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1109014

registered interest
date	02/04/2019
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	Obesity
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 he is taking to increase access to Tier 3 obesity services.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240051
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>Public Health England has been working with NHS England to support approaches to obesity as part of the NHS Long Term Plan. The NHS Long Term Plan has a number of different actions to support the drive to reduce obesity, including investment in tier 3 services for both children and adults and plans are in development for this expansion. This will result in, for example, a further 1,000 children a year being treated by 2022/23 for severe complications related to obesity.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:35:00 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109016

registered interest
date	02/04/2019
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	Obesity
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 he has taken to establish the cost of obesity to the (a) NHS, (b) social services and (c) the wider economy.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240052
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’ estimated that overweight and obesity cost the National Health Service in the United Kingdom £5.1 billion per year. This figure was uplifted to £6.1 billion in 2014/15 to take account of inflation.</p><p> </p><p>The Foresight team published ‘Tackling Obesities: Future Choices in 2007’. This estimated the annual costs of overweight and obesity to society and the economy as £27 billion in 2015, based on obesity prevalence at the time. In 2014 the McKinsey Global Institute estimated the cost of obesity to the UK economy as £46 billion per year.</p><p> </p><p>No further estimates of the costs of obesity are planned or have been made centrally.</p><p> </p><p>Copies of ‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’; ‘Tackling Obesities: Future Choices’; and the McKinsey Global Institute’s report ‘Overcoming obesity: An initial economic analysis’ are available at the following links:</p><p> </p><p><a href="https://academic.oup.com/jpubhealth/article/33/4/527/1568587" target="_blank">https://academic.oup.com/jpubhealth/article/33/4/527/1568587</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/reducing-obesity-future-choices" target="_blank">https://www.gov.uk/government/publications/reducing-obesity-future-choices</a></p><p> </p><p><a href="http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity" target="_blank">www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240053 question first answered 10/04/2019 13:47:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109017

registered interest
date	02/04/2019
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	Obesity
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 make an assessment of the cost of obesity to the (a) NHS, (b) social services and (c) wider economy.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240053
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’ estimated that overweight and obesity cost the National Health Service in the United Kingdom £5.1 billion per year. This figure was uplifted to £6.1 billion in 2014/15 to take account of inflation.</p><p> </p><p>The Foresight team published ‘Tackling Obesities: Future Choices in 2007’. This estimated the annual costs of overweight and obesity to society and the economy as £27 billion in 2015, based on obesity prevalence at the time. In 2014 the McKinsey Global Institute estimated the cost of obesity to the UK economy as £46 billion per year.</p><p> </p><p>No further estimates of the costs of obesity are planned or have been made centrally.</p><p> </p><p>Copies of ‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’; ‘Tackling Obesities: Future Choices’; and the McKinsey Global Institute’s report ‘Overcoming obesity: An initial economic analysis’ are available at the following links:</p><p> </p><p><a href="https://academic.oup.com/jpubhealth/article/33/4/527/1568587" target="_blank">https://academic.oup.com/jpubhealth/article/33/4/527/1568587</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/reducing-obesity-future-choices" target="_blank">https://www.gov.uk/government/publications/reducing-obesity-future-choices</a></p><p> </p><p><a href="http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity" target="_blank">www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240052 question first answered 10/04/2019 13:47:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109018

registered interest
date	02/04/2019
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	Obesity
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 27 March 2018 to Question 133501 on obesity, for what reason his Department does not hold information on the number of tier three obesity services commissioned by clinical commissioning groups or local authorities; and whether he plans to collate that information.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240054
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>It would not be cost-effective for the Department to collect data on every clinical intervention, including information on tier three obesity services commissioned by clinical commissioning groups or local authorities.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:36:07 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1061143

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	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, with reference to page 110 of the NHS Long Term Plan, published in January 2019, what steps he plans to take to ensure that those responsible for developing Local Plans consult with relevant stakeholders; and if he will make a statement.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	221808
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>The National Implementation Framework, to be published in the spring, will provide further information on how the NHS Long Term Plan will be delivered. As local areas begin to develop their implementation plans, staff, patients, the public and other stakeholders will have the opportunity to help local organisations determine what the NHS Long Term Plan means for their area, and how services need to adapt and improve in the short and medium term.</p><p>NHS England is asking local health systems to start this engagement soon and expect local politicians to have an opportunity to be involved in this, as well as other local stakeholders, local partners, communities, service users and patients.</p><p>Nationally, the National Health Service is working with Healthwatch England and the Voluntary and Community Sector Health and Wellbeing Alliance to provide additional support to local systems in their engagement with local communities.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/02/2019 15:21:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	4532 label Biography information for Derek Thomas

1061144

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	Integrated Care Systems
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 NHS Long Term Plan, published in January 2019, what the organisational structure will be for Integrated Care Systems; and if he will make a statement.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	221809
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Integrated Care System (ICSs) build on the progress already made by Sustainability and Transformation Partnerships.</p><p>As the NHS Long Term Plan set out, every ICS will have a partnership board drawn from commissioners, primary care networks and local authorities, a non-executive chair and clinical members drawn from across their constituent organisations. The Long Term Plan sets out the ambition that the whole country will be covered by a ICS by April 2021.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/02/2019 07:36:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	4532 label Biography information for Derek Thomas

1051336

registered interest
date	30/01/2019
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	Autoimmune 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 estimate he has made of the annual cost to the public purse of treating and managing (a) rheumatoid arthritis, (b) inflammatory bowel disease and (c) psoriasis.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	214623
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>No specific estimate has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:23:09 answering member 4067 label Biography information for Steve Brine
tabling member	4532 label Biography information for Derek Thomas

1051337

registered interest
date	30/01/2019
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	Out-patients
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when his Department plans to launch its review of outpatient services; and if his Department will include in that review services for (a) rheumatoid arthritis, (b) inflammatory bowel disease, (c) psoriasis and (d) other immune-mediated inflammatory conditions.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	214624
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The Long Term Plan identifies the need to “redesign services so that over the next five years, patients will be able to avoid up to a third of face-to-face outpatient visits, removing the need for up to 30 million outpatient visits a year”. The work on outpatients is aimed at improving the patient experience, simplifying the process and where appropriate, enabling digital alternatives to attending a clinic in person.</p><p> </p><p>The implementation plan for delivering the Long Term Plan and this commitment is in the process of being developed and will build on:</p><p>- The work hospitals are already developing in new models of care such as in Tower Hamlets Chronic Kidney Disease e-Clinics;</p><p>- The elective care transformation programme’s extensive work reviewing different models of outpatients across various specialties and the work to review productivity, capacity and shift to digital; and</p><p>- Clinical improvement identified by the Getting It Right First Time programme.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:48:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	4532 label Biography information for Derek Thomas

1051338

registered interest
date	30/01/2019
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	Autoimmune Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether (a) his Department and (b) NHS England have made a comparative assessment of the effectiveness of treating immune-mediated inflammatory conditions (i) holistically and (ii) according to the physical location of the inflammation; and if he will make a statement.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	214625
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>No specific assessment has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:21:20 answering member 4067 label Biography information for Steve Brine
tabling member	4532 label Biography information for Derek Thomas

1020221

registered interest
date	05/12/2018
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	Brain: Tumours
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 brain tumour research applications have been received by the National Institute of Health Research to date.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	199466
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>In May the Government announced £40 million over the next five years for brain tumour research as part of the Dame Tessa Jowell Brain Cancer Mission.</p><p> </p><p>Funding will be invested through the National Institute for Health Research (NIHR) to support a wide range of research from early translation (experimental medicine) through clinical and on to applied research, and we rely on researchers to submit high-quality research proposals in this complex area.</p><p> </p><p>The following table shows the amount of applications received since the NIHR was established:</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Successful</p></td><td><p>Unsuccessful</p></td><td><p>Miscellaneous*</p></td><td><p>Total Applications</p></td></tr><tr><td><p>2003/04</p></td><td><p> </p></td><td><p>1</p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p>2005/06</p></td><td><p>1</p></td><td><p> </p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p>2006/07</p></td><td><p> </p></td><td><p>1</p></td><td><p> </p></td><td><p>1</p></td></tr><tr><td><p>2007/08</p></td><td><p>1</p></td><td><p>4</p></td><td><p> </p></td><td><p>5</p></td></tr><tr><td><p>2008/09</p></td><td><p>1</p></td><td><p>3</p></td><td><p> </p></td><td><p>4</p></td></tr><tr><td><p>2009/10</p></td><td><p> </p></td><td><p>9</p></td><td><p> </p></td><td><p>9</p></td></tr><tr><td><p>2010/11</p></td><td><p>1</p></td><td><p>9</p></td><td><p> </p></td><td><p>10</p></td></tr><tr><td><p>2011/12</p></td><td><p>1</p></td><td><p>1</p></td><td><p>1</p></td><td><p>3</p></td></tr><tr><td><p>2012/13</p></td><td><p>3</p></td><td><p>6</p></td><td><p>1</p></td><td><p>10</p></td></tr><tr><td><p>2013/14</p></td><td><p>1</p></td><td><p>4</p></td><td><p> </p></td><td><p>5</p></td></tr><tr><td><p>2014/15</p></td><td><p>1</p></td><td><p>7</p></td><td><p>2</p></td><td><p>10</p></td></tr><tr><td><p>2015/16</p></td><td><p> </p></td><td><p>6</p></td><td><p> </p></td><td><p>6</p></td></tr><tr><td><p>2016/17</p></td><td><p>5</p></td><td><p>12</p></td><td><p>1</p></td><td><p>18</p></td></tr><tr><td><p>2017/18</p></td><td><p> </p></td><td><p>10</p></td><td><p> </p></td><td><p>10</p></td></tr><tr><td><p>2018/19 (year to date)</p></td><td><p>2</p></td><td><p>10</p></td><td><p>8</p></td><td><p>20</p></td></tr><tr><td><p>Grand Total</p></td><td><p>17</p></td><td><p>83</p></td><td><p>13</p></td><td><p>113</p></td></tr></tbody></table><p> </p><p>Note:</p><p>Miscellaneous*- under consideration / withdrawn / other</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 12/12/2018 15:35:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4532 label Biography information for Derek Thomas