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809127

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent progress his Department has made on improving the performance of hospitals in special measures.
	tabling member constituency	Mid Worcestershire
	tabling member printed	Nigel Huddleston
	uin	903032
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Special Measures programme has been in place since 2013 with 37 instances of trusts entering. 21 trusts have exited Special Measures since the programme began, including five which have exited since March this year. I particularly congratulate Colchester, which exited in November.</p><p>Eight former Special Measures trusts are now rated either “Good” or “Outstanding”.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 17:33:37 answering member 1542 label Biography information for Philip Dunne
	tabling member	4407 label Biography information for Nigel Huddleston

809129

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	903036
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

809125

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	What plans he has to broaden routes into nursing.
	tabling member constituency	Yeovil
	tabling member printed	Mr Marcus Fysh
	uin	903029
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England published a draft workforce strategy last week, which emphasised clearly the priority we have to increase the nursing workforce and broaden routes into nursing.</p><p>That is why, in England, we have developed the new nursing associate role and Nursing Degree Apprenticeship to open routes into the registered nursing profession for thousands of people from all backgrounds, and allow employers to grow their own workforce from within their local communities.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 17:30:48 answering member 1542 label Biography information for Philip Dunne
	tabling member	4446 label Biography information for Mr Marcus Fysh

809128

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	What plans he has to broaden routes into nursing.
	tabling member constituency	Berwick-upon-Tweed
	tabling member printed	Mrs Anne-Marie Trevelyan
	uin	903034
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Health Education England published a draft workforce strategy last week, which emphasised clearly the priority we have to increase the nursing workforce and broaden routes into nursing.</p><p>That is why, in England, we have developed the new nursing associate role and Nursing Degree Apprenticeship to open routes into the registered nursing profession for thousands of people from all backgrounds, and allow employers to grow their own workforce from within their local communities.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 17:32:24 answering member 1542 label Biography information for Philip Dunne
	tabling member	4531 label Biography information for Anne-Marie Trevelyan

809126

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Skin Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	What estimate he has made of the number of patients with Erythropoietic Protoporphyria.
	tabling member constituency	Newport East
	tabling member printed	Jessica Morden
	uin	903031
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In 2016/17 there were 54 National Health Service admissions in England with a primary diagnosis of Erythropoietic Protoporphyria.</p><p> </p><p>Whilst the numbers of people with a particular rare disease can be very small, 3.5 million people in the United Kingdom have a rare disease. We know, as with the hon. Member’s constituent, that these diseases can have a heart-breaking impact on a person’s health.</p><p> </p><p>That‘s why the UK is committed to building on our position as a world-leader in the diagnosis and treatment of rare diseases.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:07:30 answering member 4067 label Biography information for Steve Brine
	tabling member	1548 label Biography information for Jessica Morden

793035

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State, when his Department plans to complete the approvals process to enable the competition for a grant to support implementation of the Tobacco Control Plan to proceed.
	tabling member constituency	Harrow East
	tabling member printed	Bob Blackman
	uin	114820
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The Department is still considering the scope and procurement process for grants to support the implementation of the Tobacco Control Plan. Cabinet Office standards require all new grants to be subject to competition. Our intention is to make any future grant available on a multi-year basis, subject to an appropriate business case and satisfactory performance on the part of the funded bodies.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114819 114822 114824 question first answered 29/11/2017 14:39:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4005 label Biography information for Bob Blackman

793037

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State, what plans his Department has to open the competition for the grant to support implementation of the Tobacco Control Plan for England this year.
	tabling member constituency	Harrow East
	tabling member printed	Bob Blackman
	uin	114822
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The Department is still considering the scope and procurement process for grants to support the implementation of the Tobacco Control Plan. Cabinet Office standards require all new grants to be subject to competition. Our intention is to make any future grant available on a multi-year basis, subject to an appropriate business case and satisfactory performance on the part of the funded bodies.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114819 114820 114824 question first answered 29/11/2017 14:39:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4005 label Biography information for Bob Blackman

793032

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anaemia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State of Health, what steps the Department is taking to promote awareness and improve the rate of diagnosis of anaemia.
	tabling member constituency	North East Derbyshire
	tabling member printed	Lee Rowley
	uin	114817
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>Iron deficiency anaemia is the most prevalent type of anaemia and is also the most common deficiency in the world, affecting over 2 billion people worldwide. NHS Choices provides advice on the symptoms of iron deficiency anaemia, such as fatigue, palpitations, pale complexion and advises anyone experiencing those symptoms speak to their general practitioner (GP). NHS Choices also provides advice on the less common types of anaemia related to levels of vitamin B12 or folate.</p><p> </p><p>It is the responsibility of GPs, using their clinical judgement and supported by relevant guidance, to arrange the appropriate tests and investigations that may lead to a diagnosis. The full blood count, one the most commonly used tests in the National Health Service, is a broad screening tool used to provide a picture of patient health and check for indications of disorders such as anaemia, infection, and many other diseases.</p><p> </p><p>A range of guidance on the further testing and treatment of all types anaemia is available from sources including the National Institute for Health and Care Excellence Clinical Knowledge Summaries (CKS) website. The CKS information on iron deficiency anaemia can be found at the following link:</p><p> </p><p><a href="https://cks.nice.org.uk/anaemia-iron-deficiency" target="_blank">https://cks.nice.org.uk/anaemia-iron-deficiency</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 14:42:34 answering member 4067 label Biography information for Steve Brine
	tabling member	4652 label Biography information for Lee Rowley

809712

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Spinal Injuries: West Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have had spinal operations in the West Midlands in each of the last seven years.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	120332
	answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>Information is not held in the format requested. The available data from Hospital Episode Statistics (HES) dataset for the years 2010-11 through to 2016-17 is shown in the table below and provides a count of finished admission episodes<sup>1</sup> (FAEs) with a main or secondary spinal procedure<sup>2</sup>, for the West Midlands Government Office Region. Figures do not represent the number of individual patients, as a person may have more than one episode of care in the same year.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FAEs</p></td></tr><tr><td><p>2010-11</p></td><td><p>12,475</p></td></tr><tr><td><p>2011-12</p></td><td><p>11,893</p></td></tr><tr><td><p>2012-13</p></td><td><p>11,637</p></td></tr><tr><td><p>2013-14</p></td><td><p>11,641</p></td></tr><tr><td><p>2014-15</p></td><td><p>12,147</p></td></tr><tr><td><p>2015-16</p></td><td><p>12,422</p></td></tr><tr><td><p>2016-17</p></td><td><p>12,503</p></td></tr></tbody></table><p>Source: HES, NHS Digital</p><p>Notes:</p><p><sup>1</sup>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p><sup>2</sup>The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures. The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 08/01/2018 14:16:14 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

485692

	registered interest
	date	23/03/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	HIV Infection: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with whom NHS England's specialised commissioning service has consulted in the past 18 months in preparation for the planned public consultation on pre-exposure prophylaxis.
	tabling member constituency	Worthing West
	tabling member printed	Sir Peter Bottomley
	uin	32415
	answer	answer is ministerial correction date of answer 11/04/2016 answer text <p>Pre-exposure Prophylaxis (PrEP) is a new use of HIV drugs which has shown clinical effectiveness in research trials at preventing HIV in people at high risk of getting HIV such as men who have sex with men (MSM) and people with HIV-positive partners. The drug used in the trials, Truvada, is not yet licenced for use as PrEP. Public Health England (PHE) has undertaken modelling work looking at cost-effectiveness of PrEP. Much depends on the price of the drugs and HIV prevalence in the target group. However, as with any new intervention, PrEP now needs to be properly assessed in relation to cost effectiveness to see how it could be commissioned in the most sustainable and integrated way and how it compares with other cost-effective approaches. The Department is considering this with PHE, NHS England and the National Institute for Health and Care Excellence.</p><p>A wide range of stakeholders were included in the initial work by NHS England on PrEP including the Department of Health, PHE, the Medical Research Council, voluntary organisations and Genitourinary and HIV Clinicians. NHS England will be building on the work to date by making available up to £2 million over the next two years to run a number of early implementer sites. These will be undertaken in conjunction with PHE.</p><p>The data on new HIV diagnosis is available in table 1a in the following link:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/469321/National_Tables20102015.xls" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/469321/National_Tables20102015.xls</a></p><p>As part of the PROUD study, PHE has assessed how many men may be considered high risk but it is not possible to estimate how many would seek to access PrEP.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 32412 32413 32414 32416 question first answered 11/04/2016 16:57:48 answering member 3918 label Biography information for Jane Ellison
	tabling member	117 label Biography information for Sir Peter Bottomley