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1135182

registered interest
date	27/06/2019
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	Genomics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which diagnostic tests will whole genome sequencing replace, particularly for blood cancers.
tabling member constituency	Sheffield South East
tabling member printed	Mr Clive Betts
uin	270281
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>During 2019, the National Health Service will begin to offer whole genome sequencing (WGS) as part of clinical care for:</p><p>- Seriously ill children likely to have a rare genetic disorder;</p><p>- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and</p><p>- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS – children with cancer, sarcoma and acute myeloid leukaemia.</p><p> </p><p>WGS will only replace existing diagnostic tests once the testing is demonstrated to be clinically safe to replace existing diagnostic testing. Initially, existing diagnostic testing will continue to be performed alongside WGS testing where clinically appropriate. This will continue until WGS is able to fully support clinical decision making within clinically appropriate timescales.</p><p>Current testing for blood cancers includes a number of diagnostic tests, the current expectation is that WGS will not be used to replace tests that require very fast turnaround times (under 24 hours) or high sensitivity.</p><p>WGS and non-WGS testing that will be available as part of clinical care is outlined in the National Genomic Test Directory at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>The UK Genetic Testing Network (UKGTN) published the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing, which evaluated and recommended genetic tests for rare and inherited disorders for the National Health Service across the UK. However, there was not an equivalent for cancer genomic testing. The National Genomic Test Directory specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access to a test.</p><p>The National Genomic Test Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as WGS. As the price of WGS falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 270282 270283 question first answered 05/07/2019 09:24:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	394 label Biography information for Mr Clive Betts

1135183

registered interest
date	27/06/2019
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	Genetics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the National Genomic Test Directory directly replaces the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing.
tabling member constituency	Sheffield South East
tabling member printed	Mr Clive Betts
uin	270282
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>During 2019, the National Health Service will begin to offer whole genome sequencing (WGS) as part of clinical care for:</p><p>- Seriously ill children likely to have a rare genetic disorder;</p><p>- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and</p><p>- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS – children with cancer, sarcoma and acute myeloid leukaemia.</p><p> </p><p>WGS will only replace existing diagnostic tests once the testing is demonstrated to be clinically safe to replace existing diagnostic testing. Initially, existing diagnostic testing will continue to be performed alongside WGS testing where clinically appropriate. This will continue until WGS is able to fully support clinical decision making within clinically appropriate timescales.</p><p>Current testing for blood cancers includes a number of diagnostic tests, the current expectation is that WGS will not be used to replace tests that require very fast turnaround times (under 24 hours) or high sensitivity.</p><p>WGS and non-WGS testing that will be available as part of clinical care is outlined in the National Genomic Test Directory at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>The UK Genetic Testing Network (UKGTN) published the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing, which evaluated and recommended genetic tests for rare and inherited disorders for the National Health Service across the UK. However, there was not an equivalent for cancer genomic testing. The National Genomic Test Directory specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access to a test.</p><p>The National Genomic Test Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as WGS. As the price of WGS falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 270281 270283 question first answered 05/07/2019 09:24:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	394 label Biography information for Mr Clive Betts

1135184

registered interest
date	27/06/2019
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	Genomics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how will new tests be added to the National Genomic Test Directory.
tabling member constituency	Sheffield South East
tabling member printed	Mr Clive Betts
uin	270283
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>During 2019, the National Health Service will begin to offer whole genome sequencing (WGS) as part of clinical care for:</p><p>- Seriously ill children likely to have a rare genetic disorder;</p><p>- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and</p><p>- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS – children with cancer, sarcoma and acute myeloid leukaemia.</p><p> </p><p>WGS will only replace existing diagnostic tests once the testing is demonstrated to be clinically safe to replace existing diagnostic testing. Initially, existing diagnostic testing will continue to be performed alongside WGS testing where clinically appropriate. This will continue until WGS is able to fully support clinical decision making within clinically appropriate timescales.</p><p>Current testing for blood cancers includes a number of diagnostic tests, the current expectation is that WGS will not be used to replace tests that require very fast turnaround times (under 24 hours) or high sensitivity.</p><p>WGS and non-WGS testing that will be available as part of clinical care is outlined in the National Genomic Test Directory at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>The UK Genetic Testing Network (UKGTN) published the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing, which evaluated and recommended genetic tests for rare and inherited disorders for the National Health Service across the UK. However, there was not an equivalent for cancer genomic testing. The National Genomic Test Directory specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access to a test.</p><p>The National Genomic Test Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as WGS. As the price of WGS falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 270281 270282 question first answered 05/07/2019 09:24:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	394 label Biography information for Mr Clive Betts

1135217

registered interest
date	27/06/2019
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: Iron and Steel
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 sign his Department up to the UK Steel charter.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	270357
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department supports the Charter where this is relevant to our commercial activities and only where consistent with the relevant procurement regulations that require fair and open competition.</p><p>The Parliamentary Undersecretary of State at the Department for Business, Energy and Industrial Strategy (Andrew Stephenson MP), wrote to the Secretary of State for Health and Social Care on 29 May to ask the Department to sign the Steel Charter. We are not aware of any further formal discussions on the topic. On matters relating to procurement policy, Departmental officials continue to work with officials in the Domestic Policy Team at Cabinet Office.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 270361 question first answered 05/07/2019 09:02:31 answering member 1585 label Biography information for Stephen Hammond
tabling member	4056 label Biography information for Nic Dakin

1135221

registered interest
date	27/06/2019
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: Iron and Steel
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 had discussions with the Department for Business, Energy and Industrial Strategy on the UK Steel charter.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	270361
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department supports the Charter where this is relevant to our commercial activities and only where consistent with the relevant procurement regulations that require fair and open competition.</p><p>The Parliamentary Undersecretary of State at the Department for Business, Energy and Industrial Strategy (Andrew Stephenson MP), wrote to the Secretary of State for Health and Social Care on 29 May to ask the Department to sign the Steel Charter. We are not aware of any further formal discussions on the topic. On matters relating to procurement policy, Departmental officials continue to work with officials in the Domestic Policy Team at Cabinet Office.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 270357 question first answered 05/07/2019 09:02:31 answering member 1585 label Biography information for Stephen Hammond
tabling member	4056 label Biography information for Nic Dakin

1135245

registered interest
date	27/06/2019
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: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether any companies based in the EU have indicated a wish to cancel contracts to supply the NHS with drugs in the event of the UK leaving the EU without a deal.
tabling member constituency	Wokingham
tabling member printed	John Redwood
uin	270230
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department has been in contact with NHS England’s Commercial Medicines Unit (CMU), who puts in place competitively tendered arrangements (Framework Agreements) through which National Health Service hospital trusts can purchase certain medicines.</p><p>Neither the Department nor CMU are aware of any contract cancellations related to a ‘no deal’ European Union exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/07/2019 09:00:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	14 label Biography information for Sir John Redwood

1135305

registered interest
date	27/06/2019
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: Ethnic Groups
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 entitled, Fair to Refer, published by the General Medical Council in June 2019, what steps his Department is taking to BAME discrimination in the NHS.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	270239
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>It is the responsibility of each National Health Service organisation as individual employers, to ensure all workforce policies and procedures comply with the Equality Act 2010. This includes policies and procedures to prevent all forms of unlawful discrimination, including bullying, harassment and victimisation from other staff, patients or other members of the public.</p><p>Policies and procedures should be easily accessible to staff and managers and should be regularly monitored and reviewed by organisation boards in partnership with staff-side representatives. Employers provide a range of support services for their employees, including counselling, Freedom to Speak Up guardians, other staff trained to support affected colleagues, bullying hotlines and mediation.</p><p>The Department is committed to supporting NHS organisations in this via the Social Partnership Forum’s ‘Creating positive workplace cultures and tackling bullying in the NHS - a collective call to action’, the Alliance of Healthcare Organisations committed to civility and respect throughout the NHS and the new offer for staff being developed as part of the People Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/07/2019 09:29:22 answering member 1585 label Biography information for Stephen Hammond
tabling member	207 label Biography information for Sir Vince Cable

1135306

registered interest
date	27/06/2019
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	Doctors: Working Hours
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the proportion of doctors who have taken on additional responsibilities within their working hours as a result of gaps in staff rotas.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	270240
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>There has been no recent estimate made by the Government because work schedules for junior doctors and job planning for consultants and specialty doctors are a matter for individual hospital trusts.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/07/2019 09:25:03 answering member 1585 label Biography information for Stephen Hammond
tabling member	207 label Biography information for Sir Vince Cable

1135368

registered interest
date	27/06/2019
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	Nurses: Apprentices
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 increase the number of nursing apprenticeships.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	270278
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department is fully committed to increasing the number of nursing apprenticeships. Working with the National Health Service we have created a complete apprentice pathway from entry level Healthcare Support Worker to Nursing Associate to Nurse and onto postgraduate advanced clinical practice in nursing. This will support people from all backgrounds to enter a nursing career in the NHS.</p><p>Apprentice nurses will complete the same nursing degree as fulltime university students.</p><p>Health Education England (HEE) is leading a national Nursing Associate programme with a commitment for up to 7,500 Nursing Associates to enter training in 2019. This expansion builds on HEE’s Nursing Associate programme which has already seen thousands start training in 2017 and 2018.</p><p>HEE is also working with employers to support the development of a pipeline of future trainee Nursing Associates by investing in functional skills in English and Maths. This is intended to support those individuals that would like to apply to become a Nursing Associate gain the necessary skills to be able to.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 270279 question first answered 05/07/2019 09:31:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	350 label Biography information for Sir John Hayes

1135370

registered interest
date	27/06/2019
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	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, if his Department will take steps to reduce the barriers for individuals without classroom-based academic qualifications to train as nurses.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	270279
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department is fully committed to increasing the number of nursing apprenticeships. Working with the National Health Service we have created a complete apprentice pathway from entry level Healthcare Support Worker to Nursing Associate to Nurse and onto postgraduate advanced clinical practice in nursing. This will support people from all backgrounds to enter a nursing career in the NHS.</p><p>Apprentice nurses will complete the same nursing degree as fulltime university students.</p><p>Health Education England (HEE) is leading a national Nursing Associate programme with a commitment for up to 7,500 Nursing Associates to enter training in 2019. This expansion builds on HEE’s Nursing Associate programme which has already seen thousands start training in 2017 and 2018.</p><p>HEE is also working with employers to support the development of a pipeline of future trainee Nursing Associates by investing in functional skills in English and Maths. This is intended to support those individuals that would like to apply to become a Nursing Associate gain the necessary skills to be able to.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 270278 question first answered 05/07/2019 09:31:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	350 label Biography information for Sir John Hayes