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1134823

registered interest
date	26/06/2019
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: Staff
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 final NHS people plan will be published.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269718
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The interim People Plan was published on 3 June 2019. It sets out the actions the National Health Service will take now and over the long term to meet the challenges of supply, reform, culture and leadership.</p><p>A final People Plan will be published soon after the conclusion of the 2019 as intended Spending Review.</p><p>This final Plan will then be kept under regular review and updated on an annual basis, as part of the NHS taking a more open and collaborative approach to people issues.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/07/2019 09:32:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	4056 label Biography information for Nic Dakin

1134829

registered interest
date	26/06/2019
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	Antimicrobials: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what research his Department has undertaken (a) directly, (b) through research councils and (c) with international partners on antimicrobial resistance.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	269618
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department is investing over £1 billion a year in health research through the National Institute for Health Research (NIHR). The NIHR supports a wide portfolio of research on antimicrobial resistance (AMR) through various funding streams. In the United Kingdom, investment includes £32 million of capital funding to support AMR research, £19.1 million for AMR research at four NIHR Biomedical Research Centres, and £8.8 million for two NIHR Health Protection Research Units on Healthcare Associated Infections and Antimicrobial Resistance.</p><p>The NIHR also supports research into AMR in low and middle-income countries (LMICs), with official development assistance (ODA) funding through the NIHR Global Health Research programme. Investment includes support for the NIHR Global Health Research Unit on Genomic Surveillance of Antimicrobial Resistance, and the NIHR Global Health Research Group on Genomic Surveillance of Malaria in West Africa.</p><p>Working through partnerships with other UK funders, the NIHR Global Health Research programme also supports cross-Research Council initiatives including one led by the Medical Research Council for research into AMR in a global context, and another led by the Economic and Social Research Council to expand understanding of how behaviour within and beyond the healthcare system impacts on AMR.</p><p>In addition, the Department has allocated over £50 million of ODA over five years to AMR research through the Global AMR Innovation Fund. This research is delivered through a range of mechanisms and delivery partners, including research councils such as the Biotechnology and Biological Sciences Research Council and Innovate UK, and international partners including the Wellcome Trust, Bill and Melinda Gates Foundation, the United States and German governments, and Canada’s International Development Research Centre.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2019 11:34:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	252 label Biography information for Dr David Drew

1134853

registered interest
date	26/06/2019
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	Mechanical Thrombectomy
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 publish a list of Medical Directors responsible for neuroscience units designed to deliver mechanical thrombectomy.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	269593
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>In 2017, NHS England announced the commissioning of mechanical thrombectomy for the treatment of acute stroke. Services are being developed nationally in 24 neuroscience centres, across National Health Service trusts and foundation trusts in England with 22 centres currently providing a thrombectomy service.</p><p>All NHS trusts and foundation trusts have a Medical Director on their board responsible for the management and governance of clinical services. A list of medical directors is not collected centrally but would be held at a local level in respective trusts.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 04/07/2019 14:21:05 answering member 4455 label Biography information for Seema Kennedy
tabling member	44 label Biography information for Sir David Amess

1134871

registered interest
date	26/06/2019
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	Genomics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to provide training for NHS staff on whole genome sequencing.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	269709
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>As part of the NHS Long Term Plan, the National Health Service has committed to sequencing 500,000 whole genomes by 2023/24.</p><p>To deliver this, NHS England is working closely with the NHS Genomic Laboratory Hubs to monitor the workforce plans that are being put in place to support the delivery of the whole genome sequencing (WGS) service. This will continue after the service has launched as part of ongoing monitoring.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a WGS service. This programme is being embedded into organisations to enable long term sustainability of the multi-disciplinary, clinical workforce.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269710 question first answered 05/07/2019 11:49:13 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3960 label Biography information for Henry Smith

1134872

registered interest
date	26/06/2019
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	Genomics: 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, how many additional NHS staff will be required to provide the Genomic Medicine Service.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	269710
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>As part of the NHS Long Term Plan, the National Health Service has committed to sequencing 500,000 whole genomes by 2023/24.</p><p>To deliver this, NHS England is working closely with the NHS Genomic Laboratory Hubs to monitor the workforce plans that are being put in place to support the delivery of the whole genome sequencing (WGS) service. This will continue after the service has launched as part of ongoing monitoring.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a WGS service. This programme is being embedded into organisations to enable long term sustainability of the multi-disciplinary, clinical workforce.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269709 question first answered 05/07/2019 11:49:13 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3960 label Biography information for Henry Smith

1134873

registered interest
date	26/06/2019
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	Hearing Impairment
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 he is taking to introduce the NICE guidelines on hearing loss across all Clinical Commissioning Groups.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	269620
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Clinical commissioning groups (CCGs) are expected to take account of National Institute for Health and Care Excellence (NICE) guidelines published in 2018 on ‘Hearing loss in adults: assessment and management’, alongside local priorities when commissioning hearing loss services. The guidelines have formed the basis for the development a quality standard for adult-onset hearing loss, that CCGs can use to support commissioning, and which NICE will publish and promote on 10 July 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2019 11:45:56 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	252 label Biography information for Dr David Drew

1134875

registered interest
date	26/06/2019
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	Genomics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, who will hold responsibility for adding new tests to the National Genomic Test Directory.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269720
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The National Genomic Test Directory outlines which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access to a test. The Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as whole genome sequencing. As the price of whole genome sequencing falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients. More information on the Directory is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>There is considerable variation in the reported costs of genomic analysis. For Genomics England, during the 100,000 Genomes project, these were in order of £2,500 per cancer patient. This included sequencing both the patient’s normal genome and their tumour, as well as the running costs of undertaking both the sequencing and bioinformatics for analysis and interpretation.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a whole genome sequencing service. This programme is being embedded into organisations to enable long-term sustainability of the multi-disciplinary clinical workforce.</p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269721 269722 question first answered 05/07/2019 09:26:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1134876

registered interest
date	26/06/2019
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	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 the cost is of a single whole genome sequencing test for (a) blood cancers and (b) other cancer types.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269721
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The National Genomic Test Directory outlines which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access to a test. The Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as whole genome sequencing. As the price of whole genome sequencing falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients. More information on the Directory is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>There is considerable variation in the reported costs of genomic analysis. For Genomics England, during the 100,000 Genomes project, these were in order of £2,500 per cancer patient. This included sequencing both the patient’s normal genome and their tumour, as well as the running costs of undertaking both the sequencing and bioinformatics for analysis and interpretation.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a whole genome sequencing service. This programme is being embedded into organisations to enable long-term sustainability of the multi-disciplinary clinical workforce.</p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269720 269722 question first answered 05/07/2019 09:26:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1134877

registered interest
date	26/06/2019
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	Genomics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what role will genomic multi-disciplinary teams play in whole genome sequencing.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269722
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The National Genomic Test Directory outlines which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access to a test. The Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as whole genome sequencing. As the price of whole genome sequencing falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients. More information on the Directory is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>There is considerable variation in the reported costs of genomic analysis. For Genomics England, during the 100,000 Genomes project, these were in order of £2,500 per cancer patient. This included sequencing both the patient’s normal genome and their tumour, as well as the running costs of undertaking both the sequencing and bioinformatics for analysis and interpretation.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a whole genome sequencing service. This programme is being embedded into organisations to enable long-term sustainability of the multi-disciplinary clinical workforce.</p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269720 269721 question first answered 05/07/2019 09:26:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1134879

registered interest
date	26/06/2019
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	Health Services: Undocumented Migrants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of undocumented immigrants who have died after they were denied care because they were unable to pay the costs upfront.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	269628
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Department does not hold this information.</p><p>National guidance is clear that immediately necessary or urgent care should never be withheld or delayed for reasons to do with eligibility or payment. Whether care is urgent is a decision only a clinician can make and on a case-by-case basis, informed by national guidance.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:42:38 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham