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1058809

registered interest
date	11/02/2019
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	Preventive Medicine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the Government plans to publish the prevention green paper.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	219457
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>I refer the hon. Member to the answer I gave to the hon. Member for Glasgow Central (Alison Thewliss MP) on 16 January to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-09/206879/" target="_blank">206879</a>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 12:00:51 answering member 4067 label Biography information for Steve Brine
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1057071

registered interest
date	08/02/2019
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	Accident and Emergency Departments: North West
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 achieve the 95 per cent four-hour A&E waiting time in (a) Merseyside and (b) the North West.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	218762
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The NHS Improvement Emergency Care Intensive Support Team is currently working to provide specialist support to systems across the North West region. Six trusts<sup>1 </sup>with challenged Emergency Departments routinely reporting ambulance-hospital handover delays are engaging with North West Ambulance Service as part of an initial 90-day improvement programme, which has now been extended further. In addition, eight trusts<sup>2 </sup>have received Urgent and Emergency Care capital investment this winter to make improvements to accident and emergency.</p><p> </p><p>NHS England’s ‘Operational and Planning Guidance for 2019/20’ sets out deliverables against key performance areas and the Government expects the National Health Service to deliver these actions in full as key steps towards fully recovering performance against core access standards.</p><p><strong> </strong></p><p>Notes:</p><p><sup>1</sup>Blackpool Teaching Hospitals NHS Foundation Trust, East Lancashire Hospital NHS Trust, Lancashire Teaching Hospitals Trust, Aintree University Hospital NHS Foundation Trust, Wirral University Teaching Hospital NHS Foundation Trust, and Wrightington, Wigan and Leigh NHS Foundation Trust.</p><p><sup>2</sup>Aintree University Hospital NHS Foundation Trust, Countess of Chester Hospital NHS Foundation Trust, Southport and Ormskirk Hospital NHS Trust, Wirral University Teaching NHS Foundation Trust, Lancashire Teaching Hospitals Trust, University Hospitals of Morecambe Bay, Stockport NHS Foundation Trust, and Tameside and Glossop Integrated Care NHS Foundation Trust.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 15:07:40 answering member 1585 label Biography information for Stephen Hammond
tabling member	491 label Biography information for Dame Angela Eagle

1057105

registered interest
date	08/02/2019
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	Pharmacy: Finance
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 10 January 2019 to Question 205889, if his Department will include the clawback rate in the calculations for the average fee per prescription for a pharmacy which (a) dispensed an average mean number of prescription items in 2017-18, (b) dispensed the highest number of prescription items in 2017-18, (c) dispensed the lowest number of prescription items in 2017-18 and (d) is in the bottom quartile of all pharmacies for the number of prescription items it dispensed in 2017-18.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	218776
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The answer given to Question 205889 was in relation to fees, which remunerate pharmacy contractors for National Health Service pharmaceutical services, for example dispensing. Clawback, alternatively referred to as the deduction scale, relates to reimbursement, i.e. payment for dispensed products. Therefore it was not included in the figures which were given in the answer to that question, it would be inappropriate to include clawback in the calculations involving fees.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218775 question first answered 13/02/2019 16:32:32 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1056692

registered interest
date	07/02/2019
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	Multiple Sclerosis: Stem Cells
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 effect of NHS England’s decision not to allow GPs to refer patients for Stem Cell treatment for MS on (a) patient health and (b) West Lancashire constituent Ms Townsend's (i) halted treatment and (b) recovery.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	218238
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>NHS England first published its commissioning policy in 2013, revised in 2015, which permits access to autologous haematopoietic stem cell transplant (HSCT) as a clinical option for some patients with multiple sclerosis (MS). The commissioning policy is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/b04-haematp-stem-cll-transplt.pdf" target="_blank">https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/b04-haematp-stem-cll-transplt.pdf</a></p><p> </p><p>As with any HSCT there are risks to the procedure and when considering this treatment for patients with MS the balance of risk and benefit must be carefully assessed for each patient. Neurologists and transplant doctors in the United Kingdom are guided by the recommendations of the European Society for Blood and Marrow Transplantation, published in 2012, and the guidance of the British Society of Blood and Marrow Transplantation when considering the suitability of transplant. These criteria restrict the use of autologous HSCT to a small group of MS patients with high levels of inflammatory activity despite one or more approved disease modifying therapies and very rare patients with 'malignant' forms of MS. Patients should be assessed by both MS and transplant specialists.</p><p> </p><p>Neurologist and transplant doctors should be guided by these recommendations and decisions related to a patient’s care are a matter for clinicians.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 218236 218237 question first answered 12/02/2019 16:26:03 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1538 label Biography information for Rosie Cooper

1056741

registered interest
date	07/02/2019
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	Electronic Cigarettes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress he has made on implementing the recommendations accepted by the Government in its response to the Science and Technology Committee's Seventh Report of Session 2017-19 on E-cigarettes, HC505.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	218245
answer	answer is ministerial correction date of answer 15/02/2019 answer text <p>The Government published its response to the Science and Technology Committee on the 10 December 2018. Good progress is being made on implementing the report’s recommendations: for example, Public Health England will publish its latest annual evidence review on e-cigarettes by the end of March 2019 and NHS England is developing guidance on e-cigarettes for mental health trusts. The Department will continue to monitor progress as part of its monitoring of the delivery of the Tobacco Control Plan for England.</p><p> </p><p>The Government believes in proportionate regulation of e-cigarettes, recognising that they are not risk-free. Through the European Union Tobacco Products Directive 2014/40/EU (TPD), transposed into United Kingdom law by the UK Tobacco and Related Products Regulations 2016 (TRPR), we have introduced measures to regulate e-cigarettes to reduce the risk of harm to children, protect against any risk of renormalisation of tobacco use, provide assurance on relative safety for users, and give businesses legal certainty. This has enabled the UK to implement appropriate standards for products whilst allowing smokers to move to e-cigarettes should they wish.</p><p> </p><p>While the UK Government is a member of the EU it will continue to comply with the requirements of the EU’s TPD. The Government has made a commitment to review the TRPR by May 2021 to consider its regulatory impact. In addition, as announced in the Tobacco Control Plan the Government will review where the UK’s exit from the EU offers us opportunities to re-appraise current regulation to ensure this continues to protect the nation’s health.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218246 question first answered 15/02/2019 11:10:04 answering member 4067 label Biography information for Steve Brine
tabling member	1586 label Biography information for Adam Afriyie

1056768

registered interest
date	07/02/2019
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	Dental Services: 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, with reference to the announcement entitled Dentists welcome official investigation into fines hitting vulnerable NHS patients, published by the British Dental Association on 30 January 2019, what steps his Department is taking to ensure that patients ticking the wrong box for free dental care does not negatively affect vulnerable patients.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	218313
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and has been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218312 question first answered 12/02/2019 15:25:29 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1055798

registered interest
date	06/02/2019
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	Dermatology: Vacancies
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 effect of workforce shortages in the NHS on the delivery of dermatology services.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	217639
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>It is the responsibility of National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.</p><p> </p><p>Dermatology is a highly competitive specialty training pathway and often oversubscribed. Nationally and locally there has been a 100% fill rate in dermatology training for the past four years. In May 2010 there were 464 full time equivalent dermatologists (doctors at the consultant grade) and in October 2018 there were 577 full time equivalent dermatologists – a 24% increase.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p> </p><p>Baroness Harding will present initial recommendations to the Department in spring 2019. A final workforce implementation plan will follow later in the year, taking into account the outcomes of the Spending Review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 14:57:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1055819

registered interest
date	06/02/2019
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	NHS: Members' Constituency Work
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 21 January 2019 to Question 209287 on NHS: Members' Constituency Work, when the NHS started to require hon. Members to have signed authority before replying to such Members on issues raised by constituents.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	217477
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>As set out in the answer of 21 January 2019 to Question 209287, there has been no change in policy with regards to obtaining consent of a patient for the purposes of an inquiry or investigation.</p><p> </p><p>Paragraph 24 of Schedule 1 to the Data Protection Act 2018 sets out the circumstances in which special categories of personal data, which would include health data, can be disclosed to Members of Parliament without the controller - here, the National Health Service body - having to obtain explicit consent from the data subject. This is discussed in the House of Commons Briefing Paper, Number 1,936 of 31 October 2018 ‘Data protection: constituency casework’ at the following link:</p><p> </p><p><a href="http://researchbriefings.files.parliament.uk/documents/SN01936/SN01936.pdf" target="_blank">http://researchbriefings.files.parliament.uk/documents/SN01936/SN01936.pdf</a></p><p> </p><p>However, it remains the responsibility of the National Health Service body to satisfy itself that there is a legal basis under the General Data Protection Regulation/Data Protection Act for processing patient information (i.e. disclosing and sharing it for the purposes of the investigation).</p><p> </p><p>In the earlier answers to Questions 209287 and <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=208761" target="_blank">208761</a>, we said that a National Health Service body ‘must’ obtain the consent of the patient before disclosing patient information held by it in order to progress an inquiry from a Member of Parliament. There are circumstances in which a National Health Service body may provide patient information to a Member of Parliament without the Member evidencing the consent of the patient, so long as that information is provided in accordance with the requirements set out in paragraph 24 of Schedule 1 to the Data Protection Act 2018. We are arranging for the record to be corrected.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/02/2019 16:44:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	432 label Biography information for Helen Jones

1055966

registered interest
date	06/02/2019
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	NHS: Vacancies
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 Answer of 30 January 2019 to Question 214461, what comparative estimate his Department has made of cost of filing 80 per cent of nursing and 85 per cent of medical vacancies with (a) the bank and agency staff and (b) permanent staff members.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	217436
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>We do not currently have clear estimates of the comparative cost of filling National Health Service vacancies with permanent rather than bank and agency staff. However, we do recognise that the cost of meeting the current level of staff shortages through bank and agency is greater than if those vacancies were filled by permanent staff. This is why we are working hard to boost NHS recruitment and reduce reliance on expensive agency workers.</p><p> </p><p>The Department has provided a 25% increase in funding available for training places for doctors and nurses from September 2018. There are currently over 52,000 nurses in undergraduate training, over 30,000 doctors in undergraduate training, and over 50,000 doctors in foundation and specialty postgraduate medical training. The Department is continuing to work closely with universities and stakeholders to ensure the uptake of additional training places.</p><p> </p><p>We are also working with NHS Improvement to implement a number of measures to reduce agency expenditure and ensure that trusts have effective and efficient banks. As a result of this work, total agency expenditure across NHS trusts in England 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> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/02/2019 11:55:07 answering member 1585 label Biography information for Stephen Hammond
tabling member	298 label Biography information for Steve McCabe

1056832

registered interest
date	06/02/2019
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	Food: Nitrates
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 it his policy to require manufacturers to reduce the level of nitrates in processed foods; and if he will make a statement.
tabling member constituency	East Yorkshire
tabling member printed	Sir Greg Knight
uin	218218
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Legislation on preservatives sets levels for nitrates in specific foods. These levels are based on extensive scientific evidence that ensures that such additives may be consumed safely over a lifetime and allows the achievement of their necessary technological function.</p><p> </p><p>The Food Standards Agency considers the current scientific evidence on nitrates is robust and shows nitrates continue to be highly effective in protecting consumers from dangerous pathogens like Clostridium botulinum which can present a serious risk to health.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:47:38 answering member 4067 label Biography information for Steve Brine
tabling member	1200 label Biography information for Sir Greg Knight