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994496

registered interest
date	25/10/2018
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	Tramadol
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 limit the prescription of Tramadol.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	183935
answer	answer is ministerial correction date of answer 31/10/2018 answer text <p>The Department expects all clinicians to act responsibly when prescribing schedule three drugs such as Tramadol. The responsibility for prescribing and any necessary follow-up rests with the doctor or prescriber who has clinical responsibility for that particular aspect of a patient's care. Decisions on which drugs are prescribed should be based on clinical assessments. Good communication between practitioners and patients is essential and prescribers should always involve patients in decisions about the treatment proposed, including informing them of any possible side effects from their prescribed medicines.</p><p> </p><p>The Advisory Council on the Misuse of Drugs published advice on the use of Tramadol in 2013. This advice can be found at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/144116/advice-tramadol.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/144116/advice-tramadol.pdf</a></p><p> </p><p>Advice to prescribers includes warnings that repeated use is associated with psychological and physical dependence.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/10/2018 12:09:42 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

994522

registered interest
date	25/10/2018
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 Professions: Training
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 effect on delivering the commitment made in the NHS Forward View to create sufficient capacity to transform services of underspending on workforce development by Health Education England.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	183922
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>As set out in the Five Year Forward View, employers are responsible for ensuring they have sufficient staff with the right skills to care for their patients.</p><p> </p><p>Recognising the importance of the development and training of the existing workforce, the Department is working with Health Education England, NHS Improvement and NHS England to consider the approach to and funding of continuing professional development.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 30/10/2018 16:21:28 answering member 4095 label Biography information for Steve Barclay
tabling member	4036 label Biography information for Luciana Berger

994525

registered interest
date	25/10/2018
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 Obstructive Pulmonary Disease
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 had COPD conditions in each year from 2007 to 2017.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	183881
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>The information requested is shown in the following table:</p><p> </p><p>The number of people registered at a general practitioner practice who had a diagnosis of chronic obstructive pulmonary disease (COPD) at 31 March between 2006-07 and 2017-18 in England.</p><table><tbody><tr><td><p>Year</p></td><td><p>Register</p></td></tr><tr><td><p>2017-18</p></td><td><p>1,113,417</p></td></tr><tr><td><p>2016-17</p></td><td><p>1,087,908</p></td></tr><tr><td><p>2015-16</p></td><td><p>1,066,471</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,034,578</p></td></tr><tr><td><p>2013-14</p></td><td><p>1,004,920</p></td></tr><tr><td><p>2012-13</p></td><td><p>974,999</p></td></tr><tr><td><p>2011-12</p></td><td><p>938,511</p></td></tr><tr><td><p>2010-11</p></td><td><p>898,989</p></td></tr><tr><td><p>2009-10</p></td><td><p>861,341</p></td></tr><tr><td><p>2008-09</p></td><td><p>834,312</p></td></tr><tr><td><p>2007-08</p></td><td><p>799,772</p></td></tr><tr><td><p>2006-07</p></td><td><p>765,806</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>All data above is taken from Quality Outcomes Framework publications.</li><li>Figures are correct at March 31 of year. i.e. 2017-18 data is correct as at 31 March 2018.</li><li>Register is defined as the number of people registered with a general practitioner with a diagnosis of COPD.</li><li>It should be noted that a single patient may appear in the figures for multiple years as the list of those with a diagnosis not those with a new diagnosis, therefore the figures cannot be summed to get the total number of people diagnosed between 2006-07 and 2017-18.</li></ol><p> </p><p>The National Health Service has acted to improve the rate of diagnosis and quality of care of those with COPD through:</p><p>- the introduction of guidelines from the National Institute for Health and Care Excellence to help more people benefit from earlier diagnosis and treatment;</p><p>- the National COPD Audit Programme led by the Royal College of Physicians;</p><p>- the publication of NHS England’s RightCare optimal pathway for COPD; and</p><p>- national respiratory symptom awareness campaigns run by Public Health England.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 16:01:16 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

994535

registered interest
date	25/10/2018
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	Genito-urinary Medicine: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding his Department has allocated to sexual health services in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	183896
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>Funding for sexual and reproductive health and HIV services is allocated through local authorities, clinical commissioning groups and NHS England. No central assessment has been made of the total funding allocated in any of the last eight years.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 16:04:45 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

994537

registered interest
date	25/10/2018
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	Syphilis
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 diagnoses of syphilis in (a) England, (b) Yorkshire and Humber and (c) Kingston Upon Hull in each of the last eight years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	183897
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>Public Health England routinely collects data on sexually transmitted infections diagnoses, testing and other sexual health related services. In England, the number of syphilis diagnoses in the last eight years was 2,646 in 2010; 2,927 in 2011; 3,014 in 2012; 3,344 in 2013; 4,448 in 2014; 5,322 in 2015; 5,955 in 2016 and 7,137 in 2017.</p><p> </p><p>In Yorkshire and Humber, the number of syphilis diagnoses in the last five years was 213 in 2013; 204 in 2014; 203 in 2015; 376 in 2016 and 417 in 2017. Data are not available before 2013.</p><p> </p><p>In Kingston upon Hull, the number of syphilis diagnoses in the last six years was 8 in 2012; 24 in 2013; 7 in 2014; 10 in 2015; 11 in 2016 and 23 in 2017. Data are not available before 2012.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 16:03:43 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

994583

registered interest
date	25/10/2018
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	Influenza: 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 steps his Department is taking to tackle shortages of aTIV, the recommended flu vaccine for over-65s at (a) GP practices, (b) pharmacies and (c) other health service providers.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	183927
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>There is not an overall shortage of the adjuvanted trivalent flu (aTIV) for the season. To enable adequate supply of the aTIV to be available in 2018-19, deliveries have had to be phased and this means that patients may need to wait a few weeks to get vaccination. All general practice and pharmacies in the United Kingdom will have the delivery of their orders phased across three months; 40% in September, 20% in October and 40% in November. This is a specific arrangement for 2018-19 to allow effective supply of the vaccine.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 15:48:35 answering member 4067 label Biography information for Steve Brine
tabling member	4046 label Biography information for Bridget Phillipson

994584

registered interest
date	25/10/2018
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	Influenza: 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 discussions he has had with NHS England on the shortages of aTIV, the recommended flu vaccine for over-65s.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	183928
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>The Secretary of State has met with NHS England to discuss the phased delivery of the adjuvanted trivalent influenza vaccine. Deliveries of the vaccine are being phased between September and November. By mid-November we expect that all doses will be delivered to general practitioner practices, pharmacies and other providers.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 17:08:17 answering member 4067 label Biography information for Steve Brine
tabling member	4046 label Biography information for Bridget Phillipson

994629

registered interest
date	25/10/2018
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	Smoking: 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, what estimate his Department has made of the total cost per patient of smoking cessation in terms of the (a) medication and (b) staff time involved in the dispensing of such products in the last year for which information is available.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	183883
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>This information is not collected in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 16:02:35 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb

994631

registered interest
date	25/10/2018
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	Smoking: 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, if he will make an assessment of the relative cost effectiveness of the smoking cessation treatments available on the NHS; and if he will make a statement.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	183885
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>The National Institute for Health and Care Excellence guideline NG92 provides a summary of the relative effectiveness of individual stop smoking medications (when used both with or without behavioural support), compared to effectiveness of no medication. This summary and accompanying guidance is available at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng92/evidence/b-interventions-to-aid-smoking-cessation-behavioural-support-and-pharmacotherapy-pdf-4788920847" target="_blank">https://www.nice.org.uk/guidance/ng92/evidence/b-interventions-to-aid-smoking-cessation-behavioural-support-and-pharmacotherapy-pdf-4788920847</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 15:47:17 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb

994632

registered interest
date	25/10/2018
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	Smoking: 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, if he will make an assessment of the smoking cessation treatments available through the NHS that are most effective at (a) three months, (b) six months and (c) one year after the patient initially stops smoking.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	183886
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>This information is not available in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 15:59:55 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb