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1132760

	registered interest
	date	18/06/2019
	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	NHS: Mental Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to help protect the mental health of NHS staff.
	tabling member constituency	Thornbury and Yate
	tabling member printed	Luke Hall
	uin	911417
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The NHS People Plan will develop a new offer for our people through which they will have voice and support including a focus on improved mental health.</p><p>This will build on progress implementing mental health standards in ‘Thriving at Work – a review of mental health and employers’, which have been included in NHS Standard Contracts and embedded in the National Health Service staff health and wellbeing framework.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 14:50:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4450 label Biography information for Luke Hall

1132761

	registered interest
	date	18/06/2019
	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he has taken to prepare the NHS for the UK leaving the EU in October 2019.
	tabling member constituency	Argyll and Bute
	tabling member printed	Brendan O'Hara
	uin	911418
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>As a responsible government, we must continue to plan for every scenario. We continue to carefully review the implications of the latest extension to Article 50 on our no deal planning. We are working closely with partners across the health and care system, and stakeholders, to make detailed plans to ensure the continued supply of medicines and medical products and secure the future of our European Union health and care workforce.</p><p /><p /> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 911419 question first answered 18/06/2019 16:37:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4371 label Biography information for Brendan O'Hara

1132763

	registered interest
	date	18/06/2019
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to ensure NHS patient safety.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	911420
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Patient safety remains a key priority for the National Health Service. NHS Improvement and NHS England are developing a new National Patient Safety Strategy that will sit alongside the NHS Long Term Plan.</p><p>The strategy will be published this summer and will build on existing work to provide a coherent framework that the whole NHS can recognise and support</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:03:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy

1132765

	registered interest
	date	18/06/2019
	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	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent discussions his Department has had with clinical commissioning groups on the Human Fertilisation and Embryology Authority’s guidance on fertility treatment.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	911423
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Aauthority’s guidance for commissioners is a new tool to help them implement National Institute for Health and Care Excellence (NICE) Fertility guidelines and utilise the benchmark price for In Vitro Fertilisation.</p><p>I have written to all CCGs to promote the guidance and benchmark price, and encourage them to fully implement NICE Fertility Guideline recommendations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 15:21:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

1132766

	registered interest
	date	18/06/2019
	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	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to improve social care.
	tabling member constituency	Thirsk and Malton
	tabling member printed	Kevin Hollinrake
	uin	911424
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Local authorities have a duty to ensure people receive appropriate care and support. We have given them access to up to £3.9 billion more dedicated funding for adult social care this year, and a further £410 million has been made available for adult and children’s services.</p><p>We will set out our plans to reform the social care system at the earliest opportunity to ensure it is sustainable for the future.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:02:18 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4474 label Biography information for Kevin Hollinrake

1132025

	registered interest
	date	13/06/2019
	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	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 and by whom medical cannabis was produced in the UK before its legalisation.
	tabling member constituency	Central Ayrshire
	tabling member printed	Dr Philippa Whitford
	uin	264425
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Prior to the change of the law on 1 November 2018, only cannabis-based products that had been given a marketing authorisation (product licence) by the medicines regulators, the Medicines and Healthcare products Regulatory Agency (MHRA) or European Medicines Agency could be prescribed. Before issuing a marketing authorisation the MHRA accesses all the available evidence on efficacy and safety arising out of pre-clinical research and clinical trials and evidence and information supplied by the manufacturer. The regulators also inspect the factory where the medicine is to be made, to make sure that supplies will be of a uniformly and consistently high standard.</p><p> </p><p>The following cannabis-based products and related products received a marketing authorisation in the United Kingdom/European Union before 1 November 2018:</p><p> </p><p>- Sativex - (produced by GW Pharmaceuticals) containing tetrahydrocannabinol (THC) and cannabidiol - holds a licence for spasticity in multiple sclerosis; and</p><p>- Nabilone - (multiple manufacturers) which contains a synthetic, non-natural cannabinoid which mimics THC, holds a marketing authorisation for nausea and vomiting caused by chemotherapy.</p><p> </p><p>In addition, Epidiolex (also produced by GW Pharmaceuticals from cannabis) for two severe forms of intractable epilepsy (Lennox-Gastaut Syndrome or Dravet Syndrome), is currently being considered for a marketing authorisation by the European Medicines Agency.</p><p> </p><p>The change in the law allows the prescription, by specialist doctors on the General Medical Council’s Specialist Register, of cannabis-based products that have not been through this rigorous process but that meet certain quality standards in cases where all licensed products have been considered and discounted and it is in the best interest of the patient. It also makes</p><p>it easier and will incentivise further research into the potential health benefits of cannabis-based products and the development of further licensed products for more routine use in the health service.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:31:54 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4385 label Biography information for Dr Philippa Whitford

1132035

	registered interest
	date	13/06/2019
	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	Primary Care Networks
	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 requirements for primary care networks to engage with the local community will be.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264406
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p><ins class="ministerial"> <p><ins class="ministerial">Primary Care Networks (PCNs) are a new way for primary and community service organisations to work together. For PCNs to be successful they will need to work in partnership with local people and the communities they serve. Legal duties which currently apply to NHS service providers - including general practitioner practices - and commissioners around engagement and consultation will continue to be valid for PCNs.</ins></p></ins></p><p><del class="ministerial">NHS England and NHS Improvement, together with the National Institute for Health and Care Excellence, is developing a ’commercial framework’ setting out the parameters for the commercial approach for medicines in the health service in England.</del></p><p><del class="ministerial">The commercial framework will support a single, transparent, robust and integrated pricing and market access process, and is being tested with and informed through consultation with stakeholders including the Association of the British Pharmaceutical Industry.</del></p><p><del class="ministerial">In preparation for public consultation in the coming months, NHS England is actively engaging with industry trade bodies and health system partners, in the first instance, to outline progress on the development of the commercial framework. The consultation on the draft framework is anticipated to be launched in Quarter 3 2019 with consultation events to be held in Manchester and London, and implementation of the commercial framework is expected to follow.</del></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:34:05 question first ministerially corrected 19/06/2019 08:36:30 answering member 4455 label Biography information for Seema Kennedy previous answer version 123829 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132037

	registered interest
	date	13/06/2019
	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	Primary Care Networks: Rural Areas
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what population exceptions are in place for Primary Care Networks covering large rural and remote areas.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264408
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has allowed rurality as an exception for meeting the definition of a Primary Care Network (PCN). As set out in the Network Contract Direct Enhanced Service (under paragraph 3.2) commissioners may waiver the 30,000-minimum population “where a PCN serves a natural community which has a low population density across a large rural and remote area”.</p><p>Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:30:48 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132052

	registered interest
	date	13/06/2019
	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	Homeopathy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether representatives of his Department or Agencies attended the London international conference of the Homeopathic Research Institute on 14 - 17 June 2019; if his Department or agencies will make an assessment of the implications for their policies of papers presented at that conference; and if he will make a statement.
	tabling member constituency	Bosworth
	tabling member printed	David Tredinnick
	uin	264321
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>There was no representation made by the Department at this conference. The Department does not maintain a position on any particular complementary or alternative medicine treatments including homeopathy.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:33:15 answering member 4455 label Biography information for Seema Kennedy
	tabling member	335 label Biography information for David Tredinnick

1132107

	registered interest
	date	13/06/2019
	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	Hospices: 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's hospices in England; and what assessment he has made of the adequacy of support for hospices provided by his Department.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264389
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Information on the number of hospices which have closed in England since 2010 is not held.</p><p>There are currently around 223 registered independent hospices, and a very small number of public hospices run internally by National Health Service trusts. Around a quarter of these are children’s hospices. The vast majority of hospices are primarily charity-funded but receive some statutory funding from clinical commissioning groups (CCGs) and the Government for providing local services. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p><p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding CCGs who commit to increase their investment in local children’s palliative and end of life care services.</p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCG in children’s palliative and end of life care services. This will enable match funding payments to be made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264390 question first answered 18/06/2019 14:49:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4077 label Biography information for Emma Reynolds