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1019373

	registered interest
	date	03/12/2018
	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	Clinical Waste
	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 estimate how much (a) anatomical and (b) cytotoxic waste the NHS (i) produced in (A) 2017 and (B) 2018 and (ii) will produce in (A) 2025 and (B) 2030.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	198202
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>The following table shows the information that NHS Improvement hold for the waste produced by the National Health Service in 2017 and 2018. NHS Improvement does not currently hold a breakdown of waste into anatomical and cytotoxic.</p><p> </p><p>The data contained within this table relates only to England. As waste disposal is a devolved matter, devolved administrations should be contacted for figures in those nations.</p><p> </p><p>NHS Improvement and the Environment Agency are not in a position to estimate anatomical and cytotoxic waste figures in 2025 and 2030.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Sum of Landfill disposal volume (Tonnes)</p></td><td><p>Sum of Incineration disposal volume (Tonnes)</p></td><td><p>Sum of Waste recycling volume (Tonnes)</p></td><td><p>Sum of Other recovery volume (Tonnes)</p></td></tr><tr><td><p>2017-18</p></td><td><p>58,152</p></td><td><p>74,730</p></td><td><p>107,848</p></td><td><p>183,502</p></td></tr><tr><td><p>2016-17</p></td><td><p>88,594</p></td><td><p>148,424</p></td><td><p>137,442</p></td><td><p>216,495</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 11/12/2018 16:42:46 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1586 label Biography information for Adam Afriyie

1056741

	registered interest
	date	07/02/2019
	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	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, what progress he has made on implementing the recommendations accepted by the Government in its response to the Science and Technology Committee's Seventh Report of Session 2017-19 on E-cigarettes, HC505.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	218245
	answer	answer is ministerial correction date of answer 15/02/2019 answer text <p>The Government published its response to the Science and Technology Committee on the 10 December 2018. Good progress is being made on implementing the report’s recommendations: for example, Public Health England will publish its latest annual evidence review on e-cigarettes by the end of March 2019 and NHS England is developing guidance on e-cigarettes for mental health trusts. The Department will continue to monitor progress as part of its monitoring of the delivery of the Tobacco Control Plan for England.</p><p> </p><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 to 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>While the UK Government is a member of the EU it will continue to comply with the requirements of the EU’s TPD. 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 EU offers us opportunities to re-appraise current regulation to ensure this continues to protect the nation’s health.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218246 question first answered 15/02/2019 11:10:04 answering member 4067 label Biography information for Steve Brine
	tabling member	1586 label Biography information for Adam Afriyie

1056744

	registered interest
	date	07/02/2019
	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	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, with reference to the Seventh Report of Session 2017-19 of the Science and Technology Committee on E-cigarettes, HC505, what steps he has taken to ensure that the regulatory system for e-cigarettes is risk-proportionate.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	218246
	answer	answer is ministerial correction date of answer 15/02/2019 answer text <p>The Government published its response to the Science and Technology Committee on the 10 December 2018. Good progress is being made on implementing the report’s recommendations: for example, Public Health England will publish its latest annual evidence review on e-cigarettes by the end of March 2019 and NHS England is developing guidance on e-cigarettes for mental health trusts. The Department will continue to monitor progress as part of its monitoring of the delivery of the Tobacco Control Plan for England.</p><p> </p><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 to 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>While the UK Government is a member of the EU it will continue to comply with the requirements of the EU’s TPD. 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 EU offers us opportunities to re-appraise current regulation to ensure this continues to protect the nation’s health.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218245 question first answered 15/02/2019 11:10:04 answering member 4067 label Biography information for Steve Brine
	tabling member	1586 label Biography information for Adam Afriyie

1126877

	registered interest
	date	15/05/2019
	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: Cybersecurity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much the National Health Service spent on cyber security in each of the last five years.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254785
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254786 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1126878

	registered interest
	date	15/05/2019
	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: Cybercrime
	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 has taken to ensure that NHS England is prepared to defend the NHS against cyber attacks.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254786
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254785 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

845516

	registered interest
	date	20/02/2018
	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	Mental Health Services: Digital Technology
	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 his Department is making in harnessing digital technologies to deliver mental health services.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	128488
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>The Government is committed to expanding access to mental health digital services to enable more people to receive effective care and provide greater accessibility and choice.</p><p> </p><p>There has been a lot of progress made to date in harnessing digital technologies such as the establishment of seven mental health global digital exemplars which are trusts leading the way in improving digital inclusion and uptake of digital therapies and tools. The National Health Service app library is now hosting six digital tools aimed at improving mental health support and early intervention for children and young people.</p><p> </p><p>There is also ongoing work to redesign the NHS.uk website to improve information and access to digital support for mental health. Development is also underway for a specialist mental health assessment module for NHS111 which will provide more appropriate support and signposting.</p><p> </p><p>For people in need of mental health crisis care who have been detained under the Mental Health Act, new technology is being trialled to enable health and social care professionals, community street triage teams and the police to access appropriate Health Based Places of Safety.</p><p> </p><p>NHS England is working with the National Institute for Health and Care and Excellence in developing a digitally enabled therapy assessment programme which will assess up to 14 digital therapy products for use in Improving Access to Psychological Therapies services by 2020. Three of these 14 products have been assessed for inclusion in this programme so far.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:07:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

845517

	registered interest
	date	20/02/2018
	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	Medical Treatments: Innovation
	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 hospitals use new technologies to improve patient care.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	128489
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>As set out in the response to the Accelerated Access Review, published last year, a total of £6 million has been announced to help the National Health Service adopt and integrate new technologies into everyday practice, through the Pathway Transformation Fund. The Pathway Transformation Fund will support NHS organisations to overcome these initial barriers to uptake, allowing the NHS to implement new innovative products where it otherwise would have struggled to do so.</p><p>We are also introducing a new Accelerated Access Pathway, to streamline regulatory and market access decisions, getting breakthrough products that we believe will be truly transformative to patients more quickly. All products including medical technologies, devices and diagnostics will be eligible for selection.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 17:33:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

845518

	registered interest
	date	20/02/2018
	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	Mental Health Services: Children and Young People
	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 (a) improve the prevention of mental illness and (b) provide mental health support for children and young people.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	128490
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>We acknowledge that prevention is key to transforming children and young people’s mental health and are taking a number of actions to prevent problems occurring. This includes investment of £3 million to develop the MindEd e-portal, which provides free training on children and young people’s mental health to all professionals who work with children, and over the course of 2016/17-2020/21, providing just over £12 million to fund Time to Change. Time To Change aims to raise awareness of mental health illness and address the fear of stigma that can stop young people and their families from seeking the help that they need. We are also delivering mental health awareness training in every school in England, and given that maternal mental health has a significant impact on the child’s mental health, we are investing £365 million up until 2020/21 to improve access to specialist perinatal mental health services.</p><p> </p><p>In order to transform children and young people’s mental health services, we are making an additional £1.4 billion available from 2015/16 to 2019/20, to ensure access to specialist mental health services for 70,000 additional children and young people each year by 2020/21. This additional money provides funding for clinical commissioning groups and various national programmes, including improving crisis support, expanding the workforce and tackling stigma. Our recent Green Paper, which is supported by over £300 million of additional funding, aims to improve provision of support in schools, bolster links between schools and National Health Service specialist services and improve access through piloting a four week waiting time.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:05:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

850755

	registered interest
	date	27/02/2018
	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: Technology
	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 potential merits of e-health technology in reducing patient waiting lists; and if he will make a statement.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	129991
	answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>NHS Improvement and NHS England have active programmes of work to review the role of e-health technology in areas such as productivity of operating theatres, the automated monitoring of admitted patients and associated bed occupancy levels and the role of digital patient services.</p><p>Additionally, the e-Referrals Service allows commissioners and acute hospital providers in England to manage their demand and capacity more effectively, providing opportunities for reduced waiting lists. It also enables general practitioners and patients to make informed decisions about the choice of provider for treatment by identifying providers associated with longer waiting times.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 07/03/2018 10:50:08 answering member 4095 label Biography information for Steve Barclay
	tabling member	1586 label Biography information for Adam Afriyie

850758

	registered interest
	date	27/02/2018
	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: Cost Effectiveness
	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 potential of machine learning to deliver efficiency savings in the NHS.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	129993
	answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>A number of National Health Service providers are independently undertaking trials and test beds involving the use of machine learning techniques. As this work is at an early stage and focused on demonstrating clinical safety and effectiveness in a variety of use cases, we do not yet have an overview of the impact on efficiency.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/03/2018 17:40:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie