ‘Modernising the Mental Health Act: Increasing choice, reducing compulsion’ report, published on 6 December 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2018 16:25:12 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020318

registered interest
date	05/12/2018
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	Cervical 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 he is taking to improve uptake of cervical screening.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199346
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK (CRUK) and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 199347 question first answered 10/12/2018 15:34:24 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020321

registered interest
date	05/12/2018
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	Cervical 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, for what reason there has been a recent decline in the level of cervical screening attendance.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199347
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>NHS England has reviewed the data from 2013 showing the continuing gradual national and international decline in the five-year coverage. Assessments for the decline were done in partnership with key stakeholders Public Health England (PHE) and Jo’s Cervical Cancer Trust.</p><p> </p><p>NHS England hosted a spotlight session in April 2016 which focussed on gaining insight into the reasons why women do or do not attend for screening. This suggested that ease of access together with attitudinal changes to informed choice, may contribute to this widespread reduction in uptake.</p><p> </p><p>Jo’s Cervical Cancer Trust published a report in January 2018 suggesting that some young women did not attend cervical screening appointments because they were embarrassed about their body, while others did not think the test was important and were not at risk because they led healthy lifestyles.</p><p> </p><p>NHS England and PHE have therefore modified the commissioning levers and communication processes, for example through supporting Jo’s Trust in the Time to Screen campaign and the development of a new ‘Be Clear on Cancer’ campaign for early 2019 promoting uptake of cervical screening.</p><p> </p><p>NHS England has supported the Cancer Alliances who bring together local senior clinical and managerial leaders representing the whole cancer patient pathway across a specific geography, and have a general role in improving early diagnosis. In turn they have developed specific plans to improve uptake rates in screening programmes as part of that agenda with cervical screening considered a priority area.</p><p> </p><p>Cancer Research UK (CRUK) and Macmillan general practitioners (GPs) are also being utilised to provide awareness and training, with work and focus groups to target reducing inequalities among women over 50 and women from Eastern European countries a specific focus in one region. The role that sexual health clinics can play in providing access to screening among vulnerable women via an opportunistic offer of screening is being considered.</p><p> </p><p>Training of GP receptionists is underway to improve ease of access to a screening appointment, while a toolkit has been developed to reduce the inequality in uptake among women with a learning disability.</p><p> </p><p>In addition, NHS England recently announced that Professor Sir Mike Richards has been asked to lead a review of cancer screening programmes which will consider ways to increase uptake of cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 199346 question first answered 10/12/2018 15:34:24 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020322

registered interest
date	05/12/2018
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	Cervical 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 much funding his Department has allocated to schemes to increase cervical screening attendance in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199348
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>Information on how much of the money allocated from the cervical screening budget to schemes to increase cervical screening attendance is not collected centrally by NHS England.</p><p> </p><p>NHS England has invested over £200 million since 2016 to transform cancer services across England.</p><p> </p><p>Next year, Public Health England will launch a national campaign to highlight the risks of cervical cancer, encourage all women to respond to their screening invitation and to encourage women to consider booking an appointment if they have missed previous invitations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:25:09 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1020420

registered interest
date	05/12/2018
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	Cervical 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 support his Department provides to women who are survivors of sexual violence to access cervical screening.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	199349
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The NHS Cervical Screening programme encourages practices to be sympathetic and supportive to all women going through the procedure, in order to make it as comfortable as possible. All women undertaking their screening test have the support of a chaperone available. A female general practitioner/ nurse also undertakes the screening test.</p><p> </p><p>In addition, the NHS Cervical Screening Programme’s sample taker training guidance covers various barriers which sample takers should be considerate of, this includes guidance on women with fears of cervical screening following a history of sexual assault or rape. The guidance can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/guidance/cervical-screening-education-and-training" target="_blank">https://www.gov.uk/guidance/cervical-screening-education-and-training</a></p><p> </p><p>The Department has have been working with NHS England to develop a five-year Sexual Assault and Abuse Strategy, which aspires to ensure victims receive joined-up pathways of care over the course of their life time whenever they need it – this was published in April 2018. It will develop and improve integrated pathways of care for people that have experienced sexual assault and abuse.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:43:37 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1010263

registered interest
date	19/11/2018
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	Hospitals
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 his Department has made of the potential merits of the recommendations of the Academic Health Science Networks report of 5 November 2018 on Understanding the Performance and Potential of Specialist Hospitals.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	192781
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>NHS England will be considering the implications of the report’s recommendations to consider how the National Health Service could take greater advantage of specialist hospitals and their strengths and, in liaison with the Academic Health Science Networks (AHSNs), ensure that AHSNs continue to build and develop their local and regional networks, strengthening relationships with all NHS organisations including specialist hospitals.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 192782 question first answered 22/11/2018 15:22:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

1010264

registered interest
date	19/11/2018
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	Hospitals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to refer to the role of specialist hospitals in research, innovation and training in future NHS planning.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	192782
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>NHS England will be considering the implications of the report’s recommendations to consider how the National Health Service could take greater advantage of specialist hospitals and their strengths and, in liaison with the Academic Health Science Networks (AHSNs), ensure that AHSNs continue to build and develop their local and regional networks, strengthening relationships with all NHS organisations including specialist hospitals.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 192781 question first answered 22/11/2018 15:22:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

994535

registered interest
date	25/10/2018
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	Genito-urinary Medicine: Finance
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 funding his Department has allocated to sexual health services in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	183896
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>Funding for sexual and reproductive health and HIV services is allocated through local authorities, clinical commissioning groups and NHS England. No central assessment has been made of the total funding allocated in any of the last eight years.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 16:04:45 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

994537

registered interest
date	25/10/2018
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, what estimate he has made of the number of diagnoses of syphilis in (a) England, (b) Yorkshire and Humber and (c) Kingston Upon Hull in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	183897
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>Public Health England routinely collects data on sexually transmitted infections diagnoses, testing and other sexual health related services. In England, the number of syphilis diagnoses in the last eight years was 2,646 in 2010; 2,927 in 2011; 3,014 in 2012; 3,344 in 2013; 4,448 in 2014; 5,322 in 2015; 5,955 in 2016 and 7,137 in 2017.</p><p> </p><p>In Yorkshire and Humber, the number of syphilis diagnoses in the last five years was 213 in 2013; 204 in 2014; 203 in 2015; 376 in 2016 and 417 in 2017. Data are not available before 2013.</p><p> </p><p>In Kingston upon Hull, the number of syphilis diagnoses in the last six years was 8 in 2012; 24 in 2013; 7 in 2014; 10 in 2015; 11 in 2016 and 23 in 2017. Data are not available before 2012.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 16:03:43 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

987955

registered interest
date	15/10/2018
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	Haemophilia: 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, with reference to commissioning criterion 6b of NHS England’s Criteria for the Prescribing of Enhanced Half-Life Blood Factors, published in September 2016; for what reason a maximum conversion ratio from Standard Half Life to EHL products was set; and whether a patient that achieved higher trough levels than before from a narrower conversion ratio would be switched back to their previous regimen.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	179162
answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>The maximum conversion ratios were provided by clinical experts based on their experience of managing the clinical needs of most patients. Clinicians manage individual patients to achieve bleed control in line with the British Society of Haematology for trough levels, and bleed levels.</p><p> </p><p>The maximum conversion ratios apply only when switching from standard half-life (SHL) Factor IX (FIX) to and enhanced half-life (EHL) FIX. They do not apply when switching from an EHL FIX to an SHL FIX.</p><p> </p><p>Depending on individual patient need, it is possible that a patient could be switched to a previous or alternative regimen to achieve a target trough level greater than 1%.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2018 16:11:50 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson