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1012269
unstar this property registered interest false more like this
star this property date less than 2018-11-22more like thismore than 2018-11-22
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Public Health: Finance more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how much funding has been allocated to local authorities for the local authority public health grant in each year between 2014 and 2020. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 194695 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2018-11-30more like thismore than 2018-11-30
star this property answer text <p>The information requested is shown in the following table.</p><table><tbody><tr><td><p>Year</p></td><td><p>Public Health Grant Allocation (£ billion)</p></td></tr><tr><td><p>2013/14</p></td><td><p>2.663</p></td></tr><tr><td><p>2014/15</p></td><td><p>2.795</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>3.031</p></td></tr><tr><td><p>2016/17</p></td><td><p>3.387</p></td></tr><tr><td><p>2017/18<sup>2</sup></p></td><td><p>3.304</p></td></tr><tr><td><p>2018/19</p></td><td><p>3.219</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1</sup>Funding public health services for children aged 0-5 was transferred from the NHS to local authorities from October 2015.</p><p><sup>2</sup>Includes funding retained by the Greater Manchester local authority as part of a business rate retention pilot not allocated as grant.</p> more like this
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2018-11-30T11:20:57.557Zmore like thisremove minimum value filter
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1050378
unstar this property registered interest false more like this
star this property date less than 2019-01-29more like thismore than 2019-01-29
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Influenza: Vaccination more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what assessment his Department has made of trends in the level of availability of the 2018-19 seasonal flu vaccine. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 214044 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-06more like thismore than 2019-02-06
star this property answer text <p>Public Health England (PHE) provides influenza vaccines centrally for the children’s influenza programme. Centrally purchased influenza vaccines are carefully monitored by PHE to ensure there is equitable distribution across England and sufficient in-date vaccine for patients who present throughout the season.</p><p> </p><p>General practitioners and other providers are directly responsible for the influenza vaccine supplies used to deliver the national influenza programme to the other eligible groups. PHE maintains oversight to help facilitate a constant supply of vaccine, liaising with vaccine manufacturers to ascertain whether there are any manufacturing problems which could impact the running of the programme at a national level.</p><p> </p><p>This winter, eligible adults aged 18-64 were offered a quadrivalent influenza vaccine, and those aged 65 and over were offered a newly licensed adjuvanted trivalent influenza vaccine (aTIV). There were a number of short-term localised shortages of both vaccines reported, particularly for aTIV due to staggered deliveries from the manufacturer between September and November. The NHS managed these shortages locally, but some patients had to wait longer than usual to be vaccinated. However, there was no overall shortage of either vaccine.</p>
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-06T14:59:51.157Zmore like thismore than 2019-02-06T14:59:51.157Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1052234
unstar this property registered interest false more like this
star this property date less than 2019-01-31more like thismore than 2019-01-31
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Allergies: Medical Equipment more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 10 December 2018 to Question 198805, what progress has been made on increasing the supply of Epipens; and if he will make a statement. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 215243 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-08more like thismore than 2019-02-08
star this property answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet United Kingdom requirements. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve going forward with further deliveries expected over the coming weeks. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> more like this
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-08T12:28:31.013Zmore like thismore than 2019-02-08T12:28:31.013Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1052240
unstar this property registered interest false more like this
star this property date less than 2019-01-31more like thismore than 2019-01-31
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Bacteriophages more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential benefits of phage therapy for tackling antimicrobial resistance. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 215244 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-08more like thismore than 2019-02-08
star this property answer text <p>The Department and the Wellcome Trust sponsored a strategic pipeline briefing into alternatives to antibiotics in 2015. The briefing reviewed the feasibility and potential clinical impact of alternatives to antibiotics, including bacteriophages, and considered approaches that were most likely to deliver new treatments in the next 10 years. The briefing concluded that bacteriophages were possible therapeutics, but too few were being progressed.</p><p> </p><p>The Government continues to invest in research into new and alternative treatments. While there has been increased investment and unprecedented levels of research collaboration on antimicrobial resistance, there are still relatively few projects looking at the use of bacteriophages.</p> more like this
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-08T12:26:34.117Zmore like thismore than 2019-02-08T12:26:34.117Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1052242
unstar this property registered interest false more like this
star this property date less than 2019-01-31more like thismore than 2019-01-31
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Antimicrobials: Drug Resistance more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, whether he has plans to increase the level of investment and funding for training and employing NHS microbiologists on long term contracts to increase diagnostic capacity as part of the government strategy to tackle antimicrobial resistance. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 215245 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-08more like thismore than 2019-02-08
star this property answer text <p>‘Tackling Antimicrobial Resistance (2019-2024): the UK’s five-year national action plan’ includes the commitment to assess current and future workforce needs to ensure capability and capacity for strong infection prevention and control and antimicrobial stewardship. The assessment will cover a range of roles, including microbiology. The results of the assessment will be used to develop further workforce targets.</p><p> </p><p>The NHS England Long Term Plan makes the commitment to implement the human health aspects of the national action plan.</p> more like this
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-08T12:29:36.263Zmore like thismore than 2019-02-08T12:29:36.263Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1052243
unstar this property registered interest false more like this
star this property date less than 2019-01-31more like thismore than 2019-01-31
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Antimicrobials: Drug Resistance more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what steps he has taken to establish an evidential basis on the time taken to diagnose disease in the NHS as part of the Antimicrobial Resistance Strategy. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 215246 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-08more like thismore than 2019-02-08
star this property answer text <p>‘Tackling Antimicrobial Resistance (2019-2024): the UK’s five-year national action plan’ recognises that stewardship programmes are needed for both therapeutics and diagnostics. Good diagnostic stewardship promotes appropriate and timely testing.</p><p> </p><p>Evidence suggests that a third of prescriptions in primary care do not have an associated diagnosis recorded. The national action plan sets out an ambition to improve the evidence base about diagnoses and prescriptions by linking and analysing clinical data sets.</p><p> </p><p>Through the joint sepsis/Antimicrobial Resistance Commissioning for Quality Innovation data we know that the number of patients being identified with a suspicion of sepsis or severe infection has increased and that a majority of those patients have their treatment reviewed within 24-72 hours, following the confirmation of diagnostic test results.</p> more like this
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-08T12:40:27.693Zmore like thismore than 2019-02-08T12:40:27.693Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1052244
unstar this property registered interest false more like this
star this property date less than 2019-01-31more like thismore than 2019-01-31
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Antimicrobials: Drug Resistance more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, pursuant to the Government's strategy entitled Tackling antimicrobial resistance 2019–2024: The UK’s five-year national action plan, published in January 2019, what plans his Department has to educate the public on the use and misuse of antimicrobials and their role in tackling antimicrobial resistance. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 215247 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-08more like thismore than 2019-02-08
star this property answer text <p>Public Health England has developed a number of initiatives for educating the public which support the Government’s recently published strategy to tackle antimicrobial resistance; including a major national campaign, ‘Keep Antibiotics Working’, following a successful pilot in the North West in October 2017, to alert the general public to the issue of antibiotic resistance, with the aim of reducing patient pressure on general practitioners to prescribe. The multi-media campaign, which features advertising on television, radio, outdoor, digital, social media, public relations and extensive partnership support, has run for a consecutive year in 2018. Further information is available at the following link:</p><p> </p><p><a href="https://antibioticguardian.com/keep-antibiotics-working/" target="_blank">https://antibioticguardian.com/keep-antibiotics-working/</a></p><p> </p><p>The United Kingdom wide Antibiotic Guardian campaign, now in its fifth year, aims to stimulate behaviour change and increase engagement to tackle antimicrobial resistance by healthcare professionals and engaged members of the public. The e-Bug programme, now celebrating its 10th year, aims to educate children, young people and communities about microbes, hygiene, infections and antibiotics. Further information on the e-Bug programme is available at the following link:</p><p> </p><p><a href="http://www.e-Bug.eu" target="_blank">www.e-Bug.eu</a></p>
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-08T12:27:48.287Zmore like thismore than 2019-02-08T12:27:48.287Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1064303
unstar this property registered interest false more like this
star this property date less than 2019-02-20more like thismore than 2019-02-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Cancer: Health Professions more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that the Health Education England phase two cancer workforce plan co-ordinates with the workforce implementation plan in the NHS Long Term Plan. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 223778 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-26more like thismore than 2019-02-26
star this property answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017. HEE intended to publish a second phase, longer-term strategy that looked at the cancer workforce needs beyond 2021. This work was started and stakeholders from within the National Health Service and the charitable sector contributed to the early discussions. This work has since been superseded by publication of the NHS Long Term Plan in January 2019.</p><p> </p><p>My Rt. hon. Friend Secretary of State for Health and Social Care has subsequently commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> more like this
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-02-26T12:17:17.53Zmore like thismore than 2019-02-26T12:17:17.53Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1087041
unstar this property registered interest false more like this
star this property date less than 2019-03-12more like thismore than 2019-03-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Chronic Fatigue Syndrome more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, if he will make an assessment of the effectiveness of the PACE trial of therapies on reducing the effects of (a) myalgic encephalomyelitis and (b) chronic fatigue syndrome. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 231512 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-03-20more like thismore than 2019-03-20
star this property answer text <p>The PACE trial, undertaken by Queen Mary University of London, was the largest ever trial of therapies for chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). The trial aimed to test and compare the effectiveness of four of the main treatments available for people CFS/ME. These were adaptive pacing therapy, cognitive behaviour therapy (CBT), graded exercise therapy, and standardised specialist medical care (SMC).</p><p> </p><p>The five-year trial involved over 600 participants, aged 18 and over, in Scotland and England. The first set of results from the trial were published in 2011 in the Lancet, and a number of other evaluations based on the trial have been published since. The trial results found both CBT and GET were moderately effective when provided alongside SMC and were better than adaptive pacing therapy or SMC alone in improving both symptoms and disability.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) guideline ‘Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children’, sets outs best practice for clinicians on the diagnosis, treatment, care and support of people with the condition. The guideline recommends CBT and GET as appropriate treatments for mild to moderate CFS/ME, in line with the best available evidence.</p><p> </p><p>The NICE guideline acknowledges that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. Decisions concerning the appropriateness of treatments should be made on a case by case basis.</p><p> </p><p>On 20 September 2017, NICE announced its decision to undertake a full update of the guideline, following a review of the latest available evidence on the diagnosis and management of CFS/ME and a public consultation. New guidance is expected in October 2020. More information on this decision can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me" target="_blank">www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me</a></p>
star this property answering member constituency Winchester more like this
unstar this property answering member printed Steve Brine more like this
star this property question first answered
less than 2019-03-20T16:33:27.577Zmore like thismore than 2019-03-20T16:33:27.577Z
unstar this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this
1064309
unstar this property registered interest false more like this
star this property date less than 2019-02-20more like thismore than 2019-02-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Radioisotopes more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what representations he has received on alternative arrangements for breast cancer diagnostic and treatment procedures in the event that there is a shortage of radioisotopes in the UK. more like this
star this property tabling member constituency Bristol West remove filter
star this property tabling member printed
Thangam Debbonaire more like this
unstar this property uin 223789 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-02-28more like thismore than 2019-02-28
star this property answer text <p>A search of the Department’s Ministerial correspondence database has identified one item of correspondence received since 1 August 2018 about alternative arrangements for breast cancer diagnostic and treatment procedures in the event that there is a shortage of radioisotopes in the United Kingdom. This figure represents correspondence received by the Department’s Ministerial correspondence unit only.</p><p> </p><p>We fully recognise that radioisotopes are vitally important to many people in this country including breast cancer patients. HM Revenue and Customs already has a process to identify ‘urgent goods’, such as medical radioisotopes, requiring faster handling to move through customs and border checks promptly. The Department has well established processes to manage and mitigate the small number of medicines shortages that may arise due to manufacturing or distribution issues. These processes include radioisotopes used in breast cancer diagnostic and treatment procedures.</p><p> </p><p>From January 2019, it became a mandatory requirement that the pharmaceutical industry must report this information to the Department in a timely manner. Following notification and risk assessment, the Department’s medicine supply team will continue to work behind the scenes with relevant stakeholders and use a host of tools to help mitigate and prevent an issue from impacting patients including the consideration of alternative treatment options. The Department is not aware of any significant radioisotope shortages that are currently affecting breast cancer patients.</p>
star this property answering member constituency Wimbledon more like this
unstar this property answering member printed Stephen Hammond more like this
star this property grouped question UIN 224533 more like this
star this property question first answered
less than 2019-02-28T11:47:48.99Zmore like thismore than 2019-02-28T11:47:48.99Z
unstar this property answering member
1585
star this property label Biography information for Stephen Hammond more like this
star this property tabling member
4433
unstar this property label Biography information for Thangam Debbonaire more like this