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887197

registered interest
date	19/04/2018
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	Speech and Language Therapy: Children and 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, if he will ensure that every child and young person who stammers will be able to access speech and language therapy when needed; and if he will make a statement.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	136761
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>The universal Healthy Child Programme includes a number of child development reviews at specific ages. The review at age 2 – 2½ is a crucial stage when problems such as speech and language delay or behavioural issues become visible and can be addressed by the health visitor before the child starts school.</p><p> </p><p>Clinical commissioning groups and local authorities have a legal duty to make joint arrangements for assessing the needs of children likely to have special educational needs.</p><p> </p><p>Since May 2016, Ofsted and the Care Quality Commission have been inspecting local areas on their effectiveness in fulfilling these new duties.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/04/2018 11:19:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4603 label Biography information for Preet Kaur Gill

887289

registered interest
date	19/04/2018
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	Mental Illness: Personal Health Budgets
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 Answer of 29 January 2018 to Question 124498, on Mental Illness: Personal Health Budgets, how many people were in receipt of a personal health budget specifically to meet mental health needs in 2016-17.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	136853
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>In 2016/17 1,037 people had personal health budgets specifically to meet mental health needs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/04/2018 11:20:54 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

887291

registered interest
date	19/04/2018
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	Medicine: Research
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 made an assessment of the effect of leaving the EU on early-phase clinical research.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	136855
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>The Government has made clear that a key priority through the negotiations will be to ensure that the United Kingdom remains one of the best places in the world for science and innovation, including on early phase research and clinical trials. Every Government department, including the Department of Health and Social Care, is planning to deliver a smooth exit under any scenario, which includes preparing the UK for the future economic partnership we hope to negotiate with the European Union, as well as the very unlikely scenario in which no mutually satisfactory agreement can be reached and the UK exits without a deal.</p><p> </p><p>The UK is already a preferred destination for EU and global clinical trials – where much early phase research is concentrated. The Government has been clear that it is in the interest of patients and the Life Sciences industry across Europe for the UK and EU to find a way to continue cooperation in the field of clinical trials, and for continued sharing of data and information, even if our precise relationship with the EU will by necessity change. The Government is committing to being as aligned with the new EU Clinical Trials Regulation as we possibly can be, subject to the outcome of the future relationship negotiation.</p><p> </p><p>The National Institute for Health Research (NIHR) provides the support, expertise and facilities that the National Health Service needs to undertake world-leading early-phase research funded by the NIHR, and other public, charity and life sciences industry partners, by funding a range of infrastructure facilities. Through NIHR and its partners, and by close collaboration with the life sciences sector and industry, the Government will ensure that the UK remains one of the best places in the world for research, science and innovation.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/04/2018 11:23:03 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

886148

registered interest
date	18/04/2018
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	Dementia
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 his Department has made of the effectiveness of support provided for people with dementia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	136343
answer	answer is ministerial correction date of answer 24/04/2018 answer text <p>In the Dementia 2020 Challenge, we have set a broad vision for transforming dementia care and support in England by 2020.</p><p> </p><p>In the accompanying Implementation Plan, which set out the actions the Department and its partners will take to ensure that the commitments in the Dementia 2020 Challenge are delivered, we set out specific actions to improve quality and levels of care. We are currently undertaking a review of the 2020 Challenge Implementation Plan to assess whether its actions have been achieved and establish what additional activity can be undertaken to ensure that the Dementia 2020 Challenge commitments are met as planned, so that England is recognised as the best country in the world for dementia care and support by 2020.</p><p> </p><p>A key commitment in the Dementia 2020 Challenge was the development of effective metrics across the health and care system to track progress. To that end, the dementia profile, which has been developed by Public Health England’s Dementia Intelligence Network, provides access to local data and intelligence across the care pathway for benchmarking purposes and to enable localities to make sustainable improvements in services and outcomes.</p><p> </p><p>To understand the experiences of people with dementia better, we have also established a Citizens’ Engagement Panel, which will be used to inform and improve the ongoing delivery of the Dementia 2020 Implementation Plan and to influence and improve the delivery of front-line dementia care services, to ensure they better meet the needs expressed by people with dementia and their carers.</p><p> </p><p>The Economic and Social Research Council and National Institute for Health Research have issued a joint funding call for projects looking at dementia prevention, interventions and care delivery. Proposals have been invited for projects that will look at care delivery across all care settings and successful projects will inform health and social care practice and policy relating to dementia, supporting people in their communities and making a difference to the lives of people with dementia and their carers and families.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/04/2018 12:49:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

886167

registered interest
date	18/04/2018
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	Caesarean Sections
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 made an assessment of the potential benefits of vaginal seeding for children born by caesarean section.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	136362
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>At this time, the Department has made no assessment of the potential benefits of vaginal seeding for children born by caesarean section.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/04/2018 13:44:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	473 label Biography information for Sir Mark Hendrick

886239

registered interest
date	18/04/2018
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	Spinal Injuries
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 an impact assessment of the effect on people with spinal cord injuries resulting from the planned NHS Continuing Healthcare budget savings of £855 million by 2020-21.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	136434
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>NHS England’s NHS Continuing Healthcare Strategic Improvement Programme aims to provide fair access to NHS Continuing Healthcare in a way which ensures better outcomes, better experience, and better use of resources.</p><p> </p><p>The programme does not aim to reduce spending on NHS Continuing Healthcare, but to reduce the rate of growth of expenditure. The projection is for spending on NHS Continuing Healthcare to increase by over 20% by 2020/21, or an average of approximately 3.9% per year.</p><p> </p><p>It is the responsibility of clinical commissioning groups to commission NHS Continuing Healthcare packages of care appropriate to the needs of individuals, and for assessing the impact of their funding decisions. Eligibility for NHS Continuing Healthcare is based on needs and is not specific to any particular condition or diagnosis.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/04/2018 12:23:04 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

886240

registered interest
date	18/04/2018
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	Inflammatory Bowel Disease
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 the Government is taking to promote timely and accurate diagnosis of inflammatory bowel disease.
tabling member constituency	Great Grimsby
tabling member printed	Melanie Onn
uin	136435
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>NHS England and clinical commissioning groups (CCGs) are responsible for commissioning services for people with inflammatory bowel disease (IBD).</p><p> </p><p>To support local commissioning, the National Institute for Health and Care Excellence (NICE) has published best practice guidance for the timely and accurate diagnosis, treatment care and support for patients with IBD.</p><p> </p><p>NICE has published the guidance ’Faecal calprotectin diagnostic tests for inflammatory diseases of the bowel’ which recommends that that faecal calprotectin testing as an option to help support clinicians distinguish between IBD and irritable bowel syndrome.</p><p> </p><p>Faecal calprotectin testing will therefore help decide who should be referred for colonoscopy (the Gold Standard diagnostic test) and who may be amenable to management in primary care. Primary and secondary care clinicians are expected to follow the good practice guidelines and the quality standard.</p><p> </p><p>NHS England commissions specialised Intestinal Failure Services. A number of these centres are currently involved in multidisciplinary training of health professionals in specialised IBD care. In addition, the Association of Coloproctology of Great Britain and Ireland are currently in the process of setting out national standards for surgical management of IBD. Patients are managed by a multidisciplinary team (MDT) with the necessary expertise to enable appropriate monitoring, support and advice necessary to manage the side effects of treatment, flare-ups and to review and maintain remission. MDT support and the associated diagnostic and investigative resource necessary for IBD patient care will usually be found in secondary care settings.</p><p> </p><p>General practitioners and clinicians are expected to take account of relevant NICE guidance to ensure that patients with suspected inflammatory bowel disease are referred quickly and efficiently, and have a specialist assessment within four weeks of referral.</p><p> </p><p>The NICE guidelines are available at the following links:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg152/resources/crohns-disease-management-pdf-35109627942085" target="_blank">www.nice.org.uk/guidance/cg152/resources/crohns-disease-management-pdf-35109627942085</a></p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg166/resources/ulcerative-colitis-management-pdf-35109695126725" target="_blank">www.nice.org.uk/guidance/cg166/resources/ulcerative-colitis-management-pdf-35109695126725</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 136439 136442 136444 question first answered 23/04/2018 15:18:40 answering member 4067 label Biography information for Steve Brine
tabling member	4464 label Biography information for Melanie Onn

886241

registered interest
date	18/04/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the timetable is for the Electronic Prescription Service to be made available in dispensing GP practices.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	136436
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>In December 2017, NHS Digital gave full roll out approval and assurance of a solution developed by EMIS Health to allow dispensing general practitioner (GP) practices to use the Electronic Prescription Service within their practice dispensary.</p><p> </p><p>EMIS Health supplies the EMIS Web prescribing system to approximately 50% of dispensing GP practices and will look to implement the Proscript Connect dispensing system at these sites in the first instance. This is expected to commence during summer 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/04/2018 15:17:22 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

886242

registered interest
date	18/04/2018
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
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 ensure that rural GP practices have access to high-speed broadband to support their full participation in the Electronic Prescription Service.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	136437
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>The Department of Health and Social Care does not have responsibility for the rollout of access to high speed broadband. The Department for Digital, Culture, Media and Sport leads on the introduction of a broadband Universal Service Obligation.</p><p> </p><p>The Department of Health and Social Care is, through NHS Digital, ensuring general practitioner (GP) practices are able to access the best available broadband services through the Health and Social Care Network programme.</p><p> </p><p>The ability of GP practices to use the Electronic Prescription Service (EPS) is important to fully realise the benefits of the system to provide a more efficient and cost effective service. EPS is currently deployed to over 92% of GP practices.</p><p> </p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/04/2018 15:20:04 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

886243

registered interest
date	18/04/2018
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	Drugs: Rural Areas
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 is assessing the potential merits of allowing dispensing doctors to sell over-the-counter medicines in rural areas.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	136438
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>The Department is not assessing the potential merits of allowing dispensing doctors to sell over-the-counter medicines in rural areas</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/04/2018 15:16:06 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin