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419211

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Older People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what the Department of Health is doing to improve the access of elderly patients to effective cancer treatments.
tabling member printed	Lord Willis of Knaresborough
uin	HL2284
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>We recognise that there is room for improvement in cancer outcomes for older patients. The independent Cancer Taskforce recognised the needs of older cancer patients as a key theme in its report, and NHS England is working with partners across the cancer community to better understand both the causes of the variation in cancer outcomes, and looking at action we can take now to address it. NHS England is also in the process of developing metrics to track improvements in cancer outcomes for older people as part of the development of the cancer dashboard recommended by the independent Cancer Taskforce.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 21/09/2015 15:24:24 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4151 label Biography information for Lord Willis of Knaresborough

419212

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the availability of data collected via the Systemic Anti-Cancer Therapy (SACT) dataset to organisations outside the NHS; and whether they plan to consider how to improve access to SACT data, including publishing a timeline for when it should be fully accessible.
tabling member printed	Lord Willis of Knaresborough
uin	HL2285
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Public Health England (PHE) is aware of the considerable interest in the Systemic Anticancer Therapy (SACT) dataset by organisations outside of the National Health Service and plan to enhance the public reporting of the data in the near future.</p><p> </p><p> </p><p> </p><p>The absolute priority of PHE is to maintain patient confidentiality and therefore data will only be released to external parties in a format that does not compromise patient confidentiality either directly or by inference. It is not possible to provide a timeline of when data would be fully accessible.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 21/09/2015 15:16:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4151 label Biography information for Lord Willis of Knaresborough

419218

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what progress has been made by the Alcohol Network on the Responsibility Deal.
tabling member printed	Baroness Hayter of Kentish Town
uin	HL2291
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There were 131 partners in the Responsibility Deal Alcohol Network, who signed up to a range of voluntary Responsibility Deal pledges on alcohol and committed to help people drink within the lower-risk alcohol guidelines.</p><p> </p><p> </p><p> </p><p>Under the previous Government, Responsibility Deal Alcohol Network partners committed to a 2012 pledge to remove 1 billion units of alcohol sold annually from the market by December 2015, principally through improving consumer choice of lower alcohol products. A 2014 interim monitoring report of progress against this pledge estimated that between 2011 and 2013 the number of units of alcohol removed from the market exceeded this target two years ahead of target date, showing there was a reduction of 1.3 billion units due to reductions in alcohol by volume of alcohol products.</p><p> </p><p> </p><p> </p><p>Also under the previous Government, Responsibility Deal Alcohol Network partners committed to a pledge to have 80% of bottles and cans displaying unit content, the Chief Medical Officer’s (CMO) lower-risk guidelines and by the end of 2013 a warning about drinking when pregnant. A 2014 independent report by Campden BRI found that 79.3% of labels provided all three elements correctly. The report also assessed market share by total amount of alcohol sold to allow comparison of progress since 2008 (trend data). This found that unit information increased by 22%; the CMO’s lower-risk drinking guidelines by 314%; and pregnancy warnings boosted by 122%.</p><p> </p><p> </p><p> </p> answering member printed Lord Prior of Brampton question first answered 21/09/2015 15:29:52 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

419219

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to reduce the number of cancer diagnoses related to alcohol.
tabling member printed	Baroness Hayter of Kentish Town
uin	HL2292
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The 2012 Government’s Alcohol Strategy, aims to cut the number of people drinking at harmful levels.</p><p> </p><p> </p><p> </p><p>Since April 2013, a dedicated alcohol risk assessment has been included as part of our free NHS Health Checks for 40 to 74 year olds so people can get advice and information to help them cut down if they need to.</p><p> </p><p> </p><p> </p><p>The Chief Medical Officer, Dame Sally Davies, is overseeing a United Kingdom-wide review of all alcohol guidelines which will include reviewing any new evidence on alcohol and potential harms, so that people can make informed choices about their drinking at all stages of their lives.</p><p> </p><p> </p><p> </p><p>Warnings about the potential links between alcohol and a range of medical conditions including different types of cancer are included on the NHS Choices website at: www.nhs.uk</p><p> </p> answering member printed Lord Prior of Brampton question first answered 21/09/2015 15:15:27 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

418783

registered interest
date	15/09/2015
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the appropriateness of the use of the terms "love" and "darling" in a care home; and whether they have given advice to the Care Quality Commission and local authorities on such matters.
tabling member printed	Lord Greaves
uin	HL2218
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The Department has made no such assessment.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care. All providers of regulated activities must register with CQC and comply with Regulations and a set of fundamental standards of safety and quality.</p><p> </p><p> </p><p> </p><p>One of these fundamental standards relates to treating users of services with dignity and respect. The CQC issues guidance to providers on how they should meet the fundamental standards. The guidance on the standard governing dignity and respect includes the following:</p><p> </p><p> </p><p> </p><p>- when people receive care and treatment, all staff must treat them with dignity and respect at all times. This includes staff treating them in a caring and compassionate way; and</p><p> </p><p>- all communication with people using services must be respectful. This includes using or facilitating the most suitable means of communication and respecting a person's right to engage or not to engage in communication; and</p><p> </p><p>- people using the service should be addressed in the way they prefer, and local colloquial terms may fit such guidelines perfectly well.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 17/09/2015 16:28:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2569 label Biography information for Lord Greaves

418798

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their current policy on hepatitis vaccinations in the United Kingdom, in particular the implementation of a universal hepatitis B vaccination as part of the UK childhood immunisation schedule.
tabling member printed	Baroness Suttie
uin	HL2233
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The hepatitis B vaccination is currently recommended for individuals considered to be at increased risk of complications from the disease or exposure to the virus such as injecting drug users, patients with chronic liver disease and families adopting children from countries with a high or intermediate prevalence of hepatitis B.</p><p> </p><p> </p><p> </p><p>The Joint Committee on Vaccination and Immunisation, the independent expert committee that advises the government on all immunisation matters, has recommended that a universal infant hepatitis B vaccination should be introduced subject to procurement of a hexavalent (6 in 1) vaccine at a cost effective price. The outcome of the competitive tender exercise that is currently underway is expected to be known mid 2016.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 21/09/2015 15:15:07 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4298 label Biography information for Baroness Suttie

418933

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Internet
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 (a) reduce and (b) monitor the sale of prescription drugs on the internet.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10263
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>In the United Kingdom, all categories of medicines may be traded online legally but in the case of prescription only medicines (POM) and pharmacy (P) medicines, these may only be sold or supplied to the public through registered pharmacy premises (by or under the supervision of a pharmacist). Additionally, POMs may only be supplied in response to a prescription from an authorised healthcare professional.</p><p> </p><p> </p><p> </p><p>A UK registered pharmacy may have a presence on the internet; however the requirements of legislation apply equally to both UK internet pharmacies and bricks-and-mortar premises.</p><p> </p><p> </p><p> </p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) monitors the internet for websites operating outside legal requirements and, in collaboration with Internet Service Providers, takes steps to close down sites both in the UK and abroad. The MHRA has closed down 1,973 websites (including those based overseas) during 2015 alone and brought into compliance many others.</p><p> </p><p> </p><p> </p><p>The illegal sale and supply of medicines via Internet poses considerable risks to UK patients but this is in essence a global problem and the MHRA is working with other regulators, law enforcement authorities and Government Departments within the UK, European Union and elsewhere to address the complex issues involved.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:47:22 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

418934

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Paroxetine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges on the effect of the consumption of the paxil and seroxat forms of the drug paroxetine on the incidence of depression among pregnant women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10265
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no recent discussions with the Royal Colleges on the effects of taking the paxil and seroxat forms of paroxetine on the incidence of depression among pregnant women.</p><p> </p><p> </p><p> </p><p>The Mandate from the Government to NHS England includes an objective for NHS England to work with partner organisations to reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.</p><p> </p><p>The Government will provide an additional £75 million over the next five years for services to support women with mental ill health in the perinatal period.</p><p> </p><p> </p><p> </p><p>The British National Formulary advises that medication should be prescribed only when it is necessary, and in all cases the benefit of administering the medicine should be considered in relation to the risk involved. This is particularly important during pregnancy, when the risk to both mother and fetus must be considered.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:03:29 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

418935

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges on the development and use of progesterone and tamoxifen to treat breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10266
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no such discussions.</p><p> </p><p> </p><p> </p><p>Research into the use of progesterone in combination with tamoxifen for the treatment of breast cancer is still at an early stage and has not yet been trialled in humans.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:41:04 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

418936

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia: Diabetes
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 the Royal College of Physicians on a link between type 2 diabetes and dementia; and what steps he is taking to treat dementia caused in that way.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10243
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>NHS England is implementing the NHS Diabetes Prevention Programme, and it is possible that prevention of Type 2 diabetes may in the longer term reduce dementia risk, although at this point this is speculative rather than being based on evidence.</p><p> </p><p> </p><p> </p><p>The treatment of dementia associated with Type 2 diabetes is as for any dementia, although it is important to also address the Type 2 diabetes and vascular risk. People with dementia who also have diabetes need support to manage their condition.</p><p> </p><p> </p><p> </p><p>Improving the treatment and care of people with dementia, reducing the incidence of dementia and improving dementia research, is a key priority for the Government. That is why in February 2015, the Prime Minister launched his Challenge on Dementia 2020 as a successor to the Prime Minister’s Challenge on Dementia 2012-2015.</p><p> </p><p><strong> </strong></p><p> </p><p>My Rt. hon. Friend the Secretary of State has had and continues to have discussions on these matters with a range of organisations including the Royal College of Physicians.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 15:01:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon