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758182

registered interest
date	06/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neuromuscular Disorders
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 increase the number of neuromuscular care advisors for people with muscle-wasting conditions.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	9105
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>NHS England is responsible for commissioning specialised neurological services, including some services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care that includes an exemplar service specification for neuromuscular conditions which sets out what providers must have in place to offer evidence-based, safe and effective services. The service specification for neurological care can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p><p>NHS providers, working with local area teams, may establish patient access to neuromuscular care advisers if they consider it would benefit service provision and such decisions are a local matter.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 14:26:57 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

757460

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been given a diagnosis of Lyme disease in the UK in the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8478
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Public Health England (PHE) reports data for reference laboratory confirmed cases of Lyme disease in England and Wales. Collated United Kingdom-wide data is available up to 2015 and can be found in the PHE annual Zoonoses reports, available at:</p><p><a href="http://www.gov.uk/government/publications/zoonoses-uk-annual-reports" target="_blank">www.gov.uk/government/publications/zoonoses-uk-annual-reports</a></p><p> </p><p>Provisional figures for 2016 and 2017 can be found in the 2016 end of year (Q1 – Q4) Health Protection Report links below:</p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/593004/hpr0617_zoos.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/593004/hpr0617_zoos.pdf</a></p><p> </p><p>The 2017 Q1-Q2 Health Protection Report can be accessed via:</p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/637401/hpr2817_zoos.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/637401/hpr2817_zoos.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:31:44 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

757461

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many (a) NHS and (b) private care homes have been sanctioned for cases of neglect in the last 12 months.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8481
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>For the year 2016 under the offence of ‘care provider ill treatment/wilful neglect of an individual or breach of duty of care’, 17 had cautions issued, two were fined, 72 were proceeded against and 25 were convicted.</p><p> </p><p>The official statistics provided by the Ministry of Justice do not distinguish between National Health Service and private care homes, nor do they categorise offences by reference to ‘sanctions’.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/09/2017 15:50:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

757462

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity
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 reduce deaths due to obesity.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8484
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Many of the key commitments in our world-leading childhood obesity plan, launched in August 2016, will have an impact on tackling obesity across all age groups. These include the soft drinks industry levy and sugar reduction programme, which will reduce the amount of sugar we all consume. Alongside this, Public Health England is now considering the evidence on children’s calorie consumption and will set the ambition for a calorie reduction programme to remove excess calories from the foods children consume the most.</p><p> </p><p>Steps to tackle obesity in adults include the NHS Diabetes Prevention Programme, which identifies those at high risk of developing diabetes and provides tailored, personalised help to reduce that risk including education on healthy eating and lifestyle and bespoke physical exercise programmes to tackle excess weight. There is also Public Health England’s “One You” marketing campaign, which engages adults in healthier behaviours including better eating habits and increasing physical activity.</p><p> </p><p>A copy of “Childhood Obesity: A Plan for Action” is attached and is available at:</p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 15:08:13 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ8484 attached document.pdf title PQ8484 attached document
tabling member	4131 label Biography information for Jim Shannon

757463

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abiraterone
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make Zytiga available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8469
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) has published technology appraisal guidance recommending Zytiga (abiraterone) for the treatment of metastatic prostate cancer subject to a commercial access arrangement agreed between the manufacturer and NHS England.</p><p> </p><p>National Health Service commissioners in England are legally required to fund drugs and treatments recommended in NICE technology appraisal guidance. This is reflected in the NHS Constitution as a right to NICE approved drugs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:30:44 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

757464

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
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 address nurse shortages and pay gaps between English regions.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8488
answer	answer is ministerial correction date of answer 12/09/2017 answer text <p>The Government is undertaking a range of measures to ensure sufficient nursing workforce supply:</p><p> </p><p>On 1 August 2017 the Government changed the funding system for pre-registration nurse training from National Health Service-funded tuition and bursaries to the standard student support system. This change means we have moved away from centrally imposed number controls and financial limitations and therefore the artificial cap has been removed. We expect that these reforms will be enable universities to offer up to an additional 10,000 training places by 2020, for nurses, midwives and allied health profession students.</p><p> </p><p>Developing new routes into nursing is a priority for the Department. In November 2016 the new Nursing Associate role and the Nursing Degree Apprenticeship was announced. Once established, up to 1,000 apprentice nurses could join the NHS each year. In addition the Department is working with its arm’s length bodies to ensure that the NHS retains more of its existing workforce and invests in the Return to Nursing Practice Programme.</p><p> </p><p>Agenda for Change - the national pay system under which nurses are paid - includes mechanisms that enable trusts to target pay to address local recruitment and retention issues. In making recommendations to the Government on pay for nurses and other staff covered by Agenda for Change, the independent NHS Pay Review Body considers evidence from a wide range of stakeholders including trades unions, NHS Employers, NHS Providers, NHS England, NHS Improvement, Health Education England and others, not just from the Government. In its March 2017 report the NHS Pay Review Body noted that it had received no evidence from any party, including trades unions, for making any changes to the existing mechanisms; and that there was no support from any party for targeting the pay award for 2017/18.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 7317 question first answered 12/09/2017 14:13:48 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon

757465

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gastrointestinal System: Pain
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people in the UK have been diagnosed with chronic stomach pains in the last 12 months.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8489
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Data on the number of people diagnosed with chronic stomach pains is not collected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:25:10 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

757466

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Menometrorrhagia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many women have been diagnosed with menometrorrhagia in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8490
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>The information requested is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:24:15 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

757468

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart and Kidney Diseases: Medical Treatments
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 increase the availability of treatments to reduce heart and kidney disease.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8492
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>NHS England is committed to providing timely access to new drugs and medical technologies and is working closely with the National Institute for Health and Care Excellence on how this can be best achieved, while also ensuring the financial sustainability of the National Health Service. Clinical commissioning groups are also responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:26:08 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

757469

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Trastuzumab Emtansine
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 make Kadcyla available to patients in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	8474
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Trastuzumab emtansine (Kadcyla) has been funded and available to National Health Service patients in England since 2013 for the treatment of patients with HER2-positive unresectable, locally advanced or metastatic breast cancer after trastuzumab and a taxane.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:28:43 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon