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767533

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nabiximols
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what medical evidence his Department has recently taken into account in its decision not to license nabiximols for use on the NHS.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	106691
answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>Nabiximols (Sativex) is licensed in the United Kingdom for the treatment of moderate to severe spasticity in multiple sclerosis. The National Institute of Health and Care Excellence (NICE) did not recommended nabiximols in its 2014 clinical guidelines as it is not a cost-effective treatment.</p><p> </p><p>NICE develops authoritative, evidence-based guidance on best practice for the National Health Service. NICE operates with a high degree of independence from the Government and is responsible for the recommendations that it makes to the NHS. Its guidance is based on a thorough assessment of the available evidence and is developed through engagement with stakeholders.</p><p> </p><p>However, where there is an absence of final guidance recommendations from NICE, decisions on the funding of a licensed treatment on the NHS are taken by the relevant clinician and commissioner (such as NHS England or individual clinical commissioning groups) based on the individual needs of the patient.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/10/2017 14:33:45 answering member 4067 label Biography information for Steve Brine
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

760886

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease: Health Education
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 public awareness and education on Lyme disease and its prevention.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	105279
answer	answer is ministerial correction date of answer 10/10/2017 answer text <p>The GOV.UK and NHS Choices websites have information for patients on the recognition of Lyme disease, tick awareness and the prevention of tick bites accessible at:</p><p><a href="https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis" target="_blank">https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis</a></p><p>and</p><p><a href="http://www.nhs.uk/conditions/Lyme-disease/Pages/Introduction.aspx" target="_blank">http://www.nhs.uk/conditions/Lyme-disease/Pages/Introduction.aspx</a></p><p>The National Institute for Health and Care Excellence Clinical Knowledge summaries have information for clinicians available at:</p><p><a href="https://cks.nice.org.uk/lyme-disease#!topicsummary" target="_blank">https://cks.nice.org.uk/lyme-disease#!topicsummary</a></p><p>Public Health England (PHE) hold regular training days for general practitioners (GPs), and the charity Lyme Disease Action has public information on its website and a training module for GPs.</p><p> </p><p>PHE run a tick surveillance system to identify tick distribution and areas where ticks are problems across England. PHE have been encouraging local authorities and park authorities to develop local public health material regarding tick risks and dealing with bites, and this has been taken up by some in high risk areas.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 105280 question first answered 10/10/2017 12:39:48 answering member 4067 label Biography information for Steve Brine
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

760888

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
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 work with local authorities in areas where the risk of Lyme disease is higher than average to reduce the incidence of the disease.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	105280
answer	answer is ministerial correction date of answer 10/10/2017 answer text <p>The GOV.UK and NHS Choices websites have information for patients on the recognition of Lyme disease, tick awareness and the prevention of tick bites accessible at:</p><p><a href="https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis" target="_blank">https://www.gov.uk/government/collections/lyme-disease-guidance-data-and-analysis</a></p><p>and</p><p><a href="http://www.nhs.uk/conditions/Lyme-disease/Pages/Introduction.aspx" target="_blank">http://www.nhs.uk/conditions/Lyme-disease/Pages/Introduction.aspx</a></p><p>The National Institute for Health and Care Excellence Clinical Knowledge summaries have information for clinicians available at:</p><p><a href="https://cks.nice.org.uk/lyme-disease#!topicsummary" target="_blank">https://cks.nice.org.uk/lyme-disease#!topicsummary</a></p><p>Public Health England (PHE) hold regular training days for general practitioners (GPs), and the charity Lyme Disease Action has public information on its website and a training module for GPs.</p><p> </p><p>PHE run a tick surveillance system to identify tick distribution and areas where ticks are problems across England. PHE have been encouraging local authorities and park authorities to develop local public health material regarding tick risks and dealing with bites, and this has been taken up by some in high risk areas.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 105279 question first answered 10/10/2017 12:39:48 answering member 4067 label Biography information for Steve Brine
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

760900

registered interest
date	14/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease: Vaccination
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 development of a vaccine against Lyme disease.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	105278
answer	answer is ministerial correction date of answer 10/10/2017 answer text <p>The Government is not currently supporting the development of a Lyme disease vaccine. The Department funds health and care research through the National Institute for Health Research (NIHR). Any organisation that considers it can carry out high quality clinical, applied research can apply for funding from the NIHR.</p><p> </p><p>The Department has commissioned an independent research team to undertake four systematic reviews to capture and synthesise United Kingdom and international evidence on Lyme disease in the following areas: epidemiology/routes of transmission of Lyme disease; diagnosis; treatment; and prevention. The reviews will be completed and published by the end of 2017.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/10/2017 12:36:16 answering member 4067 label Biography information for Steve Brine
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

753476

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Royal Brompton Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will ensure that patients of the specialised paediatric respiratory and paediatric cystic fibrosis services at the Royal Brompton Hospital will be fully consulted by the panel established to consider the potential effect of NHS England's congenital heart disease proposals on those services.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	5674
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>This is a matter for NHS England. No decision has been made to close the Congenital Heart Disease (CHD) service at the Royal Brompton and Harefield NHS Foundation Trust.</p><p> </p><p>NHS England has advised that they have performed impact assessments for all centres which would be impacted by its CHD service change proposals if implemented. We have been informed by NHS England that these initial assessments acknowledged that there would be an impact on paediatric respiratory and cystic fibrosis services at the Royal Brompton, if NHS England’s proposals were implemented.</p><p> </p><p>NHS England has advised that a panel including respiratory clinicians and representatives from respiratory and cystic fibrosis patient and public groups has been created to assess the potential impact of its CHD service change proposals on the Royal Brompton’s paediatric respiratory services. This panel has arranged to visit the Royal Brompton in August and has requested to meet patients as a part of this.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/07/2017 10:51:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

753499

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the report to be produced by the independent consultants analysing the responses to the consultation by NHS England on the reconfiguration of congenital heart disease services will be made public at the same time it is sent to NHS England.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	5654
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>This is a matter for NHS England. No decisions have been made regarding NHS England’s Congenital Heart Disease service change proposals.</p><p> </p><p>NHS England has advised that they intend to publish the independent report regarding the consultation responses in full, and they anticipate that the report will be published alongside the papers provided to the NHS England Board to enable it to reach its commissioning decisions.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/07/2017 10:41:39 answering member 1542 label Biography information for Philip Dunne
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park