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1086490

registered interest
date	11/03/2019
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	HIV Infection: Drugs
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 7 March 2019 to Question 227401 on HIV, what the timetable is for the rollout of additional places on the Pre-exposure Prophylaxis Impact trial in London .
tabling member constituency	Brighton, Kemptown
tabling member printed	Lloyd Russell-Moyle
uin	230858
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>Commissioners in London have confirmed that they are committed to supporting the successful expansion of the Pre-exposure Prophylaxis (PrEP) Impact trial and have agreed to make additional trial places available. The number of additional trial places in London and the timescale for rollout will be confirmed shortly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:50:06 answering member 4067 label Biography information for Steve Brine
tabling member	4615 label Biography information for Lloyd Russell-Moyle

1086512

registered interest
date	11/03/2019
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: Agency Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much has been spent on agency and locum staff in the NHS (a) in total, (b) for each job type and (c) in each year since May 2010.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	230755
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The data requested is only available from 2015/16 onwards.</p><p> </p><p>These figures show that, for all staff groups, the amount spent on agency has fallen since the introduction of new measures to reduce agency spend across the National Health Service in 2015/16. Since the introduction of these measures, agency spend has fallen from a peak of £3.6 billion in 2015/16 to £2.4 billion in 2017/18 – a £1.2 billion reduction.</p><p> </p><p>Even so, we recognise that there is still more to be done in this area, and we are committed to reducing trusts’ reliance on expensive agency workers, whilst ensuring they can meet their temporary staffing needs.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>2018/19 Year To Date Month 10</p></td></tr><tr><td><p>Nursing, midwifery and health visiting</p></td><td><p>£1,150 million</p></td><td><p>£ 966 million</p></td><td><p>£809 million</p></td><td><p>£698 million</p></td></tr><tr><td><p>Healthcare assistant and other support</p></td><td><p>Reported as other</p></td><td><p>£199 million</p></td><td><p>£134 million</p></td><td><p>£103 million</p></td></tr><tr><td><p>Medical and dental</p></td><td><p>£1,346 million</p></td><td><p>£1,049 million</p></td><td><p>£950 million</p></td><td><p>£784 million</p></td></tr><tr><td><p>Scientific, therapeutic and technical</p></td><td><p>Reported as other</p></td><td><p>Reported as other</p></td><td><p>£248 million</p></td><td><p>£206 million</p></td></tr><tr><td><p>Healthcare science</p></td><td><p>Reported as other</p></td><td><p>Reported as other</p></td><td><p>£40 million</p></td><td><p>£29 million</p></td></tr><tr><td><p>Admin and estates</p></td><td><p>Reported as other</p></td><td><p>£342 million</p></td><td><p>£223 million</p></td><td><p>£178 million</p></td></tr><tr><td><p>Other</p></td><td><p>£1,172 million</p></td><td><p>£379 million</p></td><td><p>£3 million</p></td><td><p>£2 million</p></td></tr><tr><td><p>Total agency</p></td><td><p>£3,668 million</p></td><td><p>£2,934 million</p></td><td><p>£2,407 million</p></td><td><p>£1,999 million</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/03/2019 17:04:40 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1086596

registered interest
date	11/03/2019
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: Trade Agreements
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 discussions he has held with the Secretary of State for International Trade on the potential role of the NHS in future trade deals after the UK leaves the EU.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	230617
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The Department of Health and Social Care works extensively with the Department for International Trade to ensure that there is a clear cross-Government position on the protection of the National Health Service in future trade agreements. Additionally, the Parliamentary Under Secretary for Innovation (Baroness Blackwood of North Oxford) will be representing the Department of Health and Social Care in upcoming Cabinet-level discussions on future trade deals.</p><p> </p><p>The Government has repeatedly made its position on this clear - protecting public services, including the NHS, is of the utmost importance for the United Kingdom. The NHS is not, and never will be, for sale to the private sector, whether overseas or domestic. We will ensure that no trade agreements alter these fundamental facts.</p><p> </p><p>None of the trade agreements that we are party to as European Union members threaten or allow privatisation of public services, including the NHS. The Government will ensure that future trade deals include the necessary exclusions, exemptions, and reservations to ensure that decisions on how to run public services, including the NHS, will always remain the sole competence of UK governments, including the devolved administrations, and not our trade partners.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/03/2019 10:48:12 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1086610

registered interest
date	11/03/2019
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	Asthma
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 finding in Asthma UK's report, The Reality of Asthma Care in the UK - Annual Asthma Survey 2018 that two-thirds of patients do not receive a follow-up appointment with their GP after receiving emergency care, if he will take steps tackle the reasons for that finding.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	230635
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>Respiratory disease is a clinical priority within the recently published NHS Long Term Plan. The Plan has the overarching objective of improving outcomes for people with respiratory disease, including asthma.</p><p> </p><p>NHS England supports the national asthma audit programme that provides data on a range of indicators to show improvements and opportunities for further improvements in asthma outcomes.</p><p> </p><p>The recently published general practitioner (GP) contract has made improvements to the Quality and Outcomes framework through the introduction of quality improvement modules. This replaces the current system of exception reporting with a personalised care adjustment approach, which will better reflect individual clinical situations and patients’ wishes. NHS England and GPC England have agreed to an ongoing programme of indicator review in key priority areas, including asthma in 2019/20. Through the GP contract and Primary Care Networks, clinical pharmacists will take responsibility for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, and those with multiple long term conditions, in particular people with chronic obstructive pulmonary disease and asthma.</p><p> </p><p>National programmes such NHS RightCare are using leading edge medical evidence and practical support to help local health economies to make best use of their resources and using tested evidence based processes to make sustainable improvements to patient care. As part of this programme, a RightCare asthma pathway will be published in the spring which will outline the optimal pathway for patients, including the need for follow-up appointments following emergency care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 17:01:30 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

1086637

registered interest
date	11/03/2019
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	Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the average waiting time for a PET-CT scan in (a) Oxford West and Abingdon constituency, (b) Oxfordshire and (c) England.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	230887
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>Average waiting times data for a PET-CT scan is not available in the format requested.</p><p> </p><p>NHS England publishes monthly data on diagnostic waiting times which includes the volume of patients waiting for a diagnostic test each month, including a CT scan. This data is available nationally as well as at clinical commissioning group and trust level at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity/monthly-diagnostics-waiting-times-and-activity/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity/monthly-diagnostics-waiting-times-and-activity/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/03/2019 17:05:47 answering member 1585 label Biography information for Stephen Hammond
tabling member	4656 label Biography information for Layla Moran

1086653

registered interest
date	11/03/2019
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	Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what comparative estimate he has made of the cost to the public purse of providing PET-CT scanning services through a (a) private contractor and (b) a NHS trust.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	230888
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The estimated total cost to National Health Service trusts and NHS foundation trusts of providing PET-CT scans <ins class="ministerial">is </ins><ins class="ministerial">approximately £90 million</ins><del class="ministerial">is £29.4 million</del>, with an average unit cost of <ins class="ministerial">approximately £900 </ins><del class="ministerial">£570</del> per examination<ins class="ministerial"> (this includes the cost of both the scan and a standard tracer)</ins>. Costs are not collected nationally by private contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:52:46 question first ministerially corrected 14/05/2019 10:51:18 answering member 4067 label Biography information for Steve Brine previous answer version 107807 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

1086665

registered interest
date	11/03/2019
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	Radiotherapy
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 radiotherapy centres deliver stereotactic body radiation therapy.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230710
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>There are 25 providers, two of which work in partnership, of stereotactic body radiation therapy, which is called Stereotactic Ablative Radiotherapy (SABR). Currently, SABR is routinely commissioned to treat early non-small cell lung cancer in patients that are not suitable for surgery.</p><p> </p><p>SABR is currently restricted to these 25 centres in England whilst evidence of clinical effectiveness emerges. This is regularly reviewed by NHS England’s national specialised commissioning team and was last reviewed during 2016/17. It is expected that access will be reviewed again over the course of 2019/20 and 2020/21. However, this will be dependent on the emergence of clinical evidence and the development of new NHS England clinical commissioning policy.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230712 question first answered 14/03/2019 16:51:32 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1086670

registered interest
date	11/03/2019
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	Lung Cancer: Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to support the extension of stereotactic body radiation therapy services for lung cancer in radiotherapy centres throughout England.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230712
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>There are 25 providers, two of which work in partnership, of stereotactic body radiation therapy, which is called Stereotactic Ablative Radiotherapy (SABR). Currently, SABR is routinely commissioned to treat early non-small cell lung cancer in patients that are not suitable for surgery.</p><p> </p><p>SABR is currently restricted to these 25 centres in England whilst evidence of clinical effectiveness emerges. This is regularly reviewed by NHS England’s national specialised commissioning team and was last reviewed during 2016/17. It is expected that access will be reviewed again over the course of 2019/20 and 2020/21. However, this will be dependent on the emergence of clinical evidence and the development of new NHS England clinical commissioning policy.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230710 question first answered 14/03/2019 16:51:32 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1086734

registered interest
date	11/03/2019
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	Hospitals: Food
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 nutritional value of hospital meals.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	230820
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>The Department recognises the importance of good quality food for patients, both in terms of improving health and for their overall experience of services, and believes that it is a patient’s right to receive tasty, nutritious and free food as part of their National Health Service treatment.</p><p> </p><p>NHS Improvement commissioned a Healthcare Food Standards and Strategy Group in July 2018 whose first task is to produce national standards for healthcare food for patients, staff and visitors. The standards will incorporate current targets and future aspirational targets around sugar, salt and fat as well as looking at quality and the whole patient experience. The new standards are due to be published in September 2019 and following on from this a spin off group will begin work on a national menu and recipe bank using chefs from within the NHS which will be a tool to help organisations achieve high standards of nutritional excellence.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/03/2019 17:09:36 answering member 1585 label Biography information for Stephen Hammond
tabling member	4418 label Biography information for Justin Madders

1086740

registered interest
date	11/03/2019
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: Income
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the income from NHS patients by NHS trusts in each of the last 10 years for which records are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	230822
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>This information is not held centrally by the Department or NHS Improvement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/03/2019 17:10:10 answering member 1585 label Biography information for Stephen Hammond
tabling member	4418 label Biography information for Justin Madders