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1146451

registered interest
date	26/09/2019
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: Fees and Charges
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 letter from Lord O’Shaughnessy to the hon. Member for Sheffield Central on 21 December 2017, what progress the Government has made on its review of upfront charging and extending charges to out-of-hospital care and care providers by non-NHS organisations.
tabling member constituency	Sheffield Central
tabling member printed	Paul Blomfield
uin	291392
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>As part of the review of the 2017 Amendment Regulations, the Department engaged with a number of external stakeholders and received evidence from over 60 organisations and individuals. The findings of this review were announced in the Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-12-12/HCWS1174/" target="_blank">HCWS1174</a>) laid by the then Minister of State for Health (Stephen Hammond MP) on 12 December 2018.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 04/10/2019 11:13:48 answering member 4362 label Biography information for Edward Argar
tabling member	4058 label Biography information for Paul Blomfield

1146482

registered interest
date	26/09/2019
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	Haemophilia: Medical Treatments
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 ensure that the supply of factor concentrates for haemophiliacs will not be affected in the event that the UK leaves the EU without a deal.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	291412
answer	answer is ministerial correction date of answer 02/10/2019 answer text <p>The Department is doing everything appropriate to prepare for the United Kingdom’s exit from the European Union. We want to reassure patients that our plans should ensure the supply of medicines and medical products, including those used in the treatment of haemophilia, when we leave the EU on 31 October.</p><p> </p><p>The Department, in partnership with the devolved administrations, has been working with trade bodies, product suppliers, and the health and care system across the UK to make detailed plans that should ensure continuation of the supply of medicines, to the whole of the UK and its Crown Dependencies.</p><p> </p><p>On 26 June, we wrote to suppliers of medicines to the UK from or via the EU or European Economic Area setting out our continuing multi-layered approach to support continuity of supply of medicines and medical products from 31 October.</p><p>Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>Ahead of 31 October, all necessary funding will be made available to support our preparations.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 02/10/2019 14:12:28 answering member 4362 label Biography information for Edward Argar
tabling member	4139 label Biography information for Ian Lavery

1146524

registered interest
date	26/09/2019
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	Ophthalmic Services: Standards
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 ophthalmology services.
tabling member constituency	Lincoln
tabling member printed	Karen Lee
uin	291435
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>Clinical commissioning groups are responsible for commissioning secondary care ophthalmology services to meet local need. We would expect services to be commissioned in line with National Institute for Health and Care Excellence guidance where it is available or best available evidence and for patients to receive treatment, in line with their clinical priority, without any undue delay at any stage of their referral, diagnosis or treatment.</p><p>Getting It Right First Time (GIRFT) is a national clinical improvement programme, working with frontline clinicians to identify and reduce unwarranted variations in service delivery and clinical practice. NHS England advises the GIRFT report into ophthalmology, which will contain recommendations for service improvement, is due for publication shortly.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 04/10/2019 12:48:47 answering member 4380 label Biography information for Jo Churchill
tabling member	4664 label Biography information for Karen Lee

1146528

registered interest
date	26/09/2019
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	Eyesight: Testing
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 reduce waiting times for eye care appointments.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	291238
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning all secondary care ophthalmology services and are also able to commission primary care services (i.e. minor eye services, glaucoma monitoring, referral, refinement and post cataract assessment) in the community to reduce secondary care demand for services and better meet identified needs.</p><p>We would expect services to be commissioned in line with National Institute for Health and Care Excellence guidance where it is available or best available evidence and for patients to receive treatment, in line with their clinical priority, without any undue delay at any stage of their referral, diagnosis or treatment. Where urgent referral pathways do not exist all patients in England have a right to start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. National guidance is also clear that all follow-up appointments should take place when clinically appropriate.</p><p>Getting It Right First Time (GIRFT) is a national clinical improvement programme, working with frontline clinicians to identify and reduce unwarranted variations in service delivery and clinical practice. The GIRFT programme looked at what can be done to ensure ophthalmology patients do not suffer unnecessary delays in follow-up care. NHS England advise the GIRFT report into ophthalmology, which will contain recommendations for service improvement, is due for publication shortly.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 04/10/2019 12:47:24 answering member 4380 label Biography information for Jo Churchill
tabling member	474 label Biography information for Mr Nigel Evans

1146540

registered interest
date	26/09/2019
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	Department of Health and Social Care: Brexit
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 officials in his Department have had with representatives from NHS providers in Cheshire and Merseyside on preparations for the UK leaving the EU without a withdrawal agreement.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	291250
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>The Department is working with its partners across Government, arm’s length bodies, local authorities, industry and the wider health and care system to ensure that all relevant parties are prepared for exiting the European Union. The quality and safety of patient care is paramount in our preparedness plans.</p><p> </p><p>In August 2019 the Department published up-to-date guidance on GOV.UK on what local authorities can do to prepare for leaving the European Union. This covers a range of issues including workforce, business continuity planning, data sharing, and the continuity of supply of medicines, medical devices and clinical consumables, and of non-clinical goods and services, it also provides key contact information and signposts where local authorities and providers can go for further support. We continue to work closely with the health and social care sector to ensure that this guidance is accurate, practical and up-to-date.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 04/10/2019 11:22:41 answering member 4362 label Biography information for Edward Argar
tabling member	483 label Biography information for Maria Eagle

1146541

registered interest
date	26/09/2019
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	Department of Health and Social Care: Brexit
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 officials in his Department have had with representatives from Liverpool City Council on preparations for the UK leaving the EU without a withdrawal agreement.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	291251
answer	answer is ministerial correction date of answer 03/10/2019 answer text <p>The Department is working with its partners across Government, arm’s length bodies, local authorities, industry and the wider health and care system to ensure that all relevant parties are prepared for exiting the European Union. The quality and safety of patient care is paramount in our preparedness plans.</p><p> </p><p>In August 2019, the Department published up-to-date guidance on GOV.UK on what local authorities can do to prepare for leaving the EU. This covers a range of issues including workforce, business continuity planning, data sharing, and the continuity of supply of medicines, medical devices and clinical consumables, and of non-clinical goods and services, it also provides key contact information and signposts where local authorities and providers can go for further support. We continue to work closely with the health and social care sector to ensure that this guidance is accurate, practical and up-to-date.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 03/10/2019 16:32:41 answering member 4362 label Biography information for Edward Argar
tabling member	483 label Biography information for Maria Eagle

1146542

registered interest
date	26/09/2019
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	Department of Health and Social Care: Brexit
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 officials in his Department have had with representatives from Knowsley Borough Council on preparations for the UK leaving the EU without a withdrawal agreement.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	291252
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>The Department is working with its partners across Government, arm’s length bodies, local authorities, industry and the wider health and care system to ensure that all relevant parties are prepared for exiting the European Union. The quality and safety of patient care is paramount in our preparedness plans.</p><p> </p><p>In August 2019 the Department published up-to-date guidance on GOV.UK on what local authorities can do to prepare for leaving the EU. This covers a range of issues including workforce, business continuity planning, data sharing, and the continuity of supply of medicines, medical devices and clinical consumables, and of non-clinical goods and services, it also provides key contact information and signposts where local authorities and providers can go for further support. We continue to work closely with the health and social care sector to ensure that this guidance is accurate, practical and up-to-date.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 04/10/2019 11:11:43 answering member 4362 label Biography information for Edward Argar
tabling member	483 label Biography information for Maria Eagle

1146552

registered interest
date	26/09/2019
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	Electronic Cigarettes and Tobacco
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence base his Department used for the guidance issued on (a) vaping, (b) heat-not-burn and (c) other non-smoke nicotine products.
tabling member constituency	East Hampshire
tabling member printed	Mr Damian Hinds
uin	291364
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>The Government has an ongoing programme to build the evidence base about e-cigarettes. This includes annual evidence updates available from Public Health England available at the following link:</p><p><a href="https://www.gov.uk/government/collections/e-cigarettes-and-vaping-policy-regulation-and-guidance#e-cigarettes-evidence-reviews" target="_blank">https://www.gov.uk/government/collections/e-cigarettes-and-vaping-policy-regulation-and-guidance#e-cigarettes-evidence-reviews</a></p><p>Systematic reviews from the National Institute for Health and Care Excellence available at the following links:</p><p><a href="https://www.nice.org.uk/guidance/ng92" target="_blank">https://www.nice.org.uk/guidance/ng92</a></p><p><a href="https://www.nice.org.uk/guidance/ph45" target="_blank">https://www.nice.org.uk/guidance/ph45</a></p><p>Reports from the Committees on Toxicity, Mutagenicity, Carcinogenicity of Chemicals in Food, Consumer Products and the Environment on heated tobacco products and on electronic cigarettes available at the following link:</p><p><a href="https://cot.food.gov.uk/committee/committee-on-toxicity/cotstatements/cotstatementsyrs/cot-statements-2017/statement-on-heat-not-burn-tobacco-products" target="_blank">https://cot.food.gov.uk/committee/committee-on-toxicity/cotstatements/cotstatementsyrs/cot-statements-2017/statement-on-heat-not-burn-tobacco-products</a></p><p>The Medicines and Healthcare products Regulatory Agency’s Yellow Card Scheme notification process for collecting safety concerns about e-cigarettes available at the following link:</p><p><a href="https://yellowcard.mhra.gov.uk/the-yellow-card-scheme/" target="_blank">https://yellowcard.mhra.gov.uk/the-yellow-card-scheme/</a></p><p>Reports from the National Poisons Information Service available at the following link:</p><p><a href="http://www.npis.org/" target="_blank">http://www.npis.org/</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 04/10/2019 11:18:04 answering member 4380 label Biography information for Jo Churchill
tabling member	3969 label Biography information for Damian Hinds

1146553

registered interest
date	26/09/2019
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	Breastfeeding
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence base his Department used to produce guidance on the relative merits of breastfeeding and bottle feeding; and what changes have been made to that guidance in each of the last ten years.
tabling member constituency	East Hampshire
tabling member printed	Mr Damian Hinds
uin	291365
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>In July 2018, the Scientific Advisory Committee on Nutrition (SACN) published its report on ‘Feeding in the First Year of Life’, providing updated recommendations on infant feeding up to 12 months of age in the UK, which were last reviewed by SACN’s predecessor the Committee on Medical Aspects of Food and Nutrition Policy in 1994. The report can be found at the following link and it outlines in detail the evidence considered:</p><p><a href="https://www.gov.uk/government/publications/feeding-in-the-first-year-of-life-sacn-report" target="_blank">https://www.gov.uk/government/publications/feeding-in-the-first-year-of-life-sacn-report</a></p><p>SACN conducted a comprehensive risk assessment of the available evidence on infant feeding. The risk assessment included consideration of breastfeeding, infant formula feeding and the introduction of solid foods in relation to health outcomes. Based on this, SACN recommended that existing advice for women to exclusively breastfeed for around the first six months of life and to continue breastfeeding for at least the first year of life once solid foods have been introduced, should be retained.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 04/10/2019 12:47:58 answering member 4380 label Biography information for Jo Churchill
tabling member	3969 label Biography information for Damian Hinds

1146571

registered interest
date	26/09/2019
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	Biological Standardization Expert Committee: Publications
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 Report No. 1016 of the WHO Technical Report Series, what the timeframe is for the publication of Report No. 1015 to be published; and if he will place an interim copy of that report in the Library.
tabling member constituency	Clwyd West
tabling member printed	Mr David Jones
uin	291305
answer	answer is ministerial correction date of answer 01/10/2019 answer text <p>The World Health Organization is responsible for the publication of the Technical Report Series and places the reports on its website as appropriate when they are available.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 01/10/2019 16:09:21 answering member 4380 label Biography information for Jo Churchill
tabling member	1502 label Biography information for Mr David Jones