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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

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

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

1055260

registered interest
date	05/02/2019
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	Mental 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, pursuant to the Answer of 24 January 2019 to Question 209278 on Mental Health Services, (a) what proportion of people aged 18 and over in contact with National Health Service-funded secondary mental health services the 4,224 figure represents and (b) how his Department defines a speech related disability.
tabling member constituency	Swansea West
tabling member printed	Geraint Davies
uin	216910
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>At the end of October 2018, 941,561 people were recorded as being in contact with National Health Service-funded mental health services and aged 18 and over. Therefore, the figure of 4,224, for people who were also recorded as having a speech related disability, represents 0.45% of the total.</p><p> </p><p>The data is sourced from the Mental Health Services Dataset (MHSDS). In the MHSDS User Guidance, the specific Code used to record speech related disabilities defines its use as appropriate in cases where “the patient has difficulty speaking or using language to communicate or make their needs known”. The guidance is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-sets/mental-health-services-data-set/mental-health-services-data-set-specifications-and-guidance" target="_blank">https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-sets/mental-health-services-data-set/mental-health-services-data-set-specifications-and-guidance</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/02/2019 15:09:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	155 label Biography information for Geraint Davies

1054592

registered interest
date	04/02/2019
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	Israel: Drugs
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 advances in medicines by Israel are shared with the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	216252
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>Work with Israel on medicines is led by the British Embassy in Tel Aviv, which actively seeks opportunities to create United Kingdom-Israel partnerships in the medical field. An example of collaboration on medicines is BIRAX – a bilateral research fund active since 2015 with £10 million in mainly private funding for academic partnerships between the UK and Israel. The first three years focussed on regenerative medicine; the next stage is ageing with projects to be announced in the next few months.</p><p> </p><p>More broadly, the Embassy is working on other initiatives to foster UK-Israeli collaboration on health. For example, the UK Israel Tech Hub helps to create tech and innovation partnerships across several sectors, including healthcare.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/02/2019 15:36:01 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1054561

registered interest
date	01/02/2019
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	Radiography: Training
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 steps he has taken to tackle reductions in the number of applicants to radiography courses since the end of the NHS bursaries for those courses.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	216167
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The NHS Long Term Plan, published on 7 January 2019, sets out a vital strategic framework to ensure that over the next 10 years the National Health Service will have the staff it needs.</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>Radiotherapy degree courses are three years in length, therefore students affected by the changes to the education funding system from 2017 will not have completed courses funded by loans to enable an assessment of the effect of the removal of bursaries on this profession.</p><p> </p><p>The Cancer Workforce Plan Phase 1, included a target of upskilling 300 more radiographers in image interpretation and reporting by 2021. Currently, 88 individuals have started training programmes towards this, 62 will start in January, and a further 150 during 2019/20.</p><p> </p><p>Phase 2 of the Cancer Workforce Plan will follow the Workforce Implementation Plan published later in 2019.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 216168 question first answered 07/02/2019 17:28:08 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1052190

registered interest
date	31/01/2019
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	Bowel 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, what assessment his Department have made of the effect of delays to the introduction of the faecal immunochemical test to the Bowel Cancer Screening Programme on (a) the diagnosis rates of Bowel Cancer at (i) stage one, (ii) stage two, (iii) stage three and (iv) stage four and (b) the mortality rates of bowel cancer in England.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	215181
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>There has been no assessment of the effect of delays to the introduction of faecal immunochemical test to the Bowel Cancer Screening Programme on the diagnosis rates of Bowel Cancer at stage one, stage two, stage three and stage four, or on the mortality rates of bowel cancer in England.</p><p> </p><p>The National Health Service in England already has a world class bowel cancer screening programme for people aged 60-74 years, with survival rates improving year on year. Regular bowel cancer screening has been shown to reduce the risk of dying from bowel cancer by 16%, and around 60% of bowel cancer patients now survive five years or more compared to around 25% 40 years ago. Over 95% of men and women survive for five years or more if their bowel cancer is diagnosed at stage one.</p><p> </p><p>The NHS Long Term Plan includes a proposal to modernise the bowel cancer screening programme to detect more cancers earlier and faecal immunochemical testing at 120ug/g will be integrated into the programme from April 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 15:19:47 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1052352

registered interest
date	31/01/2019
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	Perfluorooctanoic Acid: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information Public Health England holds on research on the health effects of emissions of perfluorooctanoic acid from waste incinerators.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	215079
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>Public Health England holds little information on emissions of perfluorooctanoic acid from waste incinerators, and no papers on any potential associated health effects.</p><p> </p><p>The available literature suggests that perfluorinated chemicals are destroyed as part of the incineration process, and nor does combustion lead to formation of perfluorooctanoic acid. As such incineration is not expected to be a source of this substance in the environment and there would not be a pathway through which health effects could occur.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2019 12:31:49 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1051294

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	Incinerators: Air Pollution
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether Public Health England assesses evidence submitted by applicants for planning permission of the projected or estimated effect of waste incinerators on (a) air quality and (b) human health of future emissions (i) PM0.1 (ii) PM1 and (iii) PM 2.5.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	214454
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Public Health England (PHE) is not a statutory consultee under the planning regime. Local authority planners should consider consulting the Director of Public Health on any planning applications (including at the pre-application stage) that are likely to have a significant impact on the health and wellbeing of the local population or particular groups within it. This guidance can be viewed at the following links:</p><p> </p><p><a href="https://www.gov.uk/guidance/consultation-and-pre-decision-matters#Statutory-consultees-on-applications" target="_blank">https://www.gov.uk/guidance/consultation-and-pre-decision-matters#Statutory-consultees-on-applications</a></p><p> </p><p><a href="https://www.gov.uk/guidance/health-and-wellbeing#health-organisation-contact" target="_blank">https://www.gov.uk/guidance/health-and-wellbeing#health-organisation-contact</a>.</p><p> </p><p>Where consulted on planning applications, PHE takes the view that emissions from such plants are best considered as part of the associated environmental permit application. PHE is consulted by the Environment Agency and provides an independent opinion on all bespoke environmental permit applications, such as municipal waste incinerators, with regard to public health impacts. These assessments cover a range of emissions to air, water and land, including but not exclusively particulate matter. The role of PHE can be viewed at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/477277/Environmental_permitting_guide_Nov_2015.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/477277/Environmental_permitting_guide_Nov_2015.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 13:43:15 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1051317

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	Foetuses: Surgery
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, Spinal surgery for babies in the womb on the NHS, published by NHS England in December 2018, whether painkillers will be administered to the unborn baby; and at what age unborn babies will have that surgery.
tabling member constituency	Gainsborough
tabling member printed	Sir Edward Leigh
uin	214478
answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Spinal surgery for spina bifida for babies in the womb is among new, innovative treatments that will be routinely available on the National Health Service for the first time.</p><p> </p><p>The procedure for unborn children with spina bifida, whose spine and spinal cord do not develop properly, allows pregnant women to be treated closer to home and their families.</p><p> </p><p>Pain relief for the unborn baby will be delivered intra-operatively. This is administered before the fetal surgery, after the uterus is opened. The fetus will be monitored during the procedure by ultrasound to check the fetal heart rate. The surgery takes place between 20 and 26 weeks of gestation.</p><p> </p><p>This proposed new treatment was independently assessed for its clinical benefit and cost by the Clinical Priorities Advisory Group comprising doctors, health experts and patient representatives.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/02/2019 16:35:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	345 label Biography information for Sir Edward Leigh