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1105458

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Hearing Impairment: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has conducted research on the causes of hearing loss in people aged under 30.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	237656
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The Department’s National Institute for Health Research (NIHR) welcomes funding applications for research into any aspect of human health, including hearing loss. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. Information on individual projects funded by the NIHR can be found at the following link:</p><p> </p><p><a href="https://www.journalslibrary.nihr.ac.uk/programmes/" target="_blank">https://www.journalslibrary.nihr.ac.uk/programmes/</a></p><p> </p><p>NIHR funding for research projects into hearing loss was £8.3 million over the last five years.</p><p> </p><p>NIHR funded infrastructure supports research into hearing loss. Three NIHR Biomedical Research Centres have research themes on hearing health, conducting research into the identification, understanding, prevention, and interventions to alleviate hearing loss across the life course. NIHR funded infrastructure is supporting studies into identification and treatment of hearing loss in babies and children.</p><p> </p><p>It is not possible to further disaggregate this spend or support by age group.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/04/2019 12:39:55 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1597 label Biography information for David Simpson

1105464

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the statement in the NHS Long Term Plan that four-week waiting times for adult and older adult community mental health teams including for eating disorders will be tested with selected local areas, what the timetable is for those targets to be introduced; and whether funding will be allocated to areas to support these tests.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	237693
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The NHS Long Term Plan commits to “test four-week waiting times for adult and older adult community mental health teams, with selected local areas”.</p><p> </p><p>The ‘Clinically-led Review of NHS Access Standards’ Interim Report, published in March 2019, states that NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas. As part of this work, the report states that NHS England will “consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access, such as adult eating disorder services, or early intervention in psychosis services, for which there is already a national access and waiting time standard in place.”</p><p> </p><p>The interim report sets out the initial proposals for testing changes to access standards in mental health services, cancer care, elective care and urgent and emergency care. The proposals will be field tested at a selection of pilot sites across England, before wider implementation. The information gathered through field testing and engagement will inform final recommendations from this Review, and ahead of full implementation beginning spring 2020.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/04/2019 14:48:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4433 label Biography information for Thangam Debbonaire

1105474

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Prosthetics: Recycling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department provides to hospitals on the recycling of parts from prosthetic limbs.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	237697
answer	answer is ministerial correction date of answer 03/04/2019 answer text <p>Prosthetic limbs provided by NHS Limb Centres are bespoke which limits their reusability; whilst individual services may have their own arrangements in place for recycling parts, NHS England and the Department do not issue guidance on this.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 03/04/2019 11:19:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4433 label Biography information for Thangam Debbonaire

1105476

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Epilepsy: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with (a) clinicians and (b) NHS leadership on the findings of Public Health England’s report into Deaths associated with neurological conditions in England 2001 to 2014; and what assessment he has made of the implications of those findings for his Department's work to prevent future deaths from epilepsy.
tabling member constituency	Wantage
tabling member printed	Mr Edward Vaizey
uin	237654
answer	answer is ministerial correction date of answer 03/04/2019 answer text <p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and Public Health England (PHE) to support delivery of the Mandate and system objectives.</p><p> </p><p>The PHE report, Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. The rate of deaths associated with epilepsy in areas ranked as the most deprived in England is almost three times larger than in the least deprived; 13 deaths per 100,000 population compared to 5 deaths per 100,000 population. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p> </p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s RightCare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy. NHS England is also working with the Neurological Alliance to support the Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 237060 question first answered 03/04/2019 16:09:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1580 label Biography information for Lord Vaizey of Didcot

1105479

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Epilepsy: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what contingency plans are in place to ensure adequate supplies of epilepsy medication in the event of the UK leaving the EU without a deal.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	237701
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority. However, as a responsible Government we must plan for every possible outcome including ‘no deal’. The Department has published guidance to industry and the health and care system to allow them to make informed plans and preparations. This is available on GOV.UK.</p><p> </p><p>The Government has been working closely with industry to ensure the supply of medicines, including epilepsy medication, can continue uninterrupted in the event of a ‘no deal’ EU exit.</p><p> </p><p>The Department wrote to all suppliers of medicines to the United Kingdom on 26 March to advise them of the changes to EU exit dates, and ask them to continue with preparations to protect patients in all possible outcomes.</p><p> </p><p>We are confident that, if everyone does what they need to do, the supply of medicines and medical products will be uninterrupted.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:17:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4432 label Biography information for Patrick Grady

1105488

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Epilepsy: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the sustainability of access to medication to control epilepsy, including access to tegretol.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	237706
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Department is responsible for the security of supply of medicines and ensuring continued access to medicines for all patients is a key priority. There is a team within the Department, which deals specifically with medicine supply issues arising both in the community and hospitals. It works closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England and others operating in the supply chain to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 16:51:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4432 label Biography information for Patrick Grady

1105549

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Post-traumatic Stress Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help prevent the misdiagnosis of sexual abuse survivors with complex post-traumatic stress disorder.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	237592
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>NHS England’s Strategic Direction for Sexual Assault and Abuse Services sets out a clear ambition and a programme of work to improve awareness and training across the workforce, so that victims and survivors will be better able to access specialised services, safeguarding will be enhanced, the quality of care received improved and ultimately patient experience and outcomes heightened.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 01/04/2019 15:43:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1105555

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Junior Doctors: Mental Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to offer junior doctors mental health support and pastoral care.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	237593
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Department is helping National Health Service trusts in their responsibility for offering junior doctors mental health support and pastoral care through the NHS staff health and wellbeing framework and NHS Improvement’s NHS staff health and wellbeing collaborative. Both incorporate the mental health standards in ‘Thriving at Work – a review of mental health and employers’ produced by Mind.</p><p> </p><p>The Workforce Implementation Plan, announced in the NHS Long Term Plan, is prioritising recommendations from Health Education England’s ‘NHS Staff and Learners Mental Wellbeing Commission’ report which should give junior doctors access to board level Well Being Guardians, personal wellbeing supervisors and ‘safe spaces’ for reflection, learning and breaks complementing work with the Care Quality Commission and NHS Improvement to ensure junior doctors have high quality supportive supervision and are not asked to work excessive hours. Doctors in training now report any pressure to work excessive hours to the Guardian of Safe Working.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:27:33 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1105593

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking ensure that UK pharmaceutical and medical companies will not be disadvantaged by unregulated imports from EU companies if the UK leaves the EU without a deal.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	237745
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The Government is committed to the safe and effective regulation of medicines in the United Kingdom; we continue to strengthen safety while ensuring patients and the public have fast access to new, innovative medicines.</p><p> </p><p>On 7 March 2019, Parliament voted to agree legislation that would, in the event the UK left the European Union without a deal, amend the UK’s regulatory framework for the safe supply of medicines to the UK.</p><p> </p><p>This legislation would see the Medicines and Healthcare products Regulatory Agency take on the functions currently undertaken by the EU and operate as a standalone regulator for human medicines on the UK market. The provisions include the introduction of various checks and balances on the medicines supply chain, including those imported from the European Economic Area, which will be required to comply with the same regulatory requirements as medicines from the UK.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/04/2019 15:49:42 answering member 1585 label Biography information for Stephen Hammond
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1105597

registered interest
date	27/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dental Services: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of the five per cent increase in patient charges for NHS dental treatment on the affordability of that treatment for patients.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	237747
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The Department has undertaken equality analysis and impact assessment setting out the potential impacts on patients, which can be accessed at the following link:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2019/522/made" target="_blank">http://www.legislation.gov.uk/uksi/2019/522/made</a></p><p> </p><p>There have been no changes to exemption arrangements. Those who qualify for free dental treatment will remain entirely exempt from charges, which includes those under the age of 18, those under the age of 19 and in full-time education, pregnant women and or those that have had a baby in the previous 12 months, and those on qualifying benefits will not be impacted by these changes.</p><p> </p><p>For those adults who do not qualify for exemption from dental charges, but who are on low incomes, are eligible to receive, full or partial help for health costs through the NHS Low Income Scheme.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/04/2019 12:36:36 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4573 label Biography information for Dr Rosena Allin-Khan