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911066

registered interest
date	24/05/2018
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	Health Services: Reciprocal Arrangements
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to ensure that UK citizens can participate in the European Health Card scheme (1) during, and (2) after, the transition period following the UK's withdrawal from the EU.
tabling member printed	Baroness Quin
uin	HL8229
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>We have agreed reciprocal healthcare arrangements for the purposes of the Withdrawal Agreement with the European Union. The current structure of EU rules and regulations will apply until the end of the implementation period, including the European Health Insurance Card (EHIC) scheme.</p><p>Individuals in scope of the Withdrawal Agreement will be entitled to reciprocal healthcare cover on the terms laid out under that deal.</p><p>Reciprocal healthcare rights for individuals not in scope of the Withdrawal Agreement will be a matter for further negotiation with the EU. We have been clear that we want all current and future United Kingdom EHIC holders to benefit from EHIC rights, subject to a reciprocal deal.</p><p>At every step of the negotiations we will work to ensure the best possible outcome for the British people.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8230 question first answered 04/06/2018 15:40:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	518 label Biography information for Baroness Quin

911067

registered interest
date	24/05/2018
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	Health Services: Reciprocal Arrangements
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have discussed the subject of the UK's future participation in the European Health Insurance Card scheme in their Brexit negotiations with the European Commission.
tabling member printed	Baroness Quin
uin	HL8230
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>We have agreed reciprocal healthcare arrangements for the purposes of the Withdrawal Agreement with the European Union. The current structure of EU rules and regulations will apply until the end of the implementation period, including the European Health Insurance Card (EHIC) scheme.</p><p>Individuals in scope of the Withdrawal Agreement will be entitled to reciprocal healthcare cover on the terms laid out under that deal.</p><p>Reciprocal healthcare rights for individuals not in scope of the Withdrawal Agreement will be a matter for further negotiation with the EU. We have been clear that we want all current and future United Kingdom EHIC holders to benefit from EHIC rights, subject to a reciprocal deal.</p><p>At every step of the negotiations we will work to ensure the best possible outcome for the British people.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8229 question first answered 04/06/2018 15:40:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	518 label Biography information for Baroness Quin

911074

registered interest
date	24/05/2018
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	Chronic Fatigue Syndrome
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what funding his Department has allocated to support research into treatment for myalgic encephalomyelitis in each of the last five years; and what plans he has to allocate further funding for such research.
tabling member constituency	Cardiff West
tabling member printed	Kevin Brennan
uin	147821
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The following table shows information provided by the National Institute for Health Research (NIHR) on Departmental programme research funding for myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), over each of the last five years. It is not possible to disaggregate funding for research into treatments specifically but further information on this research is available through the NIHR Journals Library at the following link:</p><p> </p><p><a href="https://www.journalslibrary.nihr.ac.uk/programmes/" target="_blank">https://www.journalslibrary.nihr.ac.uk/programmes/</a></p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>£</p></td></tr><tr><td><p>2013-14</p></td><td><p>561,950</p></td></tr><tr><td><p>2014-15</p></td><td><p>426,055</p></td></tr><tr><td><p>2015-16</p></td><td><p>475,676</p></td></tr><tr><td><p>2016-17</p></td><td><p>554,785</p></td></tr><tr><td><p>2017-18</p></td><td><p>464,902</p></td></tr></tbody></table><p> </p><p>In terms of future research, the NIHR recognises that CFS/ME is a debilitating condition and is speaking with the UK CFS/ME Research Collaborative and patient representatives about how best to support a joined up approach to high quality research into this complex disorder. The NIHR welcomes funding applications for research into any aspect of human health, including CFS/ME; it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/06/2018 16:03:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1400 label Biography information for Kevin Brennan

911115

registered interest
date	24/05/2018
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	Learning Disability: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to Answer of 14 May, to Question 142400, on learning disability: death, by what means his Department was informally notified of the intended publication; what his Department’s definition of informally notified is; and what his Department’s definition of formally notified is.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	147860
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Departmental officials became aware of the publication date of the recent annual report of the Learning Disabilities Mortality Review (LeDeR) Programme on Thursday 3 May via social media. Shortly afterwards, the Department received an email from an NHS England official about the publication of the report. The Department then took steps to seek confirmation from NHS England about the publication date and secure a copy of the report which was also provided on Thursday 3 May.</p><p> </p><p>The Department does not consider this to constitute the usual route of formal notification. The Department would expect notification of the publication date and an embargoed copy of the report to be provided in a manner that would have permitted sufficient notice to support internal planning and provide advice to ministers in an effective way. This expectation was reinforced by the statement made to Parliament in December 2016 by the Secretary of State for Health and Social Care that annual reports of the LeDeR programme would be provided to the Department.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/06/2018 16:02:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

911190

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what factors the Scientific Advisory Committee on Nutrition takes into account when determining whether to revise its advice on any aspect of nutritional supplementation.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147850
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) undertakes a risk assessment to determine whether to revise its advice either because of a need identified through horizon scanning or at the request of government. The SACN undertakes all risk assessment in line with its framework for the evaluation of evidence. The SACN’s risk assessments take account of evidence on intake and need in relation to health outcomes considered to be of key public health concern.</p><p> </p><p>The SACN undertakes nutritional risk assessment on a case by case basis in relation to need – this is usually either because of a need identified through horizon scanning or at the request of government. The SACN has no plans to develop specific additional advice on supplement use.</p><p> </p><p>The SACN has made supplementation recommendations in relation to vitamin D and folic acid. Which are available at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report" target="_blank">https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations" target="_blank">https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147851 147852 question first answered 04/06/2018 13:56:29 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911191

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
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 list all the recommendations the Scientific Advisory Committee on Nutrition has issued in respect of nutritional supplements by (a) nutritional supplement, (b) when the recommendation was last reviewed in each case and (c) what triggered the last review in the case of each supplement; and if he will make a statement.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147851
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) undertakes a risk assessment to determine whether to revise its advice either because of a need identified through horizon scanning or at the request of government. The SACN undertakes all risk assessment in line with its framework for the evaluation of evidence. The SACN’s risk assessments take account of evidence on intake and need in relation to health outcomes considered to be of key public health concern.</p><p> </p><p>The SACN undertakes nutritional risk assessment on a case by case basis in relation to need – this is usually either because of a need identified through horizon scanning or at the request of government. The SACN has no plans to develop specific additional advice on supplement use.</p><p> </p><p>The SACN has made supplementation recommendations in relation to vitamin D and folic acid. Which are available at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report" target="_blank">https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations" target="_blank">https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147850 147852 question first answered 04/06/2018 13:56:29 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911192

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
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 the Scientific Advisory Committee on Nutrition has to develop additional advice on the use of food supplements by nutrient.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147852
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) undertakes a risk assessment to determine whether to revise its advice either because of a need identified through horizon scanning or at the request of government. The SACN undertakes all risk assessment in line with its framework for the evaluation of evidence. The SACN’s risk assessments take account of evidence on intake and need in relation to health outcomes considered to be of key public health concern.</p><p> </p><p>The SACN undertakes nutritional risk assessment on a case by case basis in relation to need – this is usually either because of a need identified through horizon scanning or at the request of government. The SACN has no plans to develop specific additional advice on supplement use.</p><p> </p><p>The SACN has made supplementation recommendations in relation to vitamin D and folic acid. Which are available at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report" target="_blank">https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations" target="_blank">https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147850 147851 question first answered 04/06/2018 13:56:29 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911193

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
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 revised advice issued by the Scientific Advisory Committee on Nutrition in July 2016 on vitamin D, for what reasons Public Health England limited the application of the advice to autumn and winter only; what steps he has taken to monitor the effect of that change in the advice on the health of the population; what steps have been taken to make the public aware of that advice; and if he will make a statement.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147853
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Public Health England advice on vitamin D supplements recognises that in spring and summer, the majority of the population get enough vitamin D through sunlight on the skin and a healthy, balanced diet. The advice from the Scientific Advisory Committee on Nutrition was unable to take account of skin synthesis of vitamin D.</p><p> </p><p>During autumn and winter everyone will need to rely on dietary sources of vitamin D. Vitamin D intake and status is measured through the United Kingdom National Diet and Nutrition Survey rolling programme.</p><p> </p><p>Clear advice to the public continues to be communicated via the NHS Choices website at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/" target="_blank">https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/</a></p><p> </p><p>The National Institute for Health and Care Excellence has produced guidance on increasing vitamin D supplement use among population groups at risk of vitamin D deficiency, which is available at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ph56" target="_blank">https://www.nice.org.uk/guidance/ph56</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 14:07:05 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911195

registered interest
date	24/05/2018
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	Mental Health Services: Children and Young People
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 Transforming Children and Young People’s Mental Health Provision: a Green Paper, jointly published by his Department and the Department for Education, when the Government plans to publish its response to the consultation on that Green Paper.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	147776
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>We plan to publish a Government response to the consultation on the Green Paper ahead of summer recess.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/06/2018 14:18:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

911202

registered interest
date	24/05/2018
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	Foetal Alcohol Spectrum Disorder
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 have been diagnosed with Foetal Alcohol Spectrum Disorder in (a) the North East and (b) England in each of the last three years.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	147891
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Public Health England collect and report information on individuals with foetal alcohol syndrome however only those identified at birth are notified, so it is recognised that this is a significant underestimation of the overall prevalence.</p><p> </p><p>The figures available relate to births in 2012-2016 and cover five regions in England only: the South West, East Midlands and South Yorkshire, Wessex, Thames Valley and the North, (including North East and Cumbria), prevalence tables by region and year can be found <a href="http://www.eurocat-network.eu/prevdata/resultsPdf.aspx?title=A5&amp;allanom=false&amp;allregf=true&amp;allrega=true&amp;anomalies=83&amp;winx=1256&amp;winy=677" target="_blank">at</a> the following link:</p><p> </p><p><a href="http://www.eurocat-network.eu/prevdata/resultsPdf.aspx?title=A5&amp;allanom=false&amp;allregf=true&amp;allrega=true&amp;anomalies=83&amp;winx=1256&amp;winy=677" target="_blank">http://www.eurocat-network.eu/prevdata/resultsPdf.aspx?title=A5&amp;allanom=false&amp;allregf=true&amp;allrega=true&amp;anomalies=83&amp;winx=1256&amp;winy=677</a></p><p> </p><p>Rates vary from 0.00 per 10,000 - 0.16 per 10,000 births compared to a European prevalence of 0.54 per 10,000 births.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 14:04:54 answering member 4067 label Biography information for Steve Brine
tabling member	4125 label Biography information for Catherine McKinnell