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1019776

registered interest
date	04/12/2018
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	World Conference on Tobacco or Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what initiatives the NHS has undertaken as a result of the March 2018 World Conference on Tobacco or Health.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	198743
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>We are not aware of any local initiatives launched in the National Health Service as a direct result of the 2018 World Conference on Tobacco or Health. As with previous World Conferences, the United Kingdom Government attended the 2018 World Conference to share our experiences as a world leader on tobacco control, and to inform our thinking on future policy development. NHS England has a number of commitments to tackle smoking, as set out in the 2017 Tobacco Control Plan and associated Delivery Plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/12/2018 15:26:54 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1019793

registered interest
date	04/12/2018
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	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason there has been a reduction in the per-placement funding support for the nursing degree course at the University of Suffolk.
tabling member constituency	Ipswich
tabling member printed	Sandy Martin
uin	198929
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>Placement funding for nursing degree courses is paid to placement providers by Health Education England in line with a nationally agreed tariff price. The tariff payment rate has not changed since April 2017 and remains fixed at £3,112 per year for each whole time equivalent placement.</p><p> </p><p>Tariff payments also attract a market forces factor payment, an additional payment to compensate for unavoidable cost differences between healthcare providers, based on their geographical location.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/12/2018 11:21:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	4678 label Biography information for Sandy Martin

1019794

registered interest
date	04/12/2018
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	Clinical Commissioning Groups
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 his Department has made of the consistency of the (a) procedures and, (b) prescribing practice Clinical Commissioning Groups.
tabling member constituency	Ipswich
tabling member printed	Sandy Martin
uin	198930
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>It is important that the National Health Service achieves the greatest value from the money that it spends. In 2017, the cost of prescriptions dispensed in the community was £9.17 billion, and we know that across England there is significant variation in what is being prescribed and to whom.</p><p> </p><p>NHS England has partnered with NHS Clinical Commissioners to support clinical commissioning groups (CCGs) in ensuring that they use their prescribing resources effectively and deliver the best patient outcomes from the medicines their local population use.</p><p> </p><p>During 2017/18 CCG guidance was published by NHS England and NHS Clinical Commissioners (NHSCC) for:</p><p>- Items that should not be routinely prescribed in primary care (November 2017); and</p><p>- Conditions for which over the counter items should not routinely be prescribed in primary care (March 2018).</p><p> </p><p>The aim of this is to reduce unwarranted variation in prescribing, and introduce a more equitable framework from which CCGs can take individual and local implementation decisions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/12/2018 14:51:25 answering member 4067 label Biography information for Steve Brine
tabling member	4678 label Biography information for Sandy Martin

1019823

registered interest
date	04/12/2018
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	Prescriptions: ICT
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress he has made on the roll-out of electronic prescribing medications systems; and if he will make a statement.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	198893
answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>Work is already underway to accelerate the roll-out electronic prescribing and medicines administration systems across the NHS in England. Capital funding of £75 million over three years has been allocated to support this roll-out, with £16 million available in 2018/19.</p><p> </p><p>Trusts were invited to submit bids to be included in wave 1 of the roll-out in July 2018, and the 13 successful applicants were informed at the beginning of October 2018.</p><p> </p><p>Further bids will be invited for wave 2 funding in January 2019 for award in the subsequent financial year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/12/2018 13:28:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1019826

registered interest
date	04/12/2018
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: Drugs
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 improve the administration of medicines in NHS trusts.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	198894
answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>Medicines administration processes are complex and technology can help support staff to prescribe and administer medicines safely.</p><p> </p><p>We are accelerating the roll-out of electronic prescribing and administration systems to National Health Service trusts. The roll-out is in its first phase, with 13 trusts informed of their successful applications in October. Additional capital funding is secured for the following two financial years. The second phase will allow trusts to apply for funding as part of the roll-out in January 2019 for award in the 2019/20 financial year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/12/2018 13:26:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1019827

registered interest
date	04/12/2018
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: Drugs
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 his Department has made of the potential savings to the public purse of the NHS of the mandatory introduction of automated medicines cabinets in each NHS Trust.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	198895
answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>No such estimate has been made.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/12/2018 13:25:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1019838

registered interest
date	04/12/2018
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	Eating Disorders
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 his Department are taking to (a) raise awareness of the early signs and symptoms of eating disorders and (b) encourage those with such symptoms to seek help and treatment for their condition.
tabling member constituency	Islwyn
tabling member printed	Chris Evans
uin	198821
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>NHS England commissioned a national review of adult eating disorder services in 2017, which is now complete. Data collected on activity, investment and workforce is being reviewed with stakeholders to inform NHS England’s understanding of current provision and existing levels of parity with eating disorder services for children and young people. The data is informing modelling to understand the finance and workforce gaps to achieving greater levels of parity.</p><p> </p><p>Diagnosing and treating eating disorders is an important area of medical practice. It is included within the curriculum for training all doctors, including for general practitioner (where most eating disorders initially present) and in more depth within training for psychiatry, particularly child and adolescent psychiatrists. This training equips doctors to identify the early potential symptoms of an eating disorder and help patients to discuss difficult issues.</p><p> </p><p>This Government recognises the importance of raising awareness and reducing stigma so that more people feel able to talk about their mental health, including eating disorders, and seek treatment. That is why in January 2017, the Prime Minister committed to having mental health first aid training available to secondary schools, aiming to have trained at least one teacher in every secondary school by 2020 and to all primary schools by 2022. This Government has also provided grant funding to the Time to Change national mental health anti-stigma campaign since 2012. Time to Change works with people with experience of mental health problems, including eating disorders, to challenge stigma and to improve social attitudes towards mental health.</p><p> </p><p>The Government has also committed to equip one million people to be better informed to look after their own mental health, so Public Health England is currently leading the development of a £15 million national mental health campaign called ‘Every Mind Matters’.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 198822 question first answered 12/12/2018 11:40:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4040 label Biography information for Chris Evans

1019839

registered interest
date	04/12/2018
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	Eating Disorders
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 the report, Ignoring the alarms: How NHS eating disorder services are failing patients, published by the Parliamentary and Health Service Ombudsman in December 2018, what steps his Department is taking to review the existing (a) quality and (b) availability of adult eating disorder services to achieve parity with child and adolescent services.
tabling member constituency	Islwyn
tabling member printed	Chris Evans
uin	198822
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>NHS England commissioned a national review of adult eating disorder services in 2017, which is now complete. Data collected on activity, investment and workforce is being reviewed with stakeholders to inform NHS England’s understanding of current provision and existing levels of parity with eating disorder services for children and young people. The data is informing modelling to understand the finance and workforce gaps to achieving greater levels of parity.</p><p> </p><p>Diagnosing and treating eating disorders is an important area of medical practice. It is included within the curriculum for training all doctors, including for general practitioner (where most eating disorders initially present) and in more depth within training for psychiatry, particularly child and adolescent psychiatrists. This training equips doctors to identify the early potential symptoms of an eating disorder and help patients to discuss difficult issues.</p><p> </p><p>This Government recognises the importance of raising awareness and reducing stigma so that more people feel able to talk about their mental health, including eating disorders, and seek treatment. That is why in January 2017, the Prime Minister committed to having mental health first aid training available to secondary schools, aiming to have trained at least one teacher in every secondary school by 2020 and to all primary schools by 2022. This Government has also provided grant funding to the Time to Change national mental health anti-stigma campaign since 2012. Time to Change works with people with experience of mental health problems, including eating disorders, to challenge stigma and to improve social attitudes towards mental health.</p><p> </p><p>The Government has also committed to equip one million people to be better informed to look after their own mental health, so Public Health England is currently leading the development of a £15 million national mental health campaign called ‘Every Mind Matters’.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 198821 question first answered 12/12/2018 11:40:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4040 label Biography information for Chris Evans

1019866

registered interest
date	04/12/2018
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	Pneumococcal Diseases: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the (a) level of public support for a change to the schedule of pneumococcal vaccination programme and (b) potential effect on public confidence in vaccination of an increase in disease prevalence following a change in that schedule.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	198856
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>The Government bases its vaccination programmes on the advice of the Joint Committee on Vaccination and Immunisation (JCVI), an independent expert group.</p><p> </p><p>As an independent committee, the JCVI is well placed to ensure the latest and most appropriate evidence has been considered on potential changes to scheduling within the vaccine programme, including identifying who to target to obtain the evidence it needs to inform its advice. The JCVI bases its advice on review of a wide range of scientific and other evidence including from the published literature, commissioned studies such as independent analyses of vaccine effectiveness and cost effectiveness, and submissions from vaccine manufacturers. Its advice takes into account the public health arguments related to any potential change to the vaccination schedule, such as the potential impact on cases of infectious disease. Any decisions about any changes to vaccination schedules take account of a wide range of factors.</p><p> </p><p>Public confidence in vaccination is monitored by Public Health England, which commissions an annual survey of parental attitudes to childhood immunisation. The survey includes around 2,000 parents each year and the results are used to inform the planning of the childhood immunisation programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/12/2018 11:27:51 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

1019867

registered interest
date	04/12/2018
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	Meningitis: Vaccination
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 his Department has made of the (a) potential effect on the incidence of disease in at-risk populations of changes to the meningococcal C vaccination programme and (b) accuracy of the modelling of the Joint Committee on Vaccination and Immunisation at the time of its recommendation that that programme be changed.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	198857
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>Those at increased risk of meningococcal disease are clearly identified in the Green Book as children and adults with asplenia, splenic dysfunction or complement disorders. These at-risk individuals continue to be eligible for vaccination against Meningitis C disease (Men C), currently with MenACWY vaccine. Overall risk of MenC disease remains low in England with only 64 cases across the whole population in the last epidemiological year (2017/18).</p><p> </p><p>Modelling by its very nature is subject to uncertainty and can be influenced by the methods, the quality of data and the underlying assumptions used. The Joint Committee on Vaccination and Immunisation was aware of published modelling data on the impact of the potential removal of the infant MenC dose and additional estimates were provided by Public Health England. The estimates were considered plausible by those experts on the committee, the minutes of which can be accessed via the following link:</p><p> </p><p><a href="https://m.box.com/shared_item/https%3A%2F%2Fapp.box.com%2Fs%2Fiddfb4ppwkmtjusir2tc/view/229171865007" target="_blank">https://m.box.com/shared_item/https%3A%2F%2Fapp.box.com%2Fs%2Fiddfb4ppwkmtjusir2tc/view/229171865007</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/12/2018 11:33:13 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner