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984394

registered interest
date	09/10/2018
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	Multiple Births
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 undertake a review of the data collected by the Royal College of Obstetricians and Gynaecologists in its National Maternity Perinatal Audit on (a) good and (b) poor care in twin pregnancies.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	177151
answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>According to the National Maternity and Perinatal Audit (NMPA), the majority of its measures are restricted to data available on singleton, term births. The NMPA have stated that it plans to analyse a set of key measures for preterm and multiple births and to publish this separately. We will then consider how these data might inform its policies for improving maternity safety.</p><p> </p><p>The latest MBRRACE-UK Perinatal Mortality Surveillance Report noted that between 2014-2016 twin stillbirths reduced by 44% and neonatal deaths fell by 30%. These falls are statistically significant and the largest fall among any population since records began.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 15/10/2018 16:44:31 answering member 4070 label Biography information for Matt Hancock
tabling member	114 label Biography information for Tim Loughton

972473

registered interest
date	12/09/2018
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	NHS: Environment Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance he has issued to NHS establishments on improving environmental best practice.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173930
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>The Sustainable Development Unit (SDU) in Public Health England and NHS England, working with NHS Improvement, issued guidance in June to National Health Service providers to support improvements in environmental best practice. This can be found at:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>In November 2017 the SDU also published the Sustainable Development Assessment Tool that helps organisations build and monitor progress against robust and comprehensive Sustainable Development Management Plans (SDMPs). The tool is aligned to the United Nations Sustainable Development Goals, United Kingdom Government and NHS policy and strategy. It can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/sdat/" target="_blank">https://www.sduhealth.org.uk/sdat/</a></p><p> </p><p>In early 2018 the SDU also updated the criteria/scope on sustainability reporting, for NHS organisations in line with Treasury best practice. This can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>I have also held meetings with both NHS England and NHS Improvement to discuss how best to reduce the use of plastics across the NHS.</p><p> </p><p>Both the SDU and NHS Improvement hold a repository of best practice case studies across areas including energy and carbon, travel, waste and behaviour change. New case studies are published regularly and promoted to NHS organisations through monthly ebulletins and social media, which can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/case-studies.aspx" target="_blank">https://www.sduhealth.org.uk/resources/case-studies.aspx</a></p><p> </p><p>All NHS providers that are party to the Long Form NHS Standard Contract are required to have in place and report annually on a SDMP. SDMPs are board adopted plans that set out how NHS organisations will minimise negative impacts and maximise positive impacts on the environment, society and economy.</p><p> </p><p>Information about individual trust board appointments is not held centrally. Annual sustainability reports are now also required from all trusts and must be signed off by boards as part of the Annual Reporting process. Environmental data submitted through trusts Estates Record Information Collection (ERIC) must also be signed off by a board level representative. Information about individual trusts’ SDMPs, approved by the trust board, and about Sustainability Reports and environmental data from ERIC, at a trust level, can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx" target="_blank">https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx</a></p><p> </p><p>Ministers have had no recent meetings with the medical Royal Colleges or medical equipment suppliers about reducing the use of plastic in the NHS. The NHS, in common with all other healthcare systems, has to use some single-use plastic devices and other plastic items to deliver effective care to patients. NHS trusts do, however, minimise the impact of healthcare on the environment.</p><p> </p><p>Information on those NHS trusts that produce their own energy is collected annually through ERIC. Overall, 36% of the energy consumed by those sites is produced by them. Details are shown in the attached table.</p><p> </p><p>All ERIC data is published at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 173931 173932 173933 173934 question first answered 09/10/2018 15:18:30 answering member 4095 label Biography information for Steve Barclay attachment 1 file name PQ173930, 173931, 173932, 173933, 173934, Loughton, 0.1 (NHS On Site Energy).xlsx title PQ173930 attached document
tabling member	114 label Biography information for Tim Loughton

972480

registered interest
date	12/09/2018
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: Environment Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, (a) how many and (b) which hospital trust boards have a director in charge of improving environmental performance.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173931
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>The Sustainable Development Unit (SDU) in Public Health England and NHS England, working with NHS Improvement, issued guidance in June to National Health Service providers to support improvements in environmental best practice. This can be found at:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>In November 2017 the SDU also published the Sustainable Development Assessment Tool that helps organisations build and monitor progress against robust and comprehensive Sustainable Development Management Plans (SDMPs). The tool is aligned to the United Nations Sustainable Development Goals, United Kingdom Government and NHS policy and strategy. It can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/sdat/" target="_blank">https://www.sduhealth.org.uk/sdat/</a></p><p> </p><p>In early 2018 the SDU also updated the criteria/scope on sustainability reporting, for NHS organisations in line with Treasury best practice. This can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>I have also held meetings with both NHS England and NHS Improvement to discuss how best to reduce the use of plastics across the NHS.</p><p> </p><p>Both the SDU and NHS Improvement hold a repository of best practice case studies across areas including energy and carbon, travel, waste and behaviour change. New case studies are published regularly and promoted to NHS organisations through monthly ebulletins and social media, which can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/case-studies.aspx" target="_blank">https://www.sduhealth.org.uk/resources/case-studies.aspx</a></p><p> </p><p>All NHS providers that are party to the Long Form NHS Standard Contract are required to have in place and report annually on a SDMP. SDMPs are board adopted plans that set out how NHS organisations will minimise negative impacts and maximise positive impacts on the environment, society and economy.</p><p> </p><p>Information about individual trust board appointments is not held centrally. Annual sustainability reports are now also required from all trusts and must be signed off by boards as part of the Annual Reporting process. Environmental data submitted through trusts Estates Record Information Collection (ERIC) must also be signed off by a board level representative. Information about individual trusts’ SDMPs, approved by the trust board, and about Sustainability Reports and environmental data from ERIC, at a trust level, can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx" target="_blank">https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx</a></p><p> </p><p>Ministers have had no recent meetings with the medical Royal Colleges or medical equipment suppliers about reducing the use of plastic in the NHS. The NHS, in common with all other healthcare systems, has to use some single-use plastic devices and other plastic items to deliver effective care to patients. NHS trusts do, however, minimise the impact of healthcare on the environment.</p><p> </p><p>Information on those NHS trusts that produce their own energy is collected annually through ERIC. Overall, 36% of the energy consumed by those sites is produced by them. Details are shown in the attached table.</p><p> </p><p>All ERIC data is published at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 173930 173932 173933 173934 question first answered 09/10/2018 15:18:30 answering member 4095 label Biography information for Steve Barclay attachment 1 file name PQ173930, 173931, 173932, 173933, 173934, Loughton, 0.1 (NHS On Site Energy).xlsx title PQ173930 attached document
tabling member	114 label Biography information for Tim Loughton

972490

registered interest
date	12/09/2018
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	NHS: Plastics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent discussions he has had with (a) Royal Medical Colleges and (b) medical equipment suppliers on reducing the use of plastic in the NHS.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173932
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>The Sustainable Development Unit (SDU) in Public Health England and NHS England, working with NHS Improvement, issued guidance in June to National Health Service providers to support improvements in environmental best practice. This can be found at:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>In November 2017 the SDU also published the Sustainable Development Assessment Tool that helps organisations build and monitor progress against robust and comprehensive Sustainable Development Management Plans (SDMPs). The tool is aligned to the United Nations Sustainable Development Goals, United Kingdom Government and NHS policy and strategy. It can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/sdat/" target="_blank">https://www.sduhealth.org.uk/sdat/</a></p><p> </p><p>In early 2018 the SDU also updated the criteria/scope on sustainability reporting, for NHS organisations in line with Treasury best practice. This can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>I have also held meetings with both NHS England and NHS Improvement to discuss how best to reduce the use of plastics across the NHS.</p><p> </p><p>Both the SDU and NHS Improvement hold a repository of best practice case studies across areas including energy and carbon, travel, waste and behaviour change. New case studies are published regularly and promoted to NHS organisations through monthly ebulletins and social media, which can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/case-studies.aspx" target="_blank">https://www.sduhealth.org.uk/resources/case-studies.aspx</a></p><p> </p><p>All NHS providers that are party to the Long Form NHS Standard Contract are required to have in place and report annually on a SDMP. SDMPs are board adopted plans that set out how NHS organisations will minimise negative impacts and maximise positive impacts on the environment, society and economy.</p><p> </p><p>Information about individual trust board appointments is not held centrally. Annual sustainability reports are now also required from all trusts and must be signed off by boards as part of the Annual Reporting process. Environmental data submitted through trusts Estates Record Information Collection (ERIC) must also be signed off by a board level representative. Information about individual trusts’ SDMPs, approved by the trust board, and about Sustainability Reports and environmental data from ERIC, at a trust level, can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx" target="_blank">https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx</a></p><p> </p><p>Ministers have had no recent meetings with the medical Royal Colleges or medical equipment suppliers about reducing the use of plastic in the NHS. The NHS, in common with all other healthcare systems, has to use some single-use plastic devices and other plastic items to deliver effective care to patients. NHS trusts do, however, minimise the impact of healthcare on the environment.</p><p> </p><p>Information on those NHS trusts that produce their own energy is collected annually through ERIC. Overall, 36% of the energy consumed by those sites is produced by them. Details are shown in the attached table.</p><p> </p><p>All ERIC data is published at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 173930 173931 173933 173934 question first answered 09/10/2018 15:18:30 answering member 4095 label Biography information for Steve Barclay attachment 1 file name PQ173930, 173931, 173932, 173933, 173934, Loughton, 0.1 (NHS On Site Energy).xlsx title PQ173930 attached document
tabling member	114 label Biography information for Tim Loughton

972493

registered interest
date	12/09/2018
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	NHS: Environment Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what incentives he has introduced to promote environmental best practice in the NHS in the last 12 months.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173933
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>The Sustainable Development Unit (SDU) in Public Health England and NHS England, working with NHS Improvement, issued guidance in June to National Health Service providers to support improvements in environmental best practice. This can be found at:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>In November 2017 the SDU also published the Sustainable Development Assessment Tool that helps organisations build and monitor progress against robust and comprehensive Sustainable Development Management Plans (SDMPs). The tool is aligned to the United Nations Sustainable Development Goals, United Kingdom Government and NHS policy and strategy. It can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/sdat/" target="_blank">https://www.sduhealth.org.uk/sdat/</a></p><p> </p><p>In early 2018 the SDU also updated the criteria/scope on sustainability reporting, for NHS organisations in line with Treasury best practice. This can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>I have also held meetings with both NHS England and NHS Improvement to discuss how best to reduce the use of plastics across the NHS.</p><p> </p><p>Both the SDU and NHS Improvement hold a repository of best practice case studies across areas including energy and carbon, travel, waste and behaviour change. New case studies are published regularly and promoted to NHS organisations through monthly ebulletins and social media, which can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/case-studies.aspx" target="_blank">https://www.sduhealth.org.uk/resources/case-studies.aspx</a></p><p> </p><p>All NHS providers that are party to the Long Form NHS Standard Contract are required to have in place and report annually on a SDMP. SDMPs are board adopted plans that set out how NHS organisations will minimise negative impacts and maximise positive impacts on the environment, society and economy.</p><p> </p><p>Information about individual trust board appointments is not held centrally. Annual sustainability reports are now also required from all trusts and must be signed off by boards as part of the Annual Reporting process. Environmental data submitted through trusts Estates Record Information Collection (ERIC) must also be signed off by a board level representative. Information about individual trusts’ SDMPs, approved by the trust board, and about Sustainability Reports and environmental data from ERIC, at a trust level, can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx" target="_blank">https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx</a></p><p> </p><p>Ministers have had no recent meetings with the medical Royal Colleges or medical equipment suppliers about reducing the use of plastic in the NHS. The NHS, in common with all other healthcare systems, has to use some single-use plastic devices and other plastic items to deliver effective care to patients. NHS trusts do, however, minimise the impact of healthcare on the environment.</p><p> </p><p>Information on those NHS trusts that produce their own energy is collected annually through ERIC. Overall, 36% of the energy consumed by those sites is produced by them. Details are shown in the attached table.</p><p> </p><p>All ERIC data is published at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 173930 173931 173932 173934 question first answered 09/10/2018 15:18:30 answering member 4095 label Biography information for Steve Barclay attachment 1 file name PQ173930, 173931, 173932, 173933, 173934, Loughton, 0.1 (NHS On Site Energy).xlsx title PQ173930 attached document
tabling member	114 label Biography information for Tim Loughton

972494

registered interest
date	12/09/2018
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	NHS: Energy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which NHS premises produce their own energy; and what proportion of total energy consumption those premises produce.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173934
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>The Sustainable Development Unit (SDU) in Public Health England and NHS England, working with NHS Improvement, issued guidance in June to National Health Service providers to support improvements in environmental best practice. This can be found at:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>In November 2017 the SDU also published the Sustainable Development Assessment Tool that helps organisations build and monitor progress against robust and comprehensive Sustainable Development Management Plans (SDMPs). The tool is aligned to the United Nations Sustainable Development Goals, United Kingdom Government and NHS policy and strategy. It can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/sdat/" target="_blank">https://www.sduhealth.org.uk/sdat/</a></p><p> </p><p>In early 2018 the SDU also updated the criteria/scope on sustainability reporting, for NHS organisations in line with Treasury best practice. This can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/default.aspx" target="_blank">https://www.sduhealth.org.uk/resources/default.aspx</a></p><p> </p><p>I have also held meetings with both NHS England and NHS Improvement to discuss how best to reduce the use of plastics across the NHS.</p><p> </p><p>Both the SDU and NHS Improvement hold a repository of best practice case studies across areas including energy and carbon, travel, waste and behaviour change. New case studies are published regularly and promoted to NHS organisations through monthly ebulletins and social media, which can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/resources/case-studies.aspx" target="_blank">https://www.sduhealth.org.uk/resources/case-studies.aspx</a></p><p> </p><p>All NHS providers that are party to the Long Form NHS Standard Contract are required to have in place and report annually on a SDMP. SDMPs are board adopted plans that set out how NHS organisations will minimise negative impacts and maximise positive impacts on the environment, society and economy.</p><p> </p><p>Information about individual trust board appointments is not held centrally. Annual sustainability reports are now also required from all trusts and must be signed off by boards as part of the Annual Reporting process. Environmental data submitted through trusts Estates Record Information Collection (ERIC) must also be signed off by a board level representative. Information about individual trusts’ SDMPs, approved by the trust board, and about Sustainability Reports and environmental data from ERIC, at a trust level, can be found at the following link:</p><p> </p><p><a href="https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx" target="_blank">https://www.sduhealth.org.uk/policy-strategy/reporting/organisational-summaries.aspx</a></p><p> </p><p>Ministers have had no recent meetings with the medical Royal Colleges or medical equipment suppliers about reducing the use of plastic in the NHS. The NHS, in common with all other healthcare systems, has to use some single-use plastic devices and other plastic items to deliver effective care to patients. NHS trusts do, however, minimise the impact of healthcare on the environment.</p><p> </p><p>Information on those NHS trusts that produce their own energy is collected annually through ERIC. Overall, 36% of the energy consumed by those sites is produced by them. Details are shown in the attached table.</p><p> </p><p>All ERIC data is published at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 173930 173931 173932 173933 question first answered 09/10/2018 15:18:30 answering member 4095 label Biography information for Steve Barclay attachment 1 file name PQ173930, 173931, 173932, 173933, 173934, Loughton, 0.1 (NHS On Site Energy).xlsx title PQ173930 attached document
tabling member	114 label Biography information for Tim Loughton

971811

registered interest
date	11/09/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what facilities in the UK offer high-energy proton beam cancer therapy treatment in (a) the NHS and (b) the private sector.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173485
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>In April 2012, the Secretary of State for Health and Social Care announced that £250 million would be invested to build proton beam therapy facilities at The Christie Hospital in Manchester and University College London Hospital (UCLH). Contracts were signed with Varian Medical Systems, Interserve Construction at The Christie, and Bouygues UK at UCLH at the end of July 2015. The Christie has been operational since 20 August 2018 and expects the first patients to be treated in the autumn. UCLH is currently on schedule to begin treating patients in summer 2020.</p><p> </p><p>NHS England does not hold information about high-energy proton beam provision in the private sector.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:53:23 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

971813

registered interest
date	11/09/2018
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	Radiotherapy
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 NHS England patients have been treated with high-energy proton beam cancer therapy in England and Wales in each of the last five years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173486
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>NHS England has not funded any patients to have high-energy proton beam therapy in England and Wales in the last five years.</p><p> </p><p>Over the past five years, 895 National Health Service patients have been treated overseas with high-energy proton beam therapy at a total cost of just over £91 million. These figures include patients from England, Scotland and Northern Ireland but exclude patients from Wales. NHS England does not routinely split financial information between treatment and travel/subsistence costs. Further detail is provided in the following table.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>Total</p></td></tr><tr><td><p>Number of patients approved for referral</p></td><td><p>119</p></td><td><p>144</p></td><td><p>213</p></td><td><p>203</p></td><td><p>216</p></td><td><p>895</p></td></tr><tr><td><p>Total cost</p></td><td><p>£9.13 million</p></td><td><p>£12.63 million</p></td><td><p>£20.81 million</p></td><td><p>£24.51 million</p></td><td><p>£24.19 million</p></td><td><p>£91.27 million</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 173487 question first answered 09/10/2018 16:56:45 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

971814

registered interest
date	11/09/2018
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	Radiotherapy
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 NHS patients have been treated with high-energy proton beam cancer therapy overseas in each of the last five years; and what the cost to the NHS was of those treatments by (a) treatment and (b) travel and subsistence costs.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173487
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>NHS England has not funded any patients to have high-energy proton beam therapy in England and Wales in the last five years.</p><p> </p><p>Over the past five years, 895 National Health Service patients have been treated overseas with high-energy proton beam therapy at a total cost of just over £91 million. These figures include patients from England, Scotland and Northern Ireland but exclude patients from Wales. NHS England does not routinely split financial information between treatment and travel/subsistence costs. Further detail is provided in the following table.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>Total</p></td></tr><tr><td><p>Number of patients approved for referral</p></td><td><p>119</p></td><td><p>144</p></td><td><p>213</p></td><td><p>203</p></td><td><p>216</p></td><td><p>895</p></td></tr><tr><td><p>Total cost</p></td><td><p>£9.13 million</p></td><td><p>£12.63 million</p></td><td><p>£20.81 million</p></td><td><p>£24.51 million</p></td><td><p>£24.19 million</p></td><td><p>£91.27 million</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 173486 question first answered 09/10/2018 16:56:45 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

971815

registered interest
date	11/09/2018
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	Radiotherapy
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 he has made of the adequacy of the capacity of high-energy proton beam cancer therapy in the UK for NHS patients.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173488
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>During the development of the business case for the Department for the NHS Proton Beam Therapy (PBT) centres, an assessment of the internationally accepted standard clinical indications that are likely to benefit from PBT was made, and the associated patient numbers, together with an assessment of the numbers and types of patients for whom further clinical trials and evaluative studies are justified. This will allow all appropriate paediatric and teenage and young adult patients with a paediatric spectrum of tumours to be accommodated. It is essential that a robust evidence base is established for specific situations in commoner adult cancers where there is currently little, if no evidence of superior outcomes, hence the research capacity built in to the programme. NHS England is commissioning two PBT Centres in England based on this assessment and after reaching full capacity they should be able to treat up to 1,500 patients per annum.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:49:58 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton