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809547

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	Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the level of availability of cancer gene tests is on the NHS; and whether the NHS prioritises such tests for people whose families have a history of cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	120205
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England is committed to implementing the Independent Cancer Taskforce’s recommendations on molecular diagnostics, meaning that around 25,000 additional people will have their cancers genetically tested every year to identify the most effective treatments. NHS England will continue to invest in building the infrastructure for genomics and by the end of 2018/19, will have developed a genomic medicine service for England, underpinned by a new consolidated genomic laboratory infrastructure and facilitated by informatics, data and analytical platforms to enable the sequencing data we generate to improve clinical practice. Once established, the new genomic laboratory infrastructure for the National Health Service in England will support rare, inherited and acquired disease, to support the NHS to deliver personalised medicine to all eligible patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/12/2017 11:43:14 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

809548

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	Pancreatic Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable is for a new test for diagnosing pancreatic cancer by app to be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	120206
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>The future availability of any new or novel tests on the National Health Service, such as this test for pancreatic cancer, would be subject to large scale clinical trials demonstrating the safety and efficacy of the diagnostic approach and subsequent assessments of its cost effectiveness for routine use.</p><p>NHS England has launched two new digital platforms, NHS Digital Apps Library and a Mobile Health space for developers. This is part of work to transform the way people experience the NHS by designing digital health tools and services that connect them to the information and services they need, when they need them.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:15:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

809549

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	Mental Health: Armed Forces
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 address mental health problems in each branch of the Armed Forces.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	120207
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>The treatment of primary mental health in the serving Armed Forces is commissioned by the Ministry of Defence (MOD), which provides a wide range of medical care and treatment for its military personnel. All three main branches of the Services will access mental health care through the Defence Medical Services, Department of Community Mental Health services.</p><p> </p><p>Mental health services for reservists (when not mobilised), veterans and service families are the responsibilities of NHS services in England and the three devolved administrations. In 2017 NHS England launched the Veterans Mental Health Transition, Intervention and Liaison Service which can be accessed through all four regions across England: North, Midlands and East, London and South East and South West. The service increases access to NHS mental health services and treatment options, doubling the size of the previous regional bespoke mental healthcare for veterans and families in England, and works in addition to the local mental services commissioned by clinical commissioning groups. It provides support for the general and complex mental health needs of veterans, and for the first time offers vulnerable serving personnel preparing to leave the Armed Forces access to the same National Health Service care and treatment for mental health conditions, providing continuity when it is most needed. For Armed Forces patients already undergoing treatment plans for all health issues, these will be continued as part of standard transition planning processes.</p><p> </p><p>The Department and NHS England also supports the MOD in its implementation of its Defence People Mental Health and Wellbeing strategy. This aims to build a coordinated approach to prevent, detect, and treat mental health and wellbeing issues, as well as introduce measures to promote the importance of mental health, and will encompass all Defence People – serving Armed Forces members (Regulars and Reserves), military families, veterans, and MOD civil servants.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:07:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

808779

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Arthritis: Vitamin D
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with (a) the Royal College of Nursing and (b) other bodies on the potential merits of prescribing vitamin D to patients with arthritis.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119888
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>No discussions have taken place.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/12/2017 12:05:16 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

808780

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes
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 adequacy of the capacity of care homes in the next three years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119889
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>High quality care is not just about care home beds. Of those aged 65 and over who need local authority support, 62% are cared for in their own home. Since 2010 there has been a growth in home care agencies of more than 3,140.</p><p> </p><p>The total number of beds in care homes has remained broadly flat since 2010.</p><p> </p><p>We have given local authorities in England an extra £2 billion over the next three years to maintain access for our growing ageing population and allow councils to sustain a diverse care market including care home places.</p><p> </p><p>In addition the Government has announced we will consult on plans to improve the social care system and to put it on a more secure financial footing.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:01:10 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

808781

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Beds
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 tackle bed blocking in hospitals.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119890
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>This Government is clear that no-one should stay in hospital longer than necessary. Unnecessary delays in leaving hospital can result in poorer outcomes for patients, interrupted patient flow and put further pressure on hospital services.</p><p> </p><p>An extra £2 billion of funding has been provided over the next three years to be spent on meeting adult social care needs, stabilising the social care market and reducing pressure on the National Health Service, including reducing delayed transfers of care. £1 billion of this funding has been made available for 2017/18. In the autumn Budget, an additional £337 million was announced for this year to help the NHS ease winter pressures. Of this, up to £60 million will be spent on creating 1,400 extra beds.</p><p> </p><p>The Department, NHS England, NHS Improvement and local government are proving wide-ranging support to help local areas improve transfers out of hospital and reduce delays. Nationally, more than 1,000 extra beds have been freed up since February 2017 by reducing delayed transfers of care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 13:11:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

808782

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Spinal Injuries: Surgery
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 UK in each of the last 5 years; and how many have been successful.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119891
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>Information is not held in the format requested. The information available is shown in the table below and provides a count of finished admission episodes<sup>1</sup> with a main or secondary spinal procedure<sup>2</sup> for the years 2012-13 to 2016-17 taken from the Hospital Episode Statistics (HES) dataset. Figures do not represent the number of different patients, as a person may have more than one episode of care in the same year. Data on surgical outcomes is not collected in HES.</p><table><tbody><tr><td><p>Year</p></td><td><p>Finished Admission Episodes (FAEs)</p></td></tr><tr><td><p>2012-13</p></td><td><p>126,747</p></td></tr><tr><td><p>2013-14</p></td><td><p>134,283</p></td></tr><tr><td><p>2014-15</p></td><td><p>140,327</p></td></tr><tr><td><p>2015-16</p></td><td><p>139,445</p></td></tr><tr><td><p>2016-17</p></td><td><p>139,235</p></td></tr><tr><td colspan="4"><p>Source: HES, NHS Digital</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </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> </p><p><sup>2</sup>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that more procedures are carried out than episodes with a main or secondary procedure. For example, patients under going a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 22/12/2017 13:06:19 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon

808818

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pain: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support a UK wide roll-out of ESCAPE-pain to enable self-management and rehabilitation for people with lower-limb chronic joint pain.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119927
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>ESCAPE-Pain is a group-based, six week rehabilitation programme which combines exercise and education to help patients manage chronic joint pain using exercise and coping techniques. The programme is endorsed by the National Institute for Health and Care Excellence, and has received Best Practice Awards from the British Society of Rheumatology and Royal Society of Public Health.</p><p> </p><p>The programme, which is running at over 30 sites across England, can be provided in physiotherapy departments, the community and places of work, and lessons can also be accessed via an app that is free to download. Commissioning of self-management and rehabilitation programmes, such as ESCAPE-Pain, is a local matter.</p><p> </p><p>Health is a devolved matter, and decisions about use of the ESCAPE-Pain programme in Wales, Northern Ireland and Scotland would be a matter for the devolved administrations of those countries.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 119928 question first answered 22/12/2017 12:56:10 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

808819

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pain: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support the devolved nations access to (a) the ESCAPE-pain programme and (b) other community structured rehabilitation programmes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119928
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>ESCAPE-Pain is a group-based, six week rehabilitation programme which combines exercise and education to help patients manage chronic joint pain using exercise and coping techniques. The programme is endorsed by the National Institute for Health and Care Excellence, and has received Best Practice Awards from the British Society of Rheumatology and Royal Society of Public Health.</p><p> </p><p>The programme, which is running at over 30 sites across England, can be provided in physiotherapy departments, the community and places of work, and lessons can also be accessed via an app that is free to download. Commissioning of self-management and rehabilitation programmes, such as ESCAPE-Pain, is a local matter.</p><p> </p><p>Health is a devolved matter, and decisions about use of the ESCAPE-Pain programme in Wales, Northern Ireland and Scotland would be a matter for the devolved administrations of those countries.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 119927 question first answered 22/12/2017 12:56:10 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

805967

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Crohn's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been diagnosed with Crohn's Disease in the last 12 months.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	119177
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>This information is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/12/2017 16:38:47 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon