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1169721

registered interest
date	09/01/2020
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	Continuing Care
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 make it his policy to ensure that a rapidly deteriorating condition that may be entering a terminal phase under paragraph 16 of the Fast Track Pathway Tool for NHS Continuing Healthcare is interpreted to exclude all patients other than those confined to bed and within a few days of death; and if he will make a statement.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	1673
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The National Framework for NHS Continuing Healthcare and National Health Service-funded Nursing Care sets out the policy for the use of the Fast Track Pathway Tool.</p><p> </p><p>The Fast Track Pathway Tool must only be used when the individual has a rapidly deteriorating condition and may be entering a terminal phase.</p><p> </p><p>The completed Fast Track Pathway Tool should be supported by a prognosis, where available. However, strict time limits that base eligibility on a specified expected length of life remaining should not be imposed:</p><p> </p><p>- ‘rapidly deteriorating' should not be interpreted narrowly as only meaning an anticipated specific or short time frame of life remaining; and</p><p>- ‘may be entering a terminal phase’ is not intended to be restrictive to only those situations where death is imminent.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 11:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	242 label Biography information for Sir Christopher Chope

1169725

registered interest
date	09/01/2020
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	HIV Infection: Drugs
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 ensure that gay and bisexual men in York Central constituency have access to places on the PrEP Impact Trial.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	1768
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The Department has not had discussions with Monkgate Health Centre on participation in the pre-exposure prophylasis (PrEP) Impact Trial.</p><p>Participation in the trial is on a voluntary basis and it is for clinics and local authorities to decide the number of allocated places they can accept. The PrEP Impact Trial website includes a map showing the distribution of the 154 clinics level 3 Sexual Health Services participating in the trial at the following link:</p><p><a href="http://www.prepimpacttrial.org.uk" target="_blank">www.prepimpacttrial.org.uk</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 1769 question first answered 14/01/2020 17:16:25 answering member 4380 label Biography information for Jo Churchill
tabling member	4471 label Biography information for Rachael Maskell

1169726

registered interest
date	09/01/2020
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	Learning Disabilities Mortality Review Programme
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 the Government is taking to reduce the backlog of unreviewed cases in the LeDer process.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	1707
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Our assessment is that over the past 12 months, the Learning Disability Mortality Review (LeDeR) programme has made good progress in completing reviews, providing the largest body of evidence of deaths of people with a learning disability at an individual level anywhere in the world and using that evidence to turn learning into action to drive improvements in healthcare.</p><p>By December 2019, the latest date for which information is available, 3,195 reviews had been completed. There are also a further 1,923 reviews currently in progress. The total number of deaths notified to the Programme at December 2019 was 7,145 of which 3,060 had been notified in the last 12 months.</p><p>Unallocated reviews do not necessarily equate to a backlog as not all will have exceeded the standard for completion, which is within six months of a death being notified to the Programme. As a proportion of the total number of notifications to the Programme, unallocated reviews have reduced from 39% in November 2018 to 28% in December 2019. NHS England expect that, by the end of 2020, every clinical commissioning group (CCG) will be in a position to conclude all reviews within six months where it is appropriate to do so.</p><p> </p><p>In May 2019, NHS England announced an additional £5 million investment in 2019/20 to address the backlog of unreviewed cases and increase the pace in which cases are allocated and reviewed in timely way. Monies have been allocated to CCGs and to the Commissioning Support Unit and is being invested in developing a dedicated workforce to carry out reviews and to develop systems and processes to embed quality improvement activity across the health and social care system. More than 2,000 experts have now been trained to undertake reviews.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 1708 question first answered 14/01/2020 16:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1169727

registered interest
date	09/01/2020
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	Learning Disabilities Mortality Review Programme
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 the increasing backlog of LeDer cases to be reviewed, what assessment the Government has made of the effectiveness of the LeDer process.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	1708
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Our assessment is that over the past 12 months, the Learning Disability Mortality Review (LeDeR) programme has made good progress in completing reviews, providing the largest body of evidence of deaths of people with a learning disability at an individual level anywhere in the world and using that evidence to turn learning into action to drive improvements in healthcare.</p><p>By December 2019, the latest date for which information is available, 3,195 reviews had been completed. There are also a further 1,923 reviews currently in progress. The total number of deaths notified to the Programme at December 2019 was 7,145 of which 3,060 had been notified in the last 12 months.</p><p>Unallocated reviews do not necessarily equate to a backlog as not all will have exceeded the standard for completion, which is within six months of a death being notified to the Programme. As a proportion of the total number of notifications to the Programme, unallocated reviews have reduced from 39% in November 2018 to 28% in December 2019. NHS England expect that, by the end of 2020, every clinical commissioning group (CCG) will be in a position to conclude all reviews within six months where it is appropriate to do so.</p><p> </p><p>In May 2019, NHS England announced an additional £5 million investment in 2019/20 to address the backlog of unreviewed cases and increase the pace in which cases are allocated and reviewed in timely way. Monies have been allocated to CCGs and to the Commissioning Support Unit and is being invested in developing a dedicated workforce to carry out reviews and to develop systems and processes to embed quality improvement activity across the health and social care system. More than 2,000 experts have now been trained to undertake reviews.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 1707 question first answered 14/01/2020 16:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1169728

registered interest
date	09/01/2020
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	HIV Infection: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with YorSexualHealth, Monkgate Health Centre that is not currently recruiting gay and bisexual men on the PrEP impact trial.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	1769
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The Department has not had discussions with Monkgate Health Centre on participation in the pre-exposure prophylasis (PrEP) Impact Trial.</p><p>Participation in the trial is on a voluntary basis and it is for clinics and local authorities to decide the number of allocated places they can accept. The PrEP Impact Trial website includes a map showing the distribution of the 154 clinics level 3 Sexual Health Services participating in the trial at the following link:</p><p><a href="http://www.prepimpacttrial.org.uk" target="_blank">www.prepimpacttrial.org.uk</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 1768 question first answered 14/01/2020 17:16:25 answering member 4380 label Biography information for Jo Churchill
tabling member	4471 label Biography information for Rachael Maskell

1169732

registered interest
date	09/01/2020
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	Cancer: 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 the secondary cancer diagnosis rate was for (a) Leeds and (b) England in each of the last 5 years.
tabling member constituency	Leeds Central
tabling member printed	Hilary Benn
uin	1689
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The following table lists finished admission episodes with a primary or secondary diagnosis of cancer in Leeds and England.</p><table><tbody><tr><td colspan="2"><p>Leeds</p></td><td colspan="2"><p>England</p></td></tr><tr><td><p>Year</p></td><td><p>Cancer</p></td><td><p>Secondary cancer</p></td><td><p>Cancer</p></td><td><p>Secondary cancer</p></td></tr><tr><td><p>2014-15</p></td><td><p>14,280</p></td><td><p>4,835</p></td><td><p>1,924,381</p></td><td><p>575,650</p></td></tr><tr><td><p>2015-16</p></td><td><p>14,795</p></td><td><p>5,245</p></td><td><p>1,999,218</p></td><td><p>623,227</p></td></tr><tr><td><p>2016-17</p></td><td><p>15,725</p></td><td><p>5,185</p></td><td><p>2,077,837</p></td><td><p>654,192</p></td></tr><tr><td><p>2017-18</p></td><td><p>15,580</p></td><td><p>5,005</p></td><td><p>2,131,848</p></td><td><p>700,014</p></td></tr><tr><td><p>2018-19</p></td><td><p>14,795</p></td><td><p>4,715</p></td><td><p>2,220,501</p></td><td><p>742,844</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 14/01/2020 17:19:34 answering member 4380 label Biography information for Jo Churchill
tabling member	413 label Biography information for Hilary Benn

1169733

registered interest
date	09/01/2020
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	Cancer: Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, in how many cases of secondary cancer diagnosed in each of the last five years had the patient undergone (a) a PET scan, (b) a CT scan or (c) an MRI scan prior to or during their treatment for the primary cancer in (i) Leeds and (ii) England.
tabling member constituency	Leeds Central
tabling member printed	Hilary Benn
uin	1690
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>This information is not collected centrally.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 14/01/2020 11:07:34 answering member 4380 label Biography information for Jo Churchill
tabling member	413 label Biography information for Hilary Benn

1169734

registered interest
date	09/01/2020
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	Cancer: Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what NHS policy is on offering (a) PET, (b) CT and (c) MRI scans to patients undergoing treatment for primary cancer in order to identify whether they have any secondary cancer.
tabling member constituency	Leeds Central
tabling member printed	Hilary Benn
uin	1691
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The optimal staging of cancers by use of Computerized Tomography (CT), Magnetic Resonance Imaging (MRI) or Positron Emission Tomography (PET) scanning, either individually or in combination, varies between cancer types and is guided by clinical consensus, professional guidelines and National Institute for Health and Care Excellence publications.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 14/01/2020 11:08:16 answering member 4380 label Biography information for Jo Churchill
tabling member	413 label Biography information for Hilary Benn

1169746

registered interest
date	09/01/2020
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	Meat Products: Nitrates
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 are being taken to reduce the levels of nitrates in meat products.
tabling member constituency	Haltemprice and Howden
tabling member printed	Mr David Davis
uin	1680
answer	answer is ministerial correction date of answer 15/01/2020 answer text <p>Nitrates and nitrites are used as preservatives and are important for inhibiting microbial growth, in particular <em>Clostridium Botulinum</em> in processed meat such as bacon and hams. They work against microorganisms that can spoil food, as well as those that cause foodborne disease, and are naturally present in certain vegetables such as swiss chard, celery and spinach.</p><p> </p><p>Based on scientific evaluation, legislation specifies the maximum amount of nitrates and nitrites that can be added to various meat products to ensure that only safe levels of nitrates are used. The Food Standards Agency works closely with the meat industry to ensure that nitrates and nitrites are used at the lowest possible levels to achieve this necessary technological function, without jeopardising product safety.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 15/01/2020 11:29:18 answering member 4380 label Biography information for Jo Churchill
tabling member	373 label Biography information for Sir David Davis

1169809

registered interest
date	09/01/2020
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: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average waiting time was for trauma and orthopaedic surgery in each NHS Foundation Trust in each month in 2018-19.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	1735
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The average (median) waiting time for trauma and orthopaedic surgery in each National Health Service foundation trust in each month in 2018-19 is attached.</p><p>The average (median) waiting time for trauma and orthopaedic surgery in the NHS trusts participating in the field test programme as part of the interim review of clinically-led access standards is available in the following table:</p><table><tbody><tr><td><p>Provider Code</p></td><td><p>Provider Name</p></td><td><p>November 2019 Average (median) waiting time (in weeks)</p></td></tr><tr><td><p>R1H</p></td><td><p>Barts Health NHS Trust</p></td><td><p>9.58</p></td></tr><tr><td><p>RP4</p></td><td><p>Great Ormond Street Hospital for Children NHS Foundation Trust</p></td><td><p>-</p></td></tr><tr><td><p>RA7</p></td><td><p>University Hospitals Bristol NHS Foundation Trust</p></td><td><p>6.98</p></td></tr><tr><td><p>RBA</p></td><td><p>Taunton and Somerset NHS Foundation Trust</p></td><td><p>10.53</p></td></tr><tr><td><p>RTP</p></td><td><p>Surrey and Sussex Healthcare NHS Trust</p></td><td><p>6.43</p></td></tr><tr><td><p>RKB</p></td><td><p>University Hospitals Coventry and Warwickshire NHS Trust</p></td><td><p>9.30</p></td></tr><tr><td><p>RNS</p></td><td><p>Northampton General Hospital NHS Trust</p></td><td><p>7.56</p></td></tr><tr><td><p>RD8</p></td><td><p>Milton Keynes University Hospital NHS Foundation Trust</p></td><td><p>10.81</p></td></tr><tr><td><p>RET</p></td><td><p>The Walton Centre NHS Foundation Trust</p></td><td><p>-</p></td></tr><tr><td><p>RXR</p></td><td><p>East Lancashire Hospitals NHS Trust</p></td><td><p>5.66</p></td></tr><tr><td><p>RCD</p></td><td><p>Harrogate and District NHS Foundation Trust</p></td><td><p>10.00</p></td></tr><tr><td><p>RWY</p></td><td><p>Calderdale and Huddersfield NHS Foundation Trust</p></td><td><p>6.75</p></td></tr></tbody></table><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 1736 question first answered 14/01/2020 10:58:47 answering member 4362 label Biography information for Edward Argar attachment 1 file name Data for PQ1735.xlsx title PQ1735 36 table
tabling member	4244 label Biography information for Jonathan Ashworth