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1131830

registered interest
date	12/06/2019
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	Fungal Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the risks to patient health posed by fungal infections; and what steps he is taking to tackle those risks.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	263692
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The most common invasive fungal infection in the United Kingdom is blood stream infection with yeast, often following surgical interventions. Public Health England (PHE) has prepared advisory documentation for national dissemination and individual hospital response following recent outbreaks caused by this organism, which can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/candida-auris-emergence-in-england/candida-auris-within-the-united-kingdom-updated-guidance-published" target="_blank">https://www.gov.uk/government/publications/candida-auris-emergence-in-england/candida-auris-within-the-united-kingdom-updated-guidance-published</a></p><p>Invasive mould infections such as invasive aspergillosis are more often seen in patients with haematological malignancies or those undergoing treatment for them, and it is difficult to capture absolute data on the incidence of these due to difficulty in definitive diagnosis.</p><p>Chronic yeast infections are frequently seen in females that have suffered recurrent bouts of vaginal candidosis (thrush). Estimates suggest that 70% of women report having had at least one episode whilst 8% have repeated and persistent infections. Dermatophyte infections, including athletes’ foot are extremely common, found in about 10% of the adult population at any one time. Scalp and nail infections with these organisms are more disfiguring and difficult to treat.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 15:39:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	318 label Biography information for John Spellar

1129160

registered interest
date	03/06/2019
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	Influenza: Vaccination
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 is he taking to ensure the adequacy of supplies of flu vaccine for autumn 2019.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	258987
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Public Health England (PHE) provides flu vaccines centrally for the children’s flu programme. Sufficient vaccine has been procured to ensure that all eligible children who present for vaccination can be offered the appropriate vaccine.</p><p>General practitioners and other providers are directly responsible for ordering flu vaccine from suppliers which are used to deliver the national flu programme to the other eligible groups. PHE and NHS England maintain oversight at a national level to help facilitate a constant supply of vaccine.</p><p> </p><p><strong> </strong></p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:27:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	318 label Biography information for John Spellar

1126074

registered interest
date	13/05/2019
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	Cataracts: Surgery
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 whether local Clinical Commissioning Groups are implementing NICE guidelines on cataract removal.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	253495
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The Department has made no such assessment. Local clinical commissioning groups are responsible for the commissioning of cataract surgery, and are required to carefully consider the National Institute for Health and Care Excellence guidelines in making commissioning decisions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 10:47:32 answering member 4455 label Biography information for Seema Kennedy
tabling member	318 label Biography information for John Spellar

1124156

registered interest
date	01/05/2019
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	Four Seasons Health Care: Insolvency
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 his Department has made for the maintenance of the provision of services as a result of Four Seasons Care Homes going into administration.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	249829
answer	answer is ministerial correction date of answer 08/05/2019 answer text <p>The Department and the Care Quality Commission (CQC) have been and will continue to monitor the administration and sales process of Four Seasons Health Care Group closely over the coming weeks and months. There will be no immediate impact on people receiving care from Four Seasons Healthcare Group, nor the company’s 22,000 employees.</p><p>The CQC’s Market Oversight regulatory responsibility is to advise local authorities if they believe that there will be likely service cessation as a result of business failure. They have been monitoring the company’s position and will continue to do so until the sale is completed. They are clear that there is no risk to continuity of care at this time.</p><p>The Care Act 2014 places duties on local authorities to intervene to protect individuals where their care provider is no longer able to carry on because of business failure. There should never be a gap in the care that an individual receives.</p><p>Departmental officials are working closely with the CQC, the Local Government Association, the Association of Directors of Adult Social Services, NHS England and Four Seasons Healthcare Group to ensure that individuals’ care and support needs continue to be met.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 08/05/2019 15:00:10 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	318 label Biography information for John Spellar

1121381

registered interest
date	11/04/2019
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	Cataracts: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guideline his Department has issued to Hospitals and Care Commissioning Groups on operations for cataracts.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	244016
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>We are committed to the prevention and detection of eye disease, which are both key to preserving sight along with access to timely treatment.</p><p> </p><p>National Institute for Health and Care Excellence (NICE) guidelines published in 2017 make clear the expectations on cataract surgery. The guidelines can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng77" target="_blank">https://www.nice.org.uk/guidance/ng77</a></p><p> </p><p>While commissioning decisions must remain a matter for individual clinical commissioning groups all National Health Service bodies are required to carefully consider NICE guidelines in making such decisions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 23/04/2019 14:05:52 answering member 4455 label Biography information for Seema Kennedy
tabling member	318 label Biography information for John Spellar

1061083

registered interest
date	14/02/2019
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	Allergies: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of the availability of EpiPens.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	221567
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet historic United Kingdom requirements. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve going forward, with further deliveries expected over the coming weeks. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 08:20:28 answering member 4067 label Biography information for Steve Brine
tabling member	318 label Biography information for John Spellar

1003646

registered interest
date	09/11/2018
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	Prescriptions: 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, how many penalty prescription charges have been issued in the last year for which figures are available.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	189548
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Between November 2017 and October 2018, the NHS Business Services Authority reports that it issued 1,288,364 prescription penalty charge notices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:36:21 answering member 4067 label Biography information for Steve Brine
tabling member	318 label Biography information for John Spellar

1002752

registered interest
date	06/11/2018
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	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps with his EU counterparts to increase public confidence in vaccination.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	188714
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>Public Health England (PHE) works closely with colleagues across the European Union including the World Health Organization Regional Office for Europe to optimise public confidence in vaccination.</p><p> </p><p>PHE commissions two annual tracking surveys of attitudes to vaccination: the attitudes of parents of children aged under five years old, and the attitudes of parents and teenagers to vaccination to monitor confidence and inform programme development. Confidence in the programme in England is at very high levels and the vast majority of parents choose to have their children protected by vaccination.</p><p> </p><p>Further information on the attitudes to vaccination surveys are available to view at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/parental-attitudes-to-vaccination-in-young-children#annual-survey-2017" target="_blank">https://www.gov.uk/government/collections/parental-attitudes-to-vaccination-in-young-children#annual-survey-2017</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:30:33 answering member 4067 label Biography information for Steve Brine
tabling member	318 label Biography information for John Spellar

946852

registered interest
date	23/07/2018
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	Members: Correspondence
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 adequacy of the performance of the Members Correspondence Unit in his Department.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	167121
answer	answer is ministerial correction date of answer 10/09/2018 answer text <p>The Department’s Ministerial Correspondence and Public Enquiries (MCPE) unit was set up to handle centrally the large volumes of correspondence received by the Department. All lines used to respond to correspondence are provided by the Department’s policy teams and MCPE has daily contact with ministers’ private offices.</p><p><br> The latest available performance information was published on 26 June in the Cabinet Office’s Written Ministerial Statement on Handling Members’ Correspondence in 2017 (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-06-26/HCWS798/" target="_blank">HCWS798</a>). The Department answered over 32,000 items of correspondence, of which 93% were answered within the Department’s Whitehall Standard target of 18 working days.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 10/09/2018 15:53:57 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	318 label Biography information for John Spellar

937472

registered interest
date	09/07/2018
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	Ambulance Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the announcement of 6 July 2018 on investment in new ambulances for the NHS, what steps he is taking to ensure that those ambulances are made in the UK.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	162000
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>The Government recently announced funding for 256 new ambulances across five ambulance trusts.</p><p> </p><p>The procurement will ensure that a fair and transparent process is undertaken which takes into account value for money and other social considerations as permitted by the Public Contract Regulations 2015.</p><p> </p><p>The procurement of new ambulances is constituted of two elements- the purchase of the base vehicle and conversion into the ambulance, according to the required specification.</p><p> </p><p>Purchase of the base vehicles is currently undertaken by individual ambulance trusts, using Crown Commercial Services framework contracts. Through this process, the ambulance trusts receiving funding are planning to purchase either Fiat or Mercedes base vehicles.</p><p> </p><p>The conversion- which typically constitutes a much larger cost than purchase of the base vehicle- is contracted by individual trusts. Currently trusts use six converters and four of the six are United Kingdom registered companies, based upon the contracting arrangements put in place by ambulance trusts locally.</p><p> </p><p>Lord Carter of Coles is currently undertaking an independent review of the operational productivity of ambulances services, including the effectiveness of fleet and variations in ambulance specification and procurement. This review is due to conclude and make recommendations shortly. Any of the 256 ambulances which are not planned to be operational by winter will be procured under arrangements which reflects any changes made in response to Lord Carter’s recommendations, which will require one specification of ambulance to be used by all ten ambulance trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 17/07/2018 11:27:44 answering member 4095 label Biography information for Steve Barclay
tabling member	318 label Biography information for John Spellar