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1141940

	registered interest
	date	24/07/2019
	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	Gambling: Rehabilitation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answers by Baroness Blackwood of North Oxford on 17 July (HL16963 and HL16964), what was the budget of Leeds and York Partnership NHS Trust for funding the NHS Northern Gambling Clinic; and what is the projected cost of that clinic in (1) 2020, (2) 2021, and (3) 2022.
	tabling member printed	The Lord Bishop of St Albans
	uin	HL17484
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>NHS England and NHS Improvement have allocated £600,000 to Central and North West London NHS Foundation Trust and £370,000 to Leeds and York Partnership NHS Foundation Trust for gambling harm services provision in 2019/20, which includes funding for these clinics.</p><p> </p><p>GambleAware, an independent charity, is providing additional funding for these clinics. Information on this funding is not held centrally.</p><p> </p><p>Future years’ funding is not yet available.</p><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17485 question first answered 06/08/2019 14:58:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1141251

	registered interest
	date	23/07/2019
	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	Cancer: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when a long-term workforce plan which sets out the number of staff required to meet the current and future needs of cancer patients will be published.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	280964
	answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>The interim NHS People Plan, published on 3 June 2019, puts the workforce at the heart of the National Health Service and will ensure we have the staff needed to deliver high quality care. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>Phase 1 of the Cancer Workforce Plan for England, published in December 2017 by Health Education England (HEE), set out plans to expand capacity and skills in the cancer workforce, including targeting additional training support for seven priority professions which are key to cancer prevention, diagnosis and treatment, such as clinical radiology, histopathology, oncology and diagnostic and therapeutic radiography.</p><p>HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications of further development of cancer services. This work will inform the final People Plan.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 05/08/2019 11:30:43 answering member 4380 label Biography information for Jo Churchill
	tabling member	1506 label Biography information for Andrew Gwynne

1141284

	registered interest
	date	23/07/2019
	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: Electronic Cigarettes
	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 bring forward legislative proposals to ban (a) e-cigarette shops and (b) smoking on NHS hospital property.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	281032
	answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>The Government believes in proportionate regulation of e-cigarettes, recognising that they are not risk-free. Through the European Union Tobacco Products Directive 2014/40/EU (TPD), transposed into United Kingdom law by the UK Tobacco and Related Products Regulations 2016 (TRPR), we have introduced measures to regulate e-cigarettes. These measures reduce the risk of harm to children, protect against any risk of renormalisation of tobacco use, provide assurance on relative safety for users, and give businesses legal certainty. This has enabled the UK to implement appropriate standards for products whilst allowing smokers to move to e-cigarettes should they wish.</p><p> </p><p>The Government has made a commitment to review the TRPR by May 2021 to consider its regulatory impact. In addition, as announced in the Tobacco Control Plan the Government will review where the UK’s exit from the European Union offers us opportunities to re-appraise current regulation to ensure this continues to protect the nation’s health.</p><p>The Government has no plans to introduce legislative proposals to ban e-cigarettes, e-cigarette shops or smoking on National Health Service property.</p><p>We continue to support the implementation of smokefree policies across all hospitals in England. The Government’s tobacco control plan for England published in July 2017 reiterates our ambition to achieve smokefree mental health services and NHS estate by 2019/20. The NHS Long Term Plan, published in January 2019, further supports the creation of a Smokefree NHS with the commitment to offering NHS-funded tobacco treatment services to all patients who smoke.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 281031 question first answered 05/08/2019 11:29:19 answering member 4380 label Biography information for Jo Churchill
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1141356

	registered interest
	date	23/07/2019
	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	Sapropterin
	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 whether Kuvan should be assessed through NICE's highly-specialised technology appraisal.
	tabling member constituency	North Durham
	tabling member printed	Mr Kevan Jones
	uin	280943
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>Decisions on whether individual medicines are suitable for assessment by the National Institute for Health and Care Excellence (NICE), and whether they meet the criteria for the highly specialised technologies programme, are taken through an established topic selection process.</p><p>The process is overseen by NICE and includes consideration against published criteria by a topic selection panel and engagement with stakeholders. Although NHS England, NHS Improvement and the Department provide input and are part of this panel, the decision-making process is led by NICE. Kuvan for the treatment of phenylketonuria was last considered by the topic selection panel on 15 February 2019.</p><p>In the absence of guidance from NICE, it is for National Health Service organisations and healthcare professionals to make decisions on whether to fund Kuvan on the basis of an assessment of the available evidence. Treatment for patients with phenylketonuria who are not receiving Kuvan or for who Kuvan is not effective includes dietary protein restriction combined with dietary supplements.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 06/08/2019 14:36:02 answering member 4380 label Biography information for Jo Churchill
	tabling member	1438 label Biography information for Mr Kevan Jones

1141362

	registered interest
	date	23/07/2019
	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	Measles
	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 his Department has published on distinguishing between rashes caused by the measles vaccine and those arising from the wild strain of measles.
	tabling member constituency	Gravesham
	tabling member printed	Adam Holloway
	uin	280995
	answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>While post vaccine rash and fever is generally mild, distinguishing from wild-type measles is not based on clinical examination, rather it is based on a combination of laboratory analysis, information on the timing of vaccine and epidemiological information. The national measles guidelines describe the management and investigation of suspected cases of measles, and is available to view at the following link:</p><p><a href="https://www.gov.uk/government/publications/national-measles-guidelines" target="_blank">https://www.gov.uk/government/publications/national-measles-guidelines</a></p><p>Statistics on confirmed measles cases are reported by vaccination status and are available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-mumps-and-rubella-lab-confirmed-cases-in-england-2019" target="_blank">https://www.gov.uk/government/publications/measles-mumps-and-rubella-lab-confirmed-cases-in-england-2019</a></p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280996 question first answered 05/08/2019 11:32:33 answering member 4380 label Biography information for Jo Churchill
	tabling member	1522 label Biography information for Adam Holloway

1141363

	registered interest
	date	23/07/2019
	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	Measles
	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 statistics on the infection rate for measles do not include people who have received the live measles vaccine and contracted a measles-like rash and fever.
	tabling member constituency	Gravesham
	tabling member printed	Adam Holloway
	uin	280996
	answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>While post vaccine rash and fever is generally mild, distinguishing from wild-type measles is not based on clinical examination, rather it is based on a combination of laboratory analysis, information on the timing of vaccine and epidemiological information. The national measles guidelines describe the management and investigation of suspected cases of measles, and is available to view at the following link:</p><p><a href="https://www.gov.uk/government/publications/national-measles-guidelines" target="_blank">https://www.gov.uk/government/publications/national-measles-guidelines</a></p><p>Statistics on confirmed measles cases are reported by vaccination status and are available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-mumps-and-rubella-lab-confirmed-cases-in-england-2019" target="_blank">https://www.gov.uk/government/publications/measles-mumps-and-rubella-lab-confirmed-cases-in-england-2019</a></p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280995 question first answered 05/08/2019 11:32:33 answering member 4380 label Biography information for Jo Churchill
	tabling member	1522 label Biography information for Adam Holloway

1141364

	registered interest
	date	23/07/2019
	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	MMR Vaccine: Side Effects
	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 (a) body inclusion encephalitis and (b) other adverse events experienced after a measles vaccine are identified in a timely way by healthcare professionals.
	tabling member constituency	Gravesham
	tabling member printed	Adam Holloway
	uin	280997
	answer	answer is ministerial correction date of answer 05/08/2019 answer text <p>The safety of all the United Kingdom’s vaccination programmes is of paramount importance. Any serious side effects are extremely rare, and the large majority of side effects are mild and transient, such as sore arms, headaches and tiredness. We would recommend that all eligible children are vaccinated, as any potential risk of side effects is far outweighed by the benefits of vaccination.</p><p>Healthcare professionals have access to a range of materials, such as ‘Immunisation against infectious disease: the green book’ and Patient Group Directions to support their decision-making in the case of any suspected adverse effects.</p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) operates the ‘Yellow Card Scheme’, which is vital in helping the MHRA monitor the safety of all healthcare products in the UK. This system allows for reporting of any potential adverse events for all medicines, including vaccines, with guidance for healthcare professionals, patients and the public on how to use the scheme.</p><p>In addition, Public Health England (PHE) offers diagnostic services for suspected cases of encephalitis, which is a notifiable condition. Under statutory duty, cases must be reported by healthcare professionals to PHE’s local Health Protection Teams. This can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/collections/notifications-of-infectious-diseases-noids" target="_blank">https://www.gov.uk/government/collections/notifications-of-infectious-diseases-noids</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 05/08/2019 11:34:01 answering member 4380 label Biography information for Jo Churchill
	tabling member	1522 label Biography information for Adam Holloway

1140961

	registered interest
	date	22/07/2019
	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	Nutrition
	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 implementation of the guidance on Commissioning Excellent Nutrition and Hydration 2015 to 2018.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	280420
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280421 280422 280423 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
	tabling member	4609 label Biography information for Eleanor Smith

1140962

	registered interest
	date	22/07/2019
	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	Nutrition
	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 document entitled Guidance – Commissioning Excellent Nutrition and Hydration 2015 – 2018, published by NHS England in October 2015, how many commissioners have identified a local senior or executive champion to drive local work on nutrition and hydration and to make improvements.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	280421
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280420 280422 280423 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
	tabling member	4609 label Biography information for Eleanor Smith

1140963

	registered interest
	date	22/07/2019
	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	Nutrition
	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 commissioners that (a) reviewed existing service provision and (b) agreed improvement trajectories as set out in the NHS England Commissioning Excellent Nutrition and Hydration 2015 to 2018 guidance.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	280422
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.</p><p> </p><p>In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 280420 280421 280423 question first answered 06/08/2019 14:26:28 answering member 4380 label Biography information for Jo Churchill
	tabling member	4609 label Biography information for Eleanor Smith