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157008

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	E. coli
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will issue guidance to hospitals so that a case of E.coli bacteria triggers the procedures that would be followed if a case of MRSA were discovered.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215426
	answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The management of individual cases of <em>E.coli</em> bloodstream infections is the responsibility of local infection prevention and control specialists. However, the Department has asked its expert Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections to consider the options for reducing the number of <em>E.coli</em> infections, which are not always hospital acquired.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 17:18:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4079 label Biography information for Julian Sturdy

156993

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Antibiotics
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance he issues on the commissioning of novel antibiotics designed to treat life-threatening infections at a national level through NHS England's specialised commissioning system.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	215485
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>Generally antibiotic use is determined locally and is driven by microbiology departments and by local antibiotic resistance patterns. There are two specific areas of specialised commissioning where provisions for antibiotics are relevant. A national policy for cystic fibrosis is already available (<a href="http://www.england.nhs.uk/wp-content/uploads/2013/04/a01-ps-a.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/04/a01-ps-a.pdf</a>) and a policy covering treatment of multi drug resistant tuberculosis (TB) is being developed. This new policy should be introduced from April 2015 and hopes to set policy for Bedaquiline and possibly Delamanid, two drugs recently launched into the United Kingdom market for multidrug resistant TB.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/11/2014 17:35:36 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4056 label Biography information for Nic Dakin

156994

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Antibiotics
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Government's response to the House of Commons Science and Technology Committee report, Ensuring access to working antimicrobials, Cm, 8919, whether his Department is working on potential alternative pricing and reimbursement mechanisms for novel antibiotics in advance of the conclusion of the O'Neill Review; and what plans he has to explore new funding mechanisms with industry in the interim.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	215487
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>As part of the United Kingdom’s antimicrobial resistance strategy, we have been working with industry and with other national and international stakeholders on how best to stimulate the development of new antibiotics, diagnostics and potential business models as well as on research into antimicrobial resistance.</p><p> </p><p> </p><p> </p><p>We will continue to explore what can be done to support antimicrobial diagnostics and drug development pending the announcement by the independent Review on Antimicrobial Resistance of its conclusions.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 25/11/2014 13:22:48 answering member 4020 label Biography information for George Freeman
	tabling member	4056 label Biography information for Nic Dakin

156998

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Drugs: Licensing
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, on what dates since 2 July 2014 he has discussed with charities the use of off-patent drugs for new indications; and what the content of these discussions was.
	tabling member constituency	North West Leicestershire
	tabling member printed	Andrew Bridgen
	uin	215396
	answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Off-patent drugs are those whose patent period has expired and they are widely used in the National Health Service now. Drugs can also be prescribed ‘off-label’ outside of their licensed indication(s) to individual patients where doctors consider it is clinically appropriate to do so. Prescribing decisions are rightly a matter for clinicians in discussion with their patients.</p><p> </p><p> </p><p> </p><p>My Rt. hon. Friend the Secretary of State has had no discussions with charities about the use of off-patent drugs for new indications since 2 July. Officials have had several discussions with the Breast Cancer Campaign covering their views on medicines licences, implementation of National Institute for Health and Care Excellence guidelines and planning the roundtable discussion on adoption of new evidence into clinical practice. There have also been ongoing discussions with Cancer Research UK on the use of aspirin to help prevent certain cancers.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 17:23:49 answering member 4020 label Biography information for George Freeman
	tabling member	4133 label Biography information for Andrew Bridgen

157006

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to improve mental health services for young people.
	tabling member constituency	North East Hertfordshire
	tabling member printed	Sir Oliver Heald
	uin	215408
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The Government is determined to make sure children and young people get the mental health care they need, and are taking a number of steps to address this.</p><p> </p><p> </p><p> </p><p>The Children and Young People’s Mental Health and Wellbeing Taskforce was launched in August 2014 to look at how to improve children and young people’s access to mental health services which are more responsive to their needs. It will focus on innovative solutions to improve access to help and support across the sectors, including in schools, through voluntary organisations and online. The Taskforce will report next spring.</p><p> </p><p> </p><p> </p><p>The Department has invested £7 million in new Children and Adolescent Mental Health Services specialised Tier 4 beds, £54 million into the Children and Young People’s Improving Access to Psychological Therapies programme and £3 million in MindEd, which provides clear guidance on children and young people's mental health, wellbeing and development to any adult working with children, young people and families. The Department is seeking to procure a new survey of child and adolescent mental health. We are also introducing a new waiting time standard to make sure young people with psychosis get prompt treatment.</p><p> </p><p> </p><p> </p><p>Public Health England has recently published a framework that addresses the mental health of young people, commissioning the Institute of Health Equity to produce evidence based briefings on parenting programmes and publishing a briefing for head teachers which makes the link between education attainment and pupil health and wellbeing.</p><p> </p><p> </p><p> </p><p>Public Health England will also be publishing a framework for local authorities to improve health and wellbeing outcomes for young people aged 10 – 24. In all these products, mental health and wellbeing are key features.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/11/2014 17:30:57 answering member 1439 label Biography information for Norman Lamb
	tabling member	69 label Biography information for Sir Oliver Heald

156991

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Professions: Regulation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when he plans to publish his response to the Law Commission Review of the Regulation of Health Care Professionals published in April 2014; and what his policy is towards the proposal that the Nursing and Midwifery Council should close the specialist public health nursing part of their register.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	215479
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The Law Commissions’ review of the regulation of health professionals proposed that the third part (Specialist Community Public Health Nurse) of the Nursing and Midwifery Council’s register should be removed and should be replaced with annotations to the register to denote those currently registered in the third part of the register. The Department is considering the Law Commission’s proposals and is working closely with the regulatory bodies and the Professional Standards Authority to inform our response, which we will publish in due course. The Government’s views on this, and all other recommendations made by the Law Commissions, will be outlined in this response.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/11/2014 17:05:47 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4036 label Biography information for Luciana Berger

157002

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Meningitis: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to negotiate an agreement on the price of the vaccine for meningococcal B.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	215474
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The Department is continuing negotiations with the manufacturer to seek to agree a cost-effective price for the supply of the meningococcal B vaccine, Bexsero. The negotiations will be completed as quickly as practicable.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 25/11/2014 17:07:52 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

157001

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate his Department has made of the gender pay gap for employees of NHS England in (a) Stoke Newington and Hackney North constituency, (b) Hackney local authority area, (c) London and (d) England; and if he will make a statement.
	tabling member constituency	Hackney North and Stoke Newington
	tabling member printed	Ms Diane Abbott
	uin	215370
	answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>We do not have an accurate estimate of the gender pay gap for employees of NHS England.</p><p> </p><p> </p><p> </p><p>NHS England does not have offices in Stoke Newington, Hackney North constituency, or Hackney local authority area.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 17:21:57 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	172 label Biography information for Ms Diane Abbott

157004

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Paracetamol
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the cost to the public purse was of prescriptions issued for paracetamol in England in each of the last two years; and if he will make a statement.
	tabling member constituency	Enfield North
	tabling member printed	Nick de Bois
	uin	215406
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>Information on the number and net ingredient cost of prescription items for paracetamol<sup>1</sup> dispensed in the community in England is in the table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Prescription Items</p><p>(000s)</p></td><td><p>Net Ingredient Cost</p><p>(£000s)</p></td></tr><tr><td><p>2012-13</p></td><td><p>21,963.2</p></td><td><p>73,793.9</p></td></tr><tr><td><p>2013-14</p></td><td><p>22,616.5</p></td><td><p>83,146.6</p></td></tr></tbody></table><p> </p><p><sup>1</sup>Excludes combination medicines. Includes multiple packs per item and a range of formulations, including those produced specific to patient needs</p><p> </p><p><em>Source:</em> Prescription Cost Analysis system provided by the NHS Business Services Authority</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 215407 question first answered 25/11/2014 17:07:23 answering member 4020 label Biography information for George Freeman
	tabling member	4002 label Biography information for Nick de Bois

157005

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Paracetamol
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many prescriptions have been issued for paracetamol in England in each of the last two years.
	tabling member constituency	Enfield North
	tabling member printed	Nick de Bois
	uin	215407
	answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>Information on the number and net ingredient cost of prescription items for paracetamol<sup>1</sup> dispensed in the community in England is in the table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Prescription Items</p><p>(000s)</p></td><td><p>Net Ingredient Cost</p><p>(£000s)</p></td></tr><tr><td><p>2012-13</p></td><td><p>21,963.2</p></td><td><p>73,793.9</p></td></tr><tr><td><p>2013-14</p></td><td><p>22,616.5</p></td><td><p>83,146.6</p></td></tr></tbody></table><p> </p><p><sup>1</sup>Excludes combination medicines. Includes multiple packs per item and a range of formulations, including those produced specific to patient needs</p><p> </p><p><em>Source:</em> Prescription Cost Analysis system provided by the NHS Business Services Authority</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 215406 question first answered 25/11/2014 17:07:23 answering member 4020 label Biography information for George Freeman
	tabling member	4002 label Biography information for Nick de Bois