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1171794

	registered interest
	date	20/01/2020
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what recent assessment they have made of the support that is available to people with photosensitive epilepsy.
	tabling member printed	Lord Browne of Belmont
	uin	HL556
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>No specific assessment has been made.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/01/2020 17:10:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3801 label Biography information for Lord Browne of Belmont

1171800

	registered interest
	date	20/01/2020
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 6 August 2019 (HL17643), how much new funding they provided in 2019 for new measures to prevent the transmission of carbapenem-resistant Enterobacteriaceae.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL562
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>Public Health England has not received any new funding for the prevention of transmission of the carbapenem-resistant Enterobacteriaceae.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/01/2020 16:28:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1171845

	registered interest
	date	20/01/2020
	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	Epilepsy: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reasons epilepsy is allocated one point in the General Medical Services Statement of Financial Entitlements (Amendment) Directions 2019; and what steps GPs take to ensure that women of child bearing age who are prescribed Valporate are enrolled in a pregnancy prevention programme.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	5459
	answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>Changes to the Quality and Outcomes Framework (QOF)- including allocation of points- are agreed as part of wider amendments to the General Medical Services (GMS) Contract. These changes are negotiated by NHS England and the British Medical Association’s (BMA) General Practitioners Committee England. Guidance on the 2019/20 GMS Contract concerning the QOF was published by the BMA and NHS England in April 2019. This guidance includes an epilepsy indicator which states that ‘the contractor establishes and maintains a register of patients aged 18 or over receiving drug treatment for epilepsy’. QOF points are generally weighted to the estimated workload associated with an indicator. Registers generally incur a lower workload than other indicators and therefore tend to attract a lower points value than other types of indicators.</p><p> </p><p>Care of patients with long term conditions in general practice is described in the essential services element of the contract and funded through the global sum payment. Patients should expect to receive high quality care irrespective of whether or not their condition is included in the QOF. The QOF indicators will continued to be reviewed going forward.</p><p> </p><p>It is a Care Quality Commission regulatory requirement for general practitioners (GPs) to follow the Medicines and Healthcare products Regulatory Agency’s (MHRA) guidance on valproate prescribing. The MHRA advises that ‘Valproate medicines must no longer be used in women or girls of childbearing potential unless a Pregnancy Prevention Programme is in place’.</p><p> </p><p>NHS England are also taking broader action to support implementation of the MHRA pregnancy prevention guidelines. In April 2019, they introduced a new Quality Improvement module on prescribing safety into the QOF. As part of this module they expect practices to audit three measures, one of which is that girls and women of childbearing potential currently being prescribed valproate have had an annual specialist medication review and are taking this in compliance with the pregnancy prevention programme as documented by a specialist in the annual risk acknowledgement form. It is the responsibility of every healthcare professional involved in the prescribing and dispensing of valproate medicines to make sure women are aware of the risks and are on the pregnancy prevention programme.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 5460 question first answered 23/01/2020 17:19:31 answering member 4380 label Biography information for Jo Churchill
	tabling member	4436 label Biography information for Cat Smith

1171846

	registered interest
	date	20/01/2020
	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	Epilepsy: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reasons no points have been allocated to ongoing management for epilepsy medication in the General Medical Services contract Quality and Outcomes Framework.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	5460
	answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>Changes to the Quality and Outcomes Framework (QOF)- including allocation of points- are agreed as part of wider amendments to the General Medical Services (GMS) Contract. These changes are negotiated by NHS England and the British Medical Association’s (BMA) General Practitioners Committee England. Guidance on the 2019/20 GMS Contract concerning the QOF was published by the BMA and NHS England in April 2019. This guidance includes an epilepsy indicator which states that ‘the contractor establishes and maintains a register of patients aged 18 or over receiving drug treatment for epilepsy’. QOF points are generally weighted to the estimated workload associated with an indicator. Registers generally incur a lower workload than other indicators and therefore tend to attract a lower points value than other types of indicators.</p><p> </p><p>Care of patients with long term conditions in general practice is described in the essential services element of the contract and funded through the global sum payment. Patients should expect to receive high quality care irrespective of whether or not their condition is included in the QOF. The QOF indicators will continued to be reviewed going forward.</p><p> </p><p>It is a Care Quality Commission regulatory requirement for general practitioners (GPs) to follow the Medicines and Healthcare products Regulatory Agency’s (MHRA) guidance on valproate prescribing. The MHRA advises that ‘Valproate medicines must no longer be used in women or girls of childbearing potential unless a Pregnancy Prevention Programme is in place’.</p><p> </p><p>NHS England are also taking broader action to support implementation of the MHRA pregnancy prevention guidelines. In April 2019, they introduced a new Quality Improvement module on prescribing safety into the QOF. As part of this module they expect practices to audit three measures, one of which is that girls and women of childbearing potential currently being prescribed valproate have had an annual specialist medication review and are taking this in compliance with the pregnancy prevention programme as documented by a specialist in the annual risk acknowledgement form. It is the responsibility of every healthcare professional involved in the prescribing and dispensing of valproate medicines to make sure women are aware of the risks and are on the pregnancy prevention programme.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 5459 question first answered 23/01/2020 17:19:31 answering member 4380 label Biography information for Jo Churchill
	tabling member	4436 label Biography information for Cat Smith

1171854

	registered interest
	date	20/01/2020
	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	Doctors: Pensions
	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 reducing the annual allowance for pension growth on senior doctors and consultants in the NHS retiring early.
	tabling member constituency	Gower
	tabling member printed	Tonia Antoniazzi
	uin	5504
	answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitment. The Government is listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charged incurred in 2019-20.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. On 13 January, Ministers held a roundtable with the Academy of Medical Royal Colleges, the British Medical Association and other representative organisations as part of this review to find a long-term solution.</p><p>The review will consider the findings from the Department’s consultation on pension flexibility and will report at the Budget on 11 March.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 5505 question first answered 23/01/2020 12:14:14 answering member 4362 label Biography information for Edward Argar
	tabling member	4623 label Biography information for Tonia Antoniazzi

1171855

	registered interest
	date	20/01/2020
	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	Doctors: Pensions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what representations he has received from senior doctors and consultants on changes to the NHS Pension Scheme.
	tabling member constituency	Gower
	tabling member printed	Tonia Antoniazzi
	uin	5505
	answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitment. The Government is listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charged incurred in 2019-20.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. On 13 January, Ministers held a roundtable with the Academy of Medical Royal Colleges, the British Medical Association and other representative organisations as part of this review to find a long-term solution.</p><p>The review will consider the findings from the Department’s consultation on pension flexibility and will report at the Budget on 11 March.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 5504 question first answered 23/01/2020 12:14:14 answering member 4362 label Biography information for Edward Argar
	tabling member	4623 label Biography information for Tonia Antoniazzi

1171856

	registered interest
	date	20/01/2020
	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	Dental Services: Children
	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 children under ten years old had tooth extractions in Bradford in each year since 2010.
	tabling member constituency	Bradford East
	tabling member printed	Imran Hussain
	uin	5449
	answer	answer is ministerial correction date of answer 28/01/2020 answer text <p>The data is not held in the format requested.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 28/01/2020 17:59:39 answering member 4380 label Biography information for Jo Churchill
	tabling member	4394 label Biography information for Imran Hussain

1171858

	registered interest
	date	20/01/2020
	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	Dental Services: Children
	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 children aged under ten years old in Bradford were admitted to hospital for tooth decay in each year since 2010.
	tabling member constituency	Bradford East
	tabling member printed	Imran Hussain
	uin	5450
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>A table showing the count of finished admission episodes with a primary diagnosis of dental caries (tooth decay) for patients aged under 10 years old and that are resident in the Bradford area is attached.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 29/01/2020 11:26:52 answering member 4380 label Biography information for Jo Churchill attachment 1 file name PQ5450 table formatted.xlsx title pq5450 table
	tabling member	4394 label Biography information for Imran Hussain

1171859

	registered interest
	date	20/01/2020
	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	Dental Services: Bradford
	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 cost was to the public purse of tooth extractions in Bradford in each year since 2010.
	tabling member constituency	Bradford East
	tabling member printed	Imran Hussain
	uin	5451
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>The information is not available in the format requested.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 29/01/2020 10:29:14 answering member 4380 label Biography information for Jo Churchill
	tabling member	4394 label Biography information for Imran Hussain

1171860

	registered interest
	date	20/01/2020
	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	Dental Services: Bradford
	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 revenue was raised by NHS England from dental practices in Bradford in each year since 2010.
	tabling member constituency	Bradford East
	tabling member printed	Imran Hussain
	uin	5452
	answer	answer is ministerial correction date of answer 28/01/2020 answer text <p>Data is not held in the format requested.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 5453 question first answered 28/01/2020 18:00:55 answering member 4380 label Biography information for Jo Churchill
	tabling member	4394 label Biography information for Imran Hussain