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1134011

registered interest
date	24/06/2019
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	Genito-urinary Medicine
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 commit to bringing forward a national sexual health strategy.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	268500
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The development of a national sexual health strategy is a key recommendation in the Health and Social Care Committee’s report on sexual health, which was published on 2 June 2019. The Government is currently considering the report’s recommendations and will publish a formal response shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 13:09:35 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1134077

registered interest
date	24/06/2019
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	Preventive Medicine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when his Department will publish the Green Paper on prevention.
tabling member constituency	Brentford and Isleworth
tabling member printed	Ruth Cadbury
uin	268534
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>I refer the hon. Member to the answer given by the former Parliamentary Under-Secretary of State for Public Health and Primary Care (Steve Brine MP) to the hon. Member for Glasgow Central (Alison Thewliss MP) on 16 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-09/206879/" target="_blank">206879</a>.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 09:52:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	4389 label Biography information for Ruth Cadbury

1134088

registered interest
date	24/06/2019
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	Hospitals: Construction
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 new NHS hospital facilities specifically for secondary and acute care in England (a) have been built, (b) are under construction and (c) are planned for completion between 2015 and 2025; what the (i) location and (ii) estimated capital value is of each of those new hospital facilities, including those that are valued at less than £100 million; and what the proportion of financing for each project is (A) public and (B) private financing.
tabling member constituency	Walthamstow
tabling member printed	Stella Creasy
uin	268474
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>In the 2017 Spring and Autumn Budgets, the Government committed £3.9 billion in new capital investment for the National Health Service. £2.4 billion of this has been allocated to over 150 sustainability and transformation partnership (STP) schemes to modernise and transform buildings and services across the country. In the Spending Review later this year, the Government will consider proposals from the NHS for a multi-year capital plan to support the health service as outlined in the NHS Long Term Plan.</p><p> </p><p>Separate from the STP capital programme, the Department has also supported a variety of other investments in new NHS facilities. Under Section 40 of the NHS Act 2006, the Secretary of State may give financial assistance, such as loans or Public Dividend Capital to any NHS foundation trust.</p><p> </p><p>The Papworth Hospital and the Alder Hey Children’s Hospital were completed in 2018 and 2015 respectively under the Private Finance Initiative (PFI). The Royal Liverpool Hospital and Midland Metropolitan Hospital started off as PFI schemes and are now being completed with public capital.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/06/2019 12:57:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	4088 label Biography information for Stella Creasy

1134203

registered interest
date	24/06/2019
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	Loneliness: Social Prescribing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress he has made on (a) establishing regional social prescribing steering groups, (b) holding regional social prescribing workshops and (c) facilitating a cross-government social prescribing workshop in relation to the Government's loneliness strategy.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	268587
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Seven Regional Social Prescribing Steering Groups, covering the country, have now been established. Each steering group comprises key stakeholders that work together to maximise impact of social prescribing in their region. Two social prescribing network/workshop events were held in each region in 2018/19, and between April and June 2019, an additional event was held in each region aimed at commissioners and other key stakeholders. These additional events were designed to support the development of shared local plans to recruit and embed link workers in Primary Care Networks and align with existing local social prescribing schemes</p><p> </p><p>In November 2018 the first meeting of the cross-Government social prescribing taskforce took place. Meeting are usually held every two months and involve a range of Government departments and agencies. The taskforce brings together those with a shared interest in social prescribing to discuss how policy in a range of areas, including work on the loneliness strategy, can support work to maximise its impact.</p><p><br></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/06/2019 09:50:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4405 label Biography information for Julie Cooper

1134242

registered interest
date	24/06/2019
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	Care Homes: Standards
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 and what proportion of care homes are rated inadequate by the Care Quality Commission in (a) Liverpool, (b) the North West and (c) England.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	268458
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The Care Quality Commission (CQC) has provided the following data:</p><table><tbody><tr><td><p>-</p></td><td><p>Number of active care homes with latest overall rating as ‘Inadequate’</p></td><td><p>Total active care homes</p></td><td><p>Percentage<sup>1</sup> of active care homes by latest overall rating</p></td></tr><tr><td><p>Liverpool Local Authority</p></td><td><p>1</p></td><td><p>89</p></td><td><p>1.1%</p></td></tr><tr><td><p>North West Region</p></td><td><p>20</p></td><td><p>1,915</p></td><td><p>1.0%</p></td></tr><tr><td><p>England</p></td><td><p>230</p></td><td><p>15,668</p></td><td><p>1.5%</p></td></tr></tbody></table><p>Notes: <sup>1</sup>Percentages for each latest overall rating are as a proportion of total active care homes, including homes with no published rating to date.</p><p>The data provided can be used in accordance with the Open Government Licence for Public Sector Information by acknowledging the CQC as the data source.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/06/2019 09:57:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1133843

registered interest
date	21/06/2019
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	Surgery
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 has been issued to clinical commissioning groups on restricting access to operations until a person's medical condition worsens; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	267717
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>It is for the local clinical commissioning group (CCG) to decide what services they commission for the people they are responsible for – this will mean making clinical judgements about the effectiveness and value of treatments, and the best allocation of resources. CCGs do this based on the healthcare needs of their local populations and clinical evidence, to ensure they are providing the best possible, sustainable care for their patients.</p><p> </p><p>Treatment decisions should always be made by doctors based on a patient’s individual clinical needs and informed by the National Institute for Health and Care Excellence’s (NICE) guidelines.</p><p> </p><p>NICE clinical guidelines make many recommendations spanning all stages of care from diagnosis to treatment of a condition. They represent best practice and are based on available evidence and developed through consultation. Health professionals and organisations are expected to take the guidance fully into account when deciding treatments.</p><p> </p><p>A fundamental principle of the National Health Service is that, for people who are ‘ordinarily resident’ in the United Kingdom, treatment is free at the point of need, regardless of the patient’s ability to pay. Patient payments, other than those limited forms permitted by Regulations (such as prescription charges, payments for some clinical activity undertaken by dentists, and visitor and migrant charges) are contrary to NHS policy.</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267718 question first answered 26/06/2019 15:37:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	432 label Biography information for Helen Jones

1133844

registered interest
date	21/06/2019
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	Surgery: Private Sector
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 has been issued to NHS Trusts on charging for operations which were previously offered free on the NHS.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	267718
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>It is for the local clinical commissioning group (CCG) to decide what services they commission for the people they are responsible for – this will mean making clinical judgements about the effectiveness and value of treatments, and the best allocation of resources. CCGs do this based on the healthcare needs of their local populations and clinical evidence, to ensure they are providing the best possible, sustainable care for their patients.</p><p> </p><p>Treatment decisions should always be made by doctors based on a patient’s individual clinical needs and informed by the National Institute for Health and Care Excellence’s (NICE) guidelines.</p><p> </p><p>NICE clinical guidelines make many recommendations spanning all stages of care from diagnosis to treatment of a condition. They represent best practice and are based on available evidence and developed through consultation. Health professionals and organisations are expected to take the guidance fully into account when deciding treatments.</p><p> </p><p>A fundamental principle of the National Health Service is that, for people who are ‘ordinarily resident’ in the United Kingdom, treatment is free at the point of need, regardless of the patient’s ability to pay. Patient payments, other than those limited forms permitted by Regulations (such as prescription charges, payments for some clinical activity undertaken by dentists, and visitor and migrant charges) are contrary to NHS policy.</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267717 question first answered 26/06/2019 15:37:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	432 label Biography information for Helen Jones

1133888

registered interest
date	21/06/2019
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	Drugs: Misuse
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 of the change in the level of the Public Health Grant on the (a) quality of drug treatment services and (b) number of drug-related deaths in the 2015 to 2019 Spending Review period .
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	267731
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government is concerned by the number of drug-related deaths, which is largely caused by an ageing cohort of heroin users. We are supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths. In October, the Home Office announced that there would be a major independent review of drug misuse. This will look at a wide range of issues, including the system of support and enforcement around drug abuse, to better inform our thinking about what more can be done to tackle drug harms including deaths. The review shall inform our thinking about what more can be done to mitigate the harm caused through drug use.</p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including drug addiction. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. Public health funding for 2020 onwards, including for addiction services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p><strong> </strong></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267732 question first answered 26/06/2019 16:34:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1133889

registered interest
date	21/06/2019
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	Drugs: Misuse
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 has made an assessment of the effect of the change to the level of the Public Health Grant over the forthcoming 2019 Spending Review on the (a) quality of drug treatment services and (b) number of drug-related deaths.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	267732
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government is concerned by the number of drug-related deaths, which is largely caused by an ageing cohort of heroin users. We are supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths. In October, the Home Office announced that there would be a major independent review of drug misuse. This will look at a wide range of issues, including the system of support and enforcement around drug abuse, to better inform our thinking about what more can be done to tackle drug harms including deaths. The review shall inform our thinking about what more can be done to mitigate the harm caused through drug use.</p><p>Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including drug addiction. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. Public health funding for 2020 onwards, including for addiction services, will be considered carefully in the next Spending Review, in the light of the available evidence.</p><p><strong> </strong></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267731 question first answered 26/06/2019 16:34:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1133890

registered interest
date	21/06/2019
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	Heart Diseases: Death
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 the number of preventable deaths caused by heart disease; and whether he has made an assessment of whether improving screening for older people would (a) help tackle the number of deaths attributed to heart disease and (b) be cost-effective.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	267726
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Cardiovascular Disease (CVD) prevention initiatives report summarises a wide range of actions led by Public Health England (PHE) which will reduce preventable deaths from CVD. This can be viewed at the following link:</p><p><a href="http://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/" target="_blank">www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/</a></p><p>In February 2018 PHE published national ambitions on the secondary prevention of Atrial Fibrillation, High Blood Pressure and High Cholesterol. This can be viewed at the following link:</p><p><a href="https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/" target="_blank">https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preventing-cardiovascular-disease/</a></p><p>People aged 40-74 without existing disease are eligible once every five years for an NHS Health Check, England’s CVD prevention programme. Modelling shows that the programme, is cost effective with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per Quality Adjusted Life Year of around £3,000, considerably lower than the National Institute for Health and Care Excellence’s threshold. The cost benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes and save at least 650 lives each year. A copy of the Economic Modelling for Vascular Checks is attached.</p><p>The United Kingdom National Screening Committee has not undertaken an assessment of the impact of routine screening for the elderly to prevent deaths due to heart disease. Therefore, the Committee has not made a recommendation on this issue.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 267727 question first answered 26/06/2019 16:29:30 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Economic Modelling.pdf title Economic Modelling report
tabling member	1604 label Biography information for Mr Virendra Sharma