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418933

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Internet
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 (a) reduce and (b) monitor the sale of prescription drugs on the internet.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10263
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>In the United Kingdom, all categories of medicines may be traded online legally but in the case of prescription only medicines (POM) and pharmacy (P) medicines, these may only be sold or supplied to the public through registered pharmacy premises (by or under the supervision of a pharmacist). Additionally, POMs may only be supplied in response to a prescription from an authorised healthcare professional.</p><p> </p><p> </p><p> </p><p>A UK registered pharmacy may have a presence on the internet; however the requirements of legislation apply equally to both UK internet pharmacies and bricks-and-mortar premises.</p><p> </p><p> </p><p> </p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) monitors the internet for websites operating outside legal requirements and, in collaboration with Internet Service Providers, takes steps to close down sites both in the UK and abroad. The MHRA has closed down 1,973 websites (including those based overseas) during 2015 alone and brought into compliance many others.</p><p> </p><p> </p><p> </p><p>The illegal sale and supply of medicines via Internet poses considerable risks to UK patients but this is in essence a global problem and the MHRA is working with other regulators, law enforcement authorities and Government Departments within the UK, European Union and elsewhere to address the complex issues involved.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:47:22 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

418934

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Paroxetine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges on the effect of the consumption of the paxil and seroxat forms of the drug paroxetine on the incidence of depression among pregnant women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10265
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no recent discussions with the Royal Colleges on the effects of taking the paxil and seroxat forms of paroxetine on the incidence of depression among pregnant women.</p><p> </p><p> </p><p> </p><p>The Mandate from the Government to NHS England includes an objective for NHS England to work with partner organisations to reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.</p><p> </p><p>The Government will provide an additional £75 million over the next five years for services to support women with mental ill health in the perinatal period.</p><p> </p><p> </p><p> </p><p>The British National Formulary advises that medication should be prescribed only when it is necessary, and in all cases the benefit of administering the medicine should be considered in relation to the risk involved. This is particularly important during pregnancy, when the risk to both mother and fetus must be considered.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:03:29 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

418935

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges on the development and use of progesterone and tamoxifen to treat breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10266
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no such discussions.</p><p> </p><p> </p><p> </p><p>Research into the use of progesterone in combination with tamoxifen for the treatment of breast cancer is still at an early stage and has not yet been trialled in humans.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:41:04 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

418698

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Research: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 11 September 2015 to Question 8266, what representations he has received from (a) universities and (b) other research institutions on the future funding of research budgets; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	10152
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Correspondence records indicate that Ministers of the Department have received no letters from universities or research institutions specifically about future allocations to the Department’s budget for research and development following the 2015 Spending Review.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:50:02 answering member 4020 label Biography information for George Freeman
tabling member	308 label Biography information for Mr Jim Cunningham

418699

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect of the public sector pay freeze on NHS staff morale; and whether he plans to survey NHS staff on that matter.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	10139
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>National Health Service staff earning above £21,000 had their pay frozen during 2011/12 and 2012/13 with, since then, most staff receiving at least 1% increases. This approach to pay has helped protect jobs in the NHS and maintain services for patients.</p><p> </p><p> </p><p> </p><p>There is no evidence that the pay freeze affected staff morale. While the NHS Staff Survey, which provides the most comprehensive assessment of staff views about working in the NHS, does not directly measure staff morale, staff engagement, which includes staff motivation at work, staff recommending their trust as a place to work or receive treatment, and the percentage of staff able to contribute towards improvements at work, has remained high with a score of 3.76/5 in 2014 (latest available) rising from 3.68/5 in 2012 (the first year staff engagement was included).</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 15:58:15 answering member 1201 label Biography information for Alistair Burt
tabling member	4473 label Biography information for Louise Haigh

418700

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to encourage orthodontists to offer NHS appointments to children outside school hours.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	10177
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>NHS England contracts for orthodontic services at a local level taking account of the local oral health needs. Therefore opening hours are a matter for agreement between local commissioners and providers.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 10:09:04 answering member 1201 label Biography information for Alistair Burt
tabling member	4404 label Biography information for Dr Tania Mathias

418701

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment the NHS has made of the potential benefits and disadvantages of the use of Doppler scans in preventing stillbirths.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	10175
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The UK National Screening Committee (UK NSC) which advises Ministers and the National Health Service in all four countries about all aspects of screening is currently looking at the evidence for a variety of tests (including doppler scans) and treatments to see if they would be able to help to reduce stillbirths. The UK NSC will evaluate the benefits and risks of each test and treatment against its internationally recognised criteria before making a recommendation on their introduction.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 17/09/2015 14:50:42 answering member 3988 label Biography information for Ben Gummer
tabling member	4404 label Biography information for Dr Tania Mathias

418702

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors were employed in (a) 2011-12, (b) 2012-13, (c) 2013-14 and (d) 2014-15.
tabling member constituency	Dunfermline and West Fife
tabling member printed	Douglas Chapman
uin	10170
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The table below shows the number of full time equivalent health visitors employed in England at the mid-point in each year from 2011 to 2014, and the latest available figure in 2015. Data from 2012 onwards is taken from the Health Visitor Minimum Data Set (HV-MDS) which commenced in April 2012 and also includes data for health visitors employed by organisations that do not use Electronic Staff record (ESR) but do provide NHS-funded services, such as local authorities.</p><p> </p><p> </p><p> </p><p>Full time equivalent figures are used as this is the most accurate measure of service capacity.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>30 September 2011 <sup>1</sup></p></td><td><p>30 September 2012 <sup>2</sup></p></td><td><p>30 September 2013</p></td><td><p>30 September 2014</p></td><td><p>31 May 2015</p></td></tr><tr><td><p>7,941</p></td><td><p>8,678</p></td><td><p>9,550</p></td><td><p>10,800</p></td><td><p>11,850</p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em> Health and Social Care Information Centre NHS Hospital and Community health service monthly workforce statistics</p><p> </p><p><em> </em></p><p> </p><p><em>Notes:</em></p><p> </p><p>1. The data for 2011 covers only those health visitors on the ESR.</p><p> </p><p>2. The figure for September 2012 is different from the published figure due to a known over count (of 14).</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/09/2015 15:56:12 answering member 3918 label Biography information for Jane Ellison
tabling member	4402 label Biography information for Douglas Chapman

418703

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Freedom of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hours his Department spent on processing freedom of information requests in each of the last 24 months.
tabling member constituency	Aberdeen North
tabling member printed	Kirsty Blackman
uin	10225
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>Staff throughout the Department consider requests made under the Freedom of Information Act as part of their duties, and time spent is not accounted for separately. A central team of five full-time staff manages the caseload and gives advice on Freedom of Information Act requests.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/09/2015 09:51:10 answering member 3918 label Biography information for Jane Ellison
tabling member	4357 label Biography information for Kirsty Blackman

418704

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment his Department has made of the prevalence of diabetes; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	10181
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Diagnosed diabetes prevalence is taken from the Quality and Outcomes Framework (QOF) and represents all patients who have been diagnosed with diabetes and included on GP registers.</p><p> </p><p> </p><p> </p><p>Diabetes prevalence is increasing. Diagnosed diabetes prevalence has increased from 2.3 million (5.3%) in 2009/10 to 2.8 million (6.2%) in 2013/14; an increase of nearly half a million people.</p><p> </p><p> </p><p> </p><p>Public Health England’s diabetes prevalence model estimates total diabetes prevalence for England and for all local authorities and clinical commissioning groups (CCG) in England. The model reflects the prevalence of diabetes (diagnosed and undiagnosed) and adjusts for the age, sex, ethnic group and deprivation pattern of the local population.</p><p> </p><p> </p><p> </p><p>The estimated total diabetes prevalence using the diabetes prevalence model is 7.5% in 2014.</p><p> </p><p> </p><p> </p><p>If current trends continue then we estimate that by 2030 there will be over 4 million people with diabetes. This represents 8.8% of the population aged 16 years and over.</p><p> </p><p> </p><p> </p><p>This data is publically available on the Healthier Lives website at:</p><p> </p><p> </p><p> </p><p><a href="http://healthierlives.phe.org.uk/topic/diabetes" target="_blank">http://healthierlives.phe.org.uk/topic/diabetes</a></p><p> </p><p> </p><p> </p><p>The website also provides diagnosed prevalence at the CCG level.</p><p> </p><p> </p><p> </p><p>Tackling diabetes is of great concern to this Government. Building on the National Diabetes Prevention Programme, the Department is developing its plans to improve outcomes for those at risk of and with diabetes. These will be announced in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10120 question first answered 17/09/2015 15:53:58 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham