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637826

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tobacco: EU Law
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the potential effects of the introduction of the EU Tobacco Products Directive; and whether he has made an assessment of the removal of small and flavoured packs that was not part of the original impact assessment for that Directive.
tabling member constituency	Aldershot
tabling member printed	Sir Gerald Howarth
uin	53346
answer	answer is ministerial correction date of answer 22/11/2016 answer text <p>The Impact Assessment published alongside the Tobacco and Related Products Regulations 2016 at:</p><p><a href="http://www.legislation.gov.uk" target="_blank">www.legislation.gov.uk</a></p><p> </p><p>sets out the Government’s view on the likely impact of the Directive, including an assessment of the removal of small and flavoured packs.</p><p> </p><p>The Department is committed to a full statutory review of the functioning of the Tobacco and Related Products Regulations, which implement the European Union Tobacco Products Directive, within five years of entering into force. The statutory review must be accompanied by an Impact Assessment.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 53345 question first answered 22/11/2016 14:32:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	47 label Biography information for Sir Gerald Howarth

637833

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Home Care Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that local authorities do not commission 15-minute homecare visits for personal care in the circumstances set out as not appropriate for such a length of visit in paragraph 4.101 of the Department of Health's Care and Support Statutory Guidance.
tabling member constituency	Erith and Thamesmead
tabling member printed	Teresa Pearce
uin	53192
answer	answer is ministerial correction date of answer 23/11/2016 answer text <p>The statutory guidance to the Care Act 2014 is clear that local authorities should commission services to meet the needs of individuals and that very short home care visits would not normally be compatible with high quality care.</p><p> </p><p>Local authorities are responsible for commissioning decisions, accountable to their local populations through elected members. The Government does not routinely intervene in individual decisions, but both the Government and the Association of Directors of Adult Social Services (ADASS) agree that inappropriately short home care visits are unacceptable.</p><p> </p><p>The Department has worked with local government and the care sector to develop and encourage good practice in commissioning and managing local markets. A suite of guidance is now available at the online Hub that is now published on GOV.UK under market shaping and commissioning.</p><p> </p><p>In particular, the guidance ‘Commissioning for Better Outcomes’ (under Resources for Commissioners) is being actively used in the sector to improve commissioning and directly asks commissioners to review how short home care visits are used.</p><p> </p><p>We are working with the Local Government Association (LGA) and ADASS through a sector-led improvement approach to encourage best practice and improve local commissioning skills. Specifically, the Department funds the LGA to deliver the Care Health Improvement Programme.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 23/11/2016 16:09:19 answering member 4080 label Biography information for David Mowat
tabling member	4003 label Biography information for Teresa Pearce

637907

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Carbon Monoxide: Poisoning
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will direct NHS England to develop a specialist referral clinic to support and treat people with persisting mild to moderate cognitive and neurobehavioral problems as a result of exposure to carbon monoxide.
tabling member constituency	Weaver Vale
tabling member printed	Graham Evans
uin	53392
answer	answer is ministerial correction date of answer 22/11/2016 answer text <p>Commissioning of services to support and treat people with persisting mild to moderate cognitive and neurobehavioral problems would be the commissioning responsibility of clinical commissioning groups. Specialised cognitive and neurobehavioural services already exist for brain injury and are included in the NHS England specialised neurorehabilitation service specification. The Department’s activity focuses on raising awareness amongst the public and medical professionals to the dangers of carbon monoxide poisoning.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 22/11/2016 14:25:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4081 label Biography information for Lord Evans of Rainow

637908

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the Congenital Clinical Reference Group which advised the Clinical Advisory Panel leading the NHS Review into congenital heart disease services advised that the co-location of pediatric services should reflect the availability of services and that those could be co-located on different, by closed sites.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	53383
answer	answer is ministerial correction date of answer 24/11/2016 answer text <p>The new standards for congenital heart disease services were initially drafted by the Standards Group, which was convened for that purpose, and not by the Clinical Reference Group (CRG). This was because work on the standards started before the formation of NHS England and the CRG system.</p><p> </p><p>The draft standards, prepared by the Standards Group and considered by the Clinical Advisory Panel, listed fewer paediatric specialties in the category that ‘must’ be co-located on the same hospital site with paediatric cardiac services and more in the category that ‘should’ be co-located on the same hospital site than in the final standards as agreed by the NHS England Board.</p><p> </p><p>The Standards Group did not advise the Clinical Advisory Panel that the standards should reflect the existing availability of services. It has always been recognised that the standards should describe how services should ideally be set up rather than how they currently exist.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/11/2016 10:49:54 answering member 1542 label Biography information for Philip Dunne
tabling member	4511 label Biography information for Dr Rupa Huq

637909

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Cumbria
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much has been spent to date by the West, North and East Cumbria Success Regime on consultancy services.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	53404
answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>The West, North and East Cumbria Success Regime has been established to help create the right conditions for high quality health and social care to develop in this area. Its aim is to secure improvement by introducing new care models where appropriate, developing leadership capacity and capability across the health system and ensuring collaborative working.</p><p> </p><p>In 2015/16 the total expenditure on the West, North and East Cumbria Success Regime was £1.2 million. Of this, £774,000 was spent on consultancy services and a further £20,000 on legal advice.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 53402 53403 question first answered 21/11/2016 17:47:14 answering member 1542 label Biography information for Philip Dunne
tabling member	1503 label Biography information for Mr Jamie Reed

637910

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Aspartame
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the possible link between the use of aspartame and seizures ahead of VimPat gaining approval by the European Commission.
tabling member constituency	Bishop Auckland
tabling member printed	Helen Goodman
uin	53297
answer	answer is ministerial correction date of answer 22/11/2016 answer text <p>In 2013, the European Food Safety Agency (EFSA) completed a comprehensive risk assessment of the safety of aspartame as a food additive and concluded that aspartame and its breakdown products are safe for human consumption, including pregnant women and children, at the current level of exposure. The EFSA panel agreed with previous opinion that the available data did not provide evidence for a relationship between aspartame consumption and enhanced susceptibility to seizures.</p><p> </p><p>In April 2016, taking the EFSA review into account, the European Medicines Agency (EMA) published a draft of updated labelling guidance for products containing aspartame, which can be found at the EMA website below:</p><p><a href="http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2016/05/WC500205999.pdf" target="_blank">www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2016/05/WC500205999.pdf</a></p><p> </p><p>There were no significant changes proposed to the current guidance on ‘Excipients in the label and package leaflet of medicines for human use’ (CPMP/463/00 Rev 1), which can be found at the EMA website below:</p><p> </p><p><a href="http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003412.pdf" target="_blank">http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003412.pdf</a></p><p> </p><p>Vimpat (lacosamide), an antiepileptic drug, has been authorised in the European Union since 29 August 2008 and is currently approved as an add-on therapy to other antiepileptic medicines in the treatment of partial onset seizures with or without secondary generalisation in adult and adolescent (16-18 years) patients with epilepsy. Vimpat syrup contains aspartame and this is declared in the product literature.</p><p> </p><p>As with all medicines, after approval, the safety of the medicine is continuously monitored throughout their use in healthcare practice by pharmacovigilance activities. New safety signals reported by patients/healthcare professionals will be monitored/reviewed continuously.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 22/11/2016 14:46:43 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1484 label Biography information for Helen Goodman

637911

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks: Consumption
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the efficacy of the Chief Medical Officer's alcohol consumption guidelines on public health.
tabling member constituency	Weaver Vale
tabling member printed	Graham Evans
uin	53251
answer	answer is ministerial correction date of answer 22/11/2016 answer text <p>The United Kingdom Chief Medical Officers’ (CMO) low risk drinking guidelines were published in January this year.</p><p> </p><p>It is too early to say what impact of the UK CMOs’ low risk drinking guidelines will have on alcohol consumption but we will be monitoring the public awareness of the guidelines through the Health Survey for England, commissioned by NHS Digital, which will be published in December 2016.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 22/11/2016 14:23:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4081 label Biography information for Lord Evans of Rainow

637912

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services and Social Services: West Sussex
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress his Department is making on integrating health and social care in West Sussex; and if he will make a statement.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	53250
answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>The Better Care Fund (BCF), implemented from the beginning of 2015-16, is the first national, mandatory integration policy. Its overarching aims are to keep people living independently at home and prevent them from needing more support.</p><p>In 2015-16, it was a minimum £3.8 billion nationally and local areas pooled an additional £1.5 billion, taking the total to £5.3 billion. In 2016-17, it will be increased to a mandated minimum of £3.9 billion and early analysis of BCF plans indicates that local areas have once again pooled over and above the minimum, taking the total to approaching £6 billion.</p><p>The BCF has set the foundation, but we want to go further, faster, to deliver joined up care. The ways local areas integrate will be different, and some parts of the country are already demonstrating different approaches, which reflect models the government supports.</p><p>West Sussex’s BCF plan outlines its vision for health and care services. The vision for 2019-20 remains a shift from reactive to proactive health and social care to enable more people to have healthier, safer and more independent lives in their own home and community for longer, receiving the right care in the right place at the right time.</p><p>The latest available BCF performance report can be found on the the West Sussex Health and Wellbeing website at:</p><p><a href="http://www2.westsussex.gov.uk/ds/cttee/hwb/hwb131016i6a.pdf" target="_blank">http://www2.westsussex.gov.uk/ds/cttee/hwb/hwb131016i6a.pdf</a></p> answering member constituency Warrington South answering member printed David Mowat question first answered 21/11/2016 16:09:30 answering member 4080 label Biography information for David Mowat
tabling member	116 label Biography information for Lord Soames of Fletching

637913

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that all older people who need support on leaving hospital receive such support.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	53389
answer	answer is ministerial correction date of answer 23/11/2016 answer text <p>It is the responsibility of individual hospitals to put local discharge planning arrangements in place, including for older people who need support. Patients should only be discharged from hospital when there has been an assessment of the support they need to be discharged safely. This requires local health and care organisations to work together to ensure transfers between care settings are centred around patients and their carers.</p><p> </p><p>The Government is investing billions over the course of this Parliament to improve the integration of health and social care services through its Better Care Fund.</p><p> </p><p>NHS England is leading a national programme to improve discharge of older people from hospital, building on successful local and national initiatives already in place such as “discharge to assess”.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 23/11/2016 16:14:11 answering member 4080 label Biography information for David Mowat
tabling member	481 label Biography information for Sir George Howarth

637914

registered interest
date	16/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Cumbria
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much has been spent to date by the West, North and East Cumbria Success Regime.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	53402
answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>The West, North and East Cumbria Success Regime has been established to help create the right conditions for high quality health and social care to develop in this area. Its aim is to secure improvement by introducing new care models where appropriate, developing leadership capacity and capability across the health system and ensuring collaborative working.</p><p> </p><p>In 2015/16 the total expenditure on the West, North and East Cumbria Success Regime was £1.2 million. Of this, £774,000 was spent on consultancy services and a further £20,000 on legal advice.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 53403 53404 question first answered 21/11/2016 17:47:14 answering member 1542 label Biography information for Philip Dunne
tabling member	1503 label Biography information for Mr Jamie Reed