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391830

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prosthetics
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will request that NHS England publish a timeline for the re-publication of a commissioning policy on (a) microprocessor knees, (b) multi-articulating prosthetic hands and (c) custom made silicon covers.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	8279
	answer	answer is ministerial correction date of answer 11/09/2015 answer text <p>NHS England has advised that it has commissioned an independent evidence review in relation to microprocessor knees, multi-articulating prosthetic hands and custom made silicon covers which is expected to be complete by September 2015. A more detailed understanding of next steps including potential timelines will be possible once the evidence review has been considered by NHS England.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 11/09/2015 11:14:54 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

391816

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Treatments: Innovation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will request that NHS England clarify the mechanisms available for manufacturers of medical technologies to appeal against a negative specialised service commissioning policy decision.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	8282
	answer	answer is ministerial correction date of answer 11/09/2015 answer text <p>There is no formal appeals process. All stakeholders - including manufacturers, patients and patient groups - are invited to submit their views on proposed commissioning polices via a process of public consultation, the outcome of which is considered by the Clinical Priorities Advisory Group when it meets to form recommendations to NHS England on whether a proposed policy should be commissioned.</p><p> </p><p><strong> </strong></p><p> </p><p>Decisions that are made can be reconsidered at a later date when new evidence is presented.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 11/09/2015 11:00:41 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

391818

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will request that NHS England publish the criteria for approving a specialised service commissioning policy.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	8283
	answer	answer is ministerial correction date of answer 11/09/2015 answer text <p>The criteria used for approving specialised service commissioning policy, entitled <em>NHS England’s response to a public consultation &quot;Investing in specialised services&quot;</em> can be found on the NHS England website:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/06/nhse-respns-publictn-17-06-15.pdf" target="_blank">http://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/06/nhse-respns-publictn-17-06-15.pdf</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 11/09/2015 11:22:21 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

391839

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) new cancer medicines and (b) new indications of existing cancer medicines are expected to be licensed between July 2015 and 31 March 2016.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	8162
	answer	answer is ministerial correction date of answer 07/09/2015 answer text <p>There are currently 11 applications for new cancer medicines and 15 applications for new indications for existing cancer medicines under review by the Medicines and Healthcare products Regulatory Agency (MHRA) as part of European Centralised Procedures submitted to the European Medicines Agency (EMA). There is one further application for a new indication for an existing cancer medicine under review by MHRA in an application submitted in the United Kingdom as part of a Mutual Recognition Procedure.</p><p> </p><p> </p><p> </p><p>Under European Centralised Procedures, it takes up to 210 days for an opinion on licensing for new applications and 120 days for an opinion on variation applications for new indications to be given by the scientific committee of the EMA, the Committee for Human Medicinal Products (CHMP), excluding time taken by the Company to provide further information or data to support any questions which may arise during the assessment process. If the assessment concludes that the quality, safety and efficacy are satisfactory and a positive opinion is given by the CHMP, the European Commission will then consider the opinion and decide upon granting or varying a marketing authorisation, valid across the European Community. For a national variation procedure, the same timeline of 120 days, excluding time taken by the Company to provide further information, applies.</p><p> </p><p> </p><p> </p><p>At this time, the MHRA, the UK Government body responsible for medicines regulation in the UK, is unable to provide more precise detail on the timeline for completion of the review of the applications currently with the EMA and MHRA, and it is not possible to predict with certainty what will be licensed between July 2015 and 31 March 2016, nor can any information be provided on applications not yet submitted but which may be approved before 31 March 2016.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 07/09/2015 12:35:00 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

391843

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer Drugs Fund
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans for a new system for the reimbursement of cancer drugs to be in place by April 2016 when the current Cancer Drugs Fund is proposed to end.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	8164
	answer	answer is ministerial correction date of answer 07/09/2015 answer text <p>NHS England has advised that the Cancer Drugs Fund in its current form is due to operate until 1 April 2016. We understand that NHS England and the National Institute for Health and Care Excellence will shortly be consulting jointly on a proposed new system for commissioning cancer drugs.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 07/09/2015 15:14:37 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

391815

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Streptococcus: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the recent Royal College of Obstetricians and Gynaecologists audit which reported that more than half of all obstetric units tested some or all pregnant women for group B Streptococci using tests not designed specifically to detect group B Streptococci, what the Government's plans are to introduce Public Health England's recently updated UK Standards for Microbiology Investigations, B58 Detection of carriage of Group B Streptococci; and what the planned timescale is for that introduction.
	tabling member constituency	Middlesbrough
	tabling member printed	Andy McDonald
	uin	8291
	answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>Public Health England has advised the Department that the UK Standard for Microbiology Investigation (SMI) B58 <em>Detection of Carriage of Group B Streptococc</em>i was published in June 2015 and is available at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/438182/B_58i3.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/438182/B_58i3.pdf</a></p><p> </p><p> </p><p> </p><p>SMIs are intended as a general resource for practising professionals operating in the field of laboratory medicine and infection specialties in the United Kingdom.</p><p> </p><p> </p><p> </p><p>They represent neither minimum standards of practice nor the highest level of complex laboratory investigation possible, and are not mandatory. Laboratories can download and adapt the method into a Standard Operating Procedure (SOP) based on local policies. SMIs help laboratories to meet accreditation requirements by promoting high quality practices which are auditable. UK microbiology laboratories that do not use SMIs should be able to demonstrate at least equivalence in their testing methodologies to the relevant accreditation body.</p><p> </p><p> </p><p> </p><p>SMI B58 describes the examination of specimens to detect carriage of Group B streptococci (GBS). SMI B58 states that it does not seek to contradict clinical guidelines from the Royal College of Obstetricians and Gynaecologists or the National Institute for Health and Care Excellence, or those of the UK National Screening Committee 2012 which did not recommend antenatal screening for GBS.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/09/2015 15:49:19 answering member 3988 label Biography information for Ben Gummer
	tabling member	4269 label Biography information for Andy McDonald

391821

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Streptococcus
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance his Department has issued (a) to ensure that (i) health professionals involved in the care of pregnant women and (ii) pregnant women are informed about group B Streptococcus and (b) on effectiveness of tests used within the NHS to detect carriage of group B Streptococcus.
	tabling member constituency	Middlesbrough
	tabling member printed	Andy McDonald
	uin	8354
	answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>The Royal College of Obstetricians and Gynaecologists (RCOG) has produced a Green-top guideline: Prevention of Early-Onset Neonatal Group B Streptococcal Disease. The Green-top guideline provides guidance for obstetricians, midwives and neonatologists on the prevention of early-onset neonatal group B streptococcal (GBS) disease. The first edition was published in 2003 and the second updated edition was published in 2012. An audit in partnership with the London School of Hygiene and Tropical Medicine and supported by the Royal College of Midwives was recently carried out by the RCOG. It examined current practice in preventing early- onset neonatal GBS disease by investigating the implementation of the RCOG Green-top guideline (2012 edition) and identified key areas for improvement. The first report was published on 5 March 2015 and found that the majority of obstetric units in the United Kingdom have written protocols to prevent early onset GBS disease in newborn babies. However, there is still variation in practice across units. The second report is due to be published later this year. Further information is available at:</p><p> </p><p><a href="https://www.rcog.org.uk/en/news/rcog-release-new-audit-into-gbs-finds-variation-in-practice-across-obstetric-units/" target="_blank">https://www.rcog.org.uk/en/news/rcog-release-new-audit-into-gbs-finds-variation-in-practice-across-obstetric-units/</a></p><p> </p><p> </p><p> </p><p>In addition the National Institute for Health and Care Excellence has published a clinical guideline which addresses early-onset GBS and other neonatal infections, ‘Antibiotics for early-onset neonatal infection: Antibiotics for the prevention and treatment of early-onset neonatal infection’ (August 2012).The clinical guideline is available at:</p><p> </p><p> </p><p> </p><p><strong> </strong><a href="http://www.nice.org.uk/guidance/cg149" target="_blank">http://www.nice.org.uk/guidance/cg149</a></p><p> </p><p> </p><p> </p><p>Information on GBS in pregnancy is publically available on the NHS Choices website at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nhs.uk/conditions/pregnancy-and-baby/pages/pregnancy-infections.aspx" target="_blank">http://www.nhs.uk/conditions/pregnancy-and-baby/pages/pregnancy-infections.aspx</a>. The RCOG has also developed public information on early onset GBS:</p><p> </p><p> </p><p> </p><p><a href="https://www.rcog.org.uk/en/patients/patient-leaflets/group-b-streptococcus-gbs-infection-in-newborn-babies/" target="_blank">https://www.rcog.org.uk/en/patients/patient-leaflets/group-b-streptococcus-gbs-infection-in-newborn-babies/</a></p><p> </p><p>In June 2015, Public Health England (PHE) published the paper, ‘Enriched culture medium test for group B streptococcus infection: position paper’. The paper concluded that within current accepted clinical guidelines, there are no indications for testing women using enriched culture medium (ECM) methods. Therefore the ECM test has not been introduced into PHE laboratories. The position paper is available on the gov.uk website at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/group-b-streptococcus-infection-enriched-culture-medium-test" target="_blank">https://www.gov.uk/government/publications/group-b-streptococcus-infection-enriched-culture-medium-test</a></p><p> </p><p> </p><p> </p><p>UK standards for microbiology investigations B58: Detection of carriage of Group B Streptococci, which was updated in June 2015, is publically available on the gov.uk website at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/smi-b-58-processing-swabs-for-group-b-streptococcal-carriage" target="_blank">https://www.gov.uk/government/publications/smi-b-58-processing-swabs-for-group-b-streptococcal-carriage</a></p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/09/2015 15:48:06 answering member 3988 label Biography information for Ben Gummer
	tabling member	4269 label Biography information for Andy McDonald

391838

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, pursuant to his contribution on 16 July 2015, Official Report, column 1112, and with reference to the contribution of the Parliamentary Under-Secretary of State in his Department in the House of Lords on 9 June 2015, Official Report, column 283, what his policy is on the exploration of alternative charging systems or different funding systems for the NHS; if he will make it his policy not to bring forwards proposals in the present Parliament to (a) introduce and (b) plan for further charging for healthcare or related services currently provided on the NHS; and if he will make a statement.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	8216
	answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>The Government is committed to the fundamental principles, outlined in the NHS Constitution and underpinned by legislation, that the National Health Service provides a comprehensive service available to all, with access based on clinical need not ability to pay, and funded through national taxation.</p><p> </p><p> </p><p> </p><p>Rising demands and continued fiscal constraint means that the NHS faces challenges in ensuring that it remains financially sustainable in the future. The Government believes that the answer to these challenges lies in changing the way services are delivered and keeping people well and independent for longer, not in altering the fundamental principles that underpin the NHS.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/09/2015 15:22:16 answering member 1201 label Biography information for Alistair Burt
	tabling member	3930 label Biography information for Caroline Lucas

391836

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the adequacy of resources available to (a) adult mental health services, (b) child and adolescent mental health services to provide people who are survivors of (i) current and (ii) historic child sexual abuse with therapeutic and other support services in each of the last five years; and if he will make a statement.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	8221
	answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p><br> National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p><br> In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its arms-length bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p><br> The National Institute for Health and Care Excellence (NICE) issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/09/2015 14:01:47 answering member 1201 label Biography information for Alistair Burt
	tabling member	3930 label Biography information for Caroline Lucas

391837

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Colman Hospital: Neuromuscular Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what reports he has received on the progress of the business case being developed by West Norfolk Clinical Commissioning Group for providing specialist psychological support based at the Colman Hospital for patients with muscular dystrophy and neuromuscular conditions; and if he will make a statement.
	tabling member constituency	Norwich South
	tabling member printed	Clive Lewis
	uin	8208
	answer	answer is ministerial correction date of answer 11/09/2015 answer text <p>The Department has received no such reports. Decisions about the funding of local health services are a matter for local commissioners. NHS West Norfolk Clinical Commissioning Group (CCG) advises that as a member of the NHS England Strategic Network for Neurological Conditions, it agreed to discuss the importance of psychological support for neuromuscular patients, and existing psychological support services in the area, with Muscular Dystrophy UK, NHS England and Norfolk Community Health and Care NHS Trust.</p><p> </p><p> </p><p> </p><p>The CCG has received a copy of a business case for provision of specialist psychological support at Colman Hospital in Norwich from Norfolk Community Health and Care NHS Trust and has been in dialogue with the Trust. This issue will be discussed at the CCG’s Clinical Executive Committee meeting on 7 October 2015.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/09/2015 12:08:54 answering member 3918 label Biography information for Jane Ellison
	tabling member	4500 label Biography information for Clive Lewis