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1139684

registered interest
date	17/07/2019
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	Smoking: County Durham
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 adequacy of public health funding for smoking cessation services in County Durham.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	278474
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>Local authorities will receive over £3.1 billion in 2019/20 for use on public health. It is for local authorities themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties. Future funding for local authorities’ public health responsibilities will be considered carefully in the next spending review, taking full account of the available evidence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/07/2019 15:35:40 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1139685

registered interest
date	17/07/2019
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: County Durham
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 NHS England's Commissioner-based Cancer Waiting Times for May 2019 (Provisional), published on 11 July 2019, for what reason the NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group is not meeting the target for patients to receive their first cancer treatment within 62 days of an urgent GP referral.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	278475
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>Cancer is a priority for this Government and impetus has been given to ensuring that more patients are seen and treated for cancer. The drive to improve survival rates through earlier diagnosis, therefore, has meant that demand and activity have been rising for a number of years. This has resulted in more people being referred and diagnosed than ever before.</p><p>Improving diagnosis and ensuring better outcomes for patients diagnosed with cancer is a priority for Durham Dales, Easington and Sedgefield Clinical Commissioning Group (CCG), and County Durham is consistently better in terms of coverage than the national average for all three cancer screening programmes. The CCG is working collaboratively with colleagues from public health, primary care and secondary care on a strategic piece of work, with a view that a multi-disciplinary approach is necessary in order to address inequalities in cancer.</p><p> </p><p>The CCG has developed the Action Plan ‘County Durham Reducing Health Inequalities in Cancer Action Plan for 2018-19’.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/07/2019 14:29:17 answering member 4455 label Biography information for Seema Kennedy
tabling member	3973 label Biography information for Grahame Morris

1139686

registered interest
date	17/07/2019
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	Medical Equipment: UK Notified Bodies
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 adequacy of the number of notified bodies to service medical devices under the terms of the Medical Devices Regulation.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	278523
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277763 277764 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4398 label Biography information for Chris Green

1139689

registered interest
date	17/07/2019
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	Continuing Care
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 applications for Standard NHS Continuing Healthcare were completed in (a) 2015-16, (b) 2016-17, (c) 2017-18 and (d) 2018-19.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	278451
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The following table provides the total number of standard referrals received for standard NHS Continuing Healthcare (CHC), for the years 2016/17 to 2018/19. We do not hold this data for 2015/16.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of Referrals</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td></tr></tbody></table><p> </p><p>The following table shows the number of referrals which were completed for standard CHC, for the years 2017/18 to 2018/19. We do not hold data on the number of referrals which were completed before 2017/18.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of referrals completed</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,426</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td></tr></tbody></table><p> </p><p>The following table shows the number of people assessed as eligible for standard CHC, for the years 2015/16 to 2018/19.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number assessed as eligible</p></td></tr><tr><td><p>2015/16</p></td><td><p>22,346</p></td></tr><tr><td><p>2016/17</p></td><td><p>19,173</p></td></tr><tr><td><p>2017/18</p></td><td><p>16,947</p></td></tr><tr><td><p>2018/19</p></td><td><p>15,963</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 278452 278453 question first answered 22/07/2019 16:28:36 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1139690

registered interest
date	17/07/2019
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	Continuing Care: Medical Examinations
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 assessments for Standard NHS Continuing Healthcare were completed in (a) 2015-16, (b) 2016-17, (c) 2017-18 and (d) 2018-19.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	278452
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The following table provides the total number of standard referrals received for standard NHS Continuing Healthcare (CHC), for the years 2016/17 to 2018/19. We do not hold this data for 2015/16.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of Referrals</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td></tr></tbody></table><p> </p><p>The following table shows the number of referrals which were completed for standard CHC, for the years 2017/18 to 2018/19. We do not hold data on the number of referrals which were completed before 2017/18.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of referrals completed</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,426</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td></tr></tbody></table><p> </p><p>The following table shows the number of people assessed as eligible for standard CHC, for the years 2015/16 to 2018/19.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number assessed as eligible</p></td></tr><tr><td><p>2015/16</p></td><td><p>22,346</p></td></tr><tr><td><p>2016/17</p></td><td><p>19,173</p></td></tr><tr><td><p>2017/18</p></td><td><p>16,947</p></td></tr><tr><td><p>2018/19</p></td><td><p>15,963</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 278451 278453 question first answered 22/07/2019 16:28:36 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1139691

registered interest
date	17/07/2019
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	Continuing Care: Medical Examinations
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 people were assessed as eligible for Standard NHS Continuing Healthcare in (a) 2015-16, (b) 2016-17, (c) 2017-18 and (d) 2018-19.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	278453
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The following table provides the total number of standard referrals received for standard NHS Continuing Healthcare (CHC), for the years 2016/17 to 2018/19. We do not hold this data for 2015/16.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of Referrals</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td></tr></tbody></table><p> </p><p>The following table shows the number of referrals which were completed for standard CHC, for the years 2017/18 to 2018/19. We do not hold data on the number of referrals which were completed before 2017/18.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of referrals completed</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,426</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td></tr></tbody></table><p> </p><p>The following table shows the number of people assessed as eligible for standard CHC, for the years 2015/16 to 2018/19.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number assessed as eligible</p></td></tr><tr><td><p>2015/16</p></td><td><p>22,346</p></td></tr><tr><td><p>2016/17</p></td><td><p>19,173</p></td></tr><tr><td><p>2017/18</p></td><td><p>16,947</p></td></tr><tr><td><p>2018/19</p></td><td><p>15,963</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 278451 278452 question first answered 22/07/2019 16:28:36 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1139705

registered interest
date	17/07/2019
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: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the British Medical Association and other representative bodies on proposals to mitigate the effect of pension taxation on the NHS.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	278568
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government is listening to concerns raised by doctors that pension tax charges are driving decisions to retire early or limit their National Health Service commitments, and has incorporated the views of the British Medical Association (BMA) and other key stakeholders into the consultation ‘NHS Pension Scheme: proposed flexibility’.</p><p>The consultation sets out a potential 50:50 option, offering 50% pension accrual and halved contributions. As part of the five-year general practitioner contract announced earlier this year, the BMA and NHS England asked the Government to consider introducing a 50:50 option as an appropriate flexibility, and the BMA have welcomed this as a step in the right direction.</p><p>The consultation period is an opportunity to listen to a range of views before reaching a final position that works for both staff and taxpayers. The Department encourages NHS staff and employers to contribute their views.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:43:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	4523 label Biography information for Catherine West

1139781

registered interest
date	17/07/2019
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	Dental Services: Children
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 (a) practices participating in and (b) children who have benefitted from the Starting Well scheme since its launch in spring 2018.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	278528
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Starting Well programme was established by NHS England to reach out to children not regularly being seen by a dentist in 13 high needs areas. NHS England has advised that there are currently over 200 practices participating in the programme. However, data is not held about the number of children who have benefitted since its launch.</p><p>NHS England has advised that the Starting Well programme board has taken a decision not to publish an interim report but anticipates that the full report will be published by the end of this year.</p><p>NHS England has also developed Starting Well Core, an offer made available to all local dental commissioners in England. The aim is to promote early preventative care for children aged 0-2 as well as increasing dental access and attendance. NHS England has confirmed that as of 31 March 2019, approximately 1,400 NHS England dental practices were participating in Starting Well Core. NHS England advises that participation has been defined as any practice holding a contract to deliver primary care dental services where the local commissioning team had varied the contract to remunerate for Units of Dental Activity delivered in excess of 102% (up to a maximum of 104%) of the National Health Service contract value, attributable to children aged 0-2 years, for the 2018/19 financial year.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 278529 278531 question first answered 22/07/2019 15:43:15 answering member 4455 label Biography information for Seema Kennedy
tabling member	4405 label Biography information for Julie Cooper

1139782

registered interest
date	17/07/2019
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	Dental Services: Children
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 interim evaluation of the Starting Well Scheme will be published.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	278529
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Starting Well programme was established by NHS England to reach out to children not regularly being seen by a dentist in 13 high needs areas. NHS England has advised that there are currently over 200 practices participating in the programme. However, data is not held about the number of children who have benefitted since its launch.</p><p>NHS England has advised that the Starting Well programme board has taken a decision not to publish an interim report but anticipates that the full report will be published by the end of this year.</p><p>NHS England has also developed Starting Well Core, an offer made available to all local dental commissioners in England. The aim is to promote early preventative care for children aged 0-2 as well as increasing dental access and attendance. NHS England has confirmed that as of 31 March 2019, approximately 1,400 NHS England dental practices were participating in Starting Well Core. NHS England advises that participation has been defined as any practice holding a contract to deliver primary care dental services where the local commissioning team had varied the contract to remunerate for Units of Dental Activity delivered in excess of 102% (up to a maximum of 104%) of the National Health Service contract value, attributable to children aged 0-2 years, for the 2018/19 financial year.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 278528 278531 question first answered 22/07/2019 15:43:15 answering member 4455 label Biography information for Seema Kennedy
tabling member	4405 label Biography information for Julie Cooper

1139783

registered interest
date	17/07/2019
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	Dental Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of children under the age of five were seen by an NHS dentist in England in (a) 2016-17, (b) 2017-18 and (c) 2018-19.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	278530
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The following table shows the number and proportion of children under the age of five seen by a National Health Service dentist in the last 12 months, in England, in 2016-17, 2017-18 and 2018-19.</p><table><tbody><tr><td><p>End of year</p></td><td><p>Number of children 0-4 years old seen in the last 12 months</p></td><td><p>Total population of children 0-4 years old</p></td><td><p>Proportion of children 0-4 years old seen in the last 12 months</p></td></tr><tr><td><p>March 2017</p></td><td><p>1,135,028</p></td><td><p>3,434,680</p></td><td><p>33.0%</p></td></tr><tr><td><p>March 2018</p></td><td><p>1,159,889</p></td><td><p>3,429,046</p></td><td><p>33.8%</p></td></tr></tbody></table><p> </p><p>For March 2019, data will be published in August 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/07/2019 15:46:33 answering member 4455 label Biography information for Seema Kennedy
tabling member	4405 label Biography information for Julie Cooper