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1150750

registered interest
date	19/10/2019
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	Dental Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they intend to take in respone to the shortage of National Health Service dentists.
tabling member printed	Baroness Gardner of Parkes
uin	HL224
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>The latest headcount data published by NHS Digital show that the total number of dentists actively delivering National Health Service services increased from 24,308 to 24,545 during the period 2017/18 to 2018/19.</p><p> </p><p>Both NHS England and Health Education England (HEE) have initiatives in place to tackle recruitment and retention issues. HEE’s current programme Advancing Dental Care is exploring the opportunities for flexible dental training pathways that can better serve patients as well as improving dental workforce retention. NHS England is introducing ‘flexible commissioning’, which allows local NHS commissioners to commission a wider range of services from dental practices which is expected to make NHS dentistry more attractive to newly qualified dentists.</p><p> </p><p>These initiatives sit alongside the Department’s and NHS England’s work to reform the current NHS dental contract to support dentists to deliver preventatively focussed care. The patient pathway in the new model makes greater use of the whole dental team including nurses and therapists which moves away from needing dentists to complete every course of treatment.</p><p> </p><p>The interim NHS People Plan, published in June 2019, sets out plans for the future dental workforce. This commits to creating a capable and motivated multidisciplinary dental workforce, of a sufficient size, to meet population health needs.</p> answering member printed Baroness Blackwood of North Oxford question first answered 30/10/2019 12:34:49 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1150753

registered interest
date	19/10/2019
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	General Practitioners: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what progress they have made in ending the charging of victims of domestic violence by some GPs for letters confirming their injuries in order to get access to other services.
tabling member printed	Lord Kennedy of Southwark
uin	HL227
answer	answer is ministerial correction date of answer 31/10/2019 answer text <p>Negotiations are held annually between NHS England and the British Medical Association over amendments to the general practitioner contract. For the 2020/21 negotiations, the Department has asked NHS England to look at improving the system of evidence provision in relation to benefit assessments and legal aid applications for victims of domestic violence. We are working closely on this with the Department for Work and Pensions and the Ministry of Justice.</p> answering member printed Baroness Blackwood of North Oxford question first answered 31/10/2019 14:14:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1150662

registered interest
date	18/10/2019
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	Autism: Diagnosis
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 reduce waiting times for (a) referral to a specialist for autism diagnosis and (b) an initial assessment for autism and autism spectrum disorders.
tabling member constituency	Canterbury
tabling member printed	Rosie Duffield
uin	1936
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length of time between referral and a first appointment to start an assessment should be no more than three months.</p><p> </p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account where waiting times exceed the NICE standard.</p><p> </p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that formulating a diagnosis is often complex and can involve different professionals and agencies.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2019 12:03:57 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4616 label Biography information for Rosie Duffield

1150683

registered interest
date	18/10/2019
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	Cannabis: 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, how many prescriptions for medical cannabis have been issued on the NHS since the rescheduling of cannabis-based products.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	1918
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>Cannabis-based products for medicinal use were rescheduled on 1 November 2018 to allow clinicians on the General Medical Council’s ‘Specialist Register’ to prescribe cannabis-based products for medicinal use, where clinically appropriate and in the best interest of patients.</p><p>NHS England and NHS Improvement is using extant systems to monitor use of the newly rescheduled unlicensed cannabis-based products for medicinal use in England. In England, these systems monitor the number of items dispensed and associated costs in primary care and the volume of products used and associated cost in secondary care. NHS England’s and NHS Improvement’s Controlled Drug Accountable Officers are also collecting local intelligence in both the National Health Service and independent sector.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 23/10/2019 16:56:26 answering member 4380 label Biography information for Jo Churchill
tabling member	4465 label Biography information for Ronnie Cowan

1150684

registered interest
date	18/10/2019
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	Cannabis: 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, how many prescriptions for medical cannabis were issued on the NHS from November 2017 to November 2018.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	1919
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>NHS England and Improvement is using extant systems to monitor use of the newly rescheduled unlicensed cannabis-based products for medicinal use in England. In England, these systems monitor the number of items dispensed and associated costs in primary care and the volume of products used and associated cost in secondary care. NHS England’s and NHS Improvement’s Controlled Drug Accountable Officers are also collecting local intelligence in both the NHS and independent sector.</p><p>The NHS Business Services Authority is only able to provide information on prescriptions for cannabis-based medicines that have been prescribed and submitted to the NHS Business Services Authority. It does not hold information on prescriptions for cannabis-based medicines which have been issued but not fulfilled.</p><p>The following table shows the number of items for Nabilone and Sativex (licensed cannabis-based medicines) and unlicensed cannabis-based medicines that were prescribed on an National Health Service prescription, dispensed in the community and submitted to the NHS Business Services Authority for reimbursement between November 2017 and November 2018.</p><table><tbody><tr><td rowspan="2"><p>Month</p></td><td colspan="2"><p>Licensed cannabis-based medicines</p></td><td rowspan="2"><p>Unlicensed cannabis-based medicines</p></td></tr><tr><td><p>Nabilone</p></td><td><p>Sativex</p></td></tr><tr><td><p>November 2017</p></td><td><p>44</p></td><td><p>174</p></td><td><p>0</p></td></tr><tr><td><p>December 2017</p></td><td><p>58</p></td><td><p>202</p></td><td><p>0</p></td></tr><tr><td><p>January 2018</p></td><td><p>54</p></td><td><p>171</p></td><td><p>0</p></td></tr><tr><td><p>February 2018</p></td><td><p>44</p></td><td><p>158</p></td><td><p>0</p></td></tr><tr><td><p>March 2018</p></td><td><p>47</p></td><td><p>182</p></td><td><p>0</p></td></tr><tr><td><p>April 2018</p></td><td><p>48</p></td><td><p>145</p></td><td><p>0</p></td></tr><tr><td><p>May 2018</p></td><td><p>45</p></td><td><p>183</p></td><td><p>0</p></td></tr><tr><td><p>June 2018</p></td><td><p>42</p></td><td><p>157</p></td><td><p>0</p></td></tr><tr><td><p>July 2018</p></td><td><p>48</p></td><td><p>170</p></td><td><p>2</p></td></tr><tr><td><p>August 2018</p></td><td><p>54</p></td><td><p>161</p></td><td><p>0</p></td></tr><tr><td><p>September 2018</p></td><td><p>45</p></td><td><p>172</p></td><td><p>1</p></td></tr><tr><td><p>October 2018</p></td><td><p>50</p></td><td><p>164</p></td><td><p>0</p></td></tr><tr><td><p>November 2018</p></td><td><p>46</p></td><td><p>175</p></td><td><p>2</p></td></tr><tr><td><p>Total</p></td><td><p>625</p></td><td><p>2,214</p></td><td><p>5</p></td></tr></tbody></table><p> </p><p>Unlike NHS primary care where all dispensed prescriptions are processed centrally for payment, this is not the case for secondary care. This information is collected by a third party and not routinely published.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 23/10/2019 17:00:08 answering member 4380 label Biography information for Jo Churchill
tabling member	4465 label Biography information for Ronnie Cowan

1150718

registered interest
date	18/10/2019
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	Obesity: Children
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 children under five years old who are obese.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	1892
answer	answer is ministerial correction date of answer 23/10/2019 answer text <p>The National Child Measurement Programme measures the heights and weights of children in Reception (four to five-year olds) in England.</p><p>The data for the 2018/19 school year showed that 9.7% (57,869) of children in Reception were obese. This is based on 95% (597,812) of children in Reception eligible for measurement. These data are available to view at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/national-child-measurement-programme/2018-19-school-year" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/national-child-measurement-programme/2018-19-school-year</a></p><p>The Health Survey for England measures the height and weight of a small sample of children annually. The latest available report, from the 2017 survey, shows that 10% of two to four-year-olds surveyed were obese. This is based on measurements taken from 536 children. These are available to view at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england/2017" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england/2017</a></p><p>No data is collected centrally for children below the age of two.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 23/10/2019 16:57:45 answering member 4380 label Biography information for Jo Churchill
tabling member	308 label Biography information for Mr Jim Cunningham

1150324

registered interest
date	17/10/2019
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	Health Services: Disability
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 risks posed to people living with disabilities by a lack of availability of (a) medicines and (b) essential medical equipment in the event of the UK leaving the EU without a withdrawal agreement.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	1607
answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>The Department is doing everything appropriate to prepare for leaving the European Union. We want to reassure patients that our plans should ensure the uninterrupted supply of medicines and medical products once we have left the EU.</p><p>The Department, as part of our EU exit preparations, has analysed the supply chains of over 12,000 licensed medicines used by patients in the United Kingdom and close to half a million product lines of medical devices and clinical consumables with an EU/European Economic Area touchpoint. This approach means that the medicines and medical equipment used by people living with disabilities are included within our planning.</p><p>We continue to implement a multi-layered approach to mitigate potential disruption to supply, which consists of stockpiling where possible, securing freight capacity, changing or clarifying regulatory requirements, procuring additional warehousing, working closely with industry to improve trader readiness and putting in place the National Supply Disruption Response to manage potential shortages. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a>.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 22/10/2019 15:31:09 answering member 4362 label Biography information for Edward Argar
tabling member	1439 label Biography information for Norman Lamb

1150353

registered interest
date	17/10/2019
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	Hearing Impairment: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether audiology Departments are required to collect data on the number of children identified as having hearing loss.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	1546
answer	answer is ministerial correction date of answer 24/10/2019 answer text <p>All paediatric audiology services are required to record paediatric screening, assessment data, diagnosis and treatment data onto the national online database called ‘Smart for hearing’. This is co-ordinated centrally by the Newborn Hearing Screening team in the National Screening Office at Public Health England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/10/2019 11:46:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1150373

registered interest
date	17/10/2019
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	Sugar: Consumption
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 on the impact of the sugar tax on trends in the level of sugar consumption.
tabling member constituency	Haltemprice and Howden
tabling member printed	Mr David Davis
uin	1558
answer	answer is ministerial correction date of answer 25/10/2019 answer text <p>Public Health England has not made an assessment of the effect of the Soft Drinks Industry Levy (SDIL) on the level of sugar consumption.</p><p>The National Diet and Nutrition Survey is used to monitor trends in consumption of sugary soft drinks and sugar intakes. Data covering the period when the SDIL was introduced will be published in 2020.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 25/10/2019 13:02:17 answering member 4380 label Biography information for Jo Churchill
tabling member	373 label Biography information for Sir David Davis

1150375

registered interest
date	17/10/2019
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	Fast Food: Health Hazards
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 effect on public health of the availability of convenience food products.
tabling member constituency	Haltemprice and Howden
tabling member printed	Mr David Davis
uin	1560
answer	answer is ministerial correction date of answer 25/10/2019 answer text <p>The childhood obesity plan recognises that convenience food products high in fat, salt or sugar can lead to weight gain, which in turn increases the risk of heart disease, type 2 diabetes, stroke and some cancers. High levels of sugar intake also increase the risk of tooth decay.</p><p> </p><p>Many of the measures in the three chapters of our childhood obesity plan will have an impact on improving diet and reducing obesity across all age groups. These include the soft drinks industry levy, sugar reduction and wider calorie reformulation programme, restricting promotions and calorie labelling in restaurants which will improve our eating habits and reduce the amount of sugar we consume.</p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 25/10/2019 13:03:14 answering member 4380 label Biography information for Jo Churchill
tabling member	373 label Biography information for Sir David Davis