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822859

registered interest
date	15/01/2018
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	Hospitals: Parking
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 hospital trusts in England have considered installing a pay on exit or similar scheme since the publication of his Department's guidance on NHS patient, visitor and staff car parking principles, last updated on 29 October 2015; and how many hospital trusts (a) are planning to install such a scheme in 2018 and (b) have decided against installing such a scheme.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	122542
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>This data is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for their own policy on internal travel arrangements and car parking, taking into account operational circumstances and community interests.</p><p> </p><p>The NHS patient, visitor and staff car parking principles (first published in August 2014 and then updated in October 2015), set out a nationally consistent approach to determining car parking policies, making clear the rules which NHS trusts should follow when making decisions about car parking. However, the provision of parking spaces for patients, staff, contractors, and other visitors to the site and the level of any charges that are made to use them are matters for individual NHS trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 122543 122544 122545 122546 question first answered 23/01/2018 14:45:09 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

822867

registered interest
date	15/01/2018
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	Postnatal Depression
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 are taking to improve post-natal mental health care provision.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	122550
answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>This Government is committed to improving perinatal mental health services for women during pregnancy and in the first postnatal year, so that women are able to access the right care at the right time and close to home.</p><p> </p><p>The Department is investing £365 million from 2015/16 to 2020/21 in perinatal mental health services, and NHS England is leading a transformation programme to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period. This includes access to psychological therapies and specialist community or inpatient care.</p><p> </p><p>A key element of the programme is to increase awareness and skills across the workforce, supporting better identification of perinatal mental illness, early intervention and consequently improved recovery rates. In addition, there are over 570 perinatal mental health visitor champions. Their role is to support health visitors with the identification and management of anxiety, mild to moderate depression and other perinatal mental disorders, and know when to refer on.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/01/2018 11:54:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

820898

registered interest
date	11/01/2018
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	Lumacaftor/ivacaftor
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 number of people with cystic fibrosis who would be eligible for treatment with the drug Orkambi if it were available on the NHS.
tabling member constituency	Glasgow East
tabling member printed	David Linden
uin	122316
answer	answer is ministerial correction date of answer 19/01/2018 answer text <p>The number of patients aged 12 and over with cystic fibrosis homozygous for the F508del mutation, in the National Institute for Health and Care Excellence’s (NICE) guidance, that might be eligible for treatment with Orkambi (lumacaftor-ivacaftor) under its marketing authorisation was estimated to be approximately 4,000 during the topic selection considerations that led to the referral of Orkambi to NICE.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/01/2018 11:37:15 answering member 4067 label Biography information for Steve Brine
tabling member	4640 label Biography information for David Linden

819799

registered interest
date	10/01/2018
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	Breast Cancer: Screening
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 uses artificial intelligence to spot breast Cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121871
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>We are aware of a study at the Massachusetts Institute of Technology into Artificial Intelligence (AI) in diagnosing breast cancer in women. Modern digital pathology techniques have created the opportunity to produce AI-based algorithms that could provide grading of tumours and prognostic insights that are not currently available through conventional methodology. However, the future availability of any new or novel tests on the National Health Service would be subject to large scale clinical trials demonstrating the safety and efficacy of the diagnostic approach and subsequent assessments of its cost effectiveness for routine use. Through its technology appraisal programme, the National Institute for Health and Care Excellence (NICE) provides authoritative, evidence-based guidance for the NHS on whether drugs and other treatments represent an effective use of NHS resources. NHS commissioners are legally required to fund drugs and treatments recommended by NICE within three months of final guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2018 14:04:56 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

819800

registered interest
date	10/01/2018
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	Hospitals: Staff
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 ensure sufficient staff in hospitals during statutory holiday periods.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121872
answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>In the autumn Budget the Government allocated £337 million available immediately, to allow trusts to improve resilience this winter. The package includes more hospital beds, community services, mental health services and urgent general practitioner appointments to manage the expected rise in demand.</p><p> </p><p>The Government expects National Health Service trusts to ensure they have the right staff, with the right skills in place at the right time including during statutory holiday periods. The National Quality Board for England has issued guidance to support trusts as they discharge this responsibility through their own local processes.</p><p> </p><p>NHS Improvement issued rostering guidance in 2016, identifying best practice in this area. The document is available at:</p><p> </p><p><a href="https://improvement.nhs.uk/uploads/documents/Rostering_Good_Practice_Guidance_Final_v2.pdf" target="_blank">https://improvement.nhs.uk/uploads/documents/Rostering_Good_Practice_Guidance_Final_v2.pdf</a></p><p> </p><p>In many cases, the Christmas holidays are the most challenging and trusts often have additional policy to ensure that during this period additional leave is not agreed.</p><p> </p><p>Appropriate staffing levels are a core element of the Care Quality Commission’s registration regime and the Chief Inspector of Hospitals can also take action if hospitals are found to be compromising patient care by not having the right number or mix of staff on wards.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 16/01/2018 15:03:18 answering member 4095 label Biography information for Steve Barclay
tabling member	4131 label Biography information for Jim Shannon

819984

registered interest
date	10/01/2018
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	NHS: Directors
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 his answer of 4 December 2017 to Question 115611 on NHS: Directors, when he plans to publish the information for 2016-17.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	122056
answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>Information on above inflation salary increases or bonus schemes for National Health Service Directors in NHS ambulance trusts and NHS community trusts in 2016/17 will be published in the trusts’ annual accounts as part of information on board remuneration.</p><p> </p><p>NHS Improvement collects information on salary increases or bonus schemes for NHS Directors in ambulance trusts and NHS community trusts and returns received to date for 2016/17 are set out in the table below.</p><p> </p><table><tbody><tr><td><p>NHS Body</p></td><td><p>Number of Bonuses</p></td><td><p>Total £</p></td></tr><tr><td><p>NHS Ambulance Trusts</p></td><td><p>2</p></td><td><p>£8,545</p></td></tr><tr><td><p>NHS Community Trusts</p></td><td><p>1</p></td><td><p>£7,698</p></td></tr></tbody></table> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 16/01/2018 15:06:39 answering member 4095 label Biography information for Steve Barclay
tabling member	4418 label Biography information for Justin Madders

820001

registered interest
date	10/01/2018
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	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what his policy is on the use of patient support programmes in the NHS.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	122073
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>NHS England recognises patient support programmes, including patient groups, have an important role to play as advocates and in the process, provide peer to peer support for patients. Patient groups are actively involved in NHS England’s programme of work to support implementation of its commissioning framework. NHS England is committed to continuing a collaborative working relationship with patient groups and recognises the important role they will play in supporting patients.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 122075 question first answered 18/01/2018 15:29:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1583 label Biography information for Ms Lyn Brown

820006

registered interest
date	10/01/2018
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	Radiology
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 his announcement of 5 December 2017, that the NHS will employ 300 additional radiologists in connection with the Cancer Workforce Plan, whether any of those positions will be for interventional neuroradiologists trained to perform procedures including mechanical thrombectomy.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	122078
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>Health Education England (HEE) published the Cancer Workforce Plan in December 2017 and set out that HEE will invest in 300 reporting radiographers and 668 more clinical radiologists by 2021. At this stage and until training has been commenced it is not known how many of the radiology positions will be taken up by the subspecialty of interventional neuroradiology.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2018 14:14:03 answering member 4067 label Biography information for Steve Brine
tabling member	1583 label Biography information for Ms Lyn Brown

818982

registered interest
date	09/01/2018
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	Alcoholic Drinks: Labelling
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 likely effects of introducing warnings on alcoholic products at the point of sale on a link between alcohol and cancer and other health matters.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	121659
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Public Health England’s evidence review on the public health burden of alcohol found that alcohol health warning labels on alcoholic products can raise awareness of the messages they contain. However, the evidence review did not identify any studies which considered the specific impact of warnings at the point of sale on the link between alcohol and cancer and other health harms. The review is available at the following link:</p><p><a href="http://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review" target="_blank">www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:28:32 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

819013

registered interest
date	09/01/2018
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	Tamoxifen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what advice the NHS provides on the use of Tamoxifen for menopausal women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	121690
answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for providing guidance on the prevention and treatment of ill health and the promotion of good health and social care for the National Health Service. NICE has provided recommendations on the use of tamoxifen in its clinical guideline on ‘Early and locally advanced breast cancer: diagnosis and treatment’ which is currently being updated. The guideline can be found at:</p><p><a href="https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy" target="_blank">https://www.nice.org.uk/guidance/cg80/chapter/1-Guidance#endocrine-therapy</a></p><p>The Breast Cancer Clinical Expert Group also issued guidance to Cancer Alliances for Provision of Breast Cancer Services, in August 2017. This guidance includes best practice for the provision of tamoxifen, and can be found at:</p><p><a href="http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf" target="_blank">http://www.yhscn.nhs.uk/media/PDFs/cancer/National%20Optimal%20Pways%202017/Clinical%20Advice%20for%20the%20Provision%20of%20Breast%20Cancer%20Services%20Aug%202017.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 14:59:26 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon