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818692

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Phenytoin
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average cost to the public purse has been of (a) an individual prescription and (b) treating a patient with the drug Phenytoin in each of the last five years; and if he will make a statement.
	tabling member constituency	Kingston upon Hull West and Hessle
	tabling member printed	Emma Hardy
	uin	121456
	answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>The average Net Ingredient Cost (NIC) per prescription item for Phenytoin written in the United Kingdom and dispensed in England is set out below. Information is split by Phenytoin and Phenytoin Sodium with a figure provided for the total.</p><p> </p><p>Prescription items and NIC per prescription item (£)</p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Phenytoin</p></td><td colspan="2"><p>Phenytoin Sodium</p></td><td colspan="2"><p>Total</p></td></tr><tr><td><p> </p></td><td><p>Items</p></td><td><p>NIC per Item (£)</p></td><td><p>Items</p></td><td><p>NIC per Item (£)</p></td><td><p>Items</p></td><td><p>NIC per Item (£)</p></td></tr><tr><td><p>2012</p></td><td><p>39,117</p></td><td><p>15.76</p></td><td><p>970,031</p></td><td><p>21.52</p></td><td><p>1,009,148</p></td><td><p>21.30</p></td></tr><tr><td><p>2013</p></td><td><p>38,667</p></td><td><p>12.78</p></td><td><p>934,428</p></td><td><p>54.48</p></td><td><p>973,095</p></td><td><p>52.82</p></td></tr><tr><td><p>2014</p></td><td><p>36,017</p></td><td><p>12.90</p></td><td><p>894,176</p></td><td><p>48.76</p></td><td><p>930,193</p></td><td><p>47.38</p></td></tr><tr><td><p>2015</p></td><td><p>33,473</p></td><td><p>12.14</p></td><td><p>847,781</p></td><td><p>46.49</p></td><td><p>881,254</p></td><td><p>45.19</p></td></tr><tr><td><p>2016</p></td><td><p>31,360</p></td><td><p>12.16</p></td><td><p>800,820</p></td><td><p>45.19</p></td><td><p>832,180</p></td><td><p>43.94</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p>Information is not held centrally on the costs of treating a patient with phenytoin.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2018 16:55:52 answering member 4067 label Biography information for Steve Brine
	tabling member	4645 label Biography information for Emma Hardy

818693

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Charles Bonnet Syndrome
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance GPs receive on the recognition and diagnosis of Charles Bonnet Syndrome.
	tabling member constituency	Ealing Central and Acton
	tabling member printed	Dr Rupa Huq
	uin	121457
	answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>The content and standard of training for healthcare professionals is the responsibility of training and education providers, royal colleges and professional bodies.</p><p> </p><p>It is for primary care professionals to ensure their own professional competence in regard to the recognition and diagnosis of Charles Bonnet Syndrome, and to have regard to relevant guidance published by professional bodies, voluntary sector organisations and others.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2018 12:00:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4511 label Biography information for Dr Rupa Huq

818820

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Respiratory System: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of the 4 December 2017 to Question 116582, if his Department will carry out an assessment of the long-term cost to the NHS of health problems and preventable deaths caused by cold homes.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	121584
	answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>There are no current plans for the Department to carry out an assessment of the long-term cost to the National Health Service of health problems and preventable deaths caused by cold homes. Likewise, NHS England and Public Health England advise that there are currently no plans to make an assessment of the long-term cost to a person’s health of living in a cold home.</p><p> </p><p>The National Institute for Health and Care Excellence has issued guidance which covers reducing the health risks, including preventable deaths, associated with living in a cold home.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2018 15:40:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

818846

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Energy Drinks: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the effectiveness of labelling on energy drinks sold in the UK stating that such drinks are not recommended for children in preventing the consumption of energy drinks by under-18s.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	121610
	answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>No assessment has been made centrally on the effectiveness of labelling on energy drinks.</p><p> </p><p>Key measures in our world-leading childhood obesity plan, launched in August 2016, include the soft drinks industry levy and sugar reduction and wider reformulation programme, which will encourage the food and drink industry to reduce the amount of sugar in products popular with children, including energy drinks.</p><p> </p><p>The Government will continue to monitor the situation and any new emerging scientific evidence on the consumption of energy drinks by under-18s.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 121614 question first answered 11/01/2018 15:37:10 answering member 4067 label Biography information for Steve Brine
	tabling member	4036 label Biography information for Luciana Berger

818850

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Energy Drinks: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans he has to prevent the consumption of energy drinks by under-18s.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	121614
	answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>No assessment has been made centrally on the effectiveness of labelling on energy drinks.</p><p> </p><p>Key measures in our world-leading childhood obesity plan, launched in August 2016, include the soft drinks industry levy and sugar reduction and wider reformulation programme, which will encourage the food and drink industry to reduce the amount of sugar in products popular with children, including energy drinks.</p><p> </p><p>The Government will continue to monitor the situation and any new emerging scientific evidence on the consumption of energy drinks by under-18s.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 121610 question first answered 11/01/2018 15:37:10 answering member 4067 label Biography information for Steve Brine
	tabling member	4036 label Biography information for Luciana Berger

816713

	registered interest
	date	05/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pulmonary Arterial Hypertension
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people were diagnosed with pulmonary hypertension (a) nationally and (b) in South Yorkshire in each of the last five years.
	tabling member constituency	Barnsley East
	tabling member printed	Stephanie Peacock
	uin	121140
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>The information requested is not centrally held, as the Hospital Episode Statistics (HES) database contains records of hospital episodes and attendances rather than people.</p><p> </p><p>A count of finished admission episodes with a primary or secondary diagnosis of pulmonary hypertension in England and one of the four clinical commissioning groups located in South Yorkshire, for the years 2012-13 to 2016-17 is as follows:</p><p> </p><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p><table><tbody><tr><td><p>Region</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>South Yorkshire</p></td><td><p>3,496</p></td><td><p>3,570</p></td><td><p>4,047</p></td><td><p>4,391</p></td><td><p>4,397</p></td></tr><tr><td><p>England</p></td><td><p>35,624</p></td><td><p>38,334</p></td><td><p>42,160</p></td><td><p>46,293</p></td><td><p>49,558</p></td></tr></tbody></table><p>Source: HES, NHS Digital</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 11:50:21 answering member 4067 label Biography information for Steve Brine
	tabling member	4607 label Biography information for Stephanie Peacock

816714

	registered interest
	date	05/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pulmonary Arterial Hypertension
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to reduce incidences of pulmonary hypertension.
	tabling member constituency	Barnsley East
	tabling member printed	Stephanie Peacock
	uin	121141
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Pulmonary hypertension (PH) is caused by changes to the pulmonary arteries, but as these changes can be caused by a number of internal structural changes and medical conditions, it is difficult to target a reduction in incidence of PH.</p><p> </p><p>However, where PH is caused by an underlying lung condition such as Chronic Obstructive Pulmonary Disease (COPD), the Department’s action to reduce incidence of the condition also contributes to a reduction in incidence of PH. The Department is taking action to prevent cases of COPD in the first place, through initiatives including the recently published tobacco control plan and its commitment to tackling obesity.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 11:37:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4607 label Biography information for Stephanie Peacock

816729

	registered interest
	date	05/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Human Papillomavirus: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of the cost of extending the HPV vaccine to teenage boys.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	121156
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) is updating its advice on the potential extension of the human papillomavirus vaccination programme to include adolescent boys.</p><p> </p><p>An assessment of the overall costs of expanding the programme will be completed once JCVI’s final advice is received.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 11:58:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4653 label Biography information for Stephen Morgan

816730

	registered interest
	date	05/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to expand routine outcome data collection for long-term conditions in children.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	121157
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Patient outcome data collections currently include the National Clinical Audits on Diabetes and Epilepsy, which are delivered by the Royal College of Paediatric and Child Health and managed by the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England. There is also a Child Health Clinical Outcome Review Programme, which is run by the National Confidential Enquiry into Patient Outcome and Death, also managed by HQIP on behalf of NHS England. The Review Programme is currently examining two topics: chronic neurodisability; and, adolescent mental health.</p><p> </p><p>Audit programmes are routinely reviewed with new audits being commissioned as and when a need is identified. More information about HQIP audits and Review Programme can be found at the following link:</p><p> </p><p><a href="http://www.hqip.org.uk" target="_blank">www.hqip.org.uk</a></p><p> </p><p>There is also a range of service and population outcome data, available at national, and in many cases, local level, relevant to the care and support of children with long term conditions, as well as the prevention of conditions. For example, the NHS Outcomes framework indicators 1.6 ii Five year survival from all cancers in children and 2.3ii Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s; and the Public Health Outcomes Framework indicator 2.06 Child excess weight in 4-5 and 10-11 year olds. The latest versions of the frameworks can be found at the following links (the 2016/17 version of the NHS Outcomes framework remains in use). The Frameworks are routinely reviewed and revised as appropriate.</p><p> </p><p><a href="http://www.gov.uk/government/publications/nhs-outcomes-framework-2016-to-2017" target="_blank">www.gov.uk/government/publications/nhs-outcomes-framework-2016-to-2017</a></p><p> </p><p><a href="http://www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019" target="_blank">www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019</a></p><p> </p><p>Additional data may also be collected by local services to improve patient care, where such a need is identified.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 11:32:06 answering member 4067 label Biography information for Steve Brine
	tabling member	4653 label Biography information for Stephen Morgan

816731

	registered interest
	date	05/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Contraceptives: Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to improve the implementation of NICE guidance on contraceptive services for people under 25.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	121158
	answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>Local authorities have been mandated to commission open access sexual health services, including contraception services, that meet the needs of their population. We expect commissioners and providers to take account of the National Institute for Health and Care Excellence guidance on contraception services for people under 25 when commissioning and providing local services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2018 17:37:01 answering member 4067 label Biography information for Steve Brine
	tabling member	4653 label Biography information for Stephen Morgan